Ese imitsi yo mu maboko no mu ijosi ryawe irahinda cyane? Reka tuvuge kuri Focal Dystonia!

Ese wigeze wumva ko iyo utangiye kwandika ikintu, intoki zawe zitangira kunyeganyega cyangwa kunyeganyega? Cyangwa iyo ucuranga igikoresho nk'igitari, wumva intoki zawe zinyeganyega cyangwa zikanyeganyega mu buryo butunguranye nta bushobozi ufite bwo kubyifatamo? Wenda ijosi ryawe rihita rihindukira rigahindukira ku ruhande rumwe, cyangwa ijwi ryawe rigahinduka cyangwa rikanyeganyega iyo uvuga? Ibi si ibintu bitunguranye gusa. Ibi bintu bishobora kuba ibimenyetso by'indwara yitwa Focal Dystonia . Nubwo izina rishobora kumvikana nk'aho riteye ubwoba gato, uyu munsi tuzabiganiraho mu buryo bworoshye ushobora kumva.

Focal Dystonia ni iki?

Mu magambo make, focal dystonia ni indwara iterwa n’imitsi. Muri iyi ndwara, imitsi yo mu gice kimwe cy’umubiri wawe itangira gukurura mu buryo butunguranye, nta bushobozi bwawe bwo kuyigenzura. Mu yandi magambo, imitsi itangira gukurura mu buryo butunguranye utabishaka. Ijambo "focal" risobanura "localized." Ibi bivuze ko iyo ndwara igarukira ku gace kamwe gusa, aho kugira ingaruka ku mubiri wose.

Ibi bishobora kugira ingaruka ku mitsi yo mu ijosi ryawe (cervical dystonia cyangwa spasmodic torticollis), amaso yawe (blepharospasm), urwasaya rwawe (oromandibular dystonia), cyangwa imitsi y'ijwi ryawe (laryngeal dystonia cyangwa spasmodic dysphonia). Focal dystonia ishobora kandi kugira ingaruka ku biganza byawe, nko ku kuboko kwawe, ku kiganza, no ku ntoki.

Dystonia ni ijambo rusange risobanura indwara z'imitsi zitera imitsi kugabanuka mu buryo butagenzurwa. Dystonia yo mu mutwe ni imwe mu ndwara za dystonia.

Dystonia ya Focal yihariye y'imirimo ni iki?

Ibi kandi ni ibintu byihariye cyane. Kuri bamwe, iyi ndwara ya Focal Dystonia ibaho gusa iyo bakora akazi runaka . Ni ukuvuga ko baba bameze neza mu bindi bihe, ariko iyo batangiye gukora ako kazi ni bwo batangira kunyeganyega no kubura ubushobozi bwo kugenzura. Ibi nibyo twita Task-specific Focal Dystonia .

Tekereza ku ngero nk'izi:

• Indwara y'umwanditsi: Ushobora kuba warumvise iyi nkuru. Iyo ukomeje kwandika, cyangwa iyo urimo gukora ibizamini, imitsi yo mu kiganza cyawe n'intoki zawe irakomera, bigatuma bitaborohera kwandika. Hari abantu badashobora no gufata ikaramu neza.
• Dystonia y'umucuranzi: Ibi bishobora kugira ingaruka ku bantu bacuranga ibikoresho bya muzika nka gitari, violon, na piano. Imitsi yo mu biganza no mu ntoki ihita ikomera, irahinda umushyitsi, kandi ntishobore gucuranga inota. Abantu bacuranga ibikoresho bya brass cyangwa woodwind nabo bashobora kugira ibibazo ku mitsi y'iminwa, urwasaya, cyangwa ururimi (embouchure dystonia).
• Ibihe bibaho mu bakinnyi ("iyop"): Tuzabivugaho gato.

Dystonia ishingiye ku nshingano ikunze kugaragara cyane ku bantu bakora akazi cyangwa ibikorwa byo kwidagadura bisaba ubuhanga bwinshi bwo gukora imiyoboro. Urugero, abakinnyi ba tenisi, abatunganya imisatsi, n'abashushanya.

Ni irihe tandukaniro riri hagati ya Focal Dystonia na Carpal Tunnel Syndrome?

Hari igihe ibimenyetso by'izi ndwara zombi bishobora gusa, bikaba byatera urujijo. Ariko impamvu z'izi ndwara zombi ziratandukanye rwose.

Focal dystonia iterwa n'ikibazo cy'itumanaho riri hagati y'ubwonko bwawe n'imitsi . Ni ukuvuga ko hari ikibazo cy'ibimenyetso biva mu bwonko bijya mu mitsi.

Ariko, indwara ya Carpal Tunnel Syndrome ni indwara ibaho iyo umutsi (imitsi yo hagati) unyura mu kuboko ukandagiye. Ibi akenshi biterwa no gukora ingendo z'intoki kenshi (gukoresha cyane) cyangwa ibindi bibazo by'imitsi.

Nubwo ibimenyetso bisa, impamvu iratandukanye, bityo uburyo bwo kuvura buratandukanye. Niyo mpamvu ari ngombwa cyane kubona igisubizo nyacyo.

"Iyips" ni iki?

"Yips" ni izina ryitwa indwara twavuze mbere, Task-specific Focal Dystonia, ifata abakinnyi, cyane cyane abakina siporo isaba gukoresha cyane ukuboko cyangwa ukuboko . Tekereza ko iyo umukinnyi wa cricket agiye gutera cyangwa gutera, cyangwa iyo umukinnyi wa golf agiye gukubita umupira, ahita atakaza ububasha bwo kugenzura ukuboko kwe, agatera, kandi ntashobore gukora akazi neza. Ibyo ni byo twita "yips." Ibi bikunze kugaragara mu bakinnyi ba golf na baseball.

Ni nde ufite amahirwe menshi yo kurwara Focal Dystonia?

Nubwo iyi ndwara ishobora kugaragara ku muntu uwo ari we wese, ikunze kugaragara ku bantu bakuru bari hagati y’imyaka 40 na 60. Ubushakashatsi bwagaragaje kandi ko abagore bafite amahirwe angana n’inshuro eshatu yo kurwara focal dystonia kurusha abagabo.

Iyi ndwara ikunze kugaragara gute?

Dystonia ni indwara ikunze kugaragara cyane mu mikorere y'umubiri, ariko iyi ndwara, yitwa focal dystonia, ikunze kugaragara gake. Urugero, muri Leta Zunze Ubumwe za Amerika, ifata abantu bagera kuri batatu ku bihumbi icumi.

Ni iki gitera dystonia y’ibanze?

Mu by’ukuri, abaganga ntibarabasha kumenya impamvu nyayo itera dystonia y’umugongo. Yitwa "idiopathike." Ibyo bivuze ko impamvu nyayo itazwi.

Ariko, tuzi ko iki kibazo kibahoNi ukubera ko ubwonko bwawe n'imitsi bidakorana neza. Agace kari mu bwonko kitwa "Basal Ganglia" gafasha mu kugenzura imitsi. Bikekwa ko hari impinduka zimwe na zimwe mu mikorere y'aka gace.

Hari igihe ibi bimenyetso bya dystonia y’umugongo bishobora kubaho iyo umuntu ahinduye ingeso ze, nk'umukinnyi, umwanditsi, cyangwa umucuranzi. Urugero:

• Guhindura uburyo bwawe bwo gukora nyuma y'imvune yo mu bwonko.
• Kwiga siporo nshya cyangwa igikoresho cya muzika.
• Kwitabira imyitozo myinshi, ibitaramo, cyangwa amarushanwa kurusha uko bisanzwe.

Nubwo abashakashatsi bataragaragaza neza isano iri hagati y’uturemangingo, basanze umuntu umwe ku bantu 10 barwara indwara ya dystonia yo mu mutwe (focal dystonia) bafite amateka y’iyi ndwara mu muryango wabo.

Ni iki gitera "yips"?

Hari abantu batekereza ko abakinnyi ba golf bagira "yips" bitewe n'ubwoba bwo gukina. Ni ukuvuga igitutu n'ubwoba bwo guhatana. Iyo ishobora kuba imwe mu mpamvu. Ariko, "yips" ishobora no guterwa no gukoresha umupira nabi cyangwa gukoresha umupira urenze urugero.

Nanone, abantu bafite ibibazo bimwe na bimwe by'ubuzima bashobora kugira "iyo yips":

• Indwara yo mu bwonko itera indwara ya cerebral palsy
• Sclerosis nyinshi

Ibimenyetso ni ibihe?

Ibimenyetso bya focal dystonia bishobora gutandukana bitewe n'igice cy'umubiri cyafashwe. Ubusanzwe, ikimenyetso cya mbere gishobora kuba ugutakaza gato imikorere y'imitsi. Urugero, iyo amaboko yawe yafashwe, ushobora guterera ibintu kenshi. Iyo umunwa wawe wafashwe, ushobora kugira amate menshi mu gihe urya cyangwa unywa.

Uko igihe kigenda gihita, dystonia y’imitsi ishobora gutera ibimenyetso bikomeye by’imitsi:

• Kunyara cyangwa kubabara imitsi.
• Kubabara imitsi.
• Kunyeganyega cyangwa gutitira kw'imitsi (Twitches - myoclonus).
• Imiterere idasanzwe y'igice cy'umubiri cyafashwe. Urugero, ijosi rishobora kuba rihengamye ku ruhande rumwe.

Uretse ibi bimenyetso by'ingenzi, abantu barwaye dystonia ya focal bashobora no kugira ibimenyetso bya kabiri . Ibi biterwa n'umuvuduko wo mu mutwe no ku mubiri uterwa n'iyo ndwara. Ibi ntibifitanye isano itaziguye n'imitsi. Ibyo bimenyetso birimo:

• Kubona nabi.
• Kwiheba.
• Kugorwa no gusinzira.
• Umunaniro ukabije.
• Impinduka zitunguranye mu byiyumvo (impinduka mu byiyumvo).
• Uburakari bugufi.
• Guhangayika no kwibanda ku kintu runaka.

Ibimenyetso bya focal dystonia bishobora kwiyongera uko igihe kigenda gihita, hanyuma bigahagarara ku rwego runaka bikongera kugaruka. Ariko, kuri bamwe, iyi ndwara ishobora kureka gukomeza kuba mbi burundu.

Ni gute wasuzuma ibi?

Kugira ngo umuganga wawe amenye indwara ya dystonia, azakubaza ibimenyetso byawe, amateka y'ubuzima bwawe, kandi asuzume igice cy'umubiri cyafashwe.

Mu gihe umuganga asuzuma indwara, azagerageza gukuraho izindi ndwara zitera ibimenyetso bisa (nk'imvune zikabije). Ushobora kandi gukorerwa ibizamini nk'ibi:

• Gupima amaraso: Kureba niba hari ubwandu cyangwa izindi ndwara.
• Gupima CT cyangwa MRI: Kugira ngo harebwe niba hari ibibyimba cyangwa ibindi bibyimba bidasanzwe mu bwonko cyangwa hafi y'igice cy'umubiri cyafashwe.
• Electromyogram (EMG): Isuzuma uburyo imitsi yawe ikora ibimenyetso by'amashanyarazi. Ibi bishobora kuguha igitekerezo cy'uko imitsi n'imitsi yawe bikora.

Ivurwa ite?

Ikibabaje ni uko nta muti uhari wa focal dystonia. Ariko, uburyo bwo kuvura bushobora gufasha kugabanya imitsi no guhagarika indwara gukomeza kwiyongera. Uburyo bwo kuvura focal dystonia bushobora kuba burimo:

• Guhindura imibereho: Hari igihe guhindura uko wumva umeze mu gihe cy'akazi kawe bishobora gufasha ubwonko bwawe gukora ingendo zitabangamiye cyane. Urugero, umucuranzi wa violon ashobora kugira imitsi mike ihindagurika iyo yambaye uturindantoki. Umwanditsi ashobora kugira ibimenyetso bike iyo ahinduye uburyo afata ikaramu ye. Ushobora kandi gukora imyitozo ngororamubiri cyangwa imyitozo ngororamubiri kugira ngo ucunge ububabare.
• Imiti:
• Imiti igabanya ububabare bw'imitsi , nka Trihexyphenidyl (Artane®), ifasha mu gukumira ibimenyetso by'imitsi bitera imitsi gucikagurika.
• Imiti igabanya ubukana bwa Vesicular Monoamine Transporter 2 (VMAT2) ikoreshwa mu guhindura imiti igabanya ubukana bw'ubwonko igira ingaruka ku mitsi n'imikaya yawe.
• Mu bihe bimwe na bimwe, umuti `(Carbidopa/Levodopa (Sinemet))` ushobora no koroshya ibimenyetso.
• Imiti igabanya imitsi, urugero nka Baclofen cyangwa benzodiazepines (Clonazepam), nayo irashobora gukoreshwa.
• Inshinge: Uburozi bwa Botulinum (Botox®)Gutera inshinge ni uburyo busanzwe bwo kuvura dystonia. Ushobora kuba warumvise ko zikoreshwa mu rwego rwo kwisiga, ariko kandi zigira akamaro cyane ku bibazo by'imitsi. Abaganga batera inshinge mu mitsi yafashwe. Uru nshinge ruhagarika by'agateganyo ibimenyetso biva mu bwonko bituma imitsi ihinda. Abantu benshi bakeneye guterwa inshinge hafi buri mezi atatu.
• Kubagwa: Ni gake cyane, muganga wawe ashobora kukugira inama yo kubagwa.
• Gukangura Ubwonko Bwimbitse (DBS): Ibi bikubiyemo gushyira electrodes ahantu runaka mu bwonko. Utu dukoresho duto tugenzura ibimenyetso bituma imitsi ifungana.
• Kubaga indwara yo mu bwonko hakoreshejwe uburyo bwo guhitamo: Muri ibi, imitsi itera imitsi kunyeganyega irafungwa cyangwa igakurwaho.

Ni gute wakwirinda ibi?

Nkuko twabiganiriyeho mbere, nta mpamvu izwi itera indwara ya dystonia, bityo nta buryo bwo kwemeza ko ishobora kwirindwa. Ariko, hari ibintu bimwe na bimwe bishobora gutuma dystonia ya dystonia irushaho kuba mbi. Rero, kumenya ibi bintu bishobora gufasha:

• Irinde gukora ingendo nyinshi cyangwa kuvuga kenshi (bitewe n'agace kagize ikibazo).
• Gucunga imihangayiko hakoreshejwe uburyo bwiza.
• Kugabanya umunaniro binyuze mu kugira ingeso nziza zo gusinzira, gukora imyitozo ngororamubiri, no kurya indyo yuzuye.

Ni iki giteganyijwe?

Focal Dystonia rimwe na rimwe ishobora gukwirakwira no kugira ingaruka ku bindi bice by'umubiri wawe. Byagaragaye ko ku muntu umwe kuri 6 ufite iyo ndwara, Focal Dystonia ikwirakwira no mu tundi duce.

Ariko, inkuru nziza ni uko kuvura bishobora kugabanya inshuro n'ubukana bw'ibimenyetso bya dystonia. Niba ibimenyetso byawe bitaragabanuka nyuma yo kuvurwa, menya neza ko wavuganye na muganga wawe. Ubuvuzi bwawe bushobora gukenera guhinduka.

Ni iki kindi ngomba kubaza muganga?

Iyo ugiye kwa muganga, ni byiza kubaza ibi bibazo:

• Ni iyihe mpamvu ishoboka cyane y’ibimenyetso byanjye?
• Ni ibihe bipimo nzakenera kugira ngo nsuzume Focal Dystonia?
• Ni iki nakora kugira ngo menye ibimenyetso bya Focal Dystonia?
• Ni ubuhe buryo bwo kuvura mfite?
• Ni iki gishobora kubaho ntavuye Focal Dystonia?

Hanyuma, hari ibintu bike byo kwibuka

Focal dystonia ni indwara y’imitsi itera imitsi kugabanuka mu gice kimwe cy’umubiri. Focal dystonia, ifata ikiganza, ukuboko, cyangwa intoki, ikunze kugaragara cyane mu bantu bakoresha ubuhanga bwo gukora imitsi (urugero: abacuranzi, abakinnyi, abatunganya imisatsi, abanditsi).

Nubwo ibimenyetso byayo bishobora gusa n'indwara zo mu bwonko, indwara ya dystonia iterwa n'ikibazo cy'itumanaho riri hagati y'imitsi, imitsi n'ubwonko.

Nubwo nta muti uhari w'iki kibazo, ibimenyetso bishobora gukemurwa neza hakoreshejwe guhindura imibereho, imiti, inshinge cyangwa kubagwa. Kubwibyo, niba ufite kimwe muri ibi bimenyetso, ntutindiganye gushaka inama kwa muganga. Kubimenya hakiri kare no kubivura buri gihe bitanga umusaruro mwiza.

` Focal dystonia, imitsi ihindagurika, indwara z'imitsi, uburyaryate bw'intoki bw'umwanditsi, dystonia y'umucuranzi, iyo yips, uburyo bwo kuvura Botox