Kushanda kwemisungo kunokonzera kuitika zvisingatauri uye inofambidzana nechimiro chisina kujairika chezvikamu zvemuviri, uncharacteristic motokari yekuita, inowanzokonzera vana, asiwo inoitika kune vanhu vakuru. Muscular dystonia inonyanya kana idiopathic mune 90% emhosva. Izvo 10% inosara inoratidzira kune imwe yechipiri yehutachiona.
Zvinokonzera muscular dystonia syndrome
Kazhinji kacho, chirwere chinenge chichiongororwa mumutambo wekutanga chinotarisana nemamiriro ekugadzirisa mararamiro uye chinotanga kufambira mberi muhuduku.
Secondary dystonia ine zvikonzero zvinotevera:
- multiple sclerosis;
- cerebral palsy;
- dystonic syndrome;
- encephalitis;
- Chirwere cheWilson-Konovalov ;
- oncological pathologies;
- Chirwere cheHuntington;
- Gallerwarden-Spatz syndrome.
Zviratidzo zve muscular dystonia kuvanhu vakuru
Zviratidzo zvekutanga zvechirwere zvinosanganisira:
- zvinowanzoitika zvinowanikwa mumakumbo;
- kuoma kwemisumbu;
- kuora kwekunyorwa kwechinyorwa;
- kusanganisa kusingabatsiri kwemutsipa;
- kupera kwemakumbo mushure mekufamba kwenguva refu nekuedza muviri;
- kunowanzopenya kwemaziso.
Mune ramangwana, zvinotevera zvipatara zvinoratidzwa:
- kudengenyeka kwemaoko uye musoro;
- kurwadziwa mumasumbu uye kuputika kwepasms;
- pathological postures (arching of the spine, plantar flexion, podvorachivanie stop);
- nguva dzose motokari yejaya rezasi;
- kutsauka kwemusoro uye mutsipa murutivi rworudyi uye rworuboshwe;
- kuputira meso ako;
- kuderedzwa kwemasumbu;
- inzwi rakasvibiswa, matsi kana rakanyanyisa;
- spasmodic torticollis;
- kutadza kutaura.
Zvakakodzera kuziva kuti chirwere chinorondedzerwa chinoreva zvirwere zvisingaregi uye zvinoramba zvichifambira mberi. Chinangwa chekurapa zvinokonzerwa nekuderedza zviratidzo, kuvandudza motokari uye basa rekuregererwa kwehutano.
Mushonga we muscular dystonia
Nzira yakabatana yekugadzirisa dambudziko iri inosanganisira:
Conservative (medicamentous) kurapa. Inoshandisa hutungamiri hwe dopaminergic, anticholinergic uye GABAergic zvinodhaka zvinoshandiswa pakugadzirisa zvirongwa zvemagetsi mumashure. - Kupindira kwebhodhoro ye botulinum. Zviduku zviduku zvemuviri uyu zvinokonzera misi miviri, kudzivirira mutumbi kuti usatora zvisizvo zvisiri izvo.
- Kukurudzirwa kwakadzika kweuropi kuburikidza nemasikirusi anokosha.
- Physiotherapy maitiro, chiito chekuita maitiro ekurovedza muviri.
- Manual therapy, kushambadza.