Spasmophilia: he ʻano akahai o ka tetany?

Spasmophilia: he ʻano akahai o ka tetany?

I kēia lā, pono mākou e hoʻohana i kekahi mau wehewehe i mea e hoʻāʻo ai e hoʻomaopopo i ka mea spasmophilia. He mea hoʻopaʻapaʻa loa kēia huaʻōlelo no ka mea, ʻaʻole ia he maʻi i ʻike ʻia ma nā papa lāʻau lapaʻau, ʻaʻole ma Farani, ʻaʻole hoʻi ma ka honua. ʻAʻole ʻae ka poʻe noiʻi; hiki i ka pōʻai ʻino o nā hōʻailona a i ʻole ka mea paʻakikī ke kuhikuhi.

Hōʻike pinepine ia i ʻekolu mau hōʻailona: luhi, neurodystonie et ka eha.

THEhyperexcitabilité neuromuscular ʻike ʻia e nā hōʻailona ʻelua i loaʻa i ka spasmophilia: hōʻailona o Chvostek (= ka ʻokiʻoki ʻana o ka ʻiʻo o ka lehelehe luna ma muli o ka paʻi ʻana e ka hāmare reflex a ke kauka) a me ka hōʻailona kī (= contracture o ka lima o ka pale keiki).

Hōʻike ka electromyogram a ʻo ka hyperactivity uila hou o nā aʻalolo āpau, hiʻona o ka neuromuscular excitability, ʻaʻole e huikau me ka ʻehaʻeha ma muli o ka hypoglycaemia, me nā hōʻailona e pili ana me ka postural hypotension, me ka nerve breakdown, a i ʻole me ka paroxysmal anxiety attacks. Loaʻa pinepine ʻia nā pae magnesium intracellular haʻahaʻa me nā pae calcium a me ka phosphorus maʻamau.

ʻO nā hiʻohiʻona o kēia kūlike ʻole kahaaheo pili kaiapuni, pilikia i ke kaumaha a me ka physiological a psychological instability.

ʻO Spasmophilia a i ʻole tetany attack?

Hoʻohana nui ʻia ka huaʻōlelo "spasmophilia" e ka lehulehu e wehewehe i ka hoʻouka kaua ʻana ka pilikia (ka manaʻo o ka paʻa, ʻāhu, hyperventilation) a ʻiʻo tetany. ʻO nā hōʻailona o ka spasmophilia, tetany a i ʻole psychogenic hyperventilation hiki ke like me nā mea i loaʻa i ka wā o ka weliweli.

Eia naʻe, ʻaʻole maopopo ka manaʻo o ka spasmophilia i kēia mau lā. He liʻiliʻi nā palapala ʻepekema ma luna1 a ʻo ka mea pōʻino, he kakaikahi nā haʻawina epidemiological e pili ana i ka spasmophilia no ka mea, e like me nā maʻi like ʻole, ke kānalua nei ka ʻoiaʻiʻo o kēia maʻi (manaʻo ʻia ʻo ia maʻi maʻi psychiatric). E like me ka hoʻokaʻawale ʻana i ka mana (ka kaulana "DSM4", ka helu ʻana o ʻAmelika i nā maʻi noʻonoʻo), ʻo ka spasmophilia he a ʻano pathological o ka hopohopo. Aia i kēia manawa i loko o ka māhele o " hoʻomohola ʻinos ”. Eia nō naʻe, mamao loa mai ka manaʻo hou, ua loaʻa ka noiʻi e pili ana i ka spasmophilia ma ka hopena o 19st kenekulia.

'Ōlelo Aʻo: ʻAʻole like nā pilikia hanu a i ʻole nā ​​​​pilikia tetany i nā manawa a pau me ka hoʻouka hopohopo. Hiki i nā maʻi he nui ke hoʻoulu i kēia mau ʻano hōʻailona (ka hānō, no ka laʻana), a he mea nui e nīnau i kāu kauka i kēlā me kēia hihia e kiʻi i ka hōʻoia pololei.

ʻO wai ka mea i hoʻopili ʻia?

Loaʻa pinepine ʻia nā hōʻeha hopohopo ma ōpio kānaka (ma waena o 15 a me 45 makahiki) a ʻoi aku ka nui o lākou i loko na wahine ma mua o nā kāne. Ua ʻōlelo ʻia he mea maʻamau lākou ma nā ʻāina kūkulu.

Nā kumu o ka maʻi

ʻO nā hana o ka spasmophilia e pili ana i nā kumu he nui o a ke ola honua, nāʻike, ke kupa et cardio-respiratory.

Wahi a kekahi mau manaʻo, he a kūpono ʻole a i ʻole ka hoʻoulu ʻana i ke koʻikoʻi, hopohopo, a i ʻole hopohopo e hoʻoulu ai i ka hyperventilation (= ka wikiwiki o ka hanu hanu) ʻo ia ka mea e hoʻonui ai i ka hopena hyperventilation a hiki i ka hoʻouka ʻana o ka muscular tetany. No laila, ʻo nā kūlana like ʻole o ka makaʻu a me ka hopohopo (me ka hiki ʻole ke hanu) hiki ke hoʻoulu i ka hyperventilation, hiki iā ia ke hōʻeha i kekahi mau hōʻailona, ​​​​a me ka noʻonoʻo ʻana, ka helu o nā lālā, ka haʻalulu a me ka palpitations.2.

ʻO kēia mau hōʻailona e hoʻonui i ka makaʻu a me ka hopohopo. No laila he ka pōʻai pōʻino ʻo ia ka mālama pono ʻana.

ʻO kēia ʻano hana pane e ʻai nui ana paha i ka magnesium a hiki ke predispose i a ka nele o ka magnesium mau intracellular. Eia hou, hiki i kā mākou ʻai ʻana i ka magnesium (ma muli o ka hoʻomaʻemaʻe a me ke ʻano kuke) hiki ke hoʻonui i kēia hemahema.

ʻO ka palupalu genetic pili me nā pūʻulu kiko i ʻike hou ʻia (HLA-B35) e predispose 18% o ka heluna kanaka ma nā ʻāina ʻoihana e hoʻomohala i ka spasmophilia.

No nā kauka lapaʻau e hana ana ma ka pūnaewele www.sommeil-mg.net (lāʻau lapaʻau maʻamau a me ka hiamoe), ua manaʻo ʻia kahi hemahema o ka pono o ka hiamoe ke kumu o ka spasmophilia:

1. Hoʻoholo ʻia ka hiamoe ma ke ala ʻana a me he mea lā ʻaʻole e hana hou ka poʻe spasmophiles i kāna kuleana, ʻoiai ma ke ala ala ʻoi loa ka luhi;

2. ʻO ka piʻi pinepine ʻana o ka diuresis nocturnal (e ala kekahi i nā manawa he nui i ka pō e mimi) ʻo ia ka hopena o ka hāʻule ʻana o kahi ʻōnaehana "antidiuretic";

3. La neurodystonie ʻO ka hopena ʻē aʻe o kēia hemahema o ka hiamoe;

4. Le ʻano hana manawaleʻa o nā maʻi (ʻo kēia ʻano kūʻokoʻa e hiki ai iā lākou ke hakakā no ka manawa lōʻihi ma o lākou iho i ko lākou maʻi): "ʻoiaʻiʻo, luhi au, akā paʻa wau" ... a hiki i ka hoʻoponopono ulia. E like me ka mea i hōʻike ʻia e ka hōʻole ʻole ʻana i nā hoʻomaha maʻi i ka wā i hala ai ka pilikia. ʻO kēia mau pilikino he altruistic a hyperactive. No mākou, ʻo ka pilikia ka hōʻailona mua o ka decompensation o ka hiamoe ma ke kumu o ka lawa ʻole o ka hiamoe. ʻO ka piʻi ʻana o ka luhi hiki ke alakaʻi i nā kiʻi ʻoi aku ka koʻikoʻi a me ke kīnā ʻole e hōʻike ʻia ma ke ʻano hyperalgesic e like me ka fibromyalgia a i ke ʻano asthenic e like me ka chronic fatigue syndrome (CFS). I ka hoʻomaʻamaʻa, pau ka pilikia i ka wā e ikaika ai ka sedative e "ʻoki i ke kani o ka alarm", kahi e hiki ai ke hōʻoia i ka maikaʻi o ka hana. benzodiazepines (he ʻohana o nā anxiolytics) i kēia kūlana (ma kahi hoʻokahi akā lawa ka nui) hōʻoia i ke ʻano neurodystonic o ka malaise a pono e kuhikuhi i kahi hoʻokele chronobiological. I ko mākou manaʻo, loaʻa i kēlā me kēia pilikia ka waiwai o kahi hōʻailona "hyposleep" decompensated, no laila ke koʻikoʻi o kēia mālama.

Ka papa a me nā pilikia kūpono

Hoʻopili pinepine ʻia nā hopena spasmophilic hāʻule nui i ka maikaʻi o ke ola a hiki ke alakaʻi i nā maʻi hōʻino loa e like me makaʻu e hele i waho, e komo i loko noho malihini a i ʻole ke komo ʻana i nā hana pilikanaka a i ʻole nā ​​​​hana ʻoihana (ke lua agoraphobia). I kekahi poʻe, kiʻekiʻe loa ka pinepine o ka hoʻouka ʻana (he nui i kēlā me kēia lā), ua kapa ʻia kēia maʻi panic. Ka pilikia o ke kaumaha, manaʻo suicidal, of suicidal act, ofhainā Hoʻonui ʻia ka hoʻohana ʻana i ka lāʻau a i ʻole ka waiʻona i nā hoʻouka weliweli3.

Eia naʻe, me ka hoʻokele kūpono, hiki ke hoʻomalu i kēia hopohopo a hoʻemi i ka pinepine o ka hopu.

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