Ingabe ngezinye izikhathi uzizwa sengathi izandla zakho ziyathuthumela uma uthatha okuthile, ubhala, noma ubamba indebe? Mhlawumbe izwi lakho liyathuthumela kancane uma ukhuluma. Lesi yisimo abantu abaningi abanaso, futhi singacasula kancane. Ake sixoxe ngalokhu ngokuningiliziwe nanamuhla.
Kuyini 'i-Essential Tremor'?
Kalula nje, i-Essential Tremor iyisifo sezinzwa esibangela izingxenye zomzimba wakho, ikakhulukazi izandla zakho, ukuba zithuthumele ngokungalawuleki. Awukwazi ukumisa lokhu kuthuthumela.
Ngokuvamile kuthinta izandla zakho, kodwa kungathinta nezinye izingxenye zomzimba wakho, njengekhanda lakho nezwi. Uma lesi simo siba sibi kakhulu, singenza kube nzima ukwenza imisebenzi yansuku zonke njengokudla, ukuphuza, nokugqoka. Abantu abaningi banamahloni futhi bakhathazekile ngalezi zimpawu.
Uyini umehluko phakathi kwe-Essential Tremor nesifo sikaParkinson?
Ukuthuthumela okubalulekile kanye nesifo sikaParkinson kokubili kuyizinkinga zokunyakaza ezibangela ukuthuthumela. Kodwa kukhona umehluko omkhulu phakathi kwalokhu okubili.
- Indlela okwenzeka ngayo ukuthuthumela : Umuntu onokuthuthumela okubalulekile uthuthumela izandla zakhe lapho ezama ukwenza okuthile , njengokubamba indebe noma ukubhala. Kodwa esifweni sikaParkinson , ukuthuthumela kwenzeka lapho ephumule . Okusho ukuthi, izandla ziyathuthumela uma zibambe into ethile, kanti ukuthuthumela kwehla uma zenza okuthile.
- Ezinye izimpawu: Isifo sikaParkinson singahambisana nezinye izimpawu. Isibonelo, ubunzima bokuhamba, ukuqina, kanye nokulahlekelwa ibhalansi . Kodwa-ke, ekuthuthumeleni okubalulekile, uphawu oluyinhloko ukuthuthumela.
- Ufuzo: Ukuthuthumela okubalulekile kuvame ufuzo, kodwa isifo sikaParkinson asivamile.
Ngakho-ke, kubaluleke kakhulu ukuqonda lezi zinguquko.
Ubani ongathuthukisa 'i-Essential Tremor'?
Lesi simo singakhula kunoma ubani. Kodwa-ke, kungenzeka kakhulu ukuthi sikhule njengoba ukhula.
Ngokuvamile siqala phakathi kweminyaka eyi-10 neyi-19, noma phakathi kweminyaka engama-50 neyi-59. Njengoba ngishilo ngaphambili, singakhula emindenini, ngakho ngezinye izikhathi sibizwa ngokuthi "ukuthuthumela komndeni."
Sivame kangakanani lesi simo?
Ukuthuthumela okubalulekile kuyisimo esivame kakhulu. Ochwepheshe balinganisela ukuthi kuthinta cishe u-1% wabantu emhlabeni jikelele. Kuthinta cishe u-5% wabantu abangaphezu kweminyaka engu-60
. Kuluhlobo oluvame kakhulu lokuthuthumela, futhi kungenye yezinkinga zokunyakaza ezivame kakhulu. I-Essential Tremor iwuthinta kanjani umzimba wami?
Ukuthuthumela okubalulekile kubangela izingxenye zomzimba wakho ukuthi zithuthumele uma uzama ukuzisebenzisa. Lokhu kuvame kakhulu uma usebenzisa izandla zakho. Kodwa kungathinta nezinto ezifana nekhanda lakho nezwi.
Kukhula kancane kakhulu futhi kungabonakala iminyaka eminingi. Ekuqaleni, ukuthuthumela okubalulekile akuyona inkinga enkulu. Abanye abantu banobunzima bokwenza imisebenzi ethile, kodwa abantu abaningi bayayijwayela. Kodwa njengoba isimo siqhubeka, kungaba nzima ukwenza imisebenzi emihle. Isibonelo, ukubhala ngesandla, ukusebenzisa izitsha, ukuthunga, noma eminye imisebenzi edinga ukunemba okukhulu. Njengoba isimo siba sibi kakhulu, imiphumela ingaba mibi kakhulu. Abanye abantu abakwazi ukudla noma ukupheka ukudla bodwa ngenxa yokuxhawulana kwabo. Abanye bangase bakuthole kunzima ukwenza imisebenzi eyisisekelo njengokubhala, ukugqoka, noma ukugeza.
Ziyini izimpawu ze-'Essential Tremor'?
Uphawu oluyinhloko
ukuthuthumela uma uzama ukusebenzisa izandla zakho. Lokhu kuthuthumela kungenzeka ngezindlela ezahlukene nangezikhathi ezahlukene. Lezi yizinhlobo nezikhathi zalokho kuthuthumela:
- Ukuthuthumela kwesenzo: Lokhu kwenzeka uma wenza okuthile. Isibonelo, uma welula isandla sakho ukuze ucoshe okuthile. Odokotela babiza lokhu ngokuthi "ukuthuthumela kwesenzo."
- Ukuthuthumela kwesimo somzimba: Lokhu kwenzeka uma ubamba ingxenye yomzimba wakho endaweni ethile. Isibonelo, uma uphakamisa ingalo yakho phambi kwakho bese uyibamba ezingeni elifanayo. Lokhu kubizwa nangokuthi "ukuthuthumela kwesimo somzimba".
Ukuthuthumela okubalulekile cishe njalo kuthinta izinhlangothi zombili zomzimba. Kodwa
kuvame ukuthinta uhlangothi olulodwa kakhulu kunolunye. Ngaphezu kwezandla, ukuthuthumela kungavela nakwezinye izingxenye zomzimba, njengekhanda, izwi, ubuso, kanye nomzimba. Ukuthuthumela ngokwako akuyingozi. Kodwa-ke, uma isimo sibi kakhulu, kungenza kube nzima ukwenza imisebenzi yansuku zonke. Ngokuhamba kwesikhathi, kungenza kube nzima ukudla ngesipuni, ukuphuza engilazini, ukugqoka, nokubhala. Kwezinye izimo, ukuthuthumela kungaba kubi kakhulu noma kancane. Izibonelo:
- Ukucindezeleka, ukukhathazeka , ukukhathala: Lezi zinto zingandisa ukuthuthumela.
- I-Caffeine : Ukuphuza izinto ezifana nekhofi netiye kungandisa ukuthuthumela kwabanye abantu.
- Imithi ethile: Eminye imithi ingathinta nokuthuthumela.
- Utshwala: Abanye abantu bathola ukuthi ukuphuza utshwala obuncane kunciphisa ukuthuthumela kwabo okwesikhashana, kodwa akuwona umqondo omuhle ukusebenzisa utshwala njengokwelashwa ngenxa yengozi yokuba umlutha. Futhi, eminye imithi yokuthuthumela okubalulekile ingabangela imiphumela emibi kakhulu uma ithathwa notshwala. Ngakho-ke kubalulekile ukukhuluma nodokotela wakho mayelana nokusebenzisa kwakho utshwala .
Amagama amabili okufanele uwaqonde ngokuthuthumela
Uma odokotela bethola ukuthi ukuthuthumela okubalulekile kwenzeka kanjani, bahlaziya indlela okwenzeka ngayo ukuthuthumela. Izici ezimbili ezibalulekile
ubukhulu kanye
nokuvama kokuthuthumela. Ake siqonde lokhu kalula:
- Ububanzi: Leli yibanga elihanjiswa yisandla sakho uma uthuthumela. Uma ibanga likhulu, ubukhulu balo buyanda. Njengoba ukuzamazama okubalulekile kwanda, ubukhulu balo buvame ukukhuphuka. Lokhu kungashintsha nalapho wenza isenzo esithile noma ubambe isikhundla esithile.
- Imvamisa: Inani lezikhathi lapho uxhawula isandla sakho libizwa ngokuthi umjikelezo wokuthuthumela. Imvamisa ukuthi zingaki izijikelezo ezinjalo ezenzeka ngomzuzwana. Iyunithi yokulinganisa yamazwe ngamazwe yi-Hertz (Hz). Ekuthuthumeleni okubalulekile, kuvame ukuba nemijikelezo yokuthuthumela engu-6 kuya ku-12 ngomzuzwana. Kodwa-ke, lokhu kungase kwehle kancane njengoba ubukhulu be-amplitude bukhuphuka, futhi kungahluka kuye ngomuntu nomuntu.
Yini ebangela 'i-Essential Tremor'? Ingabe kukhona okwenza kube kubi nakakhulu?
Ochwepheshe abakakazi kahle ukuthi kungani i-Essential Tremor yenzeka noma ukuthi ikhona yini imbangela yayo. Kodwa-ke, kukhona ubufakazi obusikisela ukuthi ibangelwa izinguquko ezingxenyeni ezithile zobuchopho. Nakuba imbangela eqondile ingaziwa, kuyaziwa ukuthi lesi simo singazuzwa njengefa. Cishe ingxenye yabantu abane-Essential Tremor bayizuzile njengefa. Kubonakala sengathi yisimo esilawulayo se-autosomal. Lokhu kusho ukuthi uma omunye wabazali bakho ene-gene mutation ebangela lokho futhi wena uyizuzile, unethuba elingama-50% lokuthuthukisa lesi simo.
Ingabe i-Essential Tremor iyathelelana?
Cha, i-Essential Tremor ayisona isifo esithelelanayo. Awukwazi ukusithola komunye umuntu, futhi awukwazi ukusithola komunye umuntu.
I-Essential Tremor ihlolwa kanjani?
Udokotela wakho angaxilonga i-Essential Tremor ngokusekelwe ezimpawu zakho kanye nokuhlolwa kwezinzwa.
Okwamanje akukho ukuhlolwa okuqondile okungaqinisekisa ukuthi unayo noma cha. Kodwa-ke, enye yezinto ezibaluleke kakhulu okufanele uzicabangele lapho uxilonga ukuthi,
Kubalulekile futhi ukuhlola ezinye izifo ezibangela izimpawu. Ukuhlolwa kwegazi kanye nokuhlolwa okuhlukahlukene kwezithombe kuzokwenziwa ukuqinisekisa ukuthi azikho ezinye izifo. Yiziphi izivivinyo ezingenziwa ukuze kutholakale i-Essential Tremor?
Uma udokotela wakho esola ukuthi une-essential tremb, angenza lezi zivivinyo ukuze anqume ezinye izimo:- Ukuhlolwa kwegazi: Lokhu kungavimbela ezinye izimo ezilingisa ukuthuthumela okubalulekile, ikakhulukazi izimo ze-thyroid, isifo sikaWilson, kanye nezimo ezinobuthi ezibangelwa izinsimbi ezifana nomthofu noma i-manganese.
- I-computerized tomography (CT) scan
- Ukuhlolwa kofuzo
- Ukuthwebula izithombe ze-magnetic resonance (MRI)
- Ukuskena kwe-positron emission tomography (PET)
Iphathwa kanjani i-Essential Tremor? Ingabe ikhona ikhambi layo?
Akukho ukwelashwa kokuthuthumela okubalulekile. Kodwa-ke, kunezindlela zokwelapha ezitholakalayo zokusiza ukulawula izimpawu. Izinketho eziyinhloko zokwelapha yilezi:- Imithi: Imithi evame ukusetshenziswa kakhulu yi-beta-blockers efana ne-propranolol kanye nemithi yokulwa nokuqunjelwa efana ne-primidone. Le mithi inganikezwa yodwa noma ihlanganiswe.
- Amadivayisi avumelana nezimo: Kunamadivayisi amaningi atholakalayo manje ukusiza ukulawula ukuthuthumela, okuhlanganisa amadivayisi anesisindo, amadivayisi okukhansela ukuthuthumela, amadivayisi okudlidliza, kanye nokuvuselela izinzwa ezingaphandle.
- Ubuthi be-botulinum: Lokhu kuhilela ukufaka umjovo emisipheni ethuthumelayo. Lokhu kwenza imisipha ibe buthaka okwesikhashana futhi kunciphisa ubukhali bokuthuthumela.
- Ukuvuselelwa kobuchopho okujulile: Lena inqubo yokuhlinzwa lapho kufakwa khona idivayisi endaweni ethile yobuchopho ethumela imizwa kagesi. Le mizwa kagesi iphazamisa izimpawu ezibangela ukuthuthumela okubalulekile. Lokhu kunganciphisa ukuthuthumela kuzo zombili izinhlangothi zomzimba.
- I-ultrasound egxile kakhulu: Le ndlela isebenzisa amaza omsindo avame kakhulu ukubhubhisa izicubu ebuchosheni ezibangela ukuthuthumela. Lokhu kubhujiswa kunganciphisa kakhulu ubukhali bokuthuthumela futhi kuthuthukise ukuzinza kwesandla. Ingasetshenziswa futhi ekwelapheni ukuthuthumela ezinhlangothini zombili zomzimba.
Uma unganelisekile ngezinye izindlela zokwelapha, udokotela wakho angase akuncomele ukushukunyiswa kobuchopho obujulile noma i-ultrasound egxile. Izinkinga/imiphumela emibi yokwelashwa
Izinkinga kanye nemiphumela emibi yokwelashwa kokuthuthumela okubalulekile kuncike ezintweni eziningi, okuhlanganisa nohlobo lokwelashwa. Udokotela wakho angachaza kangcono ukuthi yimiphi imiphumela emibi engase yenzeke esimweni sakho nokuthi ungayiphatha kanjani. Ngingazinakekela kanjani/ngiphatha kanjani izimpawu?
I-Essential Tremor kufanele ihlolwe futhi yelashwe udokotela oqeqeshiwe noqeqeshiwe. Akusona isimo esisongela ukuphila. Kodwa-ke, ukuthuthumela kungaba uphawu lwezinye izimo. Ezinye zalezi zimo zingelashwa uma zitholakale kusenesikhathi. Ngakho-ke, uma uqala ukuzwa ukuthuthumela okungachazeki, kubalulekile ukubona udokotela. Ngizozizwa ngingcono isikhathi esingakanani ngemva kokwelashwa? Kuzothatha isikhathi esingakanani ukululama?
Isikhathi sokululama ngemva kokwelashwa okuhlukahlukene sincike ezintweni eziningi, okuhlanganisa nendlela yokwelashwa. Udokotela wakho ungumthombo ongcono kakhulu wolwazi ngesimo sakho. Angakunikeza ulwazi oluqondene nesimo sakho kanye nezimo zakho. Ingabe ingozi yokuthola i-Essential Tremor ingancishiswa noma ivinjelwe ngokuphelele?
Ukuthuthumela okukhulu kwenzeka ngokungazelelwe, ngakho akunakwenzeka ukuvimbela lesi simo noma ukunciphisa ingozi yaso. Kwenzekani uma ngine-Essential Tremor?
Ukuthuthumela okubalulekile yisimo esivame ukuba sibi kakhulu ngokuhamba kwesikhathi. Ngokuvamile kwenzeka kancane kakhulu. Ukuthuthumela esandleni noma ezingalweni kuvame ukwanda ngo-1.5% kuya ku-5% ngonyaka. Kuqala kancane, ekuqaleni kuthinta izandla kuphela. Ngokuhamba kwesikhathi, ngokuvamile ngemva kweminyaka eminingana, ukuthuthumela kungasakaza izingalo futhi kuthinte ikhanda. Njengoba isimo siba sibi kakhulu, kungaba nzima ukwenza imisebenzi ethile futhi ungadinga usizo. Kuthatha isikhathi esingakanani ukuzamazama okubalulekile? Ingabe kuzophela?
Ukuthuthumela okubalulekile kuyisimo esihlala njalo, esihlala isikhathi eside uma sesiqalile. Akunakwelapheka, futhi akupheli ngokwako. Uyini umbono womuntu one-Essential Tremor?
Esikhathini esidlule, igama elithi "benign" (elisho ukuthi "akuyona ingozi") lalisetshenziswa njengengxenye yegama (elibizwa ngokuthi "benign essential tremble"). Kodwa-ke, ochwepheshe manje bayaqonda ukuthi nakuba ukuthuthumela okubalulekile kungeyona ingozi ngqo, kungabangela ukuphazamiseka okukhulu empilweni. Abantu abanokwethuka okukhulu banenkinga ngezinto ezifana nokupheka, ukusebenzisa izitsha, ukuphuza enkomishini, ukuzihlanza kanye nokugqoka. Abanye abantu bagcina bengakwazi ukuhlala bodwa futhi kudingeke bahlale nomndeni noma endaweni yokunakekelwa esekelayo.
Ngizinakekela kanjani?
Ukuthuthumela okubalulekile yisimo esiqala ngezimpawu ezincane kakhulu, ngezinye izikhathi ezingabonwa, bese siqhubeka kancane. Ngokuvamile kuthatha iminyaka ukuthi izimpawu zifinyelele ezingeni lapho kunconywa khona ukwelashwa. Kodwa-ke, abantu abaningi bangase bangadingi ukwelashwa kuze kube yilapho izimpawu zabo sezinzima kakhulu. Nazi ezinye zezinto ezinhle kakhulu ongayenza ukuze uzinakekele:- Ungesabi ukukhuluma iqiniso ngezimpawu zakho. Abantu abaningi banamahloni ngalesi simo. Uma utshela udokotela wakho lokho okuzwayo ngokwethembeka, uzothola isithombe esiphelele ngesimo sakho. Lokhu kuzosiza ukuthi akwelaphe kahle kakhulu.
- Bonana nodokotela wakho njengoba kunconywa. Ukuvakashelwa udokotela wakho okulandelayo kuzokusiza ukuqapha isimo sakho. Bangashintsha imithi yakho uma kudingeka noma basikisele izindlela zokwelapha ezingcono.
- Thatha imithi yakho njengoba uyalelwe. Imithi ingasiza ekunciphiseni izimpawu zokuthuthumela okukhulu futhi inciphise ukuphazamiseka empilweni yakho okubangelwa yilesi simo. Uma udokotela wakho ekunike imithi, yithathe njengoba uyalelwe. Eminye imithi ingabangela imiphumela emibi noma emibi uma uyeka ukuyithatha ngokuzumayo. Ngakho-ke ungayeki ukuyithatha ngaphandle kokukhuluma nodokotela wakho.
- Thola ukuthi yini ebangela ukuthuthumela kwakho bese uyigwema. Ukuthuthumela okubalulekile kuvame ukuba kubi kakhulu uma ukhathele, ucindezelekile, ukhathazekile, noma ukhathazekile ngenye indlela. I-caffeine ingenza izimpawu zakho zibe zimbi kakhulu. Ukugwema lokhu noma nini lapho kungenzeka kungenza umehluko omkhulu ezimpawini ozizwayo.
- Thola usizo kwezobuchwepheshe. Ngokuthuthuka kwezobuchwepheshe, kunezindlela ezintsha zokusiza abantu abane-Essential Tremor. Enye yezindlela ezibaluleke kakhulu amadivayisi aguquguqukayo. Lokhu kungathuthukisa kakhulu ikhwalithi yempilo yakho kanye nekhono lakho lokuphila ngokuzimela.
Kufanele ngimbone nini udokotela? Noma ngifune iseluleko sezokwelapha?
Uma uqala ukuzwa ukuthuthumela okungachazeki, kufanele ubonane nodokotela. Udokotela wakho uzohlela ukuvakasha okulandela njalo ukuze aqaphe isimo sakho futhi alungise ukwelashwa kwakho njengoba kudingeka. Lokhu kuvakasha kungasiza ekunciphiseni imiphumela ephazamisayo yalesi simo, ngakho-ke kubalulekile ukuya njengoba kunconywa. Uma uthola ukuthi izimpawu zakho ziya ziba zimbi kakhulu futhi ziphazamisa imisebenzi yakho yansuku zonke, noma uma unemiphumela emibi ekhathazayo evela emithini yakho noma ekwelashweni, kufanele ubonane nodokotela wakho. Kufanele ngiye nini e-Emergency Treatment Unit (ETU) ?
Ukuthuthumela okubalulekile akusona isimo esisongela ngqo impilo yakho kanye nenhlalakahle yakho. Ngakho-ke, akunakwenzeka ukuthi kubangele izimpawu ezidinga ukunakekelwa kwezokwelapha ngokushesha. Kodwa-ke, khuluma nodokotela wakho ukuze ubone ukuthi zikhona yini izizathu zokuthi kungani ungadinga ukunakekelwa kwezokwelapha okuphuthumayo. Angakutshela ukuthi yini okufanele uyiqaphele nokuthi yini okufanele uyenze ukuze uzinakekele uma kuvela izinkinga ezinjalo. Okokugcina, izinto ezibalulekile okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)
Ukuthuthumela okubalulekile yisimo lapho izingxenye zomzimba wakho, ngokuvamile izandla nezingalo zakho, zithuthumela khona. Ekuqaleni, kungaba yinto encane ecasulayo. Nakuba kungesona isimo esisongela impilo, uma ukuthuthumela kuba kubi kakhulu, kungenza kube nzima ngawe ukuzinakekela noma ukuphila ngokuzimela. Kuvamile futhi ukuzizwa unamahloni nokukhathazeka ngokuthuthumela okubangelwa yilesi simo. Kungaholela nasezinkingeni zempilo yengqondo njengokukhathazeka nokucindezeleka. Kodwa-ke, izindaba ezinhle ukuthi kunezindlela eziningana zokwelapha lesi simo. Kukhona futhi amathuluzi amaningi angakusiza ukuthi uphathe futhi uzivumelanise nalesi simo. Lokhu kunganciphisa umthelela empilweni yakho. Ngakho-ke ungesabi, ungabi namahloni, futhi funa iseluleko sezokwelapha ngokushesha okukhulu. Ukuthuthumela okubalulekile, ukuthuthumela, izifo zemizwa, ukuphazamiseka kokunyakaza, isifo sikaParkinson, ukuthuthumela kwezandla, impilo
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