Opisthotonos

Opisthotonos ke boemo boo ho bona motho a tšoarang 'mele ea hae maemong a sa tloaelehang. Motho o tloaetse ho ba thata le ho koala mokokotlo, 'me hlooho ea bona e lahleloa morao. Haeba motho ea nang le opisthotonos a rapaletse ka mokokotlo, ke karolo e ka morao feela ea lihlooho le lirethe tse amang karolo eo a leng ho eona.

Opisthotonos e atile haholo ho masea le ho bana ho feta ho batho ba baholo. E boetse e feteletse haholo ho masea le bana ka lebaka la litsamaiso tsa bona tsa methapo e seng e holile haholo.

Opisthotonos e ka hlaha ho masea a nang le meningitis. Ena ke tšoaetso ea meningges, lera le koahelang boko le lesapo la mokokotlo. Opisthotonos e kanna ea hlaha e le sesupo sa ho fokotseha ha ts'ebetso ea boko kapa ho lematsa tsamaiso ea methapo.

Lisosa tse ling li ka kenyelletsa:

• Arnold-Chiari syndrome, bothata ba sebopeho sa boko
• Hlahala ea boko
• Bokooa ba 'mele
• Lefu la Gaucher, le bakang mafura a mangata lithong tse ling
• Khaello ea kholo ea li-hormone (ka linako tse ling)
• Mefuta ea chefo ea lik'hemik'hale e bitsoang glutaric aciduria le organic acidemias
• Lefu la Krabbe, le felisang methapo ea methapo tsamaisong ea methapo e bohareng
• Lefu la moroto lefu la moroto, bothata boo 'mele o ke keng oa senya likarolo tse itseng tsa liprotheine
• Ho oa
• Ho se leka-lekane ho matla ha elektrolyte
• Kotsi e bohloko ea boko
• Stiff-person syndrome (boemo bo etsang hore motho a be thata 'me a be le li-spasms)
• Ho tsoa mali bokong
• Ha mesifa ea mehlahare

Meriana e meng e thibelang lefu la kelello e ka baka litla-morao tse bitsoang acute dystonic reaction. Opisthotonos e kanna ea ba karolo ea karabelo ena.

Maemong a sa tloaelehang, masea a hlahetseng basali ba noang joala bo bongata nakong ea bokhachane a ka ba le opisthotonus ka lebaka la ho khaotsa joala.

Motho ea hlahisang opisthotonos o tla hloka ho hlokomeloa sepetlele.

E-ea kamoreng ea maemo a tšohanyetso kapa u letsetse nomoro ea hau ea tšohanyetso ea lehae (joalo ka 911) haeba matšoao a opisthotonos a hlaha. Ka tloaelo, opisthotonos ke letšoao la maemo a mang a tebileng ho lekana hore motho a ka fumana tlhokomelo ea bongaka.

Boemo bona bo tla hlahlojoa sepetlele, 'me ho nkuoe mehato ea ts'ohanyetso.

Mofani oa tlhokomelo ea bophelo o tla etsa tlhahlobo ea 'mele mme a botse ka matšoao ho batla sesosa sa opisthotonos

Lipotso li ka kenyelletsa:

• Matšoao a qalile neng?
• Na boemo ba 'mele bo lula bo tšoana?
• Ke matšoao afe a mang a tlileng pele kapa a nang le boemo bo sa tloaelehang (joalo ka feberu, molala o thata, kapa hlooho)?
• Na ho na le nalane ea haufinyane ea bokuli?

Tlhahlobo ea 'mele e tla kenyelletsa tlhahlobo e felletseng ea sistimi ea methapo.

Liteko li ka kenyelletsa:

• Liteko tsa mali le moroto
• Tloaelo le li-cell tsa Cerebrospinal fluid (CSF)
• Tlhatlhobo ea hlooho ea CT
• Tlhahlobo ea Electrolyte
• Lumbar puncture (pompo ea mokokotlo)
• MRI ea boko

Kalafo e tla itšetleha ka sesosa. Mohlala, haeba meningitis ke eona sesosa, ho ka fanoa ka meriana.

Back arching; Boemo bo sa tloaelehang - opisthotonos; Boemo ba Decerebrate - opisthotonos

Berger JR. Sefuba le koma. Ka: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, bahlophisi. Neurology ea Bradley ho Tloaelo ea Bongaka. La 7th. Philadelphia, PA: Elsevier; 2016: khaolo ea 5.

Hamati AI. Mathata a amanang le methapo ea mafu a systemic: bana. Ka: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, bahlophisi. Neurology ea Bradley ho Tloaelo ea Bongaka. La 7th. Philadelphia, PA: Elsevier; 2016: khaolo ea 59.

Hodowanec A, Bleck TP. Ha mesifa ea mehlahare (Clostridium tetani). Ka: Bennett JE, Dolin R, Blaser MJ, bahlophisi. Mandell, Douglas, le Bennett's Principles and Practice of Infectious Diseases, Khatiso e Ntjhafalitsoeng. La 8th. Philadelphia, PA: Elsevier Saunders; 2015: khaolo ea 246.

Rezvani I, Ficicioglu CH. Liphoso tsa metabolism ea amino acid. Ka: Kliegman RM, Stanton BF, St. Geme JW, Schor NF, bahlophisi. Buka ea Nelson ea Pediatrics. 20th, ed. Philadelphia, PA: Elsevier; 2016: khaolo ea 85.