Ngaba imilenze yakho iyangcangcazela xa umi? Ngaba uziva ngathi ulahlekelwa yibhalansi yakho? Isenokuba yi-Orthostatic Tremor!

Ngaba wakha waziva ngathi imilenze yakho iyaphelelwa ngamandla, iyangcangcazela, okanye ilahlekelwa kukulinganisela xa umile, ingakumbi emva kokuma ixesha elide? Kodwa ukuba, ngokumangalisayo, oku kungakhululeki kuyaphela xa uhleli phantsi okanye uhamba, usenokuba nesifo esibizwa ngokuba yi-"Orthostatic Tremor". Eli ligama elingaqhelekanga ukuliva, kodwa masithethe ngalo ngokulula.

Yintoni `(Orthostatic Tremor)`? Ngamafutshane nje...

Ngamafutshane, i-Orthostatic Tremor sisifo esingaqhelekanga senkqubo yemithambo-luvo esibangela ukuba izihlunu emilenzeni yakho zinciphe ngokukhawuleza (zingcangcazele) xa umi. Olu ngcangcazelo lunokukwenza uzive ungaqinisekanga xa umi, ulahlekelwe yibhalansi yakho, kwaye uzive ngathi uza kuwa. Kodwa ngokumangalisayo, olu ngcangcazelo ludla ngokuncipha okanye luphele ngokupheleleyo xa uhamba, uhleli, okanye uxhomekeke kwinto ethile.

Le meko ixhaphake kakhulu kubantu abaneminyaka engaphezu kwama-60 ubudala. Nangona kunjalo, uphando lubonise ukuba inokuchaphazela nabani na oneminyaka eli-13 ukuya kuma-85 ubudala. Khawucinge nje, oogqirha baqala ukuyifumana baze bayichaza le meko ebizwa ngokuba yi-"Orthostatic Tremor" ngo-1984. Oko kuthetha ukuba yimeko entsha. Oogqirha basafunda lukhulu ngayo.

Zithini iimpawu zoku? Uziva njani?

Uphawu oluphambili abantu abane-`(Orthostatic Tremor)` badla ngokuluxela kukungaqini abakuvayo xa bemi. Oko kukuthi, ukuziva ngathi umhlaba uyanyikima, okanye ukuba imizimba yabo ayilunganga. Nangona kunjalo, abaziva ngale ndlela yokungakhululeki xa behleli okanye behamba. Ukuba bahlala bemile, baqale ukuhamba, baxhomekeke kwinto efana nodonga, okanye balale phantsi, oku kunyikima, oko kungazinzi, kuncipha kakhulu okanye kunyamalale ngokupheleleyo.

Ukuze unciphise oku kungazinzi, ungazama ngokungazi ukugcina imilenze yakho yahlukene kancinci, ngokungathi uchukumisa umhlaba ngeenzwane zakho . Cinga ngayo ngokungathi umi ebhasini okanye kuloliwe kwaye uzama ukugcina ibhalansi yakho.

Ixesha elininzi, usenokungaqapheli okanye ungaziboni ukuba imilenze yakho iyangcangcazela ngokukhawuleza xa umi. Usenokuziva nje ukungazinzi okanye ukulahleka kokulinganisela endikukhankanyileyo. Nangona kunjalo, ukuba ubeka izandla zakho emathangeni okanye ezinqeni zakho, unokuziva izihlunu zincipha ngokukhawuleza, njengamaza . Oku kungcangcazela kudla ngokungabi nantlungu. Nangona kunjalo, ngokuhamba kwexesha, iintlungu kwimisipha yemilenze zinokuvela.

Abanye abantu abane-"Primary Orthostatic Tremor" (siza kuthetha ngale nto kamva) banokufumana ukungcangcazela ezingalweni zabo okanye emilenzeni yabo. Nangona kunjalo, basenokungabi nazo ezinye iimpawu zemithambo-luvo.

Ubunzima be-"Orthostatic Tremor" bunokwahluka kumntu nomntu. Abanye abantu basenokuqala ukungcangcazela kwangoko nje ukuba bame. Kwabanye, ukungcangcazela kunokuqala emva kwemizuzu embalwa bemile. Kwabaninzi, ukungcangcazela kuyakhula kancinci kancinci ngokuhamba kwexesha.

Kutheni le nto `(Orthostatic Tremor)` isenzeka? Zithini izizathu?

Enyanisweni, oogqirha nabaphandi basafunda nge-"Orthostatic Tremor", ngoko ke imbangela echanekileyo ayaziwa okwangoku. Ezinye iingcali zikholelwa ukuba luhlobo lolunye uhlobo lokungcangcazela olubizwa ngokuba yi-"Essential Tremor". Abanye bakholelwa ukuba i-"Orthostatic Tremor" yimeko eyahlukileyo ngokupheleleyo, ezimeleyo.

Uninzi lwexesha, le meko yenzeka ngequbuliso, ngaphandle kwesizathu esithile. Nangona kunjalo, bekukho iingxelo ezingaqhelekanga zokuba iyenzeka kumalungu osapho. Umzekelo, kumawele, kubantakwabo noodadewabo, okanye kumzali nomntwana. Ngoko ke, abaphandi bajonga ukuba ngaba izinto zemfuza, ezinje ngokuguquka kwezakhi zofuzo, ziyadlala indima.

Ngaba kukho iintlobo ze-`(Orthostatic Tremor)`?

Ewe, oogqirha badla ngokwahlula i-`(Orthostatic Tremor)` ibe ziintlobo ezimbini eziphambili:

1. Ukungcangcazela kwe-Orthostatic Primary: Oku kukwabizwa ngokuba yi-idiopathic. Oku kuthetha ukuba unobangela ochanekileyo awaziwa. Abantu abane-primary orthostatic tremor abanazo iimpawu zesifo se-nervous system.

2. Ukungcangcazela kwe-Secondary Orthostatic: Oku kubangelwa yenye imeko yezonyango. Izifundo zibonise ukuba ukungcangcazela kwe-secondary orthostatic kunokubangelwa ziimeko ezahlukeneyo zezonyango. Ezinye zezi meko ziquka:

• Isifo seGraves (isifo se-thyroid gland)
• Ukulimala entloko
• `Isifo se-Multiple Sclerosis (MS)` (isifo esichaphazela inkqubo yemithambo-luvo)
• `Parkinsonism` (imeko ebangela iimpawu ezifana nesifo sikaParkinson)
• I-Restless Legs Syndrome (imeko ebangela ukungazinzi emilenzeni)
• Ukonakala kwiindawo ezithile zobuchopho (umz., izilonda zePontine kunye nobuchopho obuphakathi)
• Izilonda zomqolo
• `Isifo somntu oqinileyo`
• Ukunqongophala kweVithamin B12

Eyona nto ibalulekileyo kukufuna iingcebiso zonyango ukuba unale mpawu. Musa ukuzixilonga.

Uyixilonga njani le nto kanye? (Uxilongo)

Ukuze afumanise ukungcangcazela kwe-orthostatic, ugqirha wakho uza kuqala akubuze ngeempawu zakho kunye nembali yezonyango. Emva koko, uza kwenza uvavanyo lomzimba kunye novavanyo lwe-neurological ukuvavanya ukuba kwenzeka njani kwaye nini ukungcangcazela.

Kwezinye iziko ezikhethekileyo, ukuxilongwa kwe-`(Orthostatic Tremor)` kuqinisekiswa yi -`Surface EMG (Electromyography)`Uvavanyo olubizwa ngokuba yi-'muscle electromyography' luyenziwa. Nangona kunjalo, ngamanye amaxesha iingcali ze-movement disorder (iingcali ze-Movement Disorders) zinokufumanisa oku ngokusekelwe kwiimpawu zeklinikhi. Uvavanyo lwe-'EMG' luvavanya impilo kunye nokusebenza kwemisipha yakho yamathambo kunye nemithambo-luvo eyilawulayo. Ngokukodwa, lubandakanya ukubeka 'ii-sensors' ezincinci eluswini lomlenze wakho kunye nokulinganisa umsebenzi wombane wemisipha yakho.

Ugqirha wakho unokucebisa nezinye iimvavanyo – ezifana novavanyo lwegazi kunye novavanyo lwemifanekiso (umz., i-MRI scan) – ukuze kuthintelwe ezinye iimeko ezinokubangela ukungcangcazela kwakho.

Ngelishwa, ngenxa yokuba i-Orthostatic Tremor yimeko engaqhelekanga, oogqirha ngamanye amaxesha bayifumanisa ngendlela engafanelekanga njengenye into. Ngokukodwa, idla ngokubhidaniswa ne-Functional Tremor (ekwabizwa ngokuba yi-Psychogenic Tremor), ingxaki yokuhamba enokubangelwa zizinto ezifana noxinzelelo. Ngoko ke, ukufumana uxilongo oluchanekileyo kunokuba nzima kancinci.

Zithini iindlela zonyango? Ngaba zinokunyangeka?

Akukho nyango lwe-Orthostatic Tremor. Nangona kunjalo, kukho amayeza anokunceda ukulawula iimpawu zakho, oko kukuthi, ukunciphisa ukungcangcazela nokungazinzi.

Iyeza lokuqala elihlala linikwa yi-`Clonazepam` (iyeza elikudidi lwe-`(Benzodiazepine)`). Nangona kunjalo, eli yeza alisebenzi kuwo wonke umntu. Ke ngoko, kukho amanye amayeza ahlukeneyo:

• `Gabapentin`
• `I-Primidone`
• `I-Propranolol`
• `I-Pregabalin`
• `I-Phenobarbital`

Unyango olunceda kwezinye iintlobo zokungcangcazela lunokunceda nakwiimpawu ze-"Orthostatic Tremor". Nangona kunjalo, oku kusesekwinqanaba lophando. Olu nyango luquka:

• Ukukhuthazwa koBuchopho obuNzulu (i-DBS)
• Ukuvuselelwa kwentambo yomqolo

Ngenxa yokuba abaphandi basafunda ngenkuthalo nge-Orthostatic Tremor, ungafaneleka ukuba uthathe inxaxheba kuvavanyo lweklinikhi. Buza ugqirha wakho ukuba olu khetho lukulungele na.

Uphila njani nale meko? Ungalindela ntoni?

Ukungcangcazela kwe-Orthostatic yingxaki enkulu xa umile, kodwa kunokuchaphazela umgangatho wobomi bakho. Umzekelo, ungaqala ukuphepha iimeko apho kufuneka ume khona, njengokuhlamba, ukulinda emgceni, ukwenza imisebenzi yasekhaya, okanye ukupheka. Oku kunokuba yinto ecaphukisayo kakhulu.

Nangona kunjalo, ukwenza utshintsho oluthile kwimisebenzi yakho yemihla ngemihla kunokwenza ukuphila nale meko kube lula kancinci.Umzekelo, ukusebenzisa isihlalo sokuhlamba kwigumbi lokuhlambela, okanye ukusebenzisa isitulo esinamavili xa kufuneka ulinde emgceni. Ingcali yezonyango zomsebenzi ingakunceda ufumane iindlela zokwenza imisebenzi yemihla ngemihla ngokulula.

Ngenxa yokuba esi sisifo esingaqhelekanga, ngamanye amaxesha kunokuba nzima kwabanye ukusiqonda esi `(Orthostatic Tremor)`, kunye noogqirha ukusixilonga ngokuchanekileyo. Ke ngoko, kubaluleke kakhulu ukufumana inkxaso yabantu obathandayo. Ukuba unengxaki yempilo yengqondo efana ne `(Orthostatic Tremor)`, `(Anxiety)`, okanye ukuba uziva ngathi ukhutshiwe kuluntu, ungathandabuzi ukubona umcebisi wempilo yengqondo efana ne `(Psychologist)`. Oko kuya kukunika isiqabu esikhulu.

Ngaba ikho indlela yokuthintela oku?

Ngelishwa, ekubeni unobangela ochanekileyo we-Orthostatic Tremor ungaziwa, akukho nto unokuyenza ukuyithintela.

Kuphela xa kuba nzima apho siqonda khona ukuba kubaluleke kangakanani ukukwazi ukuma ngokuzinzileyo ngaphandle kokungonwabi. Ekubeni i-Orthostatic Tremor yimeko engaqhelekanga, uhambo oluya kuxilongo oluchanekileyo lunokuba lude. Kusenokufuneka uthethe ngokwakho kwaye ufune ulwazi. Nangona kunjalo, ukufumana uxilongo oluchanekileyo kufanelekile. Khumbula, amanye amayeza kunye nezixhobo zokuncedisa ukuhamba zinokwenza kube lula ukuphila ne-Orthostatic Tremor.

Okokugqibela, izinto ekufuneka uzikhumbule

Ewe, ndiyathemba ukuba ngoku unembono ethile nge-"Orthostatic Tremor" ebesithetha ngayo.

Le yimeko enzima nengaqhelekanga, kodwa ngokuqonda nokuxhasa okufanelekileyo, ingaphila nayo ngempumelelo.

Izinto ezimbalwa ekufuneka uzikhumbule zezi:

• Ukuba uziva imilenze yakho ingcangcazela okanye uziva ngathi ulahlekelwa yibhalansi yakho xa umile, musa ukuyityeshela loo nto. Bona ugqirha.
• Ngugqirha kuphela onokutsho ngokuqinisekileyo ukuba oku kukungakhathali okanye akunangqondo.
• Unyango lunokulawula iimpawu.
• Awuwedwa. Fumana uncedo kusapho, kubahlobo, kwaye, ukuba kuyimfuneko, kwiingcali zempilo yengqondo.

Ukuba unemibuzo engaphezulu malunga noku, ungathandabuzi ukuthetha nogqirha wakho. Angakunika inkcazelo engcono ngale nto.

Ukungcangcazela kwamalungu omzimba , ukungcangcazela, ukungcangcazela kwemilenze, ubunzima bokuma, ukulahleka kokulinganisela, iingxaki zemithambo-luvo, iingxaki zokuhamba