Yu tink se di mɔsul dɛn na yu an ɛn yu nɛk de shek shek we yu nɔ ebul fɔ kɔntrol? Mek wi tɔk bɔt Focal Dystonia!

Yu dɔn ɛva fil se we yu bigin fɔ rayt sɔntin, yu finga dɛn kin bigin fɔ shek ɔ shek wantɛm wantɛm? Ɔ we yu de ple inschrumɛnt lɛk gita, yu kin fil lɛk se yu finga dɛn de shek shek ɔ shek wantɛm wantɛm we yu nɔ ebul fɔ kɔntrol? Sɔntɛm yu nɛk kin tilt to wan say wantɛm wantɛm, ɔ yu vɔys kin chenj ɔ shek we yu de tɔk? Dis nɔto jɔs random tin dɛn. Dɛn tin ya kin bi sayn fɔ wan sik we dɛn kɔl Focal Dystonia . Pan ɔl we di nem go tan lɛk se i de mek pɔsin fred smɔl, tide wi go tɔk bɔt dis simpul we we yu go ɔndastand.

Wetin na Fɔkal Distonia?

Fɔ tɔk am simpul wan, fokal dystonia na wan nyurolɔjik kɔndishɔn. Insay dis kɔndishɔn, di mɔsul dɛn na wan patikyula pat na yu bɔdi kin bigin fɔ kɔntrakt fɔ dɛnsɛf, ɛn yu nɔ kin ebul fɔ kɔntrol am. In ɔda wɔd dɛn, di mɔsul dɛn kin bigin fɔ kɔntrakt we yu nɔ want dɛn. Di wɔd "focal" min "localized." Dis min se di sik de pan wan eria, pas fɔ afɛkt di wan ol bɔdi.

dis kin afekt di mכsul dεm na yu nεk (sεvikal dystonia כ spasmodic torticollis), yu yay (blepharospasm), yu jaw (oromandibular dystonia), כ yu vokal kכd (laryngeal dystonia כ spasmodic dysphonia). Fokal dystonia kin afɛkt bak di say dɛm na yu an, lɛk yu an, yu an, ɛn yu finga dɛm.

Distonia na jεnarכl tεm fכ nyurolכjik kכndishכn dεm we de mek di mכsul dεm we nכ de kכntrol. Fokal distonia na wan kayn distonia.

Wetin na Task-spɛsifi k Fɔkal Dystɔnia?

Dis na tin bak we rili spɛshal. Fɔ sɔm pipul dɛm, dis Focal Dystonia kɔndishɔn kin apin nɔmɔ we dɛn de du wan patikyula wok. Dat min se dɛn kin fayn ɔda tɛm dɛn, bɔt na we dɛn bigin fɔ du da wok de nɔmɔ dɛn kin bigin fɔ twitch ɛn lɔs kɔntrol. Dis na wetin wi kɔl Task-specific Focal Dystonia .

Tink bɔt ɛgzampul dɛn lɛk dɛn wan ya:

• Rayta in kramp: Yu go mɔs dɔn yɛri bɔt dis wan. We yu de kɔntinyu fɔ rayt, ɔ we yu de tek ɛgzam, di mɔsul dɛn na yu an ɛn finga dɛn kin tayt wantɛm wantɛm, ɛn dis kin mek i nɔ pɔsibul fɔ rayt. Sɔm pipul dɛn nɔ kin ivin ebul fɔ ol pen fayn.
• Myuzik man in dystonia: Dis kin afɛkt pipul dɛm wae de ple myuzik inschrumɛnt lɛk gita, vaylin, ɛn piano. Di mɔsul dɛn na di an ɛn finga dɛn kin tayt wantɛm wantɛm, dɛn kin shek shek, ɛn dɛn nɔ kin ebul fɔ ple di not dɛn. Pipul dεm wae de ple bras כ wudwind instrכmεnt kin gεt prכblεm bak wit di mכsul dεm na dεn lip, jaw, כ tכng (embouchure dystonia).
• Kɔndishɔn dɛn we kin apin na di pleya dɛn ("di yips"): Wi go tɔk bɔt dis smɔl.

Task-specific focal dystonia dεn kin si am mכst pan pipul dεm we de wok pan wok כ hobi dεm we nid bכku fayn mכtalman skil dεm. Fɔ ɛgzampul, pipul dɛn we de ple tɛnis, pipul dɛn we de mek dɛn ia, ɛn pipul dɛn we de peint.

Wetin na di difrɛns bitwin Focal Dystonia ɛn Carpal Tunnel Syndrome?

Sɔmtɛm, de sayn dɛm fɔ dɛn tu tin ya kin fiba smɔl, we kin mek pipul dɛn kɔnfyus. Bɔt di tin dɛn we kin mek dɛn tu tin ya kin apin kin rili difrɛn.

Fɔkal distonia kin kam bikɔs ɔf prɔblɛm wit di kɔmyunikeshɔn bitwin yu bren ɛn yu nerv dɛm . Dat min se prɔblɛm de wit di sayn dɛn we de kɔmɔt na di bren to di mɔsul dɛn.

כltu, Carpal Tunnel Syndrome na wan kכndyushכn we kin apin we wan nεv (di mεdian nεv) we de rכn tru di wrist kכmprεs. Bɔrku tɛm dis kin kam wae yu de muv yu an ɔltɛm (yuz am pasmak) ɔr ɔda prɔblɛm wit di nerve.

So, pan ɔl we de sayn dɛn kin fiba, di tin we kin mek pɔsin gɛt dis sik difrɛn, so di tritmɛnt difrɛn. Na dat mek i rili impɔtant fɔ gɛt kɔrɛkt diagnosis.

Wetin na "di yips"?

"Di yips" na di nem we dɛn gi di kɔndishɔn we wi bin dɔn tɔk bɔt bifo tɛm, Task-specific Focal Dystonia, we kin afɛkt atlet dɛn, mɔ di wan dɛn we de ple spɔt we nid fɔ yuz dɛn an ɔ an bɔku bɔku wan . Imajin se we pɔsin we de ple kriket want fɔ bol ɔ bat, ɔ we pɔsin we de ple gɔlf want fɔ nak di bɔl, i nɔ ebul fɔ kɔntrol in an wantɛm wantɛm, i kin jɔk, ɛn i nɔ kin ebul fɔ du di wok fayn fayn wan. Na dat wi de kɔl "di yips." Dis kin apin to pipul dɛn we de ple gɔlf ɛn we de ple baysbɔl.

Udat kin gɛt mɔ chans fɔ gɛt Focal Dystonia?

Pan ɔl we dis sik kin kam pan ɛnibɔdi, i kin mɔs bi pan big pipul dɛn we ol bitwin 40 ɛn 60. Stɔdi dɔn sho bak se uman dɛn kin gɛt fɔs distonia lɛk tri tɛm pas man dɛn.

Aw dis sik kin kɔmɔn?

Distonia na wan sik wae kin muv pasmak, bɔt dis patikyula kכndyushכn wae dεn kכl fכkal dystonia, nɔr kin apin sכmtεm. Fɔ ɛgzampul, na Amɛrika, i kin ambɔg lɛk tri pan ɛvri tɛn tawzin pipul dɛn.

Wetin kin mek pɔsin gɛt fokal dystonia?

Infakt, dɔktɔ dɛn stil nɔ ebul fɔ no di rayt tin we kin mek pɔsin gɛt fokal dystonia. dεn kכl am ``idiopathic.'' Dat min se dεn nכ no di εksakεt kכz.

Bɔt, wi no se dis sityueshɔn kin apinNa bikɔs yu bren ɛn yu nerv dɛn nɔ de tɔk fayn. wan rijyכn we dip insay di bren we dεn kכl ``Basal Ganglia'' de εp fכ kכntrכl di mכsul dεm we de muv. Dɛn kin tink se sɔm chenj na di wok we dis eria de du de insay.

Sɔmtɛm, dɛn sayn ya fɔ focal dystonia kin apin wit chenj na pɔrsin in abit, lɛk atlet, rayta, ɔr myusishan. Fɔ ɛgzampul:

• Chenj yu teknik afta yu gɛt nyurolɔjik injuri.
• Fɔ lan nyu spɔt ɔ myuzik inschrumɛnt.
• Fɔ tek pat pan mɔ trenin, pɔfɔmɛnshɔn, ɔ kɔmpitishɔn dɛn pas aw dɛn kin du am.

Pan ɔl we di wan dɛn we de stɔdi bɔt dis nɔ dɔn pruv yet se dɛn gɛt sɔntin fɔ du wit dɛn jɛnɛtiks, dɛn dɔn si se lɛk wan pan ɛvri 10 pipul dɛn we gɛt fokal distonia gɛt famili histri bɔt dis sik.

Wetin kin mek di "yips"?

Sɔm pipul kin tink se di wan dɛn we de ple gɔlf kin gɛt di "yips" bikɔs dɛn kin wɔri bɔt di wok we dɛn de du. Dat min se, di prɛshɔn ɛn fred we pɔsin kin fred fɔ kɔmpit. Dat kin bi wan rizin. כltu, "yips" kin kכz bak bay we dεn nכ fכm fayn כ we dεn yuz am pasmak.

Dɔn bak, pipul dɛm wae gɛt sɔm kayn wɛl bɔdi prɔblɛm kin gɛt "di yips":

• Sɛribra Palsi we de na di bɔdi
• Mɔltipɛl Sklɛrosis

Wetin na di sayn dɛm we de sho se yu gɛt dis sik?

di fכkal dystonia simptom dεm kin difrεn dipכnt pan di pat pan di bכdi we dεn afekt. Bɔku tɛm, di fɔs sayn kin bi we di mɔsul dɛn nɔ de wok fayn smɔl. Fɔ ɛgzampul, if yu an dɛn afɛkt, yu kin drɔp tin dɛn bɔku tɛm. If yu mɔt afɛkt, yu kin gɛt mɔ drɔl we yu de it ɔ drink.

As tεm de go, fכkal dystonia kin mek yu gεt mכr siriכs mכsul simptom dεm:

• Mɔsul dɛn de twitch ɔ kramp.
• Mɔsul dɛn kin pen.
• di mכsul dεm de twitch כ jεk (Twitches - myoclonus).
• Abnɔmal posture fɔ di bɔdi pat we afɛkt. Fɔ ɛgzampul, dɛn kin tilt di nɛk to wan say.

Apat frɔm dɛn men simptom ya, pipul dɛm wae gɛt focal dystonia kin gɛt sɛkɔndari simptom dɛm bak . Dɛn tin ya kin kam bikɔs ɔf de strɛs wae de kam pan pɔrsin in maynd ɛn bɔdi. Dɛn tin ya nɔ gɛt ɛnitin fɔ du wit di mɔsul dɛn. Dɛn kayn sayn ya na:

• Di vishɔn we nɔ klia.
• Pwɛl at.
• I nɔ izi fɔ slip.
• Taya pasmak.
• Sɔdɛn chenj na di mud (di mud swing).
• Short wamat.
• Trobul fɔ pe atɛnshɔn.

di fכkal dystonia simptom dεm kin wכs ova tεm, dεn kin stεbyul na wan sכm lεvεl εn kin kam bak. Bɔt fɔ sɔm pipul dɛn, de sik kin stɔp fɔ wɔs ɔltogɛda.

Aw yu kin no bɔt dis?

Fɔ no if yu gɛt focal dystonia, yu dɔktɔ go aks yu bɔt yu sik, yu mɛdikal histri, ɛn chɛk di bɔdi pat we di sik dɔn afɛkt.

We yu de du diagnosis, yu dɔktɔ go tray fɔ pul ɔda tin dɛn we kin mek yu gɛt di sem kayn sik (lɛk fɔ wund we yu yuz am pasmak). Yu kin gɛt tɛst dɛn bak lɛk dɛn wan ya:

• Blɔd tɛst: Chɛk fɔ si if yu gɛt infekshɔn ɔ ɔda mɛrɛsin.
• CT skan ɔ MRI skan: Fɔ luk fɔ tumbu ɔ ɔda tin dɛn we nɔ de gro na di bren ɔ nia di pat na di bɔdi we di sik afɛkt.
• Ilɛktromayogram (EMG): I de tɛst aw yu mɔsul dɛn de prosɛs ilɛktrik signal dɛn. Dis kin mek yu no aw yu nerv ɛn mɔsul dɛn de wok.

Aw dɛn kin trit am?

Bɔt i sɔri fɔ no se, no mɛrɛsin nɔ de fɔ di fokal distonia. Bɔt di tritmɛnt dɛn we de kin ɛp fɔ ridyus di mɔsul dɛn we de spam ɛn stɔp di sik fɔ mek i nɔ wɔs. Di tritmɛnt fɔ fokal distonia kin inklud:

• Laif stayl chenj: Sɔntɛnde, fɔ chenj di we aw yu de fil we yu de wok, dat kin ɛp yu bren fɔ prosɛs di muvmɛnt wit smɔl disrɔpshɔn. Fɔ ɛgzampul, pɔsin we de ple vaylin kin gɛt smɔl mɔsul dɛn we de shek shek if i wɛr glɔv. Wan pɔsin we de rayt kin gɛt smɔl sayn dɛn if i chenj di we aw i de ol in pen. Yu kin du sɔm patikyula strɛch ɔ ɛksesaiz dɛn bak fɔ mek yu nɔ fil fayn.
• Di mɛrɛsin dɛn we dɛn kin yuz:
• Anticholinergics , lεk Trihexyphenidyl (Artane®), de εp fכ blok di nerve signal dεm we de mek di mכsul dεm spam.
• Vesicular Monoamine Transporter 2 (VMAT2) inhibitors , lεk Tetrabenazine (Xenazine®), dεn kin yus fכ chenj di kεmikכl dεm na yu bren we de afekt yu nεv εn mכsul dεm.
• Sɔntɛnde, di mɛrɛsin `(Carbidopa/Levodopa (Sinemet))` kin pul di sik dɛn bak.
• Dɛn kin yuz mɔsul rilaksant, fɔ ɛgzampul, Baclofen ɔ benzodiazepines (Clonazepam), bak.
• Injɛkshɔn dɛn: Bɔtulinɛm Tɔksin (Botox®) .Injɛkshɔn na kɔmɔn tritmɛnt fɔ dystonia. Yu go dɔn yɛri se dɛn de yuz dɛn fɔ mek pɔsin fayn, bɔt dɛn kin rili wok bak fɔ prɔblɛm dɛn we gɛt fɔ du wit di mɔsul dɛn. Dɔktɔ dɛn kin gi di injɛkshɔn dairekt insay di mɔsul we di sik afɛkt. di injεkshכn de blok di signal dεm we de kכmכt na di bren we de mek di mכsul twitch fכ sכm tεm. Bɔrku pipul dɛn nid fɔ gɛt di injɛkshɔn lɛk ɛvri tri mɔnt.
• Ɔpreshɔn: Na smɔl tɛm nɔmɔ, yu dɔktɔ kin tɛl yu fɔ du ɔpreshɔn.
• Dip Bren Stimuleshɔn (DBS): Dis kin min fɔ put ilɛktrɔd dɛn na sɔm patikyula say dɛn na di bren. Dɛn smɔl smɔl tin dɛn ya kin kɔntrol di sayn dɛn we kin mek di mɔsul dɛn kɔntrakt.
• Selective denervation surgery: Insay dis, dεn de dεaktiv כ pul di nεv dεm we de mek di mכsul dεm twitch.

Aw yu go mek dis nɔ apin?

as wi bin dכn tכk bכt, dεn nכ no difinitiv kכz fכ fכkal dystonia, so no we nכ de fכ sכr se dεn kin prεvεnt am. Bɔt sɔm tin dɛn de we kin mek di fokal distonia wɔs. So, we yu no bɔt dɛn tin ya, dat kin ɛp:

• Nɔ muv ɔ tɔk bɔku bɔku wan (i dipen pan di say we di sik afɛkt).
• Fɔ kɔntrol strɛs tru di we dɛn we de mek pɔsin gɛt wɛlbɔdi.
• Ridyus taya bay we yu de slip fayn, ɛksesaiz, ɛn it fayn fayn tin dɛn.

Wetin na di tin dɛn we wi go si?

Focal Dystonia kin spre sɔmtɛm ɛn afɛkt ɔda pat dɛm na yu bɔdi. Dɛn dɔn si se pan lɛk 1 pan ɛvri 6 pipul dɛm wae gɛt dis sik, Focal Dystonia kin spre to ɔda eria dɛm.

Bɔt di gud nyus na dat, tritmɛnt kin ridyus aw ɔltɛm ɛn aw di sayn dɛm wae de kam wit fokal dystonia kin tranga. If yu sik nɔr de bɛtɛ afta yu dɔn gɛt tritmɛnt, mek shɔ se yu tɔk to yu dɔktɔ. Sɔntɛm dɛn go nid fɔ chenj di tritmɛnt we yu de gi yu.

Wetin bak a fɔ aks di dɔktɔ?

We yu go to dɔktɔ, i go fayn fɔ aks dɛn kwɛstyɔn ya:

• Wetin na di tin we kin mek a gɛt dis sik?
• Us tɛst dɛn a go nid fɔ gɛt fɔ no if a gɛt Focal Dystonia?
• Wetin a kin du fɔ mɛn dɛn Focal Dystonia simptom ya?
• Us tritmɛnt opshɔn dɛn a gɛt?
• Wetin kin apin if a nɔ trit Focal Dystonia?

Fɔ dɔn, na sɔm tin dɛn we wi fɔ mɛmba

Fכkal distonia na nyurolכjik kכndyushכn we de mek di mכsul dεm we nכ de kכntrol na wan pat na di bכdi. Fכkal dystonia, we kin afekt di an, wrist, כ finga dεm, kin kכmכn pan pipul dεm we de yuz fayn mכtalman skil dεm bכku tεm (e.g., myusishan, atlet, hairdresser, rayta).

Pan ɔl we in sayn dɛm kin tan lɛk di nyurolɔjik disɔda, fokal dystonia kin kam bikɔs ɔf prɔblɛm wit di kɔmyunikeshɔn bitwin yu nerv dɛm, mɔsul dɛm, ɛn bren.

Pan ɔl we no mɛrɛsin nɔr de fɔ dis sik, dɛn kin ebul fɔ kɔntrol di sayn dɛm fayn fayn wan wit chenj na yu layf, mɛrɛsin, injɛkshɔn, ɔr ɔpreshɔn. So, if yu gɛt ɛni wan pan dɛn sik ya, nɔ shem fɔ go to dɔktɔ. If yu no am kwik kwik wan ɛn trit yu, dat kin mek yu gɛt bɛtɛ tin ɔltɛm.

` Fokal dystonia, mכsul twitch, nyuropati, rayta in an spasm, myusishan in dystonia, di yips, Botox tritmεnt