Amyostatic syndrome (amyostatic symptom complex, akinetic-rigid syndrome): ua rau, tsos mob thiab kev kho mob

Cov txheej txheem:

Amyostatic syndrome (amyostatic symptom complex, akinetic-rigid syndrome): ua rau, tsos mob thiab kev kho mob
Amyostatic syndrome (amyostatic symptom complex, akinetic-rigid syndrome): ua rau, tsos mob thiab kev kho mob
Anonim

Ua tsaug rau lub paj hlwb, kev sib cuam tshuam ntawm lub cev nrog ib leeg yog xyuas kom meej. Thaum nws puas lawm, kev sib txuas ua haujlwm raug cuam tshuam, uas ua rau muaj teeb meem thoob plaws hauv lub cev.

Amyostatic syndrome (akinetic-rigid) yog ib hom kab mob hnyav heev, uas yog nrog los ntawm kev ua haujlwm tsis zoo ntawm lub cev muaj zog. Nyob rau tib lub sijhawm, cov leeg nqaij nce ntxiv. Tawm tsam keeb kwm ntawm xws li pathology, parkinsonism feem ntau tsim.

Yog vim li cas

Tus kab mob ntawm amyostatic syndrome tseem tsis tau paub meej. Cov kev tshawb fawb qhia tias qhov ua rau yog qhov txo qis hauv qib ntawm cov neurotransmitter dophin hauv substantia nigra thiab basal ganglia ntawm lub hlwb. Xws li ib qho anomaly hu ua Mersh thiab Woltman syndrome - nyob rau hauv kev hwm ntawm cov kws tshawb fawb Asmeskas uas tau piav qhia thawj zaug. Lawv xav tias nws yog kab mob caj ces.

Cov tsos mob ntawm amyostatic complex
Cov tsos mob ntawm amyostatic complex

Cov laj thawj rau kev loj hlob ntawm cov kab mob xws li:

  • Yhydrocephalus;
  • tus tuag tes tuag taw tremor;
  • daim ntawv nyuajencephalitis;
  • predisposition ntawm qib caj ces rau tus kab mob Parkinson;
  • cirrhosis ntawm daim siab;
  • atherosclerosis ntawm cerebral hlab ntsha;
  • carbon monoxide lom;
  • calcification;
  • Yamyotrophic sclerosis;
  • hlwb puas vim syphilis;
  • mob taub hau;
  • AIDS;
  • cov kev mob tshwm sim los ntawm kev siv sijhawm ntev lossis siv tsis raug ntawm phenothiazine-type antipsychotics.

Cov no yog cov laj thawj tseem ceeb ntawm kev loj hlob ntawm amyostatic syndrome. Tab sis tseem, feem ntau nws tshwm sim vim parkinsonism.

Amyostatic syndrome cov tsos mob

Cov kab mob no tseem hu ua mob nqaij tawv nqaij. Ua ntej ntawm tag nrho cov, nws yog manifested los ntawm qhov tseeb hais tias lub suab nce txawm mus rau ib tug nruj lub xeev. Ib tug neeg muaj teeb meem nrog reflexes. Nws tsis tuav txoj haujlwm ruaj khov ntawm tag nrho lub cev lossis tsuas yog ib feem ntawm tus kheej xwb. Tus mob kuj hnyav zuj zus vim muaj kev tshee ntawm caj npab lossis ob txhais ceg. Vim li no, lub neej zoo ntawm tus neeg mob txo qis. Nyob rau yav tom ntej, nws yuav dhau los ua neeg tsis muaj zog.

Ntxiv rau cov cim tseem ceeb no, cov tsos mob amyostatic complex kuj tshwm sim los ntawm lwm tus:

  • yas hypertonicity tsim;
  • caj npab thiab txhais ceg nyob hauv qhov chaw khoov txhua lub sijhawm;
  • taub hau leans hnyav rau hauv siab;
  • ntau yam ntawm kev txav tau txo qis (qhov tshwm sim no hu ua oligokinesis);
  • kev sib txuas lus tsis zoo, kev hais lus dhau los ua lus tsis txaus ntseeg;
  • kev txhim kho kev txawj ntse nres;
  • kev xav tsis meej - ib nrab lossis tag nrho (qhov tshwm sim no hu ua hypomimia);
  • kev sau ntawv hloov pauv - piv txwv li, thaum kawg ntawm kab lus, cov ntawv raug txo qis (ib qho tshwm sim zoo sib xws hu ua micrography);
  • txav mus los ua nruj thiab qeeb (qhov tshwm sim no hu ua bradykinesia);
  • tus neeg mob qhov kev xav tau kho ntawm ib lub ncauj lus thaum nws sib txuas lus nrog lwm tus neeg (qhov tshwm sim hu ua akairiya);
  • tus neeg mob tuaj yeem khov rau hauv txhua txoj haujlwm thaum lub sijhawm txav mus los (qhov tshwm sim no hu ua lub ntsej muag lub ntsej muag);
  • thaum so, ceg khoov.

Ntxiv rau, ntau yam kev tshwm sim ntawm xws li pathology yog tus mob ntawm tus neeg nruj. Nws yog tus cwj pwm los ntawm cov hauv qab no:

  • extensor nqaij yog nyob rau hauv hypertonicity;
  • xub pwg kab tsa;
  • taub hau tig rov qab;
  • tus txha nraub qaum yog khoov (tshwj xeeb, lordosis txhim kho);
  • cov nqaij ntshiv plab tas li;
  • cov leeg hauv siab txo qis, thiab tswj tsis tau.

yav tom ntej, vim yog qhov nro tas li ntawm lub cev, txoj hauj lwm ntawm sab sauv thiab sab qis qis hauv qhov chaw txawv txav. Ib tug neeg yuav txav tsis tau lawm yog tsis muaj ib tug neeg pab.

, cov tsos mob ntawm amyostatic syndrome
, cov tsos mob ntawm amyostatic syndrome

Cov theem hauv qab no ntawm kev txhim kho tus kab mob yog qhov txawv:

  1. pib. Tus cwj pwm los ntawm kev sib koom ua ke nruj, txwv kev txav mus los, myasthenia gravis.
  2. Txhob sib sib zog nqus. Cov leeg nqaij degeneration tshwm sim, muaj kev tshee ntawm caj npab, ceg, puab tsaig.
  3. Ntxhais. Cov leeg nqaijib txwm. Tsis muaj zog yog tsis hnov. Tab sis tib lub sijhawm, ob txhais caj npab thiab txhais ceg tas li vibrate.

Nrog tus kab mob kawg, tus neeg tsis tuaj yeem noj lossis txav mus los ntawm nws tus kheej.

Diagnosis

Ua ntej pib kev kho mob ntawm amyostatic syndrome, yuav tsum tau kuaj xyuas, uas suav nrog kev soj ntsuam thiab ntsuas ntsuas.

Thaum kuaj mob, tus kws kho mob tau them nyiaj rau bradykinesis. Nws yog characterized los ntawm qeeb zog, hais lus. Tsis tas li ntawd, yuav muaj qhov pom kev nruj ntawm cov leeg nqaij, tshee ntawm tes. Txhawm rau tshem tawm Parkinson tus kab mob, qog los yog te, sib nqus resonance thiab suav tomography, nrog rau kev kuaj xyuas lub hlwb ntawm lub hlwb, tau ua rau kev kuaj mob sib txawv.

Kev kho mob

Yog tias qhov kev kuaj mob ntawm amyostatic syndrome tau lees paub, ces tus kws kho mob yuav xaiv txoj kev kho tus kheej rau txhua tus neeg mob, tab sis kev txiav txim siab noj tshuaj yog tus qauv. Qhov hnyav ntawm tus neeg mob tus mob, nws lub hnub nyoog, thiab daim ntawv kho mob ntawm tus kab mob yog muab rau hauv tus account.

Kev kho mob pib nrog tus nqi qis tshaj. Nws koom nrog kev siv tib tus neeg sawv cev (monotherapy), nrog rau kev tsis lees paub cov tshuaj antizolinergic thiab acetylcholine blockers. Tsis tas li ntawd, saib xyuas kev txhim kho ntawm cov tsos mob thiab lub cev cov lus teb rau cov tshuaj siv.

Tshuaj

Kev kho mob nrog kev siv tshuaj.

Piv txwv li, siv cov leeg nqaij so. Lawv txo cov leeg nqaij. Piv txwv li, koj tuaj yeem siv Mydocalm, Flexin, Meprotan.

Cov tshuaj Mydocalm
Cov tshuaj Mydocalm

Dopamine receptor blockers yog siv. Tab sis tsuas yog nyob rau hauv cov ntshav, tsis nyob rau hauv lub hlwb. Piv txwv li, cov tshuaj xws li Haloperidol, Thiopropazate, Pimozide yog haum.

Lawv sau tshuaj "L-Dopa". Xws li ib tug tshuaj yog muab rau ib tug trembling daim ntawv ntawm tus kab mob. Siv cov tshuaj tsuas yog thaum mob hnyav tshaj plaws.

Txhais rau kev rov ua haujlwm ntawm lub cev muaj zog. Haum "Pyridoxine", "Romparkin", "Lizurid".

Ntxiv cov tshuaj, yog tias tsim nyog, tshuaj rau qaug dab peg, insomnia, kev nyuaj siab.

Cov tshuaj Haloperidol
Cov tshuaj Haloperidol

Tshuaj uas txo cov leeg nqaij yog siv. Piv txwv li, lawv muaj cov lus qhia rau kev siv Cyclodol, Tropacin thiab lwm yam.

Zoo kawg

Amyostatic syndrome yog ib qho mob hnyav, loj hlob sai uas ib tus neeg raug kev txom nyem los ntawm ceg tawv, hypertonicity thiab lwm yam teeb meem nrog lub cev muaj zog.

Kev kho mob amyostatic syndrome
Kev kho mob amyostatic syndrome

Thaum siv cov tshuaj tshwj xeeb thiab pib kho thaum ntxov ntawm tus kab mob, tus neeg mob lub neej txoj sia yuav txhim kho tau zoo. Yog tias tus kab mob no tsis quav ntsej, tus tuag tes tuag taw yuav sai sai, thiab tus neeg yuav txav tsis tau nws tus kheej.

Pom zoo: