pharyngeal muscle spasm
Introduction
Brief introduction of pharyngeal muscle The pharyngeal muscle spasm, also known as the sacral myoclonus, is a rare disease that is a rhythmic contraction movement of the soft palate or the pharyngeal muscles. It can be confined to one or several sites at the same time, mostly bilateral. symmetry. No effective precautions. The central person invites internal medicine and neurology to cooperate in diagnosis and treatment. Patients with peripheral paralysis can be treated with anticholinergic enzymes or neurostimulants, vitamins, and acupuncture treatment. Patients with pharyngeal muscle spasm who cannot eat or have aspiration should insert a nasogastric tube. The disease is mostly caused by central brain stem disease, such as brain stem vascular embolism, tumor, pons cerebellar disease, medullary cavity, diffuse cerebral arteriosclerosis, etc. It is also believed that rickets can be the cause of this, which promotes the onset of diaphragmatic hernia. The mechanism of myoclonus is not clear, and the lesions are mostly in the brain stem, especially in the lower olive region. The reticular formation under the brain stem has a certain effect on the occurrence of myoclonus. basic knowledge The proportion of illness: 0.003% Susceptible people: no special people Mode of infection: non-infectious Complications: tinnitus
Cause
Cause of pharyngeal muscle spasm
Cause of the disease (75%):
Mostly caused by central brain stem disease, such as brain stem vascular embolism, tumor, pons cerebellar disease, medullary cavity, diffuse cerebral arteriosclerosis, etc., some people think that rickets can be the cause, promote the onset of diaphragmatic hernia, muscle The mechanism of clonic development is not clear, and the lesions are mostly in the brain stem, especially in the lower olive region. The reticular formation under the brain stem has a certain effect on the occurrence of myoclonus.
Prevention
Pharyngeal spasm prevention
1. Smoking banned alcohol: It is the primary measure to prevent throat cancer. The smoke is the hottest leader. The wine is the hottest and hottest. Smoking and drinking are extremely harmful to the pharynx.
Second, light diet: Where the ginger pepper mustard and all the spicy hot things will hurt the mucous membrane of the throat, should avoid eating these spicy and fried foods, eat more fruits and vegetables containing vitamin C.
Third, pay attention to oral hygiene: pay attention to personal hygiene, wash hands frequently. In the morning and evening, you can use a light salt water to rinse your mouth. After you rinse your mouth, you can drink a cup of light salt water to clean and moisten the throat, improve the throat environment and prevent bacterial infection.
Fourth, strengthen exercise: usually participate in physical exercise is also one of the measures to prevent throat cancer, enhance the body's defense capabilities, because the body's immunity and throat resistance is the most likely to cause repeated attacks of throat disease.
Fifth, keep the indoor air fresh: In the air-conditioning environment, always open the window to ventilate, put the basin water indoors, increase the humidity. At the same time, avoid inhaling dust, smoke, and irritating gases. If working in a dusty environment, wear a mask for protection.
Complication
Pharyngeal spasm complications Complications, tinnitus
The contraction of the pharyngeal muscle causes the soft palate to move up and down, causing the eustachian tube to open and close. There is a sensation of tinnitus. The myoclonus is not affected by the pulse, and the breathing can temporarily suppress the clonic sputum during swallowing or hair.
Symptom
Pharyngeal spasm symptoms common symptoms myoclonic pharyngeal muscle dyskinesia tinnitus
According to the patient's symptoms and the examination of the throat, a certain muscle fibrillation can be seen. The diagnosis is not difficult, but it should be differentiated from the pulsation of the vascular lesion and other neuropathy.
More common in adults, slow onset, myoclonus is intermittent, involuntary and rhythmic contraction exercise, dozens of times per minute to more than 100 times, patients and others can hear the creaking, soft palate, throat, The contraction of the mouth, the diaphragm and other diseases is bilateral, but the sternocleidomastoid and facial muscles are unilateral. The contraction of the pharyngeal muscle causes the soft palate to move up and down, causing the eustachian tube to open and close. The clumps are not affected by the pulse and the breathing, and can temporarily suppress the clumps when swallowing or licking.
Examine
Examination of pharyngeal spasm
Check the throat to see some muscle formation
1. Light the light on the patient's lips, lick the patient's mouth, pay attention to the lips and mouth, including the tongue, teeth, gums, oral mucosa, bottom of the mouth, hard palate, cheeks and parotid opening.
2. Use the tongue depressor to gently press the front 2/3 of the tongue to see the oropharynx. If the pharyngeal reflex is strong, it can be anesthetized with tetracaine solution.
3. When the patient sends a "ah" sound soft sputum lift, observe the sacral palpebral, soft palate, lingual arch, pharyngeal arch, posterior pharyngeal wall, pharyngeal sidewall, observe the mucosa with or without congestion, ulcers, new organisms, posterior pharyngeal wall Or the pharyngeal wall bulge should exclude abscesses or tumors, pay attention to the volume and shape of the tonsils, whether the surface is moist and whether there are spots, keratin or exudate.
4. If the proliferator is examined, the examiner stands at the right rear of the child, fixes the head of the child with the left hand and the left forearm, and then pushes the soft tissue of the left cheek of the child into the upper and lower dentition with the left hand indicator. Zhang mouth, but be careful not to be bitten; use the right hand to extend into the nasopharynx, check for proliferative hypertrophy or lateral image of the nasopharynx, to understand the degree of adenoid hypertrophy and nasopharyngeal airway.
Diagnosis
Diagnosis and differentiation of pharyngeal tendon
It should be differentiated from the pulsation of vascular lesions and other neuropathy. It is not difficult to diagnose according to the symptoms of the patient and the examination of the throat. However, it should be differentiated from the pulsation of vascular lesions and other neuropathy. Acupuncture treatment can be performed for the cause. Acupuncture points such as Lianquan, Tianding, Renying, Taichong and Hegu have certain effects.
