Ingaba ubuso bakho kunye nemihlathi yakho ziyaqhaqhazela ngaphandle kokuthanda kwakho? Isenokuba yiMeige Syndrome!

Ngaba ngamanye amaxesha uziva ngathi izihlunu ebusweni bakho, emehlweni, emhlathini, okanye kulwimi lwakho ziyaqhaqhazela okanye ziqhaqhazele ngaphandle kokuba uqonde? Oku kunokuba buhlungu kancinci. Kunokuba yinto engalawulekiyo. Ukuba ukhe waba nale meko, kubalulekile ukuba uqaphele imeko engaqhelekanga yemithambo-luvo esiza kuthetha ngayo namhlanje ebizwa ngokuba yiMeige Syndrome.

Yintoni kanye kanye iMeige Syndrome?

Ngamafutshane, iMeige Syndrome yimeko echaphazela ingqondo yakho kunye nenkqubo yemithambo-luvo, ebangela ukushwabana kwemisipha okungalawulekiyo (ukuqaqamba). Oku kunokubangela ukuba izinto ezifana nomhlathi wakho ziqine kwaye amehlo akho avaleke kakuhle. Ngamanye amaxesha oku kushwabana kwemisipha kunokuhambisana nentlungu.

Le meko ichaphazela kakhulu:

• Kwimisipha esezantsi kobuso bakho
• Ukuya esilevini
• Kulwimi
• Kwaye kwamehlo .

I-Meige Syndrome yimeko ekwiqela lezifo ezibizwa ngokuba yi-dystonia. I-Dystonia ligama elinikwa iqela lezifo ezibangela iintshukumo zemisipha ezingalawulekiyo. Abanye oogqirha babiza ngokuba yi-segmental cranial dystonia okanye i-idiopathic blepharospasm-oromandibular dystonia syndrome. Nangona eli gama lisenokuvakala liyinkimbinkimbi kancinci, into ekufuneka uyiqonde kukuba sisifo sokuhamba esingalawulekiyo esichaphazela izihlunu zobuso kunye nomhlathi.

Oku akuyonto ibonwa rhoqo. Enyanisweni, iMeige Syndrome yimeko engaqhelekanga kudidi lwe-`(Dystonia)`.

Zithini ezi mpawu? Zivakala njani kanye kanye?

I-Meige Syndrome ichaphazela indlela ubuso bakho kunye nemihlathi yakho ezihamba ngayo. Unokwenza imbonakalo yobuso engalawulekiyo nengalawulekiyo. Makhe sijonge ezona mpawu zixhaphakileyo:

• Ukugquma ubuso
• Uqumbile, esoloko ejongeka enomsindo
• Ukutyhala isilevu phambili (oku kunokwenzeka ingakumbi xa uthetha okanye usitya)
• Ukushukuma kwemihlathi
• Intlungu yomhlathi (intlungu ebukhali ngequbuliso, enokuvakala ngathi kukuhlatywa ngemela)
• Ubunzima bokuvula okanye ukuvala umlomo
• Umlomo oqinileyo
• Ukutshixiza amazinyo (bruxism) (Abanye abantu batshixiza amazinyo abo ebuthongweni, isenokuba yinto efana naleyo.)

Ukongeza, unokufumana olu hlobo lokuxinana okungalawulekiyo (ukuxinana) kulwimi lwakho , emqaleni, nasemphefumlweni . Xa unezi ntlobo zokuxinana kulwimi lwakho, kunokuba nzima ukutya, ingakumbi ukuginya ukutya okuqinileyo. Kwakhona, ukuba unezi ntlobo zokuxinana kwindlela yakho yomoya, kunokuba nzima ukuphefumla.Ukuba ufumana ubunzima bokuphefumla, kufuneka uye esibhedlele esikufutshane ngoko nangoko okanye utsalele umnxeba ku-1990.

Kukwakho neempawu ezichaphazela amehlo:

• Ukuqhwanyaza amehlo rhoqo okanye ngokungalawulekiyo
• Intlungu yamehlo
• Ubunzima bokugcina amehlo evulekile
• Amehlo omileyo, uzive ngathi kukho iinkozo zesanti emehlweni

Ekuqaleni, ezi mpawu zinokuchaphazela iliso elinye kuphela, kodwa ekuhambeni kwexesha, omabini amehlo anokuchaphazeleka. Njengoko ukhula, ezi mpawu zinokuba zixhaphake kakhulu kwaye zibe nzima. Oku kunokubangela ubunzima bokubona kuba awukwazi ukugcina amehlo akho evulekile. Nangona kunjalo, oku akuwonakalisi ngokuthe ngqo umsebenzi wokubona wamehlo. Ingxaki kukuba awukwazi ukugcina amehlo akho evulekile.

Kutheni oku kusenzeka? Yintoni unobangela?

Isizathu esichanekileyo seMeige Syndrome asikaziwa . Iingcali zikholelwa ukuba isenokuba ibangelwa kukudibana kwezinto ezimbini zemfuza (utshintsho olungalindelekanga kwi-DNA ngexesha lokukhulelwa) kunye nezinto ezingqongileyo (izinto ezenza iimpawu zibe mandundu).

Abanye abaphandi bakholelwa ukuba le meko ichaphazela inxalenye yengqondo ebizwa ngokuba yi-basal ganglia. Le nxalenye yengqondo ilawula iintshukumo zomzimba wethu. Ngoko ke, bakholelwa ukuba xa kukho into engahambi kakuhle apho, ezi ntshukumo zingalawulekiyo zinokwenzeka.

Ziziphi izinto ezinokubangela ukuba iimpawu zibe mandundu?

Kukho izinto ezithile kwindawo okuyo ezinokwenza iimpawu zeMeige Syndrome zibe mandundu. Ezi sizibiza ngokuba 'zii-triggers'. Zezi:

• Ukukhanya okuqaqambileyo (Khawuthelekelele ukuba uziva ukuba olu luvo luyanda xa uphuma ngemini ekhanyayo enelanga, okanye xa izibane zemoto zibetha amehlo akho ebusuku...)
• Ndiziva ndidiniwe
• Uxinzelelo
• Umoya onamandla
• Ukumoshwa komoya

Ezi zinto azichaphazeli wonke umntu ngendlela efanayo, kodwa kubalulekile ukuba uzazi.

Ngaba oku kunxulumene nezinye izifo?

Ewe, ngamanye amaxesha iMeige Syndrome inokwenzeka kunye nezinye izifo. Ezinye zezi zifo zezi:

• Isifo sikaParkinson: Esi sisifo esichaphazela intshukumo enxulumene nenkqubo yemithambo-luvo. Iimpawu eziphambili kukungcangcazela, ukucotha kokuhamba, ukuqina kwemisipha, ukungazinzi xa uhamba, kunye neengxaki zokulinganisela kunye nokulungelelanisa.
• I-Tardive dyskinesia: Le yimeko yenkqubo yemithambo-luvo. Ingabangelwa kukusetyenziswa ixesha elide kwamanye amayeza esifo sengqondo, kunye namanye amayeza eengxaki zesisu nezemithambo-luvo.
• Isifo sikaWilson: Esi sisifo semfuza esibangela ukuba i-copper iqokelele emzimbeni. Oku kunokubangela isifo sesibindi kunye neentshukumo ezingaqhelekanga nezingalawulekiyo.

Ngubani osengozini enkulu yoku?

I-Meige Syndrome inokuchaphazela nabani na, kodwa uphando lubonisa ukuba abafazi banamathuba amaninzi okufumana esi sifo kunamadoda .

Uninzi lwabantu lufunyaniswa lunesi sifo phakathi kweminyaka engama-40 ukuya kwengama-70 ubudala. Nangona kunjalo, kubalulekile ukukhumbula ukuba sinokubakho nakweyiphi na iminyaka.

Zeziphi ezinye iingxaki ezinokubangela oku?

I-Meige Syndrome inokubangela ezi ngxaki zilandelayo:

• Intloko ebuhlungu
• Ubunzima bokubona (ngenxa yokungakwazi ukuvula amehlo)
• Ukungondleki kakuhle (ngenxa yobunzima bokuginya ukutya)
• Ukudakumba (kunokubangela ukudakumba ngenxa yokungonwabi kunye notshintsho kwinkangeleko olubangelwa sisifo)

Oogqirha bayixilonga njani le nto?

Ugqirha uza kuxilonga iMeige Syndrome ngokukuxilonga (uvavanyo lomzimba), ukwenza uvavanyo lwemithambo-luvo, nokwenza uvavanyo (olufana novavanyo lwegazi kunye novavanyo lwemifanekiso) ukuze aqinisekise ukuba akukho zimo zifanayo. Okwangoku akukho vavanyo luthile lokuxilonga le meko. Ugqirha wakho uza kuxilonga ngokusekelwe kwiimpawu zakho.

Zithini iindlela zonyango?

Ugqirha wakho unokucebisa unyango lokunciphisa iimpawu zeMeige Syndrome okanye ukucothisa ukuqhubela phambili kwesi sifo. Ezinye zeendlela zonyango ezisetyenziswa kakhulu ziquka:

• Amayeza: Amayeza aqhelekileyo aquka i-clonazepam (Klonopin®), i-trihexyphenidyl (Artane®), i-diazepam (Valium®), kunye ne-baclofen (Lioresal®). La mayeza anceda ekunciphiseni ukuqaqamba kwemisipha.
• Inaliti yeBotulinum toxin (Botox®): Ugqirha ufaka le naliti kwimisipha ejikeleze amehlo akho kunye nomhlathi. Oku kuyenza buthathaka okwethutyana imisipha kwaye kunciphisa ukuxhuzula okungalawulekiyo. Kusenokufuneka ufumane le naliti phantse rhoqo emva kweenyanga ezintathu, okanye njengoko ugqirha wakho eyalele.
• Ukuvuselela ingqondo nzulu (DBS): Olu lonyango oluntsonkothileyo ngakumbi. I-DBS isebenza ngokuphazamisa iindlela ezingaqhelekanga zomsebenzi engqondweni. Kule nkqubo, ugqirha ufaka i-electrode encinci yesinyithi engqondweni yakho aze ayidibanise nejenereyitha ye-pulse ekwikhompyutha efakwe phantsi kolusu. Cinga ngale jenereyitha ye-pulse njengesixhobo sokunceda ukujikeleza ingqondo. Njengoko ugqirha wakho ekuxilonga, esi sixhobo silungiswa ukuze sincede ukulawula iimpawu zakho.
• Unyango lokuthetha nokuginya: Unyango lokuthetha lunokunceda ukuqinisa izihlunu zakho zemihlathi kwaye lunciphise ubunzima bokungqusha kwakho. Oku kukwaluncedo nokuba unengxaki yokuginya.

Ngaba kukho izinto onokuzenza ekhaya ukunciphisa iimpawu?

Abanye abantu abaneMeige Syndrome basebenzisa amaqhinga alula okuva abanokuwenza ekhaya ukunceda ukunciphisa iimpawu zabo. La maqhinga aquka ukugxila kwakhona kwenxalenye yengqondo ebangela iimpawu. Ezi ziquka:

• Igum yokuhlafuna
• Ukuhlafuna nge-toothpick
• Ukuthinta imilebe okanye isilevu
• Ukujonga phantsi

Ukongeza, ungaziphepha izinto ezibangela ukuba umoya ukhanye kakhulu kwaye uphephe izinto ezibangela ukuba ungabi naso isibhakabhaka njengokukhanya okuqaqambileyo nomoya onamandla. Ungenza izinto ezifana nokunxiba iiglasi zelanga kwaye unciphise ukuvezwa kwakho kwiintsuku ezinomoya.

Ngaba kukho naziphi na iziphumo ebezingalindelekanga zonyango?

Njengakwezinye iindlela zonyango, ezi ndlela zonyango zinokuba nemiphumo emibi, ngoko ke kubalulekile ukuba uxoxe ngazo nogqirha wakho ngaphambi kokuba uqale unyango.

Umzekelo, amanye amayeza anokubangela ukozela, ubunzima bokuphefumla, kunye nomlomo owomileyo.

Inaliti ye-Botulinum toxin (Botox®) inokubangela iintlungu, ukudumba, ukukrweleka kwindawo efakwe kuyo inaliti, okanye ngamanye amaxesha ubuthathaka bemisipha.

Ngaba ikho indlela yokuthintela oku?

Ngelishwa, okwangoku akukho ndlela eyaziwayo yokuthintela iMeige Syndrome. Nangona kunjalo, ukuphepha izinto ezibangela esi sifo - njengokukhanya okukhanyayo nomoya - kunokunceda ukunciphisa ukuphindaphindeka kweempawu zakho.

Yintoni onokuyilindela ngelixa uphila nesi sifo?

I-Meige Syndrome inokuchaphazela indlela ophila ngayo. Kunokuba nzima ukwenza nezinto ezilula njengokuba selangeni okanye ukuqhuba iifestile zivuliwe. Abanye abantu banokuziva beneentloni okanye beneentloni malunga nokunxulumana nabantu okanye ukuya kwimicimbi kuba ezi ntlungu zemisipha zichaphazela inkangeleko yabo.

Ngamaxesha anje, ukuthetha nomcebisi wezempilo yengqondo kunokuba luncedo kakhulu. Kubalulekile ukuhlala uqinile engqondweni, njengoko ukulawula iimpawu kunokuba nzima ngakumbi ngokuhamba kwexesha.

Nangona kungekho nyango lweMeige Syndrome, unyango lunokukunceda ulawule iimpawu zakho kwaye uqhubeke nokwenza izinto ozithandayo kwaye wenze imisebenzi yakho yemihla ngemihla kangangoko unako.

Esi sifo asiyichaphazeli ngokuthe ngqo indlela ophila ngayo. Oko kuthetha ukuba asisosifo esibulalayo. Nangona kunjalo, sinokuba nefuthe kumgangatho wobomi bakho. Ke ngoko, thetha nogqirha wakho malunga neendlela zonyango ezilungileyo zokulawula iimpawu zakho.

Ufanele uye nini kugqirha?

Ukuba ufumana iziphumo ebezingalindelekanga emva konyango, okanye ukuba iimpawu zakho ziba mandundu emva konyango, thetha nogqirha wakho. Angakunceda ufumane olunye unyango olulungele wena kunye neempawu zakho.

Kwakhona, ukuba unengxaki yokutya ngenxa yeempawu, yazisa ugqirha wakho ngokukhawuleza ngaphambi kokuba ungondleki kakuhle.

Kwimeko kaxakeka, oko kuthetha ukuba ukuba unengxaki yokuphefumla, fowunela u-1990 ngoko nangoko okanye uye esibhedlele esikufutshane.

Yeyiphi imibuzo omele uyibuze ugqirha wakho?

Xa ubona ugqirha wakho, kunokuba luncedo ukubuza imibuzo efana nale:

• Ngaba ndineMeige Syndrome, okanye olunye uhlobo lwedystonia?
• Luhlobo luni lonyango olucetyiswayo?
• Zithini iziphumo ebezingalindelekanga zezo ndlela zonyango?
• Ngaba kukho naluphi na unyango olutsha okanye iimvavanyo zeklinikhi zoku?
• Iimpawu zam zichaphazela ukuzithemba kwam. Ngaba kufuneka ndithethe nomcebisi wezempilo yengqondo ?

Yintoni umahluko phakathi koku kunye nezinye iingxaki zokunyakaza?

I-Meige Syndrome luhlobo lwe-dystonia oluchaphazela iintshukumo zakho. Zikho nezinye iimeko ezichaphazela intshukumo. Eminye imizekelo:

• I-dystonia evula umhlathi: Olu luhlobo lwe-dystonia oluchaphazela umhlathi. Ayibangeli i-blepharospasm.
• Ukuqaqamba kwemisipha ye-hemifacial: Kulapho zonke izihlunu kwelinye icala lobuso zishukuma khona. Oku akudli ngokuba buhlungu. Kwabanye abantu, i-MRI scan yengqondo inokubonisa ukuba kukho umthambo ebusweni ocinezelweyo.

Ingaba iMeige Syndrome iyafana neMeige Disease?

Hayi. Ezi meko zimbini zahlukile. Zithiywe ngegama lengcali yezifo zengqondo yaseFransi uHenri Meige, ngoko ke kulula ukudideka. Isifo sikaMeige sisifo esizuzwe njengelifa kwinkqubo ye-lymphatic. Sibangela ukuba ulwelo lwe-lymph luqokeleleke emilenzeni yakho.

Okokugqibela, yintoni ekufuneka uyazi

Ukufunyanwa unesifo esingaqhelekanga njengeMeige Syndrome, imeko ebangela iintshukumo ezibuhlungu nezingalawulekiyo zeenkophe, umhlathi, kunye nobuso obuphantsi, kunokuba yinto enzima kakhulu. Usenokuba nemibuzo emininzi malunga nokuba iimpawu ziya kukuchaphazela njani njengoko isifo siqhubeka.

Kodwa khumbula, nangona kungekho nyango lweMeige Syndrome, kukho unyango olufumanekayo. Ugqirha wakho angakunceda ulawule iimpawu zakho kwaye uqhubeke nemisebenzi yakho yemihla ngemihla kangangoko kunokwenzeka. Ngoko ke, hlala uqinile kwaye ulandele icebiso likagqirha wakho.

Isifo sikaMeige , isifo semithambo-luvo, ukushwabana kwemisipha, ukuxhuzula kobuso, iintlungu zomhlathi, iimpawu zamehlo