Thothomelo e bakoang ke lithethefatsi

Ho thothomela ho bakoang ke lithethefatsi ke ho thothomela ho sa hlokahaleng ka lebaka la ts'ebeliso ea meriana. Ho ithaopela ho bolela ho sisinyeha ntle le ho leka ho etsa joalo ebile o sitoa ho emisa ha o leka. Ho thothomela ho etsahala ha o sisinyeha kapa o leka ho tšoara matsoho, matsoho kapa hlooho sebakeng se itseng. Ha e amane le matšoao a mang.

Thothomelo e bakoang ke lithethefatsi ke sistimi e bonolo ea methapo le karabelo ea mesifa meriana e itseng. Lithethefatsi tse ka bakang tšisinyeho li kenyelletsa tse latelang:

• Meriana ea mofets'e e kang thalidomide le cytarabine
• Meriana ea ho inkela e kang valproic acid (Depakote) le sodium valproate (Depakene)
• Meriana ea asthma e kang theophylline le albuterol
• Moriana o hatellang li-immune joalo ka cyclosporine le tacrolimus
• Li-stabilizers tse kang lithium carbonate
• Lintho tse khothatsang tse kang caffeine le amphetamine
• Lithethefatsi tse imelang kelellong joalo ka serotonin reuptake inhibitors (SSRIs) e khethiloeng le li-tricyclics
• Meriana ea pelo e kang amiodarone, procainamide, le tse ling
• Meriana e meng ea lithibela-mafu
• Likokoana-hloko tse ling, tse kang acyclovir le vidarabine
• Joala
• Nicotine
• Lithethefatsi tse itseng tsa khatello e phahameng ea mali
• Epinephrine le norepinephrine
• Moriana oa tahlehelo ea boima ba 'mele (tiratricol)
• Meriana e mengata ea qoqotho (levothyroxine)
• Tetrabenazine, moriana oa ho phekola bothata bo feteletseng ba ho sisinyeha

Ho thothomela ho ka ama matsoho, matsoho, hlooho kapa mahlo. Maemong a sa tloaelehang, 'mele o ka tlase oa ameha. Thothomelo e kanna ea se ame mahlakore ka bobeli a 'mele ka ho lekana.

Ho thothomela hangata ho potlakile, hoo e ka bang metsamao e 4 ho isa ho e 12 motsotsoana.

Thothomelo e kanna ea ba:

• Episodic (e hlahang ka ho phatloha, ka linako tse ling hoo e ka bang hora kamora ho noa moriana)
• Nako e sa lekanyetsoang (e tla ebe e tsamaea le ts'ebetso, empa eseng kamehla)
• Ka sewelo (se etsahala ka dinako tse ding)

Ho thothomela ho ka:

• E etsahala ka motsamao kapa phomolong
• O nyamela nakong ya boroko
• Mpefala ka motsamao oa boithatelo le khatello ea maikutlo

Matšoao a mang a kenyeletsa:

• Ho oma ka hlooho
• Ho tsitsinya kapa ho thothometsa modumo ho lentsoe

Mofani oa hao oa tlhokomelo ea bophelo a ka etsa hore a hlahlojoe ka ho etsa tlhahlobo ea 'mele le ho botsa ka nalane ea hau ea bongaka le ea hau. U tla botsoa hape ka meriana eo u e nkang.

Liteko li kanna tsa etsoa ho hlakola mabaka a mang a ts'isinyeho eo. Ho thothomela ho etsahalang ha mesifa e phutholohile kapa e amang maoto kapa tšebelisano 'moho e ka ba sesupo sa boemo bo bong, joalo ka lefu la Parkinson. Lebelo la tšisinyeho e ka ba tsela ea bohlokoa ea ho tseba sesosa sa eona.

Lisosa tse ling tsa ho thothomela li ka kenyelletsa:

• Ho tlohela joala
• Ho tsuba koae
• Thyroid e feteletseng (hyperthyroidism)
• Lefu la Parkinson
• Sehlahala sa adrenal gland (pheochromocytoma)
• K'hafeine e ngata haholo
• Ho hloka taolo moo ho nang le koporo e ngata haholo 'meleng (lefu la Wilson)

Liteko tsa mali le lithuto tsa litšoantšo (joalo ka CT scan ea hlooho, MRI ea boko le x-ray) hangata li tloaelehile.

Ho thothomela ho bakoang ke lithethefatsi hangata hoa fela ha u khaotsa ho noa moriana o bakang ho sisinyeha.

Mohlomong ha o hloke kalafo kapa liphetoho moriana haeba ts'isinyeho e le bonolo ebile e sa sitise ts'ebetso ea hau ea letsatsi le letsatsi.

Haeba molemo oa moriana o feta mathata a bakoang ke ho thothomela, mofani oa hau a ka u kopa hore u leke litekanyo tse fapaneng tsa moriana. Kapa, ​​o ka fuoa moriana o mong ho phekola boemo ba hau. Maemong a sa tloaelehang, setlhare se kang propranolol se ka eketsoa ho thusa ho laola ho thothomela.

Se ke oa emisa ho noa moriana leha o sa bua le mofani oa hau pele.

Ho thothomela ho matla ho ka sitisa mesebetsi ea letsatsi le letsatsi, haholo tsebo e ntle ea makoloi e kang ho ngola, le mesebetsi e meng e kang ho ja kapa ho noa.

Bitsa mofani oa hau haeba u noa moriana 'me ho thothomela ho bang teng ho sitisa mosebetsi oa hau kapa ho tsamaea le matšoao a mang.

Kamehla bolella mofani oa hau ka meriana eo u e noang. Botsa mofani oa hau hore na ho lokile ho noa meriana e rekisoang e nang le li-stimulants kapa theophylline. Theophylline ke setlhare se sebelisetsoang ho phekola ho hema le phefumoloho e khuts'oane.

Caffeine e ka baka ho thothomela le ho mpefatsa e bakoang ke meriana e meng hampe. Haeba u thothomela, qoba lino tse nang le kofi tse kang kofi, tee le soda. Hape qoba lintho tse ling tse susumetsang.

Ho thothomela - ho susumetsoa ke lithethefatsi; Ho sisinyeha - ho thothomela ha lithethefatsi

• Sisteme ea methapo e bohareng le methapo ea methapo

Morgan JC, Kurek JA, Davis JL, Sethi KD. Tsebo ea pathophysiology e tsoang ho ts'isinyeho e bakoang ke meriana. Ho thothomela Mofuta o Mong oa Hyperkinet Mov (N Y). 2017; 7: 442. PMID: 29204312 phatlalalitsoe.ncbi.nlm.nih.gov/29204312/.

O'Connor KDJ, Mastaglia FL. Mathata a bakoang ke lithethefatsi a tsamaiso ea methapo. Ho: Aminoff MJ, Josephson SA, bahlophisi. Neurology ea Aminoff le Bongaka bo Akaretsang. La 5th. Waltham, MA: Khatiso ea Litaba tsa Elsevier; 2014: khaolo ea 32.

Okun MS, Lang AE. Mathata a mang a motsamao. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 26th. Philadelphia, PA: Elsevier; 2020: khaolo ea 382.