Chvostek bayyanar cututtuka, Trousseau, da muguwar sha'awa. Chvostek alama a yara: magani

Lokacin da rashin lafiya na alli-phosphorus metabolism, wanda yana tare da matsakaici to mai tsanani rickets, 4% na yara ci gaba spazmofiliya, da ake kira ma jariri tetany. Wannan Pathology yana tare da spasms na tsokoki na extremities, fuska, maƙogwaro, kazalika da zargin kowa clonic da tonic convulsions. Shi ya bayyana, kamar yadda mai mulkin, a lokacin daga watanni uku na shekaru da har zuwa shekaru biyu. Daya daga cikin mafi tsabta manifestations da cutar suna kunno kai chvostek bayyanar cututtuka, Trousseau da muguwar sha'awa don taimaka gane da tsananin cutar gudãna. Don koyon yadda za ka fassara wadannan cututtuka suna bi da kuma yadda za mu tattauna a wannan talifin.

Yadda za a duba spazmofilicheskie cututtuka

Domin tabbatar da kasancewar cututtuka chvostek, kira zuwa wani sabon abu na gyara man fuska jijiya, da yaro da aka sanya a kan wani gado ba tare da wani matashin kai. Kafafu a lokaci guda ya zama mike, da kuma hannãyen - karya tare da jiki.

Alama bari haske tapping feat. Irfan guduma yatsun ko a wuri na fita daga cikin trigeminal jijiya (sama da zygomatic baka). Idan wani haƙuri zo tare da involuntary twitching na wani karni da kuma mai kusurwa na da babba lebe, sa'an nan ya ce da alama an dauki tabbatacce. Ya, ta hanyar, duba a kan duka kumatunta.

Alamun chvostek da 3 digiri na bayyanuwar:

1. Tsoka ƙanƙancewa a ko'ina cikin yankin na innervation na gyara man fuska jijiya.
2. Tsoka ƙanƙancewa a kusurwar da bakin da hanci reshe.
3. Ƙanƙancewa na tsokoki kawai a cikin kusurwar bakinsa.

Idan bayyananne tetany bayyana a cikin yaro farko mataki na alama ko da tare da wani haske touch a yankin na gyara man fuska jijiya.

Ƙarin hanyoyin da tabbaci antispasmodic cututtuka

Babu kasa muhimmanci a cikin sharuddan kayyade tsanani daga cikin baby ta yanayin ne mai alama na Trousseau da muguwar sha'awa.

• Alama Trousseau gano matsawa tsakiya yaro ta kafada. A wannan yanayin, da likita ya kamata kokarin dauka kamar yadda zai yiwu taushi nama na hannunsa. Idan a sakamakon wannan (kamar 2-3 minti bayan matsawa) a cikin wani haƙuri yatsunsu dauka a tilasta halin da ake ciki, da ake kira "hannunka obstetrician" (ie, da babban yatsa da aka bai wa dabino, manuniya da na tsakiya fãta shimfiɗaɗɗa, da zobe da kuma Ƙaramin yatsana - flexed), da alama an dauke da positive. Don duba samuwar mazan yara ko manya iya amfani da cuff domin aunawa jini da yin famfo iska a cikin shi to Pulse ƙarshe.
• Da muguwar sha'awa alama bari ta wajen wani guduma, wanda tapped baya na kai wani kananan tibia, ko ƙanƙancewa na gastrocnemius tsoka a cikin Achilles jijiya yankin. Idan haƙuri yayin da akwai wani involuntary karyata da kafar ( "kafar yar rawa"), da alama za a iya daukan m. An bari a duka biyu extremities.

Chvostek bayyanar cututtuka, Trousseau, da muguwar sha'awa dauke spazmofilicheskimi. Sun zama tabbatacce, idan wani rashin lafiya yaro a cikin jini ya auku canja adadin alli wanda yake da alhakin tsoka ƙanƙancewa. Don wannan zai sa ba kawai a gaban rickets, amma kuma sauran cututtuka.

Mene ne tetany

Chvostek Alamun da ãyõyi Tissaurd spazmofilii (tetany). A cutar halin ƙãra m excitability, wanda aka bayyana tsoka cramps wata gabar jiki, ko maƙogwaro. Mafi sau da yawa, wannan Pathology aka lura a boys a cikin watanni shida na farkon rayuwarsa.

A nazarin halittu-akai da wannan cuta ne low jini ionized alli yaro.

Ta yaya hatsari alama a yara chvostek

Photos of yara da tetany, ba mu damar gane abin da suke da bayyanar cututtuka da cutar. Babban na su - laryngospasm, wanda aka bayyana wahala numfashi, kodadde fuska, sweating, da kuma wani lokacin asarar sani. Halin kamar yadda lokaci-lokaci spasms ƙafafunsa da hannuwansa (karpopedalny spasm) mikawa wani lokacin sa'o'i da dama. Akwai ma wasu murdede spasms da kuma kungiyoyin - numfashi, daukan taban, ido, da dai sauransu ...

Amma mafi tsanani alama da cutar da aka dauke su wani hari na eclampsia - clonic-tonic seizures cewa za a fara da twitching tsokoki na fuska da kuma wuce zuwa spasms da wata gabar jiki da kuma laryngospasm. The yaro tare da mafi sau da yawa hasarar sani, kumfa bayyana a kan lebe, akwai involuntary urination. Eclampsia Hadarin na yiwu numfashi kama ko zuciya.

Wa zai iya faruwa tetany

A farkon zamanin rayuwar convulsive yanayi da kuma hypocalcemia yawanci faruwa a jariran haife wanda bai kai ba, da tagwaye, kuma sun sha wahala jaundice ko cututtuka.

Chvostek alama a yara na farko watanni na rayuwa da kuma za a iya jawo da wani karu a alli ci na yara, kuma Ya ƙãra mugunya calcitonin. Wannan likita yanayin hade tare da illa da kuma phosphorus da alli shigarwa tare da kaifi canja wurin baby ciyar a kan saniya ta madara, kazalika (a rare lokuta) tare da wani rashin bitamin D da alli a cikin uwa tasa ta jiki.

Kamar yadda mai mulkin, yara bayyana hypocalcemia neuromuscular excitability, convulsions, amai, tachycardia, da kuma na numfashi bayyanar cututtuka.

tetany magani

Eclampsia harin bukatar nan da nan taimako da yaro, kuma a cikin akwati na lõkacin fatara daga numfashi ko zuciya - da kuma farfado da.

A wani nau'i na tetany yaro nada anticonvulsants ( "Sibazon" intramuscularly ko intravenously, "sodium Oksibarbutirat" intramuscular, "Phenobarbital" rectally, da baki ko a suppositories da sauransu. P.). Haka kuma an nuna igiyar jini gwamnati na 10% bayani na alli gluconate ko intramuscular 25% bayani daga magnesium sulfate.

Spazmofiliya haddasa cututtuka chvostek da Trousseau, yawanci yana da wani m hangen nesa a mafi yawan lokuta. A hatsari ne kawai shafe tsawon laryngospasm, wanda ya razana su daina numfashi.

Bayan kai da shekaru yaro 2-3 shekaru na wani pathological yanayin da aka shafe a sakamakon da karfafawa a cikin jini matakin na alli da phosphorus.

Hypoparathyroidism - wata cuta da cewa yana tare da cututtuka chvostek

Chvostek alama - shi ne ma wata ãyã bayyananna daga wani pathological yanayin da ake kira hypoparathyroidism, a cikin abin da raguwa a cikin aiki na parathyroid gland. Mafi sau da yawa, wannan matsalar na faruwa a sakamakon aikin tiyata ga thyroid cuta ko gaban da shi na kumburi tsari. Wani lokaci tabarbarewa za a iya lalacewa ta hanyar dauke da kwayar cutar tafiyar matakai kamar kyanda ko mura.

Neonates hypoparathyroidism tasowa a cikin hali na nakasar rashi na parathyroid gland da kuma a cikin danniya na aiki ya karu sallama a cikin mahaifiyarsa a lokacin daukar ciki parathyroid hormone.

A haƙuri haka yawanci gano wani karu a jini alli a layi daya tare da kara phosphorus taro. Kuma a fili shi ne riga na fili da aka bayyana tetany, hanji mamaki, mahaukaci girma da hakora, gashi kuma kusoshi, kazalika da canje-canje a cikin fata.

A irin haka ne, bayyanar cututtuka chvostek da Trousseau, tare da dakin gwaje-gwaje gwaje-gwaje taimake daidai GANE wanda ɓullo da tetanic yanayin da ganewar asali daga mãsu haƙuri.

lura da hypoparathyroidism

Domin lura da cuta ne muhimmanci a yi la'akari da dalilan da ya faru da kuma tsanani daga cututtuka. A m rashin lafiya tare da bayyanar cututtuka a lokacin gaggawa gwamnati tetany shawarar 10% na alli chloride ko alli gluconate intravenously. Wannan ne yake aikata sannu a hankali, shan la'akari da cewa da farko-ambata bayani ƙunshi 27% homonymous abubuwa da kuma a cikin na biyu shi ne kawai 9%.

Yawanci, domin kawar da chvostek cututtuka bukata magani kwayoyi alli don akalla 10 days. Good sakamako na samar da alli ci, da likitoci rika yin wannan ta rushe da miyagun ƙwayoyi a mutum madara, su hana ci gaban gastritis.

Kullum hypoparathyroidism yanayin bukatar da liyafar na bitamin D, suka fara da wani bolus (200-300 dubu. U. Per rana), tare da m iko da phosphorus da alli a cikin jini, kuma su matakin bayan daidaita kashi rage zuwa 50 dubu. U. da rana a cikin yara a karkashin shekara guda, ko zuwa 125 dubu. raka'a. - a marasa lafiya bayan wani shekara.

A abin da sauran cututtuka da cututtuka Trousseau da chvostek

Bugu da kari ga cututtuka sa kawai wani karu ga wani dalili, da alli a cikin jini jini, chvostek bayyanar cututtuka, Trousseau da muguwar sha'awa iya nuna up a sauran magunguna. Wadannan sun hada da:

• Neurasthenia tare da m-hypochondriac jihar, bayyana a cikin nau'i na hyperventilation ciwo. A haƙuri a cikin wannan yanayin ne fuskantar lokaci-lokaci numfashi rashin lafiya kari da cewa mimics fuka, tare da ji na wani curi a makogwaro, breathlessness, da kuma wani lokacin tare da asarar sani da kuma convulsions.
• Dyscirculatory matakai, a hade tare da asthenic da asthenic-neurotic ciwo, halin da akai Jihar gajiya da burnout, kazalika da ciwon kai, barci disturbances, kuma vertigo.
• Ciwon iska, epilepsy da kuma sauran cututtuka.

Rigakafin cuta na alli da matakan da yaro

Kamar yadda ka yiwuwa riga gani a cututtuka cewa accompanies chvostek alama a yara magani an rage zuwa makawa maido al'ada matakan na alli da phosphorus jini. Saboda haka, rigakafin pathologies ma bukatar da farko sarrafa taro na abubuwa da aka yi hana aikata laifukan, pediatricians.

Yana da muhimmanci a halitta mafi kyau duka yanayi na ci gaba da tayin a mata masu juna biyu. Don wannan karshen, idan expectant uwa da suke zaune a cikin matalauta zamantakewa yanayi ko ne a hadarin (ciwon sukari, nephropathy, hauhawar jini da kuma rheumatism), ta ƙarshe 2 watanni ciki rubũta bitamin D. A al'ada ciki isa riko abinci mai gina jiki da kuma jiki aiki.

A jariri, don haka ya girma da karfi da lafiya, yana da muhimmanci gaban nono, da dace gabatarwar karin abinci, kullum zaman a bude iska, free zanen, tausa, dakin motsa jiki da haske-iska baho.