Ngamanye amaxesha, xa sihleli nje, umsipha emzimbeni wethu uyaqhaqhazela ngequbuliso, akunjalo? Mhlawumbi siza kulala size sivuke sishukuma. Izinto ezinje zihlala zenzeke kuye wonke umntu. Kodwa ukuba oku kuqhaqhazela kwemisipha kuyaqhubeka, ukuba kuphazamisana nemisebenzi yemihla ngemihla, kunokuba luphawu lwesifo esithile. Ngoko ke namhlanje, masithethe ngokuba yintoni le 'Myoclonus', yintoni ebangela oko, kwaye nini apho kufuneka sikhathazeke ngayo.
Yintoni iMyoclonus?
Ngamafutshane, iMyoclonus kukuxhuzula okanye ukuxhuzula ngequbuliso, okungenanjongo, nokufutshane kwemisipha enye okanye ezingaphezulu. Inokuba njengothuselo lombane kwaye ihlale ixesha elifutshane. Ingachaphazela umsipha omnye engalweni, emlenzeni, egxalabeni, esinqeni, emqolo, okanye ebusweni, okanye ingachaphazela izihlunu ezininzi ngaxeshanye.
Nokuba umntu ophilileyo unokuhlangabezana noku ngaxa lithile ebomini bakhe. Nangona kunjalo, ngamanye amaxesha, kunokuba luphawu lwezifo ezininzi ezinzulu.
I-Myoclonus inokwenzeka ngeendlela ezimbini eziphambili:
- I-myoclonus elungileyo: Kulapho izihlunu zifinyela ngequbuliso.
- I-myoclonus engalunganga: Oku kukuphumla kwemisipha ngequbuliso. Ngokwezonyango, ikwabizwa ngokuba yi-"Asterixis". Ibonakala ngokungcangcazela okuqhwaba isandla.
Ziziphi izizathu eziphambili zeMyoclonus?
Zininzi izizathu ze-myoclonus. Ezinye zixhaphakile kwaye zilindelekile. Kodwa ezinye zinokubangelwa ziimeko zonyango ezichaphazela iinkqubo ezahlukeneyo emzimbeni wethu. Iingcali zahlula ezi zizathu zibe ziindidi ezine eziphambili.
Izizathu eziqhelekileyo, zomzimba (i-Physiological Myoclonus)
Ezi ziintlobo ze-myoclonus ezingenabungozi ezibangelwa ziinkqubo eziqhelekileyo emizimbeni yethu. Akukho sizathu sokoyika oku.
- Iingxaki: Olu luhlobo lweMyoclonus. Nangona kunjalo, ukuba luhlala ixesha elingaphezu kweentsuku ezimbini, kungcono ukubona ugqirha.
- Ukuxhuzula komzimba ngequbuliso/ukuxhuzula komzimba ngequbuliso , nokuba sele uza kulala okanye sele uza kuvuka. Oku kuqhelekile kubantu abaninzi.
- Ukusabela okumangalisayo: Xa sisoyika ngequbuliso okanye simangalisiwe, imizimba yethu iyashukuma ngokungalawulekiyo.
I-Myoclonus ebangelwa sisifo sokuwa
Oku kushukuma kwemisipha kunokwenzeka kwezinye iimeko zesifo sokuwa. Le meko ixhaphake kakhulu kwi-`(myoclonic seizures)`. Inokunxulunyaniswa neemeko ezifana ne-`(Lennox-Gastaut syndrome)` kunye ne-`(juvenile myoclonic epilepsy)`.
Njengophawu lwenye imeko yezonyango (iSecondary Myoclonus)
Ukuba i-myoclonus ivele njengophawu lwesinye isifo, ibizwa ngokuba yi-'Secondary Myoclonus'. Zininzi izinto ezinokubangela oku. Masifunde ngakumbi ngayo kwitheyibhile engasezantsi.
| Into ebangela | Inkcazo kunye nemizekelo |
|---|---|
| Izifo ezizikhusela ngokwazo emzimbeni | Izifo apho amajoni omzimba ahlasela iiseli zawo. Umzekelo: (Isifo seCeliac) . |
| Ukungalingani kweekhemikhali emzimbeni | Isifo sezintso okanye sesibindi, iingxaki ze-thyroid, ukungabikho kweevithamini okanye iiminerali, kunye nokungalingani kwe-electrolyte . |
| Izilonda zobuchopho | Ukonakala kwezicubu zobuchopho ngenxa yokunqongophala kweoksijini (i-cerebral hypoxia) okanye istroke. |
| Izifo zengqondo eziwohlokayo | Umzekelo: isifo sengqondo esixhalabisayo esinxulumene (nesifo sika-Alzheimer) , (isifo sengqondo esixhalabisayo somzimba sikaLewy) , kunye (nesifo sikaParkinson) . |
| Izifo zemfuza | Izifo ezibangelwa ziinguqu zeDNA ezinokufunyanwa ngabazali. Umzekelo: (Isifo sikaKrabbe) , (Isifo sikaWilson) . |
| Iintsholongwane | Usulelo olubangelwa ziintsholongwane okanye ziibhaktheriya oluchaphazela ingqondo okanye inkqubo yemithambo-luvo. Umzekelo: (Intsholongwane yeHerpes simplex) , (Isifo seLyme). |
| Ukulimala kwemithambo-luvo okanye umqolo | Ingozi iphazamisa unxibelelwano phakathi kwengqondo namalungu omzimba, nto leyo ebangela ukuba loo malungu asebenze ngokungacwangciswanga. |
| Amayeza kunye neziyobisi | Oku kunokubangelwa ziziyobisi ezithathwa ngaphandle kwemvume kagqirha (ezifana notywala, i-cocaine, i-heroin). Kungabangelwa namayeza anikwe ngugqirha, anjenge-anti-epileptics, amayeza okudakumba , amayeza oxinzelelo lwegazi, kunye nee-antibiotics . |
| Iityhefu kunye neetyhefu | Ukutyiwa kweentsimbi ezinzima ezifana ne-lead, i-manganese, i-mercury. Iityhefu ezifana nezibulala-zinambuzane (umz. i-methyl bromide ). |
I-Myoclonus ebalulekileyo
Le yimeko yemfuza edluliselwa kwizizukulwana ngezizukulwana. Ngokwesiqhelo ayibangeli monakalo kwaye ayibi mandundu ngokuhamba kwexesha. Nangona kunjalo, ukusela utywala kunokwenza ezi zihlunu zishukume kancinci.
Ngaba le meko ingathintelwa?
I-Myoclonus yinto eyenzeka ngequbuliso, ngaphandle kwesilumkiso. Ngoko ke iintlobo ze-myoclonus esithethe ngazo ngaphambili, ezibizwa ngokuba yi-physiological and essential myoclonus, azinakuthintelwa.
Nangona kunjalo, singazilawula iimeko ze-myoclonus ezibangelwa zezinye izifo (ezimbini) kunye nesifo sokuwa (isifo sokuwa) ukuya kuthi ga kwinqanaba elithile.
- Kuphephe ukusebenzisa iziyobisi: Kuphephe ukusebenzisa iziyobisi ezingamiselwanga ngugqirha. Kwakhona, ukuba ufumana ezi mpawu emva kokuthatha amayeza amiselwe ngugqirha, yazisa ugqirha wakho ngoko nangoko. Zikho ukuze zikuncede, kungekhona ukukugweba. Ke ngoko, kubalulekile ukuze ukhuseleke kwaye ufumane unyango olufanelekileyo ukubaxelela ngayo yonke into oyisebenzisileyo.
- Khusela inkqubo yakho yemithambo-luvo: Ukusebenzisa izixhobo zokhuseleko ezifana nezigcina-ntloko kunye neebhanti zokhuseleko kunokuthintela ukwenzakala engqondweni yakho nakwintambo yomqolo.
- Lawula izifo ezingapheliyo: Ukuba unezifo ezingapheliyo ezifana nesifo sokuwa okanye isifo se-thyroid, ukulandela imiyalelo kagqirha wakho ngokuchanekileyo kunokunceda ukuthintela okanye ukunciphisa ukwenzeka kwe-myoclonus.
Sifanele siye kugqirha nini?
Ukuqaqamba okuqhelekileyo akudingi nyango. Nangona kunjalo, ukuba ezi ntlungu zemisipha ziyaqhubeka, ingakumbi ukuba ziphazamisana nemisebenzi yakho yemihla ngemihla okanye ubuthongo, ngokuqinisekileyo kuya kufuneka ubone ugqirha.
Khumbula, akukho mfuneko yokoyika into efana nokurhawuzelela okuqhelekileyo. Kodwa ukuba la marhawuzelela ayaqhubeka, inokuba luphawu lwento enzulu, ngoko ke bubulumko ukufuna ingcebiso kagqirha.
Ukuba ukrokrela ukuba utye ityhefu, yiya kwiCandelo loNyango oluNgxamisekileyo (ETU) esibhedlele ngoko nangoko. Ungafowunela neZiko loLwazi lwePoisons kwiSibhedlele sikaZwelonke saseColombo ukuze ufumane ingcebiso.
Ezinye iintlobo ezithile ze-myoclonus
Kukho ezinye iintlobo ezithile ze-myoclonus, ezifumaneka kuphela kumaqela athile eminyaka okanye ngeendlela ezithile.
I-myoclonus yokulala engeyiyo yeentsana ezisandula ukuzalwa
Le yimeko echaphazela iintsana ezisandul’ ukuzalwa. Ezi ntsana zishukuma ngequbuliso amalungu okanye imizimba yazo xa zilele. Nangona oku kungabonakala ngathi kukuxhuzula xa ujonga okokuqala, i-electroencephalogram (EEG) ayibonisi ntshukumo yokuxhuzula. Oku akumlimazi umntwana kwaye kudla ngokunyamalala ngokupheleleyo xa eneminyaka eyi-6 ubudala.
I-myoclonus yendlebe ephakathi
Oku kwenzeka xa umsipha obizwa ngokuba yi-tensor tympani endlebeni yakho ufinyela ngokungalawulekiyo. Ngokwesiqhelo, lo msipha ufinyela xa sithetha, sisitya, okanye sihleka ukuze sikhusele indlebe engaphakathi. Kodwa kule meko, lo msipha ufinyela ngexesha elingafanelekanga, nto leyo ebangela isandi esiqhubekayo sokucofa okanye sokuphuma ngaphakathi endlebeni. Oku kuyacaphukisa, kodwa akuyongozi. Kunganyangwa ngotyando okanye ezinye iindlela.
Isifo se-Opsoclonus-myoclonus (OMS)
I-Opsoclonus yintshukumo eyenzeka ngokungazikhetheliyo yemisipha elawula indlela amehlo ahamba ngayo. I-OMS yimeko engaqhelekanga apho ukuxhuzula kwamehlo kunye nokuxhuzula kwemisipha yomzimba kwenzeka kunye. Ngamanye amaxesha kwenzeka xa inkqubo yethu yokuzikhusela ihlasela ngempazamo inkqubo yethu yemithambo-luvo. Kubantwana, le mpendulo yokuzikhusela inokubangelwa luhlobo lomhlaza wobuchopho olubizwa ngokuba yi-neuroblastoma. Kubantu abadala, le meko inokunxulunyaniswa nomhlaza wemiphunga, webele, okanye wesibeleko.
I-Palatal myoclonus
Olu luhlobo lwe-myoclonus oluchaphazela izihlunu zekhala elithambileyo elingaphakathi emlonyeni wethu. Oku kunokubangela isandi esingaqhelekanga 'sokunqakraza' endlebeni. Oku kungaba lufuzo okanye uphawu lomonakalo othile wobuchopho. Le meko inokulawulwa ngamayeza.
Umyalezo Wokuya Ekhaya
- I-Myoclonus kukuxhuzula kwemisipha ngequbuliso. Izinto ezinje ngokuxhuzula nokuhamba ulele ziqhelekile kwaye azinabungozi.
- Kodwa ukuba oku kushukuma kwemisipha kuyaqhubeka, kwenzeka rhoqo, kunzima, okanye kuphazamisana nobomi bakho bemihla ngemihla, kusenokuba luphawu lwenye imeko yezonyango.
- Kwimeko enjalo, musa ukuyityeshela, kwaye ngokuqinisekileyo bonana nogqirha wakho.
- Unyango luxhomekeke kwisizathu, esinokuchongwa ngugqirha wakho kuphela.
- Ukuthetha ngokunyanisekileyo nogqirha wakho malunga namayeza okanye ezinye izinto ozisebenzisayo kubaluleke kakhulu ukuze ufumane uxilongo oluchanekileyo kunye nonyango olukhuselekileyo.
👩🏽⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)
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💬 Kutheni kusithiwa ungayeki ukuthatha eli yeza (iLopressor) ngequbuliso? Zithini iingozi (Isilumkiso seBlack Box)?
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