Taimako na Clinical Neurology Support. El Paso, TX. Chiropractor, Dokta Alexander Jimenez ya tattauna na asibiti jijiya. Dokta Jimenez yana ba da cikakkiyar fahimta game da bincike na yau da kullum na na kowa da kuma hadaddun gunaguni na jijiyoyi ciki har da ciwon kai, dizziness, rauni, numbness, da ataxia. Mayar da hankali zai kasance a kan ilimin cututtuka, alamun bayyanar cututtuka, da kuma kula da ciwo dangane da ciwon kai da sauran cututtuka na neurologic, tare da damar da za a iya bambanta mai tsanani daga cututtuka marasa ciwo.
Mayar da hankalinmu na asibiti da burin sirri shine don taimakawa jikin ku warkar da kansa ta dabi'a cikin sauri da inganci. A wasu lokuta, yana iya zama kamar hanya mai nisa; duk da haka, tare da sadaukarwarmu gare ku, tabbas zai zama tafiya mai ban sha'awa. Alƙawari a gare ku a cikin lafiya shine, kada ku rasa zurfin dangantakarmu da kowane ɗayanmu a cikin wannan tafiya.
Lokacin da jikinka yana da lafiya da gaske, za ka isa matakin dacewarka mafi dacewa daidai yanayin dacewar physiological. Muna son taimaka muku rayuwa sabon kuma ingantaccen salon rayuwa. A cikin shekaru 2 da suka wuce yayin bincike da gwaje-gwajen gwaje-gwaje tare da dubban marasa lafiya mun koyi abin da ke aiki yadda ya kamata a rage yawan ciwo yayin da yake ƙara ƙarfin ɗan adam. Don amsoshin tambayoyin da za ku iya samu don Allah a kira Dr. Jimenez a 915-850-0900.
El Paso, TX. Chiropractor, Dokta Alexander Jimenez yana kallon abubuwan da suka faru, farfadiya da zaɓuɓɓukan magani. seizures an ayyana su azaman, ƙungiyoyi ko ɗabi'a marasa daidaituwa daga ayyukan lantarki da ba a saba gani ba a cikin kwakwalwa. seizures alama ce ta farfadiya amma ba duk wanda ya kamu da ciwon farfadiya ba ne. Kamar yadda akwai rukuni na cututtuka masu alaƙa da ke tattare da kamuwa da cuta mai yawa.�epilepsy rukuni ne na cuta waɗanda ke da alaƙa kuma suna da alaƙa da sake kamawa. Akwai nau'ikan farfadiya da kamun kai. Akwai magungunan farfaɗo waɗanda aka ba da izini don sarrafa abubuwan da ke faruwa, kuma ba a cika buƙatar tiyata ba idan magani ba shi da amfani.
Seizures & Farfaɗo
Seizures yana faruwa ne lokacin da aka sami ɓarna ba tare da bata lokaci ba da kuma harbe-harbe na ƙungiyoyi na neurons, sau da yawa don mayar da martani ga faɗakarwa kamar daidaitawa na rayuwa.
Duk wani kwakwalwa zai iya samun kama idan yanayin ya dace
Farfaɗo ko rikicewar tashin hankali, shine ƙarar yiwuwar ayyukan kamawa da ke faruwa a cikin mutum. kwakwalwa
Kamuwa Categories
Gabaɗaya/farawar duniya
Ciwon Mota na gaba ɗaya (Grand mal)
Kamun rashin lafiya (Petite mal)
Ƙaddamar da farawa na farko
Sauƙaƙan kamun kai
Motoci (Jacksonian)
Sensory bawo
Somatosensory
Auditory-vestibular
Kayayyakin
Olfactory-gustatory (uncinate)
Rikici mai rikitarwa (libmbic)
Ci gaba da kamawa
Gabaɗaya (yanayin epilepticus)
Mai da hankali (epilepticus partialis continua)
Babban Kame Motoci
Depolarization na lantarki na neurons a cikin gabaɗayan cortex na cerebral a lokaci guda
An zaci cewa yana waje da ƙwanƙwasa cerebral, kamar a cikin thalamus ko guntun kwakwalwa
Abubuwan da ke faruwa suna farawa tare da ɓatar da hankali tare da raguwar tonic (tsawo)
An dakatar da numfashi, kuma an fitar da gashi bayan rufaffiyar glottis (�kukan�)
Hawan jini ya hauhawa, almajirai masu fadi
Ƙunƙwasawa da annashuwa na ɗan lokaci (aikin clonic)
Yawancin lokaci yana ɗaukar mintuna kaɗan, amma ga wasu marasa lafiya na iya ɗaukar sa'o'i ko ma kwanaki (matsayin epilepticus)
Abubuwan da ba a saba da su ba (Na, K, Ca, mg, BUN, pH)
Janyewar kwantar da hankali a cikin masu shan giya (barasa, barbiturates, benzodiazepines)
Hypoglycemia
Hypoxia
Hyperthermia (musamman marasa lafiya a karkashin shekaru 4)
Toxin daukan hotuna
Ƙwayoyin halitta marasa hankali na neurons (da wuya)
EEG na Grand Mal Seizure
Tonic lokaci
Clonic lokaci
Lokaci na baya
Swenson, R. Epilepsy. 2010
Rashi (Petit Mal) Seizures
Mafi sau da yawa faruwa a cikin yara
Asalin a cikin babban kwakwalwar kwakwalwa
Yawancin lokaci suna kama da rasa jirgin tunani ko kallon sararin samaniya
Waɗannan yaran na iya ci gaba da samun ciwon kai daga baya a rayuwarsu
Mai yuwuwar afuwa yayin da ƙwayoyin jijiya suka girma
An Kama Kamun Rashin Rashin A Kyamara
EEG na Petit Mal Seizure
3 karu-girgiza/na biyu
Za a iya haifar da hyperventilation
Karu = tashin hankali
Wave = hanawa
Swenson, R. Epilepsy. 2010
Sauƙaƙan Mayar Hannu / Sashe na Seizures
Yana iya kasancewa tare da ko ba tare da gama-garin sakandare ba
Mara lafiya gabaɗaya yana riƙe hayyacinsa
Fara a wani yanki na aikin farko na cortex
Alamu daban-daban da rarrabuwa dangane da inda a cikin kwakwalwa aikin farfadiya ya samo asali
Wuraren ji suna haifar da kyakkyawan yanayi (ganin fitilu, jin wani abu, da sauransu, sabanin rashin jin daɗi)
Wuraren mota na iya haifar da tabbatacce ko mara kyau bayyanar cututtuka
Za'a iya rage aikin yankin sa hannu yayin lokacin postictal
Idan an haɗa cortex na farko na motar = "Todd inna"
Bangaranci (Mai Tsari) Tsoho Mai Shekara 12
Karɓar Ƙarƙashin Ƙarƙashin Ƙaƙwalwar Mota
Zai iya farawa a matsayin jujjuyawa na yanki ɗaya na jiki, a gefe wanda ya saba wa aikin farfadiya, amma yana iya yaduwa ta cikin jiki a cikin tsari na homuncular (Jacksonian seizure/March)
Ya ƙunshi cortices na ƙungiyoyi na gaba, na ɗan lokaci ko lobes na parietal
Kama da sassauƙa na ɓarna amma ana iya samun ƙarin rudani/raguwar hankali
Limbic Cortex (hippocampus, parahippocampal temporal cortex, retro-splenial-cingulate-subcalallosal cortex, orbito-frontal cortex, da insula) shine mafi saurin kamuwa da rauni na rayuwa.
Don haka wannan shine nau'in farfadiya da aka fi sani
Yana iya haifar da bayyanar cututtuka na visceral da masu tasiri (mafi yuwuwar), wari da ɗanɗano na musamman da mara daɗi, ban sha'awa na ciki, tsoro, damuwa, da wuya fushi, da yawan sha'awar jima'i, visceral da al'amura na ɗabi'a kamar shaka, tauna, lebe, salivation, wuce kima. sautin hanji, ƙwanƙwasa, tsantsar azzakari, ciyarwa, ko gudu
Shirye-shiryen Kamewa Daban-daban A Cikin Yaro Daya
Ci gaba da Kamuwa da Ci gaba
2 iri
Gabaɗaya (yanayin epilepticus)
Mai da hankali (epilepticus partialis continua)
Ci gaba da kamewa ko maimaitawa a cikin tsawon mintuna 30 ba tare da komawa ga al'ada ba a tsawon lokacin.
Ayyukan kamawa na tsawon lokaci ko mahara da yawa suna faruwa kusa da juna ba tare da cikakkiyar farfadowa a tsakani ba
Mafi sau da yawa ana gani a sakamakon tsananin jin daɗi na magungunan anticonvulsive saboda sake dawowa hyperexcitability
Yawan motsin rai, zazzabi, ko wasu jihohin hypermetabolic, hypoglycemia, hypocalcemia, hypomagnesemia, hypoxemia, jihohi masu guba (misali, tetanus, uremia, exogenous, abubuwan ban sha'awa kamar amphetamine, aminophyline, lidocaine, penicillin) da cirewar kwantar da hankali na iya haifar da ci gaba da kamawa.
Matsayin Epilepticus
Ci gaba da babban kamun kai na gaggawa ne na likita domin yana iya haifar da lahani ga ƙwaƙwalwa ko mutuwa idan ba a daina ɗaukar tsawan lokaci ba.
Ƙara yawan zafin jiki saboda ci gaba da aikin tsoka, hypoxia saboda rashin isasshen iska da lactic acidosis mai tsanani zai iya lalata neurons.
Mutuwa na iya haifar da gigita da wuce kima na cututtukan zuciya
Epilepsia Partialis Ci gaba
Ƙarƙashin barazanar rai fiye da halin epilepticus, amma dole ne a dakatar da aikin kama saboda yana iya ci gaba zuwa nau'in kamawa idan an bar shi ya ci gaba na tsawon lokaci.
Yana iya zama sakamakon neoplasm, ischemia-infarction, stimulant toxicity ko hyperglycemia.
Maganin Kamewa
Idan kamun ya kasance sakamakon wani yanayin da ake ciki, kamar kamuwa da cuta, rashin daidaituwar ruwa da ma'aunin electrolyte, exogenous da endogenous toxicities, ko gazawar koda, maganin yanayin da ke ciki ya kamata ya inganta ayyukan kamawa.
Yawancin magungunan antiepileptik suna magance nau'ikan kamawa da yawa - ba cikakke ba
Wasu sun fi tasiri (phenytoin, carbamazepine, valproic acid da phenobarbital)
Akwai wadanda ke da ƙarancin illa (gabapentin, lamotrigine da topiramate)
Wasu magunguna kawai suna kula da nau'in kamuwa da cuta guda ɗaya (kamar ethosuximide don rashi seizures)
Sources
Alexander G. Reeves, A. & Swenson, R. Rashin Tsarin Jijiya. Dartmouth, 2004.
Swenson, R. Epilepsy. 2010.
El Paso, TX. Chiropractor, Dokta Alexander Jimenez ya dubi rashin lafiyar ci gaban yara, tare da alamun su, haddasawa da magani.
cerebral palsy
4 iri
Spastic Cerebral Palsy
~ 80% na lokuta na CP
Dyskinetic Cerebral Palsy (kuma ya haɗa da athetoid, choreoathetoid, da dystonic cerebral palsy)
Cutar cututtuka na Ataxic cerebral
Mixed Cerebral Palsy
Autism bakan cuta
Cutar Autistic
Asperger cuta
Ciwon Cigaban Cigaban Ci gaba �Ba In ba haka ba An Kayyade (PDD-NOS)
Ciwon Yari (CDD)
Rashin Cutar Autism Spectrum Jan Tutoci
Sadarwar Sadarwa
Iyakar amfani da ishara
Jinkirin magana ko rashin yin magana
Sauti masu ban mamaki ko sautin murya da ba a saba gani ba
Wahalar hada ido, motsi da kalmomi a lokaci guda
Kadan kwaikwayon wasu
Ba a ƙara amfani da kalmomin da suke amfani da su ba
Yana amfani da hannun wani a matsayin kayan aiki
Social hulda
Wahalar hada ido
Rashin bayyana farin ciki
Rashin amsa suna
Ba ya ƙoƙarin nuna muku abubuwan da suke sha'awar
Halayen Maimaituwa & Ƙuntataccen Sha'awa
Hanyar da ba ta dace ba ta motsi hannayensu, yatsunsu ko jikinsu
Yana haɓaka al'ada, kamar jera abubuwa ko maimaita abubuwa
Mai da hankali kan abubuwan da ba a saba gani ba
Yawan sha'awar wani abu ko aiki wanda ke kawo cikas ga hulɗar zamantakewa
Abubuwan ban sha'awa na hankali
Ƙarƙashin ko fiye da martani ga shigar da hankali
Ma'aunin Bincike na ASD (DSM-5)
Matsalolin da ke dawwama a cikin sadarwar zamantakewa da mu'amalar zamantakewa a cikin mahallin da yawa, kamar yadda masu biyowa suka bayyana, a halin yanzu ko ta tarihi (misali misalai ne, ba cikakke ba; duba rubutu):
Rashin daidaituwa a cikin zamantakewa-motsi, jeri, alal misali, daga tsarin zamantakewa mara kyau da gazawar tattaunawa ta baya-da-gaba ta al'ada; don rage raba abubuwan sha'awa, motsin rai, ko tasiri; don rashin farawa ko mayar da martani ga hulɗar zamantakewa.
Rashin gazawa a cikin halayen sadar da ba da furuci da ake amfani da su don hulɗar zamantakewa, kama, alal misali, daga rashin haɗin kai ta hanyar magana da mara kyau; zuwa ga rashin daidaituwa a cikin ido da harshen jiki ko gazawar fahimta da amfani da ishara; zuwa gabaɗayan rashin yanayin fuska da sadarwa mara magana.
Gaira wajen haɓakawa, kiyayewa, da fahimtar alaƙa, jere, alal misali, daga matsalolin daidaita ɗabi'a don dacewa da mahallin zamantakewa daban-daban; zuwa wahalhalu wajen musayar wasan kwaikwayo ko kuma wajen yin abokai; don rashin sha'awar takwarorinsu.
Ma'aunin Bincike na ASD
Ƙuntatacce, maimaita dabi'u, sha'awa, ko ayyuka, kamar yadda aƙalla biyu daga cikin masu biyowa suka bayyana, a halin yanzu ko ta tarihi (misalai na misali ne, ba cikakke ba; duba rubutu):
Motsin motsa jiki ko maimaitawa, amfani da abubuwa, ko magana (misali, sauƙaƙan ra'ayoyin mota, jeri kayan wasan yara ko jujjuya abubuwa, echolalia, jumlolin bangaranci).
Dagewa akan kamanceceniya, rashin sassaucin ra'ayi ga al'amuran yau da kullun, ko tsarin al'ada na magana ko rashin magana (misali, matsananci wuya a ƙananan canje-canje, matsaloli tare da sauye-sauye, tsarin tunani mai tsattsauran ra'ayi, al'adun gaisuwa, buƙatar ɗaukar hanya ɗaya ko cin abinci iri ɗaya kowace rana).
Ƙuntatacce sosai, ƙayyadaddun buƙatun waɗanda ba su sabawa ba a cikin ƙarfi ko mai da hankali (misali, ƙaƙƙarfan haɗe-haɗe zuwa ko shagaltuwa da abubuwan da ba a saba gani ba, ƙayyadaddun wuce gona da iri ko m sha'awa).
Hyper - ko Hyporeactivity zuwa shigar da hankali ko ban sha'awa na ban sha'awa a cikin abubuwan da ke da hankali na yanayi (misali rashin sha'awar zafi / yanayin zafi, mummunan amsa ga takamaiman sauti ko laushi, ƙamshi mai yawa ko taɓa abubuwa, sha'awar gani tare da fitilu ko motsi).
Ma'aunin Bincike na ASD
Dole ne alamun su kasance a farkon lokacin haɓakawa (amma maiyuwa ba za su bayyana cikakke ba har sai buƙatun zamantakewa sun wuce iyaka, ko kuma a rufe su ta hanyar dabarun koyo a rayuwa ta gaba).
Alamun suna haifar da rashin ƙarfi na asibiti a cikin zamantakewa, sana'a, ko wasu mahimman wuraren aiki na yanzu.
Waɗannan rikice-rikice ba su fi dacewa da nakasa hankali (rashin haɓakar haɓakawa) ko jinkirin ci gaban duniya ba. Nakasawar hankali da rashin lafiyar bakan na Autism akai-akai suna faruwa tare; don yin gwaje-gwaje masu haɗaka na rikice-rikicen bakan autism da nakasar tunani, sadarwar zamantakewa ya kamata ya kasance ƙasa da abin da ake tsammani don matakin ci gaba na gaba ɗaya.
Ma'auni na Ganewar ASD (ICD- 10)
A. Ci gaban da ba na al'ada ko nakasa yana bayyana kafin ya kai shekaru 3 aƙalla ɗaya daga cikin fagage masu zuwa:
Harshe mai karɓa ko bayyanawa kamar yadda ake amfani da shi a cikin sadarwar zamantakewa;
Haɓaka abubuwan da aka zaɓa na zamantakewa ko na hulɗar zamantakewa;
Wasan aiki ko na alama.
B. Aƙalla alamomi guda shida daga (1), (2) da (3) dole ne su kasance, tare da aƙalla biyu daga (1) kuma aƙalla ɗaya daga kowane (2) da (3)
1. Nakasu mai inganci a cikin hulɗar zamantakewa yana bayyana aƙalla fage biyu daga cikin waɗannan fage:
a. gazawa yadda ya kamata don amfani da kallon ido-da-ido, yanayin fuska, yanayin jiki, da motsin motsi don daidaita hulɗar zamantakewa;
b. gazawar haɓakawa (ta hanyar da ta dace da shekarun tunani, kuma duk da damammaki masu yawa) dangantakar abokantaka waɗanda suka haɗa da musayar buƙatu, ayyuka da motsin rai;
c. rashin daidaituwar zamantakewa da motsin rai kamar yadda aka nuna ta rashin amsawa ko karkatacciyar amsa ga motsin wasu mutane; ko rashin daidaita hali bisa ga
yanayin zamantakewa; ko raunin haɗin kai na zamantakewa, tunani, da halayen sadarwa;
d. rashin neman ba zato ba tsammani don raba jin daɗi, sha'awa, ko nasarori tare da wasu mutane (misali rashin nunawa, kawo, ko nuna wa wasu mutane abubuwan sha'awa ga mutum).
2. Ƙwaƙwalwar ƙima a cikin sadarwa kamar yadda ya bayyana a aƙalla ɗaya daga cikin fagage masu zuwa:
a. jinkiri ko rashin gaba ɗaya, haɓaka harshen magana wanda baya tare da yunƙurin ramawa ta hanyar amfani da ishara ko mimi a matsayin madadin hanyar sadarwa (sau da yawa yana gaba da rashin babling na sadarwa);
b. gazawar dangi don farawa ko dorewar musayar tattaunawa (a kowane matakin ƙwarewar harshe a halin yanzu), wanda a cikinsa akwai mai da martani ga hanyoyin sadarwa na wani;
c. stereotyped da maimaita amfani da harshe ko amfani da kalmomi ko jimloli na ban mamaki;
d. rashin bambance-bambancen wasan kwaikwayo na yau da kullun ko (lokacin matasa) wasan kwaikwayo na zamantakewa
3. Ƙuntatacce, maimaituwa, da sifofi na ɗabi'a, sha'awa, da ayyuka suna bayyana aƙalla ɗaya daga cikin masu zuwa:
a. Ƙaddamar da damuwa tare da ɗaya ko fiye stereotyped da ƙuntataccen tsarin sha'awa waɗanda ba su da kyau a cikin abun ciki ko mayar da hankali; ko ɗaya ko fiye da sha'awa waɗanda ba su da kyau a cikin ƙarfinsu da ƙayyadaddun yanayin ko da yake ba a cikin abun ciki ko mayar da hankali ba;
b. A fili na tilasta bin ƙayyadaddun ayyuka na yau da kullun, marasa aiki ko al'adu;
c. Siffar dabi'un motsa jiki da maimaitawa waɗanda suka haɗa da hannu ko fiɗa ko murɗawa ko hadaddun motsin jiki gaba ɗaya;
d. Hankali da abubuwan da ba su da aiki na kayan wasan (kamar su oder, jin saman su, ko hayaniya ko girgizar da suke yi.
haifar).
C. Hoton asibiti ba a danganta shi da sauran nau'ikan cututtukan ci gaba masu yaduwa; ƙayyadaddun rashin ci gaba na harshe mai karɓa (F80.2) tare da matsalolin zamantakewa da motsin rai na biyu, matsalar haɗe-haɗe (F94.1) ko rashin hana haɗe-haɗe (F94.2); raunin hankali (F70-F72) tare da wasu cututtukan da ke tattare da tunani ko halayya; schizophrenia (F20.-) na farkon farawa; da kuma ciwon Rett (F84.12).
Ma'anar Ganewar Ciwon Asperger (ICD-10)
A. Lalacewar ƙima a cikin hulɗar zamantakewa, kamar yadda aƙalla biyu daga cikin masu biyowa suka bayyana:
alamun rashin lahani a cikin amfani da halaye marasa faɗi da yawa kamar kallon ido-da-ido, yanayin fuska, yanayin jiki, da motsin motsi don daidaita hulɗar zamantakewa.
rashin haɓaka dangantakar abokantaka daidai da matakin ci gaba.
rashin neman ba zato ba tsammani don raba jin daɗi, sha'awa, ko nasarori tare da wasu mutane (misali ta rashin nunawa, kawo, ko nuna abubuwan sha'awa ga sauran mutane).
rashin daidaituwar zamantakewa ko na tunanin mutum.
B. Ƙuntata mai-maimaituwa da stereotyped tsarin ɗabi'a, bukatu, da ayyuka, kamar yadda aka bayyana ta aƙalla ɗaya daga cikin masu zuwa:
hade da damuwa tare da ɗaya ko fiye stereotyped da ƙayyadaddun tsarin sha'awa waɗanda ba su da kyau ko dai cikin ƙarfi ko mai da hankali.
a fili m riko ga takamaiman, marasa aiki na yau da kullum ko na al'ada.
stereotyped da maimaita halayen motsa jiki (misali, hannu ko yatsa ko murɗawa, ko haɗaɗɗun motsin jiki gaba ɗaya).
dagewar damuwa da sassan abubuwa.
C. Rikicin yana haifar da lahani mai mahimmanci na asibiti a cikin zamantakewa, sana'a, ko wasu muhimman wuraren aiki.
D. Babu wani babban jinkiri na asibiti a cikin harshe (misali, kalmomi guda ɗaya da shekaru 2 ke amfani da su, jimlolin sadarwa waɗanda shekaru 3 ke amfani da su).
E. Babu wani jinkiri mai mahimmanci na asibiti a cikin haɓaka fahimi ko a cikin haɓaka ƙwarewar taimakon kai da ta dace da shekaru, halayen daidaitawa (ban da hulɗar zamantakewa), da kuma sha'awar yanayi a lokacin ƙuruciya.
F. Ba a cika sharuɗɗan don wani takamaiman Ciwon Cigaban Ci gaba na Pervasive ko Schizophrenia ba.
El Paso, TX. Chiropractor, Dokta Alexander Jimenez ya mayar da hankali kan degenerative da cututtukan demyelinating na tsarin juyayi, alamun su, haddasawa da magani.
Cututtukan Degenerative & Demyelinating Cututtuka
Mutuwar Kwayoyin Moto
Rashin raunin mota ba tare da canje-canjen azanci ba
Amyotrophic labaran sclerosis (ALS)
Farashin ALS
Farfesa na farko na sclerosis
Cigaban ciwon kumburin ciki
Halin gado wanda ke haifar da lalacewar ƙaho na gaba
Cutar Werdnig-Hoffmann a cikin jarirai
Kugelberg-Welander cuta a cikin yara da matasa manya
Amyotrophic Lateral Sclerosis (ALS)
Yana shafar marasa lafiya 40-60 shekaru
Lalacewa ga:
Kwayoyin ƙaho na gaba
Cranial jijiya motor nuclei
Corticobulbar da kuma sassan corticospinal
Ƙananan binciken neuron na motsa jiki (atrophy, fasciculations) DA manyan binciken neuron (spasticity, hyperreflexia)
Tsira ~ shekaru uku
Mutuwa tana fitowa daga raunin bulbar da musculature na numfashi da kuma haifar da kamuwa da cuta
Farashin ALS
Yawancin lokaci a ƙarshe suna canzawa zuwa tsarin ALS na yau da kullun
Sclerosis na Farko na Lateral
Alamun neuron na sama suna farawa da farko, amma marasa lafiya a ƙarshe suna da ƙananan alamun neuron
Yayin da wuraren da ke daɗaɗɗen ɓangarorin ke shiga, majiyyaci zai haɓaka ƙarancin fahimi mai tsanani, duk da haka paresis, hasara na azanci, ko lahani na filin gani sune fasali.
Jiyya Zɓk
Magungunan da ke hana tsarin jijiya na tsakiya acetylcholinesterase
Donepezil
Galantamine
Rivastigmine
Motsa jiki na motsa jiki, minti 30 kowace rana
Kula da PT/OT don kula da ayyukan rayuwar yau da kullun
Antioxidant da maganin kumburi
A cikin matakan ci gaba, na iya buƙatar cikakken lokaci, a cikin kulawar gida
Jijin Jiji
Cerebral arteriosclerosis da ke haifar da bugun jini
Majiyyaci zai rubuta tarihin bugun jini ko alamun bugun jini na farko (spasticity, paresis, pseudobulbar palsies, aphasia)
Ana iya danganta shi da cutar Alzheimer idan saboda amyloid angiopathy
Frontotemporal Dementia (Cutar Zabar)
Iyali
Yana shafar lobes na gaba da na ɗan lokaci
Ana iya gani akan hoto idan ci gaba na lalacewa a cikin waɗannan wuraren
Alamun
apathy
Lalacewar hali
Agitation
Halin da bai dace da zamantakewa ba
Impulsivity
Wahalolin harshe
Gabaɗaya babu ƙwaƙwalwar ajiya ko matsalolin sarari
Pathology yana nuna jikin jikin da ke cikin neurons
Amino acid zai rage tasiri (gasa) don haka ya kamata a cire magani daga furotin
Tsawon Jiyya Tare da Carbidopa/Levodopa
Ƙarfin mai haƙuri don adana dopamine yana raguwa tare da amfani da magani kuma don haka ingantawa daga magungunan zai šauki na gajeren lokaci da guntu tsawon lokacin da ake amfani da magani.
A tsawon lokaci na iya haifar da yaduwar masu karɓar dopamine
Dyskinesia mai girma
Amfani na dogon lokaci yana sanya damuwa akan hanta
Sauran illolin na iya haɗawa da tashin zuciya, hauhawar jini da hallucinations
Sauran Zaɓuɓɓukan Jiyya
magunguna
Anticholinergics
Dandalin agonists
Dopanime rushewar inhibitors (Monoamine oxidase ko catechol-O-methyl transferase inhibitors)
Babban adadin glutathione
Ƙwaƙwalwar daidaita ayyukan neuro-rehab darussan
vibration
Retropulsive kara kuzari
Maimaituwar motsa jiki
CMT/OMT da aka yi niyya
Matsalolin Tsari Da yawa
Alamomin cutar Parkinson sun haɗe tare da ɗaya ko fiye na masu zuwa:
Cutar cerebrovascular rukuni ne da aka keɓe na yanayi wanda zai iya haifar da al'amuran cerebrovascular/s, watau bugun jini. Wadannan abubuwan suna shafar samar da jini da tasoshin zuwa kwakwalwa. Da a�toshewa, rashin lafiya, ko zubar jini�wannan yana hana ƙwayoyin kwakwalwa samun isashshen iskar oxygen, wanda zai iya haifar da lalacewar kwakwalwa. Cututtukan cerebrovascular na iya haɓaka ta hanyoyi daban-daban. Waɗannan sun haɗa da mai zurfi mai zurfi (DVT) da kuma atherosclerosis.
Nau'in cututtukan cerebrovascular: Tashi, an kai harin hari mai zurfi, Aneurysms, da kuma rashin lafiyar jijiyoyin jini
A cikin Amurka cerebrovascular cuta ce ta biyar mafi yawan sanadin mutuwa.
Cerebrovascular cuta
The Brain
Ya ƙunshi ~ 2% na nauyin jiki
Ana lissafin kashi 10% na amfani da iskar oxygen na jiki
Ana lissafin kashi 20% na amfani da glucose na jiki
Yana karɓar ~20% na fitarwar zuciya
A cikin minti daya, yana buƙatar ~ 50-80cc na jini a kowace gram 100 na ƙwayar ƙwayar ƙwayar cuta mai launin toka da ~ 17-40cc na jini da 100g na farin kwayoyin halitta.
If samar da jini ga kwakwalwa shine <15cc da 100g na nama, a minti daya, rashin aikin neurologic yana faruwa
Kamar yadda yake tare da dukkanin kyallen takarda, tsawon lokacin akwai ischemia, mafi kusantar akwai mutuwar kwayar halitta da necrosis
Kwakwalwa ta dogara ne akan samar da iskar oxygen da glucose ba tare da katsewa ba
Minti 3-8 na kama zuciya na iya haifar da lalacewar kwakwalwa mara jurewa!
Tsare-tsare A Cikin Kwakwalwa
Jini-jini na tsari yana haifar da vasodilation mai amsawa na cerebral don ba da damar ƙarin jini zuwa kwakwalwa
Kwakwalwa na iya fitar da isassun iskar oxygen daga kwakwalwa idan matsa lamba systolic ya kasance 50 mmHg
Atherosclerotic kunkuntar na iya haifar da vasodilation mai amsawa don ƙoƙarin rage yawan matsa lamba
Nau'in hankali na biyu ko na waje da na'urar motsi
Syncope
Rauni a cikin rarraba jijiyar cranial mota gefe ɗaya na kai tare da hemiparesis mai sabawa (lalacewar kwakwalwa ta tsakiya)
Lalacewa ga jijiyar cranial na azanci & ciwon Horner a gefe ɗaya na kai da kuma asarar rashin daidaituwa. zafi da yanayin zafi a cikin jiki (lalacewar kwakwalwa ta gefe)
Alamun Dogon Lokaci Ya Dogaro Kan Yankin da Ya Shafi
Monocular obscuration (amaurosis fugax) wanda ke faruwa saboda ischemia na retinal
Contralateral hemiparesis
Rauni na Hemisensory
Rauni filin gani
Dysphasia
Aphasia karɓa (launi na yankin Wernicke)
Aphasia Expressive (launi na yankunan Broca)
Rashin kulawa da juna (launi mai rinjaye na parietal lobe)
Matsaloli a cikin farawa na motsi (Ƙarin ciwon ƙwayar cuta)
Wahala tare da kallo na son rai zuwa gefen da ya saba (rauni na filin ido na gaba)
Ƙwaƙwalwar ƙwaƙwalwar ɗan gajeren lokaci (launi na tsaka-tsaki na wucin gadi)
Ciwon Brain-Stem Syndromes
roho.4sense.co/stroke- syndromes/common-stroke- syndromes-babi-9-littafin-na- maganin bugun jini.html
Kwayar cutar bugun jini
Bukatun gyarawa ya dogara da yankin nama na kwakwalwa wanda bugun jini ya shafa
Jagoran jawabi
Ƙuntata gaɓoɓi masu aiki
Balance da motsa jiki
Yana ƙarfafa gyare-gyaren neuroplastic
Alamun na iya ingantawa a cikin kwanaki 5 na farko saboda raguwar edema
Edema na iya haifar da herniation ta hanyar foramen magnum wanda zai iya haifar da matsawa kwakwalwa da kuma mutuwa - marasa lafiya da wannan matsala na iya buƙatar craniectomy. (makomar karshe)
Sources
Alexander G. Reeves, A. & Swenson, R. Rashin Tsarin Jijiya. Dartmouth, 2004.
Swenson, R. Cerebrovascular Disorders. 2010
Bayan gwajin jijiya, gwajin jiki, tarihin haƙuri, radiyon x-ray da duk wani gwajin gwajin da ya gabata, likita na iya yin oda ɗaya ko fiye daga cikin waɗannan gwaje-gwajen bincike na gaba don tantance tushen yiwuwar cutar tabin hankali ko rauni. Wadannan bincike gabaɗaya sun ƙunshi neuroradiology, wanda ke amfani da ƙananan kayan aikin rediyo don nazarin aikin gabobin jiki da tsarin da ordiagnostic imaging, wanda ke amfani da maganadisu da cajin lantarki don nazarin aikin gabobin.
Nazarin Neurological
Neuroradiology
MRI
MRA
MRS
fMRI
CT bazawa
Myelograms
PET ya yi banza
Wasu da yawa
Hoto Resonance Magnetic (MRI)
Yana nuna gabobi ko taushin nama da kyau
Babu ionizing radiation
Bambance-bambance akan MRI
Magnetic resonance angiography (MRA)
Kimanta kwararar jini ta arteries
Gano aneurysms na intracranial da lalacewar jijiyoyin jini
Magnetic resonance spectroscopy (MRS)
Yi la'akari da rashin daidaituwa na sinadarai a cikin kwayar cutar HIV, bugun jini, raunin kai, coma, cutar Alzheimer, ciwace-ciwacen ƙwayoyi, da kuma sclerosis.
Halin yanayin haɓaka mai kwakwalwa (fMRI)
Ƙayyade takamaiman wurin ƙwaƙwalwa inda aiki ke faruwa
Kwamfuta Tomography (CT ko CAT Scan)
Yana amfani da haɗe-haɗe na X-ray da fasahar kwamfuta don samar da hotuna a kwance, ko axial
Yana nuna ƙasusuwa musamman da kyau
Ana amfani da shi lokacin da ake buƙatar kima na kwakwalwa da sauri kamar a cikin wadanda ake zargi da zubar da jini da karaya
Myelogram
Rini na bambanci hade da CT ko Xray
Mafi amfani wajen tantance kashin baya
Stenosis
marurai
Raunin tushen jijiya
Positron Emission Tomography (PET Scan)
Ana amfani da Radiotracer don kimanta ƙwayar nama don gano canje-canjen ƙwayoyin halitta a baya fiye da sauran nau'ikan binciken
An yi amfani da shi don tantancewa
Alzheimer ta cutar
Parkinson ta cuta
Huntington ta cutar
epilepsy
Cerebrovascular hatsarin
Nazarin Electrodiagnostic
Electromyography (EMG)
Nazarin Gudun Gudun Jijiya (NCV).
Ƙwararren Ƙwararren Ƙwararru
Electromyography (EMG)
Gano siginar da ke fitowa daga lalatawar tsokar kwarangwal
Ana iya auna ta:
Na'urorin lantarki na saman fata
Ba a yi amfani da shi don dalilai na bincike ba, ƙari don sake dawowa da biofeedback
An sanya allura kai tsaye a cikin tsoka
Na kowa don asibiti / bincike EMG
Binciken allura EMG
Rikodin depolarization na iya zama:
Ba da wata sanarwa ba
Ayyukan sakawa
Sakamakon raunin tsoka na son rai
Ya kamata tsokoki su yi shiru ta hanyar lantarki yayin hutawa, sai a farantin ƙarshen motar
Dole ne mai yin aikin ya guji saka a farantin ƙarshen mota
Akalla maki 10 daban-daban a cikin tsoka ana auna su don fassarar da ta dace
hanya
Ana saka allura a cikin tsoka
An yi rikodin ayyukan shigarwa
An yi rikodin shiru na lantarki
Ƙunƙarar tsoka ta son rai an rubuta
An yi rikodin shiru na lantarki
An yi rikodin mafi girman ƙoƙarin ƙullawa
Samfurori da aka Tattara
tsokoki
Jijiya iri ɗaya ne ke shiga ciki amma tushen jijiya daban-daban
Ƙarfafa tushen jijiya iri ɗaya amma jijiyoyi daban-daban
Wurare daban-daban tare da tsarin jijiyoyi
Yana taimakawa wajen rarrabe matakin raunin
Ƙimar Naúrar Mota (MUP)
Girma
Yawaicin filayen tsoka da ke haɗe zuwa wannan jijiya ɗin motar guda ɗaya
Kusanci na MUP
Hakanan ana iya tantance tsarin daukar ma'aikata
Jinkirin daukar ma'aikata na iya nuna asarar raka'o'in motoci a cikin tsoka
Ana ganin daukar ma'aikata na farko a cikin myopathy, inda MUPs sukan kasance da ƙarancin girman ɗan gajeren lokaci
Polyphasic MUPS
Ƙara girma da tsawon lokaci na iya zama sakamakon reinnervation bayan rashin ƙarfi na yau da kullum
Cikakkun Tubalan Mahimmanci
Demyelination na sassa da yawa a jere na iya haifar da cikakken toshewar jijiyoyi don haka babu sakamakon karatun MUP, duk da haka yawancin canje-canje a cikin MUPs ana ganin su kawai tare da lalacewa ga axon, ba myelin ba.
Lalacewa ga tsarin juyayi na tsakiya sama da matakin neuron na motar (kamar ta hanyar rauni na kashin baya ko bugun jini) na iya haifar da cikakkiyar inna a kan allurar EMG.
Ƙunƙarar Zaɓuɓɓukan Muscle
An gano azaman siginonin lantarki marasa al'ada
Za a karanta ƙarin ayyukan shigarwa a cikin makonni biyu na farko, saboda yana ƙara jin haushi
Yayin da filayen tsoka suka zama masu kula da sinadarai za su fara samar da ayyukan lalata da yawa
Matsalolin fibrillation
Matsalolin Fibrillation
KAR KA faru a al'ada tsoka zaruruwa
Ba a iya ganin fibrillation da ido tsirara amma ana iya gano su akan EMG
Sau da yawa cututtuka na jijiyoyi ke haifar da su, amma ana iya haifar da cututtuka masu tsanani na tsoka idan an sami lalacewa ga axon mota
Tabbatacciyar igiyar ruwa mai kaifi
KAR KA faru a cikin filaye masu aiki na yau da kullun
Depolarization na kwatsam saboda ƙara yuwuwar yuwuwar huta
Binciken Abubuwa
Binciken fibrillations da raƙuman ruwa masu kyau sune mafi yawan abin dogara ga lalacewar axon mota zuwa tsoka bayan mako guda har zuwa watanni 12 bayan lalacewa.
Yawancin lokaci ana kiransa �mai tsanani a cikin rahotanni, duk da yiwuwar ana iya gani watanni bayan farawa
Zai bace idan an sami cikakkiyar lalacewa ko ɓarkewar zaruruwan jijiyoyi
Nazarin Gudun Gudun Jijiya (NCV).
Motor
Yana auna ƙarfin aikin ƙwayar tsoka (CMAP)
Hankali
Yana auna ƙarfin aikin jijiya (SNAP)
Nazarin Gudanar da Jijiya
Gudun (Guri)
Latency na ƙarshe
Girma
Tables na al'ada, gyara don shekaru, tsawo da sauran dalilai suna samuwa don masu aiki don yin kwatanta
Ƙayyadaddun ikon yin amfani da gwaji don cututtuka na ciwo
Sauye-sauye da / ko girman girma na iya nuna alamun cututtuka
Manyan canje-canje ne kawai suke da mahimmanci tunda SSEPs galibi suna da matukar canji
Da amfani ga intraoperative saka idanu da kuma tantance hasashen marasa lafiya fama da tsanani anoxic kwakwalwa rauni
Ba shi da amfani wajen tantance radiculopathy kamar yadda ba za a iya gano tushen jijiya ɗaya cikin sauƙi ba
Abubuwan da ake iya ɗauka
Yana faruwa fiye da miliyon 10-20 bayan ƙarfafa jijiyoyi
Nau'i biyu
H-Reflex
F-Amsa
H-Reflex
Mai suna Dr. Hoffman
Da farko ya bayyana wannan reflex a cikin 1918
Bayyanar Electrodiagnostic na myotatic stretch reflex
Amsar mota da aka yi rikodin bayan motsa jiki na lantarki ko na jiki na tsoka mai alaƙa
A asibiti kawai da amfani wajen tantance S1 radiculopathy, kamar yadda reflex daga jijiyar tibial zuwa triceps surae za a iya tantance don sauri da kuma amplitude.
Ƙarin ƙididdigewa da gwajin Achilles reflex
Ya kasa dawowa tare da lalacewa sabili da haka baya da amfani a asibiti a lokuta masu maimaita radiculopathy
F-Amsa
Don haka suna saboda an fara rubuta shi a ƙafa
Yana faruwa 25-55 millise seconds bayan haɓakawar farko
Saboda antidromic depolarization na jijiyar mota, yana haifar da siginar lantarki na orthodromic
Ba ainihin reflex ba
Sakamako a cikin ƙaramin ƙwayar tsoka
Amplitude na iya zama mai saurin canzawa, don haka bai da mahimmanci kamar gudu
Rage saurin gudu yana nuna tafiyar hawainiya
Yana da amfani wajen tantance cututtukan jijiya na kusa
Radiculopathy
Guilian Barre Syndrome
Demyelinating Polyradiculopathy (CIDP) mai kumburi na yau da kullun
Yana da amfani a tantance cututtukan ƙwayoyin cuta na demyelinative
Sources
Alexander G. Reeves, A. & Swenson, R. Rashin Tsarin Jijiya. Dartmouth, 2004.
Day, Jo Ann. �Cibiyoyin Neuroradiology | Johns Hopkins Radiology.
Tashin hankali raunin kwakwalwa ne mai rauni wanda ke shafar aikin kwakwalwa. Sakamakon waɗannan raunin sau da yawa na ɗan lokaci ne amma yana iya haɗawa ciwon kai, Matsaloli tare da maida hankali, ƙwaƙwalwa, daidaituwa da daidaitawa. Yawancin lokaci ana haifar da maƙarƙashiya ta hanyar bugun kai ko girgiza kai da na sama. Wasu rikice-rikice suna haifar da asarar hayyacinsu, amma yawancin ba sa. Kuma yana yiwuwa a sami maƙarƙashiya kuma ba a gane shi ba. Rikici ya zama ruwan dare a wasannin hulɗa, kamar ƙwallon ƙafa. Duk da haka, yawancin mutane suna samun cikakkiyar farfadowa bayan rikice-rikice.
Hakanan na iya faruwa saboda yawan girgiza kai ko saurin gudu/raguwa
Raunin rauni (mTBI/concussions) sune nau'in raunin kwakwalwa da aka fi sani
Glasgow Coma Scale
Dalilan Da Suka Fi Kawo Kansu
Hadarin motocin
Falls
Wasanni raunin da ya faru
Assault
Fitar da makamai cikin haɗari ko ganganci
Tasiri da abubuwa
rigakafin
Rigakafin raunin rikice-rikice na iya zama mahimmanci
Ƙarfafa Majiyyata Su Sa Kwalkwali
m wasanni, musamman dambe, hokey, ƙwallon ƙafa da ƙwallon kwando
Rundun dawakai
Kekuna, babura, ATVs, da sauransu.
Matsayi mai tsayi yana kunna kamar hawan dutse, layin zip
Gudun kankara, hawan dusar ƙanƙara
Ƙarfafa majiyyata Su sanya bel
Tattauna mahimmancin saka bel a kowane lokaci a cikin motoci tare da duk majiyyatan ku
Hakanan ƙarfafa yin amfani da madaidaicin ƙararrawa ko kujerun mota ga yara don tabbatar da dacewa da aikin bel ɗin kujera.
Tuƙi Lafiya
Kada marasa lafiya su taɓa tuƙi yayin da suke ƙarƙashin tasirin kwayoyi, gami da wasu magunguna ko barasa
Kar a taɓa yin rubutu da tuƙi
Sanya Wurare Mafi Aminci Ga Yara
Sanya ƙofofin jarirai da latches na taga a cikin gida
Maiyuwa a cikin wuraren da ke da abubuwan da ke ɗaukar firgita, kamar ciyawa ko yashi
Kula da yara a hankali, musamman lokacin da suke kusa da ruwa
Hana Faɗuwa
Share hatsarorin da ke tunkuɗe kamar su kwancen tadudduka, shimfidar bene marasa daidaituwa ko ƙulli
Yin amfani da tabarmi marasa zamewa a cikin baho da kan benayen shawa, da sanya sanduna kusa da bayan gida, baho da shawa.
Tabbatar da takalma masu dacewa
Sanya hannaye a bangarorin biyu na matakala
Inganta haske a ko'ina cikin gida
Daidaita motsa jiki na horo
Balance Horon
Ma'aunin ƙafa ɗaya
Bosu horo
Ƙarfafa ƙarfin zuciya
Ayyukan daidaita kwakwalwa
Tashin hankali Verbiage
Concussion vs. mTBI (rauni mai rauni mai rauni)
mTBI ita ce kalmar da aka fi amfani da ita a wuraren kiwon lafiya, amma rikice-rikice shine mafi yawan sanannun lokaci a cikin al'umma ta hanyar masu horar da wasanni, da dai sauransu.
Sharuɗɗan guda biyu suna bayyana ainihin abu ɗaya, mTBI shine mafi kyawun kalma don amfani a cikin jadawalin ku
Ƙimar Ƙarfafawa
Ka tuna cewa ba koyaushe dole ne a sami asarar hayyacin ba don a sami tashin hankali
Ciwon Maƙarƙashiya na iya faruwa ba tare da LOC ba
Alamun tashin hankali na iya zama ba nan da nan ba kuma yana iya ɗaukar kwanaki kafin a fara girma
Saka idanu don raunin kai 48 bayan kallon jajayen tutoci
Rushewar gani ko wasu matsalolin hangen nesa, kamar faɗuwa ko rashin daidaituwa
Rikici
Dizziness
Ringing a kunnuwa
Nuna ko zubar
Maganar zance
Jinkirin amsa tambayoyi
Rashin ƙwaƙwalwa
gajiya
Cutar da hankali
Ci gaba ko asarar ƙwaƙwalwar ajiya na dindindin
Haushi da sauran halaye canje-canje
Hankali ga haske da amo
Matsalar barci
Canjin yanayi, damuwa, damuwa ko damuwa
Rashin dandano da wari
Canje-canje na Hankali/Hali
Fashewar magana
Fitowar jiki
Rashin hukunci
Hali mai ban sha'awa
Aminci
rashin ha} uri
apathy
Tsananin son kai
Rigidity da rashin sassauci
Hali mai haɗari
Rashin tausayi
Rashin kuzari ko himma
Dama ko damuwa
Alamun Yara
Tashin hankali na iya faruwa daban-daban a cikin yara
Kuka mai yawa
Rashin ci
Rashin sha'awar kayan wasan yara da aka fi so ko ayyukan
Abubuwan barci
Vomiting
Madaba
Rashin kwanciyar hankali yayin da yake tsaye
ɓacin hankali
Rashin ƙwaƙwalwar ajiya da gazawar samar da sabbin abubuwan tunawa
Retrograde Amnesia
Rashin iya tunawa da abubuwan da suka faru kafin rauni
Sakamakon gazawar a tunowa
Anterograde Amnesia
Rashin iya tunawa da abubuwan da suka faru bayan rauni
Sakamakon gazawar samar da sabbin abubuwan tunawa
Ko da gajeriyar asarar ƙwaƙwalwar ajiya na iya zama tsinkayar sakamako
Amnesia na iya zama har sau 4-10 fiye da tsinkayar alamun bayyanar cututtuka da rashi fahimi biyo baya fiye da LOC (kasa da minti 1)
Komawa Ci gaban Wasa
Baseline: Babu Alamomi
A matsayin matakin farko na Komawa Ci Gaban Wasa, ɗan wasan yana buƙatar ya kammala hutun jiki da fahimi kuma kada ya kasance yana fuskantar alamun tashin hankali na aƙalla sa'o'i 48. Ka tuna, ƙaramin ɗan wasa, mafi mahimmancin magani.
Mataki 1: Haske Aerobic Ayyukan
Manufar: Kawai don ƙara yawan bugun zuciyar ɗan wasa.
Lokaci: 5 zuwa 10 minutes.
Ayyukan: Motsa motsa jiki, tafiya, ko tseren haske.
Babu shakka babu ɗaga nauyi, tsalle ko gudu mai wahala.
Mataki na 3: Mai nauyi, ayyukan da ba na sadarwa ba
Manufar: Mafi tsanani amma ba lamba ba
Lokaci: Kusa da na yau da kullun
Ayyukan: Gudu, hawan keke mai ƙarfi mai ƙarfi, na yau da kullun na ɗaga nauyi na mai kunnawa, da ƙayyadaddun horo na musamman na wasanni. Wannan matakin na iya ƙara wasu abubuwan fahimi don yin aiki ban da abubuwan motsa jiki da motsi waɗanda aka gabatar a cikin Matakai na 1 da 2.
Origin: Mafi yawan sanadin �migraines / ciwon kai� na iya danganta da rikitarwar wuya. Daga ciyar da wuce gona da iri wajen kallon kwamfutar tafi-da-gidanka, tebur, iPad, har ma daga saƙon rubutu akai-akai, yanayin da ba daidai ba na tsawon lokaci zai iya fara matsa lamba akan wuyansa da baya na sama wanda ke haifar da matsalolin da zasu iya. sa ciwon kai. Galibin irin wadannan ciwon kan na faruwa ne sakamakon takurewar da ke tsakanin kafada, wanda hakan kan sa tsokar da ke saman kafadu su ma su matse su kuma su rika fitar da zafi a kai.
Nuchal rigidity (sai dai a cikin tsofaffi da yara ƙanana)
Koma don huda lumbar - bincike
Neoplasms
Dalilin da ba zai yuwu ba na HA a cikin matsakaiciyar yawan masu haƙuri
Ciwon kai mai laushi da mara takamaiman
Mafi muni da safe
Girgiza kai mai ƙarfi zai iya tashi
Idan bayyanar cututtuka, seizures, alamun neurologic mai hankali, ko shaidar ƙara yawan matsa lamba na intracranial sun kasance suna mulkin neoplasm.
Zubar da jini na kasa ko Epidural
Sakamakon hauhawar jini, rauni ko lahani a cikin coagulation
Mafi sau da yawa yana faruwa a cikin mahallin mummunan rauni na kai
Farawar bayyanar cututtuka na iya zama makonni ko watanni bayan rauni
Bambance da ciwon kai na yau da kullun bayan tashin hankali
Post-Concussive HA na iya dawwama na tsawon makonni ko watanni bayan rauni kuma yana tare da dizziness ko vertigo da ƙananan canje-canje na tunani, wanda duk zai ragu.
Kyawawan taushi da/ko kumburi akan jijiyoyi na wucin gadi ko na occipital
Shaidar rashin isasshen jini a cikin rarraba rassan tasoshin cranial
Babban darajar ESR
Yankin Cervical HA
Raunin wuyan wuya ko tare da alamu ko alamun tushen mahaifa ko matsawar igiya
Yi oda MR ko CT matse igiyar saboda karaya ko tarwatsewa
Rashin zaman lafiyar mahaifa
Yi oda x-rays na kashin bayan mahaifa na gefe da hangen nesa
Yin Hukunce-hukuncen Hatsari HA
Sarrafa tarihin mu game da mummunan rauni na kai ko wuyansa, kamewa ko alamun cututtukan neurologic, da cututtukan da za su iya haifar da cutar sankarau ko kumburin kwakwalwa.
Duba zazzabi
Auna hawan jini (damuwa idan diastolic> 120)
Jarabawar Ophthalmoscopic
Duba wuya don rashin ƙarfi
Auscultate ga cranial bruits.
Cikakken gwajin jijiya
Idan ana buƙatar oda cikakken adadin ƙwayoyin jini, ESR, hoton cranial ko na mahaifa
Episodic ko na yau da kullun?
<15days a kowane wata = Episodic
> Kwana 15 a kowane wata = Na yau da kullun
Migraine HA
Gabaɗaya saboda dilation ko distension na cerebral vasculature
Serotonin a cikin Migraine
AKA 5-hydroxytryptamine (5-HT)
Serotonin ya zama raguwa a cikin sassan migraines
IV 5-HT na iya tsayawa ko rage tsanani
Migraine tare da Aura
Tarihin aƙalla hare-hare 2 masu cika waɗannan sharuɗɗa
Daya daga cikin cikakkun alamun aura masu iya jujjuyawa:
Kayayyakin
Somatic hankali
Magana ko wahalar harshe
Motor
Brain kara
2 daga cikin halaye 4 masu zuwa:
Alamar aura 1 tana bazuwa a hankali a kan?5 min, da/ko alamun alamun 2 suna faruwa a jere
Kowannen alamar aura yana ɗaukar mintuna 5-60
Alamar aura 1 ita ce gefe ɗaya
Aura yana tare ko bi a cikin <60 min ta ciwon kai
Ba mafi kyawu a lissafta ta wani ganewar asali na ICHD-3 ba, kuma TIA ta keɓe
Migraine Ba tare da Aura ba
Tarihin aƙalla hare-hare guda 5 masu cika ma'auni masu zuwa:
Ciwon kai na tsawon sa'o'i 4-72 (ba a yi masa magani ba ko kuma ba a yi nasara ba)
Ciwon waje
Ingancin bugun jini/fasa
Matsakaici zuwa tsananin zafi mai tsanani
Ƙarfafa ta ko haifar da nisantar ayyukan motsa jiki na yau da kullun
Yayin ciwon kai, tashin zuciya da/ko azanci ga haske da sauti
Ba mafi kyawu a lissafta ta wani bincike na ICHD-3 ba
Ciwon kai na Cluster
Mummunan orbital na gefe, supraorbital da/ko zafi na ɗan lokaci
�Kamar ice ya soka min ido�
Ciwo yana ɗaukar mintuna 15-180
Aƙalla ɗaya daga cikin masu zuwa a gefen ciwon kai:
Allurar conjunctival
Zufan fuska
Lacrimation
Miosis
Maƙarar Nasal
Ptosis
Rhinorrhea
Edema fatar ido
Tarihin ciwon kai irin wannan a baya
Maganin ciwon jini
Ciwon kai tare da biyu daga cikin masu zuwa:
Latsawa / ƙulla (ba bugun jini) inganci
�Ina jin kamar bandeji a kaina�
Wuri na biyu
Ba a tsanantawa ta hanyar motsa jiki na yau da kullun ba
Ya kamata a rasa ciwon kai:
Nuna ko zubar
Photophobia da phonophobia (ɗaya ko ɗayan na iya kasancewa)
Tarihin ciwon kai irin wannan a baya
Ciwon kai mai dawowa
Ciwon kai da ke faruwa a kwanaki 15 a wata a cikin majiyyaci tare da ciwon kai wanda ya rigaya ya kasance
Yin amfani da shi akai-akai don> watanni 3 na ɗaya ko fiye da kwayoyi waɗanda za'a iya sha don matsananciyar magani da/ko alamun ciwon kai.
Sakamakon yawan amfani da magani / cirewa
Ba mafi kyawu a lissafta ta wani bincike na ICHD-3 ba
Sources
Alexander G. Reeves, A. & Swenson, R. Rashin Tsarin Jijiya. Dartmouth, 2004.
IFM's Find A Practitioner tool is the most referral network in the Functional Medicine, halitta don taimaka wa marasa lafiya gano Aiki Magunguna a ko'ina cikin duniya. IFM Certified Practitioners an jera farko a cikin sakamakon bincike, da aka ba su ilimi mai yawa a cikin Magungunan Aiki
nanfoundation.org/neurologic-disorders/epilepsy/what-is-epilepsy
ha.wikipedia.org/wiki/Cortical_homunculus
Church, Archibald. Cututtukan Jijiya da Hankali. WB Saunders Co., 1923.
Binciken allura EMG
Polyphasic MUPS
Cikakkun Tubalan Mahimmanci
Tabbatacciyar igiyar ruwa mai kaifi
Binciken Abubuwa
