Opisthotonos

Opisthotonos wani yanayi ne wanda mutum ke riƙe jikinsa a wani yanayi mara kyau. Mutum yawanci ba shi da taurin kai kuma yana jingina bayansa, tare da jefa kansa baya. Idan mai cutar opisthotonos ya kwanta a bayansa, kawai bayan kansa da diddige ya taɓa saman da suke.

Opisthotonos yafi kowa a cikin jarirai da yara fiye da na manya. Hakanan ya fi tsananta ga jarirai da yara saboda ƙarancin tsarin kulawarsu.

Opisthotonos na iya faruwa a jarirai masu cutar sankarau. Wannan kamuwa da cuta ne na sankarau, membran ɗin da ke rufe kwakwalwa da ƙashin baya. Opisthotonos na iya faruwa a matsayin alamar rage aikin kwakwalwa ko rauni ga tsarin mai juyayi.

Sauran dalilai na iya haɗawa da:

• Arnold-Chiari ciwo, matsala tare da tsarin kwakwalwa
• Ciwon kwakwalwa
• Cutar ƙwaƙwalwa
• Ciwon mara, wanda ke haifar da tarin kayan mai a cikin wasu gabobin
• Rashin haɓakar haɓakar girma (lokaci-lokaci)
• Siffofin guba mai guba da ake kira glutaric aciduria da Organic acidemias
• Cutar Krabbe, wacce ke lalata rufin jijiyoyi a cikin tsarin juyayi na tsakiya
• Maple syrup cuta na fitsari, cuta wanda jiki ba zai iya rushe wasu sassan sunadarai ba
• Kamawa
• Matsanancin rashin daidaiton lantarki
• Raunin ƙwaƙwalwar ƙwaƙwalwa
• Ciwon mutum mai rauni (yanayin da ke sa mutum ya zama mai tsayayye kuma yana da spasms)
• Zuban jini a cikin kwakwalwa
• Ciwon ciki

Wasu magungunan antipsychotic na iya haifar da sakamako mai illa da ake kira m dystonic reaction. Opisthotonos na iya zama wani ɓangare na wannan aikin.

A cikin al'amuran da ba kasafai ake samun su ba, jariran da matan da suka sha giya mai yawa a lokacin daukar ciki na iya samun opisthotonus saboda janyewar giya.

Mutumin da ya kamu da cutar opisthotonos zai bukaci kulawa a asibiti.

Je zuwa dakin gaggawa ko kira lambar gaggawa ta gida (kamar 911) idan alamun opisthotonos suka faru. Yawanci, opisthotonos alama ce ta wasu yanayi waɗanda ke da matukar wahala mutum ya nemi likita.

Za a kimanta wannan yanayin a asibiti, kuma ana iya ɗaukar matakan gaggawa.

Mai ba da sabis na kiwon lafiya zai yi gwajin jiki kuma ya yi tambaya game da alamomin don neman dalilin opisthotonos

Tambayoyi na iya haɗawa da:

• Yaushe alamun suka fara?
• Matsayin jiki koyaushe iri ɗaya ne?
• Waɗanne alamun bayyanar sun zo kafin ko tare da matsayi mara kyau (kamar zazzaɓi, wuya mai wuya, ko ciwon kai)?
• Shin akwai tarihin rashin lafiya na kwanan nan?

Binciken na jiki zai hada da cikakken duba tsarin mai juyayi.

Gwaje-gwaje na iya haɗawa da:

• Gwajin jini da fitsari
• Al'adun ruwa na jiki (CSF) da ƙididdigar tantanin halitta
• CT scan na kai
• Binciken lantarki
• Lumbar huda (kashin baya)
• MRI na kwakwalwa

Jiyya zai dogara ne akan dalilin. Misali, idan cutar sankarau ce sanadin hakan, za a iya ba da magunguna.

Baya baka; Kuskuren aikawa - opisthotonos; Yaudarar hali - opisthotonos

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Hamati AI. Matsalolin ilimin jijiyoyin jiki na cututtukan tsari: yara. A cikin: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology a cikin Clinical Practice. 7th ed. Philadelphia, PA: Elsevier; 2016: babi na 59.

Hodowanec A, Bleck TP. Tetanus (Clostridium tetani). A cikin: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, da Bennett's Ka'idoji da Aiki na Cututtuka masu Cutar, Updatedaukaka Sabunta. 8th ed. Philadelphia, PA: Elsevier Saunders; 2015: babi na 246.

Rezvani I, Ficicioglu CH. Laifi a cikin metabolism na amino acid. A cikin: Kliegman RM, Stanton BF, St. Geme JW, Schor NF, eds. Nelson Littafin koyar da ilimin yara. 20th ed. Philadelphia, PA: Elsevier; 2016: babi na 85.