Parizvino, isu tichiri kufanira kushandisa kune akati wandei tsananguro kuti tiedze kunzwisisa chii spasmophilia. Iri izwi rinopokana nekuti hachisi chirwere chinozivikanwa muzvikamu zvekurapa, kana muFrance, kana pasirese. Vatsvakurudzi havana kubvumirana; zvinogoneka kuti kutenderera kwakashata kwezviratidzo kana kuti chii chinoita kuti zviome kudoma.

Kazhinji kazhinji inoratidza zviratidzo zvitatu: manyaro, neurodystonie et nokurwadziwa.

THEhyperexcitabilité neuromuscular Inoratidzwa nezviratidzo zviviri zviripo mu spasmophilia: chiratidzo cheChvostek (= kupindirana kwemhasuru kusingaite kwemuromo wepamusoro mukupindura kubhurwa nesando yereflex yachiremba) uye chiratidzo chekiyi (= chibvumirano cheruoko rwanyamukuta).

Iyo electromyogram inoratidza a repetitive magetsi hyperactivity of peripheral nerves, hunhu hwekunakidzwa neuromuscular, kusavhiringidzwa nekusagadzikana nekuda kwehypoglycemia, nezviratidzo zvine chekuita nepostural hypotension, nekuputsika kwetsinga, kana ne paroxysmal kusagadzikana kurwisa. Yakaderedzwa intracellular magnesium mazinga anowanzo kuwanikwa ane calcium uye phosphorus mazinga Zvakajairika.

Hunhu hwekusaenzana uku ndihwohypersensitivity kutsamira kwezvakatipoteredza, kusagadzikana kwekunetseka uye a kusagadzikana kwehupenyu uye hwepfungwa.

Spasmophilia kana tetany kurwisa?

Izwi rekuti "spasmophilia" rinoshandiswa zvakanyanya neruzhinji kutsanangura kurwiswa kwekushushikana kusanganisa kufema zvinetso (kunzwa kusungwa, kutadza kufema, hyperventilation) uye tsandanyama tetany. Zviratidzo zve spasmophilia, tetany kana kunyange psychogenic hyperventilation inogona mune dzimwe nguva kufanana neavo varipo panguva yekuvhunduka.

Nekudaro, iyo pfungwa ye spasmophilia ichiri kujeka mazuva ano. Pane zvinyorwa zvesainzi zvishoma pazviri¹ uye kune zvinosuruvarisa kuti vashoma kwazvo epidemiological zvidzidzo zve spasmophilia nekuti, senge masyndromes akafanana, chokwadi chechirwere ichi chichiri kupokana (chinoonekwa se chirwere chepfungwa) Zvinoenderana nemapoka ari kushanda (akakurumbira "DSM4", Kusarudzwa kweAmerica kwezvirwere zvepfungwa), spasmophilia ndeye pathological chimiro chekuzvidya mwoyo. Parizvino inowira muchikamu che " kuvhundukas”. Nekudaro, kure nekuve pfungwa ichangoburwa, kutsvagisa nezve spasmophilia kwakatovapo pakupera kwe19^st remakore.

Ndiani anobatwa?

Kuzvidya mwoyo kunowanzoitika mukati Vechidiki (pakati pemakore 15 ne45) uye ivo vanowanzoitika mukati vakadzi kupfuura varume. Zvinonzi zviri kuwanda munyika dzakabudirira.

Zvinokonzera chirwere

Maitiro e spasmophilia angangodaro anosanganisira zvinhu zvakawanda zve biological, mupfungwa, genetic et cardio-kufema.

Maererano nedzimwe dzidziso, izvi zvingava a zvisina kufanira kana kuwandisa kushushikana, kufunganya, kana kufunganya kunokonzera hyperventilation (= kukwidziridza chiyero chekufema) icho pachacho chaizowedzera hyperventilation reaction kusvika kurwiswa kwemhasuru tetany. Nokudaro, mamiriro akasiyana-siyana ekutya nekuzvidya mwoyo (kusanganisira kusakwanisa kufema) anogona kukonzera hyperventilation, iyo inogona kukonzera zvimwe zviratidzo, uye kunyanya dzungu, kupera kwemakumbo, kudengenyeka uye palpitations.².

Izvi zviratidzo zvinowedzera kutya uye kufunganya. Naizvozvo iri a denderedzwa yakaipa izvo zvinozviraramisa.

Iyi maitiro ekuita ingangove ichidya zvakanyanya magnesium uye inogona kufanotungamira kune a kushaya magnesium kusingagumi intracellular. Pamusoro pezvo, kudya kwedu kunowedzera kushata mu magnesium (nekuda kwekunatsa uye nzira yekubika) kunogona kuwedzera kushomeka uku.

Genetic fragility yakabatana neachangobva kuzivikanwa mapoka ematishu (HLA-B35) inofanotaura 18% yehuwandu munyika dzakabudirira kugadzira spasmophilia.

Kune nyanzvi dzekurapa dzinoshanda panzvimbo www.sommeil-mg.net (general mushonga uye kurara), kushomeka mukubudirira kwekurara kunofungidzirwa kuti ndiko kunokonzera spasmophilia:

1. Kurara kunotongwa pakumuka uye zvinoita sezviri pachena kuti iyo ye spasmophiles haichaiti basa rayo, sezvo iri pakumuka kuti kuneta kwakanyanya;

2. Kazhinji kacho kuwedzera kweusiku diuresis (munhu anomuka kakawanda mukati meusiku kuti aite weti) ndiwo mugumisiro wekuputsika kwe "antidiuretic" system;

3. La neurodystonie ndiwo mumwe mugumisiro wokusashanda zvakanaka kwehope;

4. Le voluntarist chimiro chevarwere (unhu uhwu hunovabvumira kuti varwe kwenguva yakareba vari vega nechirwere chavo): “ichokwadi, ndaneta, asi ndakabatirira” … kusvikira nguva yapera. dambudziko. Sezvinoratidzwa nekuramba kusingaverengeki kwechero zororo rekurwara nekukurumidza kana dambudziko rapfuura. Hunhu uhu kazhinji hahuna hanya uye hune hutsinye. Kwatiri, dambudziko ndiro chiratidzo chekutanga che decompensation yekurara pavhu rekushanda kusakwana kwekurara. Kuwedzera kwekuneta kunogona kutungamirira kumifananidzo yakaoma uye inoremadza iyo inozoratidzwa mu hyperalgesic mode se fibromyalgia kana mune asthenic mode senge isingaperi kuneta syndrome (CFS). Mukuita, dambudziko rinomira nekukurumidza kana sedative ine simba rakakwana "kubvisa ruzha rwe alarm", izvo zvinoita kuti zvikwanise kusimbisa kuti kunoshamisa kushanda benzodiazepines (mhuri yeanxiolytics) mumamiriro ezvinhu aya (panguva imwe chete asi yakakwana) inosimbisa mamiriro ehurodystonic ekushaya simba uye inofanira kunongedzera kune chronobiological management. Mune maonero edu, dambudziko rega rega rine kukosha kwechiratidzo che "hyposleep" chakaderedzwa, saka kukosha kwekurapa uku.

Nzira uye zvinogona kuitika

Spasmophilic reactions inowanzobatanidzwa ne kuderera kukuru kwehupenyu hwehupenyu uye zvinogona kutungamira kune zvakanyanya kuremara kusagadzikana senge achitya kubuda, kuva mu kuvapo kwevasingazivi kana kutora chikamu mune zvakasiyana-siyana zvemagariro kana zvehunyanzvi zviitiko (secondary agoraphobia). Mune vamwe vanhu, kuwanda kwekurwiswa kwakanyanya kwazvo (kazhinji pazuva), izvi zvinonzi panic disorder. Ngozi yekuora mwoyo, pfungwa dzekuzviuraya, yekuzviuraya, yekushungurudzwa kushandisa zvinodhaka kana doro kunowedzera mukutya kunogara kuchiitika³.

Nekudaro, nekutonga kwakakodzera, zvinokwanisika kudzora kushushikana uku uye kuderedza kuwanda kwekubatwa.