I-syndrome ye-muscular dystonia iyisifo esibhekene nomsebenzi ongasebenzi kahle womntwana nokuthuthukiswa okungavamile komsindo we-muscle. Ngokuvamile, i-dystonia ye-muscular itholakala ebuntwaneni.
I-Syndrome ye-muscular dystonia ezinsana
I-dystonia yama-muscular emntwaneni iqala ukubonakalisa kusukela ezinsukwini zokuqala zokuphila ngendlela ye-hypertonia (ukukhuphuka komfutho we-muscle) noma i-hypotension (imisipha engakhiwe kahle).
I-hypertension yengane ivame ukuhambisana nalezi zimpawu njenge:
- ukuphazamiseka kokulala;
- ukukhathazeka;
- ukukhala njalo;
- ukuthuthumela komkhuhlane;
- ukuphindaphindiwe njalo.
Iphutha le-muscle elinciphile (hypotonic) libekezelela kalula ngokubili abazali nabazali. Ingane enjalo ilala kakhulu, ingavamile ukukhala, kamuva iqala ukuthuthukisa amakhono emoto (ephethe ikhanda, ukuphoqa, ukukhahlaza, njll) ngenxa yobuthakathaka bemisipha.
I-dystonia yama-muscular ezinganeni: izimbangela
Ukubukeka kwezimo ezihamba emotweni kwengane kuhlotshaniswa, okokuqala, ngokuntuleka kwe-oksijeni nokwephulwa kwegazi kwezicubu ngenxa yendlela yokukhulelwa kokukhulelwa, okuyinto ephazamisa kakhulu ingane yakho ngisho nangesikhathi sokuthuthukiswa kwe-intrauterine. Kulezi zizathu zithwala:
- i-gestosis ekukhulelweni ;
- ukukhulelwa okuningi;
- ukuphindaphinda;
- isifo sikashukela sinomfazi okhulelwe;
- ukutholakala kwezifo ezithathelwanayo esikhathini sesibili nesithathu sokukhulelwa;
- izifo zesisu zofuzo, ezikhonjiswe yimiphumela yocwaningo lwe-yuf.
I-hypoxia eqondile ngenxa yenkinga yokusebenza kwengculaza ingathuthuka ngenxa yokutholakala kwezici ezilandelayo:
- isigaba se-cearean;
- Isethulo sesifiso esingalungile (isipiliyoni, esinqamulayo);
- ukubeletha okungapheli ;
- ukuphazamiseka kwamapayipi;
- ama-hydramnios, ukugcinwa kwamanzi;
- ukusetshenziswa kwe-anesthesia jikelele ekubelethweni.
I-syndrome ye-muscular dystonia ingenye yezibonakaliso ze-encephalopathy ye-hypoxic-ischemic - ukulimala kobuchopho obangelwa yindlala yomoya.
I-dystonia yama-muscular: izimpawu
Endabeni yokwanda kwe-muscle, ingane inezimpawu ezilandelayo:
- Amalungu agxiliwe emzimbeni;
- ingane ngokuvamile iphonsa ikhanda lakhe;
- ukukhanya nokuzwakala kuphendula ngokucasula.
Ngomsindo we- muscle obuthakathaka enganeni :
- izinyathelo ezihambayo, ukuhamba kwazo okuphansi;
- ingane ingabonisi umsebenzi kumathoyizi, ayifinyeleli kubo;
- kamuva uqala ukubamba ikhanda, uphenduke.
Kulesi simo, ingane ingase ibe ne-asymmetry yezwi le-muscle - isimo lapho isigamu ngasinye somzimba sihlukile emotweni ye-muscle (isibonelo, izingxenye ezingakwesokunxele ezinkingeni, kanti uhlangothi lwesokudla lomzimba luhlala lungasebenzi).
I-dystonia yama-muscular: ukwelashwa
Ukuze ukhethe indlela efanele yokwelapha i-muscular dystonia, lezi zinto ezilandelayo zicatshangelwa:
- Ngabe isiphi isigaba seminyaka yokuthuthukiswa kwengane ngokuhlukumeza kokuqala kwemishini eyenziwa;
- izinga lobukhulu bokuhlukumeza;
- uhlobo lwe-percolation (hyper- noma hypotonic);
- ukutholakala kwezimpawu ze-neurologic ezihambisanayo.
Njengoba izindlela zokwelapha eziphumelelayo ziyasebenza:
- i-kinesiotherapy : ukwelashwa ngokunyakaza okusebenzayo nokungenzi lutho (ukuvivinya umzimba, ukubhukuda, ukubhusa, izivivinyo zemoto ezikhethekile);
- ukwelapha izidakamizwa : i-cerebrolysin, i-pantokalcin, i-semax, i-midokalm, i-solcoseryl, i-baclofen, kanye namavithamini weqembu B;
- physiotherapy : ukwelashwa kwama-laser, i-magnet, i-ultrasound, i-electrophoresis, izibhuku zodaka, i-cryocontrast (ukushintsha okunye okubandayo nokushisa).
Kumele kukhunjulwe ukuthi imithi yabekwa yi-neurologist ngemuva kokuhlaziywa ngokuphelele kwesimo somntwana.
Ukubhubhisa nge-dystonia yemisipha
Ukusetshenziswa okuphambili kakhulu kokusikhipha imithi yokwelashwa kwe-hypertonia, kanye ne-hypotension. Kulesi simo, uma kunesidakamizwa esikhulayo, ukuhlunga okuphumuzayo nokuphumuzayo kunqunywe: ukuxubha, ukuxubha, ukucindezela. Ukuze ukwelashwa kwe-massage ye-ithoni encishisiwe kwenziwa ngenkuthalo, ngokunamandla: uma ushaya, cindezela isundu sonke ukwandisa ingcindezi endaweni egcotshwe kuyo, ukugubha, ukuguqula, ukuphepha, ukugqugquzela amaphuzu asebenzayo.
Uma ithoni ye-muscle engalungiswanga ngesikhathi, khona-ke ingane ingase ibe nezinkinga zezempilo ezifana nalezi:
- ukuvuthwa komgogodla;
- i-gait engalungile;
- i-clubfoot;
- i-torticollis.
Ukukhubazeka kwesisindo esinamandla kunawo wonke kuyinto yokukhubazeka kwengane encane.
Kumele kukhunjulwe ukuthi ingane encane, kulula ukulungisa ukungapheleli komsindo we-muscle wengane. Ngakho-ke, ngaphambili abazali baphendukela ku-neurologist futhi baqaphela emntwaneni wabo izici zokuthuthukiswa kwesistimu yezimoto, ukuphumelela kakhulu umphumela wokwelashwa kuze kube yilapho kutholakala ngokugcwele.