
encephalopathy

encephalopathy (masthishkam + πάθος "vedana" ennathil ninnu) ennaal thalachorile eathenkilum takararo rogamo, prathyekichu vittumaaraatha degenerative avasthakal ennaanu ardhamaakkunnathu. aadhunika upayogathil, encephalopathy orotta rogathe soochippikkunnilla, marichu mothatthilulla mastishka pravarthanakshamathayude oru syndrome aanu; eee syndrome niravadhi jaiva, ajaiva kaaranagal undu.
adayaalangalum lakshanangalum.
encephalopathy mukhamudra oru marria maanasikavastha allengil prakshubdhathayaanu. manasshaasthrathinte vaikalyam, shradha, ooriyanteshan, urakka-unarvu chakram, bodham ennivayaanu marria maanasikaavasthayude savisheshatha. bodhatthinte marria avastha thiranjeduttha shradhayude parajayam muthal myakkam vare aakam. hypervigilance undakam; koodaathe allengil illaathe cognitive kammi, thalavedana, apasmaram, myoclonus (oru peshiyude allengil peshikalude koottatthinte swamedhayaa ulla virayal) allengil aastariksis (kaithanda neettukayo cheyyumbol kaii "flapping virayal").
encephalopathy tharatheyum theevrathayeyum aashrayich, pothuvaaya neurological lakshanagal cognitive function nashtappeduka, sookshumamaaya vyakthithva mattangal, shradha kendreekarikkaanulla kazhivillaayma ennivayaanu. dsarthria, hypomimia, chalanangalile prasnangal (avaa vikruthamo mandagathiyilullatho aakam), attaxia, virayal ennivayaanu mattu neurological adayaalangal. mattu neurological adayaalangalil swamedhayaa pidichedukkunnathum valikkunnathum, nistaagmas (drutha, swamedhayaa ulla kanninte chalanam), jactitation (kidakkayil aayirikkumbol aswasthatha), cheyin-stokku shwasanam (cyclic waxing, veliyettathinte alavu kurayal), apnoostik shwasanam, poost-hypercapnic apnia thudangiya shwaasakosha asaadhaaranathakal enniva ulppedaam. phokkal neurological kammi kuravaanu.
vernick encephalopathy corsacoff alcoholic syndrome upayogichu sambhavikkam, ithu amnestik-konfabyulettari syndrome aannu retrograde amneeshya, anterograde amneeshya, konfabyuleshanukal (kandupidutha oormmakal), mosham oormmappeduthal, dishaabodham.
aanti-enmdi risapttar encephalitis aanu ettavum saadhaaranamaaya oottoo immyoon encephalitis. ithu bhranthavum gambheeravumaaya vyaamohangal, prakshobham, mathibhramangal (drishyavum shravanavum), vichitramaaya perumaattam, bhayam, hraswakaala ormmakkuravu, ashayakkuzhappam ennivaykku kaaranamakum.
echuaivi encephalopathy demensiayilekku nayichekkaam.
tharangal.
encephalopathy pala tharatthilundu. chila udaaharanangalil iva ulppedunnu
chemotherapy ninnulla vishaamsham.
udaaharanathinu, chemotherapy marunnukal, fluiderabin oru rogathinu kaaranamakum.
sthiramaaya gurutharamaaya aagola encephalopathy. iphosphamide kaaranamakum
kadinamaaya encephalopathy (ennaal marunninte upayogam nirthukayum methylene blooyude upayogam aarambikkukayum cheythaal ithu thirichedukkaan kazhiyum). bevasisumab mattu aanti-vascular endothelial valarchaa ghadaka marunnukalum posteeriyar reversible encephalopathy syndrome undaakkum.
psychotropic marunnukalil ninnulla vishaamsham.
ellah chikitsa edapedalukalum gunangalum prathikoola falangalumulla eratta-vashangalulla vaalukalaanu, farmacotherapy oru apavaadamalla. parambaraagatha anticycotic marunnukal klinikkal praakteesil avatharippichathinu thottupinnaale, thaarathamyena apoorvavum ennaal gurutharamayathumaaya hyperthermia, peshikalude kaadinyam, svayambharana asthiratha, aswasthamaaya maanasikavastha ennivayulla sankeernathakal anticycotics upayogichu chikilsikkunna chila rogikalil vikasikkunnathayi amgeekarikkappettu. anticycoticsinte upayogam moolamundaakunna itharathilulla encephalopathy neuroleptic myaalignant syndrome (enms) ennu vilikkunnu, anticycotics nirddeshikkunna mikkavarum ellah doctormark eee prathikoola prathibhaasathekkurichu ippol ariyaam. psychotropic drugg theraappiyumaayi bandhapetta mattoru ariyappedunna tharam encephalopathy serotonin toxixity (ezz. tii) allengil serotonin syndrome (ezz. ezz) aanu, ithu autoonoomik, neuro muscular lakshanangalum maanasikaavasthayil maattam varuthukayum cheiyunnu. enn. emm. esinte vyathirikthamaya swabhaavathil ninnu vyathyasthamayi, serotonin-anubandha psychotropic ejantukal moolamundaakunna adhika serotonergic neural transmissionil ninnu uruthirinjathaayi karuthappedunna oru spectrum pathophysiological avasthayaanu ezz. tii. eee rund pathittaandukalil, maanasikarogikalaya rogikalkkulla psychotropic marunnukalulla farmacotherapy naadakeeyamaayi maattiyittund, koodaathe classical prototyple anticycotics aantidiprasantukalum yathaakramam asaadhaaranamaaya anticycotics selective serotonin reaptekku inhibittarukalum (ezz. ezz. aarr. aii. ezz) upayogichu maatti. puthuthayi vikasippichedutha eee psychotropic marunnukal saadhaaranayaayi pazhaya marunnukalekkaal surakshithavum sahikkaavunnathumaayavayaan. ennirunnaalum, asaadhaaranamaaya anticycotics enms vikasikkanulla apakadasaadhyathayil ninnu mukthamalla, koodaathe vishaadarogathinu mathramalla, uthkanda, bhakshanam, aavega niyanthranam, vyakthithva vaikalyangal thudangiya niravadhi maanasika roganirnayangalkkum ezz. ezz. aarr. aii. siyude spodanaathmaka vyaapanam nirddeshikkappedunnu. athinaal, eee rund rogalakshanaavasthakalum ippozhum kendra naadeevyavasthayude (cns) pravartthanatthil maattam varuthiya psychotropic marunnukalude pradhana prathikoola falangalaayi thudarunnu, saiko active marunnukal nirddeshikkunna ellah klinikkukalum shradhikkanam. ezz. ezz. aarr. aii. siyude janapreeti, chilappol uthkanda, prakopippikkal thudangiya sii. enn. ezz lakshanagal ulppedunna, nirthalaakkal syndrome anubavikkunna rogikalude cases reportukalum vardhippichu. eee adhyaayathil, psychotropic farmacotherapy bandhapetta cns pravartthanatthe badhikkunna mukalil soochippicha prathikoola phalangalekkurichulla samagramaya avalokanam rachayithaav nalkunnu. koodaathe, psychotropic marunnukal upayogichu chikilsikkunna manorogikalil encephalopathic lakshanangalkk kaaranamakunna mattu niravadhi rogalakshanangal, udha.jii.hyponetremia, vaalproyett-induced hyperammonaemia, corpus kalosathinte shanikamaaya pleanial shathangal ennivayum vivarikkappedunnu.
roganirnayam.
rakthaparisodhana, arakkett panchar (spinal tapp ennum ariyappedunnu) vazhi cerebrospinal fluid parisodhana, braine imaging padanangal, electroencephalogy (iii. iii. jii), neuro psychological parisodhana, samanamaaya diagnostic padanangal enniva encephalopathy vividha kaaranagal verthirichariyaan upayogikkaam.
roganirnayam palappozhum klinikkal aanu. athaayath, oru koottam parishodhanakalum roganirnayam nalkunnilla, ennaal nirddishtamallaatha parisodhanaa falangalulla rogathinte muzhuvan avatharanavum roganirnayathekkurichu parichayasambannanaaya clinisiane ariyikkunnu.
chikitsa.
encephalopathy tharavum kaadinyavum anusarichu chikitsa vyathyaasappedunnu. eathenkilum tharatthilulla apasmarangal kuraykkunnathino thadayunnathino aantikanvalsantukal nirddeshikkappedaam. bhakshanakramathilum poshaka supplementukalilum varuthunna mattangal chilare sahaayichekkam. kadinamaaya kesukalil, dialysis allengil avayava maattisthaapikkal sasthrakriya aavashyamaayi vannekkaam.
mastishka parikk, vittumaaraatha anubadhakal, strockukal, braine tumours enniva moolamundaakunna encephalopathy ullavaril prachodanam, cognision, motor prakadanam, jagrata enniva vardhippikkaan sahaanubhoothiyulla marunnukalkk kazhiyum.
chikilsikkaattha seliac rogam allengil noonn-seliac gluten censitivity moolamaanu encephalopathy undaakumbol, gluten rahita bhakshanakramam thalachorinu kedupaadukal sambhavikkunnath thadayukayum thalavedana mechappeduthukayum cheiyunnu.
pravachanam.
rogathinte adisthaana kaaranatthe chikilsikkunnathu lakshanagal mechappeduthukayo vipareethamaakkukayo cheythekkaam. ennirunnaalum, chila sandarbhangalil, encephalopathy sthiramaaya gadanaaparamaaya maattangalum thalachorinu maattaanaavaatha kedupaadukalum undakkaam. eee sthiramaaya kurravukal sthirathayulla demensiayude oru roopamaayi kanakkakkaam. chila encephalopathy rogangal maarakamaayekkaam.
padavali.
encephalopathy ennathu oru budhimuttulla padamaanu, kaaranam ithu oru rogatheyo kandethaleyo soochippikkaan upayogikkaam (i.iii., oru vyakthiyil nireekshikkaavunna adayaalam).
oru kandethaline paraamarshikkumbol, encephalopathy ennathu sthiramaaya (allengil degenerative) mastishka parikkineyo allengil reversible parikkineyo soochippikkunnu. thalachorinu nerittu parikkukal allengil thalachoril ninnu vidooramaaya asukham moolamaakaam ithu. oru clinisian oru vyakthiye encephalopathy ullathayi paraamarsikkaan kaaranamakunna vyakthigatha kandethalukalil boudhika vaikalyam, prakopam, aswasthatha, bhrant, ashayakkuzhappam, vishaadam, sthambicha avastha, cooma, psychosis enniva ulppedunnu. athinaal, oru vyakthiye encephalopathy klinikkal chithram ullathayi visheshippikkunnathu valare prathyekamaaya vivaranamalla.
oru rogathe paraamarshikkumbol, valare vyathyasthamaaya kaaranangalum roganirnayangalum prathyaaghaathangalumulla vaividhyamaarnna mastishka vaikalyangale encephalopathy soochippikkunnu. udaaharanathinu, transmissiable sponchiphom encephalopathic kaaranamakunna priyan rogangal ellaayppozhum maarakamaan, ennaal mattu encephalopathy rogangal thirichedukkaavunnavayaanna, poshakakkuravukalum vishavasthukkalum ulppede niravadhi kaaranagal undakam.

