Ese amaguru yawe arahinda iyo uhagaze? Ese wumva urimo gutakaza uburinganire? Bishobora kuba ari uguhinda imitsi!

Ese wigeze wumva amaguru yawe arimo gucika intege, kunyeganyega, cyangwa gutakaza uburinganire bwawe igihe wahagurukaga, cyane cyane nyuma yo guhagarara igihe kirekire? Ariko, igitangaje ni uko ubu bubabare bugabanuka iyo wicaye cyangwa ugenda, ushobora kuba ufite indwara yitwa "Orthostatic Tremor". Iri jambo rishobora kuba ritangaje kumva, ariko reka tubiganireho mu buryo bworoshye.

`(Orthostatic Temor)` ni iki? Mu magambo make cyane...

Muri make, Orthostatic Tremor ni indwara idakunze kugaragara mu mitsi ituma imitsi yo mu maguru yawe yihuta cyane (inyeganyega) iyo uhagaze. Uku gutitira gushobora gutuma wumva udakomeye iyo uhagaze, ugatakaza uburinganire bwawe, kandi ukumva ugiye kugwa. Ariko igitangaje ni uko uku gutitira bikunze kugabanuka cyangwa bigashira burundu iyo ugenda, wicaye, cyangwa wishingikirije ku kintu runaka.

Iyi ndwara ikunze kugaragara cyane mu bantu barengeje imyaka 60. Ariko, ubushakashatsi bwagaragaje ko ishobora kwibasira umuntu wese uri hagati y'imyaka 13 na 85. Tekereza gato, abaganga bavumbuye bwa mbere iyi ndwara yitwa "Orthostatic Tremor" mu 1984. Ibyo bivuze ko ari indwara nshya. Abaganga baracyayimenyaho byinshi.

Ni ibihe bimenyetso by'ibi? Ubyumva ute?

Ikimenyetso nyamukuru abantu bakunze kugaragaza ko bafite `(Orthostatic Temor)` ni ukudahagarara bumva iyo bahagaze. Ni ukuvuga kumva ko ubutaka burimo kunyiganyiga, cyangwa ko umubiri wabo udakora neza. Ariko, ntibaba bumva ubu burwayi iyo bicaye cyangwa bagenda. Iyo bicaye bahagaze, bagatangira kugenda, bagashingira ku kintu kimeze nk'urukuta, cyangwa bakaryama, uku kunyeganyega, uko kudahagarara, kuragabanuka cyane cyangwa kugashira burundu.

Kugira ngo ugabanye uku kudakomera, ushobora kugerageza kutamenya ko amaguru yawe atandukanijwe gato, nk'aho uri gukora ku butaka n'amano yawe . Tekereza nk'aho uhagaze muri bisi cyangwa gari ya moshi kandi urwana no kugumana ubwitonzi bwawe.

Akenshi, ushobora kutamenya cyangwa ngo umenye ko amaguru yawe arimo kunyeganyega vuba iyo uhagaze. Ushobora kumva gusa ukudahagarara cyangwa gutakaza uburinganire navuze. Ariko, iyo ushyize amaboko yawe ku bibero byawe cyangwa ku matako, ushobora kumva imitsi igenda yihuta cyane, nk'imiraba . Uku kunyeganyega akenshi nta bubabare. Ariko, uko igihe kigenda, ububabare mu mitsi y'amaguru bushobora kuvuka.

Bamwe mu bantu bafite "Primary Orthostatic Tremor" (tuzabivugaho nyuma) bashobora no kugira ubwoba mu maboko cyangwa mu gituza cyabo ndetse no mu maguru. Ariko, bashobora kutagira ibindi bimenyetso by'imitsi.

Ubukana bwa "Orthostatic Tremor" bushobora gutandukana bitewe n'umuntu ku wundi. Hari abantu bashobora gutangira kunyeganyega bakimara guhaguruka. Ku bandi, kunyeganyega gushobora gutangira nyuma y'iminota mike bahagaze. Ku bantu benshi, kunyeganyega kugenda kwiyongera uko igihe kigenda gihita.

Kuki iyi '(Orthostatic Temor)' iba? Ni izihe mpamvu?

Mu by’ukuri, abaganga n’abashakashatsi baracyakora ubushakashatsi ku "Orthostatic Tremor", bityo impamvu nyayo ntiramenyekana. Impuguke zimwe zizera ko ari ubwoko bw’ubundi bwoko bw’umutingito witwa "Essential Tremor". Abandi bemeza ko "Orthostatic Tremor" ari indwara itandukanye rwose, yigenga.

Akenshi, iyi ndwara ibaho ku buryo butunguranye, nta mpamvu yihariye. Ariko, hari raporo nke zagaragaye ko ibaho mu bagize umuryango. Urugero, ku mpanga, abavandimwe, cyangwa umubyeyi n'umwana. Rero, abashakashatsi barimo barashakisha niba ibintu bigize imiterere y'umubiri, nk'impinduka mu miterere, bigira uruhare.

Ese hari ubwoko bwa `(Orthostatic Temor)`?

Yego, abaganga bakunze kugabanya `(Orthostatic Tremor)` mo ubwoko bubiri bw'ingenzi:

1. Guhindagura kw'imitsi mu buryo bw'ibanze: Ibi kandi byitwa idiopathic. Ibi bivuze ko impamvu nyayo itazwi. Abantu bafite guhindagura kw'imitsi mu buryo bw'ibanze ntibagira ibimenyetso by'izindi ndwara z'imitsi.

2. Guhindagurika kw'imitsi yo mu mutwe: Ibi biterwa n'indi ndwara. Ubushakashatsi bwagaragaje ko guhindagurika kw'imitsi yo mu mutwe bishobora guterwa n'indwara zitandukanye. Zimwe muri izo ndwara zirimo:

• Indwara ya Graves (indwara ya tiroyide)
• Ihungabana ryo mu mutwe
• `Multiple Sclerosis (MS)` (indwara ifata uturemangingo tw'imitsi)
• `Parkinsonism` (indwara itera ibimenyetso bisa n'indwara ya Parkinson)
• Indwara yo kubura amaguru (Restless Legs Syndrome)
• Kwangirika kw'ibice bimwe na bimwe by'ubwonko (urugero: ibisebe bya Pontine n'ubwonko bwo hagati)
• Ibikomere byo mu mugongo
• `Indwara y'umuntu ugoranye`
• Kubura Vitamine B12

Igikuru ni ukujya kwa muganga niba ufite ibi bimenyetso. Ntukisuzumishe.

Ni gute wasuzuma ibi neza? (Isuzuma)

Kugira ngo amenye niba umutingito uterwa n'imitsi uterwa n'ubwonko, muganga wawe azabanza kukubaza ibimenyetso byawe n'amateka y'ubuzima bwawe. Hanyuma, azagukorera isuzuma ry'umubiri n'isuzuma ry'imitsi kugira ngo arebe uburyo n'igihe umutingito uterwa n'ubwonko.

Mu bigo bimwe na bimwe byihariye, isuzuma rya `(Orthostatic Tremor)` ryemezwa na `Surface EMG (Electromyography)`Ikizamini cyitwa ‘electromyography y’imitsi’ kirakorwa. Ariko, rimwe na rimwe abahanga mu by’imitsi bashobora gusuzuma ibi bashingiye ku bimenyetso by’uburwayi. Ikizamini cya ‘EMG’ gisuzuma ubuzima n’imikorere y’imitsi yawe n’imitsi iyiyobora. By’umwihariko, gikubiyemo gushyira ‘sensors’ nto ku ruhu rw’ukuguru kwawe no gupima imikorere y’imitsi yawe.

Muganga wawe ashobora kandi kukugira inama yo gupima ibindi bipimo – nko gupima amaraso no gupima amashusho (urugero, gupima MRI) – kugira ngo hamenyekane izindi ndwara zishobora gutera gutigita kwawe.

Ikibabaje ni uko kubera ko Orthostatic Tremor ari indwara idasanzwe, abaganga rimwe na rimwe bayisuzuma nabi nk'ikindi kintu. By'umwihariko, ikunze kwitiranywa na Functional Tremor (izwi kandi nka Psychogenic Tremor), indwara y'imigendere ishobora guterwa n'ibintu nk'imihangayiko. Rero, kubona isuzuma nyaryo bishobora kugorana gato.

Uburyo bwo kuvura ni ubuhe? Ese bushobora kuvurwa?

Nta muti uhari wo kuvura indwara ya Orthostatic Tremor. Ariko hari imiti imwe n'imwe ishobora kugufasha kugenzura ibimenyetso byawe, ni ukuvuga kugabanya kunyeganyega no kudahagarara neza.

Umuti wa mbere ukunze gutangwa ni `Clonazepam` (umuti uri mu cyiciro cya `(Benzodiazepine)`). Ariko, uyu muti ntukora kuri buri wese. Kubwibyo, hari indi miti yindi:

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

Uburyo bwo kuvura bufasha mu bundi bwoko bw'umutingito bushobora no gufasha mu kuvura ibimenyetso bya "Orthostatic Tremor". Ariko, ibi biracyari mu cyiciro cy'ubushakashatsi. Ubwo buryo bwo kuvura burimo:

• Gukangura Ubwonko Bwimbitse (DBS)
• Gukangura uruti rw'umugongo

Kubera ko abashakashatsi bagikomeje kwiga ku ndwara ya Orthostatic Tremor, ushobora kuba wemerewe kwitabira igerageza ry’ubuvuzi. Baza muganga wawe niba ari amahitamo kuri wewe.

Ubaho ute muri iki kibazo? Ni iki wakwitega?

Guhindagura kw'imitsi ni ikibazo gikomeye iyo uhagaze, ariko bishobora kugira ingaruka ku mibereho yawe. Urugero, ushobora gutangira kwirinda ibintu bishobora gutuma uhagarara, nko kwiyuhagira, gutegereza ku murongo, gukora imirimo yo mu rugo, cyangwa guteka. Ibi bishobora kugorana cyane.

Ariko, guhindura bimwe mu bikorwa byawe bya buri munsi bishobora gutuma kubaho ufite iyi ndwara byoroha gato.Urugero, gukoresha intebe yo kwiyuhagiriramo mu bwogero, cyangwa gukoresha intebe y'abamugaye iyo ugomba gutegereza ku murongo. Umuganga w'inzobere mu by'ubuzima bw'abantu ashobora kugufasha kubona uburyo bwo gukora imirimo ya buri munsi byoroshye.

Kubera ko iyi ari indwara idasanzwe, rimwe na rimwe bishobora kugora abandi kuyisobanukirwa (Orthostatic Tremor)`, ndetse n'abaganga bakayisuzuma neza. Kubwibyo, ni ngombwa cyane gushaka ubufasha bw'abakunzi bawe. Niba ufite ibibazo by'ubuzima bwo mu mutwe nka `(Orthostatic Tremor)`, `(Anxiety)`, cyangwa niba wumva urimo kwigunga muri sosiyete, ntutindiganye kubonana n'umujyanama w'ubuzima bwo mu mutwe nka `(Psychologist)`. Ibyo bizaguha ihumure rikomeye.

Ese hari uburyo bwo gukumira ibi?

Ikibabaje ni uko kubera ko impamvu nyayo ya Orthostatic Tremor itazwi, nta kintu na kimwe wakora kugira ngo uyirinde.

Ni igihe gusa bigoranye tumenya akamaro ko kubasha guhagarara neza nta mibabaro. Kubera ko indwara yo mu bwonko ari indwara idasanzwe, urugendo rwo gusuzuma neza rushobora kuba rurerure. Ushobora kuba ugomba kwivugira no gushaka amakuru. Ariko, kubona igisubizo nyacyo birakwiye. Wibuke ko imiti imwe n'imwe n'ibindi bikoresho bifasha mu kugenda bishobora koroshya ubuzima bwo kubaho na Orthostatic Tremor.

Amaherezo, ibintu byo kwibuka

Ndizera ko ubu ufite igitekerezo ku "Mvurungano y'imitsi" twavugaga.

Iki kibazo ni ikintu kigoye kandi kidasanzwe, ariko iyo umuntu agisobanukiwe neza kandi agashyigikira, ashobora kukibaho neza.

Ibintu bike byo kwibuka ni ibi bikurikira:

• Niba wumva amaguru yawe anyeganyega cyangwa wumva urimo gutakaza uburinganire bwawe uhagaze, ntubyirengagize. Shaka muganga.
• Umuganga ni we wenyine ushobora kwemeza neza niba iyi ari "Orthostatic Tremor" yoroheje.
• Ubuvuzi bushobora kugenzura ibimenyetso.
• Nturi wenyine. Shaka ubufasha ku muryango, inshuti, ndetse nibiba ngombwa, n'inzobere mu by'ubuzima bwo mu mutwe.

Niba ufite ibindi bibazo kuri ibi, ntutindiganye kuvugana na muganga wawe. Ashobora kugusobanurira neza.

` gutigita kw'imitsi, kujugumira, kujugumira kw'amaguru, kugorwa no guhagarara, gutakaza uburinganire, indwara z'imitsi, indwara zo kugenda