Spazmofilii in children and adults - symptoms, treatment


1. causes of disease

2. Symptoms spazmofilii

3. diagnostic methods spazmofilii

4. Treatment spazmofilii

5. prevention ofdisease

spazmofilii (second name - tetanic syndrome) - a painful condition characterized by increased neuromuscular excitability, in which there are spasms of certain muscles groups, in particular limb muscles and larynx.From the biochemical point of view, this condition is caused by a decrease in the blood concentration of ionized calcium.It manifested the disease to a greater extent in children, but sometimes occurs in adults spazmofiliya.

spazmofilii children - a painful condition in which the first child's life (. 6-18 months) is inclined to spastic states and convulsions.Usually it is connected with the pathogenesis of rickets.It is noteworthy that children spazmofiliya largely affects boys.It is a disease with a seasonal manifestation, so quite often it manifests in early spring, during high insolation.

spazmofilii There are two types of ad

ults and children - latent (hidden) and explicit.More recently spazmofiliya children was very common disease, but now it is quite rare.This is explained by a decrease in the incidence of child population rickets.

Among the main symptoms spazmofilii be called acute attack of developing seizures with laringospazmom, unconsciousness, respiratory arrest.When such symptoms spazmofilii an urgent need to seek medical attention for the child immediate resuscitation.Provide emergency aid in this case should be prepared to the doctor of any specialization.Unfortunately, in severe forms of the disease, and failure to provide adequate medical treatment in rare cases, fatal able to finish.If tetany attack continues for a long time, the consequences can be a delay of mental development of children and damage to the central nervous system.


spazmofilii disease in adults and children develop on the background of acute hypocalcemia, combined with electrolyte imbalance and alkalosis, occurring due to rapid and sudden increase in the blood of the active metabolite of vitamin D. This condition can occur because of the simultaneous received signal is toohigh doses of vitamin D2 or D3, i.e.If you use "shock" therapy.

also causes of this situation can become a large exposition areas of bare skin in the spring sun, saturated with ultraviolet rays.In addition, the development of hypocalcemia may be due to a disorder of functions of the parathyroid glands, increased urinary excretion of calcium or decrease its absorption in the gut.The reason spazmofiliya development in adults and children may be a reduction in blood sodium, magnesium, chloride, vitamin B

Symptoms spazmofilii

most obvious symptoms are spazmofilii laryngospasm, karpopedalnye spasms and eclampsia, perhaps a combination of these manifestationstogether.If there is an acute laryngospasm, occurring rapidly narrowing the glottis.Pee this pale human skin, breaths become hoarse with difficult sounds and noisy exhalations.If there is complete closure of the glottis, the child turns blue, covered with cold sweat, trying to collect the air, frightened, may lose consciousness.Noisy breath occurs within a few seconds after a while breathing normal.If there is no adequate treatment spazmofilii, the laryngospasm attacks may become more frequent, in extreme cases, prolonged respiratory arrest can occur, and death.

Another symptom is spazmofilii karpopedalny spasm, which occurs when the tonic reduction of muscles of feet and hands.It begins abruptly, sometimes when changing a child can last a few seconds and just as suddenly stopped.After such an attack may occur foot swelling and brushes.

also pronounced spazmofilii symptoms are spasms of the eye muscles of chewing and with the development of strabismus.Extremely dangerous spasm of the respiratory muscles, which interferes with the breathing rhythm and muscle spasm of the heart, in which there is a probability of cardiac arrest.

Some types of the disease, particularly eclampsia, can manifest attack clonic-tonic convulsions, which cover all voluntary and involuntary muscle group.This may be loss of consciousness, spontaneous defecation and urination, the appearance of foam on his lips.

diagnostic methods spazmofilii

The diagnosis takes place to determine the clinical picture of the disease, identify excessive neuromuscular excitability, rapid onset of periodic spasms of certain muscles groups (facial, respiratory, laryngeal, skeletal).Confirmation of diagnosis is to identify the patient the presence of hypocalcemia, hyperphosphatemia combined with, alkalosis, and in violation of the electrolyte balance of blood.In addition, conduct laboratory tests, blood analysis with determination of biochemical parameters, EEG.

Treatment spazmofilii

If the patient had a sudden attack with clonic-tonic convulsions, loss of consciousness, laringospazmom and respiratory arrest, it requires immediate conduct emergency resuscitative measures:

  • carry out artificial respiration "mouth to mouth" or "mouth-to-nose";
  • begin to struggle with hypoxia by use of mask inhalation of 100% oxygen;
  • administered anticonvulsants, in particular 0.5% seduksen solution intravenously or intramuscularly, sometimes in language.This is the most effective drug, for children up to 3 is used at a dosage of at 0,3-0,5ml, babies up to 1 year - 0.5-1.0 ml, kids up to 5 years - 1.0-1.5 ml, under 10 years - 1.5-20 ml.The action of this drug instantaneous, but short, only about 30 minutes.This is a short time enables physicians to conduct basic research and to identify the origin of the seizures.

effective treatment in children are spazmofilii enema of 2% solution of warm (38 ° C) of chloral hydrate (20 ml).It helps intramuscularly administering 25% magnesium sulfate solution (0.2 mL / kg with 2 ml of 0.5% novocaine solution).

Prevention of disease

All measures of primary prevention of this disease are aimed at the prevention of its development, and conducting early diagnosis and effective, timely treatment of rickets.

secondary prevention activities are carried out in order to identify the latent form of the disease and of adequate therapy.In addition, within six months of the year, carried out poslepristupnoe spazmofilii anticonvulsant treatment, which consists in the treatment of barbiturate.Periodically check blood biochemistry, and from time to time to take calcium supplements.

In this disease prognosis in most cases favorable, if adequate treatment is carried spazmofilii and the causes of its development.In severe forms of the disease is extremely important to correctly organize secondary prevention, it will help to control the disease.


This article is available exclusively in the educational purposes and is not research material or professional medical advice.

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