Ziwalo Todd: Zizindikiro ndi Chithandizo

ziwalo Todd ndi mtundu wa matenda a ubongo kugwirizana ndi zosayembekezereka m'madera malemeredwe mu ubongo. Iwo ukhoza kwa mphindi zingapo kwa tsiku. Pakuti mawu a matenda n'kofunika kuti achotse onse matenda ena ofanana, kuphatikizapo chotupa organic ya ubongo.

tanthauzo

Todd ziwalo - chikhalidwe chosakhalitsa kuti akufotokozera pambuyo kulanda khunyu. Odwala anati paresis kapena ziwalo za miyendo pa dzanja limodzi, ndi pa onse. ziwalo amenewa ndi chenjezo choyamba cha kutopa ya ubongo ndipo akanakhoza kukhala chizindikiro cha khansa kapena matenda kagayidwe kachakudya.

Kupeza Vuto ziwalo angathe pokhapokha kulingalira maginito malumikizidwe, amene kumatha makope oziziritsa ndi organic chotupa cha minofu mantha. Komanso, dokotala angakupatseni electroencephalography (akugwirira) akudzizindikiritsa foci a khunyu oziziritsa mtima Doppler, angiography ndi nkhani zina.

Ngati chifukwa cha khunyu sapezeka, ndiye mankhwala yafupika mpumulo wa khunyu.

zifukwa

Todd ziwalo akadali chimodzi cha zinsinsi zachipatala. Ndipo popanda kudziwa chifukwa, madokotala sangakhoze kukhala limagwirira yolekanitsa ndondomeko pathological, kuchiritsa izo. Malinga ndi umboni mozungulira, madokotala ndi mfundo zingapo zokhudza chikhalidwe cha matenda. Ndi chiphunzitso zapamwamba kwambiri za ziwalo zidaoneka "chodabwitsa chopinga ya ubongo." Iwo amagwirizana ndi mkhutu kufala kwa timene.

Komanso kuonetsetsa zifukwa zingapo:

- angapo kukomoka zotsatizana;
- ubongo kutopa;
- zilonda neoplasm wa chapakati mantha dongosolo;
- kutukusira kwa thunthu ubongo, makamaka tizilombo etiology;
- kulekana kwa kagayidwe zamadzimadzi;
- kuli sitiroko yapita ischemic;
- mtima ndi matenda mtima.

zizindikiro

Kodi zimaonekera ziwalo Todd? Zizindikiro poyamba kufanana ndi kulanda khunyu. Pakuti ena kusunga kuukira kungakhale kovuta, chifukwa iwo alibe njira kuthandiza wodwalayo. Koma ngakhale pambuyo khunyu mapeto, munthu sangathe kugona ndi kupeza anaiwalika osangalala. M'malo mwake, izo amaundana ndipo simungathe kusuntha manja ndi miyendo yake.

nthawi yaitali bwanji adzakhala ndi ziwalo Todd? Zizindikiro (odwala chithunzi tinganene kuti kuba komanso zoopsa) zina amaumirira za meshes kapena zambiri. Madokotala amakonda kwambiri yang'anirani zikamera wa ziwalo unilateral kapena paresis. M'kupita kwa nthawi, galimoto chipika chitadutsa, ndipo anasiya zotsatira zake. Mu periodicals mankhwala opezeka nkhani ya Todd ziwalo ndi masomphenya mkhutu ndi articulation.

Pa kukumana koyamba ndi zizindikiro za matenda amenewa akhoza ankamuona ngati chiwonetsero cha matenda opha ziwalo, koma pambuyo miyezo zonse zofunikira matenda kuchotsedwa matenda chachikulu, ndipo mofulumira mgwirizano zizindikiro chinatsimikizira buku la matenda opha ziwalo.

diagnostics

Kodi muyenera kuchita chiyani kuti alimbikitse ziwalo Todd? Zizindikiro ziridi yosokoneza. M'pofunika kuti achotse matenda ena onse, kukhala chimodzimodzi zedi matenda. Chinthu choyamba kudziwa kukula kwa boma anati ndi mlingo wa minofu ziwalo. Kuti tichite zimenezi, achite kudzifufuza thupi, ndipo poyerekeza zotsatira ndi zisanu mfundo lonse:

1. Mfundo zisanu - ndi anasiya zizindikiro, minofu wodwalayo ali mu mkhalidwe ponseponse thupi.
2. mfundo zinayi - kanjedza ulamuliro pang'ono yafupika, koma ntchito komaliza kudakali mwawo. Wodwala modekha chililaka kulimbikira kwa manja la dotoloyo.
3. Mfundo zitatu - wamaliseche diso noticeable stiffness wa minofu anakhudzidwa, koma wodwala adakali kupanga magulu kwawo, ngakhale mwamsanga momwe pa mfundo zinayi. Kugonjetsa kulimbikira manja dokotala Zimakhala zovuta kwambiri.
4. mfundo ziwiri - yokoka dziko lapansi amakhala chotero mtima chopinga chachikulu.
5. ina - pali ziwalo wathunthu minofu.

Ndikatha kumfunsafunsa, adokotala amatenga bwinobwino mbiri zachipatala achibale wodwalayo, kuphunzira khadi kuchipatala kumene kompyuta kapena maginito kumveka kulingalira. Kuti achotse sitiroko odwala timakalandira angiography kudziwa cholinga cha khunyu (ngati aliyense m'mbiri), anatumizidwa electroencephalography. Kudziwa comorbidities kuchita ultrasound wa mtima ndi ECG.

Kungokhala ndi zotsatira zonse, dokotala anu mwina mwa diagnoses onse oyembekezera kusankha, osalephera, ndi kuyamba mankhwala.

chithandizo

Kodi zingatheke bwanji kuti asiye ziwalo za Todd? Chithandizo ngakhale ali mwangwiro symptomatic, ali Mwachangu otsika kuti akaone operewera zovuta. Chithandizo kumatengera pa mlingo ndi digiri ya ziwalo.

Ngati kuwonongeka zazing'ono galimoto, ndiye mankhwala enieni chofunika. Zizindikiro yekha adzakhala maola kapena masiku ochepa. Pamene kuyan'anila zambiri Inde ndi mankhwala benzodiazepine, monga "Midazolam", "ntchito diazepam", "Lorazepam", "Fosphenytoin" kapena "Phenytoin". Aliyense wa iwo kugwira khunyu ndi mavuto awo. Woika iwo, tiyenera kukumbukira kuti achire mwadzidzidzi mankhwala antiepileptic kungachititsenso nkhondo.

Pali contraindications wonse woika mankhwala. Loyamba ndilochokera, kumene, mankhwala tsankho zigawo zikuluzikulu, komanso mbiri ya ngodya-kutsekedwa khungu, mankhwala osokoneza bongo komanso mowa kusiya. Komanso yofunika ankaimba ndi ntchito ya impso, kuyambira mankhwala makamaka excreted mu mkodzo.

kupewa

Postictal ziwalo Todd zosatheka kunalephera. boma sanayambebe asanamvetsetse Choncho, kupewa yeniyeni, monga mankhwala, sangathe kuphunzira. Mwina patapita, pamene mwayi wa mankhwala adzakhala zambiri tidzatha kutenga njira kuthetsa matenda.

Pakali pano, madotolo nsonga yosokoneza kwambiri, monga kutsatira moyo wathanzi, kudya zakudya zoyenera, kupewa makhalidwe oipa ndi zolimbitsa zolimbitsa thupi. Komanso, musaiwale za tizipima nthawi, chifukwa matenda aliwonse ndi kosavuta kupewa kuposa kuchiza.

kaonedwe

Todd ziwalo akhoza nazo zonse zabwino ndi akumane madokotala ananena zawo. Izi zidalira pa kuopsa kwa zizindikiro ubongo ndi nthawi ya paresis kapena ziwalo. Ngati katswiriyu amapereka pamlingo mlingo wa "atatu" kapena "anayi", ndiye matenda sayambitsa nkhawa kwambiri ndi moyo ndi thanzi la munthu madokotala ananena zawo zabwino. thupi akuchira msanga matenda a, boma sikutanthauza alowererepo zachipatala.

Ngati ziwalo zimatha nthawi yaitali, miyendo ndi kubwezeretsedwa kwa nthawi yaitali, ndipo chiwerengero cha kuukira pa nthawi amakhala pafupipafupi, kuti madokotala ananena zawo moyo, ndithudi, akumane.

Kufufuza kwatsopano

Right- ndipo anasiya Todd ziwalo mwina patsogolo ndipo kenako minofu kufooka amalimbikira ngakhale mankhwala yaitali. Kwa odwala awa, komanso anthu ena ziwalo, sayansi kupereka angapo malingaliro chosintha. Choyamba mwa zinthuzi ndi kulenga prosthesis. Masiku ano, pali prototypes wa miyendo bionic kulamulidwa ndi mfundo, ndiyo chipangizo chikugwirizana kwa wamanjenje dongosolo ndipo akutenga zikhumbo mitsempha decoding chizindikiro.

Yachiwiri njira zambiri kwachilengedwenso. Bukuli lili ndi kubwezeretsa mathero mitsempha ntchito maselo tsinde. Popeza iwo amakhala pafupifupi wopandamalire magawano ndi angathe kusiyanitsa m'chipinda iliyonse m'thupi la munthu. Ngakhale athamangadi zatsopano nyama choyezera, koma ngati bwino, kudzakhala kotheka kuti akuyembekezera kwambiri pantchito yojambula mankhwala a matenda a ubongo.