Ukucwayiza kuyinto esiyibona sonke ngesinye isikhathi. Kodwa ake ucabange ukube ubungakwazi ukulawula amehlo akho kuze kube yilapho womabili amehlo evala khona ngesikhathi esisodwa? Ngezinye izikhathi lokhu kungaba yinto ecasulayo kangangokuthi awukwazi ngisho nokwenza imisebenzi yakho yansuku zonke. Yilokho esikubiza ngokwezokwelapha ngokuthi i-blepharospasm. Ungakhathazeki, sizoxoxa ngakho konke ngamazwi alula namuhla.
Kalula nje, iyini i-blepharospasm?
I-blepharospasm ukufinyela okusheshayo kwemisipha ezungeze amehlo akho okungenangozi, okusiza ukuthi uwavule futhi uwavale. Empeleni, kungaphezu nje kokucwayiza. Kwezinye izimo ezinzima, ukufinyela kungaba nzima kangangokuthi amehlo akho angavala kahle, kuvimbele ukubona kwakho.
Ucwaningo lubonisa ukuthi lokhu kuyinkinga yezinzwa kunokuba inkinga yamehlo. Okusho ukuthi, kubangelwa ushintsho oluthile ezimpawini ezivela ebuchosheni.
Kunezinhlobo ezimbili eziyinhloko ze-blepharospasm:
Lesi simo singahlukaniswa sibe izinhlobo ezimbili eziyinhloko kuye ngokuthi senzeka kanjani.
1. I-Blepharospasm Eyinhloko: Lolu uhlobo oluvame kakhulu. Elinye igama lalokhu yi-`Benign Essential Blepharospasm` (BEB). `Benign` lapha lisho ukuthi ``akunangozi''. Lokhu kusho ukuthi akulona uphawu lwesinye isifo esibi kakhulu. Yisimo esizenzekela sodwa. Kodwa noma singenangozi, singaba ukuphazamiseka okukhulu empilweni yansuku zonke.
2. I-Secondary Blepharospasm: Lolu hlobo lubangelwa esinye isimo sezokwelapha, imithi, noma imbangela. Kalula nje, lubonakala njengophawu lwesinye isifo. Kodwa ungakhathazeki, izifo eziningi ezibangela lokhu azizimbi kangako noma aziyingozi kangako.
Into ebaluleke kakhulu ukukhuluma nodokotela uma usola ukuthi unalesi simo. Ungazihlolisisi.
Ziyini izimpawu zalesi simo? Sihluke kanjani ekucwayizeni okuvamile?
Nakuba uphawu olulodwa kuphela lwe-blepharospasm ukudikiza kwamehlo, kuhluke kakhulu ekudikizeni kwamehlo okuvamile. Ake sibone ukuthi yiziphi lezo zinto eziqondile. Kuzoba lula ngawe ukukuqonda lokhu uma ubheka ithebula.
| Uhlobo lwesici | Incazelo elula |
|---|---|
| Kuthinta amehlo womabili | Ngokuvamile, kulesi simo, izinkophe zombili ziyanyakaza ngesikhathi esisodwa. Akuvamile ukuthi iso elilodwa kuphela linyakaze. |
| Angikwazi ukulawula. | Lokhu akuyona into oyenzayo ngamabomu. Awukwazi ukuyimisa le nkinga noma ngabe uzama ukuyimisa. Odokotela bayibeka njenge-dystonia, okuyisifo sokunyakaza. |
| Usayizi kanye nobude besikhathi sokushaya kwenhliziyo | Kubalulekile ukwazi ukuthi amehlo avalekile kangakanani (ubude) nokuthi ukufiphaza amehlo kuthatha isikhathi esingakanani (ubude). Ngezinye izikhathi amehlo angase ahlale evalekile imizuzwana embalwa. |
| Inani lezikhathi ocwayiza ngazo | Ucwaningo luthole ukuthi abantu abanalesi simo bacwayiza izikhathi eziningi ngomzuzu kunomuntu ojwayelekile, ngisho noma bengacwayizi. |
| "Amaqhinga okuzwa" | Ngokumangalisayo, lokhu kushaya kwenhliziyo kungancipha okwesikhashana uma wenza izinto ezithile ezilula. Isibonelo, uma uhlabelela ingoma, ukhuluma, noma uthinta ubuso bakho, ukushaya kwenhliziyo kungase kume isikhashana. Nakuba imbangela eqondile ingaziwa, odokotela babheka lokhu njengophawu. |
Yini ebangela lokhu?
Imbangela eqondile yalokhu ayaziwa ngokuphelele, kodwa kunezinsolo ezimbili eziyinhloko.
1. Umsebenzi we-Basal Ganglia: Le ngxenye yobuchopho bethu isiza ekuhleleni ukunyakaza kwethu. Cabanga ngayo njengohlelo lwegiya lemoto. Odokotela bakholelwa ukuthi uma kukhona ukungasebenzi kahle kwale ngxenye, ukunyakaza okungafuneki, okungukuthi, ukuthuthumela, kungenzeka.
2. I-Facial Nerve (Cranial Nerve VII): Le nerve ithwala izimpawu ezivela ebuchosheni bethu ziye emisipheni yezinkophe. Ngezinye izikhathi, ngisho noma kungekho sibonakaliso esivela ebuchosheni, amangqamuzana ale nerve aqala ukusebenza ngokwawo. Ngaleso sikhathi, lolu hlobo lokudikiza lungenzeka futhi.
Yiziphi izici eziyingozi ze-blepharospasm?
Ezinye izinto zingase zandise amathuba okuba lesi simo sivele. Ake sibheke ukuthi ziyini.
- Ubulili: Abesifazane banamathuba amabili kuya kwamane okuthola lesi simo kunabesilisa.
- Ubudala: Lokhu kuvame ukwenzeka kakhulu phakathi kweminyaka engu-50 no-70.
- Umlando womndeni: Uma othile emndenini wakho enalesi simo, nawe unethuba elikhulu lokuba naso. Kusolwa ukuthi kungase kube nokuxhumana kwezakhi zofuzo.
- Ukucindezeleka Nokukhathala: Ukucindezeleka ngokweqile nokukhathala kungabangela noma kubhebhethekise lolu hlobo lwekhanda.
- Ezinye izimo zezokwelapha: Lesi simo singabangelwa ukulimala kwamehlo, amehlo omile, izifo zamehlo, nezinye izifo ezihlobene nesimiso sezinzwa. Ngezinye izikhathi, singabangelwa nezimo zokuvuvukala ebusweni bamehlo (keratoconjunctivitis) kanye nokuvuvukala kwamehlo (blepharitis).
- Eminye imithi: Lokhu kungenzeka futhi njengomphumela omubi wemithi ethile, ikakhulukazi leyo enikezwa isifo sikaParkinson.
- Ukwesaba ukukhanya: Lokhu kungabangelwa nawukuthi amehlo aqala ukuzwela ekukhanyeni okukhulu.
- Izinkinga zempilo yengqondo: Kutholakale ukuthi kukhona ukuxhumana phakathi kwezimo ezifana nokukhathazeka nokucindezeleka kanye ne-blepharospasm.
Yiziphi izinkinga ezingabangelwa yilokhu?
I-blepharospasm ayisona isimo esisongela impilo. Kodwa-ke, ingaba nomthelela omkhulu empilweni yakho yansuku zonke. Cabanga ukuthi bekuzokwenzekani uma ungavala amehlo akho ngokuqinile ngokuzumayo ngenkathi ushayela, uwela umgwaqo, noma ufunda incwadi.
Ngakho-ke, ukushayela nokusebenzisa imishini kungaba yingozi kumuntu one-blepharospasm enzima.
Futhi, lesi simo singaholela ekwesabeni nasekuhlazekeni lapho ubhekene nomphakathi. Abantu abaningi bazama ukugwema ukuxhumana nabantu ngenxa yokwesaba ukuthi "bazocabangani abanye ngami?" Lokhu kungandisa kakhulu izimo ezifana nokukhathazeka nokucindezeleka.
Udokotela uhlonza kanjani lokhu?
Lokhu kungaba nzima kancane ukukuxilonga. Ngezinye izikhathi kungadingeka ukuthi ubonane nodokotela abaningana.
- Udokotela wamehlo: Udokotela wamehlo ngokuvamile ungowokuqala ukusola lesi simo.
- Udokotela Wezinzwa: Njengoba lokhu kuyinkinga ehlobene nesimiso sezinzwa, kuzodingeka ufune usizo lukadokotela wezinzwa ukuze uthole ukuxilongwa nokwelashwa okunembile kakhulu.
Udokotela uzokwenza ukuxilongwa ngokukuhlola nokukubuza ngezimpawu zakho. Ngezinye izikhathi, bangase bacele ukuhlolwa okukhethekile, njenge -electromyography, ukuze kubhekwe ukusebenza kwemisipha.
Yiziphi izindlela zokwelapha i-blepharospasm?
Akukho ukwelashwa kwalesi simo okwamanje. Kodwa-ke, kunezindlela zokwelapha ezisebenza kahle kakhulu ezingasiza ekulawuleni izimpawu nasekuphileni impilo evamile.
| Indlela yokwelapha | Incazelo ngakho |
|---|---|
| Imijovo ye-Botulinum toxin (OnabotulinumtoxinA) | Lona umuthi wokwelapha osetshenziswa kabanzi futhi ngempumelelo kakhulu emhlabeni. Sonke siyazi i-BOTOX® ngalokhu. Lapha, inani elincane kakhulu lalo muthi lifakwa emisipheni ezungeze amehlo. Lokhu kumisa okwesikhashana ukusebenza okungadingekile kwemisipha. Imiphumela iqala ukubonakala ezinsukwini ezimbili kuya kwezintathu. Umphumela walo mjovo uhlala cishe izinyanga ezi-3-4. Ngemva kwalokho, udinga ukuthola umjovo futhi. |
| Amalensi akhethekile (amalensi anombala we-FL-41) | Izihlungi zinganciphisa ukuzwela kwamehlo kumaza athile okukhanya. I-FL-41 inombala okhethekile opinki. Lawa malensi angasiza ekulawuleni ukwanda kokukhanya okubangelwa ukukhanya. Lawa aziwa nangokuthi "izibuko zokukhanya eziluhlaza okwesibhakabhaka." |
| Ukuhlinzwa | Lokhu kusetshenziswa njengesixazululo sokugcina. Ezimweni ezinzima kakhulu ezingaphenduli ngisho nasekwelashweni okujovwe ngomjovo, kwenziwa ukuhlinzwa ukuze kususwe ingxenye yemisipha yejwabu leso. |
| Ukwelashwa nge-acupuncture | Ucwaningo oluthile lubonise ukuthi i-acupuncture ingase isebenze kahle kule njongo. Kodwa-ke, kufanele ukhulume nodokotela wakho ngaphambi kokusebenzisa noma yikuphi kwalokhu kwelashwa. |
Uma nginalesi simo, kufanele ngenzenjani?
Uma unalezi zimpawu, into engcono kakhulu ongayenza ukufuna iseluleko sezokwelapha. Ngaphezu kwalokho, kunezinto ezimbalwa ongazenza ukuze wenze impilo yakho yansuku zonke ibe lula:
- Zivikele ekukhanyeni: Nciphisa ukuchayeka ekukhanyeni okukhanyayo ngokugqoka izibuko zelanga nezigqoko.
- Lawula ukucindezeleka: Zama ukuzola ingqondo yakho ngezinto ezifana ne-yoga nokuzindla.
- Lala ngokwanele: Ukukhathala kungenza lesi simo sibe sibi kakhulu. Ngakho lala ngokwanele.
- Cabanga ngokuphepha: Uma wenza izinto eziyingozi njengokushayela, cabanga kabili ngesimo sakho. Sebenzisa izinto zokuhamba zomphakathi uma kudingeka.
- Cela usizo: Unganqikazi ukucela usizo ngezinto ezifana nokuwela umgwaqo noma ukucosha okuthile endaweni ephakeme. Ukuphepha kwakho kuyinto ebaluleke kakhulu.
Umlayezo Wokuya Nawe Ekhaya
- I-blepharospasm akuyona nje into evamile yokudikiza amehlo. Yisimo sesimiso sezinzwa esibangela ukuba amehlo avaleke kahle, ngaphandle kokulawulwa.
- Lokhu kuvame ukuthinta amehlo womabili ngesikhathi esisodwa.
- Nakuba kungeyona ingozi empilweni, kungaba nomthelela omkhulu ekusebenzeni kwansuku zonke nasempilweni yengqondo.
- Imijovo yeBotox® iyindlela yokwelapha ephumelela kakhulu futhi esetshenziswa kabanzi.
- Uma unalezi zimpawu, kubaluleke kakhulu ukubona udokotela wamehlo noma udokotela wezinzwa ukuze uthole iseluleko ngaphandle kokwesaba noma ukuhlazeka.
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