I-Spasmophilia: uhlobo oluthambile lwe-tetany?

I-Spasmophilia: uhlobo oluthambile lwe-tetany?

Kuze kube manje, kusafanele sisebenzise izincazelo eziningana ukuze sizame ukuqonda ukuthi yini i-spasmophilia. Leli gama liyimpikiswano kakhulu ngoba akusona isifo esiqashelwa ngezigaba zezokwelapha, hhayi eFrance, noma emazweni ngamazwe. Abacwaningi abavumanga; kungenzeka ukuthi umjikelezo ononya wezimpawu noma yini eyenza kube nzima ukukhomba.

Imvamisa iveza izimpawu ezintathu: ukukhathala, i-neurodystonie et usizi.

THEi-hyperexcitabilite i-neuromuscular I-spasmophilia ibonakala ngezibonakaliso ezimbili: uphawu lweChvostek (= ukufinyela kwemisipha okungafunekiyo kodebe lwangaphezulu ngenxa yokushaywa ngesando se-reflex kadokotela) kanye nophawu lwe-keychain (= isivumelwano sesandla sombelethisi).

I-electromyogram ibonisa a ukuphindaphindeka kagesi okuphindaphindayo kwemizwa ye-peripheral, isici sokuthakasela kwe-neuromuscular, akufanele kudidaniswe nokungaphatheki kahle ngenxa ye-hypoglycemia, nezimpawu ezihlobene ne-postural hypotension, nokuphazamiseka kwemizwa, noma nokuhlaselwa yi-paroxysmal. Amazinga e-magnesium aphansi e-intracellular avame ukutholakala namazinga e-calcium ne-phosphorus evamile.

Izici zalokhu kungalingani yiziukuzwela ngokweqile ukuncika kwemvelo, ukuba sengozini yokucindezeleka kanye a ukungazinzi ngokomzimba nangokwengqondo.

I-Spasmophilia noma i-tetany attack?

Igama elithi "spasmophilia" lisetshenziswa kabanzi ngumphakathi jikelele ukuchaza ukuhlaselwa kokukhathazeka okuhlangene ubunzima bokuphefumula (umuzwa wokucinana, ukufutha, i-hyperventilation) kanye imisipha tetany. Izimpawu ze-spasmophilia, i-tetany noma ngisho ne-psychogenic hyperventilation kwezinye izimo zingafana nalezo ezikhona ngesikhathi sokuhlaselwa ukwesaba.

Kodwa-ke, umqondo we-spasmophilia usengacacile kulezi zinsuku. Zincane izincwadi zesayensi kuyo1 futhi ngeshwa kunezifundo ezimbalwa kakhulu ze-epidemiological on spasmophilia ngoba, njengama-syndromes afanayo, iqiniso lalesi sifo lisangabaza (kucatshangwa ukuthi ukugula kwengqondo). Ngokusho kwezigaba ezisebenzayo (odumile "I-DSM4", Isigaba saseMelika sezifo zengqondo), i-spasmophilia iyi- uhlobo lwe-pathological yokukhathazeka. Njengamanje ingena esigabeni esithi “ uvalo lokuphazamisekas”. Kodwa-ke, kunokuba kube umbono wakamuva, ucwaningo nge-spasmophilia beseluvele lukhona ekupheleni kwe-19st Ikhulu leminyaka.

Qaphela: Ubunzima bokuphefumula noma izinkinga ze-tetany azifani ngaso sonke isikhathi nokuhlasela kokukhathazeka. Izifo eziningi zingabangela lezi zinhlobo zezimpawu (i-asthma, isibonelo), futhi kubalulekile ukubonana nodokotela wakho kunoma yikuphi ukuze uthole ukuxilongwa okufanele.

Ubani othintekayo?

Ukuhlaselwa kokukhathazeka kuvame ukwenzeka abantu abasha (phakathi kweminyaka eyi-15 nengama-45) futhi zivame kakhulu ukungena abesifazane kunasemadodeni. Kuthiwa zivame kakhulu emazweni asethuthukile.

Izimbangela zalesi sifo

Izindlela ze-spasmophilia cishe zibandakanya izici eziningi ze-a eziphilayo, kwengqondo, ngokushintsha izakhi zofuzo et i-cardio-respiratory.

Ngokusho kweminye imibono, lokhu kungaba a okungalungile noma ukusabela ngokweqile ekucindezelekeni, ekukhathazekeni, noma ekukhathazekeni okubangela i-hyperventilation (= ukusheshisa izinga lokuphefumula) yona ngokwayo engakhulisa ukusabela kwe-hyperventilation kuze kube ukuhlasela kwe-tetany yemisipha. Ngakho-ke, izimo ezihlukene zokwesaba nokukhathazeka (kuhlanganise nokungakwazi ukuphefumula) zingabangela i-hyperventilation, engabangela izimpawu ezithile, futhi ikakhulukazi isiyezi, ukuba ndikindiki kwemilenze, ukuthuthumela nokushaya kwenhliziyo.2.

Lezi zimpawu zibe zimbi nakakhulu ukwesaba nokukhathazeka. Ngakho-ke kungu-a umbuthano ononya eliziphilisayo.

Le modi yokusabela cishe idla kakhulu i-magnesium futhi ingase ibe phambili ku-a ukuntuleka kwe-magnesium okungapheli i-intracellular. Ukwengeza, ukudla kwethu ngokuya kuncipha kwe-magnesium (ngenxa yokucwengisisa kanye nendlela yokupheka) kungakhubaza lokhu kusilela.

Ubuthakathaka bezakhi zofuzo obuhlobene namaqembu ezicubu ezisanda kukhonjwa (HLA-B35) zibeka phambili u-18% wabantu emazweni anezimboni ukuthuthukisa i-spasmophilia.

Ochwepheshe bezokwelapha abasebenza esizeni www.sommeil-mg.net (umuthi ojwayelekile kanye nokulala), ukushoda ekusebenzeni kahle kokulala kukholakala ukuthi kuyimbangela ye-spasmophilia:

1. Ukulala kwahlulelwa lapho uvuka futhi kubonakala kusobala ukuthi lokho kwama-spasmophiles akusadlali indima yawo, ngoba lapho uvuka lapho ukukhathala kunamandla kakhulu;

2. Ukwanda okuvame ukuba khona kwe-nocturnal diuresis (umuntu uvuka izikhathi eziningana ebusuku ukuze achame) kuwumphumela wokuwohloka kwesistimu “ye-antidiuretic”;

3. La i-neurodystonie omunye umphumela walokhu kungasebenzi kahle kokulala;

4. Le imvelo yokuzithandela yeziguli (lomlingiswa ongazweli ubavumela ukuthi balwe isikhathi eside bebodwa nesifo sabo): “Kuyiqiniso, ngikhathele, kodwa ngisabambelele” … inkinga. Njengoba kufakazelwa ukwenqaba okungenamibandela kwanoma yiliphi ilivu yokugula ngokushesha nje lapho inkinga isidlulile. Laba bantu bavame ukucabangela futhi basebenze ngokweqile. Kithina, inkinga iyisibonakaliso sokuqala sokubola kokulala ngenxa yokungasebenzi kahle kokulala. Ukwanda kokukhathala kungase kuholele ezithombeni ezinzima kakhulu nezikhubazayo ezizovezwa ngemodi ye-hyperalgesic njengase-fibromyalgia noma kumodi ye-asthenic njengaku-CFS. Empeleni, le nkinga iyama ngokushesha nje lapho i-sedative isinamandla ngokwanele "ukunqamula umsindo we-alamu", okwenza kube nokwenzeka ukuqinisekisa ukuthi ukusebenza okumangalisayo kwe-alamu. benzodiazepines (umndeni wama-anxiolytics) kulesi simo (ngesilinganiso esisodwa kodwa esanele) siqinisekisa isimo se-neurodystonic se-malaise futhi kufanele sikhombise ukuphathwa kwe-chronobiological. Ngokombono wethu, inkinga ngayinye inenani lesignali "ye-hyposleep" ehlisiwe, ngakho-ke ukubaluleka kwalokhu kwelashwa.

Inkambo kanye nezinkinga ezingenzeka

Ukusabela kwe-Spasmophilic kuvame ukuhlotshaniswa nayo ukwehla okukhulu kwezinga lempilo futhi kungaholela ezinkingeni ezikhubaza kakhulu ezifana esaba ukuphuma, ukuba ku ubukhona babantu abangabazi noma uhlanganyele emisebenzini ehlukahlukene yezenhlalo noma yobungcweti (i-agoraphobia yesibili). Kwabanye abantu, imvamisa yokuhlaselwa iphezulu kakhulu (izikhathi eziningana ngosuku), lokhu kubizwa ngokuthi ukuphazamiseka kwe-panic. Ingozi yokudangala, imicabango yokuzibulala, yesenzo sokuzibulala, kaukuhlukunyezwa ukusetshenziswa kwezidakamizwa noma utshwala kuyanda ekuhlaselweni kovalo njalo3.

Kodwa-ke, ngokuphathwa kahle, kungenzeka ukulawula lokhu kukhathazeka nokunciphisa imvamisa yokuquleka.

shiya impendulo