Ðe wò abɔwo kple kɔ ƒe lãmekawo ʋuʋuna le mɔ si dzi womate ŋu aɖu o nua? Mina míaƒo nu tso Focal Dystonia ŋu!

Ðe nèse le ɖokuiwò me kpɔ be ne èdze nane ŋɔŋlɔ gɔme la, kasia wò asibidɛwo tea ʋuʋu alo ʋuʋua? Alo ne èle haƒonu aɖe ƒom abe gita ene la, ɖe nèsena le ɖokuiwò me abe ɖe wò asibidɛwo le ʋuʋum alo le ʋuʋum zi ɖeka màte ŋu aɖu wo dzi oa? Ðewohĩ wò kɔ aƒo ɖe akpa ɖeka zi ɖeka, alo wò gbe atrɔ alo aʋuʋu ne èle nu ƒom? Menye nusiwo dzɔna le vome koe esiawo nye o. Nu siawo ate ŋu anye nɔnɔme aɖe si woyɔna be Focal Dystonia ƒe dzesiwo . Togbɔ be ŋkɔa aɖi vɔvɔ̃ vie hã la, egbea míaƒo nu tso esia ŋu le mɔ bɔbɔe aɖe si gɔme nàte ŋu ase nu.

Nukae Nye Focal Dystonia?

Kpuie ko la, focal dystonia nye ahɔhɔ̃mekawo ƒe dɔléle. Le nɔnɔme sia me la, lãmeka siwo le wò ŋutilã ƒe akpa aɖe koŋ la dzea ƒoƒo gɔme le wo ɖokui si, eye màte ŋu aɖu wo dzi o. Ne míagblɔe bubui la, lãmekaawo dzea ƒoƒo gɔme evɔ mèdi o. Nya "focal" gɔmee nye "localized." Esia fia be nɔnɔmea le teƒe ɖeka ko, ke menye be wòagblẽ nu le ŋutilã bliboa ŋu o.

Esia ate ŋu akpɔ ŋusẽ ɖe lãmeka siwo le wò kɔ me (cervical dystonia alo spasmodic torticollis), wò ŋkuwo (blepharospasm), wò aɖu (oromandibular dystonia), alo wò gbeɖiɖikawo (laryngeal dystonia alo spasmodic dysphonia) dzi. Focal dystonia ate ŋu agblẽ nu le wò asi ƒe akpa aɖewo abe wò asibidɛ, asibidɛ, kple asibidɛwo ene hã ŋu.

Dystonia nye nya si wozãna na ahɔhɔ̃mekawo ƒe dɔléle siwo hea lãmekawo ƒe tete si dzi womeɖu o vɛ. Focal dystonia nye dystonia ƒomevi ɖeka.

Nukae nye Dɔdasi tɔxɛ ƒe Focal Dystonia?

Esia hã ku ɖe nya aɖe koŋ ŋu ŋutɔ. Le ame aɖewo gome la, ne wole dɔ aɖe koŋ wɔm ko hafi Focal Dystonia ƒe nɔnɔme sia dzɔna. Eyae nye be wonɔa nyuie ɣebubuɣiwo, gake ne wodze dɔ ma wɔwɔ gɔme ko hafi wodzea ʋuʋu gɔme eye womegate ŋu ɖua wo dzi o. Esiae nye nusi míeyɔna be Task-specific Focal Dystonia .

Bu kpɔɖeŋu siawo tɔgbe ŋu kpɔ:

• Agbalẽŋlɔla ƒe ʋuʋudedi: Ðewohĩ èse esia ŋu nya kpɔ. Ne èyi edzi le nu ŋlɔm, alo ne èle dodokpɔ wɔm la, wò asi kple asibidɛwo ƒe lãmekawo me sẽna zi ɖeka, si wɔnɛ be màte ŋu aŋlɔ nu o. Ame aɖewo mete ŋu léa nuŋlɔti gɔ̃ hã nyuie o.
• Hadzila ƒe dystonia: Esia ate ŋu agblẽ nu le amesiwo ƒoa haƒonuwo abe gita, violin, kple piano ene ŋu. Kasia lãmeka siwo le asiwo kple asibidɛwo me la me sẽna, woʋuʋuna, eye womete ŋu ƒoa toŋtoŋawo o. Amesiwo ƒoa akɔbli alo atiƒomɔ̃wo hã ate ŋu akpɔ kuxiwo le nuyi, aɖu, alo aɖe ƒe lãmekawo ŋu (embouchure dystonia).
• Nɔnɔme siwo dzɔna le fefewɔlawo me ("the yips"): Míaƒo nu tso esia ŋu vie.

Task-specific focal dystonia dzena zi geɖe le amesiwo wɔa dɔ alo modzakaɖeɖe siwo bia be woawɔ dɔ nyuie ƒe ŋutete geɖe me. Le kpɔɖeŋu me, tenisƒolawo, ɖawɔlawo, kple nutalawo.

Vovototo kae le Focal Dystonia kple Carpal Tunnel Syndrome dome?

Ɣeaɖewoɣi la, nɔnɔme eve siawo ƒe dzesiwo ate ŋu asɔ vie, si ate ŋu ana ame natɔtɔ. Gake nusiwo hea nɔnɔme eve siawo vɛ la to vovo kura.

Kuxi aɖe si le wò ahɔhɔ̃ kple lãmekawo dome kadodo ŋu gbɔe focal dystonia tsona . Eyae nye be kuxi aɖe le dzesi siwo tso ahɔhɔ̃a me yia lãmekawo me la ŋu.

Gake Carpal Tunnel Syndrome nye dɔléle si dzɔna ne lãmeka (lãmeka si le titina) si to asibidɛa me la te ɖe eŋu. Zi geɖe la, asi ʋuʋu enuenu (zazã fũu akpa) alo kuxi bubu siwo le lãmekaa ŋu gbɔe esia tsona.

Eyata togbɔ be dzesiawo ɖi wo nɔewo hã la, nusi gbɔ wòtso la to vovo, eyata atikewɔwɔa to vovo. Esia tae wòle vevie ŋutɔ be woakpɔ dɔlélea nyuie.

Nukae nye "yips-awo"?

"The yips" nye ŋkɔ si wotsɔ na nɔnɔme si ŋu míeƒo nu tsoe va yi, Task-specific Focal Dystonia, si gblẽa nu le kamedefefewɔlawo ŋu, vevietɔ amesiwo ƒoa kamedefefe siwo hiã asi alo asibidɛ zazã geɖe . Tsɔe be ne kriket-ƒola aɖe le bɔl ƒom alo le bɔl ƒom, alo ne golf-ƒola aɖe le bɔl ƒom la, kasia megate ŋu ɖua eƒe asi dzi o, eʋuʋuna, eye mete ŋu wɔa dɔa nyuie o. Emae nye nusi míeyɔna be "yips-awo." Esia bɔ ɖe golf-ƒolawo kple baseball-ƒolawo dome.

Amekae ate ŋu axɔ Focal Dystonia wu?

Togbɔ be nɔnɔme sia ate ŋu adze ame sia ame dzi hã la, ebɔ ɖe ame tsitsi siwo xɔ tso ƒe 40 va ɖo ƒe 60. Numekukuwo ɖee fia hã be nyɔnuwo ate ŋu axɔ focal dystonia abe zi gbɔ zi etɔ̃ ene wu ŋutsuwo.

Aleke gbegbee nɔnɔme sia bɔe?

Dystonia nye ʋuʋu ƒe dɔléle si bɔ vie, gake nɔnɔme sia koŋ, si woyɔna be focal dystonia, mebɔ vie o. Le kpɔɖeŋu me, le United States la, edzea ame siwo ade etɔ̃ le akpe ewo ɖesiaɖe me dzi.

Nukae hea focal dystonia vɛ?

Le nyateƒe me la, ɖɔktawo mete ŋu de dzesi nusi tututu gbɔ focal dystonia tsona kokoko o. Woyɔe be ``idiopathic.'' Ema fia be womenya nusi tututu gbɔ wòtso o.

Gake, míenya be nɔnɔme sia dzɔnaEsi wò ahɔhɔ̃ kple lãmekawo mele kadodo me nyuie o tae. Nuto aɖe si le ahɔhɔ̃a me goglo si woyɔna be ``Basal Ganglia'' kpena ɖe lãmekawo ƒe ʋuʋu ŋu. Wosusu be tɔtrɔ aɖewo le nuto sia ƒe dɔwɔwɔ me.

Ɣeaɖewoɣi la, focal dystonia ƒe dzesi siawo ate ŋu ado mo ɖa ne ame ƒe nɔnɔmewo trɔ, abe kamedefefewɔla, agbalẽŋlɔla, alo hadzila ene. Le kpɔɖeŋu me:

• Wò aɖaŋua tɔtrɔ le ahɔhɔ̃mekawo ƒe abixɔxɔ vɔ megbe.
• Kamedefefe alo haƒonu yeye aɖe sɔsrɔ̃.
• Hehexɔxɔ, fefewɔwɔ, alo hoʋiʋli geɖe me nɔnɔ wu alesi wònɔna ɖaa.

Togbɔ be numekulawo meɖo kpe domenyiŋusẽfianu ƒe kadodo aɖe dzi keŋkeŋ haɖe o hã la, wokpɔe be ame siwo ade ɖeka le ame 10 ɖesiaɖe siwo ŋu focal dystonia xɔna la ƒe ƒome ŋutinya me dɔlélea le.

Nukae hea "yips" la vɛ?

Ame aɖewo susuna be golf ƒolawo xɔa "yips" la le dɔwɔwɔ ƒe dzimaɖitsitsi ta. Eyae nye hoʋiʋli ƒe nyaƒoɖeamenu kple vɔvɔ̃. Ema ate ŋu anye susuawo dometɔ ɖeka. Ke hã, "yips" ateŋu atso nɔnɔme si mesɔ o alo ezazã fũu akpa hã gbɔ.

Azɔ hã, amesiwo ŋu lãmesẽkuxi aɖewo le la ate ŋu akpɔ "yips" la wu:

• Ahɔhɔ̃mekawo ƒe Dɔléle
• Lãmetsiŋusẽ ƒe Dɔléle si woyɔna be Multiple Sclerosis

Nukawoe nye dzesiawo?

Focal dystonia ƒe dzesiwo ate ŋu ato vovo le ŋutilã ƒe akpa si ŋu wògblẽ nu le nu. Zi geɖe la, dzesi gbãtɔ ate ŋu anye lãmekawo ƒe dɔwɔwɔ ɖekae ƒe bu vie. Le kpɔɖeŋu me, ne wò asiwo gblẽ la, àte ŋu atsɔ nuwo aƒu gbe enuenu. Ne wò nu gblẽ la, àte ŋu akpɔ aɖuɖɔ geɖe wu ne èle nu ɖum alo le nu nom.

Le ɣeyiɣi aɖe megbe la, focal dystonia ate ŋu ahe lãmekawo ƒe dzesi siwo nu sẽ wu vɛ:

• Lãmetsiwo ƒe ʋuʋu alo lãmekawo ƒe ʋuʋu.
• Lãmetsiwo ƒe vevesese.
• Lãmetsiwo ƒe ʋuʋu alo ʋuʋu (Twitches - myoclonus).
• Ŋutilã ƒe akpa si ŋu dɔlélea le ƒe tenɔnɔ si mesɔ o. Le kpɔɖeŋu me, woate ŋu akɔ kɔa ɖe axa ɖeka.

Tsɔ kpe ɖe dzesi vevi siawo ŋu la, amesiwo ŋu focal dystonia le ate ŋu akpɔ dzesi evelia hã . Susu kple ŋutilã me nuteɖeamedzi si nɔnɔmea hena vɛ gbɔe nusiawo tsona. Esiawo medo ƒome kple lãmekawo tẽ o. Dzesi mawo dometɔ aɖewoe nye:

• Nukpɔkpɔ si me mekɔ o.
• Teteɖeanyi.
• Alɔ̃dɔdɔ sesẽ.
• Ðeɖiteameŋu si gbɔ eme.
• Seselelãme ƒe tɔtrɔ kpata (nɔnɔme ƒe tɔtrɔ).
• Dzikudodo kpui aɖe.
• Kuxi le susu tsɔtsɔ ɖe nu ŋu.

Focal dystonia ƒe dzesiwo ate ŋu agblẽ ɖe edzi le ɣeyiɣi aɖe megbe, emegbe woali ke le agbɔsɔsɔ aɖe me eye woagadzɔ ake. Gake le ame aɖewo gome la, nɔnɔmea ate ŋu adzudzɔ gbegblẽ kura.

Aleke nèwɔna dea dzesi esia?

Be nànya focal dystonia la, wò ɖɔkta abia wò dzesiwo, wò atikewɔwɔ ŋutinya, eye wòado ŋutilã ƒe akpa si ŋu wògblẽ nu le la kpɔ.

Ne èle dɔléle aɖe dim la, wò ɖɔkta adze agbagba be yeaɖe nɔnɔme bubu siwo hea dzesi mawo tɔgbe vɛ (abe abi siwo woxɔna le zazã fũu akpa ene) ɖa. Ðewohĩ dodokpɔwo abe esiawo ene hã anɔ asiwò:

• Ʋudodokpɔ: Kpɔe ɖa be dɔlékuiwo alo atikewɔwɔ me nɔnɔme bubuwo hã le ŋuwò hã.
• CT scan alo MRI scan: Be woadi dɔdzẽ alo tsitsi bubu siwo mesɔ o le ahɔhɔ̃a me alo le ŋutilã ƒe akpa si ŋu dɔlélea le gbɔ.
• Electromyogram (EMG): Doa alesi wò lãmekawo wɔa elektrikŋusẽ ƒe dzesiwo ŋudɔe kpɔna. Esia ate ŋu ana nàkpɔ alesi wò lãmekawo kple lãmekawo le dɔ wɔme.

Aleke wowɔa atike nɛ?

Nublanuitɔe la, atike aɖeke meli na focal dystonia o. Gake atikewɔmɔnu siwo li ate ŋu akpe ɖe ame ŋu be lãmekawo ƒe ʋuʋu dzi naɖe akpɔtɔ eye nɔnɔmea nagagblẽ ɖe edzi o. Atikewɔwɔ na focal dystonia ate ŋu anye:

• Agbenɔnɔ ƒe tɔtrɔ: Ɣeaɖewoɣi la, tɔtrɔ le alesi nèsena le ɖokuiwò me le wò dɔwɔɣi ate ŋu akpe ɖe wò ahɔhɔ̃ ŋu wòawɔ dɔ tso ʋuʋu ŋu eye matɔtɔ boo aɖeke o. Le kpɔɖeŋu me, violinƒola ate ŋu akpɔ lãmekawo ƒe ʋuʋu vie ne edo asigɛ. Agbalẽŋlɔla ate ŋu akpɔ dzesi ʋɛ aɖewo ne etrɔ alesi wòléa eƒe nuŋlɔti ɖe asi. Àte ŋu awɔ kamedede alo kamedede tɔxɛ aɖewo hã be nàtsɔ akpɔ vevesesea gbɔ.
• Atikewo:
• Anticholinergics , abe Trihexyphenidyl (Artane®) ene, kpena ɖe ame ŋu be woaxe mɔ na lãmekawo ƒe dzesi siwo nana lãmekawo ʋuʋuna.
• Wozãa Vesicular Monoamine Transporter 2 (VMAT2) inhibitors , abe Tetrabenazine (Xenazine®) ene, tsɔ trɔa ahɔhɔ̃meka siwo gblẽa nu le wò lãmekawo kple lãmekawo ŋu.
• Le go aɖewo me la, atike si nye `(Carbidopa/Levodopa (Sinemet))` hã ​​ateŋu aɖe dzesiawo dzi akpɔtɔ.
• Woate ŋu azã lãmekawo ƒe dziɖeɖitikewo, le kpɔɖeŋu me, Baclofen alo benzodiazepines (Clonazepam) hã.
• Atike siwo wodona: Botulinum Toxin (Botox®) .Atikewo dodo nye atike si wozãna na dystonia si bɔ. Ðewohĩ èse be wozãa wo tsɔ wɔa atsyɔ̃ɖonuwoe, gake wowɔa dɔ ŋutɔ le lãmekawo ƒe kuxiwo hã me. Ðɔktawo doa atike la ɖe lãmeka si ŋu dɔlélea le la me tẽ. Atikea xea mɔ na dzesi siwo tso ahɔhɔ̃a me siwo nana lãmekaa ʋuʋuna hena ɣeyiɣi aɖe. Ele be ame akpa gãtɔ nado atike la abe ɣleti etɔ̃ ɖesiaɖe ene.
• Amekoko: Ƒã ŋutɔ la, wò ɖɔkta ate ŋu aɖo aɖaŋu be nàwɔ dɔ na wò.
• Deep Brain Stimulation (DBS): Esia bia be woatsɔ elektrikŋusẽnamɔ̃wo ade teƒe aɖewo koŋ le ahɔhɔ̃a me. Mɔ̃ sue siawo kpɔa dzesi siwo nana lãmekawo ƒoa ƒu la dzi.
• Selective denervation surgery: Le esia me la, woɖea lãmeka siwo nana lãmekawo ʋuʋuna la ɖa alo ɖea wo ɖa.

Aleke nàwɔ axe mɔ ɖe esia nu?

Abe alesi míeƒo nu tso eŋu va yi ene la, womenya nusi tututu gbɔ focal dystonia tsona o, eyata mɔ aɖeke meli si dzi woato aka ɖe edzi be woate ŋu axe mɔ ɖe enu o. Gake nu aɖewo li siwo ate ŋu ana focal dystonia nagado gã ɖe edzi. Eyata, nu siawo nyanya ate ŋu akpe ɖe ŋuwò:

• Ƒo asa na ʋuʋu alo nuƒoƒo gbugbɔgagblɔ fũ akpa (le teƒe si wògblẽ nu le nu).
• Nuteɖeamedzi dzi ɖuɖu to mɔnu siwo naa lãmesẽ dzi.
• Ðe ɖeɖiteameŋu dzi kpɔtɔ to alɔ̃dɔdɔ nyuie, kamedede, kple nuɖuɖu si me nunyiame le me.

Nukae nye mɔkpɔkpɔa?

Focal Dystonia ate ŋu akaka ɣeaɖewoɣi eye wòadze wò ŋutilã ƒe akpa bubuwo dzi. Wokpɔe be le ame 1 le ame 6 ɖesiaɖe me siwo ŋu dɔlélea le gome la, Focal Dystonia kakana ɖe nuto bubuwo me.

Gake nya nyuiae nye be atikewɔwɔ ate ŋu aɖe zi nenie focal dystonia ƒe dzesiwo dzena kple alesi wòsẽnae dzi akpɔtɔ. Ne wò dzesiwo meva nyo ɖe edzi le atikewɔwɔ vɔ megbe o la, kpɔ egbɔ be yeƒo nu kple wò ɖɔkta. Ðewohĩ ahiã be woatrɔ wò atikewɔwɔ.

Nukae wòle be mabia ɖɔktaa bubu?

Ne èyi ɖɔkta gbɔ la, anyo be nàbia nya siawo:

• Nukae ate ŋu ahe nye dzesiawo vɛ wu?
• Dodokpɔ kawoe wòahiã be mawɔ hafi anya Focal Dystonia?
• Nukae mate ŋu awɔ atsɔ akpɔ Focal Dystonia ƒe dzesi siawo gbɔ?
• Atikewɔwɔmɔnu kawoe le asinye?
• Nukae ate ŋu adzɔ ne nyemeda Focal Dystonia o?

Mlɔeba la, nu ʋɛ aɖewo siwo dzi wòle be woaɖo ŋkui

Focal dystonia nye ahɔhɔ̃mekawo ƒe dɔléle si nana lãmekawo tetena le ŋutilã ƒe akpa ɖeka si dzi womate ŋu aɖu o. Focal dystonia, si gblẽa nu le asi, asibidɛ, alo asibidɛwo ŋu la bɔ wu le amesiwo zãa lãmekawo ƒe dɔwɔwɔ nyuie enuenu (e.g., hadzilawo, kamedefefewɔlawo, ɖawɔlawo, agbalẽŋlɔlawo).

Togbɔ be eƒe dzesiwo ate ŋu aɖi ahɔhɔ̃mekawo ƒe dɔlélewo hã la, kadodo si le wò lãmekawo, lãmekawo, kple ahɔhɔ̃ dome ƒe kuxi aɖe gbɔe wòtsona be focal dystonia tsona.

Togbɔ be womekpɔ atike na dɔléle sia o hã la, woate ŋu akpɔ dzesiawo gbɔ nyuie ne wotrɔ agbenɔnɔ, atikewo, atikewo dodo, alo amekoko. Eyata ne dzesi siawo dometɔ aɖe le ŋuwò la, mègahe ɖe megbe le atikewɔlawo ƒe aɖaŋuɖoɖo didi me o. Ne wokpɔe kaba hedae la, enaa nu nyuiwo dona tso eme ɣesiaɣi.

` Focal dystonia, lãmekawo ƒe ʋuʋu, ahɔhɔ̃mekawo ƒe dɔléle, agbalẽŋlɔla ƒe asi ƒe ʋuʋu, hadzila ƒe dystonia, yipsawo, Botox dɔdamɔnu