Torsion dystonia

Kutambudza dystonia chirwere chisingawanzozivikanwa umo utsi hwetsika hunovhiringidzwa uye zvinetso zvakasiyana-siyana zvemotokari zvinoonekwa. Chirwere chepachirwere chinotangira mutsva uye chinogara chisingagumi. Iyo inobatanidzwa nekukundwa nekuvhiringidzika kwebasa remadziro ehupfungwa yakadzika ayo anokonzera musimba zvinyorwa.

Aina dze torsion dystonia

Zvichienderana nehutano hwechirwere ichi, kune marudzi maviri:

1. Idiopathic torsion dystonia - inokurudzirwa nemhaka yeiyo genetic factor, i.e. rakagara nhaka.
2. Symptomatic torsion dystonia - inoita zvirwere zvinokonzerwa nekukuvadza kune dzimwe nhengo dzouropi (semuenzaniso, mu hepatocerebral dystrophy, tumorous tumors, neuroinfections).

Zvichienderana nenzvimbo, kuwandisa kwezvirwere zvepabonde ndezvekuti:

1. Kudzingiswa kwemukati dystonia - chironda chinokanganisa mamwe mapoka emasumbu (misumbu yemutsipa, makumbo, maoko), yakawanda.
2. Chirwere chezvechirwere chinonzi dystonia - chironda chinowedzera zvishoma nezvishoma, chinosanganisira mumararamiro emaronda emashure, iyo yose, chiso, uyewo kuoma kwekuratidzwa kunosimbiswa.

Zviratidzo zvekutambudzwa dystonia:

• kukanganisa kwe gait;
• kushamwaridzana kunoitwa;
• makumbo emisungo yemakumbo, trunk, mutsipa, anozivikanwa nemafungiro akasiyana-siyana ekufambisa;
• dambudziko rekutaura;
• tsvina yemasaga;
• kuputika kwemaziso;
• "Bifurcation" yechiratidzo, nezvimwewo.

Kazhinji kazhinji, nehutano hwakanaka, kutanga kuratidzwa kwechirwere kunoonekwa pazera remakore 15-20. Pakutanga, kusvibiswa uye kudengenyeka kunoitika paunenge uchiedza kufamba, nekunetseka mumuviri kana mupfungwa. Gare gare zviratidzo zvinotanga kuzviratidza pachavo mune imwe nzvimbo yezororo.

Kurapa kwekutambudza dystonia

Muzviitiko zvakawanda, mapoka emadokwana aya anotevera anorayirwa kurapwa kwechirwere ichi:

• muscle relaxants ;
• adrenoblockers;
• cholinolytic preparations;
• glucocorticoids ;
• antipsychotics;
• sedatives.

Uyewo inogona kurongedzerwa maitiro ekurapa, kupisa, physiotherapy mishonga. Kunyanya kufambisa kurapwa kwetrassion dystonia, umo kushanda kunowanikwa pamiromo yekunze kana kuparadzwa kwemagadzirirwo emagetsi europi. Kupindira kwekupayona kunogona kubudirira muhutano mune anenge 80% emhosva.