Chvostek zviratidzo, Trousseau, Nezvoruchiva. Chvostek chiratidzo muvana: mabatiro

Apo chirwere calcium-phosphorus muviri, izvo pamwe mwero kuti zvikuru kusimba, 4% vana vakure spazmofiliya, unonzi uyewo mucheche tetany yacho. zvokurwara Izvi pamwe kurwadza kwacho pakati tsandanyama wamativi, chiso, dokeriro, uyewo kwaita zvakafanana clonic uye tonic nokugwinha. Rinozivisa, sezvo mutemo, munguva kubva mwedzi mitatu zera uye kusvika makore maviri. Rimwe pachena zvinoratidza chirwere vari zvichiitika chvostek zviratidzo, Trousseau Nezvoruchiva kubatsira kufunga kwokuomerwa chirwere inoyerera. Kudzidza kutsanangura zviratidzo izvi vabatwe uye sei tichasangana munyaya ino.

How kuongorora spazmofilicheskie zviratidzo

Kuti asimbise pamberi zviratidzo chvostek, akataura mumwe Chiitiko ari rune etsinga, mwana anoiswa pamubhedha pasina pamutsago. Makumbo panguva inofanira kuva akarurama, uye maoko - nhema pamwe muviri.

Chiratidzo ndakaongorora chiedza tapping percussion sando zvigunwe kana panzvimbo mbudo pamusoro trigeminal etsinga (pamusoro zygomatic chematenga). Kana murwere auya nemashoko involuntary twitching zana uye pakona yokumusoro muromo, ipapo vakati chiratidzo anonzi akanaka. Ake, panzira, kuongorora zvose pamatama.

Zviratidzo chvostek vane 3 madhigirii rokuratidzwa:

1. Muscle marwadzo yose nzvimbo innervation yacho chiso etsinga.
2. Muscle marwadzo pakona pamuromo uye mhino bapiro.
3. Marwadzo tsandanyama chete pakona muromo wake.

Kana pachena tetany runoonekwa mune mwana wokutanga mwero iri chiratidzo kunyange nechiedza kubata munzvimbo yacho chiso etsinga.

Zvimwe nzira ongororo antispasmodic zviratidzo

No zvishoma zvinokosha panyaya Pakusarudza kwokuomerwa nomwana mamiriro iri chiratidzo Trousseau Nezvoruchiva.

• Chiratidzo Trousseau padzakacherechedza compression pakati womwana papfudzi. Panyaya iyi, chiremba vanofanira kuedza kutora yakawanda sezvingabvira nyoro zvinyama ake. Kana somugumisiro ichi (dzinenge 2-3 maminitsi pashure compression) mune murwere minwe kutora kumanikidzwa ezvinhu, inonzi "ruoko obstetrician" (kureva, napagumwe roruoko unopiwa kune muchindwe, indekisi munwe uye pakati zvinopindura, uye mhete uye Munwe shoma - flexed), zviratidzo zvacho It anonzi akanaka. Kuongorora Kuwanikwa vana vakura kana vakuru vanogona kushandisa cuff kuti kuyera BP ne kupomba mhepo mariri kuti muriwo kugumiswa.
• Ruchiva chiratidzo zvakaongororwa pachishandiswa nenyundo, iyo akarova seri musoro duku tibia, kana marwadzo ose gastrocnemius tsandanyama muna achilles mudzira nzvimbo. Kana murwere apo pane involuntary yokururamisa norutsoka ( "rutsoka Ballerina"), zviratidzo zvacho zvinogona kunzi akanaka. Zvinonzi zvakaongororwa pana vose migumo.

Chvostek zviratidzo, Trousseau, Nezvoruchiva vaiona spazmofilicheskimi. Vanova akanaka, kana mwana anorwara muropa kunoitika change uwandu calcium riri anokonzera tsandanyama marwadzo. To izvi zvingaita kwete chete kune kuvapo kusimba, asiwo vamwe zvirwere.

Chii tetany

Chvostek Zviratidzo uye zviratidzo zviri Tissaurd spazmofilii (tetany). The chirwere kunoratidzwa yakawedzera huta excitability iri richiratidzwa tsandanyama chinyamunhari chinorwadza Mbabvu kana dokeriro. Kakawanda, zvokurwara iri kuchengetwa vakomana mumwedzi mitanhatu upenyu chokutanga.

A zvipenyu Panobva chirwere ichi yakaderera ropa ionized karusiyamu mwana.

How ngozi chiratidzo muvana chvostek

Photos of vana tetany, hunoita kuti tikwanise kunzwisisa chii vari zviratidzo chirwere. The chikuru vavo - laryngospasm, iyo runoratidzwa vakashanda mweya, chiso rakachenuruka, vangadikitira, uye dzimwe nguva kurasikirwa chavanoziva. Inozivikanwa se nenguva dzirikure kurwadza kwacho makumbo nemaoko (karpopedalny spasm) Achitambanudzira maawa dzimwe nguva dzakawanda. Panewo dzimwe tsandanyama kurwadza kwacho uye mapoka - kufema, dög, ziso, etc ...

Asi zvikuru kwazvo chiratidzo hosha anoonekwa kuva kurwisa eclampsia - clonic-tonic pfari kuti anotanga twitching tsandanyama chiso ndokupinda kurwadza kwacho maoko nemakumbo uye laryngospasm. Mwana pamwe unowanzosangana anorasikirwa kuziva, kuti furo rinowanikwa pamiromo, pane involuntary weti. Eclampsia Risk pangava kufema kusungwa kana mwoyo.

Ndiani anogona kuitika tetany

Mumazuva upenyu convulsive ezvinhu uye hypocalcemia rokutanga kazhinji dzinoitika vanoberekwa magadzirira, mapatya, uye vakatambura jaundice kana zvirwere zvinotapuriranwa.

Chvostek chiratidzo muna vana mwedzi upenyu chokutanga uye zvinogona kukonzerwa vasanyanye karusiyamu yaunodya vana, uye vakawedzera secretion kuti calcitonin. Izvi kurapwa chirwere chokuita zvakanaka uye phosphorus uye calcium yakawanda kupinda unopinza kuchinjwa mwana kudzinganisana mukaka, uyewo (mu zvisingawanzoitiki kacho) nokusava vhitamini D uye calcium yakawanda mumuviri waamai.

Kazhinji, vana akaratidza hypocalcemia neuromuscular excitability, kugwinha, kurutsa, tachycardia, uye kufema zviratidzo.

tetany kurapwa

Eclampsia Kurwisa zvinoda rubatsiro nokukurumidza mwana, uye nyaya kumira kufema kana mwoyo - uye nokumutswa.

In chero tetany mwana yakatarwa anticonvulsants ( "Sibazon" intramuscularly kana nomutsinga, "yavaibvisa Oksibarbutirat" intramuscular, "Phenobarbital" rectally, nomuromo kana mune suppositories uye zvichingodaro. P.). It kunoratidzwawo intravenous kwokubatsira 10% mhinduro calcium gluconate kana intramuscular 25% mhinduro kubva magnesium sulfate.

Spazmofiliya anokonzera Zviratidzo chvostek uye Trousseau, kazhinji ane zvakanaka fungidziro kakawanda. The ngozi ndiyo chete laryngospasm refu, iyo vanotyisidzira kurega kufema.

Paaizosvika makore mwana makore 2-3 imwe pathological mamiriro panobviswa somugumisiro yacho Kudzikamiswa muropa pamwero calcium phosphorus.

Hypoparathyroidism - chirwere achabatsirwa zviratidzo chvostek

Chvostek chiratidzo - zviri zvakare chiratidzo chakajeka munhu pathological mamiriro inonzi hypoparathyroidism, umo vasanyanye basa iri parathyroid mumasero. Kakawanda, dambudziko iri rinowanika somugumisiro kuvhiyiwa thyroid chirwere kana kuvapo imomo kushoma. Dzimwe nguva dysfunction zvinogona kukonzerwa nezvirwere pezvakaitwa zvakadai gwirikwiti kana yokuSpain.

Neonates hypoparathyroidism ikabuda zvakaitika vachiberekwa pasina parathyroid omumuviri uye kudzvinyirira kushanda kwavo yakawedzera kukangamwirwa amai pavanenge vakazvitakura parathyroid kemikari.

Murwere Saka kazhinji dzakaonekwa ne vasanyanye ropa karusiyamu muna kufanana kuwedzera phosphorus wevasungwa. Uye kunge yatova pachena kurondedzerwa tetany, intestinal mananara, zvemamiriro kukura mazino, bvudzi uye zvipikiri, uyewo kuchinja paganda.

Muzviitiko zvakadaro, zviratidzo zvacho chvostek uye Trousseau, pamwe sokuongorora kwomurabhoritari zvakwakakubatsirai zvakarurama ZIVA raikura tetanic mamiriro uye chirwere murwere.

Mabatirwo hypoparathyroidism

Nokuti pakurapa chirwere kunokosha funga zvikonzero shure parinowanika nekuomarara zviratidzo. In chenjera chirwere nezviratidzo panguva yenjodzi Kutarisirwa tetany yakarumbidza 10% calcium chloride kana karusiyamu gluconate nomutsinga. Izvi zvinoitwa zvishoma nezvishoma, kufungisisa chokwadi kuti vomuzana kutaurwa mhinduro ine 27% homonymous zvinhu uye rechipiri ndiko 9 chete%.

Kazhinji, kuti kubvisa chvostek zviratidzo yaida kurapwa mishonga karusiyamu kwemazuva anenge 10. Good zvazviri kunopa karusiyamu yaunodya, vanachiremba vari zano kuita izvi kuburikidza Kuparadzwa mushonga mumukaka hwevanhu, kudzivirira kukura gastritis.

Chirwere hypoparathyroidism ezvinhu kunoda negashiro vhitamini D, achitanga bolus (200-300 zviuru. U. Per zuva), pamwe madikanwa kudzora phosphorus uye calcium yakawanda muropa uye pamwero wavo pashure normalization dose wakaderedzwa kusvika 50 zviuru. U. pazuva muvana pasi gore rimwe, kana kusvika 125 zviuru. dzakabatana. - Varwere pashure pagore.

At chii zvimwe zvirwere vane zviratidzo Trousseau uye chvostek

Kuwedzera zvirwere zvinokonzerwa chete vasanyanye upi chikonzero, kuti karusiyamu muropa plasma, chvostek zviratidzo, Trousseau Nezvoruchiva ngaakuitireiwo mune zvimwe zvirwere. Idzi dzinosanganisira:

• Neurasthenia mwoyo-hypochondriac mamiriro, richiratidzwa muchimiro hyperventilation syndrome. The murwere iyi iri kusangana nguva nenguva kufema nyonganyonga mutinhimira kuti mimics asima, pamwe tsitsi bundu iri huro, breathlessness, uye dzimwe nguva chete nokurasikirwa kuziva nokugwinha.
• Dyscirculatory urongwa, pamwe asthenic uye asthenic-neurotic urwere, dzinoratidzwa kuramba ezvinhu kuneta uye kurukutika, uyewo nomusoro, hope nenyonganiso, uye vertigo.
• Chemaneka, pfari nezvimwe zvirwere.

Kudzivirira zvirwere calcium mumatunhu ari mwana

Sezvo imi pamwe kare kuonekwa zvirwere kuti anoenda chvostek chiratidzo kuvana kurapwa ipfupi kune hunokosha kudzorerwa chaiko nhanho calcium phosphorus ropa. Saka, kudzivisa pathologies kunodawo zvikurukuru kudzora wevasungwa pamusoro zvinhu izvo rinoitwa nenzvimbo pediatricians.

Zvakakosha kuti kusika Zvakanyanya Kunaka Panguva Yepamuviri mamiriro ezvinhu kukura ari mudumbu vakadzi vane pamuviri. Kuti izvi zvidaro, kana amai vanepamuviri vanogara murombo magariro evanhu kana vari pangozi (chirwere cheshuga, nephropathy, BP uye rheumatism), wake wokupedzisira 2 months pamuviri varayire vhitamini D. In kwomuzvarirwo pamuviri yakakwana kuomerera zvokudya uye kurovedza muviri.

A achangoberekwa, saka akakura akasimba uye utano, zvakakosha pamberi achiyamwa, vachinyatsoziva okusuma nopindirana zvokudya, zuva vari pakachena mhepo, free jira, masaja, yokurovedza muviri uye chiedza-mhepo dzokugezera.