Koj puas tau muaj ib zaug uas koj txhais tes tshee me ntsis thaum koj tuav ib khob tshuaj yej, kos npe rau daim ntawv, lossis zaum twj ywm xwb? Tej zaum koj yuav xav tias qhov no yog ib yam dab tsi uas tshwm sim thaum koj nkees lossis ntshai me ntsis. Tab sis yog tias nws tseem muaj, nws yuav yog vim muaj ib yam mob hu ua ' Essential Tremor '. Tsis txhob ntshai thaum koj hnov lub npe no. Cia peb tham txog nws yooj yim thiab meej.
Kev tshee hnyo tseem ceeb yog dab tsi?
Hais yooj yim xwb, qhov kev tshee hnyo tseem ceeb yog ib qho kev tsis txav uas cuam tshuam rau peb lub paj hlwb. Nws ua rau qee qhov ntawm peb lub cev tshee hnyo raws li lub suab uas peb tsis tuaj yeem tswj tau. Nws feem ntau pib ntawm tes . Qhov kev tshee hnyo no pom tseeb dua thaum koj siv koj txhais tes ua ib yam dab tsi.
Qhov no yog ib qho mob uas zuj zus tuaj. Qhov no txhais tau hais tias ntau xyoo dhau los, qhov kev tshee hnyo yuav tsis tsuas yog txwv rau tes xwb, tab sis kuj tseem yuav kis mus rau lub taub hau, lub thawv suab (lub caj pas), lub puab tsaig, lub ntsej muag, lub cev, thiab qee zaum ob txhais ceg. Tab sis qhov no feem ntau tshwm sim qeeb heev , thiab koj yuav tsis xav tau kev kho mob rau ntau xyoo.
Qhov tseem ceeb yog tias qhov mob no tsis ua rau koj tuag taus. Thiab nws tsis ua rau koj lub neej luv. Txawm li cas los xij, rau qee tus neeg, nws tuaj yeem ua rau nws nyuaj rau ua tej haujlwm txhua hnub , xws li noj mov, hnav khaub ncaws, thiab sau ntawv.
Dab tsi ua rau muaj kev tshee hnyo tseem ceeb?
Cov kws kho mob tseem tsis tau paub tseeb tias yog dab tsi ua rau qhov no, tab sis lawv ntseeg tias nws yog ib qho mob hlwb uas pib hauv lub paj hlwb, uas yog, lub hlwb, tus txha caj qaum, lossis cov hlab ntsha.
Tam sim no paub tias muaj li ntawm 50% ntawm cov neeg uas muaj tus kab mob Essential Tremor kuj muaj lwm tus neeg hauv tsev neeg uas muaj tus mob no. Qhov no txhais tau tias muaj qee qhov kev sib txuas ntawm caj ces mus rau nws. Txawm li cas los xij, tseem tsis tau pom tias nws yog los ntawm ib lub noob caj ces. Tej zaum nws yog los ntawm kev sib xyaw ua ke ntawm caj ces thiab ib puag ncig.
Hais yooj yim xwb, muaj ib feem ntawm peb lub hlwb hu ua 'Cerebellum' . Qhov no yog qhov uas sib koom tes thiab tswj peb cov leeg nqaij txav mus los zoo. Hauv qhov teeb meem ntawm Essential Tremor, nws xav tias muaj kev hloov pauv hauv kev sib txuas lus ntawm lub hlwb no thiab lwm qhov ntawm lub hlwb.
Lwm yam ua rau muaj kev co
Txawm hais tias qhov kev co tshee tseem ceeb yog qhov ua rau muaj kev co tshee ntau tshaj plaws, tab sis kuj muaj lwm yam ua rau muaj hom kev co tshee no, yog vim li cas nws thiaj li tseem ceeb uas yuav tsum mus ntsib koj tus kws kho mob kom nrhiav tau qhov ua rau tseeb.
| Lwm yam uas cuam tshuam rau kev co |
|---|
| Lwm yam kab mob ntawm lub paj hlwb xws li tus kab mob Parkinson, ntau yam kab mob sclerosis, lossis mob stroke. |
| Cov thyroid ua haujlwm ntau dhau. |
| Kev ua haujlwm ntawm lub siab lossis lub raum tsis zoo. |
| Kev ntxhov siab heev, kev ntxhov siab, lossis kev qaug zog. |
| Kev haus dej cawv uas muaj caffeine ntau dhau (tshuaj yej, kas fes). |
| Qee cov tshuaj rau kev mob hawb pob thiab kev mob hlwb. |
| Kev raug tshuaj lom xws li cov hlau hnyav xws li mercury thiab lead thiab tshuaj tua kab. |
Cov tsos mob tseem ceeb ntawm Essential Tremor yog dab tsi?
Muaj ntau yam tsos mob tseem ceeb uas koj yuav ntsib hauv tus mob no, tab sis tsis yog txhua tus yuav ntsib tag nrho cov tsos mob no.
| Cov tsos mob | Kev piav qhia |
|---|---|
| Kev tshee hnyo hauv tes | Qhov no yog cov tsos mob feem ntau thiab pom tseeb tshaj plaws. |
| Kev co ntawm lub suab | Hnov lub suab tshee hnyo thaum hais lus. |
| tshee taub hau | Co taub hau tsis tuaj yeem tswj tau zoo li hais tias 'yog' lossis 'tsis yog'. |
| Nce nrog kev txav mus los | Kev tshee hnyo pom tseeb dua thaum koj txav mus los, xws li tuav ib yam dab tsi lossis sau ntawv, dua li thaum koj so. |
| Nce qee yam | Kev ntxhov siab, kev ua haujlwm ntau dhau, caffeine, thiab qee cov tshuaj tuaj yeem ua rau muaj kev co ib ntus. |
| Kev txo qis ntawm cawv | Qhov xav tsis thoob yog, qee tus neeg pom tias haus me ntsis cawv ib ntus txo lawv cov kev co (tab sis qhov no tsis pom zoo kom kho). |
Tus kws kho mob kuaj qhov no li cas?
Yog koj muaj cov tsos mob no, qhov zoo tshaj plaws uas yuav tsum ua yog mus ntsib kws kho mob . Tus kws kho mob yuav nug koj txog koj keeb kwm kev kho mob, seb puas muaj leej twg hauv koj tsev neeg tau muaj cov tsos mob no, thiab tom qab ntawd ua kev kuaj lub cev.
Kev kuaj mob neurological, tshwj xeeb tshaj yog cuam tshuam nrog lub paj hlwb, tuaj yeem nrhiav cov hauv qab no:
- Lub zog thiab mob ntawm koj cov leeg.
- Cov kev xav rov qab .
- Lub cev sib npaug.
- Koj xav li cas thaum koj txav mus los thiab thaum koj so?
- Qhov ceev thiab qhov ntau ntawm kev co.
Tsis tas li ntawd xwb, tej zaum yuav kuaj ntshav thiab kuaj zis kom paub tseeb tias tsis muaj lwm yam mob uas ua rau muaj kev co. Qee zaum, kuj yuav pom zoo kom kuaj lub hlwb.
Cov kev kho mob rau Essential Tremor yog dab tsi?
Ua ntej tshaj plaws, yog tias koj qhov kev co tsis cuam tshuam rau koj cov dej num txhua hnub, koj yuav tsis tas yuav kho dab tsi li. Txawm li cas los xij, yog tias nws cuam tshuam rau koj lub neej zoo, muaj ntau txoj kev kho mob uas tuaj yeem pab tau.
Tshuaj
Muaj ntau hom tshuaj uas pab tswj tau qhov tshee hnyo. Tej zaum koj yuav tau sim ob peb hom sib txawv kom nrhiav tau hom uas ua haujlwm zoo tshaj plaws rau koj. Qhov tseem ceeb tshaj plaws yog tias tag nrho cov tshuaj no tsuas yog yuav tsum tau siv nyob rau hauv kev saib xyuas ntawm tus kws kho mob.
| Qib kev kho mob | Hom tshuaj (piv txwv) |
|---|---|
| Cov kev kho mob thawj kab - feem ntau siv | |
| 1 | Propranolol (Hemangeol, Inderal) |
| 2 | Primidone (Mysoline) |
| Kev kho mob kab thib ob | |
| - | Cov tshuaj xws li Alprazolam (Xanax), Atenolol, Gabapentin (Neurontin), Topiramate (Topamax). |
Lwm yam kev kho mob
- Cov khoom siv hloov kho tau: Qee tus neeg tuaj yeem tswj tau qhov tshee hnyo los ntawm kev siv cov khoom xws li qhov hnyav ntawm dab teg thiab cov riam hnyav dua.
- Kev txhaj tshuaj botulinum toxin: Kev txhaj tshuaj no yuav pab tau rau cov neeg uas muaj kev tshee hnyo taub hau lossis lub suab.
- Kev Txhawb Lub Hlwb Sib Sib Zog (DBS): Qhov no yog ib txoj kev phais. Hauv txoj kev phais no, ib lub electrode nyias heev raug ntxig rau hauv qhov ntawm lub hlwb hu ua thalamus uas ua rau muaj kev co, thiab nws txuas nrog ib lub cuab yeej me me (xws li lub pacemaker) uas muab tso rau hauv qab daim tawv nqaij ntawm lub hauv siab. Lub cuab yeej no tuaj yeem tswj cov lus hluav taws xob tsis zoo uas mus rau lub hlwb, txo cov kev co los ntawm kwv yees li 70%-90%.
- Kev siv MRI los ua kev tsom mus rau ultrasound:Qhov no yog ib txoj kev siv tshuab tshiab. Yog tsis muaj kev phais, cov teeb ultrasound muaj zog heev yuav raug coj mus, nrog kev pab los ntawm lub tshuab MRI, kom rhuav tshem cov hlwb tseem ceeb hauv thalamus ntawm lub hlwb.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kev tshee hnyo yog ib qho mob uas tshwm sim ntau, tab sis tsis yog ib qho mob uas yuav ua rau tuag taus.
- Cov tsos mob tseem ceeb ntawm qhov no yog kev co ntawm tes, taub hau, lossis lub suab uas nce ntxiv thaum ua haujlwm.
- Tej zaum yuav muaj kev sib txuas ntawm caj ces mus rau qhov no, tab sis koj tseem tuaj yeem tsim nws txawm tias tsis muaj leej twg hauv koj tsev neeg muaj.
- Yog tias koj qhov kev tshee hnyo ua rau nws nyuaj rau ua tej haujlwm txhua hnub, tsis txhob ntshai thiab mus ntsib kws kho mob . Muaj ntau txoj kev kho mob zoo los tswj qhov no.
- Tsis txhob kuaj mob lossis noj tshuaj yam tsis tau tus kws kho mob qhia.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus