He aha ka hemiballism a pehea e mālama ʻia ai
Anter
ʻO Hemiballism, i ʻike ʻia ʻo hemichorea, kahi maʻi i ʻike ʻia e ka hanana o ka neʻe ʻana a me ka neʻe ʻole o nā lālā, o ka amplitude nui, a hiki ke hana ʻia ma ke kumu a me ke poʻo, ma hoʻokahi ʻaoʻao o ke kino.
ʻO ke kumu maʻamau o ka hemibalism ka ischemic a i ʻole ka hemorrhagic hahau, i ʻike ʻia ʻo ka hahau, akā aia kekahi mau kumu ʻē aʻe i hiki ke alakaʻi i kāna hoʻomaka.
ʻO ka mea maʻamau, ʻo ka hoʻoponopono ʻana me ka hoʻonā ʻana i ke kumu o ka maʻi, a me anti-dopaminergic, anticonvulsant a i ʻole nā lāʻau antipsychotic hiki ke lawelawe ʻia hoʻi.
Nā kumu kūpono
ʻO ka maʻamau, kū ka hemibalism ma muli o nā leona ma ka Luys subtalamic nucleus a i ʻole nā wahi e pili ana, kahi hopena mai ka hopena i hoʻokumu ʻia e kahi ischemic a i ʻole hemorrhagic hahau. Eia nō naʻe, hiki ke hoʻokumu ʻia kēia maʻi e:
- ʻO nā leona nui i nā hanana o ka baslia ganglia, ma muli o kahi tumo, nā malformations vascular, tuberculomas a i ʻole demyelinating plaques;
- ʻŌnaehana lupus ʻōnaehana;
- ʻEha Cranial;
- Nā maʻi āpau me ka maʻi hoʻomaʻi influenza type A;
- Hyperglycemia;
- Maʻi HIV
- Maʻi ʻo Wilson;
- Toxoplasmosis.
Hoʻohui ʻia, hiki i ka hemibalism ke hopena mai nā hopena o nā lāʻau e like me levodopa, nā mea pale a me nā anticonvulsant.
He aha nā hōʻailona
ʻO nā ʻōuli e pili ana me ka hemiballism ka nalowale o ka kaohi o nā neʻe, ka hanana o nā spasms muscle o ka nui amplitude, wikiwiki, hana kolohe a me ka hana ʻole ma kekahi ʻaoʻao o ke kino a ma ka ʻaoʻao ʻaoʻao o ka ʻeha. I kekahi mau hihia, hiki ke hoʻopili i ka musculature o ka helehelena a hana i ka nele o ke kaulike ke hele.
Ke neʻe a hana paha ke kanaka i kekahi hana, e lilo i ka neʻe ʻole i mea ikaika, a nalowale paha i ka hoʻomaha a i ka wā hiamoe paha.
No ke aha e hana ai
Hana ʻia ʻo Hemiballism ma muli o kahi leona i ka nucleus subthalamic, kahi e hoʻemi ai i nā impulses inhibitory o ka basal ganglia ma ka iwi kuamoʻo, ka maʻi o ka lolo a me ka lāʻau lolo, keakea i nā neʻe.
Pehea e hana ai i ka lāʻau
Pono ke kau ʻana o ka hemibalism i ke kumu ma kona kumu. Hoʻohui ʻia, hiki ke kuhikuhi ʻia nā poloka dopamine, hiki ke hōʻemi i 90% o nā neʻe ʻole.
I kekahi mau hihia, hiki i ke kauka ke kuhikuhi i nā lāʻau e like me sertraline, amitriptyline, valproic acid a i ʻole benzodiazepines.