He aha ke kumu o Asterixis, a pehea e mālama ʻia ai?

Anter

• Hōʻike Overview
• Nā kumu asterixis
• Nā kumu pilikia asterixis
• Hahau
• Maʻi maʻi ate
• Hewa ʻole nā ​​hakuʻala
• Maʻi ʻo Wilson
• Nā kumumea ʻē aʻe
• ʻIkioma asterixis
• Lapaʻau asterixis
• Encephalopathies o ke ake a me nā konāhua
• Encephalopathy Metabolic
• ʻO ka encephalopathy lāʻau
• ʻO ka Cardiac encephalopathy
• Maʻi ʻo Wilson
• Nānā Asterixis

Hōʻike Overview

ʻO Asterixis kahi maʻi neurological e lilo i ke kanaka e lilo i ka hoʻokele kaʻa o kekahi mau wahi o ke kino. ʻO nā mākala - pinepine i nā kūpeʻe lima a me nā manamana lima, ʻoiai hiki ke hana ʻia i nā wahi ʻē aʻe o ke kino - hiki ke lilo i ka lax a me ka intermittently.

Hele pū kēia nalowale o ka kaohi Muscle me ka neʻe ʻole a me ka neʻe ʻole ʻana o ka neʻe ʻana. No kēlā kumu, kapa ʻia ka asterixis i kekahi manawa he "haʻalulu haʻalulu." Ma muli o ka pili ʻana o kekahi mau maʻi ate i ka asterixis, ua kapa ʻia kekahi manawa he "ʻāpaʻa ate" pū kekahi. ʻ saidlelo ʻia ka pīlapa e like me nā ʻeheu manu i ka lele ʻana.

Wahi a ka noiʻi, ʻo kēia haʻalulu "lima haʻalulu" a i ʻole nā ​​"haʻalulu" neʻe e kū i ka wā e kīkaha ʻia ai nā lima a wili ʻia nā pūlima. ʻO Asterixis ma nā ʻaoʻao ʻelua o ke kino ka mea maʻamau ma mua o ka asterixis unilateral (ʻaoʻao hoʻokahi).

Nā kumu asterixis

Ua ʻike mua ʻia ke ʻano ma kahi o 80 mau makahiki i hala, akā nui ka ʻike ʻole ʻia e pili ana. Kuhi ʻia kēia maʻi e kekahi hana hewa i ka ʻāpana o ka lolo e kaohi ana i ka neʻe ʻana o nā mākala a me ke kūlana.

No ke aha e ʻike ʻole ʻia ai kēlā hana hewa. Manaʻo nā kānaka noiʻi aia paha kekahi mau mea hoʻonāukiuki, i hoʻopili ʻia me nā encephalopathies.

ʻO nā Encephalopathies nā maʻi e hoʻopili i ka hana o ka lolo. ʻO nā hōʻailona me:

• huikau noʻonoʻo
• loli ke ʻano
• haʻalulu
• hiamoe hiamoe

ʻO kekahi ʻano encephalopathy i hiki ke hopena i ka asterixis:

• Hepatic encephalopathy. Hepatic pili i ke ake. ʻO ka hana nui a ke akepaʻa e kānana i nā toxins mai ke kino. Akā ke hōʻino ʻia ke akepaʻa no kekahi kumu, ʻaʻole ia e hemo maikaʻi i nā toxins. No laila, hiki iā lākou ke kūkulu i loko o ke koko a komo i ka lolo, kahi e hoʻopilikia ai i ka hana o ka lolo.
• Encephalopathy Metabolic. ʻO kahi paʻakikī o ka maʻi ate a me nā puʻupaʻa he encephalopathy metabolic. Kū kēia i ka wā he nui a liʻiliʻi paha o kekahi mau huaora a i ʻole nā ​​minelala, e like me ka amonia, keʻa i ka pale o ka lolo-lolo, e hana ana i nā misfirings neurological.
• ʻO ka encephalopathy lāʻau. ʻO kekahi mau lāʻau, e like me anticonvulsants (hoʻohana ʻia e mālama ai i ka epilepsy) a me nā barbiturates (hoʻohana ʻia no ka hoʻohiamoe), hiki ke hoʻopili i nā pane o ka lolo.
• ʻO ka Cardiac encephalopathy. Ke kīʻole ka puʻuwai i ka nui o ka oxygen ma loko o ke kino, hoʻopili ka lolo.

Nā kumu pilikia asterixis

ʻO nā mea āpau e pili i ka hana o ka lolo ke alakaʻi i ka asterixis. Pākuʻi ʻia kēia:

Hahau

Hana ʻia kahi hahau ke kahe ʻia ke kahe o ke koko i kahi ʻāpana o ka lolo. Hiki i kēia ke hana ma muli o ke kīʻaha koko e hoʻopaʻa ana i ke aʻa a i ʻole no ka liʻiliʻi o nā aʻa ma muli o nā mea e like me ka puhi ʻana a i ʻole ke koko kiʻekiʻe.

Maʻi maʻi ate

ʻO nā maʻi akepaʻa e hoʻoweliweli iā ʻoe i ka asterixis e komo pū me cirrhosis a i ʻole hepatitis. Hiki i kēia mau kūlana ʻelua ke hana i ka scarring o ke ake. Hoʻemi iki kēia i ka kānana ʻana i nā toxins.

Wahi a ka noiʻi, a hiki i ka poʻe me ka cirrhosis he encephalopathy hepatic (ate), kahi e hoʻokau nui ai i ka asterixis.

Hewa ʻole nā ​​hakuʻala

E like me ke akepaʻa, hemo pū nā puʻupaʻa i nā mea ʻino mai ke koko. Inā ʻae ʻia ka nui o kēia mau toxins e kūkulu, hiki iā lākou ke hoʻololi i ka hana o ka lolo a alakaʻi i ka asterixis.

ʻO nā puʻupaʻa a me kā lākou hiki ke hana i kā lākou hana hiki ke hōʻino ʻia e nā ʻano e like me:

• diabetes
• kahe koko kiʻekiʻe
• lupus
• kekahi ʻano maʻi kūlohelohe

Maʻi ʻo Wilson

I ka maʻi o Wilson, ʻaʻole e hana pono ke akepaʻa i ke keleawe keleawe. Inā haʻalele ʻole ʻia a ʻae ʻia e kūkulu, hiki i ke keleawe ke hoʻopōʻino i ka lolo. He maʻi laha ʻole kēia, genetical disease.

Kuhi ka poʻe loea ma kahi o 1 ma 30,000 poʻe i loaʻa i ka maʻi ʻo Wilson. Aia i ka wā hānau akā ʻaʻole paha i ʻike ʻia a hiki i ka wā makua. Nā ʻōuli o nā pae keleawe ʻawahia e:

• asterixis
• ʻoʻoleʻa o ka mākala
• loli ke ʻano

Nā kumumea ʻē aʻe

ʻO nā maʻi ʻeha ʻelua a me nā puʻuwai puʻuwai kekahi mau mea pilikia no ka asterixis.

ʻIkioma asterixis

Hoʻokumu pinepine ʻia kahi hōʻailona o asterixis ma luna o nā hoʻokolohua kino a me nā hoʻokolohua lab. E noi paha kāu kauka iā ʻoe e hoʻopaʻa i kou mau lima i waho, puliki i kou mau lima, a hohola i kou mau manamana lima. Ma hope o kekona kekona, ʻo ka mea me ka asterixis e hana ʻole me ka makemake ʻole i ka "pale" i nā kūlima i lalo, a laila hoʻi i luna. E kāpae aku paha kāu kauka i nā kūpeʻe lima e hoʻonā i ka pane.

Hiki paha i kāu kauka ke kauoha i nā hoʻāʻo ʻana i ke koko e nānā no ka hōʻiliʻili ʻana o nā kemika a me nā minelala i ke koko. Hiki i nā hoʻokolohua kiʻi, e like me ka CT scans, ke nānā i ka hana o ka lolo a ʻike i nā wahi i hiki ke hoʻopili ʻia.

Lapaʻau asterixis

Ke mālama ʻia ke ʻano kumu ma muli o asterixis, hoʻomaikaʻi ʻo asterixis a hele loa aku.

Encephalopathies o ke ake a me nā konāhua

Koi paha kāu kauka:

• Hoʻololi ka nohona a me nā papaʻai. Inā hoʻohana kolohe ʻoe i ka waiʻona a i ʻole loaʻa i kahi ʻano hōʻino nā hakuʻala e like me ka maʻi kō, hiki i kāu kauka ke kamaʻilio me ʻoe e pili ana i ka hōʻemi ʻana i kāu mau pilikia olakino
• Laxatives. Hiki i ka lactulose kikoʻī ke wikiwiki i ka hemo ʻana o nā toxins mai ke kino.
• Nā Antibiotics. ʻO kēia mau lāʻau, e like me rifaximin, hoʻemi i kou bacteria bacteria. Hiki i nā bacteria bacteria keu aku ke kumu i ka nui o ka amonia huahana neoneo e kūkulu i loko o kou koko a hoʻololi i ka hana o ka lolo.
• Nā mea kanu. I nā hihia koʻikoʻi o ka ate a me ka hōʻino o nā puʻupaʻa, pono ʻoe i kahi transplant me kahi lālā olakino.

Encephalopathy Metabolic

E aʻoaʻo paha kāu kauka i nā loli o ka papaʻai, lawe i nā lāʻau e hoʻopaʻa i ka mineral e kōkua i ka lawe ʻana iā ia mai ke kino, a i ʻole ʻelua paha. E hilinaʻi ia i ka mineral i hoʻonui ʻia i kāu kahena koko.

ʻO ka encephalopathy lāʻau

Hiki i kāu kauka ke hoʻololi i ke ana o kahi lāʻau a hoʻololi iā ʻoe i kahi lāʻau ʻokoʻa loa.

ʻO ka Cardiac encephalopathy

ʻO ka loaʻa ʻana o nā kūlana naʻau i lalo o ka kaohi ka hana mua. ʻO ia paha kekahi a i ʻole ka hui pū ʻana o kēia mau mea:

• lilo kaupaona
• haʻalele i ka puhipaka
• ke lawe nei i ke kauka koko kiʻekiʻe

Hiki paha i kāu kauka ke kuhikuhi i nā mea kāohi ACE, nā mea e hoʻonui i nā aʻa, a me nā beta-blockers, kahi e hoʻolohi ai i ka puʻuwai puʻuwai.

Maʻi ʻo Wilson

Kau kauka paha i kāu kauka e like me ka zinc acetate, ka mea e pale ai i ke kino mai ke komo ʻana i ke keleawe i ka meaʻai āu e ʻai ai. Kauoha paha lākou i nā mea chelating e like me ka penicillamine. Hiki ke kōkua i ka excrete keleawe mai nā aʻa.

Nānā Asterixis

ʻAʻole maʻamau ka Asterixis, akā he hōʻailona ia o kahi maʻi kūpilikiʻi koʻikoʻi a holomua paha i pono e pono koke i ka lāʻau lapaʻau.

I ka ʻoiaʻiʻo, ua hōʻike ʻia kahi noiʻi he 56 pākēneka o ka poʻe i hōʻike i ka asterixis e pili ana i ka maʻi ʻalekohola ua make, ke hoʻohālikelike ʻia me 26 pākēneka o ka poʻe i loaʻa ʻole.

Inā ʻoe i ʻike i kekahi o nā haʻalulu e lele ana i ke ʻano o ka asterixis a i ʻole iā ʻoe kekahi o nā mea i ʻike ʻia ma luna aʻe, e ʻōlelo aku i kāu kauka. I nā manawa he nui, ke mālama maikaʻi ʻia ke ʻano o ke asterixis, hoʻomaikaʻi a nalo paha ka asterixis.