Ta yaya rikici ya faru? Jiyya

Duk wani rikici shi ne yanayin mutum wanda cutar ta ba da zato ba zato ba tsammani kuma yana da matukar damuwa, kuma yanayin bayyanar rai mai rai ya girma sosai. Abune na damuwa da damuwa, wadanda shine abokan hawan maasthenia, suna da haɗari saboda rashin lafiya zai iya rasa numfashinsa kuma ya dakatar da zuciya. Wani lokaci wani rayuwar mutum an lasafta ta hanyar minti kaɗan, wanda likitoci ko mutanen da suke kusa da su ya kamata su kasance cikin lokaci don samar da taimako mai kyau. Me yasa akwai yunkuri na kyamaran myasthenia marar mutuwa? Muna bayar da wata sauƙi da fahimta don kowa yayi magana game da abin da kowa ya sani: abubuwan da ke haifar da hadari da damuwa, da asibiti, taimakon gaggawa ga wadanda waɗanda irin wannan masifa ta faru. Wataƙila wani kusa da mu, idan ba zato ba tsammani a cikin sufuri ko kawai a kan titin ya zama mummunar, bayanin da ke cikin wannan labarin zai taimaka wajen ceton rayuka.

Myasthenia gravis

Labarin rikicin ya fara ne tare da bayani game da ma'anar myasthenia. Wasu lokuta, wasu suna shan wannan cuta don yin amfani da simintin gyare-gyare, tun da wadanda ke shan wahala daga myasthenia suna kokawa da gajiya mai wuya, rashin jin dadi, iya yin wani aiki na jiki, kawai mafi sauki. A gaskiya ma, cututtukan myasthenia ne na cutar neuromuscular wanda yake da nau'i na autoimmune, wato, ya haifar da rashin lafiya a cikin jikin da ke haifar da kare hakkin dan Adam ko samar da kwayoyin kisa akan cutar da kwayoyin halitta, wanda ya zama babban bala'i.

Cutar da ke faruwa a cikin mummunan yanayi ta taso ne akan cutar da ta kamu da ita kuma tana da alamun bayyanar, amma yana nunawa da yawa, wanda a baya ya kai kimanin kashi 40% na marasa lafiya. Yanzu, idan an fara Jiyya da sauri, mutuwa za a iya kauce masa. Ina so in lura cewa myasthenia na cinye mutane 10 ga dukan mutane 100 na duniya, kuma mata suna sha wahala sau sau sau da yawa fiye da maza. Don nuna burbushi na myasthenia ya rigaya ya kasance a ƙuruciya, amma irin waɗannan lokuta suna da wuya. Gaba ɗaya, an lura da mutane daga shekara 20 zuwa tsufa.

Kwayoyin cutar na myasthenia gravis

Idan ba tare da labarun myasthenia ba, idan akwai a cikin mutum, wani rikici ba zai iya faruwa ba. Duk da haka, wasu lokuta wasu cututtuka da irin wadannan alamu, alal misali, kamar yadda aka gabatar da shi, rashin ƙarfi, ƙarfin ƙaruwa, ana dauka a wasu lokuta. Ƙarin alamu da ƙwayoyin myasthenia:

- raguwar ido, mafi sananne da maraice da ragewa a safiya bayan hutawa na dare;

- hangen nesa biyu;

- ƙarewa, babban gajiya bayan al'ada ga sauran mutane, misali, hawa hawa;

- alamomi na farko (bayyanar muryar murya bayan cin abinci da tattaunawa mai tsawo, wahala a furta takardun haruffa);

- tsauraran alamomin alamar (wahala a hadiye, pinches masu yawa);

- autonomic tabarbarewa (hanji paresis, tachycardia).

- mimic alamun (a kan goshin sosai wrinkles, halayyar fuskar fuska);

- drooling;

- matsala a kiyaye kai;

- matsalolin tafiya.

Wani ɓangaren fassarar na myasthenia gravis shine cewa dukkanin abubuwan da ke sama suna ƙaruwa bayan motsin jiki da maraice, kuma bayan cikakken hutawa suna raguwa ko ɓacewa gaba daya.

Kwayar cututtuka na rikici

Idan mutum yana shan wahala daga myasthenia gravis, a wasu lokuta zai iya samun mummunar rikici. Kwayar cututtukan cututtuka, musamman irin su tachycardia, gagarumar gajiya da magunguna masu karfi (numfashi, zuciya), drooling, yayin da kara. Har ila yau, game da rikicin da ake bayarwa game da wadannan abubuwa:

- ciwon haɗari na haɗiye tsokoki da harshe, sakamakon abin da ƙwaƙwalwa, cin abinci, abinci zai iya shiga filin respiratory;

- zubar da ciki;

- tashin hankali da damuwa saboda rashin iska;

Cold Gumi;

- wani lokaci na urination da / ko raunin lokaci;

- asarar sani;

- bushe fata;

- karfin jini ya girgiza;

- daliban da suka haɓaka;

- rashin ƙarfi na zuciya, wato, cin zarafi a aikin zuciya.

Matsalar masthenic ta auku a cikin digiri masu yawa:

- haske;

- matsakaici;

- nauyi;

- azumin walƙiya.

Differences suna cikin ƙarfin bayyanar da sama alamun bayyanar. Musamman haɗari sune rikicin mai tsanani da walƙiya, wanda mutum yake da sauri, a cikin gajeren minti kadan, yana tasowa wani rauni na numfashi da kuma hawan hawaye. Farawa na farko ya zama mai sauri, fuska ya juya a ja, damuwa ya girgiza, bugun yana kai kimanin 160 ƙuruci da minti daya. Sa'an nan numfashi zai fara rabuwar, zai iya ɓace gaba ɗaya, fuskar ta canza launin blue (a magani ana kiran wannan cyanosis), matsa lamba ya sauko, bugun jini ba shi da kyau.

Dalili na rikice-rikicen maganganu

Myasthenia gravis iya zama duka biyu da kuma samu. Na farko ya taso saboda maye gurbi a cikin kwayoyin. Na biyu na tasowa idan mutum yana da:

- matsaloli tare da glandan thymus;

- Wasu nau'i na ciwon daji (musamman, nono, huhu, ovaries);

- thyrotoxicosis;

- encephalitis dashi.

Dangane da cututtukan cututtukan nan, ƙwayar cutar ta haifar da ita a irin waɗannan lokuta:

- cututtuka mai cututtuka, ciki har da SARS, mura, mashako;

- aiki;

- gajiya mai karfi;

- babban kayan jiki;

- shan wasu magunguna (musamman, masu sintiri);

- cututtuka na hormonal;

- shigar da marasa lafiya tare da maganin maganin kwayoyin na myasthenia, cin zarafi na magani.

Yanayin ƙaddara

Cutar launi na masthenic da cholinergic sukan nuna kansu a cikin layi, saboda abin da akwai kurakurai a cikin bambancin kuma, saboda haka, a cikin magani. Duk da haka, wadannan nau'o'i biyu na irin wadannan alamu na jihar suna haifar da bambance-bambance daban daban kuma suna da daban-daban etiologies.

Sabili da haka, tare da rikice-rikicen ƙwayar cuta, yawancin masu karɓar zuciya na membrane na ragewa saboda halakar su, kuma sauran suka canza ayyukansu. Kuma tare da rikici mai ƙyama, yin aiki mai tsanani na masu karɓa na karicergic (nicotinic da / ko muscarinic) yana faruwa. Wannan tsari ya fara ne ta hanyar yin amfani da kwayoyi don maganin cututtuka na myasthenia a cikin asarar maɗaukaki, da kuma hanyoyin da aka dakatar da wannan cuta.

Binciken wannan rikici ba sauki bane, tun da babban bayyanarsa ya dace daidai da burbushin. Don taimakawa wajen tabbatar da abin da zai faru da mutum, irin wannan yanayin a cikin yanayinsa, halayyar rikici, zai iya bayyana: mai haƙuri yana da alamun shan maye: ciwon ciki yana ciwo, vomiting yana buɗewa, zafin jiki zai fara. Don matsalar rikice-rikice, duk abu ne na kowa, sai dai ga waɗannan bayyanar cututtuka.

Halin na biyu na rikice-rikicen ƙwayar cuta shi ne cewa myasthenia gravis bayyanar cututtuka sunyi rauni ba tare da motsa jiki ba, amma bayan sunyi amfani da kwayoyi masu tasowa.

Ƙungiyar Mixed

Wannan shine mafi haɗari ga lafiyar lafiyar jiki da rayuwa. Ya haɗa rikici na mummunan yanayi da kuma cholinergic, nan da nan ya gabatar da dukkanin bayyanar cututtuka da aka gani a jihohi biyu. Wannan yana da wuyar ganewa daidai, amma har ma - magani, saboda waɗannan kwayoyi da suke karewa daga mummunar rikici, cholinergic ya kara tsanantawa. Tare da rikice-rikice masu rikitarwa, an rarrabe nau'i biyu na gudana:

1. myasthenic. Magunguna sun furta rashin lafiya na bulbar, matsaloli na numfashi, aikin motsa jiki yana jawo wahala, amma yin amfani da kwayoyi ("Clamin", "Proserin") baya haifar da halayen halayen.

2. Cholinergic halin da bayyanar cututtuka na maye.

Ayyuka sun nuna cewa rikice-rikice masu rikicewa yakan faru a cikin mutanen da suka riga sun sha wahala a rikicin myasthenia gravis.

Na iya zama wanda ake zargi da gauraye rikicin na irin wannan fasali bayyananen:

- marasa lafiya a fili lura wahala numfashi da kuma bulbar take hakkin da kuma mota aiki na wata gabar jiki canza kadan.

- shan magungunan magungunan ƙwayoyi ya rage alamar cututtuka, kamar misali inganta aikin motar da kusan ba zai taimaka wajen tabbatar da numfashi ba.

Diagnostics

Domin kada kuyi kuskure kuma gaggauta bayar da taimako mai mahimmanci tare da rikici mai tsanani, yana da muhimmanci a bincikar mai haƙuri. Kamar yadda muka gani a sama, wasu cututtuka na rikice-rikicen ƙwayar cuta na iya zama a cikin cututtuka da basu da alaka da ƙwayar myasthenia (misali, wahalar numfashi, nakasawar zuciya). Samun bayyanar cututtuka na ƙwayar cuta shine kama da abin da aka gani tare da maye da wasu matsaloli tare da tsarin kwayar cuta. Idan akwai mutum mai bi tare da mai haƙuri wanda zai iya ba da labarin game da irin abubuwan da yake da shi game da magungunan na myasthenia da game da magungunan da yake dauka, tozarta yana da sauƙi. Don bambanta irin rikicin, likitoci sunyi gwajin gwaji.

Ana magance matsaloli na musamman a cikin bincikar binciken tare da rikici. Don manufar ƙaddarar ƙaddamarwa na farko, an gudanar da bincike na asibiti na yanayin haƙuri, da kuma nazarin ilimin electrophysiological sakamakon sakamakon da aka samo daga shan magungunan anticholinesterase.

The sosai gaban mutum gravis (kafin rikicin) da aka gano ta hanyar electromyography, lissafta Tomography, pharmacological kuma immunological gwaje-gwaje.

Taimakon gaggawa don rikice-rikice na rikice-rikice da na cholinergic

Idan masthenia mai hakuri ya zamo bala'i ba zato ba tsammani (akwai rikici), asusun rayuwa yana da minti daya. Babbar abin da wasu ya kamata su yi shine kiran motar motar gaggawa. Abin takaici, a gaskiya muna da yanayi lokacin da taimako na musamman ya ƙare. Ta wace hanyar za ku iya taimaka wa mai mutuwa? Na farko, kokarin tabbatar da numfashinsa, cire kullun daga bakinsa. Bisa ga ka'idodin, waɗanda ke fama da launi na myasthenia sun kamata su lura da irin wannan cuta, da magunguna (misali "Proserin") da sirinji. Idan babu yiwuwar tashiwa mai sauri, mutumin da ke fama da mummunan rikicin ya kamata a yi masa inji bisa ga bayanin a cikin bayanin kula.

Dole likitoci sun shirya gaggauta sakar da marasa lafiya, kuma a cikin kulawa mai tsanani, inda aka yi matakan gaggawa na gaggawa:

- tabbatar da yanayin jirgin sama;

- samar da oxygen;

- hardware da kuma inji iska.

Idan mai haƙuri ba shi da alamar cututtuka na rikici (vomiting, zawo), ana amfani da kwayoyi masu zuwa: "Prozerin", "Atropine". A gaban bayyanar cututtuka na farfadowa na gaggawa na gaggawa ne kawai a cikin karfin iska na huhu da kuma injections irin wannan kwayoyi: "Atropine", "Immunoglobulin", da wasu kayan kiwon lafiya kamar yadda alamun suka nuna.

Jiyya

Idan mutum yana da mummunar rikici, ana yin magani bayan gaggawa ta hanyar bincike na gwaji da gwaje-gwaje, nazarin da maganin cutar. Samun iska (wato, iska mai kwakwalwa na huhu) dangane da yanayin asibiti na yanayin haƙuri, da kuma a gaban kasancewar oxygen a cikin jini za a iya gudanar dashi har zuwa kwanaki shida, amma idan mai haƙuri yana da amsa mai kyau ga Prozerin bayan sa'o'i 16 ko fiye, an sake sokewa . Gaba ɗaya, hanya na samun iska yana da matukar tsanani da alhakin, yana buƙatar ci gaba da kulawa da motsin rai,% abun ciki na gas a cikin jini, tarwatsawa, zazzabi, daidaitaccen ruwa a jiki da sauran abubuwa.

Kyakkyawan hanya, shan wuya tare da kowane irin rikice-rikice a cikin myasthenia, shi ne musayar plasmapheresis. A wannan yanayin, ana karɓar jinin daga tsakiya (ko ulnar), an shafe shi, an canja plasma don bada kyauta ko artificial. Wannan hanya tana ba da kyakkyawan sakamakon - a cikin sa'o'i kadan yanayin yanayin marasa lafiya ya inganta. An yi Plasmapheresis na kwanaki 7 zuwa 14.

Daya daga cikin matakan magani shine maganin magani. A cewar alamun, immunoglobulins, antioxidants, antiholinesterase kwayoyi suna dangana ga marasa lafiya, da maganin rigakafi idan akwai ƙwayoyin ƙwayoyin cuta.

Fahimci da kuma rigakafi

Shekaru talatin da arba'in da suka wuce, mummunar sakamako a cikin marasa lafiya na Myasthenia tare da nuna damuwa da cutar ya faru sau da yawa. Yanzu an rage ragowar mutuwa ta sau 12. Ya zama dole a fahimci cewa wani lokaci wani rayuwar mutum ya dogara ne akan ayyukan da muke yi tare da ku, wanda yake da rikici mai tsanani. Dole ne a ba da gaggawa gaggawa sosai. Saboda haka, idan ba zato ba tsammani a titi, a cikin sufuri, ko'ina mun ga mutumin da ya fara shan wahala, dole ne a kira motar motar nan da nan.

Wadanda marasa lafiya tare da myasthenia gravis ya kamata su bi wasu matakan da zasu hana rikici:

- kasancewa ƙarƙashin kulawa da likita kuma biye da biyan magani;

- kauce wa yin aiki, raunin hankali;

- idan ya yiwu, a kiyaye shi daga cututtuka;

- kada ku bijirar da jikin ku zuwa maye;

- a rage cin abinci sun hada da abinci mai arziki a cikin potassium (misali, dankalin turawa, jita-jita, zabibi).