Torticollis ndi matenda osokoneza bongo omwe amadziwika ndi mgwirizano wa minofu. Kawirikawiri, torticollis imadziwika ndi malo omwe mutu umasunthira kumbali imodzi, zomwe zimapangitsa kuti ziziyenderera kumbali inayo (chigamba chimayang'ana mbali yomwe mutuwo umasinthidwa). Mitsempha ya khosi yomwe imakhudzidwa ndi torticollis imayenda mosiyana ndi kayendedwe kawo kawiri kawiri; Kusuntha komwe kumakhudzidwa ndi chikhalidwe ichi ndiko kupindika , kufalikira, ndi kuzungulira .
Dzina lina la torticollis ndi "khosi la wry."
Ndani Amalandira Torticollis?
Torticollis amakhudza ana ndi akulu. Ana omwe amabadwa nawo (pakadali pano amatchedwa congenital torticollis) akhoza kukhala ndi malo osinthika a mutu pamene ali m'mimba. Kuvulaza minofu ndi / kapena magazi pamene ali m'mimba ndi chifukwa china chokhala ndi ubongo wa torticollis.
Torticollis akhoza kukhala amtundu kapena amapatsidwa. Genetic torticollis imayamba pang'onopang'ono ndipo imaphatikizapo ubongo wanu ndi manjenje. Ngati muli ndi mtundu wotchedwa torticollis, ndikofunika kuti muwapeze ndi kuwachiza mutangozindikira zizindikiro. Pomwe mukuchiritsidwa kwambiri, mumayesetsa kukhala ndi mwayi wokhala ndi moyo wosatha (mwachitsanzo, kukhala ndi khosi nthawi zonse).
Nthawi zambiri torticollis imayamba chifukwa cha kupwetekedwa mtima kapena kumwa mankhwala osokoneza bongo, ndipo imaonedwa kuti ndi yovuta.
(Actic torticollis ndi kusowa kwabwino kwa minofu yanu.)
Zifukwa ndi Zoopsa
Monga tafotokozera pamwambapa, vuto lalikulu ndilo chifukwa chowopsya komanso choopsa cha torticollis, chifukwa kukhumudwa kungabweretse mitsempha ya minofu, yomwe ikhoza kutulutsa khosi lanu.
Matendawa ndi chifukwa china cha torticollis: Matendawa amachititsa kuti mitsempha yanu ikhale yotentha kwambiri (yotupa torticollis), ndipo pamene izi zichitika, zotsatira zake zikhoza kukhala zochepa kwambiri m'misungo yomwe ili pamwambapa.
Mankhwala ena angapangitse kusokonezeka mwadzidzidzi kwa khosi, nkhope ndi / kapena kumbuyo kwa mitsempha ya m'mbuyo (acute torticollis). Izi zikhoza kuchitika kuchokera ku mankhwala omwe amaikidwa monga Thorazine, komanso mankhwala osokoneza bongo monga cocaine kapena amphetamines. Kugwiritsa ntchito mankhwalawa kumayesedwa kuti ndizoopsa kwa torticollis.
Zina mwa zifukwa za torticollis zikuphatikizapo minofu yowopsya , zotupa, nyamakazi yamagulu , ndi zina.
Kuphatikizana ndi zovuta ndi kutenga mitundu ya mankhwala omwe tawatchula pamwambapa, mbiri ya banja ya torticollis ndi zosazolowereka za khosi atabadwa ndizo ziopsezo.
Zizindikiro Zodziwika
Ndiye mungadziwe bwanji ngati muli ndi torticollis? Kapena ngati mukufuna dokotala wanu?
Malingana ndi mfundo yakuti torticollis imasonyeza ngati malo omwe mutu umatembenuzidwira kumbali imodzi, ichi ndi chinthu choyamba kuchizindikira. Komanso, mumamva chisoni kapena kupweteka m'khosi mwanu ndi minofu ya m'magazi.
Ndipo zingakhale zopweteka kapena zovuta, ngati zosatheka, kuyesa kusunthira mutu wanu kumbali ina yomwe imamva kuti "sunganike." Zina zomwe muyenera kuziganizira ndi monga kupweteka mutu, kupweteka kumbuyo, kupweteka kwa m'mimba, ndi kuyaka moto. Ngati muli ndi zizindikiro izi, onani dokotala wanu.
Kudziwa
Nthawi zambiri madokotala amadziŵa kuti torticollis amamwa mbiri yachipatala, akuyesa kupima thupi, komanso amachititsa kuti torticollis iwonongeke, mwa kutenga x-ray.
Nthaŵi zina CT imagwiranso ntchito.
Kuchiza
Kawirikawiri, torticollis siopseza moyo. Izi zanenedwa kuti zizindikiro zina zimasonyeza kuvulaza kapena kukhumudwa kwa dongosolo lanu lachithunzi (ie ubongo ndi / kapena msana). Ngati muli ndi zizindikirozi, kaya zizindikiro za torticollis kapena ayi, muyenera kupita ku chipinda chodzidzimutsa, mwamsanga. Zizindikirozo zikuphatikizapo:
- Kuvuta kupuma
- Zovuta kumeza
- Kuvuta kulankhula
- Kuvuta kuyenda
- Kufooka, kupweteka kapena pini ndi singano mmanja ndi miyendo yanu
- Kusakaniza (ubweya kapena ubweya)
Ngati muli ndi mitsempha ya pakhosi ndi fever, zilonda zotupa, kuuma kwa khosi, mutu ndi / kapena kutupa, pitani kuchipatala mwamsanga.
Ngati muli ndi ululu ndi kuuma kokha m'khosi mwanu, onani dokotala mwamsanga, koma simukusowa kupita ku chipinda chodzidzimutsa.
Cholinga cha mankhwala ambiri amtundu wa torticollis ndi kumasula minofu ya khosi kuti isawonongeke. Mankhwalawa amaphatikizapo mankhwala, mankhwala, kutambasula, kugwiritsa ntchito zipangizo zakuthupi, ndi opaleshoni. Mankhwala omwe amaperekedwa kwa anthu omwe ali ndi torticollis amakhala ndi minofu yotsegula komanso anti-inflammatories.
Odwala ambiri amafotokoza kuti jekeseni wa poizoni ya botulinum, mwachitsanzo, Botox, imathandiza zizindikiro zawo.
Ngati mwapatsidwa mankhwala ovuta a torticollis, mumatha kuyembekezera kuti mubwererenso kuzinthu masiku angapo mpaka masabata angapo. Ngati mutatha nthawi imeneyi (ndi mankhwala) ululu wanu ndi kusamvana kwanu sikungatheke, mungafunike kutumiza kwa katswiri - kaya ndi katswiri wa zamaganizo kapena dotolo.
Opaleshoni ndi Ndondomeko za Spasmodic Torticollis ndi Cervical Dystonia
Kuchita opaleshoni kumaphatikizapo kudula mitsempha yomwe imayambitsa kutuluka kwa mitsempha ya mitsempha, koma sichiperekedwa mobwerezabwereza. Cholakwika cha opaleshoni ndi chakuti nthawi zambiri chizindikiro cha khosi chopotoka chimabwerera miyezi ingapo pambuyo pa opaleshoniyo.
Njira ina yomwe ikupangira nthunzi pochizira torticollis ndiyo kukhudza ubongo, komwe kumatchedwa kuti mankhwala a Parkinson . Pamene amagwiritsidwa ntchito pa torticollis-pakadali pano, spasmodic torticollis, yemwenso amadziwika kuti cervical dystonia-imaphatikizapo kuyika chipangizo chofanana ndi pacemaker (m'malo mwa ubongo) komwe amakhulupirira kuti torticollis imayambira.
Zotsatira:
Cunha, John P. DO, FACOEP, Davis, Charles Patrick, MD, PhD. Torticollis. Webusaiti ya eMedicineHealth.
Dressler D. Botulinum poizoni wochizira dystonia. Eur J Neurol. 2010 Jul; 17 Suppl 1: 88-96. lembani: 10.1111 / j.1468-1331.2010.03058.x.
Krauss JK. Kuchiza opaleshoni ya dystonia. Eur J Neurol. 2010 Jul; 17 Suppl 1: 97-101. lembani: 10.1111 / j.1468-1331.2010.03059.x.
Kulimbikitsidwa Kwambiri kwa Ubongo (DBS). Webusaiti ya National Spasmodic Torticollis Association.
Torticollis. Medline Plus. National Institutes of Health (NIH). Adasinthidwa komaliza May 21 2012.