Spasmodic torticollis, kuongorora chirwere uye kurapwa

Spasmodic torticollis zvinoreva chimwe chezvinhu zvakafanana mhando zvatichiri (kuroora madziro) dystonia nedzevakuru. Kazhinji, chirwere ichi ndicho spasticity chete chiratidzo kuti Rinobatanidzwa neurophysiological nepfungwa muuropi hunde uye basal ganglia. The chirwere Kazhinji chirwere pashure makore 30 uye ari pakutanga zvinopfuura zvakasikwa, gare gare zviratidzo kuva zvechigarire. 10 chete% nyaya yaitika ruregerero, asi munhu kupora yakazara iri rinenge zvikasaitika. Spasmodic torticollis akaratidza nechisimba kwezana musoro kurutivi, dzimwe nguva kuteura kana pakudya. Vamwe vanhu vari kuedza kuderedza dystonia chaiyo unyanzvi, akadai akasendamira musoro wake pamadziro, akabata ruoko pamusoro chirebvu, akarara pasi. Spasticity mutsipa tsandanyama haazombotaurwi pakurara uye kunowedzera mupfungwa uye kufunganya. Muvanhu, refu kurwara torticollis, kuva remuromo osteochondrosis uye radiculopathy, izvo achiperekedzwa kurwadziwa ruoko uye mutsipa.

Diagnostics

Apo chirwere kuti "torticollis spasmodic" vanofanira nguva dzose kubvunza chiremba wetsinga. Kuti uone zvakarurama zvokuongorora uye taurira yakakodzera kurapwa, akashandisa marudzi aya zvidzidzo:

• X-ray (pamwe dzichipfekeka miedzo);

• vascular (rheoencephalography);

• Kuongororwa kweropa nerubatsiro vertebral uye carotid arteries ndakazorora vanoshandura musoro, ayo yakatenuka kwakasiyana-siyana;

• Analysis ropa zvekupfakira pangagara, mataurire arteries, peripheral vascular nemishonga, matauriro mutsinga, vascular lability;

• electromyographic kudzidza;

• tsvakurudzo potentials evoked muuropi;

• acoustic ongororo hunde potentials;

• Study vakafurira somatosensory potentials;

• transcranial rinobva dzishande.

Torticollis, mabatiro

Spasmodic torticollis anoreva zvirwere kuti akaoma kurapa. Yakakwana kurapwa zvakaoma kuwana nokuda ndechokuti spasticity chirwere kunokonzerwa Kumwe kuchinja kunotanga vari kurwisa, runotikurudzira chirwere.

Spasmodic torticollis zvishoma kurapwa mishonga zvakagadzirirwa kusimbisa kurwadza kwacho kwemitsipa netsandanyama. A nguva refu kuti zvinangwa izvi vachishandisa agonists uye anticholinergics nechepakati. Nhasi, inonyatsobudirira nzira runoonekwa kuti botulinum toxin mhando A. In iyi, kuti tirambe mataurire tsandanyama ari mutsipa iri kuipa chinzvimbo, mushonga uyu chinotarisirwa munzvimbo hosha tsandanyama. Pane pfupi blockage zvakaipa anonongedzera, asi kamwe mugumisiro inoguma, zvinokosha kuita kunenge jekiseni.

Mushure zvokurapa nzira ichivharira chikuru chokufunga basa zvakafanira normalize mashandiro ari nomuzongoza zvarwo, uye kuita pamusoro peripheral pachaenga kunoreva jekiseni uye Chiropractic. Kuti aite izvi, kushandisa post-Isometric kutandara tsandanyama kwemitsipa, papfudzi uye vadyi kuunganidza pamusoro remuromo nomuzongoza zvikamu, tichibatanidza izvi auricular jekiseni uye koporo.

In wechitatu danho kurapwa rinoitwa anoruramisa akashata simba kufanana nevechiduku. Ndicho wakarebesa pachikuva, zvinoda kutsungirira uye kushivirira pamusoro chikamu chiremba uye murwere. Spasmodic torticollis kunoratidzwa rinokosha pathological kufanana nevechiduku - vachasimudza ruoko nekuvhura musoro, izvo zvinoratidzwa zvinotevera kuchinja musana locomotor gadziriro yose. Kuputsa kufanana nevechiduku autorelaksatsii mitoo uye anokosha muviri anoshandiswa.

Saka, chikuru uye zvinokosha zvimiso chinobudirira mishonga iri kudzvinyirira pokudzora nechepakati chinhu uchishandisa botulinum toxin mhando "A" uye chizvarwa chitsva zvinodhaka - Kseomina (Xeomin®).