Ese imitsi yawe irakomera mu buryo butunguranye? Reka twige kuri iyi (Dystonia)!

Ese wigeze ubona, cyangwa warigeze kubona, ko imitsi yawe ihita ikomera, igahinda umushyitsi, cyangwa igafata umwanya umwe? Hari igihe ibi bishobora kubabaza ndetse bikaba byanababaza. Iyi ndwara tuyita "Dystonia." Nubwo ishobora kugaragara nk'ikibazo ku mitsi yawe, ikibazo kiri mu bwonko bwawe cyangwa mu mitsi. Reka tubiganireho birambuye, si byo se?

Dystonia ni iki mu by'ukuri?

Muri make, dystonia ni indwara y’imitsi. Irangwa no gufungana kw’imitsi bidaturutse ku bushake bibaho nta bushobozi bwawe cyangwa imbaraga zawe. Ijambo "dystonia" rikomoka ku magambo y’Ikilatini "dys" (bitari byo/ibidafite ubuziranenge) n’ijambo ry’Ikigereki "tonos" (gufungana kw’imitsi). Bivuze ko imitsi ikora nabi, nabi.

Ni irihe tandukaniro riri hagati ya Dystonia na Dyskinesia?

Nubwo aya magambo yombi asa gato n'ayasa, hari itandukaniro rito.

• Dyskinesia: Iri naryo ni ijambo ry'Ikigiriki. "Kinesia" risobanura "gukora ingendo." Dyskinesia bivuga ingendo ziba nabi, zitagomba kubaho. Izi ni ingendo zidakorwa ku bushake , ni ukuvuga ingendo z'imitsi ziba nta bushobozi bwawe.
• Dystonia: Ubu ni ubwoko bwa dyskinesia. Muri dystonia, imitsi irakomera igihe kirekire . Bitewe n'igice cy'umubiri cyafashwe, ushobora gusa n'aho uri mu myanya itandukanye.

Ni nde ushobora kurwara dystonia?

Bitewe n'icyateye dystonia, ishobora kugira ingaruka ku muntu uwo ari we wese. Hari impamvu zishingiye ku myaka runaka, bivuze ko zishobora kugira ingaruka ku muntu uvuka cyangwa mu bwana. Izindi zishobora kurwara mu myaka yashize.

Nubwo ubushakashatsi bwerekana ko abantu bagera ku 300.000 muri Leta Zunze Ubumwe za Amerika gusa bafite indwara ya dystonia, abahanga bemeza ko umubare nyakuri ushobora kuba munini cyane. Kubera ko dystonia ishobora kuza mu buryo butandukanye, rimwe na rimwe biragoye kuyisuzuma neza.

Dystonia igira ingaruka zite ku mubiri wanjye?

Dystonia ni indwara y'ubwonko igira ingaruka ku buryo ubwonko bwawe bugenzura imitsi y'umubiri wawe. Ishobora kugira ingaruka ku mitsi itandukanye cyangwa amatsinda y'imitsi mu buryo butandukanye. Uburyo n'impamvu ibi bibaho biracyari amayobera.

Ibimenyetso bya dystonia bishobora kwiyongera iyo unaniwe, ufite stress, cyangwa niba unywa ibintu nka caffeine cyangwa inzoga.

Ubwoko bumwe na bumwe bwa dystonia buterwa n’impinduka mu miterere y’uturemangingo cyangwa ibintu bibangamira imikorere y’ibice bimwe na bimwe by’ubwonko. Ibi bituma uturemangingo twagizweho ingaruka dukora nabi. Ibimenyetso bitari byo bihita bijya mu mitsi, bigatera dystonia.

Dystonia ishobora kandi guterwa n'ibikomere cyangwa izindi ndwara zibangamira imikorere y'ubwonko. Zimwe muri izi ndwara zishobora kugaragara binyuze mu gupima amashusho. Ariko rimwe na rimwe dystonia ishobora kubaho nta mpamvu n'imwe muri izi.

Ni ibihe bimenyetso bya Dystonia?

Ikimenyetso cy'ingenzi cya dystonia ni ukudakora neza kw'imitsi . Izi ngendo akenshi:

• Birababaza, rimwe na rimwe birababaza, kandi bishobora kumvikana nk'aho byatewe n'amashanyarazi.
• Kugaruka kenshi (cyane cyane iyo hari imitingito).
• Igihe gishobora gutandukana. Bimwe bimara amasegonda cyangwa iminota hanyuma bikabura. Ibindi bishobora kumara amezi.
• Bifata kamere yo kuzunguruka no gukurura. Ibi bishobora gutuma umuntu asa n'aho ari mu mwanya udasanzwe.
• Imitsi yangiritse ishobora gukomera cyane iyo ikoreshejwe.

Hashobora kubaho itandukaniro rito mu bimenyetso bitewe n'aho dystonia ifata mu mubiri. Hari uburyo butanu bw'ingenzi ibimenyetso bigaragaramo:

• Dystonia y'ibice by'umubiri (focal dystonia)
• Dystonia y'ibice
• Dystonia ya Multifocal
• Hemidystonia `(Hemidystonia)`
• Dystonia rusange

Reka turebe buri kimwe muri ibi ukwacyo.

Dystonia y'ibice by'umubiri (focal dystonia)

Ibi bibaho iyo igice kimwe cy'umubiri wawe ari cyo kigize ikibazo. Impuguke zivuga ko ubu bwoko bw'indwara bukunze kugaragara inshuro zigera ku icumi kurusha izindi. Bushobora kugaragara mu buryo butandukanye, bitewe n'igice cy'umubiri kigize ikibazo:

• Ibibyimba by'amaso: Blepharospasm. Ibi bishobora kuba bikomeye cyane ku buryo bamwe baba bagomba gufunga amaso yabo ku ngufu.
• Umusaya: Gusya amenyo (Bruxism).
• Ukuboko cyangwa ukuboko: Gutigita imitsi cyangwa gufungana. Ibi byitwa kandi "kubabara kw'umwanditsi" cyangwa "kubabara kw'umucuranzi." Abakinnyi ba golf n'abakinnyi ba cricket babyita "kubabara." Tekereza ukuboko kwawe gukomeye kudashobora kwandika, cyangwa intoki zawe zigatakaza ubushobozi bwo kubyiga iyo ucuranga ikintu kimeze nka violon.

Dystonia y'ibice

Ibi bibaho iyo ibice bibiri cyangwa byinshi by'umubiri byegeranye bifashwe n'ingaruka. Urugero, ibice bitandukanye byo mu maso, umutwe n'ijosi, cyangwa ukuboko n'ukuboko ko hejuru. Urugero rwiza rw'ibi ni dystonia yo mu kibuno . Ibi bigira ingaruka ku mitsi y'umutwe n'ijosi. Urundi rugero ni syndrome ya Meige . Ibi bigira ingaruka ku bice byinshi byo mu maso.

Dystonia ya Multifocal

Ibi bigira ingaruka ku bice bibiri cyangwa byinshi by'umubiri bitajyanye . Urugero, dystonia igira ingaruka ku maboko yombi .Uru ni urugero rw'indwara ifata ibice byinshi by'umubiri bitajyanye.

Hemidystonia `(Hemidystonia)`

Ijambo "hemi" rikomoka ku ijambo ry'Ikigiriki risobanura "igice." Ibi bivuze ko uruhande rumwe gusa rw'umubiri wawe (rwaba iburyo cyangwa ibumoso) arirwo rugira ingaruka. Tekereza imitsi yo mu kuboko kwawe kw'iburyo cyangwa uruhande rw'iburyo rw'isura yawe igenda mu buryo budasubirwaho. Indwara yo gucika intege ni yo mpamvu ikomeye itera hemidystonia.

Dystonia rusange

Ibi bishobora kugira ingaruka ku maguru yawe no ku gituza (igice kinini cy'umubiri wawe gihuza amaboko yawe, amaguru, n'umutwe) cyangwa ku mubiri wawe wose . Ibi nibyo bibaho iyo dystonia itangiye kwiyongera. Iyo focal dystonia ihindutse dystonia rusange, ibimenyetso bikwirakwira kuva ku ngingo kugera ku gituza.

Ni izihe mpamvu zitera dystonia?

Dystonia iterwa no kubangamira imikorere y'ubwonko bwawe. Ibi akenshi biba bigize igice cy'ubwonko cyitwa `Basal Ganglia` . Iri ni itsinda ry'imiterere y'ubwonko ihuza ibice bitandukanye by'ubwonko kandi igahuza uburyo ibyo bice bikora hamwe.

Impuguke zigabanya impamvu zitera dystonia mu byiciro bitatu by'ingenzi:

• Dystonia y'ibanze: Dystonia ni yo mpamvu nyamukuru itera ibi. Akenshi iba ari idiopathic, bivuze ko nta mpamvu ishobora kuboneka. Impuguke zemeza ko hashobora kuba hari igice cy'uturemangingo, bivuze ko gishobora kuba mu miryango.
• Dystonia ya kabiri: Muri iki gihe, dystonia ni ikimenyetso cy'indi ndwara cyangwa ikibazo.
• "Dystonia plus": Izi ni indwara zifata imitsi. Nubwo dystonia ari cyo kimenyetso nyamukuru, hari n'ibindi bimenyetso.

Impamvu zishobora gutera dystonia ya kabiri

Ibi bishobora kubaho kubera impamvu zitandukanye:

• Ibibyimba byo mu bwonko
• Izindi ndwara zo mu bwonko (urugero: igicuri, Parkinsonism, indwara ya Parkinson)
• Kubura umwuka wo mu bwonko (cyane cyane ku bana bavutse batabonye umwuka wa ogisijeni)
• Imiti (imiti yandikiwe cyangwa inyuranyije n'amategeko)
• Indwara z'uturemangingo (urugero: indwara ya Wilson, indwara ya Huntington)
• Indwara zandurira mu maraso (urugero: indwara yo mu bwonko)
• Imiterere y'imikorere y'umubiri
• Igisebe cy'imitsi
• Ibintu by'uburozi (urugero: uburozi bwa monoxide ya karubone, uburozi bwa manganese)
• Ibikomere byo mu bwonko bikomeretse

Dystonia si indwara yandura. Ntushobora kuyindura iturutse ku bandi bantu, cyangwa ngo uyikwirakwize ku bandi.

Dystonia ipimwa ite?

Umuganga, akenshi inzobere mu ndwara zo mu bwonko, ashobora gusuzuma indwara ya dystonia hashingiwe ku bimenyetso byawe, isuzuma ry’imitsi, n’ibizamini bitandukanye by’ubuvuzi. Dystonia rimwe na rimwe ishobora kugorana kuyisuzuma kuko ibi bimenyetso bishobora guterwa n’izindi ndwara nyinshi. Kubwibyo, ni ngombwa gukuraho izindi ndwara, kuko zimwe muri zo zishobora kuba ikibazo cy’uburwayi gihitana ubuzima.

Ni ibihe bipimo bikoreshwa mu gusuzuma dystonia?

Ibipimo bitandukanye byo muri laboratwari, gusuzuma indwara, no "gupima" bishobora gukorwa kugira ngo harebwe dystonia. Ibipimo bisanzwe bitangwa biterwa n'ibimenyetso byawe n'uburwayi muganga wawe akeka. Dore bimwe mu bizamini bishobora gukorwa:

• Ibipimo by'amaraso: Ibi bishobora gupima ibintu byinshi, nk'ibibazo by'ubudahangarwa bw'umubiri n'uburozi (cyane cyane ibyuma nka umuringa na manganese).
• Gupima CT (gupima hakoreshejwe ikoranabuhanga)
• EEG (Electroencephalogram): Ikizamini gipima imikorere y'amashanyarazi y'ubwonko.
• EMG (Electromyogram): Ikizamini kireba uburyo ibimenyetso binyura mu mitsi.
• Gupima imiterere y'uturemangingo
• MRI scan (MRI - Ishusho ya Magnetic resonance)
• Gupima PET (Positron emission tomography scan)
• Gupfuka umugongo / Gupfuka umugongo

Uretse ibi, hari n'ibindi bizamini bishobora gukorwa. Kubwibyo, ni byiza kubaza muganga wawe ibizamini bikwiriye indwara yawe. Hanyuma ushobora kubona amakuru nyayo ajyanye n'indwara yawe.

Ese dystonia ivurwa ite? Ese ishobora gukira burundu?

Nta muti uhari wo kuvura indwara ya dystonia, ariko irashobora kuvurwa . Uburyo bwinshi bwo kuvura buterwa n'impamvu y'iyi ndwara n'ibimenyetso ufite. Muganga wawe azagufasha guhitamo uburyo bwiza bwo kuvura.

Muganga wawe ashobora kukubwira kwirinda kafeyine na inzoga, kuko bishobora gutuma ibimenyetso bya dystonia birushaho kwiyongera kuri bamwe.

Ni ubuhe bwoko bw'imiti cyangwa uburyo bwo kuvura bukoreshwa?

Uburyo bwo kuvura dystonia buterwa n'impamvu n'ibimenyetso by'indwara yawe. Ubuvuzi busanzwe burimo:

• Gukangura ubwonko mu buryo bwimbitse (DBS): Ubu ni uburyo bwo kubaga. Ama-electrode ashyirwa mu bwonko bwawe. Izi electrode zitanga umuriro woroheje w'amashanyarazi ku gice runaka cy'ubwonko bwawe. Ibi bishobora gufasha ibimenyetso bya dystonia. Ubu ni bwo buryo bwo kubaga bukoreshwa cyane kandi bufite akamaro kuri dystonia.
• Imiti:Bitewe n'icyateye dystonia, ishobora kuvurwa n'imiti. Umuti (umwe cyangwa myinshi) utangwa uzaterwa n'ibimenyetso n'impamvu nyamukuru ya dystonia (niba ihari).
• Inshinge z'uburozi bwa Botulinum: Uburozi bwa Botulinum – buzwi na benshi ku izina rya Botox® – iyo bushyizwe mu gace gakwiye bushobora kuzibira ibimenyetso by'imitsi mu gihe cy'ibyumweru, rimwe na rimwe amezi. Ibi birinda ibimenyetso bitera dystonia kugera mu mitsi. Ubu ni uburyo bwiza bwo kuvura dystonia ya focal hamwe n'ibimenyetso bimwe na bimwe bya dystonia ya segmental.
• Ubuvuzi bw'umubiri, ubw'akazi n'ubw'imivugire: Iyo dystonia iterwa n'indwara y'igihe gito, ubu buryo bwo kuvura bushobora gufasha umuntu kumenyera cyangwa gukira dystonia.

Ingaruka mbi zishobora guterwa no kuvurwa biterwa n'ibintu byinshi, urugero nk'uburyo bwo kuvura. Muganga wawe ashobora gusuzuma indwara yawe no gusobanura icyo ushobora kwitega.

Ni gute nakwitaho no kwihanganira ibimenyetso byanjye?

Dystonia ni ikibazo kijyanye n'imitsi. Ibi bivuze ko udashobora kwisuzuma no kuvura ubwawe. Dystonia ishobora kandi kujyana n'indwara zikomeye zishobora gushyira ubuzima mu kaga, bityo ni ngombwa kubonana na muganga ako kanya .

Igihe bifata kugira ngo wumve umeze neza kandi ukire nyuma yo kuvurwa giterwa n'ibintu byinshi, harimo impamvu dystonia yawe yateye, ubukana bwayo, uburyo bwo kuvurwa wahawe, n'izindi ndwara ufite. Muganga wawe ashobora kukubwira neza igihe bizatwara kugira ngo wumve umeze neza kandi ukire.

Ni iki kizagaragara ku ndwara ya dystonia? Ni iki nakwitega ninyirwara?

Uko indwara ya dystonia ihagaze biterwa n'ibintu byinshi, harimo icyayiteye, imyaka uyirwaye, aho ibimenyetso bigaragarira mu mubiri, amateka y'ubuzima bwawe, ndetse n'uburyo bwo kuvura. Muganga wawe ashobora kukubwira neza uko indwara yawe ihagaze.

• Imyumvire ya dystonia y'ibanze: Muri rusange, iyo dystonia y'ibanze itangiye mu bwana, imyumvire ishobora kuba itari myiza cyane. Ibi biterwa nuko dystonia y'ibanze ishobora kuva kuri focal (mu gace kamwe) kugeza kuri generalized (ku mubiri wose). Uko ubyifatamo kare, niko amahirwe yo gukwirakwira kurushaho. Imyumvire ya dystonia y'ibanze ni myiza kuko igira ingaruka ku gace gato k'umubiri.
• Isura ya dystonia ya kabiri: Ibi ahanini biterwa n'indwara iri inyuma. Iyo indwara iri inyuma ishobora kuvurwa kandi igakira, ubwiyongere bw'indwara buba bwiza kurushaho. Ariko, iyo itewe n'indwara idakira, ubwiyongere bw'indwara buba buke. Ariko, hari aho dystonia ishobora gukemurwa no gukira nubwo hari indwara zidakira.

Iyo dystonia y’ibanze itangiye, iba indwara y’ubuzima bwose. Irashobora kuvurwa, ariko ntishobora gukira burundu, kandi ntabwo izakira ubwayo .

Dystonia ya kabiri ishobora kuba indwara y'igihe gito. Biterwa n'impamvu nyamukuru. Ikunze kubaho cyane iyo umuntu arwaye indwara zandurira mu mubiri, imvune, n'imiti imwe n'imwe.

Nigute nagabanya ibyago byo kurwara dystonia, cyangwa nkabyirinda burundu?

Dystonia ibaho mu buryo butunguranye, bityo ntushobora kuyirinda. Ntushobora kugabanya ibyago byo kurwara dystonia y'ibanze. Ishobora kuragwa cyangwa ikavuka nta mpamvu igaragara.

Ariko, ushobora gukumira cyangwa kugabanya ibyago byo kugira bimwe mu bintu bigira uruhare mu gutera dystonia ya kabiri . Dore bimwe mu bintu ushobora gukora:

• Kurya indyo yuzuye kandi ugire ibiro byiza. Indwara nyinshi zijyanye n'imiyoboro y'amaraso n'ubuzima bw'umutima, cyane cyane indwara zo mu bwonko, zishobora kwangiza ibice by'ubwonko bwawe ndetse zikanatera dystonia.
• Ntukirengagize indwara zandura. Indwara z'amaso n'amatwi zigomba kuvurwa vuba. Iyo izi ndwara zigeze mu bwonko, zishobora kuba ikibazo gikomeye. Indwara zishobora gutera ububabare mu bwonko (encephalitis), bishobora gutera dystonia.
• Ambara ibikoresho byo kwirinda. Ibikomere byo mu bwonko bishobora kwangiza ubwonko bwawe bigatera dystonia.
• Gucunga uburwayi bwawe. Indwara z'igihe kirekire nka diyabete yo mu bwoko bwa 2, umuvuduko ukabije w'amaraso, n'igicuri bishobora gutera cyangwa bigatera izindi ndwara zishobora gutera dystonia.

Ni gute nakwiyitaho?

Niba ufite dystonia, hari ibintu byinshi wakora kugira ngo wite ku buzima bwawe:

• Irinde kafeyine na inzoga keretse muganga abigusabye. Ibi bishobora gutuma ibimenyetso bya dystonia birushaho kwiyongera.
• Genda ku muhangayiko wawe. Guhangayika no guhangayika bishobora gutuma dystonia irushaho kuba mbi. Ushobora kugabanya iyi ngaruka ukora ibintu nko gutekereza cyane, imyitozo yo kuruhuka, no gukora imyitozo ngororamubiri.
• Irinde ibikorwa birushaho gutuma ibimenyetso byawe birushaho kwiyongera. Hari ubwoko bwa dystonia bukunze kubaho mu bihe bimwe na bimwe. Kwirinda ibyo bihe, niba bishoboka, bishobora kugabanya ubukana bw'ibimenyetso byawe.
• Menya uburyo bwo gucunga ikibazo cyawe.Ubwoko butandukanye bwa dystonia bushobora gukemurwa hakoreshejwe "amayeri yo kumva." Ijambo ry'ingenzi kuri ibi ni "geste antagoniste" (ijambo ry'Igifaransa risobanura "ibimenyetso bitandukanye"). Ubwo bwoko bw'ibimenyetso bushobora gutuma ibimenyetso bya dystonia birushaho kuba byiza by'agateganyo. Ariko abahanga ntibazi neza impamvu ibi bibaho. Urugero, gukora ku kananwa cyangwa ku ruhande rw'isura bishobora gufasha kugabanya ibimenyetso bya dystonia yo mu mura (indwara igira ingaruka ku mitsi yo mu ijosi). Muganga wawe ashobora kureba niba wakira ubwo bwoko bw'ibimenyetso kandi akakwigisha uburyo bwo kubikoresha.
• Fata umuti wawe neza. Niba ufata umuti wa dystonia, fata uko wabitegetswe. Guhagarika umuti mu buryo butunguranye bishobora kongera ibimenyetso bya dystonia cyangwa bigatera izindi ngaruka mbi.

Ni ryari nkwiye kujya kwa muganga? Ni ryari nkwiye kujya kwitabwaho byihutirwa?

Niba ufite dystonia, ugomba gukurikiranwa na muganga wawe nk'uko wabisabwe. Reba muganga wawe niba ibimenyetso byawe bihindutse cyangwa birushaho kwiyongera, cyane cyane niba bibangamira ubuzima bwawe bwa buri munsi. Nanone, reba muganga wawe niba imiti cyangwa ubundi buryo bwo kuvura budakora, cyangwa niba ufite ingaruka mbi zidakira cyangwa zigutera ibibazo.

Ni ryari nkwiye kujya mu ishami rishinzwe ubutabazi bwihutirwa (ETU) ?

Niba ufite kimwe mu bimenyetso bishobora kugaragaza ko ufite stroke, ugomba kujya mu cyumba cyita ku barwayi b’ingoboka. Wibuke guhamagara 1990 (serivisi y’imbangukiragutabara yo muri Sri Lanka) kugira ngo umenye ibimenyetso by’stroke, kandi wibuke kuvuga ngo WIHUSE .

• F (Isura): Ese uruhande rumwe cyangwa impande zombi z'isura ziragwa iyo umuntu agerageje kumwenyura?
• A (Ukuboko): Iyo umuntu agerageje kuzamura amaboko yombi, ukuboko kumwe kuramanuka?
• S (Imvugo): Ese umuntu ashobora kuvuga neza no kumva ibyo abandi bavuga?
• T (Igihe): Niba umuntu afite ibi bimenyetso, hamagara 911 ako kanya! Gusinzira kw'indwara y'imitsi ni ukwirukanwa ku gihe. Kuvurwa hakiri kare ni bwo buryo bwiza bwo kugera ku musaruro mwiza no gukira.

Dystonia ni indwara y'ubwonko ituma imitsi yawe igenda mu buryo butunguranye. Ishobora guterwa n'ibintu bitandukanye, kuva ku ndwara z'uruhererekane kugeza ku ndwara z'igihe gito.

Hari ibintu mbona ari ingenzi kuri wewe (Ubutumwa bwo kujyana mu rugo)

Rero, ndizera ko usobanukiwe icyo twaganiriyeho kuri Dystonia. Wibuke ko nubwo iki ari ikibazo kigoye, nturi wenyine .

• Niba wowe cyangwa undi muntu uzi afite ibi bimenyetso, ntutindiganye kujya kwa muganga . Uko bigaragaye vuba, niko byoroha kuvura.
• Si indwara zose za dystonia zimeze kimwe, bityo vugana na muganga wawe ku miti ikubereye.
• Hari igihe guhindura imikorere y’ubuzima (nk’ukugabanya kafeyine n’inzoga, no kugabanya stress) bishobora gufasha mu kugenzura ibimenyetso by’indwara.
• Kurikiza amabwiriza ya muganga wawe witonze. Fata imiti yawe uko wanditswe. Ntureke kuyifata wenyine.

Twizeye ko aya makuru azaba ingirakamaro kuri wewe. Komeza ugire ubuzima bwiza!

` Dystonia, Indwara y'imitsi, Kubyimba kw'imitsi, Kwimuka ku bushake, Indwara z'ubwonko, Dyskinesia, Dystonia, Indwara y'imitsi, Kubyimba kw'imitsi, Kwimuka ku bushake, Indwara z'ubwonko, Dyskinesia