Amagulu go gakankana ng’oyimiridde? Owulira ng’ofiiriddwa bbalansi? Kiyinza okuba nga kya Orthostatic Tremor!

Wali owuliddeko ng’amagulu go gagenda okuzimba, okukankana oba okubulwa bbalansi ng’oyimiridde naddala ng’oyimiridde ebbanga eddene? Naye singa, ekyewuunyisa, obutabeera bulungi buno bukendeera ng'otudde wansi oba ng'otambula, oyinza okuba n'embeera eyitibwa ``Orthostatic Tremor''. Kino kiyinza okuba ekigambo ekyewuunyisa okuwulira, naye ka twogere ku kyo mu ngeri ennyangu.

`(Orthostatic Tremor)` kye ki? Mu ngeri ennyangu ennyo...

Mu ngeri ennyangu, Orthostatic Tremor bulwadde bwa busimu obutatera kulabika obuleetera ebinywa mu magulu go okukonziba amangu (okukankana) ng’oyimiridde. Okukankana kuno kuyinza okukuleetera okuwulira nga totebenkedde ng’oyimiridde, n’okubulwa bbalansi, n’okuwulira ng’ogenda okugwa. Naye ekyewuunyisa, okukankana kuno kutera okukendeera oba okubula ddala ng’otambula, ng’otudde oba nga weesigamye ku kintu.

Embeera eno esinga kubeera mu bantu abasukka emyaka 60. Kyokka okunoonyereza kulaga nti esobola okukwata omuntu yenna okuva ku myaka 13 okutuuka ku 85. Just think, abasawo baasooka okuzuula era ne bannyonnyola embeera eno eyitibwa ``Orthostatic Tremor'' mu 1984. Kale ekyo kitegeeza nti mbeera mpya nnyo. Abasawo bakyayiga bingi ku nsonga eno.

Bubonero ki obulaga kino? Owulira otya?

Akabonero akakulu abantu abalina `(Orthostatic Tremor)` ke basinga okutegeeza bwe butabeera bunywevu bwe bawulira nga bayimiridde. Kwe kugamba, okuwulira nti ettaka likankana, oba nti omubiri gwabwe teguliiko bbalansi. Kyokka, tebawulira buzibu buno nga batudde oba nga batambula. Singa batuula okuva mu mbeera nga bayimiridde, ne batandika okutambula, ne beesigama ku kintu nga bbugwe, oba ne bagalamira, okukankana kuno, obutanywevu obwo, kukendeera nnyo oba kubula ddala.

Okusobola okukendeeza ku butabeera mu ntebenkevu buno, oyinza okugezaako mu butamanya nti amagulu go gaawukana katono, ng’olinga akwata ku ttaka n’obugere bwo . Kilowoozeeko ng’oyimiridde mu bbaasi oba eggaali y’omukka n’olwana okukuuma bbalansi.

Ebiseera ebisinga, oyinza obutakiraba oba n’okukimanya nti amagulu go gakankana mangu ng’oyimiridde. Oyinza okumala okuwulira obutali bunywevu oba okufiirwa bbalansi kye nnayogeddeko. Kyokka bw’oteeka emikono gyo ku bisambi oba ku bisambi, oyinza okuwulira ng’ebinywa bikonziba mangu, ng’amayengo . Okukankana kuno ebiseera ebisinga tekuluma. Kyokka ekiseera bwe kigenda kiyitawo, obulumi mu binywa by’amagulu buyinza okukula.

Abantu abamu abalina ``Primary Orthostatic Tremor'' (kino tujja kukyogerako oluvannyuma) nabo bayinza okufuna okukankana mu mikono oba mu mugongo nga kwotadde n'amagulu gaabwe. Kyokka, bayinza obutafuna bubonero bulala bwonna obw’obusimu.

Obuzibu bwa ``Orthostatic Tremor'' buyinza okwawukana okusinziira ku muntu. Abantu abamu bayinza okutandika okukankana amangu ddala nga bayimiridde. Abalala, okukankana kuyinza okutandika oluvannyuma lw’eddakiika ntono nga bayimiridde. Abantu bangi, okukankana kweyongera mpolampola okumala ekiseera.

Lwaki kino `(Orthostatic Tremor)` kibaawo? Biki ebivaako?

Mu butuufu abasawo n'abanoonyereza bakyasoma ku ``Orthostatic Tremor'', kale ekituufu ekivaako tekinnamanyika. Abakugu abamu balowooza nti nkyukakyuka ya kika kya kukankana ekirala ekiyitibwa ``Essential Tremor''. Abalala balowooza nti ``Orthostatic Tremor'' mbeera ya njawulo ddala, eyetongodde.

Ebiseera ebisinga, embeera eno ebaawo mu ngeri ya kimpowooze, awatali nsonga yonna ntongole. Kyokka wabaddewo amawulire agatali ga bulijjo agalaga nti kibeerawo mu bantu b’omu maka. Okugeza mu balongo, mu baganda, oba omuzadde n’omwana. Kale, abanoonyereza batunuulidde oba ensonga z’obuzaale, gamba ng’enkyukakyuka, zikola kinene.

Waliwo ebika bya `(Orthostatic Tremor)`?

Yee, abasawo batera okugabanyaamu `(Orthostatic Tremor)` mu bika bibiri ebikulu:

1. Primary Orthostatic Tremor: Kino era kiyitibwa idiopathic. Kino kitegeeza nti ekituufu ekivaako tekimanyiddwa. Abantu abalina primary orthostatic tremor tebafuna bubonero bwa bulwadde bulala bwonna obw’obusimu.

2. Secondary Orthostatic Tremor: Kino kiva ku mbeera endala ey’obujjanjabi. Okunoonyereza kulaga nti okukankana okw’okubiri (secondary orthostatic tremor) kuyinza okuva ku mbeera ez’enjawulo ez’obujjanjabi. Ezimu ku bukwakkulizo buno mulimu:

• Obulwadde bwa Graves (obulwadde bw’endwadde z’ekibumba) .
• Okulumwa omutwe
• `Multiple Sclerosis (MS)` (obulwadde obukosa enkola y'obusimu)
• `Parkinsonism` (embeera ereeta obubonero obufaananako n'obulwadde bwa Parkinson)
• Restless Legs Syndrome (embeera ereetera amagulu obutawumula) .
• Okwonooneka kw’ebitundu ebimu eby’obwongo (e.g., Pontine ne midbrain lesions) .
• Ebiwundu by’omugongo
• `Obulwadde bw'omuntu omukalu`
• Obutabeera na vitamiini B12

Ekisinga obukulu kwe kufuna amagezi g’omusawo bw’oba ​​olina obubonero buno. Tokyekebejja.

Kino okizuula otya ddala? (Okuzuula obulwadde)

Okuzuula obulwadde bwa orthostatic tremor, omusawo ajja kusooka kukubuuza ku bubonero bwo n’ebyafaayo by’obujjanjabi. Oluvannyuma, bajja kukola okukebera omubiri n’okukebera obusimu okwekenneenya engeri okukankana gye kubaawo ne ddi lwe kubaawo.

Mu bifo ebimu eby’enjawulo, okuzuula `(Orthostatic Tremor)` kukakasibwa `Surface EMG (Electromyography)`Okukebera okuyitibwa ‘muscle electromyography’ kukolebwa. Wabula oluusi abakugu mu buzibu bw’okutambula (Movement Disorders Specialists) basobola okuzuula kino nga basinziira ku bubonero bw’obujjanjabi. Okukebera ‘EMG’ kwekenneenya obulamu n’enkola y’ebinywa byo eby’amagumba n’obusimu obubifuga. Okusingawo, kizingiramu okuteeka ‘sensa’ obutonotono ku lususu lw’okugulu kwo n’okupima amasannyalaze g’ebinywa byo.

Omusawo wo ayinza n’okukuwa amagezi okukebera ebirala – gamba ng’okukebera omusaayi n’okukebera ebifaananyi (e.g., MRI scan) – okugaana embeera endala eziyinza okuba nga zikuleetera okukankana.

Ebyembi, olw’okuba Orthostatic Tremor mbeera etali ya bulijjo nnyo, abasawo oluusi bagizuula mu bukyamu ng’ekintu ekirala. Okusingira ddala, kitera okutabulwa ne Functional Tremor (era eyitibwa Psychogenic Tremor), obuzibu bw’okutambula obuyinza okuva ku bintu nga situleesi. Kale, okufuna okuzuula okutuufu kiyinza okuba ekizibu ekitono.

Obujjanjabi bwe buruwa? Kisobola okuwona?

Tewali ddagala lya Orthostatic Tremor. Wabula waliwo eddagala erimu eriyinza okuyamba okufuga obubonero bwo, kwe kugamba okukendeeza ku kukankana n’obutanywevu.

Eddagala erisooka eritera okuwandiikibwa ye `Clonazepam` (eddagala eriri mu kibinja kya `(Benzodiazepine)`). Kyokka eddagala lino terikola ku buli muntu. N’olwekyo, waliwo eddagala eddala eriyinza okukozesebwa:

• `Gabapentin`
• `Primidone`
• `Eddagala lya Propranolol`
• `Pregabalin`
• `Eddagala lya Phenobarbital`

Obujjanjabi obuyamba ku bika ebirala eby'okukankana era buyinza okuyamba ku bubonero bwa ``Orthostatic Tremor''. Wabula kino kikyali mu mutendera gw’okunoonyereza. Enzijanjaba ng’ezo mulimu:

• Okusitula Obwongo Obuziba (DBS) .
• Okusikirizibwa kw’omugongo

Olw’okuba abanoonyereza bakyasoma nnyo ku Orthostatic Tremor, oyinza okuba n’ebisaanyizo okwetaba mu kugezesebwa okw’obujjanjabi. Buuza omusawo wo oba eno y’engeri gy’oyinza okukolamu.

Embeera eno ogiwangaala otya? Kiki ky’oyinza okusuubira?

Orthostatic Tremor okusinga kizibu ng’oyimiridde, naye kiyinza okukosa omutindo gw’obulamu bwo. Ng’ekyokulabirako, oyinza okutandika okwewala embeera gy’olina okuyimirira, gamba ng’okunaaba, okulinda mu layini, okukola emirimu gy’awaka oba okufumba. Kino kiyinza okunyiiza ddala.

Wabula okukola enkyukakyuka ezimu mu nkola yo eya bulijjo kiyinza okukwanguyirako katono okubeera n’embeera eno.Okugeza okukozesa entebe y’okunaabira mu kinaabiro, oba okukozesa obugaali ng’olina okulinda mu layini. Omusawo akola ku by’emirimu asobola okukuyamba okufuna engeri gy’oyinza okukola emirimu gya bulijjo mu ngeri ennyangu.

Olw’okuba eno embeera etali ya bulijjo nnyo, oluusi kiyinza okuba ekizibu eri abalala okutegeera `(Orthostatic Tremor)` eno, awamu n’abasawo okugizuula obulungi. N’olwekyo, kikulu nnyo okufuna obuwagizi bw’abaagalwa bo. Bwoba olina ebizibu by'obwongo nga `(Orthostatic Tremor)`, `(Anxiety)`, oba bw'oba owulira nga weekutudde ku bantu, tolonzalonza kulaba mubuulirizi ku bulamu bw'obwongo nga `(Psychologist)`. Ekyo kijja kukuwa obuweerero bungi.

Waliwo engeri y’okuziyiza kino?

Ebyembi, olw’okuba ekituufu ekivaako Orthostatic Tremor tekimanyiddwa, tewali ky’oyinza kukola kukiziyiza.

Bwe kifuuka ekizibu, lwe tutegeera engeri gye kiri eky’omuwendo okusobola okuyimirira nga tetulina buzibu bwonna era nga tetulina buzibu bwonna. Okuva Orthostatic Tremor bweri embeera etali ya bulijjo, olugendo lw’okuzuula obulwadde mu butuufu luyinza okuba oluwanvu. Oyinza okuba nga olina okweyogerako n’okunoonya amawulire. Kyokka, okuzuula obulwadde obutuufu kigwana okufuba. Jjukira nti eddagala erimu n’ebiyamba okutambula bisobola okwanguyiza okubeera n’obulwadde bwa Orthostatic Tremor.

N’ekisembayo, ebintu by’olina okujjukira

Well, nsuubira kati olina ekirowoozo ku ``Orthostatic Tremor'' gye twali twogerako.

Eno mbeera nzibu era etali ya bulijjo, naye singa omuntu ategeera bulungi n’obuwagizi, esobola okuwangaala nayo obulungi.

Ebintu ebitonotono by’olina okujjukira bye bino:

• Bw’owulira ng’amagulu gakankana oba ng’owulira ng’oyimiridde ng’ofiiriddwa bbalansi, tokibuusa maaso. Laba omusawo.
• Omusawo yekka y'asobola okugamba mu bukakafu oba kino kya ``Orthostatic Tremor'' ekitono.
• Obujjanjabi busobola okufuga obubonero.
• Toli wekka. Funa obuyambi okuva mu maka, mikwano gyo, era bwe kiba kyetaagisa, abakugu mu by’obulamu bw’obwongo.

Bw’oba ​​olina ekibuuzo ekirala kyonna ku nsonga eno, tolwawo kwogera na musawo wo. Kino asobola okukunnyonnyola obulungi.

` orthostatic tremor, okukankana, okukankana kw’amagulu, okukaluubirirwa okuyimirira, okubulwa bbalansi, obuzibu mu busimu, obuzibu mu ntambula