Opisthotonus chibvumirano chakajairwa chemashure emuviri mhasuru, izvo zvinomanikidza muviri kunyungudika zvakasimba, musoro unokandwa kumashure uye mitezo mu hyperextension. Iyi pathological mafungiro anowanikwa mune akati wandei zvirwere zvinobata tsinga. 

Iyo opisthotonos inogona kufananidzwa nenzvimbo iri muarc yedenderedzwa yakatorwa, mumifananidzo yekare, nevanhu vakagarwa nadhiyabhorosi. 

Mitsipa yepashure yemuviri, kunyanya musana uye mutsipa, inosungirirwa zvokuti muviri unowedzerwa, uchizorora pamucheka waro chete nezvitsitsinho uye musoro. Maoko nemakumbo zvakare akatambanudzwa uye akaomarara. Iyi pathological, mafungiro anorwadza haasi kudzorwa nemurwere.

Opisthotonos inowanikwa mune akati wandei pathologies inobata tsinga system, kunyanya:

• tetanus: mushure mekukuvara, spores yebhakitiriya Clostridium tetani pinda mumuviri uye usunungure neurotoxin, iyo mumazuva mashoma inokonzera tetany inofambira mberi yemhasuru dzemuviri. Nokukurumidza, murwere anonyunyuta kuti ane dambudziko mukutaura, shaya dzake dzakavharwa. Ipapo mutsipa wake unoomesa, ipapo muviri wose unobata. Kana utachiona husina kutarisirwa nenguva, munhu wacho haakwanisi kufema uye anofa. Sezvineiwo, nekuda kwekumanikidzwa kwejekiseni yevacheche kurwisa tetanus, yakaunzwa muna 1952, chirwere ichi chakapotsa chanyangarika muFrance. Asi zvichiri kubata vanhu vashoma gore rega rega vasina kubayiwa kana kuti vasiri kufambirana nezviyeuchidzo zvavo;
• psychogenic matambudziko vasiri-epileptics (CPNE) : zvinogona kuita kuti ufunge nezvekubatwa nepfari, asi hazvina hukama nehuropi hwakafanana. Zvikonzero zvavo zvakaoma, zvine neurobiological components (predisposition yeuropi kuita nenzira iyi) asiwo psychopathological. Muzviitiko zvakawanda, kune nhoroondo yekukuvara kwemusoro kana post-traumatic stress disorder;
• isolated epileptic seizures, inokonzerwa nekukuvara kwemusoro kana neuroleptic drug, inogona kuratidza saizvozvo;
• chimbwamupengo, muzviitiko zvisingawanzoitiki;
• yakaoma uye yakaoma hypocalcemia : yakanyanyisa kuderera kwe calcium muropa inowanzobatanidzwa nechinetso cheparathyroid glands, inotarisirwa kugadzirisa kuwanikwa kweiyi mineral mumuviri;
• kurwadziwa muuropi : kuzvimba kunokonzerwa neimwe meningitis, kuparadzwa kweuropi tishu ne encephalopathy, kana kunyange pathological kubatanidzwa kwematonsi mubhokisi re cranial, kunogona kukonzera opisthotonos.

Nyaya inokosha ye opisthotonos mucheche

Pakuzvarwa, vananyamukuta vanogara vachiongorora tsandanyama yemucheche. Kuburikidza nemafambisirwo akasiyana-siyana, vanogona kuona kuwandisa kwemhasuru kuseri kwemuviri. Kana vakasataura zvinonetsa, zvese zvakanaka.

Kana amai vasina kubayiwa jekiseni rekurwisa tetanus, uye opisthotonus inoonekwa mushure mekuzvarwa, yakabatana nekusagona kuyamwa uye kunyemwerera kwechiso, fungidziro yemwana mucheche inofanira kufungidzira. Mamiriro acho angangowanikwa munyika umo pasina nhomba yekudzivirira chirwere ichi, uye uko mamiriro ekuzvara asina mbereko.

Zvadaro, zvinowanzoitika kuti mwana anotora nzvimbo ye opisthotonos kuratidza kutsamwa kusingadzivisiki: anosimudza uye anotarisa kumashure nenzira inoshamisa, nekuda kwekushanduka kwake kukuru. Kana iri yenguva pfupi uye kana nhengo dzayo dzichiramba dzichifamba, haisi pathological. Kune rumwe rutivi, unogona kutaura nechiremba wevana pamusoro payo: mafungiro aya anogonawo kuratidza marwadzo akasimba, ane chokuita nemuenzaniso kune yakakosha gastroesophageal reflux uye asidi.

Kana kurwisa kwe tetanus kukaramba kuchienderera mberi kana kudzokororwa, nemuviri wakaoma zvekuti unogona kunge wakabatwa chete nemusoro netsoka, uye hyperextended nemakumbo, injodzi yezvokurapa, ine chekuita nekurwadziwa mumuviri. brain. Tinogona kusangana ne:

• mucheche meningitis ;
• shaken baby syndrome ;
• neonatal hypocalcemia ;
• maple sirasi weti chirwere : chirwere ichi chisingawanzoitiki chemajini (chisingasviki 10 zviitiko pamamiriyoni ekuberekwa) ane chirwere chisina kunaka kana chisina kutarisirwa munguva. Iyo inoratidzirwa nekunhuhwirira kwemaple syrup munzeve uyezve weti, kunetsa kwekudya, kuneta uye spasms. Kana ikasiyiwa isina kurapwa, inoteverwa nekufambira mberi encephalopathy uye pakati pekutadza kufema. Kurapwa nenguva, kunoshanda asi kunoda kudya kwakasimba kwehupenyu hwose;
• mamwe marudzi echirwere cheGaucher : rudzi rwechipiri rwechirwere ichi chisingawanzoitiki chinozviratidza mumwedzi yekutanga yechecheche, pakutanga nehorizontal oculomotor paralysis kana bilateral fixed strabismus. Inokurumidza kushanduka kuita encephalopathy inofambira mberi, ine kufema kwakanyanya uye kusamedza, uye kurwiswa kweopisthotonos. Iyi pathology ine fungidziro yakaipa kwazvo.

Iyo opisthotonus, chero ingave, inofanirwa kutungamira mukubvunzana. Sezvinoonekwa pamusoro, inogona kuratidza yakakomba, uye inogona kuuraya, pathology yetsinga system.

Iyi generalized spasm, nekuti inoita kuti murwere awire pasi kamwe kamwe, inogonawo kukonzera kukuvara kwemuviri: anogona kuzvikuvadza asingadi pauriri kana kurwisa fenicha achidonha. Mukuwedzera, kupesana kwemashure emusana dzimwe nguva kwakadaro zvokuti kunogona kukonzera kudzvinyirira kwepelinha.

Kurapa kwedambudziko retetanus kunosanganisira mishonga ine simba, kunyange curariants (zvinodhaka zvine zvinoremadza zve curare), kurwisa chibvumirano. 

Kana zvichibvira, chirwere chiri mubvunzo chinorapwa. Zvimwe zviratidzo zvake zvinotarisirwawo. Saka, kana tetanus, sedatives inosanganiswa nekufema kwekugadzira mushure me tracheotomy kurwisana neasphyxia, apo mishonga inorwisa mabhakitiriya inotanga kushanda.