Kodi nthawi zina mumamva ngati manja anu akugwedezeka mukanyamula chinachake, kulemba, kapena kugwira kapu? Mwina mawu anu amagwedezeka pang'ono mukamalankhula. Uwu ndi vuto lomwe anthu ambiri ali nalo, ndipo lingakhale lokhumudwitsa pang'ono. Tiyeni tikambirane za izi mwatsatanetsatane komanso lero.
Kodi 'Essential Tremor' ndi chiyani?
Mwachidule, Essential Tremor ndi matenda a mitsempha omwe amachititsa kuti ziwalo za thupi lanu, makamaka manja anu, zigwedezeke mosalamulirika. Simungathe kuletsa kugwedezeka kumeneku.
Nthawi zambiri kumakhudza manja anu, koma kungakhudzenso ziwalo zina za thupi lanu, monga mutu wanu ndi mawu anu. Matendawa akakula kwambiri, zimatha kupangitsa kuti zikhale zovuta kuchita ntchito za tsiku ndi tsiku monga kudya, kumwa, ndi kuvala. Anthu ambiri amachitanso manyazi komanso kuda nkhawa ndi zizindikirozi.
Kodi kusiyana pakati pa Essential Tremor ndi matenda a Parkinson ndi kotani?
Kugwedezeka kwamphamvu ndi matenda a Parkinson ndi matenda oyendayenda omwe amayambitsa kugwedezeka. Koma pali kusiyana kwakukulu pakati pa ziwirizi.
- Momwe kugwedezeka kumachitikira: Munthu amene ali ndi kugwedezeka kwakukulu amanjenjemera manja ake akamayesa kuchita china chake , monga kunyamula chikho kapena kulemba. Koma mu matenda a Parkinson , kugwedezeka kumachitika ali chete . Izi zikutanthauza kuti, manja amanjenjemera akangogwira chinthucho, ndipo kugwedezeka kumachepa akamachita china chake.
- Zizindikiro zina: Matenda a Parkinson amatha kutsagana ndi zizindikiro zina. Mwachitsanzo, kuvutika kuyenda, kuuma, komanso kulephera kulinganiza bwino . Komabe, mu kugwedezeka kwakukulu, chizindikiro chachikulu ndi kugwedezeka.
- Cholowa: Kugwedezeka kwamphamvu nthawi zambiri kumakhala kobadwa nako, koma matenda a Parkinson si ofala kwambiri.
Choncho, ndikofunikira kwambiri kumvetsetsa kusintha kumeneku.
Ndani angadwale 'Essential Tremor'?
Matendawa amatha kufalikira mwa aliyense. Komabe, nthawi zambiri amayamba munthu akamakula.
Nthawi zambiri amayamba pakati pa zaka 10 ndi 19, kapena pakati pa zaka 50 ndi 59. Monga ndanenera kale, amatha kufalikira m'mabanja, choncho nthawi zina amatchedwa "kugwedezeka kwa mabanja."
Kodi vutoli ndi lofala bwanji?
Kugwedezeka kwamphamvu ndi vuto lofala kwambiri. Akatswiri akuti limakhudza pafupifupi 1% ya anthu padziko lonse lapansi. Limakhudza pafupifupi 5% ya anthu azaka zopitirira 60.
Ndi mtundu wofala kwambiri wa kugwedezeka kwamphamvu, komanso ndi chimodzi mwa matenda ofala kwambiri oyenda. Kodi Essential Tremor imakhudza bwanji thupi langa?
Kugwedezeka kwakukulu kumayambitsa ziwalo za thupi lanu kugwedezeka mukayesa kuzigwiritsa ntchito. Izi zimachitika kwambiri mukamagwiritsa ntchito manja anu. Koma zimathanso kukhudza zinthu monga mutu wanu ndi mawu anu. Zimakula
pang'onopang'ono ndipo zimatha kusawoneka kwa zaka zambiri. Poyamba, kugwedezeka kwakukulu si vuto lalikulu. Anthu ena amavutika kuchita ntchito zina, koma anthu ambiri amazolowera. Koma pamene vutoli likupitirira, limakhala lovuta kuchita ntchito zabwino. Mwachitsanzo, kulemba, kugwiritsa ntchito mipeni, kusoka, kapena ntchito zina zomwe zimafuna kulondola kwambiri. Pamene vutoli likuipiraipira, zotsatira zake zimakhala zoopsa kwambiri. Anthu ena sangathe kudya kapena kuphika chakudya okha chifukwa chogwirana chanza. Ena angavutike kuchita ntchito zoyambira monga kulemba, kuvala, kapena kusamba.
Kodi zizindikiro za 'Essential Tremor' ndi ziti?
Chizindikiro chachikulu ndi
kunjenjemera mukayesa kugwiritsa ntchito manja anu. Kunjenjemera kumeneku kungachitike m'njira zosiyanasiyana komanso nthawi zosiyanasiyana. Izi ndi mitundu ndi nthawi za kunjenjemera kumeneko:
- Kugwedezeka ndi kuchitapo kanthu: Izi zimachitika mukachita chinachake. Mwachitsanzo, mukatambasula dzanja kuti mutenge china chake. Madokotala amatchanso kuti "kugwedezeka ndi kuchitapo kanthu."
- Kugwedezeka kwa nkhope: Izi zimachitika mukagwira gawo lina la thupi lanu pamalo enaake. Mwachitsanzo, mukatambasula dzanja lanu patsogolo panu ndikuligwira pamlingo womwewo. Izi zimatchedwanso ``Postural tremor''.
Kugwedezeka kwakukulu nthawi zambiri kumakhudza mbali zonse ziwiri za thupi. Koma
nthawi zambiri kumakhudza mbali imodzi kuposa inayo. Kuwonjezera pa manja, kugwedezeka kumatha kuchitikanso m'mbali zina za thupi, monga mutu, mawu, nkhope, ndi thunthu. Kugwedezeka kokha sikoopsa. Komabe, vutoli likakhala lalikulu, lingapangitse kuti zikhale zovuta kuchita ntchito za tsiku ndi tsiku. Pakapita nthawi, lingapangitse kuti zikhale zovuta kudya ndi supuni, kumwa kuchokera mu galasi, kuvala, ndi kulemba. Nthawi zina, kugwedezeka kungakhale koopsa kwambiri. Zitsanzo:
- Kupsinjika maganizo, nkhawa , kutopa: Zinthu izi zimatha kuonjezera kunjenjemera.
- Kafeini : Kumwa zinthu monga khofi ndi tiyi kungapangitse kuti anthu ena azigwedezeka.
- Mankhwala ena: Mankhwala ena amathanso kukhudza kugwedezeka kwa thupi.
- Mowa: Anthu ena amaona kuti kumwa mowa pang'ono kumachepetsa kunjenjemera kwawo kwakanthawi, koma si bwino kugwiritsa ntchito mowa ngati chithandizo chifukwa cha chiopsezo cha chizolowezi. Komanso, mankhwala ena a essential terror angayambitse mavuto aakulu akamwedwa ndi mowa. Chifukwa chake ndikofunikira kulankhula ndi dokotala wanu za kumwa mowa kwanu.
Mawu awiri oti mudziwe okhudza kugwedezeka
Madokotala akazindikira kuti kugwedezeka kwakukulu kumachitika, amafufuza momwe kugwedezekako kumachitikira. Zinthu ziwiri zofunika kwambiri ndi
kukula ndi
kuchuluka kwa kugwedezekako. Tiyeni timvetse izi mosavuta:
- Kukula: Uwu ndi mtunda umene dzanja lanu limasuntha mukamagwedeza. Mtunda ukakhala waukulu, kukula kwake kumakhala kwakukulu. Pamene kugwedezeka kwakukulu kukuwonjezeka, kukula kwake nthawi zambiri kumawonjezeka. Izi zimatha kusinthanso mukachita chinthu china kapena mukagwira ntchito inayake.
- Kuchuluka kwa nthawi zomwe dzanja lanu limagwedeza kumatchedwa kugwedezeka kwa njenjete. Kuchuluka kwa nthawi zomwe dzanja lanu limagwedeza kumatchedwa kuchuluka kwa nthawi zomwe zimachitika pa sekondi. Gawo lapadziko lonse lapansi loyezera ndi Hertz (Hz). Mu kugwedezeka kofunikira, nthawi zambiri pamakhala kugwedezeka kwa njenjete 6 mpaka 12 pa sekondi. Komabe, izi zitha kuchepa pang'ono pamene kuchuluka kwa mphamvu kumawonjezeka, ndipo zimathanso kusiyana pakati pa munthu ndi munthu.
Kodi n’chiyani chimayambitsa 'Essential Tremor'? Kodi pali chilichonse chomwe chikuipitsa vutoli?
Akatswiri sakudziwabe chifukwa chake Essential Tremor imachitika kapena ngati pali chifukwa china chake. Komabe, pali umboni wosonyeza kuti vutoli limayamba chifukwa cha kusintha kwa mbali zina za ubongo. Ngakhale kuti chifukwa chenicheni sichikudziwika, zimadziwika kuti vutoli likhoza kutengera kwa makolo. Pafupifupi theka la anthu omwe ali ndi Essential Tremor ali nalo. Likuoneka kuti ndi vuto lalikulu la autosomal. Izi zikutanthauza kuti ngati m'modzi mwa makolo anu ali ndi kusintha kwa majini komwe kumayambitsa vutoli ndipo inu mukulitengera kwa makolo anu, muli ndi mwayi wa 50% wokhala ndi vutoli.
Kodi Essential Tremor ndi yopatsirana?
Ayi, Essential Tremor si matenda opatsirana. Simungawatenge kuchokera kwa wina, komanso simungawatenge kuchokera kwa wina.
Kodi Essential Tremor imapezedwa bwanji?
Dokotala wanu akhoza kuzindikira Essential Tremor kutengera zizindikiro zanu komanso kuyezetsa kwa mitsempha.
Pakadali pano palibe mayeso enieni omwe angatsimikizire ngati muli nawo kapena ayi. Komabe, chimodzi mwazinthu zofunika kwambiri zomwe muyenera kuganizira pofufuza matenda ndi,
Ndikofunikanso kufufuza matenda ena omwe amayambitsa zizindikiro. Kuyezetsa magazi ndi mayeso osiyanasiyana ojambulira zithunzi kudzachitika kuti zitsimikizire kuti palibe matenda ena. Ndi mayeso ati omwe angachitike kuti adziwe Essential Tremor?
Ngati dokotala wanu akuganiza kuti muli ndi kunjenjemera kwakukulu, angachite mayeso awa kuti athetse matenda ena:- Kuyezetsa magazi: Izi zitha kuchotsa matenda ena omwe amafanana ndi kugwedezeka kwamphamvu, makamaka matenda a chithokomiro, matenda a Wilson, ndi matenda oopsa omwe amayamba chifukwa cha zitsulo monga lead kapena manganese.
- Kujambula kwa computerized tomography (CT)
- Kuyesa majini
- Kujambula kwa maginito (MRI)
- Kujambula kwa positron emission tomography (PET)
Kodi Essential Tremor imachiritsidwa bwanji? Kodi pali mankhwala ake?
Palibe mankhwala a kunjenjemera kwamphamvu. Komabe, pali mankhwala omwe alipo kuti athandize kuchepetsa zizindikiro. Njira zazikulu zochiritsira ndi izi:- Mankhwala: Mankhwala omwe amagwiritsidwa ntchito kwambiri ndi beta-blockers monga propranolol ndi mankhwala oletsa kugwidwa monga primidone. Mankhwalawa angaperekedwe okha kapena pamodzi.
- Zipangizo Zosinthira: Pali zipangizo zambiri zomwe zilipo tsopano zothandizira kuwongolera kugwedezeka, kuphatikizapo zipangizo zolemera, zipangizo zoletsa kugwedezeka, zipangizo zogwedeza, ndi zolimbikitsa mitsempha ya m'mphepete mwa thupi.
- Poizoni wa Botulinum: Izi zimaphatikizapo kubaya jakisoni m'minofu yomwe ikugwedezeka. Izi zimafooketsa minofu kwakanthawi ndikuchepetsa kuopsa kwa kugwedezeka.
- Kulimbikitsa ubongo mozama: Iyi ndi njira yochitira opaleshoni yomwe chipangizo chimayikidwa m'dera linalake la ubongo lomwe limatumiza mphamvu zamagetsi. Mphamvu zamagetsi izi zimasokoneza zizindikiro zomwe zimayambitsa kugwedezeka kofunikira. Izi zitha kuchepetsa kugwedezeka mbali zonse ziwiri za thupi.
- Kujambula mozama kwambiri: Njirayi imagwiritsa ntchito mafunde amphamvu kwambiri kuti iwononge minofu ya muubongo yomwe imayambitsa kugwedezeka. Kuwonongeka kumeneku kungachepetse kwambiri kugwedezeka kwa thupi ndikulimbitsa kukhazikika kwa manja. Ingagwiritsidwenso ntchito pochiza kugwedezeka mbali zonse ziwiri za thupi.
Ngati simukukhutira ndi mankhwala ena, dokotala wanu angakulangizeni kuti mugwiritse ntchito njira yowunikira ubongo kapena kuti mugwiritse ntchito njira yowunikira pogwiritsa ntchito ultrasound. Zovuta/zotsatira zoyipa za chithandizo
Mavuto ndi zotsatirapo zake pochiza njenjete zimatengera zinthu zambiri, kuphatikizapo mtundu wa chithandizo. Dokotala wanu akhoza kufotokoza bwino zomwe zingachitike pa vuto lanu komanso momwe angathanirane nalo. Kodi ndimadzisamalira bwanji/ndingathetse bwanji zizindikiro?
Kugwedezeka Kwambiri kuyenera kupezedwa ndi dokotala wodziwa bwino ntchito yake ndikuchiritsidwa. Si vuto lomwe lingayambitse imfa. Komabe, kugwedezeka kungakhale chizindikiro cha matenda ena. Matenda ena amatha kuchiritsidwa ngati atapezeka msanga. Chifukwa chake, ngati mwayamba kugwedezeka kosamvetsetseka, ndikofunikira kuonana ndi dokotala. Kodi ndidzakhala bwino nthawi yayitali bwanji nditalandira chithandizo? Zimatenga nthawi yayitali bwanji kuti ndichire?
Nthawi yochira kuchokera ku mankhwala osiyanasiyana imadalira zinthu zambiri, kuphatikizapo njira yochizira. Dokotala wanu ndiye gwero labwino kwambiri la chidziwitso chokhudza matenda anu. Iye angapereke chidziwitso chokhudzana ndi vuto lanu komanso momwe zinthu zilili. Kodi chiopsezo cha matenda a Essential Tremor chingachepe kapena kupewedwa kwathunthu?
Kugwedezeka kwakukulu kumachitika mwadzidzidzi, kotero sizingatheke kupewa vutoli kapena kuchepetsa chiopsezo chake. Kodi chimachitika ndi chiyani ngati ndili ndi Essential Tremor?
Kugwedezeka kwakukulu ndi vuto lomwe nthawi zambiri limakula pakapita nthawi. Nthawi zambiri limachitika pang'onopang'ono. Kugwedezeka m'manja kapena m'manja nthawi zambiri kumawonjezeka ndi 1.5% mpaka 5% pachaka. Kumayamba pang'ono, poyamba kumakhudza manja okha. Pakapita nthawi, nthawi zambiri patatha zaka zingapo, kugwedezeka kumatha kufalikira m'manja ndikukhudza mutu. Pamene vutoli likuipiraipira, zimakhala zovuta kuchita ntchito zina ndipo mungafunike thandizo. Kodi kugwedezeka kwa zinthu zofunika kwambiri kumatenga nthawi yayitali bwanji? Kodi kudzatha?
Kugwedezeka kwamphamvu ndi vuto losatha, la moyo wonse likangoyamba. Silingachiritsidwe, ndipo silitha lokha. Kodi chiyembekezo cha munthu amene ali ndi Essential Tremor ndi chotani?
Kale, mawu oti "benign" (kutanthauza "osavulaza") ankagwiritsidwa ntchito ngati gawo la dzina (lotchedwa "benign essential terror"). Komabe, akatswiri tsopano akumvetsa kuti ngakhale kuti essential terror si yovulaza mwachindunji, ingayambitse kusokonezeka kwakukulu kwa moyo. Anthu omwe ali ndi kunjenjemera kwakukulu amavutika ndi zinthu monga kuphika, kugwiritsa ntchito ziwiya zophikira, kumwa kuchokera mu kapu, kudziyeretsa, ndi kuvala. Anthu ena pamapeto pake amalephera kukhala okha ndipo amafunika kukhala ndi achibale awo kapena kumalo osamalira odwala.
Kodi ndimadzisamalira bwanji?
Kugwedezeka kwakukulu ndi vuto lomwe limayamba ndi zizindikiro zochepa kwambiri, nthawi zina zosazindikirika, kenako limapita pang'onopang'ono. Nthawi zambiri zimatenga zaka kuti zizindikiro zifike pamlingo womwe chithandizo chimalimbikitsidwa. Komabe, anthu ambiri sangapemphe chithandizo mpaka zizindikiro zawo zitakula kwambiri. Nazi zina mwa zinthu zabwino zomwe mungachite kuti mudzisamalire:- Musaope kunena zoona za zizindikiro zanu. Anthu ambiri amachita manyazi ndi vutoli. Mukauza dokotala wanu moona mtima zomwe mukukumana nazo, iye adzamvetsa bwino vuto lanu. Izi zimuthandiza kuti akuthandizeni bwino.
- Pitani kwa dokotala wanu monga momwe mukufunira. Kukaonana ndi dokotala wanu nthawi ina kudzakuthandizani kuyang'anira vuto lanu. Angasinthe mankhwala anu ngati pakufunika kutero kapena angakupatseni njira zabwino zochizira.
- Imwani mankhwala anu monga mwalangizidwira. Mankhwala angathandize kuchepetsa zizindikiro za kugwedezeka kwakukulu ndikuchepetsa kusokonezeka kwa moyo wanu komwe kumachitika chifukwa cha vutoli. Ngati dokotala wanu wakupatsani mankhwala, imwani monga mwalangizidwira. Mankhwala ena angayambitse zotsatirapo zoyipa kapena zoopsa ngati mutasiya kumwa mwadzidzidzi. Choncho musasiye kumwa popanda kulankhula ndi dokotala wanu.
- Dziwani zomwe zimayambitsa kunjenjemera kwanu ndipo pewani. Kunjenjemera kofunikira nthawi zambiri kumawonjezeka mukatopa, mukupsinjika maganizo, mukuda nkhawa, kapena mukuvutika maganizo. Caffeine ingapangitsenso kuti zizindikiro zanu ziwonjezeke. Kupewa izi nthawi iliyonse yomwe zingatheke kungapangitse kusiyana kwakukulu ku zizindikiro zomwe mumakumana nazo.
- Pezani thandizo kuchokera ku ukadaulo. Chifukwa cha kupita patsogolo kwa ukadaulo, pali njira zatsopano zothandizira anthu omwe ali ndi Essential Tremor. Chimodzi mwa zinthu zofunika kwambiri ndi zipangizo zosinthira. Izi zingakuthandizeni kwambiri kukhala ndi moyo wabwino komanso kukhala ndi moyo wodziyimira pawokha.
Kodi ndiyenera kupita kwa dokotala liti? Kapena kufunsa upangiri kwa dokotala?
Ngati mwayamba kugwedezeka kosaneneka, muyenera kuonana ndi dokotala. Dokotala wanu adzakonza maulendo obwerezabwereza kuti ayang'anire vuto lanu ndikusintha chithandizo chanu ngati pakufunika kutero. Maulendo amenewa angathandize kuchepetsa zotsatirapo zosokoneza za vutoli, choncho ndikofunikira kupitako monga momwe mwalangizidwira. Ngati mukuona kuti zizindikiro zanu zikukulirakulira ndipo zikusokoneza zochita zanu za tsiku ndi tsiku, kapena ngati muli ndi zotsatirapo zina zovutitsa chifukwa cha mankhwala kapena chithandizo chanu, muyenera kuonana ndi dokotala wanu. Kodi ndiyenera kupita ku Chipinda Chothandizira Anthu Odwala Mwadzidzidzi (ETU) liti?
Kugwedezeka kwamphamvu si vuto lomwe lingawopseze thanzi lanu komanso thanzi lanu. Chifukwa chake, sizingachititse zizindikiro zomwe zimafuna chithandizo chamankhwala mwachangu. Komabe, lankhulani ndi dokotala wanu kuti muwone ngati pali zifukwa zilizonse zomwe mungafunikire chithandizo chamankhwala chadzidzidzi. Iye angakuuzeni zomwe muyenera kuyang'anira komanso zomwe mungachite kuti mudzisamalire nokha ngati mavuto otere abuka. Pomaliza, zinthu zofunika kukumbukira (Uthenga Wopita Nawo Kunyumba)
Kugwedezeka kwakukulu ndi vuto lomwe ziwalo za thupi lanu, nthawi zambiri manja ndi manja anu, zimagwedezeka. Poyamba, kungakhale vuto laling'ono. Ngakhale kuti si vuto lomwe lingawononge moyo, ngati kugwedezeka kwakukulu, kungakupangitseni kukhala kovuta kudzisamalira nokha kapena kukhala nokha. Ndizachilendonso kuchita manyazi ndi kuda nkhawa ndi kugwedezeka komwe kumachitika chifukwa cha vutoli. Kungayambitsenso mavuto amisala monga nkhawa ndi kupsinjika maganizo. Komabe, nkhani yabwino ndi yakuti pali njira zingapo zochiritsira vutoli. Palinso zida zambiri zomwe zingakuthandizeni kuthana ndi vutoli. Izi zingachepetse kukhudzidwa kwa moyo wanu. Chifukwa chake musachite mantha, musamachite manyazi, ndipo funsani upangiri wa dokotala mwachangu momwe mungathere. Kugwedezeka kwakukulu, kugwedezeka, matenda amitsempha, matenda oyenda, matenda a Parkinson, kugwedezeka kwa manja, thanzi
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