Kodi munayamba mwamvapo ngati manja anu akugwedezeka pang'ono pamene mukumwa tiyi, kusaina chikalata, kapena kungokhala chete? Mungaganize kuti izi zimachitika mukatopa kapena mukuchita mantha pang'ono. Koma ngati zikupitirira, zitha kukhala chifukwa cha matenda otchedwa ' Essential Tremor '. Musachite mantha mukamva dzinali. Tiyeni tikambirane zonsezi mosavuta komanso momveka bwino.
Kodi Essential Tremor ndi chiyani?
Mwachidule, Essential Tremor ndi vuto la kuyenda lomwe limakhudza dongosolo lathu la mitsempha. Limapangitsa ziwalo za thupi lathu kugwedezeka mozungulira momwe sitingathe kulamulira. Nthawi zambiri limayamba m'manja . Kugwedezeka kumeneku kumaonekera kwambiri mukamagwiritsa ntchito manja anu kuchita zinazake.
Imeneyi ndi vuto lomwe limayamba pang'onopang'ono. Izi zikutanthauza kuti pakapita nthawi, kugwedezeka sikungokhudza manja okha, komanso kungafalikire kumutu, m'khosi, nsagwada, nkhope, thunthu, ndipo nthawi zina miyendo. Koma nthawi zambiri izi zimachitika pang'onopang'ono , ndipo simungafunike chithandizo chilichonse kwa zaka zambiri.
Chofunika kwambiri ndichakuti vutoli silikuika moyo pachiswe. Ndipo silifupikitsa moyo wanu. Komabe, kwa anthu ena, lingapangitse kuti zikhale zovuta kuchita ntchito za tsiku ndi tsiku , monga kudya, kuvala, ndi kulemba.
Kodi n’chiyani chimayambitsa Essential Tremor?
Madokotala sakudziwa bwino chomwe chimayambitsa izi, koma amakhulupirira kuti ndi vuto la mitsempha lomwe limayamba mu dongosolo la mitsempha, kutanthauza, ubongo, msana, kapena mitsempha.
Pakadali pano zikudziwika kuti pafupifupi 50% ya anthu omwe ali ndi Essential Tremor alinso ndi wachibale wina yemwe ali ndi vutoli. Izi zikutanthauza kuti pali ubale wina ndi makolo. Komabe, sizinapezekebe kuti limayamba chifukwa cha jini imodzi. N'zotheka kuti limayamba chifukwa cha kuphatikiza kwa zinthu zobadwa nazo komanso zachilengedwe.
Mwachidule, pali gawo la ubongo wathu lotchedwa 'Cerebellum' . Ichi ndi chomwe chimayendetsa bwino mayendedwe a minofu yathu. Pankhani ya Essential Tremor, akuganiza kuti pali kusintha kwa kulumikizana pakati pa cerebellum iyi ndi magawo ena a ubongo.
Zina zomwe zimayambitsa kugwedezeka
Ngakhale kuti kugwedezeka kwakukulu ndiye chifukwa chofala kwambiri cha kugwedezeka, palinso zifukwa zina za mtundu uwu wa kugwedezeka, ndichifukwa chake ndikofunikira kuonana ndi dokotala wanu kuti mudziwe chomwe chimayambitsa.
| Zinthu zina zomwe zimakhudza kugwedezeka kwa nthaka |
|---|
| Matenda ena a mitsempha monga matenda a Parkinson, multiple sclerosis, kapena sitiroko. |
| Chithokomiro chogwira ntchito mopitirira muyeso. |
| Kulephera kugwira ntchito kwa chiwindi kapena impso. |
| Kupsinjika maganizo kwambiri, nkhawa, kapena kutopa. |
| Kumwa kwambiri zakumwa zokhala ndi caffeine (tiyi, khofi). |
| Mankhwala ena a mphumu ndi matenda amisala. |
| Kukhudzidwa ndi poizoni monga zitsulo zolemera monga mercury ndi lead ndi mankhwala ophera tizilombo. |
Kodi zizindikiro zazikulu za Essential Tremor ndi ziti?
Pali zizindikiro zazikulu zingapo zomwe mungakumane nazo mu vutoli, koma si aliyense amene angakumane ndi zizindikiro zonsezi.
| Chizindikiro | Kufotokozera |
|---|---|
| Kugwedezeka m'manja | Ichi ndiye chizindikiro chodziwika bwino komanso chodziwikiratu. |
| Kugwedezeka kwa mawu | Kumva kunjenjemera m'mawu pamene akulankhula. |
| Kugwedeza mutu | Kugwedeza mutu mopanda kulamulirika ngati kuti 'inde' kapena 'ayi'. |
| Kuwonjezeka ndi kuyenda | Kunjenjemera kumaonekera kwambiri mukamasuntha zinthu, monga kugwira chinthu kapena kulemba, kuposa mukamapuma. |
| Kuwonjezeka kwa zinthu zina | Kupsinjika maganizo, kuchita zinthu mopitirira muyeso, caffeine, ndi mankhwala ena zimatha kupangitsa kuti munthu ayambe kunjenjemera kwakanthawi. |
| Kuchepetsa mowa | Chodabwitsa n'chakuti, anthu ena amapeza kuti kumwa mowa pang'ono kumachepetsa kunjenjemera kwawo kwakanthawi (koma izi sizikulimbikitsidwa ngati chithandizo). |
Kodi dokotala amazindikira bwanji izi?
Ngati muli ndi zizindikiro izi, chinthu chabwino kuchita ndikuonana ndi dokotala . Dokotalayo adzakufunsani za mbiri yanu ya matenda, ngati pali aliyense m'banja mwanu amene adadwalapo, kenako adzakuyesani.
Kuyezetsa kwa mitsempha, komwe kumagwirizana kwambiri ndi dongosolo la mitsempha, kungayang'ane izi:
- Mphamvu ndi mkhalidwe wa minofu yanu.
- Kusinkhasinkha .
- Kukhazikika kwa thupi.
- Kodi mumamva bwanji mukasuntha komanso mukapuma?
- Liwiro ndi kuchuluka kwa kugwedezeka.
Kuphatikiza apo, kuyezetsa magazi ndi mkodzo kungachitike kuti apeze matenda ena omwe angayambitse kugwedezeka. Nthawi zina, kusanthula ubongo kungalimbikitsidwenso.
Kodi mankhwala a Essential Tremor ndi ati?
Choyamba, ngati kugwedezeka kwanu sikukusokoneza kwambiri zochita zanu za tsiku ndi tsiku, simungafunike chithandizo chilichonse. Komabe, ngati kukukhudza moyo wanu, pali njira zingapo zothandizira.
Mankhwala
Pali mitundu ingapo ya mankhwala omwe angathandize kuchepetsa kugwedezeka kwa thupi. Mungafunike kuyesa mitundu ingapo yosiyanasiyana kuti mupeze yomwe ikukugwirani ntchito bwino. Chofunika kwambiri ndichakuti mankhwala onsewa azigwiritsidwa ntchito pokhapokha ngati dokotala akuwayang'anira.
| Mulingo wa chithandizo | Mitundu ya mankhwala (zitsanzo) |
|---|---|
| Mankhwala oyamba - omwe amagwiritsidwa ntchito kwambiri | |
| 1 | Propranolol (Hemangeol, Inderal) |
| 2 | Primidone (Mysoline) |
| Mankhwala a mzere wachiwiri | |
| - | Mankhwala monga Alprazolam (Xanax), Atenolol, Gabapentin (Neurontin), Topiramate (Topamax). |
Mankhwala ena
- Zipangizo zosinthira: Anthu ena amatha kuletsa kugwedezeka pogwiritsa ntchito zinthu monga zolemera m'manja ndi ziwiya zolemera.
- Jakisoni wa poizoni wa botulinum: Jakisoni uyu angathandize anthu omwe ali ndi kunjenjemera m'mutu kapena mawu.
- Kulimbikitsa Ubongo Kwambiri (DBS): Iyi ndi njira yochitira opaleshoni. Mu njira imeneyi, electrode yopyapyala kwambiri imayikidwa mu gawo la ubongo lotchedwa thalamus lomwe limayambitsa kugwedezeka, ndipo imalumikizidwa ku chipangizo chaching'ono (monga pacemaker) chomwe chimayikidwa pansi pa khungu la chifuwa. Chipangizochi chimatha kuwongolera mauthenga amagetsi osazolowereka omwe amapita ku ubongo, kuchepetsa kugwedezeka ndi pafupifupi 70%-90%.
- Ultrasound yotsogozedwa ndi MRI:Uwu ndi ukadaulo watsopano. Popanda opaleshoni, kuwala kwa ultrasound kwamphamvu kwambiri kumayendetsedwa, mothandizidwa ndi makina a MRI, kuti kuwononge maselo oyenera mu thalamus ya ubongo.
Uthenga Wopita Nawo Kunyumba
- Kugwedezeka kwakukulu ndi vuto lofala, koma silikuika moyo pachiswe, la mitsempha.
- Chizindikiro chachikulu cha izi ndi kunjenjemera m'manja, m'mutu, kapena mawu omwe amawonjezeka pamene akugwira ntchito.
- Pakhoza kukhala ubale wobadwa nawo ndi izi, koma muthabe kuzikulitsa ngakhale palibe m'banja mwanu amene ali nazo.
- Ngati kunjenjemera kwanu kukupangitsani kukhala kovuta kuchita ntchito za tsiku ndi tsiku, musachite mantha ndi kupita kwa dokotala . Pali njira zambiri zothandiza zothanirana ndi vutoli.
- Musadziyese nokha kapena kumwa mankhwala popanda upangiri wa dokotala.
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