Opisthotonos

ʻO Opisthotonos kahi kūlana kahi e paʻa ai ke kanaka i ko lākou kino i kahi kūlana maʻamau. ʻOʻoleʻa ke kanaka a hoʻopaʻa i ko lākou kua, me ko lākou poʻo i hoʻolei ʻia i hope. Inā moe ke kanaka me nā opisthotonos ma ko lākou kua, ʻo ka hope wale nō o ko lākou poʻo a me nā kuʻekuʻe wāwae e pā i ka ʻili o lākou.

ʻOi aku ka maʻamau o Opisthotonos i nā pēpē a me nā keiki ma mua o ka poʻe mākua. ʻOi aku kaʻoi aku o ke koʻikoʻi i nā pēpē a me nā keiki no ka mea o ko lākou ʻōnaehana liʻiliʻi liʻiliʻi.

Hiki i nā Opisthotonos i nā pēpē me ka meningitis. He maʻi kēia o nā meninges, nā membrane e uhi ana i ka lolo a me ka iwi kuamoʻo. Hiki i nā Opisthotonos ke hana ma ke ʻano he hōʻailona o ka hoʻoliʻiliʻi o ka hana o ka lolo a i ʻole ka hōʻeha ʻana i ka ʻōnaehana hopohopo

Hiki i nā kumu ʻē aʻe ke:

• ʻO Arnold-Chiari maʻi, kahi pilikia me ke ʻano o ka lolo
• Tumo lolo
• Pāpā lolo
• ʻO ka maʻi Gaucher, kahi e hoʻokumu ai i nā mea momona i loko o kekahi mau lālā
• Ka nele o ka hormone ulu (i kekahi manawa)
• ʻO nā ʻano lāʻau ʻino kemikala i kapa ʻia ʻo glutaric aciduria a me nā acidemias keu
• ʻO ka maʻi Krabbe, ka mea e luku i ka uhi o nā aʻa i ka ʻōnaehana waena
• ʻO ka maʻi mimi syrup maple, kahi maʻi kahi hiki ʻole i ke kino ke haki i kekahi mau ʻāpana o nā protein
• Ka hopu ʻana i nā maʻi
• ʻO ke kaulike uila ʻole
• ʻO ka hōʻeha lolo lolo
• ʻO ka maʻi ʻoʻoleʻa (kahi ʻano e paʻakikī i ke kanaka a loaʻa i nā spasms)
• Kahe i ka lolo
• Tetanus

Hiki i kekahi mau lāʻau antipsychotic ke kumu i kahi hopena i kapa ʻia ʻo ka dystonic react. ʻO Opisthotonos kekahi ʻāpana o kēia hopena.

I nā hihia maʻamau, hānau ʻia nā pēpē i nā wahine e inu i ka nui o ka waiʻona i ka wā o ka hāpai ʻana e loaʻa paha i ka opisthotonus ma muli o ka haʻalele ʻana i ka ʻalekohola.

Pono e mālama ʻia kahi kanaka nāna e hoʻomohala i nā opisthotonos i ka haukapila.

E hele i ka lumi pilikia a kāhea paha i kāu helu pilikia kūloko (e like me 911) inā kū nā ʻōuli o nā opisthotonos. ʻO ka maʻamau, ʻo ka opisthotonos kahi hōʻailona o nā kūlana ʻē aʻe i lawa kūpono no ke kanaka e ʻimi i ka lāʻau.

E loiloi ʻia kēia ʻano i loko o kahi haukapila, a e lawe ʻia nā ana pilikia.

E hana ka mea mālama ola i kahi hoʻokolohua kino a nīnau e pili ana i nā ʻōuli e nānā no ke kumu o nā opisthotonos

Hiki i nā nīnau ke komo pū me:

• I ka manawa hea i hoʻomaka ai nā ʻōuli?
• Kūlike like ke hoʻonohonoho ʻana o ke kino?
• He aha nā hōʻailona ʻē aʻe i hele mai ma mua a i ʻole me ka hoʻonohonoho pono ʻole (e like me ke kuni, ka ʻāʻī ʻoʻoleʻa, a me ka ʻeha poʻo).
• Aia kekahi moʻolelo hou o ka maʻi?

E hoʻopili ka hoʻokolohua kino i kahi hōʻoia piha o ka ʻōnaehana hopohopo.

E komo pū paha nā hoʻāʻo:

• Nā hoʻāʻo ʻana o ke koko a me ka mimi
• ʻO ka moʻomeheu Cerebrospinal fluid (CSF) a me nā helu helu
• CT scan o ke poʻo
• Nānā uila
• Lumbar puncture (iwi kuamoʻo tap)
• MRI o ka lolo

Pili ka mālama ʻana i ke kumu. ʻO kahi laʻana, inā he meningitis ke kumu, hāʻawi ʻia paha nā lāʻau.

Paʻa i hope; Hoʻouna kūlana maʻamau - opisthotonos; Kūlana Decerebrate - opisthotonos

ʻO Berger JR. ʻAha a koma. I: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. ʻO Bradley's Neurology i ka hana lapaʻau. ʻEpekema 7 Piladelapia, PA: Elsevier; 2016: chap 5.

Hamati AI. Nā pilikia Neurological o ka maʻi ʻōnaehana: keiki. I: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. ʻO Bradley's Neurology i ka hana lapaʻau. ʻEpekema 7 Piladelapia, PA: Elsevier; 2016: chap 59.

ʻO Hodowanec A, Bleck TP. Tetanus (ʻO Clostridium tetani). I: Bennett JE, Dolin R, Blaser MJ, hua pā. ʻO Mandell, Douglas, a me Bennett's Principal a me ka hoʻomaʻamaʻa ʻana i nā maʻi kūpikipiki, Hoʻopuka Hou. 8th ed. Piladelapia, PA: Elsevier Saunders; 2015: chap 246.

ʻO Rezvani I, Ficicioglu CH. Nā kīnā o ka metabolism o nā amino acid. I: Kliegman RM, Stanton BF, St. Geme JW, Schor NF, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 20 ouk. Piladelapia, PA: Elsevier; 2016: chap 85.