Causes and Symptoms of Paresis
Paresis is a partial paralysis. In other words, it can be characterized as a certain impossibility of performing various actions and movements due to serious lesions of important central and peripheral nervous systems.
This disease specialists are divided into two large groups. The first is organic, when it is possible to pinpoint exactly why a particular nerve impulse does not always reach the muscle. The second group is functional, which is diagnosed by dangerous damage to the cortex. / P
The main types of paresis are nerve paresis, paresis of the extremities, larynx paresis and distal paresis. Dangerous nerve paresis is often a partial limitation of the action of the muscles of the human body, which occurs due to a specific part of it, when the muscles cease to perform the usual human functions. This serious disorder is associated mainly with disorders of the nervous system.
Another type of paresis of the limbs is usually triggered by a dangerous cerebral hemorrhage. It is considered a fairly common disease among the population of many countries. At least several million people are severely affected by such a partial loss of important limb functionality. In this case, if only one limb is immobilized, then monoparesis is diagnosed. Paraparesis is such an ailment when two hands or both legs are struck. With tetraparesis, both lower and upper extremities do not move well.
Laryngeal paresis is an incomplete paralysis of an extensive laryngeal cavity. You can divide this species into three small subspecies. Myopathic paresis is provoked by various inflammatory processes that are possible in the muscles, as well as by all kinds of pathologies of nerves, usually conducting pathways and even centers of brain activity. They include laryngitis and tuberculosis.
Neuropathic paresis occurs due to various changes in the central and peripheral nervous systems. Such serious changes in the CNS always occur due to hysteria, and in the peripheral due to the vagus nerve. These serious pathologies are often associated with injuries and other inflammations of the cervix or in the thoracic parts.
The distal paresis of the hands makes it impossible to perform multiple unconstrained movements. It is divided into two subgroups: central and peripheral. With this kind of disease the patient can not just squeeze his hand into a fist. Moreover, often with such an elementary compression, there is also an extension in the wrist joint of a sick person.
Causes of the paresis
p The main causes of the distal paresis are the birth trauma in the important area of the brachial plexus. Other causes are hemorrhages, strokes, tumors, long migraines, typical multiple sclerosis, significant lesions of the cerebral hemispheres of the upper cervical spinal cord and brain, and other injuries.
The causes of paresis of the larynx lie in polyethological pathology. often this type of disease develops and against the background of other infectious diseases. Often paresis of the larynx can be diagnosed with inflammatory diseases such as laryngotracheitis, typhoid fever. syphilis, botulism and syringomyelia.
The causes of paresis of the facial nerve are the presence of such ailments as herpes, influenza, rubella, adenoviruses, CMV and chicken pox. However, the relationship of these diseases to the paresis of the facial nerve has not been fully proven. In most cases of paresis of limbs, various traumas and accidents can be the causes.
Symptoms of the paresis
Progressive increase in muscle tone can be attributed to the main symptoms of the disease. It can also be noted a serious violation of reflexes and hyperreflexia. In this case, the clinical picture of typical larynx paresis is based on various violations of the voice, as well as breathing disorders. One can note its main manifestations of a decrease in the sonority of the voice, loss of the voice of the voice, whispering speech, hoarseness, hoarseness and rattling of the voice. In addition, an important symptom is fatigue with insignificant voice loads.
With paresis of the limbs, there is not only an increase in muscle tone, but also a significant violation of reflexes, and hyperreflexia is also noted. With paresis of the facial nerve, there is a strong soreness and a rather unpleasant sensation. Asymmetric or partial immobility of the face are the main signs of this type of disease. It is difficult for a patient to simply smile and he experiences enormous difficulties in a normal conversation.
In case of paresis of the larynx, serious breathing disorders are noticeable, as it is difficult for air to enter the patient’s airways. In some patients, dangerous asphyxia occurs. Typical myopathic paresis of the larynx with a dangerous bilateral lesion is manifested by significant disorders of phonation. In neuropathic paresis of the larynx, weaknesses in the beginning of the muscle are often noted, as well as an expanding voice gap, irritability, sleep disorders and fatigue are inherent in all types of paresis. / h 3
When diagnosing paresis, it is usually necessary to involve such specialists as psychoneurologists, otolaryngologists, neurosurgeons, psychiatrists and pulmonologists. When diagnosing this disease, an important role is played by careful collection of anamnesis, and also revealing the propensity of each individual patient to typical psychogenic reactions.
In most cases, a modern examination of patients with larynx paresis is always performed with a microlaringoscopy. Mandatory radiography and CT of the larynx are also performed. Then, evaluation of neuromuscular transmission and muscle contractility is necessary. Diagnosis of paresis of the facial nerve is almost always specific and there are no questions, the analysis of concomitant injuries gives the necessary accuracy. You can perform an X-ray examination to confirm the diagnosis.
When diagnosing extremities, experts always take into account the spread of existing muscle weakness and its localization. / H Healing
Usually the primary manifestation of a paresis is always considered a certain discomfort in the muscles. In the absence of the necessary treatment, it is possible that such a serious disease as paresis will develop into complete paralysis. In most cases, in places of partial immobility, patients experience severe pain. Moreover, if the disease is accompanied by other acute diseases, then its development occurs rather quickly, on the basis of what the treatment is prescribed.
The main treatment usually consists in the initial identification and further elimination of the main cause of the disease. Often, various pathologies grow into paresis. When strokes are always effective, special restorative therapy. With injuries and other injuries, specialists conduct inevitable stitching of the peripheral nerves. If there are tumors or other tumors that exert significant pressure on the nerves, then operations for their mandatory removal are prescribed.
Among other things, special massage courses are often shown that are designed to help support muscles in tonus, since they can be atrophied from permanent partial immobility. In the treatment of various types of paresis, the strength of the will of each patient and its determination is of no small importance. The patient should desire to recover to activate the body’s internal forces.
The main prevention of paresis is the normalization of the load after restoration of muscle functions. It is also recommended to avoid hypothermia. At paresis of the larynx it is necessary to exclude prolonged stay of the person in dusty premises. To completely eliminate relapses, it is necessary to be protected especially at the first time from various infectious diseases and various neuroses.