Myoclonus waxaa lagu gartaa dhacdooyinka murqaha oo gaaban. Kuwan waxaa lagu muujiyaa dhaqdhaqaaqyo aan ikhtiyaari ahayn iyo si lama filaan ah. Waxaa jira qaabab kala duwan oo ay ka mid yihiin hurdo myoclonus, ama myoclonus labaad oo gaar ahaan ku dhaca suuxdinta.

Myoclonus waa dhufasho kooban oo muruqa ah oo sababa dhaqdhaqaaq aan ikhtiyaar ahayn, kedis ah iyo kedis ah. Waxay u dhici karaan si kedis ah ama waxay u dhici karaan falcelin kicin ah sida qaylada ama iftiinka iftiinka. Gariirku wuxuu ku dhici karaa hal muruq ama wuxuu saameeyaa koox muruq ah.

Tusaalaha caadiga ah ee myoclonus waa hiccups, ama phrenoglottic myoclonus. Waa natiijada isku xigxiga muruqyada aan qasabka ahayn.

Myoclonus waxaa sababi kara muruq muruq oo degdeg ah ama joogsiga degdega ah ee dhaqdhaqaaqa muruqa. Dhacdooyinkan waxay yeelan karaan sharraxaadyo dhowr ah. Iyadoo ku xiran kiiska, waxaa jira saddex nooc oo myoclonus ah:

• physiological myoclonus, kuwaas oo la xidhiidha shaqada jidhka;
• myoclonus labaad, kuwaas oo ay sababto dhacdo xanuun ku ah jidhka;
• les myoclonia iatrogènes, kuwaas oo ah natiijada daawaynta.

Sababaha myoclonus physiological

Myoclonus waxaa lala xiriirin karaa shaqada jidhka. Waxaan tusaale ahaan soo qaadan karnaa:

• phrenoglottic myoclonus, oo loo yaqaan hiccups;
• hurdo bilawga myoclonus, ama hurdo myoclonus, taas oo u muuqata sida hurdo la yaab leh oo badanaa dhacda inta lagu jiro daqiiqadaha ugu horreeya ee hurdada.

Sababaha kale ee nafsiyeed ayaa sidoo kale la aqoonsaday. Kuwaas waxaa ka mid ah welwel, jimicsi jireed iyo cunto.

Sababaha myoclonus labaad

Myoclonus Secondary waxaa sababi kara xanuuno kala duwan sida:

• suuxdin, xaalad neerfaha oo myoclonus ay ka mid tahay calaamadaha ugu waaweyn;
• waallida, gaar ahaan inta lagu jiro cudurka Creutzfeldt-Jakob, cudurka Alzheimers, faafinta cudurka Lewy ee jirka, waallida hore ee maskaxda ama Rett syndrome;
• spinocerebellar degeneration, oo ku dhaca macnaha dhowr cudur oo neerfaha sida cudurka Parkinson, cudurka Huntington, Ramsay-Hunt syndrome ama xitaa cudurka Wilson;
• encephalopathies jireed iyo hypoxic, cilladaha maskaxda oo si gaar ah u dhaca inta lagu jiro shoogga korontada, istaroogga kulaylka, hypoxia, dhaawaca maskaxda ee dhaawaca iyo jirrada kala -goynta;
• encephalopathies sun ah, dhaawaca maskaxda oo si gaar ah u ah natiijada sumowga birta culus;
• caabuqa, gaar ahaan maskaxda caajiska ah, fayraska herpes simplex encephalitis, encephalitis-ka ka dambeeya, duumada, waraabowga iyo cudurka Lyme;
• xanuunada dheef-shiid kiimikaadka qaarkood, sida hyperthyroidism, hepatic failure, renal failure, hypoglycemia, hyperglycemia non-ketotic hyperglycemia iyo hyponatremia.

Sababaha iatrogenic myoclonus

Myoclonus mararka qaarkood waxay noqon kartaa natiijada daawaynta. Waxay tusaale ahaan, raaci kartaa:

• daaweynta dhimirka, gaar ahaan marka la isticmaalayo lithium, antidepressants ama neuroleptics;
• daawooyinka ka hortagga caabuqa qaarkood, gaar ahaan marka la isticmaalayo quinolones;
• daawaynta wadnaha qaarkood;
• isticmaalka kaniiniyada hurdada;
• isticmaalka anticonvulsants;
• qaadashada daawada suuxinta.

Astaamaha caafimaad ee myoclonus way ku kala duwan yihiin kiis ilaa kiis. Waxay si gaar ah ku kala duwanaan karaan baaxadda iyo inta jeer. Kiisaska aadka u daran, murqaha gariirku waa mid guud marka ay bilaabato suuxdin.

Marka myoclonus guud ahaan, sii jiro ama soo noqnoqoto, la talin caafimaad oo degdeg ah ayaa lagula talinayaa. Maamulka caafimaadku waxa uu suurtogal ka dhigayaa in la aqoonsado lana daweeyo sababta myoclonus.

Si loo qeexo asalka myoclonus, guud ahaan waa lagama maarmaan in la sameeyo duubista electrophysiological ee dhaqdhaqaaqyada aan caadiga ahayn.

Si loo nafiso rogrogmada muruqa, daawaynta calaamadaha ayaa mararka qaarkood la hirgelin karaa. Tani waxay ku salaysnaan kartaa adeegsiga dawooyin kala duwan:

• benzodiazepines, sida clonazepam, kuwaas oo ah fasalka daawooyinka nafsiga ah;
• ka hortagga suuxdinta sida valproate;
• nootropics sida piracetam;
• anticonvulsants sida leviracetam.