Hyperkinesis i nā mākua

A hiki i ka waena o ke kenekulia i hala, ua manaʻo ʻia ʻo hyperkinesis kahi ʻano ʻano neurosis. Akā ua kōkua ka noiʻi ʻana i ka neurology i ka hoʻoholo ʻana ʻo ia kekahi o nā hōʻike o nā maʻi koʻikoʻi.

He aha ka hyperkinesis

ʻO ka Hyperkinesis ka hana kaʻa kaʻa ʻino nui e kūʻē i ka makemake o ka mea maʻi. ʻO kēia mau mea he haʻalulu (haʻalulu), nā neʻe ʻē aʻe.

Nā kumu o ka hyperkinesis i nā mākua

ʻAʻole ʻo Hyperkinesis kahi maʻi, akā he maʻi maʻi (kahi hoʻonohonoho o kekahi mau hōʻailona, ​​hōʻike). He mau hōʻailona ia o ka pōʻino i ka ʻōnaehana nerve ma muli o:

• ʻano ʻokoʻa genetic;
• nā maʻi kino o ka lolo;
• nā maʻi koʻikoʻi like ʻole;
• lāʻau kūpona;
• ʻeha poʻo;
• nā hopena ʻaoʻao mai kekahi mau lāʻau;
• hoʻololi degenerative.

Hiki ke hoʻokaʻawale ʻia ka Hyperkinesis ma muli o ka hanana i 3 mau pūʻulu:

n – ʻo kēia nā pōʻino hoʻoilina o ka pūnaeho nūnū: ka maʻi Wilson, Huntington's chorea, olivopontocerebellar degeneration.

Secondary - ke kū nei lākou ma muli o nā pilikia like ʻole, ka pōʻino i ka ʻōnaehana nerve i loaʻa i ka wā o ke ola (traumatic brain injury, encephalitis, carbon monoxide poisoning, nā hopena o ka waiʻona, thyrotoxicosis, rheumatism, tumors, etc.).

ʻĀpikopa - he hyperkinesia kēia i loaʻa ma muli o nā psychotraumas acute, nā ʻeha mau - hysterical neuroses, psychoses, anxiety disorders. He kakaikahi loa kēia mau ʻano, akā ʻaʻole haʻalele.

Nā hōʻike o ka hyperkinesis i nā pākeke

ʻO nā hōʻike koʻikoʻi o ka pathology nā hana kaʻa e kū kūʻē i ka makemake o ke kanaka ponoʻī. Hōʻike ʻia lākou he makemake hiki ʻole ke neʻe i kēia ala maʻamau. Eia kekahi, aia kekahi mau hōʻailona hou e like me ke ʻano o ka maʻi lalo. ʻO nā hōʻailona maʻamau:

• Haʻalulu a haʻalulu paha - nā ʻokiʻoki ʻana o nā ʻiʻo flexor-extensor, me ka amplitude kiʻekiʻe a haʻahaʻa. Hiki iā lākou ma nā ʻāpana like ʻole o ke kino, nalo i ka wā o ka neʻe ʻana a i ʻole i ka hoʻomaha ʻana (a i ʻole, hoʻoikaika ʻia).
• Nervous tic – ʻoi aku ka ʻiʻo o ka ʻiʻo me ka haʻahaʻa haʻahaʻa. Hoʻokomo pinepine ʻia nā tic i loko o hoʻokahi pūʻulu ʻiʻo, hiki ke hoʻopaʻa ʻia lākou e ka hana volitional. Aia ka nuku, ka opuu o ke kihi o ka maka, ka opuu, ka huli o ke poo, ka oki ana o ke kihi o ka waha, ka poohiwi.
• ʻO kaʻu'ekitona - nā hoʻopaʻapaʻa ma ke ʻano chaotic o nā ʻiʻo ʻiʻo pākahi. Ma muli o lākou, hiki i kekahi mau pūʻulu ʻiʻo ke hana i nā neʻe involuntary, jerks.
• Chorea - nā neʻe hoʻoneʻe non-rhythmic i hana ʻia me kahi amplitude nui. Me lākou, he mea paʻakikī loa ka neʻe ʻana me ka ʻole, hoʻomaka lākou me nā lālā.
• pōʻalo – ʻoi aku ka ʻoi a me ka ʻole o ka hoʻololi ʻana ma ka poʻohiwi a i ʻole ka ʻūhā, ma muli o ka hana ʻana o ka lālā i nā neʻe kiola.
• ʻO Blepharospasm - kahi pani paʻa ʻole o ka lihilihi ma muli o ka piʻi ʻana o ka ʻiʻo.
• Oromandibular dystonia - pani ʻole ʻia o nā ʻauwae me ka wehe ʻana o ka waha i ka nau ʻana, ʻakaʻaka a kamaʻilio paha.
• Kākau kākau - ka ʻoki ʻana o nā ʻiʻo ma kahi o uXNUMXbuXNUMXbka lima i ke kākau ʻana, pinepine pū me ka haʻalulu o ka lima.
• Athetosis - ka neʻe lohi i nā manamana lima, ka wāwae, nā lima, ka maka.
• Torsion dystonia – nā neʻe wili lohi ma ka ʻaoʻao o ka lama.
• Hemispasm maka - hoʻomaka ka spasm muscle me hoʻokahi haneli, e hele ana i ka hapalua o ka maka.

ʻO nā ʻano hyperkinesis i nā pākeke

He ʻokoʻa ka Hyperkinesia, ma muli o ka ʻāpana o ka ʻōnaehana nerve a me ke ala extrapyramidal i hōʻino ʻia. ʻOkoʻa nā ʻano like ʻole i ka nui o nā neʻe a me nā hiʻohiʻona o ka mea i kapa ʻia ʻo "motor pattern", ka manawa o ka hanana a me ke ʻano o kēia mau neʻe.

Hoʻokaʻawale nā ​​neurologist i kekahi mau pūʻulu o ka hyperkinesis, e like me ka localization o kā lākou kumu pathological.

ʻO ka pōʻino i loko o nā ʻano subcortical - ʻo kā lākou hōʻike ʻana ma ke ʻano o ka chorea, torsion dystonia, athetosis a i ʻole ballism. Hōʻike ʻia ka neʻe ʻana o ke kanaka me ka loaʻa ʻole o kekahi puʻupuʻu, paʻakikī, ʻokoʻa ka neʻe ʻana, ke kani ʻana o ka ʻiʻo (dystonia) a me nā ʻano like ʻole o nā neʻe.

Poino i ke kumu lolo - i kēia hihia, e loaʻa kahi haʻalulu maʻamau (haʻalulu), ke ʻano o ka myorhythmias, tics, facial spasms, myoclonus. Hōʻike ʻia lākou e ka rhythm, maʻalahi nā neʻe a stereotyped.

ʻO ka pōʻino i nā hale cortical a me subcortical - ua hōʻike ʻia lākou e ka hopu ʻana o ka epilepsy, hyperkinesis ākea, Hunt's dyssynergy, moclonus.

Inā mākou e noʻonoʻo i ka wikiwiki o ka neʻe ʻana i loko o ke kino, hiki iā mākou ke ʻike:

• ʻO nā ʻano wikiwiki o ka hyperkinesias he haʻalulu, tics, ballism, chorea a myoclonus - hoʻemi pinepine lākou i ke kani o ka ʻiʻo;
• ʻO nā ʻano lohi he torsion dystonias, athetosis - piʻi pinepine ka leo ʻiʻo me lākou.

Ma muli o kā lākou ʻano like ʻole o kā lākou hanana, hiki iā mākou ke hoʻokaʻawale:

• hyperkinesis kuʻuna - hiki mai lākou ma o lākou iho, me ka ʻole o ka mana o kekahi mau kumu;
• hyperkinesis hoʻolaha - hoʻonāukiuki ʻia lākou e ka hana ʻana o kekahi neʻe, ka hoʻokomo ʻana i kahi kūlana;
• reflex hyperkinesis - ʻike ʻia lākou ma ke ʻano he pane i nā mea hoʻoulu o waho (hoʻopā i kekahi mau kiko, paʻi i ka ʻiʻo);
• i hoʻokomo ʻia he mau neʻe haʻahaʻa haʻahaʻa, hiki ke kāohi ʻia e ke kanaka i kahi pae.

Me ke kahe:

• nā neʻe mau i hiki ke nalo wale i ka wā hiamoe (ʻo ia, no ka laʻana, haʻalulu a athetosis paha);
• paroxysmal, i loaʻa i nā manawa i kaupalena ʻia i ka manawa (ʻo ia nā tics, myoclonus).

Ka mālama ʻana i ka hyperkinesis i nā pākeke

I mea e hoʻopau pono ai i ka hyperkinesis, pono e hoʻoholo i kā lākou kumu. Hoʻomaopopo ke kauka i nā neʻe involuntary iā lākou iho i ka wā o ka hoʻokolokolo a wehewehe pū me ka mea maʻi. Akā, he mea nui e hoʻomaopopo i ke ʻano o ke ʻano o ka ʻōnaehana nerve a me ka hiki ke hoʻōla.

lapaʻau '

ʻO ka papahana diagnostic nui e pili ana i kahi kūkākūkā me kahi neurologist. Hoʻoholo ke kauka i ke ʻano o ka hyperkinesis, hoʻoholo i nā hōʻailona pili, nā hana noʻonoʻo, naʻauao. Koho pū ʻia:

• EEG - e nānā i ka hana uila o ka lolo a ʻimi i ka foci pathological;
• Electroneuromyography - e hoʻoholo i nā maʻi maʻi;
• MRI a i ʻole CT o ka lolo - e hoʻoholo i nā ʻeha kūlohelohe: hematomas, tumors, mumū;
• ka loiloi o ke kahe koko cerebral e hoʻohana ana i ka ultrasound o nā moku o ke poʻo a me ka ʻāʻī, MRI;
• nā hoʻokolohua biochemical koko a me ka mimi;
• ʻōlelo aʻoaʻo genetic.

Nā lāʻau lapaʻau hou

Me ka haʻalulu ʻana o ka haʻalulu, a me ka haʻalulu o ke poʻo a me nā leo leo, maikaʻi ʻo clonazepam.

No ka haʻalulu cerebellar, he mea paʻakikī ke mālama ʻia, hoʻohana pinepine ʻia nā lāʻau GABAergic, a me ke kaumaha o nā lālā me ke kūpeʻe lima.

Ka pale ʻana i ka hyperkinesis i nā pākeke ma ka home

"ʻAʻohe mea kikoʻī e pale ai i ka ulu ʻana o ka maʻi," i ʻōlelo ai ʻo ka neurologist ʻo Valentina Kuzmina. - ʻO ka pale ʻana i ka hōʻino ʻana o kahi maʻi e kū nei ke kuhikuhi nui ʻia i ka kaupalena ʻana i ke kaumaha psycho-emotional a me ke kaumaha. He mea nui nō hoʻi ka mālama ʻana i ke ola olakino - ka meaʻai maikaʻi, ke ʻano kūpono o ka hoʻomaha a me ka hana, etc.

Nā nīnau a me nā pane kaulana

No ke aha he mea weliweli ka hyperkinesis, inā pono ʻoe e ʻike i ke kauka, inā pono ʻoe e lawe i nā lāʻau lapaʻau a inā hiki iā ʻoe ke hoʻōla iā ʻoe iho, wahi āna. ʻo ka neurologist ʻo Valentina Kuzmina.