Mpaka pano, tikuyenerabe kugwiritsa ntchito matanthauzo angapo kuti tiyese kumvetsetsa zomwe spasmophilia. Mawuwa ndi otsutsana kwambiri chifukwa si matenda omwe amadziwika m'magulu azachipatala, osati ku France, kapena padziko lonse lapansi. Ofufuzawo sanavomereze; ndizotheka kuti nkhanza mkombero wa zizindikiro kapena zomwe zimapangitsa kuti zikhale zovuta kuziloza.

Nthawi zambiri amakhala ndi zizindikiro zitatu: kutopa, neurodystonie et chisauko.

THEhyperexcitabilite mitsempha spasmophilia imadziwika ndi zizindikiro ziwiri: chizindikiro cha Chvostek (= kugunda kwa minofu ya m'kamwa mwapamwamba poyankha kugwedezeka ndi nyundo ya reflex ya dokotala) ndi chizindikiro cha keychain (= mgwirizano wa dzanja la mzamba).

Electromyogram ikuwonetsa a mobwerezabwereza magetsi hyperactivity wa zotumphukira mitsempha, mawonekedwe a neuromuscular excitability, kuti asasokonezedwe ndi kusapeza bwino chifukwa cha hypoglycemia, zizindikiro zomwe zimayenderana ndi postural hypotension, kusweka kwamanjenje, kapena ndi nkhawa ya paroxysmal. Miyezo yotsika ya magnesium ya intracellular nthawi zambiri imapezeka ndi ma calcium ndi phosphorous zachibadwa.

Makhalidwe a kusalinganika uku ndihypersensitivity kudalira chilengedwe, kusatetezeka kupsinjika ndi a kusakhazikika kwa thupi ndi m'maganizo.

Spasmophilia kapena tetany attack?

Mawu oti "spasmophilia" amagwiritsidwa ntchito kwambiri ndi anthu ambiri kutanthauza kuphatikizika kwa nkhawa kupuma zovuta (kumva kukanika, kukomoka, hyperventilation) ndi minofu tetany. Zizindikiro za spasmophilia, tetany kapena psychogenic hyperventilation nthawi zina zimakhala zofanana ndi zomwe zimakhalapo panthawi ya mantha.

Komabe, lingaliro la spasmophilia likadali losamveka masiku ano. Pali mabuku ochepa a sayansi pa izo¹ ndipo mwatsoka pali maphunziro ochepa chabe a epidemiological pa spasmophilia chifukwa, monga ma syndromes ofanana, zenizeni za matendawa zikadali zokayikitsa (zimawerengedwa kuti ndi matenda amisala). Malinga ndi magulu omwe amagwira ntchito (wotchuka "Chithunzi cha DSM4", Gulu laku America la matenda amisala), spasmophilia ndi pathological mawonekedwe a nkhawa. Panopa ili m'gulu la " manthas”. Komabe, osati lingaliro laposachedwa, kafukufuku wa spasmophilia analipo kale kumapeto kwa 19^st Zaka zana.

Ndani akukhudzidwa?

Matenda amtunduwu amapezeka nthawi zambiri achinyamata (pakati pa zaka 15 ndi 45) ndipo amapezeka kawirikawiri akazi kuposa amuna. Akuti amapezeka kwambiri m’mayiko otukuka.

Zimayambitsa matenda

Njira za spasmophilia mwina zimaphatikizapo zinthu zambiri za a zamoyo, maganizo, majini et Cardio-kupuma.

Malinga ndi ziphunzitso zina, izi zitha kukhala a zosayenera kapena kuchulukirachulukira kupsinjika, nkhawa, kapena nkhawa zomwe zimayambitsa hyperventilation (= kuthamangitsidwa kwa kupuma) komwe kungapangitse kuti hyperventilation ichitike mpaka kuukira kwa minofu ya tetany. Chifukwa chake, zochitika zosiyanasiyana zamantha ndi nkhawa (kuphatikiza kulephera kupuma) zimatha kuyambitsa hyperventilation, yomwe imatha kuyambitsa zizindikiro zina, makamaka chizungulire, dzanzi la miyendo, kunjenjemera ndi palpitations.².

Zizindikirozi zimawonjezera mantha ndi nkhawa. Choncho ndi a mzere wozungulira chomwe chili chokhazikika.

Izi mwina zimadya kwambiri magnesiamu ndipo zimatha kutengera a kusowa kwa magnesium kwanthawi yayitali m'thupi. Kuonjezera apo, zakudya zathu zoperewera kwambiri mu magnesium (chifukwa cha kuyenga ndi kuphika) zikhoza kuonjezera kuchepa kumeneku.

Kufooka kwa ma genetic komwe kumalumikizidwa ndi magulu amtundu waposachedwa (HLA-B35) kumapangitsa kuti 18% ya anthu m'maiko otukuka akhale ndi spasmophilia.

Kwa akatswiri azachipatala omwe amagwira ntchito pamalopo www.sommeil-mg.net (mankhwala wamba ndi kugona), kuchepa kwa kugona bwino kumakhulupirira kuti ndiko kumayambitsa spasmophilia:

1. Tulo limaweruzidwa pakudzutsidwa ndipo zikuwoneka zoonekeratu kuti za spasmophiles sizikugwiranso ntchito, popeza pakudzutsidwa kuti kutopa kumakhala kwakukulu;

2. Kuwonjezeka kwafupipafupi kwa diuresis usiku (munthu amadzuka kangapo usiku kuti akodza) ndi zotsatira za kugwa kwa dongosolo la "antidiuretic";

3. La neurodystonie ndi chotsatira china cha kusagona bwino kumeneku;

4. Le wodzipereka chikhalidwe cha odwala (Khalidwe losamva izi limawalola kumenya nkhondo kwa nthawi yayitali okha motsutsana ndi matenda awo): “ndi zoona, ndatopa, koma ndikugwirabe” … mavuto. Monga zikuwonetseredwa ndi kukana kopanda malire kwa tchuthi chilichonse chodwala mwamsanga pamene vutoli ladutsa. Anthu awa nthawi zambiri amakhala okonda zinthu komanso osakonda. Kwa ife, vutoli ndi chizindikiro choyamba cha decompensation ya tulo chifukwa cha kusakwanira kwa kugona. Kuwonjezeka kwa kutopa kungayambitse zithunzi zowopsya komanso zolepheretsa zomwe zidzasonyezedwe mu hyperalgesic mode monga fibromyalgia kapena asthenic mode monga matenda otopa (CFS). M'malo mwake, vutoli limayima pokhapokha ngati sedative ili ndi mphamvu zokwanira "kudula phokoso la alamu", zomwe zimapangitsa kuti zitsimikizire kuti mphamvu yodabwitsa ya benzodiazepines (banja la anxiolytics) muzochitika izi (pa mlingo umodzi koma wokwanira) zimatsimikizira chikhalidwe cha neurodystonic cha malaise ndipo chiyenera kuloza ku chronobiological management. M'malingaliro athu, vuto lililonse limakhala ndi mtengo wa chizindikiro cha "hyposleep", chifukwa chake kufunikira kwa chithandizochi.

Zochitika komanso zovuta

Zochita za spasmophilic nthawi zambiri zimagwirizanitsidwa ndi kutsika kwakukulu kwa moyo wabwino ndipo zimatha kuyambitsa zovuta zolemetsa monga mantha kutuluka, kukhala mu kupezeka kwa alendo kapena kutenga nawo mbali pazochita zosiyanasiyana zamakhalidwe kapena akatswiri (agoraphobia yachiwiri). Mwa anthu ena, kuchulukirachulukira kumakhala kokwera kwambiri (kangapo patsiku), izi zimatchedwa vuto la mantha. Chiwopsezo cha kukhumudwa, kudzipha, wodzipha, waNkhanza Kugwiritsa ntchito mankhwala osokoneza bongo kapena mowa kumachulukirachulukira m'mantha pafupipafupi³.

Komabe, ndi kasamalidwe koyenera, ndizotheka kuletsa nkhawayi ndikuchepetsa kuchuluka kwa khunyu.