I-Toxin ye-Botulinum ye-Muscle Spasticity

I-toxin ye-botulin isaziwa ngokuba yi-botox. I-Botox yenye yegama lomnxeba wezilwanyana ezisetyenziselwa inkqubo injectable ephakanyisiwe ukunciphisa ukubonakala kwemigca emihle kunye nemibuso yobuso. Kukho inani lemveliso ye-toxin eyenziwa ngabakhiqizi abahlukeneyo. Ezi zizisombululo ezinobungozi ezenziwe nge-botulinum toxin yolawulo lwesikhashana lombimbi.

Kodwa ukusetyenziswa kwe-injunum ye-toxin injections yeenzuzo zezonyongweni kukutsha. Ii-injection ze-toxin ze-Botulin ziye zadlulileyo zisetyenziselwa ukulawula ubunzima be-muscle kunye nokunyanzeliswa, okungenzeka ngenxa yesifo seengxaki ze-neurological disorders.

Ukusetyenziswa kwezonyango zeThoxin Botulinum

Ngaphezulu kwemizimba

Kukho imeko ezininzi zezokwelapha ezibonakaliswe ngeendlela ezahlukeneyo zokwenziwa kwemisipha ethile, enokukhutshwa yi-injulum injections.

Zonke ezi ntshukumo zentlungu zingabangela ubuhlungu kwaye zingabangela ukulimala.

Ubungqina, ukuxhamla kwemisipha, ukusabalalisa, kunye nezivumelwano zingenzeka ngenxa yeemeko zengqondo ezinjenge-cerebral palsy, ingqondo yobuhlungu okanye ukulimala komnxeba, kunye neengxaki ezithile zentsholongwane njenge- Parkinson's Disease .

Olu tshintsho lwama-muscle lunokubangelwa ngenxa yokuguqulwa kwisakhiwo sobuchopho kunye nomgudu, kwaye ngenxa yongabi nantsebenzo.

Abasindileyo besisu

Ukongezelela kobuthathaka obangelwa yi-stroke, utshintsho lwesisundu lwangaphantsi lunokuchaphazela nabasindileyo. I-Atrophy yilahleko yethoni ye-muscle kunye nobuninzi obuchaphazela ubuthathaka, obungasetshenziswanga.

Emva kweenyanga eziliqela, abasindileyo besenokuhlakulela ukunyaniseka, ukuphazamiseka, ukunyaniseka , kunye nezivumelwano. Oku kubangelwa yi-long-term inactivation of muscle engasakwazi ukuhamba eyedwa ngenxa yokubetha.

I-toxin ye-Botulinum yokugcinwa kwamanzi

Ngamanye amaxesha, i-toxin ye-botulin inokukunceda ukuba unengxaki yokuchama, njengokugcina umchamo okanye i- neurogenic bladder.

Kule meko, amayeza acelwa ngokuthe ngqo kwiimpawu ezinokulawula ukukhutshwa kwezidumbu ezibandakanyeka ekuhambeni.

Yintoni I-Botulinum Toxin?

I-toxin ye-Botulinum iyinamandla ye-neurotoxin eyenziwa yi-bhakteriya, i-clostridium botulinum. Ngokomlando, oku kwakubizwa ngokuba yi-toxin ebulalayo enokufunyanwa ngokutya ukutya okufakwe i-clostridium botulinum. Isifo esibangelwayo, esibangela ukukhubazeka komzimba kunye nobubuthakathaka besifo, kuthiwa yi- botulism . I-Botulism yisifo esibi, okubangela ukuba ubomi obuthathaka bube besongela umzimba, kuquka imisipha elawula imisebenzi ebalulekileyo njengokuphefumla.

Emva kweminyaka yama-1950, izazinzulu zazikhupha amandla okuhlukanisa i-toxin kwaye ziyijobe ngokunyamekileyo kwimisipha ekhethiweyo ngokukhethekileyo ukwenzela unyango lweengxaki zezonyango ezinjengeemfucu ze- muscle ezinokuthi zenzeke emva kokuphazamiseka okanye ngenxa yezifo ezinzulu zesifo se-brain (cerebral palsy) .

Indlela i-Botulinum Toxin isebenza ngayo

I-toxin ye-Botulinum, icandelo apho iisakhi eziphuculweyo ze-muscle zenziwe ngayo, isebenza ngokuthintela ukuxhumana okuqhelekileyo okanye okungavumelekanga phakathi kwentsholongwane kunye ne-muscle- okubangela ukukhubazeka kwemisipha. I-toxin ye-botulin isebenza kwindawo apho i-nervo ithumela umyalezo kwisisipha.

Ngokuqhelekileyo isigulane sithumela umyalezo kwisisundu ngokukhuthaza ukukhululwa kwe-neurotransmitter ebizwa ngokuthi i-acetylcholine. Kwiimeko eziqhelekileyo, i-acetylcholine ikhutshwa xa i-nervo ivuliwe. I-Acetylcholine ibophelela kwisisipha, ngokukhawuleza iqalisa uluhlu lwezenzakalo ezenza ukuba imisipha ibe mfutshane, okanye inkontileka.

Xa izivumelwano zesikhombisi, kusemthethweni kusebenze kwaye kuchazwa ngokuthi 'ukuhambisa imisipha.'

Nangona kunjalo, xa i-muscle idlulile-ivuselelwe ngenxa yomonakalo obangelwa zizifo zengqondo, inokuhlala kwindawo yayo esebenzayo nangona ingafaneleki, ayikwazi ukuphumla.

I-toxin ye-Botulinum ivimbela ukukhawulwa ngokunqanda ukukhululwa kwe-acetylcholine. Oku kuphazamisa umsila, ukuvumela ukuba uhlale kwindawo ekhululekile.

ILizwi

Nangona isifo esiyingozi se-botulism sibangela ukukhubazeka kwezinto ezininzi ezibalulekileyo kuwo wonke umzimba, ukuxutywa kwe-toxin ye-botulin kugxininiswe ngokukodwa kwimisipha ephezulu. Ukuba ufumana ubunzima bokungcolisa, ukuxhamla, kunye nokuphambana, ukukhubazeka kwamascle kunenzuzo ngokwenene.

I-toxin ye-Botulinum ayinayo nayiphi na imiphumo yokunyanga kwaye ayikwazi ukunceda ukubuyisela ubuchopho okanye umsi womsebenzi. Umphumo we-botulinum injection ye-toxin yesikhashana kwaye i-injections ingadinga ukuba iphindwe rhoqo emva kweenyanga ezimbalwa. Nangona akusiyo inyango yokusisigxina, i-toxin ye-botulin inokunciphisa ezinye zezinto eziphazamisayo kwaye inokuba luncedo kuwe.

Ukunyanga kwe-toxin ye-Botulinum kufuneka ijojowe kuphela ngugqirha oqeqeshiwe onamava kwi-botulinum injection injini.

> Imithombo

> Ukwelashwa nge-Botulinum i-toxin A kubalonke inani labantwana abane-cerebral palsy - isifundo sokubhalisa amaqela esiphezulu, uFranzén M, Hägglund G, u-Alriksson-Schmidt A, i-BMC Musculoskelet Disord. 2017 Dec 11; 18 (1): 520. i-doi: 10.1186 / s12891-017-1880-y.

> Ukuphononongwa ngokuchanekileyo: ukuphumelela kwe-botulinum inxin ekuhambeni kunye nomgangatho wobomi kwi-sproticity foot sproticity, i-Gupta AD, i-Chu WH, i-Howell S, i-Chakraborty, i-Koblar S, i-Visvanathan R, iCameron I, i-Wilson D, i-Syst Rev. 2018 Jan 5; 7 (1): 1. i-doi: 10.1186 / s13643-017-0670-9.