Astasia-abasia: zvinokonzera, zviratidzo, chirwere uye pakurapa urwere

Chii astasia-abasia? Mhinduro dzokurapa nyaya iyi yakaoma zvichakurukurwa pazasi. Uyewo, isu uchareva sei chirwere pachena pacharo, yakati kuti chinokonzera ayo kukura, sezvazvakanga chirwere uye kurapwa.

pfupiso

Chii chirwere ichi sezvo astasia-abasia? Zita chirwere ichi chine mashoko maviri. Funga kukosha nomumwe iyezvino.

Shoko rokuti "astasia" iri rechiGiriki mavambo uye rakashandurwa kuti "vamire" kana "mamiriro". Mune mamwe manzwi, zvinoreva kuti kutadza kumira, muviri anokonzerwa zvaipesana tsandanyama Kufambisa pamwe maronda (guru) pamusoro corpus callosum uye frontal lobes. Zvinofanira kucherechedzwa kuti chirwere ichi kazhinji ikabuda iri hysterical chirwere uye kungava chiratidzo cortical ataxia.

Chii abasia? Izwi iri rinobva pashoko rechiGiriki uye rinoreva "famba." In okurapa, shoko rinoshandiswa kureva kurasikirwa kugona kufamba. Kazhinji, mwero kudaro ezvinhu ane unowanikwa zvirwere NS chokuita rwokufamba zvirwere netsoka uye muviri mwero zvirwere. Panyaya iyi, murwere anogona kutakura kubuda fambisa rezasi maoko nemakumbo, asi chete supine chinzvimbo.

Kakawanda astasia-abasia hwapedyo yakaoma. Oga, hosha haina kurapwa.

chimiro chirwere

Astasia-abasia munogona-siyana. Nyanzvi kusiyanisa akafa mitezo, tremornuyu, chorea uye spastic chimiro. Uyewo, chirwere rakakamurwa marudzi anotevera:

• Kazhinji Frontal astasia-abasia ikabuda varwere maronda ari frontal lobes wouropi. Panyaya iyi, murwere haakwanisi kufamba, mira kana kunyange kugara. chirwere ichi rinonyanya kubatanidzwa nemamwe zviratidzo uropi, kusanganisira kunokanganisika kutaura, nemumuromo automatism, smacking, kudhonza miromo pout, uye zvakawanda.
• Subcortical chirwere ikabuda pokukundwa iri thalamus uye basal ganglia. Akarambwawo uyu munhu anokwanisa kumira uye kufamba, asi chete rutsigiro. In akamiswa pasina rubatsiro rikawira mberi kana shure, asi pamwe vatsigire ruoko anogona kuita nyore kufamba kuti vatevedzere kufamba.
• Psychogenic kwezvirwere mhando inobatanidzwa chemaneka. kutyorwa All dzevanhu tsandanyama matauriro uye Kufambisa chokuita dzechimwe mamiriro ezvinhu (chirwere nemunhu waunoda, ane mhosva simba, etc.). Yacho chirwere ichi pakugadzirisa matambudziko.

zvinokonzera

Nei vasiri astasia-abasia? Mhaka mamiriro akadaro kunogona kuva muitiro chirwere kana izvo kukanganisa nemamiriro cerebellum, frontal akafukidza, corpus callosum, basal ganglia, uye conductive nzira unobatanidza nharaunda idzi nevamwe pfungwa mapoka.

Uyewo astasia-Abaza chirwere kazhinji kunoitika nokuda:

• kunotevera of cranium uye pfungwa, uyewo nemigumisiro dzavo;
• namamota uropi, kusanganisira cerebellum;
• ropa muuropi;
• Kurohwa, chenjera kana chirwere chepfungwa kweropa zvirwere;
• demyelinating nezvirwere izvo pamwe disintegration kuti myelin (i.e., imwe puroteni kuti rinopa nokukurumidza conduction pamusoro nomunhu pamwe tsinga fibers);
• pute cerebellum kana pfungwa;
• neurodegenerative zvirwere, kusanganisira chirwere cheAlzheimer, Lewy muviri dementia, Pick chirwere ;
• chemaneka.

The chikuru Zviratidzo chirwere

The chikuru chiratidzo ichi ndicho kutadza chomunhu kufamba. Panyaya iyi, murwere achigara anochengeta recumbency. Haangagoni kumira kwavo uye kunyange kufamba metres shoma (nokuda kwazvo dzungu uye kukanganisa pamusoro Kufambisa nemafambiro). Munguva supine nzvimbo, murwere anogona vanoshingaira kufambisa muviri uye maoko nemakumbo.

Kana ukaedza kuisa murwere netsoka dzake, iye anotanga vachishingairira kunzwisisa nokutsigira. Uyewo tsungirirai straddle, kuitira kuti varambe wakatsiga.

Diagnostics

Rokuongorora chirwere ichi vanofanira kubvunza chiremba. Panyaya iyi, chiremba anosungirwa kutanga kubvunzurudza murwere. Mukuita, iye anowana:

• rinhiko murwere yakatanga kutadza kufamba;
• Akabatana kufambisa maoko nemakumbo maduku anogona aitsigira ruoko kana kwete;
• sei kutsanya mberi chirwere.

Tinofanira kuonawo kuti chirwere astasia-Abaza inobva anotevera zviito nyanzvi:

• Chetsinga kuongororwa, izvo Anoongorora tsandanyama simba uye tsandanyama mukatanga kugara uye akarara pasi, aitarisa Kufambisa nemafambiro (ari supine nzvimbo), uyewo pakuenzanisa kutsigirwa muna Romberg. Mukuwedzera, nokukosha hunenge pamusoro maoko nemakumbo.
• CT uye MRI musoro. Implementation kwavo kunoita akaturikidzana kudzidza maumbirwo uropi uye chakonzera chirwere wechokwadi.
• Ndiongororwe mumwe chiremba wepfungwa, umo akaratidza kuvapo yaizoitika ezvinhu.
• Kubvunza chiremba LFK.

Astasia-abasia: kurapwa

Treatment wehurumende ichi zvinofanira zvainanga kubvisa runotikurudzira chirwere. Kazhinji pakurapa chirwere rinoitwa ne:

• Kuvhiya kubviswa bundu.
• Kuvhiya nokubviswa urikanwi kubva cranial mhango.
• Antibacterial kurapa nokuti mangwanani kudzvinyirira chirwere.
• Nokubviswa ropa, kana zvokurwara kwakadaro inowanikwa kunorapwa.

Zvinofanira kucherechedzwa kuti cerebrovascular nepfungwa murwere normalizes BP uye zvinopa zvinodhaka kuti kuvandudza chepfungwa muviri uye kufamba kweropa.

Uyezve, nokuti dambudziko astasia-Abaza akapa:

• Classes ane mazvikokota chaiko kurapa (nokuchengeta dzidzo kufambisa, pachiyero uye tsandanyama simba kurovedzwa).
• Mishonga kuti kuvandudza pfungwa simba.

matanho

Kudzivirira astasia-Abaza anopa:

• Kuchengeta utano hwakanaka.
• Panguva Chaiyo kuwana chiremba kana zvakasiyana siyana zviratidzo.
• A zvokudya zvinovaka muviri.
• Kurambirwa kunwa doro uye kuputa.
• Kugara richiona nezvezvabuda BP.