Hoʻohālikelike ʻia ʻo Myoclonus e ka hanana o nā mimiki puʻupuʻu pokole. Hōʻike ʻia kēia mau mea e ka neʻe ʻole a me ka neʻe koke. Aia kekahi mau ʻano like ʻole me ka myoclonus o ka hiamoe, a i ʻole myoclonus kekona i kū i loko o ka epilepsy.

ʻO Myoclonus kahi wili pōkole o ka mākala e hana ai i nā neʻe ʻole, hele a hikiwawe. Hiki iā lākou ke hana kūlohelohe a kū i kahi hopena i kahi mea hoʻonāukiuki e like me ke kani a i ʻole ke kukuna o ke kukui. Hiki ke lūlū i kahi mākala hoʻokahi a hoʻopili i kahi hui o nā mākala.

ʻO ka laʻana maʻamau o myoclonus he hiccups, a i ʻole phrenoglottic myoclonus. ʻO ia ka hopena o ke kūleʻa o nā kuʻikuʻi musele hoʻoikaika ʻole.

Hiki ke kumu ʻia ʻo Myoclonus e ka hōʻemi ʻana o nā mākala a i ʻole ka kū koke ʻana o ka hana muscle. Hiki i kēia mau phenomena ke loaʻa i kekahi mau wehewehe. Aia i ka hihia, aia ʻekolu ʻano o myoclonus:

• myoclonus kino, pili i ka hana o ke kino;
• myoclonus kekona, nā mea i hoʻokumu ʻia i kahi maʻi i ke kino;
• les myoclonies iatrogènes, ʻo ia nā hopena o ka lāʻau lapaʻau.

ʻO nā kumu o ka myoclonus physiological

Hiki ke hoʻopili ʻia ʻo Myoclonus i ka hana o ke kino. Hiki iā mākou ke laʻana ʻōlelo puana:

• myoclonus phrenoglottic, ʻike ʻia ʻo hiccups;
• myoclonus hoʻomaka ka hiamoe, a i ʻole hiamoe myoclonus, i hōʻike ʻia me he mea pūʻiwa lā i ka hiamoe a hana pinepine ʻia i nā minuke mua o ka hiamoe.

Ua ʻike ʻia kekahi mau kumu physiological ʻē aʻe. Hoʻopili kēia i ka hopohopo, hoʻoikaika kino a me ka papaʻai.

Nā kumu o myoclonus kekona

Hiki i ka myoclonus kiʻekiʻe ma muli o nā ʻano like ʻole e like me:

• epilepsy, kahi kūlana neurological kahi myoclonus kekahi o nā hōʻailona nui;
• dementia, i ka manawa o ka maʻi Creutzfeldt-Jakob, ka maʻi ʻo Alzheimer, diffuse Lewy body disease, frontotemporal dementia or Rett Syndrome;
• hoʻohaʻahaʻa spinocerebellar, i kū i loko o ka pōʻaiapili o nā maʻi neurodegenerative e like me ka maʻi Parkinson, ka maʻi o Huntington, Ramsay-Hunt Syndrome a i ʻole ka maʻi ʻo Wilson;
• ke kino a me ka hypoxic encephalopathies, cerebral dysfunction i kū i ke kikoʻī i ka uila uila, wela hahau, hypoxia, traumatic lolo ʻeha a me ka decompression maʻi;
• encephalopathies ʻawahia, ʻino nā cerebral ʻo ia ka hopena o ka lāʻau make kaumaha;
• nā maʻi, ʻo ia hoʻi i ka lethargic encephalitis, herpes simplex virus encephalitis, post-infectious encephalitis, malaria, syphilis a me Lyme maʻi;
• kekahi metabolic kāna hana, e like me hyperthyroidism, hepatic ole, kōpaʻa kō, hypoglycemia, non-ketotic hyperglycemia a me hyponatremia.

ʻO nā kumu o ka iatrogenic myoclonus

ʻO Myoclonus i kekahi manawa ka hopena o ka lāʻau lapaʻau. Hiki iā ia, no ka laʻana, ukali mai mai:

• lapaʻau psychiatric, keu hoʻi i ka hoʻohana ʻana i ka lithium, antidepressants a i ʻole neuroleptics;
• kekahi mau lapaʻau anti-infective, i ke ʻano ke hoʻohana ʻana i nā quinolones;
• kekahi mau maʻi maʻi maʻi maʻi;
• ka hoʻohana ʻana i nā pila moe;
• ka hoʻohana ʻana i nā anticonvulsants;
• lawe anesthetics.

Hoʻololi nā hōʻike klinika o myoclonus mai kēlā me kēia hihia. Hiki iā lākou ke hoʻololi i ka amplitude a me ke alapine. I nā hihia ʻoi aku ka paʻakikī, hiki ke hoʻonui ākea ʻia ka mimiki me ka hoʻomaka ʻana o ka hopu ʻana.

Ke hoʻonui ʻia ka myoclonus, hoʻomau a hoʻi hou paha, paipai ʻia nā kūkā olakino olakino. Hiki i ka hoʻokele olakino ke hoʻomaopopo a mālama i ke kumu o ka myoclonus.

E wehewehe i ke kumu o ka myoclonus, pono pono e hana i ka hoʻopaʻa electrophysiological o nā neʻe ʻole.

I mea e hōʻoluʻolu ai i ke kuʻi ʻana o ka mākala, hiki ke hoʻokō ʻia i kahi lāʻau hōʻailona. Hiki ke hoʻokumu ʻia kēia i ka hoʻohana ʻana i nā lāʻau like ʻole:

• nā benzodiazepines, e like me clonazepam, kahi papa o nā lāʻau psychotropic;
• anti-epileptics e like me valproate;
• nootropics e like me piracetam;
• anticonvulsants e like me leviracetam.