Kodi miyendo yanu imagwedezeka mukamayimirira? Kodi mumamva ngati mukutaya mphamvu? Kungakhale kugwedezeka kwa Orthostatic!

Kodi munayamba mwamvapo ngati miyendo yanu yayamba dzanzi, kugwedezeka, kapena kutaya mphamvu pamene munayimirira, makamaka mutayimirira kwa nthawi yayitali? Koma, modabwitsa, ngati kusapeza bwino kumeneku kwatha mukakhala pansi kapena kuyenda, mwina muli ndi vuto lotchedwa ``Orthostatic Tremor''. Liwu limeneli lingakhale lachilendo kumva, koma tiyeni tikambirane mwachidule.

Kodi `(Orthostatic Tremor)` ndi chiyani? Mwachidule...

Mwachidule, Orthostatic Tremor ndi matenda osowa kwambiri a mitsempha omwe amachititsa kuti minofu ya miyendo yanu igwedezeke mofulumira (kugwedezeka) mukayimirira. Kugwedezeka kumeneku kungakupangitseni kumva ngati simukukhazikika mukayimirira, kutaya mphamvu zanu, ndikumva ngati mutsala pang'ono kugwa. Koma zodabwitsa, kugwedezeka kumeneku nthawi zambiri kumachepa kapena kutha kwathunthu mukayenda, kukhala pansi, kapena kutsamira pa chinthu china.

Matendawa amapezeka kwambiri mwa anthu azaka zopitirira 60. Komabe, kafukufuku wasonyeza kuti amatha kukhudza aliyense wazaka zapakati pa 13 ndi 85. Tangoganizani, madokotala adapeza ndikufotokozera matendawa koyamba otchedwa ``Orthostatic Tremor'' mu 1984. Izi zikutanthauza kuti ndi matenda atsopano. Madokotala akuphunzirabe zambiri za matendawa.

Kodi zizindikiro za izi ndi ziti? Mukumva bwanji?

Chizindikiro chachikulu chomwe anthu omwe ali ndi `(Orthostatic Tremor)` nthawi zambiri amanena ndi kusakhazikika komwe amamva akaima. Izi zikutanthauza kuti, akumva kuti nthaka ikugwedezeka, kapena kuti thupi lawo silikuyenda bwino. Komabe, samva kusakhazikika kumeneku akakhala pansi kapena akuyenda. Ngati akhala pansi atayimirira, ayamba kuyenda, akutsamira chinthu ngati khoma, kapena atagona pansi, kugwedezeka kumeneku, kusakhazikika kumeneko, kumachepa kwambiri kapena kutha kwathunthu.

Kuti muchepetse kusakhazikika kumeneku, mungayesere mosazindikira kusunga miyendo yanu patali pang'ono, ngati kuti mukukhudza pansi ndi zala zanu zakunja . Taganizirani ngati mukuima pa basi kapena sitima ndipo mukuvutika kuti mukhale olimba.

Nthawi zambiri, simungazindikire kapena kuzindikira kuti miyendo yanu ikugwedezeka mofulumira mukamayimirira. Mungamve kusakhazikika kapena kutayika kwa mphamvu komwe ndatchula. Komabe, ngati muyika manja anu pa ntchafu kapena matako anu, mungamve minofu ikuchepa mofulumira, ngati mafunde . Kugwedezeka kumeneku nthawi zambiri sikupweteka. Komabe, pakapita nthawi, kupweteka kwa minofu ya miyendo kumatha kukula.

Anthu ena omwe ali ndi "Primary Orthostatic Tremor" (tidzakambirana izi mtsogolo) amathanso kugwedezeka m'manja kapena m'chiuno mwawo kuwonjezera pa miyendo yawo. Komabe, sangakumane ndi zizindikiro zina za mitsempha.

Kuopsa kwa ``Orthostatic Tremor'' kumatha kusiyana malinga ndi munthu. Anthu ena angayambe kugwedezeka akangoyimirira. Kwa ena, kugwedezeka kungayambe atangoyima kwa mphindi zochepa. Kwa anthu ambiri, kugwedezeka kumawonjezeka pang'onopang'ono pakapita nthawi.

N’chifukwa chiyani `(Orthostatic Tremor)` imachitika? Kodi zimayambitsa chiyani?

Ndipotu, madokotala ndi ofufuza akuphunzirabe za ``Orthostatic Tremor'', kotero chomwe chimayambitsa sichinadziwikebe. Akatswiri ena amakhulupirira kuti ndi mtundu wina wa kugwedezeka kotchedwa ``Essential Tremor''. Ena amakhulupirira kuti ``Orthostatic Tremor'' ndi vuto losiyana kwambiri, lodziyimira pawokha.

Nthawi zambiri, vutoli limachitika mwachisawawa, popanda chifukwa chilichonse. Komabe, pakhala malipoti ochepa osonyeza kuti limachitika mwa achibale. Mwachitsanzo, mwa mapasa, abale, kapena kholo ndi mwana. Choncho, ofufuza akufufuza ngati zinthu za majini, monga kusintha kwa majini, zimakhudza.

Kodi pali mitundu ya `(Orthostatic Tremor)`?

Inde, madokotala nthawi zambiri amagawa `(Orthostatic Tremor)` m'mitundu iwiri ikuluikulu:

1. Kugwedezeka Kwambiri kwa Mafupa: Izi zimatchedwanso kuti idiopathic. Izi zikutanthauza kuti chomwe chimayambitsa chenicheni sichikudziwika. Anthu omwe ali ndi kugwedezeka koyamba kwa mafupa samakhala ndi zizindikiro za matenda ena aliwonse a mitsempha.

2. Kugwedezeka kwa Minofu Yachiwiri: Izi zimachitika chifukwa cha matenda ena. Kafukufuku wasonyeza kuti kugwedezeka kwa minofu yachiwiri kumatha kuchitika chifukwa cha matenda osiyanasiyana. Zina mwa matenda amenewa ndi monga:

• Matenda a Graves (matenda a chithokomiro)
• Kuvulala mutu
• `Multiple Sclerosis (MS)` (matenda omwe amakhudza dongosolo la mitsempha)
• `Parkinsonism` (vuto lomwe limayambitsa zizindikiro zofanana ndi matenda a Parkinson)
• Matenda a Miyendo Yosakhazikika (matenda omwe amayambitsa kusakhazikika kwa miyendo)
• Kuwonongeka kwa mbali zina za ubongo (monga Pontine ndi midbrain loses)
• Zilonda za msana
• 'Matenda a munthu wolimba'
• Kusowa kwa Vitamini B12

Chofunika kwambiri ndikupempha upangiri kwa dokotala ngati muli ndi zizindikiro izi. Musadziyese nokha.

Kodi mumazindikira bwanji izi molondola? (Kuzindikira)

Kuti adziwe ngati kunjenjemera kwa orthostatic kuli koyenera, dokotala wanu adzakufunsani kaye za zizindikiro zanu ndi mbiri yanu yachipatala. Kenako, adzakuyezani thupi lanu ndi kuyeza mitsempha kuti awone momwe kunjenjemerako kumayambira komanso nthawi yomwe kukuchitika.

M'malo ena apadera, matenda a `(Orthostatic Tremor)` amatsimikiziridwa ndi `Surface EMG (Electromyography)`Mayeso otchedwa 'muscle electromyography' amachitidwa. Komabe, nthawi zina akatswiri a matenda oyenda (Movement Disorders Specialists) amatha kuzindikira izi kutengera zizindikiro zachipatala. Mayeso a 'EMG' amawunika thanzi ndi ntchito ya minofu yanu ya mafupa ndi mitsempha yomwe imayilamulira. Makamaka, amaphatikizapo kuyika 'masensa' ang'onoang'ono pakhungu la mwendo wanu ndikuyesa momwe minofu yanu imagwirira ntchito.

Dokotala wanu angakulangizeninso mayeso ena - monga mayeso a magazi ndi mayeso ojambulira zithunzi (monga MRI scan) - kuti athetse matenda ena omwe angayambitse kunjenjemera kwanu.

Mwatsoka, chifukwa Orthostatic Tremor ndi vuto losowa kwambiri, madokotala nthawi zina amalizindikira molakwika ngati vuto lina. Makamaka, nthawi zambiri limasokonezedwa ndi Functional Tremor (yomwe imatchedwanso Psychogenic Tremor), vuto la kuyenda lomwe lingayambitsidwe ndi zinthu monga kupsinjika maganizo. Chifukwa chake, kupeza matenda olondola kungakhale kovuta pang'ono.

Kodi mankhwala ake ndi otani? Kodi angachiritsidwe?

Palibe mankhwala a Orthostatic Tremor. Komabe, pali mankhwala ena omwe angathandize kuchepetsa zizindikiro zanu, kutanthauza kuchepetsa kugwedezeka ndi kusakhazikika.

Mankhwala oyamba omwe nthawi zambiri amaperekedwa ndi `Clonazepam` (mankhwala omwe ali mu gulu la `(Benzodiazepine)`). Komabe, mankhwalawa sagwira ntchito kwa aliyense. Chifukwa chake, pali mankhwala ena ochiritsira:

• `Gabapentin`
• `Primidone`
• `Propranolol`
• `Pregabalin`
• `Phenobarbital`

Mankhwala omwe amathandiza ndi mitundu ina ya kunjenjemera angathandizenso ndi zizindikiro za "Orthostatic Tremor". Komabe, izi zikadali mu gawo lofufuza. Mankhwala oterewa akuphatikizapo:

• Kulimbikitsa Ubongo Kwambiri (DBS)
• Kulimbikitsa kwa Msana

Popeza ofufuza akuphunzirabe za Orthostatic Tremor, mungakhale oyenerera kutenga nawo mbali mu mayeso azachipatala. Funsani dokotala wanu ngati iyi ndi njira yabwino kwa inu.

Kodi mukukhala bwanji ndi vutoli? Kodi mungayembekezere chiyani?

Kugwedezeka kwa Orthostatic ndi vuto lalikulu mukayimirira, koma kungakhudze moyo wanu. Mwachitsanzo, mungayambe kupewa zochitika zomwe muyenera kuyimirira, monga kusamba, kudikira pamzere, kugwira ntchito zapakhomo, kapena kuphika. Izi zitha kukhala zokhumudwitsa kwambiri.

Komabe, kusintha zina ndi zina pa moyo wanu watsiku ndi tsiku kungathandize kuti mukhale ndi vutoli mosavuta.Mwachitsanzo, kugwiritsa ntchito mpando wa shawa m'bafa, kapena kugwiritsa ntchito mpando wa olumala mukayenera kudikira pamzere. Katswiri wa zamaganizo angakuthandizeni kupeza njira zochitira ntchito za tsiku ndi tsiku mosavuta.

Popeza vutoli ndi losowa kwambiri, nthawi zina zimakhala zovuta kuti ena amvetse '(Orthostatic Tremor)' iyi, komanso madokotala kuti adziwe bwino matendawa. Chifukwa chake, ndikofunikira kwambiri kupeza chithandizo cha okondedwa anu. Ngati mukukumana ndi mavuto amisala monga '(Orthostatic Tremor)', '(Anxiety)', kapena ngati mukumva ngati mukulekanitsidwa ndi anthu, musazengereze kupita kwa alangizi azaumoyo monga '(Psychologist)'. Zimenezi zikupatsani mpumulo waukulu.

Kodi pali njira yopewera izi?

Mwatsoka, popeza chifukwa chenicheni cha Orthostatic Tremor sichikudziwika, palibe chomwe mungachite kuti mupewe.

Ndi pamene zimakhala zovuta kuti tizindikire kufunika kokhala wokhoza kuima mosasunthika popanda kuvutika kulikonse. Popeza Orthostatic Tremor ndi vuto losowa, ulendo wopeza matenda olondola ukhoza kukhala wautali. Mungafunike kulankhula nokha ndikupeza chidziwitso. Komabe, kupeza matenda olondola n'koyenera. Kumbukirani, mankhwala ena ndi zinthu zothandizira kuyenda zingathandize kukhala ndi Orthostatic Tremor mosavuta.

Pomaliza, zinthu zoti muzikumbukira

Chabwino, ndikukhulupirira kuti tsopano muli ndi lingaliro la ``Orthostatic Tremor'' yomwe tinkakamba.

Uwu ndi vuto lovuta komanso losowa, koma ndi kumvetsetsa ndi chithandizo choyenera, lingathe kupirira bwino.

Zinthu zingapo zoti mukumbukire ndi izi:

• Ngati mukumva miyendo yanu ikugwedezeka kapena mukumva ngati mukutaya mphamvu mutayimirira, musanyalanyaze zimenezo. Pitani kwa dokotala.
• Dokotala yekha ndi amene anganene motsimikiza ngati izi ndi ``Orthostatic Tremor'' yochepa.
• Chithandizo chingathetse zizindikiro.
• Simuli nokha. Pezani thandizo kuchokera kwa abale anu, anzanu, ndipo, ngati kuli kofunikira, akatswiri azaumoyo wamaganizo.

Ngati muli ndi mafunso ena okhudza izi, musazengereze kulankhula ndi dokotala wanu. Iye akhoza kukufotokozerani bwino.

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