Torticollis Spasmodic, ukuxilongwa kanye nokwelashwa

torticollis Spasmodic libhekisela kumuntu lwezinhlobo ezivame kakhulu ebalulekile (olulodwa emaceleni) dystonia kwabadala. Ezimweni eziningi, lesi sifo spasticity kuphela uphawu ukuthi ezihambisana iziyaluyalu neurophysiological empandni ubuchopho kanye ganglia basal. Lesi sifo ngokuvamile kutholakala ukuthi uphethwe yini ngemva kweminyaka engu-30 ubudala, futhi ekuqaleni lezivakashi ngokwemvelo, kamuva izimpawu ziba unomphela. 10% kuphela amacala zenzeka ukuthethelelwa, kodwa umuntu alulame ngokugcwele cishe ingekho. torticollis Spasmodic wabonakaliswa ithuba zobudlova ikhanda nganxanye, ngezinye izikhathi ungatshekisa noma behlezi. Abanye abantu ozama buthaka dystonia amasu ezikhethekile, ezifana elincike ikhanda laso lithinta odongeni, ngimbambe isandla ku kwesilevu, elele phansi. Spasticity entanyeni imisipha ubalekela ngesikhathi sokulala futhi kwandisa ne ukucindezeleka nokukhathazeka. Kubantu, yesikhathi eside torticollis iyagula, ukuthuthukisa osteochondrosis wesibeletho radiculopathy, okuyinto ahambisana ubuhlungu engalweni nentamo.

ukuhlola

Lapho sitholakele "torticollis spasmodic" kufanele ngaso sonke isikhathi uxhumane isazi sezinzwa. Ukuze sithole ukuxilongwa okufanele kanye linqume ukwelashwa okufanele, wasebenzisa lezi zinhlobo izifundo:

• -X-ray (novivinyo obusebenzayo);

• semithambo (rheoencephalography);

• ukuhlaziya igazi eligciniwe lemithambo vertebral futhi carotid lapho esephumule, turning ikhanda, emthambekeni yayo bacondze etindzaweni letehlukene;

• Ukuhlaziya igazi ukugcwaliswa ezitsheni, ithoni lemithambo neuropathy ukumelana semithambo, ithoni imithambo lability semithambo;

• cwaningo electromyographic;

• nekhono ucwaningo yabangela ebuchosheni;

• acoustic ukuhlaziywa stem nekhono;

• Isifundo eyenga nekhono somatosensory;

• transcranial ukushukuma kazibuthe.

Torticollis, ukwelashwa

torticollis Spasmodic libhekisela izifo ukuthi kunzima yokwelapha. ukwelashwa okufanele kunzima ukuthola ngenxa yokuthi lesi sifo spasticity kubangelwa izinguquko sokugembula e ukumelana naso, lo isifo ecashile.

torticollis Spasmodic kancane iphathwa izidakamizwa yakhelwe okudambisa izinhlungu zibe of the imisipha entanyeni. A isikhathi eside ngalezi zinhloso usebenzisa agonists futhi anticholinergics emaphakathi. Namuhla, indlela ephumelela kunazo ubhekwa botulinum ushevu uhlobo A. Kulokhu, ukuze silondoloze ithoni imisipha entanyeni ngendlela evamile, lokhu izidakamizwa iqondiswa ku imisipha onesifo. Kukhona ukuvaleka yesikhashana signal kahle, kodwa uma umphumela uphela, kubalulekile ukuqhuba kabusha umjovo.

Emva inqubo yezokwelapha ivimbela main isici umsebenzi kuyadingeka ukuze kulesetayelekile umsebenzi yomgogodla ngokuvamile, futhi uthathe isinyathelo le-peripheral kusho ukutshopa futhi kwamathambo. Ukuze wenze lokhu, isicelo ukuphumula post-icwecwe eliqophayo kwemisipha entanyeni, ehlombe ukugqugquzela ahlangene wesibeletho emgogodleni izingxenye, ngokuhlanganisa le ukutshopa ngokuhleba futhi ukhoporali.

In the isinyathelo ukwelashwa lwesithathu Kwenziwa Oqondisa onakele ngemibono ashukumisayo. Lona isigaba omude kunayo yonke, kudinga ukuphikelela nesineke phezu ingxenye Udokotela. torticollis Spasmodic libhekene ebaluleke kakhulu sokugembula ngemibono - lift ingalo ngokuvula ikhanda, kubonakala izinguquko elandelayo umgogodla locomotor uhlelo lonke. Ukuze aphule amasu ngemibono autorelaksatsii futhi asetshenziswa umzimba ezikhethekile.

Ngakho, isimo eyinhloko futhi obalulekile ekwelapheni esiphumelelako ukucindezela ithonya isici emaphakathi usebenzisa botulinum ushevu uhlobo "A" futhi isizukulwane esisha izidakamizwa - Kseomina (Xeomin®).