Viete, čo je to Syndróm cudzej ruky, ako vzniká a dá sa liečiť?

Napísal Kristína Chudá 08. február 2021

Mimozemská či anarchická ruka je jedným z najzaujímavejších fenoménov v neurológii. Je to medicínska kuriozita? Určite. Ale tiež nekončiaci strach o vlastný život, ktorým v súčasnosti trpí niekoľko stoviek pacientov po celom svete.

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Jedna ruka nevie, čo robí druhá?

Kto im ide po krku? Oni sami, respektíve ich vlastná ruka. Takzvaný syndróm cudzej ruky sa však neobmedzuje len na horné končatiny, môže postihnúť aj nohy. A čo zmôžete, keď sa vaša končatina rozhodne, že s vami teraz spolupracovať nebude? Nič!

Syndróm cudzej ruky je zriedkavý neurologický stav, ktorý spôsobuje, že jedna ruka koná na základe vlastnej slobodnej vôle. Pri syndróme mimozemskej ruky nie je ruka pod kontrolou mysle a pohybuje sa akoby mala svoju vlastnú myseľ. Postihnutá ruka sa počas týchto „záchvatov“ cíti cudzia a tak svojho majiteľa vôbec nepočúva a „žije si svoji  životom“. Tento syndróm postihuje ako deti, tak aj dospelých. Niekedy sa tento syndróm nazýva aj Strangelovianova ruka alebo anarchická ruka.

Prečo tento syndróm vzniká?

Syndróm cudzej ruky môže byť spôsobený niekoľkými faktormi. U niektorých ľudí sa rozvíja syndróm mimozemskej ruky po mozgovej porážke, traume alebo nádore. Niekedy je spojený aj s rakovinou, neurodegeneratívnymi ochoreniami a mozgovými aneuryzmami.

Skenovanie mozgu ukazuje, že ľudia so syndrómom mimozemských rúk majú izolované aktivity v oblasti kontralaterálnej primárnej motoriky. Predpokladá sa, že je to spôsobené léziami alebo poškodením mozgovej kôry. Odpoveď sa rozhodne skrýva v mozgu, niekde na predele oboch hemisfér. Isté indície prichádzajú od epileptikov, psychotikov a pacientov s neuro-degeneratívnymi ochoreniami. A tiež od tých, ktorí utrpeli poškodenie čelných lalokov mozgu, napríklad pri autonehode.

Aké sú príznaky?

Najvýznamnejším príznakom syndrómu mimozemskej ruky je neschopnosť ovládať ruku, ktorá koná nezávisle. Postihnutá ruka sa môže pohybovať a vykonávať úlohy a akcie zamerané na cieľ. O ruke sa hovorí, že sa pohybuje bez kognitívnej kontroly alebo vedomia. Je to, akoby ju ovládal niekto iný.

Ruka sa môže dotýkať tváre, zapínať košeľu alebo zbierať predmety, niekedy opakovane alebo nutkavo. Ruka sa môže zapojiť aj do protichodných akcií, ako je zatvorenie zásuvky, ktorú druhá ruka práve otvorila, alebo rozopnutie košele, ktorú ste práve zapli. Cudzia ruka nespolupracuje a môže vykonávať nesprávne činnosti.

Ľudia so syndrómom mimozemských rúk môžu cítiť, že ruka alebo končatina je cudzia a nepatri k telu. Ľudia, ktorí poruchou trpia, sa zvyčajne boja zaspať. Vo fáze nevedomia si totiž neposedná končatina robí, čo chce, častejšie. „Škriabe vás, trhá obliečky či vytrháva výplň z matraca. ," hovorí Sergio Della Sala, neuropsychológ z Univerzity v Aberdeene. A opisuje prípad svojho pacienta: „Sedel pri večeri a vyberal z ryby na tanieri kosti. Jeho anarchická ruka mu ich samovoľne začala pchať do úst. Výsledkom bol súboj o nadvládu nad vlastným telom."

Diagnostika

Lekár môže diagnostikovať syndróm mimozemských rúk prostredníctvom pozorovania a hodnotenia. Diagnostika syndrómu anarchickej ruky je komplikovaná, pretože je to neurologické ochorenie, ktoré nemá psychiatrickú zložku.

Možnosti liečby

Neexistuje žiadny liek na syndróm mimozemskej ruky. Farmakologické možnosti syndrómu mimozemskej ruky nie sú vyvinuté, ale vedci pracujú na liečbe a na zmiernení príznakov. Ľudia, ktorí majú syndróm cudzej ruky po mozgovej príhode sa môžu po určitom čase zotaviť. Zotavenie je však menej úspešné u ľudí s neurodegeneratívnymi chorobami.

Tento syndróm môže byť liečený pomocou terapií svalovej kontroly. Terapia zrkadlom, kognitívna terapia a behaviorálne terapie môžu pomôcť zvládnuť príznaky. Niekedy sa jedinec pokúsi zadržať svoju mimozemskú ruku tak, že ju drží medzi nohami alebo sedí na nej. Niektorí ľudia môžu považovať za užitočné držať objekt v mimozemskej ruke, aby jej zabránili vo vykonávaní neželaných akcií.

Taktiež môže pomôcť, ak dáte ruke ústny príkaz. Táto metóda však nemusí priniesť dlhodobé výsledky. Lekár môže odporučiť fyzickú a pracovnú terapiu.

Život s „cudzou“ rukou je zložitý a aj keď je to ochorenie na celý život, človek s touto diagnózou sa musí naučiť očakávať neočakávané.  S týmto ochorením môžu vznikať priam bizárne situácie, no ak sa nejadná o situáciu ohrozujúcu život, najlepším liekom je, ak budete všakovaké situácie brať s humorom.


https://www.healthline.com/health/alien-hand-syndrome#diagnosis

https://thepsychologist.bps.org.uk/volume-18/edition-10/anarchic-hand

26 komentárov

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    Insulin resistance and diminished glucose tolerance in powerlifters ingesting anabolic steroids.
    In this occasion, customers may also expertise water retention and bloating, which Anavar doesn't trigger, plus heightened anabolic effects.
    If a person’s body fats percentage appears to have increased
    on Anavar and so they have not been overeating, then the active substance
    may be Dianabol.
    Nonetheless, it's necessary to strategy this combination with
    warning and beneath the steerage of a healthcare professional.
    The use of Anavar, like all anabolic steroid, can carry potential dangers and
    unwanted effects, together with liver toxicity, cardiovascular points, and hormone imbalances.
    Moreover, Oxandrolone has been found to boost vascularity, giving muscles a extra
    prominent and pronounced appearance. By increasing pink blood cell manufacturing and
    improving blood circulate, the steroid contributes to the visibility of veins, adding an additional degree of element
    and aesthetic enchantment to the sculpted physique.
    This elevated vascularity not solely enhances the visual aspect but additionally signifies
    improved nutrient and oxygen supply to the muscles during exercises,
    aiding in efficiency and restoration.
    Athletes, bodybuilders, and fitness fanatics regularly use Anavar due to its many advantages.
    Discover right here its major advantages and the
    way they could help you attain your health aims and enhance your bodily performance.
    His performance on the sphere skyrocketed, and he achieved private bests in his chosen sport.

    Consequently anavar grew to become very difficult to get
    hold of during and as with all scarce merchandise it pushed
    the value up high (resulting in less folks consuming the
    drug). Like with different anabolic steroids, Anavar is illegal in most international locations, until you've a prescription out of your doctor.

    Ladies sometimes take Anavar at a low dose of 5-10mg per day, keeping cycles quick (4-6 weeks) to
    minimize unwanted aspect effects. Nevertheless, cholesterol levels do not sometimes rise to excessive ranges in women, as a outcome of their natural
    testosterone manufacturing initially being decrease than that of a man.
    Key secondary endpoints embrace objective response price (ORR) and total survival (OS).
    Sixty-two % of patients received prior bevacizumab; 55% obtained a previous PARP
    inhibitor. All The Time verify the prescription necessities
    and search for authorized alternatives. Anything that goes above 100 mg is very dangerous and could be
    categorized as a excessive dose.
    Since everyone’s body responds in another way to substances, it may take some
    trial and error to search out the proper stability. Usually,
    for male customers, a every day dosage falls within the
    vary of 30 to 80 mg. Going above this instructed vary
    might improve the chances of undesirable side effects.
    Importantly, taking a better dose does not necessarily correlate to more important features and can put further stress on the user’s system.
    Common use of any performance-enhancing substance
    can result in dependency, each bodily and psychologically.

    Users might discover it difficult to take care of their physique or performance levels without Anavar once they begin utilizing it.


    During this initial period, you could experience a surge
    in both power and endurance, coupled with some preliminary
    positive aspects in lean muscle mass. As you progress
    via the preliminary weeks of the cycle, you may begin to observe refined modifications.

    Strength and endurance levels might enhance, and your exercise sessions may turn into extra productive.

    An increase in lean muscle tissue may start to surface, significantly as you approach mid-cycle.
    This growth, nonetheless, wouldn’t necessarily translate into extreme body weight acquire due to
    Anavar’s lean mass gain properties.
    Anavar is often deemed as a more appropriate selection for ladies, primarily because of its delicate androgenic effects.
    Female athletes and bodybuilders find it to be effective in rising lean muscle
    mass without the chance of adverse side effects
    such as virilization – the development of male bodily traits in girls.
    It is important to notice that using acceptable dosages and carefully monitoring the usage
    can mitigate these dangers.

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