Kodi minofu ya m'manja ndi pakhosi panu imagwedezeka mosalekeza? Tiyeni tikambirane za Focal Dystonia!

Kodi munayamba mwamvapo kuti mukayamba kulemba chinachake, zala zanu mwadzidzidzi zimayamba kugwedezeka kapena kugwedezeka? Kapena mukamasewera chida ngati gitala, kodi mumamva ngati zala zanu mwadzidzidzi zikugwedezeka kapena kugwedezeka popanda kulamulira? Mwina khosi lanu mwadzidzidzi limapendekera mbali imodzi, kapena mawu anu amasintha kapena kugwedezeka mukamalankhula? Izi si zinthu zosayembekezereka chabe. Zinthuzi zitha kukhala zizindikiro za matenda otchedwa Focal Dystonia . Ngakhale dzinalo lingamveke ngati loopsa pang'ono, lero tikambirana izi m'njira yosavuta yomwe mungamvetse.

Kodi Focal Dystonia ndi chiyani?

Mwachidule, focal dystonia ndi matenda amitsempha. Pa vutoli, minofu yomwe ili m'thupi lanu imayamba kufooka yokha, popanda kulamulira kwanu. Mwanjira ina, minofu imayamba kufooka popanda inu kuifuna. Mawu akuti "focal" amatanthauza "localized." Izi zikutanthauza kuti vutoli limangokhala m'dera limodzi, m'malo mokhudza thupi lonse.

Izi zingakhudze minofu ya m'khosi mwanu (cervical dystonia kapena spasmodic torticollis), maso anu (blepharospasm), nsagwada yanu (oromandibular dystonia), kapena mawu anu (laryngeal dystonia kapena spasmodic dysphonia). Focal dystonia ingakhudzenso madera a dzanja lanu, monga dzanja lanu, chikhatho, ndi zala.

Dystonia ndi mawu ofala a matenda amitsempha omwe amayambitsa kupweteka kwa minofu kosalamulirika. Focal dystonia ndi mtundu umodzi wa dystonia.

Kodi Focal Dystonia ya Task-specific ndi chiyani?

Izi ndi zinazake zomwe zimachitika mwapadera. Kwa anthu ena, vuto la Focal Dystonia limachitika pokhapokha akagwira ntchito inayake . Izi zikutanthauza kuti nthawi zina amakhala bwino, koma akangoyamba kugwira ntchito imeneyo ndi pomwe amayamba kugwedezeka ndikutaya mphamvu. Izi ndi zomwe timatcha Task-specific Focal Dystonia .

Taganizirani zitsanzo ngati izi:

• Kupweteka kwa m'mimba kwa wolemba: Mwina mwamvapo za izi. Mukapitiriza kulemba, kapena mukamalemba mayeso, minofu m'dzanja lanu ndi zala zanu zimalimba mwadzidzidzi, zomwe zimapangitsa kuti zikhale zovuta kulemba. Anthu ena sangathe kugwira bwino cholembera.
• Dystonia ya woimba: Izi zingakhudze anthu omwe amasewera zida zoimbira monga gitala, vayolini, ndi piyano. Minofu ya m'manja ndi zala imalimba mwadzidzidzi, imagwedezeka, ndipo imalephera kusewera manotsi. Anthu omwe amasewera zida za brass kapena woodwind amathanso kukhala ndi mavuto ndi minofu ya milomo, nsagwada, kapena lilime (embouchure dystonia).
• Zinthu zomwe zimachitika mwa osewera ("mayips"): Tikambirana izi posachedwa.

Matenda a focal dystonia omwe amakhudza ntchito zosiyanasiyana nthawi zambiri amapezeka mwa anthu omwe amagwira ntchito kapena zosangalatsa zomwe zimafuna luso lalikulu loyendetsa thupi. Mwachitsanzo, osewera tenisi, okonza tsitsi, ndi opaka utoto.

Kodi pali kusiyana kotani pakati pa Focal Dystonia ndi Carpal Tunnel Syndrome?

Nthawi zina, zizindikiro za matenda awiriwa zimatha kufanana pang'ono, zomwe zingayambitse chisokonezo. Komabe, zomwe zimayambitsa matenda awiriwa ndi zosiyana kwambiri.

Focal dystonia imayamba chifukwa cha vuto la kulumikizana pakati pa ubongo ndi mitsempha . Izi zikutanthauza kuti, pali vuto ndi zizindikiro zomwe zimayenda kuchokera ku ubongo kupita ku minofu.

Komabe, Carpal Tunnel Syndrome ndi vuto lomwe limachitika pamene mitsempha (mitsempha yapakati) yomwe imadutsa m'dzanja imapanikizika. Izi nthawi zambiri zimachitika chifukwa cha kuyenda mobwerezabwereza kwa manja (kugwiritsa ntchito mopitirira muyeso) kapena mavuto ena a mitsempha.

Ngakhale zizindikiro zake zili zofanana, chifukwa chake n’chosiyana, kotero chithandizo chake n’chosiyana. Ndicho chifukwa chake ndikofunikira kwambiri kupeza matenda olondola.

Kodi "ma yips" ndi chiyani?

"Yips" ndi dzina lomwe linaperekedwa ku vuto lomwe tinalitchula kale, Task-specific Focal Dystonia, lomwe limakhudza othamanga, makamaka omwe amasewera masewera omwe amafunika kugwiritsa ntchito kwambiri dzanja kapena dzanja . Tangoganizirani kuti wosewera mpira wa cricket akatsala pang'ono kuponya mpira kapena kugunda, kapena wosewera mpira wa gofu akatsala pang'ono kugunda mpira, mwadzidzidzi amataya mphamvu pa dzanja lake, amagwedezeka, ndipo sangathe kuchita bwino ntchitoyo. Ndicho chimene timatcha "yips." Izi zimachitika kawirikawiri mwa osewera a gofu ndi baseball.

Ndani amene ali ndi mwayi waukulu wopeza Focal Dystonia?

Ngakhale kuti vutoli lingayambike mwa aliyense, limapezeka kwambiri mwa akuluakulu azaka zapakati pa 40 ndi 60. Kafukufuku wapezanso kuti akazi ali ndi mwayi wochuluka wopeza focal dystonia kuposa amuna.

Kodi vutoli ndi lofala bwanji?

Dystonia ndi vuto lofala kwambiri la kayendedwe ka thupi, koma vuto limeneli, lotchedwa focal dystonia, ndi losowa kwambiri. Mwachitsanzo, ku United States, limakhudza anthu pafupifupi atatu pa anthu 10,000.

Kodi n’chiyani chimayambitsa matenda a focal dystonia?

Ndipotu, madokotala sakudziwabe chomwe chimayambitsa focal dystonia. Chimatchedwa "idiopathic." Izi zikutanthauza kuti chomwe chimayambitsa sichikudziwika.

Koma, tikudziwa kuti izi zimachitikaChifukwa ubongo wanu ndi mitsempha sizikulankhulana bwino. Gawo lomwe lili mkati mwa ubongo lotchedwa ``Basal Ganglia'' limathandiza kulamulira kayendedwe ka minofu. Akuganiza kuti kusintha kwina pakugwira ntchito kwa dera lino kumakhudzidwa.

Nthawi zina, zizindikiro izi za focal dystonia zimatha kuchitika ndi kusintha kwa zizolowezi za munthu, monga wothamanga, wolemba, kapena woimba. Mwachitsanzo:

• Kusintha njira yanu mutavulala ndi mitsempha.
• Kuphunzira masewera atsopano kapena chida choimbira.
• Kuchita masewera olimbitsa thupi, kuchita zisudzo, kapena mpikisano wochuluka kuposa masiku onse.

Ngakhale ofufuza sanatsimikizirebe kuti pali kulumikizana kwa majini, apeza kuti pafupifupi munthu m'modzi mwa anthu 10 omwe ali ndi vuto la focal dystonia ali ndi mbiri ya banja la matendawa.

N’chiyani chimayambitsa “mayipu”?

Anthu ena amaganiza kuti osewera gofu amavutika chifukwa cha nkhawa yochita bwino. Izi zikutanthauza kuti amavutika ndi kuopa mpikisano. Ichi chingakhale chifukwa chimodzi. Komabe, "mavuto" amathanso kuchitika chifukwa cha mawonekedwe osayenera kapena kugwiritsa ntchito mopitirira muyeso.

Komanso, anthu omwe ali ndi matenda enaake amatha kukhala ndi "yips":

• Matenda a Cerebral Palsy
• Matenda a Multiple Sclerosis

Kodi zizindikiro zake ndi ziti?

Zizindikiro za focal dystonia zimatha kusiyana malinga ndi gawo la thupi lomwe lakhudzidwa. Nthawi zambiri, chizindikiro choyamba chingakhale kutayika pang'ono kwa mgwirizano wa minofu. Mwachitsanzo, ngati manja anu akhudzidwa, nthawi zambiri mumagwetsa zinthu. Ngati pakamwa panu pakhudzidwa, mutha kukhala ndi kutulutsa madzi kwambiri mukamadya kapena kumwa.

Pakapita nthawi, focal dystonia ingayambitse zizindikiro zazikulu za minofu:

• Kugwedezeka kwa minofu kapena kupweteka kwa minofu.
• Kupweteka kwa minofu.
• Kugwedezeka kwa minofu kapena kugwedezeka (Twitches - myoclonus).
• Kaimidwe kosayenera ka thupi lomwe lakhudzidwa. Mwachitsanzo, khosi likhoza kupendekeka mbali imodzi.

Kuwonjezera pa zizindikiro zazikuluzikuluzi, anthu omwe ali ndi focal dystonia amathanso kukhala ndi zizindikiro zina . Izi zimachitika chifukwa cha kupsinjika maganizo ndi thupi komwe kumachitika chifukwa cha vutoli. Izi sizikugwirizana mwachindunji ndi minofu. Zizindikirozi zikuphatikizapo:

• Maso osawoneka bwino.
• Kuvutika maganizo.
• Kuvutika kugona.
• Kutopa kwambiri.
• Kusintha kwadzidzidzi kwa malingaliro (kusintha kwa malingaliro).
• Mkwiyo waufupi.
• Kuvutika kuyang'ana kwambiri.

Zizindikiro za focal dystonia zimatha kukulirakulira pakapita nthawi, kenako zimatha kukhazikika pamlingo winawake ndikubwereranso. Komabe, kwa anthu ena, vutoli lingasiye kukulirakulira.

Kodi mumazindikira bwanji izi?

Kuti adziwe matenda a focal dystonia, dokotala wanu adzakufunsani za zizindikiro zanu, mbiri yanu yachipatala, ndikuwunika gawo la thupi lomwe lakhudzidwa.

Dokotala wanu akamafufuza matenda, adzayesa kuchotsa matenda ena omwe amayambitsa zizindikiro zofanana (monga kuvulala kwambiri). Muthanso kuyesedwa ngati awa:

• Kuyezetsa magazi: Kufufuza ngati muli ndi matenda kapena matenda ena.
• Kujambula kwa CT kapena MRI: Kufufuza zotupa kapena zotupa zina zosazolowereka muubongo kapena pafupi ndi gawo la thupi lomwe lakhudzidwa.
• Electromyogram (EMG): Imayesa momwe minofu yanu imagwirira ntchito ndi zizindikiro zamagetsi. Izi zingakupatseni lingaliro la momwe mitsempha ndi minofu yanu imagwirira ntchito.

Kodi imachiritsidwa bwanji?

Mwatsoka, palibe mankhwala a focal dystonia. Komabe, mankhwala omwe alipo angathandize kuchepetsa kupweteka kwa minofu ndikuletsa vutoli kuti lisakule kwambiri. Mankhwala a focal dystonia angaphatikizepo:

• Kusintha kwa moyo: Nthawi zina, kusintha momwe mumamvera mukugwira ntchito kungathandize ubongo wanu kukonza mayendedwe anu popanda kusokonezeka kwambiri. Mwachitsanzo, woyimba vayolini angavutike kwambiri ngati avala magolovesi. Wolemba angavutike kwambiri ngati asintha momwe amagwirira cholembera chake. Mukhozanso kuchita masewera olimbitsa thupi kuti muchepetse kusasangalala.
• Mankhwala:
• Mankhwala oletsa kupweteka kwa minofu , monga Trihexyphenidyl (Artane®), amathandiza kuletsa zizindikiro za mitsempha zomwe zimayambitsa kupweteka kwa minofu.
• Mankhwala oletsa kutupa otchedwa Vesicular Monoamine Transporter 2 (VMAT2) , monga Tetrabenazine (Xenazine®), amagwiritsidwa ntchito kusintha mankhwala a muubongo omwe amakhudza mitsempha ndi minofu yanu.
• Nthawi zina, mankhwala `(Carbidopa/Levodopa (Sinemet))` amathanso kuchepetsa zizindikiro.
• Mankhwala opumulira minofu, mwachitsanzo, Baclofen kapena benzodiazepines (Clonazepam), angagwiritsidwenso ntchito.
• Jakisoni: Botulinum Toxin (Botox®)Jakisoni ndi mankhwala ofala kwambiri a dystonia. Mwina munamvapo kuti amagwiritsidwa ntchito ngati zokongoletsa, koma ndi othandiza kwambiri pamavuto a minofu. Madokotala amapereka jakisoni mwachindunji mu minofu yokhudzidwa. Jakisoniyo imaletsa kwakanthawi zizindikiro kuchokera ku ubongo zomwe zimapangitsa kuti minofu igwedezeke. Anthu ambiri amafunika jakisoni pafupifupi miyezi itatu iliyonse.
• Opaleshoni: Nthawi zambiri, dokotala wanu angakulangizeni opaleshoni.
• Kulimbikitsa Ubongo Kwambiri (DBS): Izi zimaphatikizapo kuyika ma electrode m'malo enaake muubongo. Zipangizo zazing'onozi zimawongolera zizindikiro zomwe zimapangitsa minofu kugwedezeka.
• Opaleshoni yosankha yochotsa mitsempha ya m'mitsempha: Pachifukwa ichi, mitsempha yomwe imayambitsa kugwedezeka kwa minofu imachotsedwa kapena kuchotsedwa.

Kodi mumaletsa bwanji izi?

Monga tafotokozera kale, palibe chomwe chimadziwika chomwe chimayambitsa focal dystonia, kotero palibe njira yodziwira kuti ingapewedwe. Komabe, pali zinthu zina zomwe zingapangitse focal dystonia kukhala yoipa kwambiri. Chifukwa chake, kudziwa zinthu izi kungathandize:

• Pewani kusuntha mobwerezabwereza kapena kulankhula (kutengera malo omwe akhudzidwa).
• Kuthetsa kupsinjika maganizo pogwiritsa ntchito njira zabwino.
• Kuchepetsa kutopa mwa kugona bwino, kuchita masewera olimbitsa thupi, komanso kudya zakudya zopatsa thanzi.

Kodi chiyembekezo ndi chiyani?

Focal Dystonia nthawi zina imatha kufalikira ndikukhudza ziwalo zina za thupi lanu. Zapezeka kuti mwa munthu m'modzi mwa anthu 6 omwe ali ndi vutoli, Focal Dystonia imafalikira kumadera ena.

Komabe, nkhani yabwino ndi yakuti chithandizo chingachepetse kuchuluka kwa zizindikiro za focal dystonia komanso kuopsa kwake. Ngati zizindikiro zanu sizikusintha mutalandira chithandizo, onetsetsani kuti mwalankhula ndi dokotala wanu. Chithandizo chanu chingafunike kusintha.

Ndifunsenso chiyani dokotala?

Mukapita kwa dokotala, ndi bwino kufunsa mafunso awa:

• Kodi ndi chifukwa chiyani chomwe chingayambitse zizindikiro zanga?
• Ndi mayeso ati omwe ndiyenera kuchita kuti ndizindikire Focal Dystonia?
• Kodi ndingachite chiyani kuti ndithetse zizindikiro za Focal Dystonia?
• Kodi ndi njira ziti zochiritsira zomwe ndili nazo?
• Kodi chingachitike n’chiyani ngati sindikuchiza matenda a Focal Dystonia?

Pomaliza, zinthu zingapo zoti muzikumbukira

Focal dystonia ndi matenda amitsempha omwe amachititsa kuti minofu isayende bwino mbali imodzi ya thupi. Focal dystonia, yomwe imakhudza dzanja, dzanja, kapena zala, imapezeka kwambiri mwa anthu omwe amagwiritsa ntchito luso lotha kuyenda bwino (monga oimba, othamanga, okonza tsitsi, olemba).

Ngakhale zizindikiro zake zitha kufanana ndi matenda amitsempha, focal dystonia imayamba chifukwa cha vuto la kulumikizana pakati pa mitsempha, minofu, ndi ubongo.

Ngakhale kuti palibe mankhwala a vutoli, zizindikiro zake zimatha kuchiritsidwa bwino ndi kusintha moyo, mankhwala, jakisoni, kapena opaleshoni. Chifukwa chake, ngati muli ndi zizindikiro izi, musazengereze kufunafuna upangiri wa dokotala. Kuzindikira msanga ndi chithandizo nthawi zonse kumabweretsa zotsatira zabwino.

Focal dystonia, kugwedezeka kwa minofu, neuropathy, kupweteka kwa manja kwa wolemba, dystonia ya woimba, yips, chithandizo cha Botox