Syndrome yemunhu akavharwa: zviratidzo, kurapwa, kufungidzira

Locked man syndrome chirwere chisingawanzwi neurologic, iyo ndiyo kupora kwakakwana kwemasumbu ose anogamuchira zvisiri izvo. Imisungo inokonzerwa nokufamba kweziso ndeye chete inosakanganiswa. Varwere vane chirwere ichi vanoramba vachiziva, asi vanorasikirwa nekwaniso yekufamba (kwete kuverenga maziso) uye vachitaura (aphonia). Kuziva kwebasa zvinowanzotambura. Murwere anokwanisa kutaura nemaziso, kusanganisira kumira kwemazana emakore. Kuita chisimba kunoitika nekuda kwekukuvadza kune bhiriji ye variolium - chikamu cheuropi chinokonzera, chinosanganisira nerve yepamusoro inokonzera kutumira mashoko kune zvimwe zvikamu zveuropi. Sezvo murwere achiita seari kutapwa nemuviri wake, chirwere chacho chainzi "locked-up syndrome".

Zviratidzo nezviratidzo

Vanhu vari mu pseudocom (zita rechipiri rekuputsa) kazhinji havakwanise kuongorora, kunyanya, kufema, kutaura kana kufamba. Kukwanisa kufamba kunochengetwa chete mumasikirwo uye maziso eziso, sechikonzero chekuti varwere vanoita sei kufamba kwemaziso nemaziso avo. Panguva imwe chete, kufamba mumhepo yakanyanyisa (kubva kune rumwe rutivi kusvika kune rumwe rutivi, kwete kumusoro uye pasi) hakugoni kuitika. Vanhu vari pseudocom vanovata pasi uye vanovimba zvizere kune vanochengeta. Pasinei nokuora muviri, kusangana kwehupfungwa hwehuropi kunoramba kusiri.

Varwere vane chirwere che "blocked man syndrome" vanoziva zvizere zvinhu zvose zviri kuitika zvakapoteredza. Vanogona kuona uye kunzwa uye kuchengeta maitiro anozivikanwa ekurara uye kumuka mumuviri. Kukurukurirana kunokwanisika kuburikidza nekufamba kwemaziso eziso kana kumira; Zvose zviri zviviri zvinoshandiswa. Vanhu vari pseudocom vanonyatsonzwisisa zvinorehwa nezvose zvavanoudzwa kana kuverengwa.

Kazhinji kazhinji, avo vanotambudzwa vari pakutanga munharaunda ye coma. Zvadaro zvishoma nezvishoma pfungwa inodzokera kwavari, kunyange zvazvo varwere vanoramba vakaoma mitezo uye vasingakwanisi kuita basa rinoita basa.

Zvinokonzera

Kana iwe uchifarira chirwere chemunhu akavharidzirwa, chiremba ane ruzivo muuropiyo anogona kukuudza nezve zvikonzero zvechiitiko ichi. Kazhinji kazhinji, inoitika semugumisiro wekukuvadza kune bhiriji ye variolium - kuchengetwa kwezvinhu zvakakosha zvevaneurus pakati pemakumbo ehemispheres, musana wecinara uye cerebellum. Nezvo kuongororwa, kune kukanganisa kwemagetsi ose emagetsi anobva mumusoro weguru muuropi kuburikidza nemutsipa wepelinha kusvika mumisungo. Nzvimbo dzehuropi dzinosvika, iyo inotungamirira basa rinokosha mukushanda kwemisungo yepiso uye kutaura kwekutaura, zvinowanzovhiringidzwa.

Kukuvadza kune varioly bridge, zvichiita kuti chirwere chemunhu akavharidzirwa, uyo ane chirwere chinorondedzerwa pasi apa, chinogona kuitika nekuda kwekurwadziwa kwepfungwa kana kuora ropa. Muzviitiko zvisingawanzoitiki, pseudocoma inogona kukonzerwa nekukuvara musoro.

Diagnostics

Sezvo nyanzvi yehutano inogona kugadzirisa chirwere chemunhu akavharirwa nekururamisa kwakanyanya, kuongororwa kunowanzoitwa muchipatara. Kuparadzanisa hutachiona kubva kune zvimwe zvinetso zvinokonzera zviratidzo zvakafanana, zvidzidzo zvakananga zvinoitwa. Saka, zvinotenderwa ndezveMRI-magnetic resonance imaging, iyo inogona kuratidzira kuratidza kukanganisa kwebhiriji ye variolium, uye magnetic resonance angiography ndiyo nzira yakanakisisa yekuona ropa rinoputika mumisungo yeuropi inotangira. Mukuwedzera, zvidzidzo izvi zvinobatsira pakuonekwa kweimwe uropi hukuvara.

I electroencephalogram, iyo ndiyo nzira yekuyera uropi hwemagetsi, inogona kuratidza chokwadi chekuita kwehutano hwehutano nekuchengetedzwa kwehope uye kumira kwevamwe varwere vanonzi vane "lock-up syndrome".

Kurapa

Mishonga chero ipi zvayo inofanira kunyanya kuitirwa kugadzirisa chinokonzera chirwere. Semuenzaniso, kubviswa kweropa rinoputika (thrombus) mu basilar artery ne-intraarterial thrombolytic therapy inogona kuitwa mukati maawa matanhatu ekutanga mushure mekuonekwa kwechiratidzo chechiratidzo.

Kazhinji mumwedzi yekutanga yevashandi vepseudocoma vanoda mhando dzakagadzikana kuti vaone kupfuurira kupfuurira. Muzviitiko zvakawanda, tracheotomy inoshandiswa - mukova wokucheka, mushure mei tube inopindirwa mumugwagwa wekufema kuti uone kutora zvakananga kwemhepo mumapapu.

Kushandiswa kwezvokudya uye zvinwiwa mumuromo hazvigoneki, sezvo zvichigona kukonzera zvirwere zvekufema nekuda kwezvokudya zvinopinda mumapapu panzvimbo pemudumbu. Nokudaro, zvingave zvakakosha kuita imwezve chirwere - gastrostomy, umo lumen yekugadzira inoitwa mumudumbu kuunza zvokudya nemvura kuburikidza ne tube.

Taura nesu

Zvakakosha kutanga urongwa hwekukurukurirana nemunhu akakurumidza nokukurumidza. Vanhu vanotarisira murwere, pamwe neshamwari neshamwari, vanofanira kuedza kugadzirisa kuonana nokukurumidza sezvinobvira kuitira kuti vaone munguva yakazara zvese zvinodikanwa nemurwere akarara. Zvinosuruvarisa, nekuzivikanwa kwe "lock-up man syndrome", kufungidzira kunonyadzisa zvikuru: iyi mamiriro haagoni kuporeswa, kunyange mune dzimwe nguva mushure menguva vanhu vanokwanisa kuderedza zvishoma nezvishoma mishonga. Teknolojia yemazuva ano irikukura nokukurumidza zvikuru - zvinonyatsoita kuti nokukurumidza masayendisiti achagadzira nzira yekombiyuta yekukurukura nevanhu avo vakawira mumusana.

Kubvira pakushandiswa kwekombiyuta isati yamboita kufambira mberi kwakadaro, mumamiriro ose ega zvakakosha kukura kwayo purogiramu yekukurukura nemurwere. Inokurudzirwa kutanga nekodha yakanyatsorodha: somuenzaniso, kutarisa kumusoro kuchareva chirevo kana chibvumirano, kutarisa pasi kunopesana kana kuramba. Mamiriro ezvinhu akadai sechirwere chemunhu akavharidzirwa, kugadziriswa kunotanga nediki, asi zvishoma nezvishoma, zvinyorwa zvakaoma zvinoparadzirwa nemaziso eziso zvinogona kushandiswa mukukurukurirana. Kushandiswa kwemafabheti kunogonawo kuitika; Kazhinji hama dzinopa vowels uye makononi mumakamuri akasiyana uye vanomira kusvikira murwere "achishevedzera" kutarisa pakutanga chikamu uye chete ipapo - tsamba chaiyo. Zvinonyatsozivikanwa kuti munhu mumwe nomumwe, pasinei nokuva pseudocom, akanyora nhetembo nenzira iyi.

Raramai

Iko kunofanira kuyeukwa kuti chirwere chemunhu akavharidzirwa hachisi chero chirevo. Nokuchengetedzwa zvakakodzera kubva kune hama, shamwari kana vashandi vechipatara uye rutsigiro rwehutano hwehutano, kunyange nehutano hwakadaro, murwere anogona kutungamirira hupenyu hwakanaka.