Astasia-abasia: izimbangela, izimpawu, ukuxilongwa kanye nokwelashwa yalesi sifo

Kuyini astasia-abasia? Impendulo le nkinga wezokwelapha kuyinkimbinkimbi izokwethulwa ngezansi. Futhi, sizokutshela mayelana nendlela lesi sifo kubonakala, kusho ukuthi ikhona yini imbangela ngendlela, njengoba ukuhlolelwa lesi sifo futhi ngayo.

Okufingqiwe

Siyini ngempela lesi sifo njengoba astasia-abasia? Igama lalesi sifo linamagama ezimbili. Cabanga ngezinzuzo zalokho ngamunye njengamanje.

Igama elithi "astasia" zivelaphi isiGreki elihunyushwe ngokuthi "simi" noma "ukuma". Ngamanye amazwi, lisho ukungakwazi ukuma, umzimba kubangelwa ukuhlukumeza kwemisipha ubambisene izilonda (elikhulu) we callosum Corpus kanye iyizingxenye engaphelele. Kufanele kuqashelwe ukuthi le nkinga ngokuvamile eba sifo akahlanye futhi kungase kube uphawu lokungabi ataxia cortical.

Kuyini abasia? Leli gama futhi ethathwe esiGrekini futhi lisho "uhambo." Zokwelapha, leli gama lisetshenziswa ukuze libhekisele ekulahlekelweni kwamandla ukuhamba. Ngokuvamile, i-isimo okungavamile ezifana okwenzeka ngenxa yezifo of NS elihlobene ne ukunyakaza iziyaluyalu izinyawo nomzimba ibhalansi iziyaluyalu. Kulokhu, isiguli angafeza nokuhamba nasemilenzeni ephansi, kodwa kuphela isikhundla lisalele.

Ngokuvamile astasia-abasia eba eziyinkimbinkimbi. Endaweni ehlukile, lesi sifo singelashwa.

uhlobo lesi sifo

Astasia-abasia singenzeka ngezindlela ezihlukahlukene. Ochwepheshe ukuhlukanisa kofé uhlangothi, tremornuyu, chorea futhi ifomu spastic. Futhi, lesi sifo sehlukaniswe lezi zinhlobo ezilandelayo:

• Frontal astasia-abasia ngokuvamile eba in iziguli izilonda iyizingxenye frontal zobuchopho. Kulokhu, isiguli ayikwazi ukuhamba, ame noma ngisho ukuhlala siqonde. Lesi sifo ngokuvamile kuhlangene nezinye izimpawu umonakalo ebuchosheni, kuhlanganise inkulumo egwinya, automatism temlomo, smacking, edonsa izindebe pout, nokuningi.
• isifo Subcortical eba kokunqotshwa kwe thalamus kanye ganglia basal. Nale ukwenqaba umuntu okwaziyo ukuma uhambe, kodwa kuphela ngokusekelwa. Imile ngaphandle ukwesekwa uwe phambili noma emuva, kodwa asekele ingalo ongenza ukunyakaza elula ukuba balingise uhamba.
• uhlobo Psychogenic yesifo lihlotshaniswa umhayizo. Zonke ukwephula womuntu kwemisipha ithoni kanye nokudidiyela ezihlobene simo esikhungathekisayo (ukugula kothandekayo, kuyicala eqinile, njll). Iboshiwe yilesi sifo ekuxazululeni izinkinga.

izimbangela

Kungani kunesidingo bokuphila astasia-abasia? Imbangela isimo esinjalo kungaba inqubo isifo noma ukuphazamisa nokwakheka cerebellum, Lobe ngokuqondile, Corpus callosum, ganglia basal, futhi izindlela conductive yokuxhuma kulezi zifunda nezinye ukwahlukana ingqondo.

Futhi astasia-Abaza syndrome ngokuvamile kwenzeka ngenxa:

• uhlukunyezwe Nogebhezi lwawo kanye nobuchopho, kanye nemiphumela yabo;
• izimila ebuchosheni, kuhlanganise cerebellum;
• ukopha ebuchosheni;
• unhlangothi, oyingozi noma ezingamahlalakhona cerebral iziyaluyalu kwegazi;
• demyelinating izifo ukuthi ahambisana nokwahlukana myelin (ngamanye amazwi, iprotheni enikeza conduction okusheshayo amaza kanye imicu yezinzwa);
• cerebellum ithumba noma ubuchopho;
• izifo neurodegenerative, kuhlanganise isifo i-Alzheimer, Lewy umzimba komqondo, isifo Pick sika ;
• umhayizo.

Izimpawu eyinhloko lesi sifo

Uphawu oyinhloko lesi sifo ukungakwazi lohamba indoda. Kulokhu, isiguli njalo ugcina recumbency. Akakwazi sukuma bebodwa ngisho ukuhamba a amamitha ambalwa (ngenxa isiyezi ezinzima futhi sokwephulwa kwe kokuxhumana ukunyakaza). Esikhathini isikhundla lisalele, isiguli uyakwazi ngenkuthalo ukuhambisa umzimba nasemilenzeni.

Uma uzama ukubeka nesineke ngezinyawo zakhe, uqala ngenkuthalo ukuqonda nganoma iyiphi indlela ezisekela. Futhi Yeqa nesineke, ukuze sihlale silinganisela yabo.

ukuhlola

Ukuxilonga lesi sifo kufanele kudokotela. Kulokhu, lo dokotela ubophekile ukuba kuqala interview isiguli. Phakathi nalokho kubingelelana, azithola:

• esingakanani isiguli ukungakwazi athuthukile ukuhamba;
• Ingabe ukuthuthela nasemilenzeni aphansi kungenziwa kusekelwa isandla noma cha;
• fast kanjani isifo siqhubeka.

Kufanele futhi wazi ukuthi uphethwe astasia-Abaza esekelwe izenzo ezilandelayo uchwepheshe:

• luhlolo kwemizwa, okuyinto ihlola amandla futhi imisipha imisipha ithoni e ehleli zilale phansi, futhi bahlola nokudidiyela ukunyakaza (siyibonakalise lisalele), kanye ibhalansi yesaphothi Romberg. Ngaphezu kwalokho, ikhaliphe kulinganiselwa ku ezandleni nasezinyaweni.
• CT nama-MRI ekhanda. ukuqaliswa yabo ivumela izingqimba ukufunda isakhiwo zobuchopho futhi ukukhomba imbangela isifo kweqiniso.
• Obuqinisekisiwe kwengqondo, phakathi kwesikhathi lapho lwembula ukuba khona izimo ezibangela ukucindezeleka.
• Kokubonisana udokotela LFK.

Astasia-abasia: ukwelashwa

Ukwelashwa lokhu isimo kufanele okuhloswe ngalo ukuqeda lesi sifo ecashile. Ngokuvamile ekwelapheni lesi sifo Kwenziwa:

• ukususwa Steel yesimila.
• ukususwa Steel we isilonda ngalo ingaphakathi cranial.
• ukwelashwa elwa namagciwane nokucindezela ekuseni ukutheleleka.
• Ukususwa kwezimiso ukopha, uma zokugula ezifana iyatholakala ukuhlinzwa.

Kufanele kuphawulwe ukuthi iziyaluyalu cerebrovascular nesineke normalizes blood pressure kanye nemithi ukuthi ngcono umzimba futhi kwegazi cerebral palsy.

Ngaphezu kwalokho, ukwelapha astasia-Abaza enikeziwe:

• Amakilasi nge ukuvivinya umzimba onguchwepheshe (ukugcina ukuqeqeshwa ukuhlobanisa izinto, ibhalansi kanye muscle ukuqeqeshwa amandla).
• Imithi ukuthi ngcono amandla ubuchopho.

izinyathelo

Prevention astasia-Abaza inikeza:

• Ukugcina indlela yokuphila enempilo.
• ukufinyelela esifike udokotela uma izimpawu ezinhlobonhlobo.
• A ukudla olinganiselayo.
• Ukunqatshwa ukuphuza utshwala nokubhema.
• zokuqapha njalo blood pressure.