Tohu Chvostek, Trousseau, hiahia. tohumate Chvostek i roto i ngā tamariki: maimoatanga

A, no te, 4% o ngā tamariki te whakawhanake i te whakararuraru, o te konupūmā-ūkuikui pākia, haere tahi nei i āhua ki kōiwi nui spazmofiliya, e kiia nei ko hoki te tetany tamaiti. haere tahi ana tēnei māuiuitanga e mamae o uaua o nga topito, mata, paeoro, me te te putanga o haehae clonic me toniki noa. heheu te reira i, rite ki te tikanga, i roto i te wā i te toru marama o te tau, me te ki runga ki te rua tau. Ko tētahi o nga mau faaiteraa mahino o te mate e puta tohu chvostek, Trousseau ko hiahia ki te āwhina i te feruri i roto i te pakeke o te mate e rere. Ki te ako ki te tautuhi e tukinotia enei tohu, me pehea ka aparau i tatou i roto i tenei tuhinga.

Me pēhea te ki te tirohia ngā tohu spazmofilicheskie

I roto i te tikanga ki te manatoko i te aroaro o tohu chvostek, tuku ki tetahi atu āhuatanga o te karere kanohi, whakanohoia te tamaiti kei runga i te moenga, kahore te urunga. kia tika waewae i te wa ano, me ringa - takoto haere te tinana.

takina tohumate marama mirimiri matimati percussion hama ranei i te wahi o te putanga o te karere trigeminal (runga ake i te kikorangi zygomatic). Ki te haere mai he manawanui ki te aitua, tumu o te rau tau, me te kokonga o te ngutu o runga, ka mea whakaaro i te tohu kei te pai. Tona, i te ara, tirohia i runga i paparinga e rua.

Tohu chvostek i 3 nekehanga o whakakitenga:

1. hukihuki uaua puta noa i te rohe o innervation o te karere kanohi.
2. hukihuki uaua i roto i te kokonga o te mangai, me te parirau ihu.
3. Hukihuki o te uaua tika i roto i te kokonga o tona mangai.

Ki te whakakitea he tetany kitea i roto i te tamaiti tohu tuatahi o te tohu noa ki te marama pa i te rohe o te karere kanohi.

tikanga atu o te manatoko tohu antispasmodic

No iti nui i roto i ngā o te whakarite i te pakeke o te huru o te tamaiti ko te tohumate o Trousseau me hiahia.

• kitea tohumate Trousseau pokohiwi kōpeketanga o tamaiti waenganui. I roto i tenei take, kia tamata te rata ki te tango nui taea kiko ngohengohe o ona ringa. Ki te rite te hua o tenei (āhua 2-3 meneti i muri i te kōpeketanga) i roto i te maihao manawanui tango he āhuatanga takoha, ka karanga "obstetrician ringa" (arā, kua hoatu te koromatua ki te nikau, taupū maihao, me te waenganui wherahia, me te whakakai, me iti maihao - tu mai), te tohu kei te whakaaro te reira pai. Hei tirohia te wātea o ngā tamariki pakeke ngā pakeke ranei e taea te whakamahi i te soté mo ine pēhanga toto na roto i te kutētē rangi ki reira ki te pini whakamutunga.
• Hiahia tohumate tirohia e te tikanga o te hama, i pātōtō te hoki o te matenga, he iti tibia, ranei hukihuki o te uaua ateate i roto i te rohe iohere Achilles. Ki te te manawanui i te reira te mea he retraction tumu o te waewae ( "ori e waewae"), ka taea te whakaaro pai o te tohu. Kei te takina te reira i pito e rua.

Chvostek tohumate, Trousseau, whakaaro hiahia spazmofilicheskimi. riro ratou pai, ki te te tamaiti mate i roto i te toto puta huri te nui o te konupūmā i te kawenga mō te uaua hukihuki. Ki taea arahi tenei ki te aroaro o kōiwi, engari ano hoki i ētahi atu mate e kore e anake.

He aha te mea tetany

Chvostek Tohu me tohu he spazmofilii Tissaurd (tetany). huru no te mate e nui haere excitability manavasii, whakakitea nei te uaua cramps wahi paeoro ranei. Nuinga o ngā wā, kitea tenei māuiuitanga e i roto i te mau tamaroa i roto i te marama tuatahi e ono o te ora.

He pūtake koiora o tenei mate ko toto iti tamaiti konupūmā ionized.

Kia pehea te kino tohumate i roto i ngā tamariki chvostek

Photos o tamariki ki tetany, tukua ki a tatou matau ki ta e nga tohu o te mate. Ko te matua o ratou - laryngospasm, faaite nei te manawa i mahi, mata ha ma, sweating, a ētahi wā mate o te mahara. Āhuatanga rite mamae wā me waewae ringa (karpopedalny spasm) whakawhānui ētahi wā rave rahi hora. He hoki atu mamae uaua me ngā rōpū - romahā, ngangau, kanohi, etc ...

Ko whakaaro te tohu tino nui o te mate e ki kia te whawhai o te eclampsia - haurangi clonic-toniki e timata ki aitua, uaua o te mata, me te haere ki mamae o te wahi me te laryngospasm. Ko te tamaiti ki te mahara tino maha ngaro, puta te pahuka i runga i te ngutu, i reira he urination tumu. Eclampsia Risk o taea hopu romahā ngakau ranei.

Ko wai ka taea e puta tetany

I roto i nga ra tuatahi o te ora tikanga takiri, me te hypocalcemia te tikanga puta i roto i ngā pēpi whanau halá, nga mahanga, a kua tukua e jaundice mate hopuhopu ranei.

Chvostek tohumate i roto i ngā tamariki a te tuatahi nga marama o te ora, a taea te pōreareatanga e te hekenga i roto i te konupūmā te horomanga o tamariki, a ka nui haere secretion o calcitonin. Tenei huru hauora e pā ana ki te urunga waimaero me ūkuikui me te konupūmā ki te tamaiti whakawhiti koi kai i runga i te waiu o te kau, me te (i roto i te wā onge) ki te kore o te huaora D me te konupūmā i roto i te tinana o te whaea.

Ka rite ki te tikanga, whakakitea tamariki hypocalcemia uauaio excitability, haehae, ruaki, tachycardia, me tohu romahā.

maimoatanga tetany

Eclampsia patua rapu āwhina tonu te tamaiti, a ka i roto i te take o te mutunga o te manawa ranei ngakau - me whakaora.

I roto i tetahi puka o tamaiti tetany whakaritea anticonvulsants ( "Sibazon" intramuscularly pâmuhia ranei, "konutai Oksibarbutirat" intramuscular, "Phenobarbital" rectally, waha ranei i roto i suppositories me pera i runga i. P.). Kei te whakaaturia hoki te reira i whakahaere rō-uaua o te 10% otinga o te konupūmā gluconate intramuscular 25% otinga o te konupora pūkawa ranei.

Spazmofiliya meinga tohu chvostek ko Trousseau, te tikanga kua he waitohunga pai i roto i te nuinga o te wā. Ko te ati, ko te anake laryngospasm auroa, e fakamanamanai ki te mutu manawa.

Ki runga ki pa te tau o te tamaiti whakakorea 2-3 tau o te huru pathological te rite ki te hua o te stabilization i roto i te taumata toto o te konupūmā me te ūkuikui.

Hypoparathyroidism - he mate tahi e te e tohu chvostek

tohumate Chvostek - ko reira ano hoki te tohu mārama o te huru pathological i huaina hypoparathyroidism, i roto i nei i te hekenga i roto i te mahi o te repe parathyroid. Nuinga o ngā wā, puta tenei raruraru rite ki te hua o te pokanga mō te mate thyroid te aroaro i roto i reira o te tukanga inflammatory ranei. I te tahi taime e taea te meinga pōrearea i ngā tukanga hopuhopu pērā i karawaka rewharewha ranei.

nui haere Neonates whakawhanake hypoparathyroidism i te take o te ngaro congenital o nga repe parathyroid me i te pehanga o ratou mahi rere i roto i te whaea i roto i te hapū ira parathyroid.

Te manawanui ko te kupu te tikanga kitea e te hekenga i roto i te konupūmā toto i roto i te whakarara ki te whakanui ake ūkuikui kukū. A āhua ko reira kua kitea tetany whakaahuatia, ngā tītohunga intestinal, tupu rerekē o niho, makawe me whao, me te huringa i roto i te kiri.

I roto i ngā take pēnei, ko te tohu chvostek ko Trousseau, me ngā whakamātautau taiwhanga tauturu tika tautuhi i whakawhanakehia huru tetanic me tātaritanga o te manawanui.

maimoatanga o te hypoparathyroidism

He nui hoki te maimoatanga o te mate ki te whakaaro i te take i muri i tona tupu me te pakeke o ngā tohu. I roto i te ma'i koi ki tohumate i roto i whakahaere ohotata tetany pâmuhia tūtohutia 10% o te konupūmā pūhaumāota konupūmā gluconate ranei. āta mahi tenei te, tango ki pūkete te meka e kei te otinga tuatahi-whakahuatia 27% matū homonymous me i te rua, ko te reira 9 anake%.

Tikanga, i roto i te tikanga ki te whakakore tohumate chvostek tono taero maimoatanga konupūmā hoki i te iti rawa 10 ra. pānga pai whakarato konupūmā horomanga, e tohutohu nga tākuta ki te mahi i tenei i whakamemehatanga te tarukino i roto i te waiu tangata, ki te ārai i te whanaketanga o te gastritis.

titau huru hypoparathyroidism ma'i te fariiraa o te huaora D, tīmata ki te bolus (200-300 mano. U. Per ra), me te mana whakahauanga o ūkuikui me te konupūmā i roto i te toto me ratou taumata i muri horopeta māori heke ki te 50 mano. U. ia ra i roto i te tamariki i raro i te tau kotahi, ki runga ranei ki te 125 mano. wae. - i roto i te tūroro i muri i te tau.

I te aha te tahi atu mau ma'i i tohu Trousseau me chvostek

I tua atu ki te mate meinga he hekenga anake mo tetahi take, te konupūmā i roto i te wē toto, tohu chvostek, Trousseau me hiahia kia whakaatu ake i roto i te tahi atu mau ma'i. Ko ētahi o ēnei:

• Neurasthenia ki kāwanatanga manukanuka-hypochondriac, whakakitea i roto i te puka o te hyperventilation syndrome. Te manawanui i roto i tenei take e te faaruru wā whakararuraru, manawataki manawa e ka tāwhai i huangō, ki te mana'o o te puranga i te korokoro, breathlessness, a ētahi wā ki te mate o te mahara me te haehae.
• tukanga Dyscirculatory, ngā ki syndrome asthenic me asthenic-pōhewahewa, āhuatanga e te āhua tonu o te rohirohi, me te haki, me te ānini, raruraru moe, me te taninito.
• Tangi, haurangi, me te tahi atu mate.

Prevention o disorders o ngā taumata konupūmā i roto i te tamaiti

Ka rite ki a koutou pea kua kite kē i roto i mate e haere tahi tohumate chvostek i roto i ngā tamariki maimoatanga e heke ki te toe fakafoki mahuinga ki taumata noa o te konupūmā me te ūkuikui toto. Na reira, e titau hoki te ārai o pathologies matua whakahaere te kukū o te matū whakamana nei te pediatricians rarangi.

He mea nui ki te hanga i ngā āhuatanga tino pai mō te whanaketanga o te kukune i roto i nga wahine hapu. Ki tenei mutunga, ki te ora te whaea expectant i roto i ngā āhuatanga pāpori rawakore kei i mōrea (mate huka, nephropathy, takawhita me te rūmātiki), ranei ona whakamutunga 2 marama o te hapūtanga whakahau huaora D. I roto i te hapūtanga noa pipiki rawaka kai tōtika me te mahi tinana.

He hou, na tupu ia ake kaha, me te hauora, ko reira nui te aroaro o whāngai ū, te whakataki wā o kai tautoko, noho ia i roto i tuwhera te rangi, takai free, mirimiri, omaoma me te marama-rangi pati.