ALS (matenda): Zizindikiro ndi njira matenda

Mantha dongosolo anthu ali pachiopsezo kwambiri. N'chifukwa chake pali matenda osiyanasiyana zimene zingakhudze mbali iyi ya thupi. M'nkhaniyi ine ndikufuna kulankhula za zimene ALS (matenda). Zizindikiro, chifukwa cha matenda, komanso njira matenda ndi mankhwala zotheka.

Ndi chiyani icho?

Pachiyambi, muyenera kumvetsa mfundo zofunika kwambiri. M'pofunikanso kwambiri kumvetsa zomwe Antiokeya (matenda), zizindikiro za matenda ayankhidwa pang'ono. Kufotokoza za achidule: atrophic lateral sclerosis. Pamene matendawa amakhudza wamanjenje dongosolo la munthu, ndicho zowawa minyewa. Iwo zili kotekisi oziziritsa ndi nyanga zapambuyo wa chingwe msana. Ndi ofunika ponena kuti matenda ndi aakulu, mwatsoka, pa mphindi chosachiritsika.

mitundu

Palinso mitundu itatu ya matenda monga ALS:

1. Ayi tingachipeze powerenga. Si tinatengera. Kuti chimachititsa za 95% milandu onse a matenda.
2. Kumtundu (kapena banja). Monga chikuonekera, izo tinatengera. Komabe, mtundu wa matenda amakhala ndi mawonetseredwe kenako zizindikiro.
3. Guam-mtundu kapena mawonekedwe a Mariana. Mbali yake yapadera akuwonekera patsogolo ziwiri pamwamba. Pang'onopang'ono chitukuko cha matenda.

Zizindikiro zoyambirira

M'pofunikanso kuti zizindikiro woyamba wa matenda angathe kuchizidwa ndi matenda ena aliwonse. Umutu ndi vuto la chinyengo: matenda yomweyo kuli kovuta. Choncho, zizindikiro loyamba ALS ali motere:

1. Minofu kuchepa mphamvu. Kwenikweni izo zifika akakolo ndi mapazi.
2. Manja manja, kufooka kwa minofu. Komanso angayambe dysmotility.
3. Odwala mu magawo oyambirira a matenda mwina pang'ono kugwa amasiya.
4. Yodziwika ndi nthawi spasms minofu. Kodi twitch mapewa ake, manja, lilime.
5. Miyendo yofooka. A mtima movutikira amatha kuyenda maulendo ataliatali.
6. Ndi khalidwe maonekedwe dysarthria, i.e. kulankhula matenda.
7. choyamba movutikira kumeza kudzali.

Ngati wodwalayo ALS (matenda), zizindikiro za chitukuko cha matenda chidzasintha, kukula. Kenako, wodwalayo, nthawi zina amachitira zosangalatsa zosadziwika kapena chisoni. Manja angayambe chinenero ndi disequilibrium. Zonsezi chifukwa munthu akuvutika ntchito apamwamba maganizo. Nthawi zina, pamaso pali zizindikiro zazikulu akhoza kusokoneza ntchito chidziwitso. Ie maganizo limapezeka (izi zimachitika infrequently, pafupifupi 1-2% milandu).

kupitilira matenda

Kodi wina ndi kofunika kudziwa anthu amene ali ndi chidwi ALS (matenda)? Zizindikiro zomwe zimachitika mu mtima monga matenda tinganene zimene ndendende mtundu wake wa matenda:

1. Ziwalo ALS. Mbali yoyamba chikuchitika kugonja. Komanso m'kati kuphwanya nthambi ntchito.
2. Bulbar ALS. Pankhaniyi, zizindikiro zazikulu ndi kuphwanya kulankhula ntchito, komanso mavuto ndi kumeza. M'pofunikanso kuti mtundu uwu wa matenda ndi zochepa wamba kuposa poyamba.

kuwonjezeka zizindikiro

Kodi mukudziwa wodwala amene ali ndi matenda ngati ALS? Zizindikiro pang'onopang'ono kukula nthambi magwiridwe adzakhala yafupika.

1. Pang'onopang'ono kumeneko pathological Babinski, pamene anakhudzidwa ndi chapamwamba minyewa.
2. minofu kamvekedwe, bongo adzapita patsogolo kuti akweza.
3. Pang'onopang'ono adzakhala anadabwa ndi kutsikira minyewa. Pankhaniyi, wodwalayo adzamva kunjenjemera musanaganizire ya nthambi.
4. Mu ichi wokongola zambiri odwala anthu kukhala maganizo, pali wozingwa. Onse chifukwa munthu watha mphamvu kupulumuka popanda kuthandizidwa, izo atasiya kupita.
5. ALS zizindikiro zikugwirizananso ndi dongosolo kupuma: wodwala wayamba kupuma zosokoneza.
6. Komanso, n'zosatheka kudziletsa Catering. Wodwala kawirikawiri anaikapo chubu kudzera zimene mwamuna ndi amalandira zonse zofunika kuti kuli chakudya.

M'pofunikanso kuti wokongola ALS kumachitika mwamsanga. Zizindikiro ali mwana sadzakhala osiyana ndi zizindikiro wodwala, yemwe poyamba zizindikiro anaonekera zambiri mtsogolo. Izi zidalira pa thupi, komanso mtundu wa matenda. Ndi chitukuko cha matenda pang'onopang'ono disabling munthu wotaya luso amoyo paokha. M'kupita kwa nthawi, kwathunthu anakana nthambi.

Chomaliza

Mu masiteji lotsiriza la nthenda ya wodwala zambiri mkhutu kupuma ntchito, nkotheka kulephera kwa minofu kupuma. Zikatero, odwala amafunika mpweya wabwino. M'kupita kwa nthawi, angayambe ngalande ntchito ya thupi, amene nthawi zambiri kumayambitsa chakuti akulowa matenda sekondale, zomwe zina amapha mtima.

diagnostics

Poganizira matenda monga ALS, zizindikiro za matenda - ndicho chimene ine ndikufuna kuti ndikuuzeni nayenso. M'pofunikanso kuti matenda amapezeka nthawi zambiri ndondomeko Kupha mavuto ena ndi thupi. Pamene wodwala zotsatirazi njira yodziwira ingaperekedwe:

1. magazi.
2. Minofu biopsy.
3. X-ray.
4. Kuyezetsa magazi kuti adziwe ntchito minofu.
5. CT, Kujambula.

zosiyanasiyana

M'pofunikanso kuti matenda ali ndi zizindikiro zimene zimachitika ndi matenda ena. Choncho ndikofunikira kusiyanitsa ALS ndi mavuto otsatirawa:

1. Khomo lachiberekero myelopathy.
2. Kuledzera ndi Mercury, kutsogolera manganese.
3. Syndrome afisi bar.
4. Malabsorption syndrome.
5. Endocrinopathy neri Al.

chithandizo

Pang'ono ankaona matenda monga ALS, zizindikiro, mankhwala - izi ndi zimene amafunika kupereka chisamaliro chapadera. Monga tanenera kale pamwambapa, izo sizingakhoze kwathunthu anawachiritsa. Komabe, pali mankhwala othandiza msanga Inde matendawa. Pankhaniyi, odwala zambiri kutenga mankhwala monga "Riluzole", "Rilutek" (tsiku lililonse kawiri pa tsiku). Ndi kuteteza mpweya wa pang'ono glutamine, chinthu imagwira minyewa. Komabe, lipindulitsa njira zosiyanasiyana za chithandizo, amene waukulu cholinga - polimbana zizindikiro zazikulu:

1. Ngati wodwala maganizo, iye antidepressants, asamakhale ndi nkhawa mwina mankhwala.
2. Pamene minofu kuphipha n'kofunika kutenga relaxants minofu.
3. Ngati chofunika, ochititsa dzanzi awerenge, pa siteji mochedwa matenda - opiates.
4. Ngati wodwala ali kusokonezedwa tulo, muyenera mankhwala benzodiazepine.
5. Ngati pali vuto bakiteriya muyenera mankhwala wambiri (ndi yoimba zambiri uka matenda bronchopulmonary).

Aids:

1. Lolankhula.
2. Slyunootosos kapena kulandira mankhwala monga "Amitriptyline".
3. Chubu kudya, zakudya.
4. Kugwiritsa ntchito zipangizo zosiyanasiyana zimene zingathandize gulu mtima: mabedi, mipando, kuyenda ndi ndodo, makolala wapadera.
5. Angafunike makina mpweya wabwino.

mankhwala, kutema mphini kwa matenda amakhala opanda ntchito. Tiyeneranso anati osati wodwalayo komanso banja lake zambiri amafuna kuthandiza ndi dokotala wina.