Chvostek zizindikiro, Trousseau, kusilira. Chvostek chizindikiro ana: chithandizo

Pamene matenda kashiamu-phosphorous kagayidwe, amene anatsagana ndi zolimbitsa kuti rickets kwambiri, 4% ya ana kukhala spazmofiliya wotchedwa komanso tetany khanda. kudwala Izi limodzi ndi spasms minofu ya malekezero, nkhope m'phuno, komanso zikamera a khunyu wamba clonic ndi zimandilimbikitsa. Limatifotokozera, monga ulamuliro, pa nthawi ya miyezi itatu zakubadwa ndi zaka ziwiri. Chimodzi cha mawonetseredwe momveka bwino matenda akutulukira zizindikiro chvostek, Trousseau Kumangolakalaka za Kugonana kuthandiza kuzindikira kuopsa kwa matenda loyenda. Kuti mudziwe kufotokoza zizindikiro izi ankachitira ndi momwe ife m'nkhani ino.

Kodi kufufuza zizindikiro spazmofilicheskie

Pofuna kutsimikizira pamaso pa zizindikiro chvostek, anatchula chodabwitsa wina wa mitsempha nkhope, mwana aikidwa pa bedi popanda pilo. Miyendo pa nthawi yomweyo akhale molunjika, ndipo manja - kugona pamodzi thupi.

Zizindikiro kufufuzidwa kuwala pogogoda percussion nyundo zala kapena pa malo kuchoka kwa mitsempha trigeminal (pamwamba pa Chipilala zygomatic). Ngati wodwala amadza ndi kukokana musanaganizire zaka ndi ngodya ya Mlomo chapamwamba, ndiye anati chizindikiro cha imatengedwa zabwino. Wake, ndi njira, fufuzani pa masaya onse.

Zizindikiro chvostek ndi madigiri 3 mawonetseredwe:

1. Minofu chidule mu dera innervation ya mitsempha nkhope.
2. Minofu chidule mu ngodya ya kamwa ndi mphuno phiko.
3. Chidule cha akatumba basi mu ngodya m'kamwa mwake.

Ngati tetany kuwonetseredwa akuwonetseredwa mu mwana digiri yoyamba chizindikiro ngakhale ndi kukhudza kuwala m'dera la mitsempha nkhope.

njira zina yachinsinsi zizindikiro antispasmodic

No zochepa kwambiri mawu kudziwa zovuta chikhalidwe mwana ndi chizindikiro cha Trousseau ndi kusilira.

• Zizindikiro Trousseau wapezeka phewa psinjika pakati mwanayo. Pankhaniyi, dokotala ayenera amayesa kutenga mmene ndingathere zofewa minofu ya manja ake. Ngati chifukwa cha ichi (pafupifupi 2-3 Mphindi pambuyo psinjika) mu zala mtima kutenga zinthu yokakamiza, amatchedwa "dzanja azamba" (ie, chala amaperekedwa kwa pachikhatho cha, index chala ndi pakati zinachitika, ndi mphete ndi pang'ono chala - flexed), ndi chizindikiro amaona positive. Kuti muone kupezeka kwa ana okulirapo kapena akuluakulu angathe kugwiritsa ntchito khafu kuona magazi ndi ikukoka mpweya ku zimachitika kuchotsa.
• Chilakolako chizindikiro kufufuzidwa mwa nyundo, amene amapatutsidwa kumbuyo kwa mutu waung'ono tibia, kapena chidule cha minofu gastrocnemius mu Achilles tendon m'deralo. Ngati wodwala pamene pali Anabweza musanaganizire ya phazi ( "phazi Ballerina"), chizindikiro akhoza ankaona zabwino. Iwo kufufuzidwa m'makona onse.

Chvostek zizindikiro, Trousseau, kusilira ankaona spazmofilicheskimi. Iwo amakhala zabwino, ngati mwana wodwala magazi kumachitika kusintha kuchuluka kwa kashiamu amene ali ndi udindo kwa minofu chidule. Kuti zimenezi zingapangitse osati pamaso pa rickets, komanso matenda ena.

tetany Kodi

Chvostek Zizindikiro ndi zizindikiro ndi Tissaurd spazmofilii (tetany). Matendawa ali ndi makhalidwe kuchuluka excitability mantha, amene akuwonekera minofu omangana miyendo kapena m'phuno. Nthawi zambiri, kudwala izi zimawonedwa anyamata mu miyezi sikisi ya moyo.

A maziko zamoyo matenda ndi otsika magazi ionized kashiamu mwana.

Koopsa chizindikiro ana chvostek

Photos ana tetany, amatithandiza kudziwa zimene muli zizindikiro za matenda. Waukulu wa iwo - laryngospasm, amene anasonyeza adagwira ntchito mpweya, wotumbululuka nkhope, thukuta, ndipo nthawizina imfa ya chikumbumtima. Yodziwika monga mapazi nthawi spasms ndi manja (karpopedalny kuphipha) anakafika maola zina zingapo. Palinso ena akulu spasms ndi magulu - kupuma, kutafuna, diso, etc ...

Koma chizindikiro chachikulu kwambiri matenda akuti ndi kuukira kwa eclampsia - clonic-zimandilimbikitsa khunyu kuti kuyamba ndi kukokana minofu ya nkhope muyende mu spasms wa miyendo ndi laryngospasm. Mwana ndi zambiri wotaya kutsitsimuka, chithovu limapezeka pa milomo, pali musanaganizire pokodza. Eclampsia Kubereka zotheka kupuma kumangidwa kapena mtima.

Amene angayambe tetany

Mu masiku oyamba a moyo zinthu convulsive ndi hypocalcemia zambiri zimachitika ana obadwa masiku asanakwane, amapasa, ndi zowawa matenda a chikasu ndiyo kapena matenda opatsirana.

Chvostek chizindikiro ana a miyezi ya moyo ndipo akhoza zidzayambike ndi kuchepa kashiamu wambiri wa ana, ndi kuchuluka katulutsidwe wa calcitonin. chikhalidwe ichi mankhwala kugwirizana ndi kulowa mkhutu ndi phosphorous ndi calcium ndi lakuthwa kusintha mwana akudya mkaka wa ng'ombe, komanso (mu nthawi zina) ndi losowa vitamini D ndi calcium mu thupi la mayi.

Monga ulamuliro, ana akuwonetseredwa hypocalcemia neuromuscular excitability, khunyu, kusanza, tachycardia, ndi zizindikiro kupuma.

tetany chithandizo

Eclampsia kuukira amafuna thandizo mwamsanga mwanayo, mu nkhani ya kutha kwa kupuma kapena mtima - ndi kuwatsitsimula.

Zilizonse tetany mwana yoikidwiratu anticonvulsants ( "Sibazon" intramuscularly kapena kudzera m'mitsempha, "ndi sodium Oksibarbutirat" mu mnofu, "Phenobarbital" rectally, pakamwa kapena suppositories ndi zina zotero. P.). Iwo amasonyezanso makonzedwe mtsempha 10% njira ya kashiamu gluconate kapena mu mnofu 25% njira ya magnesium sulphate.

Spazmofiliya kuchititsa zizindikiro chvostek ndi Trousseau, kawirikawiri amakhala ndi madokotala ananena zawo zabwino nthawi zambiri. kuopsa kokha yaitali laryngospasm, lomwe likuoneka kuti kusiya kupuma.

Akafike zaka mwana zaka 2-3 chikhalidwe cha pathological likuchotsedwa chifukwa cha olimba mu mlingo magazi kashiamu ndi phosphorous.

Hypoparathyroidism - matenda amene anatsagana ndi zizindikiro chvostek

Chvostek chizindikiro - izo ndi chizindikiro Mmenemo choonekera chikhalidwe pathological otchedwa hypoparathyroidism, imene kuchepa ntchito ya zopangitsa za parathyroid. Nthawi zambiri, vuto limeneli limapezeka chifukwa cha opaleshoni matenda a chithokomiro kapena kukhalapo mu izo wa ndondomeko yotupa. Nthawi zina kukanika bwino zimayamba ndi njira opatsirana monga chikuku kapena fuluwenza.

Neonates hypoparathyroidism akufotokozera pa nkhani ya kobadwa nako pakalibe zopangitsa za parathyroid ndi yimitsira ntchito zawo kuchuluka kumaliseche mu mayi ali woyembekezera parathyroid timadzi.

Wodwala kawirikawiri Choncho wapezeka ndi kuchepa kashiamu magazi limodzi ndi kuwonjezeka phosphorous ndende. Ndipo zikuoneka ndi kale akuoneka anafotokoza tetany, zochitika matumbo, nthenda kukula kwa mano, tsitsi ndi misomali komanso kusintha kwa khungu.

Zikatero, zizindikiro chvostek ndi Trousseau, pamodzi ndi mayesero zasayansi zimathandiza molondola kuzindikira kumene chikhalidwe tetanic ndi matenda a wodwalayo.

mankhwalawa hypoparathyroidism

Zochizira matenda n'kofunika kuganizira zifukwa kumbuyo pakuwonekera kwake komanso kusalekerera zizindikiro. Mu matenda pachimake ndi zizindikiro pa makonzedwe mwadzidzidzi tetany analimbikitsa 10% ya mankhwala enaake kashiamu kapena kashiamu gluconate m'nsinga. Izi zachitika pang'onopang'ono, kutenga nkhani yakuti njira choyamba kutchulidwa lili 27% homonymous zinthu ndi lachiwiri ndi% 9 okha.

Childs, kuti kuthetsa zizindikiro chvostek zofuna mankhwala mankhwala kashiamu kwa masiku osachepera 10. umapangitsa amapereka kashiamu madyedwe, madokotala akulangizidwa kuti adzachita zimenezi Kutha mankhwala mu mkaka anthu, kupewa chitukuko cha gastritis.

Matenda hypoparathyroidism chikhalidwe amafuna phwando vitamini D, kuyambira ndi bolus (200-300 zikwi. U. Per tsiku), ndi ulamuliro kuvomerezedwa phosphorous ndi calcium mu magazi ndi msinkhu wawo pambuyo normalization mlingo yafupika zikwi 50. U. pa tsiku ana osaposera chaka chimodzi, kapena kwa 125 zikwi. mayunitsi. - odwala pambuyo chaka.

Pa zimene matenda ena zizindikiro Trousseau ndi chvostek

Kuwonjezera matenda oyamba okha kuchepa chifukwa chilichonse, kashiamu mu madzi a m'magazi, zizindikiro chvostek, Trousseau Kumangolakalaka za Kugonana mwina chikaonekera matenda ena. Njirazi ndi monga:

• Neurasthenia ndi boma nkhawa-hypochondriac, anawonetseredwa mu mawonekedwe a matenda hyperventilation. Wodwala Pankhaniyi akukumana nthawi kupuma matenda mungoli kuti otsanzira mphumu, ndi kumverera kwa mtanda mu mmero, breathlessness, ndipo nthawizina ndi imfa ya chikumbumtima ndi khunyu.
• njira Dyscirculatory, pamodzi asthenic ndi asthenic-neurotic syndrome, yodziwika ndi boma zonse kutopa amatopa, komanso kupweteka kwa mutu, tulo zipolowe, ndi vertigo.
• Chipwirikiti, khunyu ndipo matenda ena.

Kupewa matenda a misinkhu kashiamu mwana

Monga inu mwina kale matenda kuti silipita chvostek chizindikiro ana chithandizo yafupika kubwezeretsa yofunika kwambiri kuchepetsa yachibadwa kashiamu ndi magazi phosphorous. Choncho, kupewa pathologies imafunanso kwenikweni kulamulira ndende ya zinthu zomwe imagwiridwa madokotala precinct.

Nkofunika kulenga zinthu mulingo woyenera chitukuko cha mwana wosabadwayo mu amayi apakati. Kuti zimenezi zitheke, ngati mayi woyembekezera akukhala m'nyumba osauka anthu kapena ali pa chiopsezo (shuga, nephropathy, matenda oopsa ndi vuto la misempha), wake wotsiriza miyezi 2 mimba mankhwala vitamini D. Mu mimba yachibadwa kutsatira yokwanira zakudya ndi zinthu zolimbitsa thupi.

akhanda, kotero Iye anakula wamphamvu ndi wathanzi, n'kofunika pamaso pa yoyamwitsa, mawu oyamba yake zakudya wowonjezera, tsiku kukhala panja, free nsalu, kutikita, masewero olimbitsa osambira kuwala mpweya.