Ingabe intamo yakho iyadonswa ngendlela engafuneki? Ake sifunde nge-(Cervical Dystonia)!

Ingabe ngezinye izikhathi uzizwa ukuqina okungajwayelekile entanyeni yakho, ubuhlungu, bese ikhanda lakho lidonswa eceleni? Noma ingabe imisipha entanyeni yakho iyanyakaza ngokuzumayo, okubangela ukuthi unikine ikhanda lakho ngokungalawuleki? Lokhu kungase kungabi nje ukuklwebheka kwentamo okulula. Namuhla sizokhuluma ngesimo sezinzwa esihlobene nentamo okungenzeka ukuthi awukaze uzwe ngaso, kodwa esingathinta abanye abantu. Yilokhu odokotela abakubiza ngokuthi `(Cervical Dystonia)`.

Iyini i-Cervical Dystonia?

Kalula nje, i-cervical dystonia yisimo sezinzwa lapho imisipha entanyeni ifinyela khona ngokungalawuleki ngenxa yenkinga ebuchosheni bethu kanye nasesimisweni sezinzwa. Kufana nokuthi imisipha entanyeni iqala ukuganga kancane futhi idansa ngendlela yayo.

Uma le misipha ifinyela, iyaqina esikhundleni sokuphumula. Lokhu kungashintsha ngisho nendlela oma ngayo. Ikhanda nentamo yakho kungase kuqale ukunyakaza ngendlela engavamile, njengokungathi kuyashaqeka noma kuyagxumagxuma ngokuzumayo. Lokhu kungaba yinto ebuhlungu kakhulu futhi kungaphazamisa ikhono lakho lokwenza imisebenzi yansuku zonke.

I-Cervical dystonia ingenye yeqembu elikhulu lezimo ezibizwa ngokuthi "i-Focal Dystonia." I-Focal Dystonia ibhekisela ezimweni ezibangela ukuqaqamba kwemisipha engxenyeni eyodwa yomzimba. Ngezinye izikhathi udokotela wakho angase ayibize ngokuthi "i-Spasmodic Torticollis." Nakuba ibizwa ngamagama amabili noma amathathu, iyisimo esifanayo.

Ingabe zikhona izinhlobo eziyinhloko ze-cervical dystonia?

Yebo, izinhlobo ezimbili eziyinhloko zingabonakala. Lezi zinhlobo ezimbili zihlukaniswa ngokusekelwe esizathwini salokhu:

1. I-dystonia yomlomo wesibeletho eyinhloko: Kulesi simo , imbangela eqondile yalesi sifo ayaziwa. Yisimo esivele senzeke.

2. I-dystonia yesibili yomlomo wesibeletho: Kulesi simo, imbangela ingatholakala. Lokhu kusho ukuthi ingabangelwa esinye isimo sezokwelapha, umphumela omubi womuthi, noma ingozi.

Sivame kangakanani lesi simo?

I-Cervical dystonia ingenye yezifo ezivame kakhulu esigabeni se-"Focal Dystonia". Kulinganiselwa ukuthi cishe abantu abangu-60,000 e-United States kuphela bahlushwa yilesi simo. Kungase kube neziguli ezinjalo eSri Lanka, futhi mhlawumbe izibalo zingase zibe ziphansi ngenxa yokungahlolwa kahle.

Ziyini izimpawu ze-cervical dystonia?

Lesi simo sibangela ukunyakaza ongakwazi ukukulawula. Izimpawu eziyinhloko zifaka:

• Ukuqaqamba kwemisipha: Imisipha entanyeni iqina ngokuzumayo, njengamatshe, futhi ayikwazi ukukhululeka. Ngezinye izikhathi imisipha ingase izwakale sengathi iyanyakaza noma iyanyakaza.
• Ukuthuthumela: Ukuthuthumela okungalawuleki kwezingxenye zomzimba, njengezandla nemilenze. Lokhu kuthuthumela kungenzeka nasentanyeni.

Lokhu kunyakaza okungalawulwa kungabangela izinguquko endleleni oma ngayo. Indlela oma ngayo yindlela obamba ngayo umzimba wakho uma umile noma uhleli. I-cervical dystonia ingabangela lezi zinguquko endleleni oma ngayo:

• Ukuzungezisa ikhanda lakho: Ungase uphendulele ikhanda lakho eceleni ungaqapheli.
• Ukutshekisa ikhanda phambili, emuva, noma ohlangothini: Njengokungathi ikhanda litshekiselwe ohlangothini olulodwa.
• Ukugoba intamo nekhanda phambili, emuva, noma emaceleni: Kuba nzima ukugcina intamo iqondile.

Lokhu kunyakaza kungabangela nobuhlungu emahlombe nasentanyeni, okungahambisana nokuvuvukala . Abanye abantu baphinde babe nekhanda elibuhlungu . Cabanga ukuthi kungaba nzima kangakanani ukwenza umsebenzi wakho wansuku zonke ngento efana nale.

Kungani i-dystonia yomlomo wesibeletho ikhula?

Eqinisweni, odokotela abakayazi imbangela eqondile ye-cervical dystonia kubo bonke abaguli. Kodwa ucwaningo lubonisa ukuthi ibangelwa ukungasebenzi kahle kwengxenye yobuchopho bethu ebizwa ngokuthi "i-Basal Ganglia" . Le ngxenye ye-"Basal Ganglia" ilawula ukunyakaza kwemisipha yethu. Uma kunenkinga lapho, izimpawu ezingalungile zithunyelwa emisipheni entanyeni, okubangela ukuba ingasebenzi kahle.

I-dystonia yesibili yomlomo wesibeletho ingabangelwa yizici ezilandelayo:

• Njengomphumela ongemuhle weminye imithi yezifo zengqondo .
• Ngenxa yokulimala okukhulu ebuchosheni (ukulimala kobuchopho okubuhlungu) .
• Nezinye izimo zemizwa, njengesifo sikaParkinson .
• Ukuguqulwa kwezakhi zofuzo kuma-gene okubizwa ngokuthi `GNAL`, `THAP1`, `CIZ1` noma `ANO3`. Lokhu kuyinkimbinkimbi kakhulu, kodwa kungenzeka.

Ubani osengozini enkulu yokuthola lesi sifo?

Nakuba lesi simo singakhula kunoma yimuphi ubudala, abanye abantu basengozini enkulu:

• Uma othile emndenini wakho eke waba nalesi sifo ngaphambili (kungase kube nokuxhumana kwezakhi zofuzo).
• Uma uthatha imithi ebizwa ngokuthi `(Dopamine antagonists)` noma `(Antipsychotics)`.
• Uma uke waba nokulimala ebuchosheni.

Lesi sifo sivame kakhulu kwabesifazane nakubantu abaneminyaka ephakathi kuka-30 no-60. Kodwa lokho akusho ukuthi abanye abakwazi ukusithola.

Yiziphi izinkinga ezingaba khona ngenxa ye-cervical dystonia?

Lezi zimpawu zingaba nomthelela omkhulu empilweni yakho yansuku zonke. Kungenza kube nzima nokwenza eminye imisebenzi. Ubuhlungu, ukuthuthumela, kanye nokudikiza kwemisipha kungenza kube nzima ukuhambisa intamo yakho, umhlathi, izingalo, kanye nomzimba kahle. Kungenza futhi izinto ezifana nokukhuluma, ukugwinya, kanye nokuxhumana ngokomzimba kube nzima.

Kwezinye izimo ezinzima, ungase uzithole ungakwazi ngisho nokwenza imisebenzi elula owawukwazi ukuyenza kalula, njengokukama izinwele zakho noma ukuxubha amazinyo akho. Lokhu kungaba yinto ekucindezelayo kakhulu.

Uma singelashwa, lesi simo singabangela ubuhlungu kanye nokuqina kwemisipha (i-dystonia) kwezinye izingxenye zomzimba ngaphandle kwentamo . Ngakho-ke, kubaluleke kakhulu ukufuna iseluleko sezokwelapha ngokushesha uma unezimpawu.

Lesi sifo sitholakala kanjani?

Udokotela uzokuxilonga futhi akubuze ngezimpawu zakho ukuze anqume ukuthi unalesi sifo yini. Bazokubuza nangomlando wakho wezokwelapha kanye nomlando wezokwelapha womndeni . Lokhu kusho ukuthola ukuthi kukhona yini emndenini wakho oke waba nalesi sifo.

Akuwona wonke umuntu ovame ukudinga ukuhlolwa okufana ne-MRI scan noma i-electromyography (elinganisa umsebenzi kagesi wezintambo zemisipha). Kodwa-ke, udokotela angayala lokhu kuhlolwa kuphela uma esola ukucindezelwa komgogodla noma ukulimala kwemizwa .

Yiziphi izindlela zokwelapha i-dystonia yomlomo wesibeletho?

Kunezindlela zokwelapha ezahlukene zalokhu. Akuzona zonke izindlela zokwelapha ezisebenzela wonke umuntu. Kungase kudingeke uzame izindlela zokwelapha eziningana ukuze uthole ukuthi yikuphi okusebenzela kahle kakhulu.

Kunezinhlobo zokwelapha eziyinhloko:

• Imijovo ye-botulinum toxin: Lena imijovo enikezwa imisipha yentamo ethintekile.
• Imithi yomlomo: Imithi enikezwa ukunciphisa ubuhlungu nokunciphisa ukuqaqamba kwemisipha.
• Ukwelashwa ngokomzimba: Qinisa imisipha entanyeni futhi uthuthukise ukunyakaza ngokuzivocavoca nezinye izindlela.
• Ukuhlinzwa okushukumisa ubuchopho ngokujulile: Lokhu ukuhlinzwa okuyinkimbinkimbi okungadingeki kuwo wonke umuntu futhi okwenziwa ezimweni ezikhethekile.

Abanye abantu bathola nokuthi ukubamba isilevu sabo noma ukugqoka i-brace yentamo noma ikhola yomlomo wesibeletho kusiza ekunciphiseni izimpawu zabo . Lokhu kubizwa ngokuthi amaqhinga okuzwa.

Into ebaluleke kakhulu ukusebenzisana nodokotela wakho ukuthola ukwelashwa okufanele wena.

Ukwelashwa nge-botulinum toxin kusebenza kanjani?

Abantu abaningi bake bezwa ngegama elithi `(Botox®)`. Liyigama lomkhiqizo elithi `(Botulinum toxin serotype A)`. Ngokufanayo, `(Botulinum toxin type B)` isetshenziswa futhi ekwelapheni i-cervical dystonia.

Lokho okwenziwa yilobu (ubuthi be-Botulinum) ukwenza buthaka ukusebenza kwemisipha yentamo ethintekile (imisipha yentamo eguquguqukayo). Bese, leyo misipha iyayeka ukufinyela ngokungadingekile.

Udokotela ufaka lo muthi emisipheni efanele entanyeni yakho. Kungathatha cishe isonto ukubona imiphumela yomuthi. Kodwa-ke, umphumela walo muthi uhlala cishe izinyanga ezimbili kuya kwezintathu.Ngemva kwaleso sikhathi, izimpawu zingase ziphinde zivele, ngakho-ke kungadingeka ukugoma okuphindaphindiwe ukulawula izimpawu.

Imiphumela emibi yalo muthi wokugoma ingafaka:

• Ubunzima bokugwinya
• Ubuhlungu endaweni yokujova
• Ukuzizwa ubuthakathaka entanyeni

Lezi zinto azenzeki kuwo wonke umuntu, kodwa kuhle ukwazi ukuthi zingenzeka.

Yimiphi eminye imithi enikezwayo ye-cervical dystonia?

Izinhlobo ezilandelayo zivame ukusetshenziswa njengemithi yomlomo:

• `Izidakamizwa ze-Dopaminergic` (isb. `Levodopa`)
• Ama-anticholinergic agents (isib. i-Benztropine, i-Trihexyphenidyl)
• `I-Baclofen`
• `I-Clonazepam`

Le mithi ingabangela nemiphumela emibi njengezinkinga zokukhumbula nokukhathala . Ngakho-ke, kubalulekile ukuxoxa ngakho konke lokhu nodokotela wakho bese ukhetha ukwelashwa okukulungele.

Iyini inhloso ye-cervical dystonia?

I-Cervical dystonia iyisimo esihlala isikhathi eside. Kodwa-ke, ayithinti impilo yakho. Ngezinye izikhathi izimpawu zingase ziqhubeke ziba zimbi ngokuhamba kwesikhathi, noma zingase zinciphe.

Ingxenye engcono kakhulu ukuthi, ngokwelashwa okufanele, wena nodokotela wakho ningakwazi ukulawula lezi zimpawu, ukuze nikwazi ukubuyela ekwenzeni izinto enizithandayo ngaphandle kobunzima.

Ingabe i-cervical dystonia ingelapheka ngokuphelele nge-`(Botox)`?

Cha. Akukho ukwelashwa okuphelele kwe-cervical dystonia okwamanje. Ubuthi be-Botulinum (i-Botox) bungakwazi ukulawula izimpawu okwesikhashana kuphela, abulona ikhambi.

Ingabe ikhona indlela yokuvimbela i-dystonia yomlomo wesibeletho?

Ngeshwa, okwamanje ayikho indlela eyaziwayo yokuvimbela ukukhula kwalesi sifo.

Kufanele ngimbone nini udokotela?

Bona udokotela uma ubona noma iyiphi yalezi zinto:

• Uma uzizwa sengathi inyama entanyeni yakho iyanyakaza noma iyaqina.
• Uma usuvele utholakale une-cervical dystonia futhi ukwelashwa kubangela imiphumela emibi noma uma izimpawu ziba zimbi kakhulu.

Kubaluleke kakhulu ukufuna iseluleko sezokwelapha ngokushesha ngezikhathi ezinjengalezi.

Yini okufanele ngiyibuze udokotela wami?

Uma uya kudokotela, ungabuza imibuzo efana nale:

• Uma othile emndenini wami eke waba nalesi sifo, ingabe nami ngisengozini yokuba naso?
• Yikuphi ukwelashwa ongincomayo?
• Ingabe ikhona imiphumela emibi yokwelashwa?
• Ingabe ngizodinga ukuhlinzwa?

Ngaphezu kwale mibuzo, buza udokotela wakho noma yikuphi ukungabaza noma imibuzo ongase ube nayo.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

I-Cervical dystonia ingaba yisimo esingajabulisi nesibuhlungu kakhulu. Ngenxa yokuthi imisipha entanyeni yakho ayikwazi ukuphumula, ikhanda lakho liyanyakaza ngokungazikhetheli. Lokhu kungenza kube nzima ukwenza izinto obuzijabulela, futhi kungenza kube nzima ukwenza imisebenzi yansuku zonke.

Kodwa khumbula, awuwedwa. Kunezindlela zokwelapha lokhu. Udokotela wakho angakusiza ukuthola ukwelashwa okungcono kakhulu kwezimpawu zakho. Ngemuva kwalokho ungalulama futhi. Ngakho-ke uma unezimpawu, ungesabi ukubona udokotela.

Ngiyethemba ukuthi lolu lwazi luwusizo kuwe. Hlala uphilile!

I- Cervical Dystonia, i-Spasmodic Torticollis, Ubuhlungu Bentamo, I-Neuropathy, Ukusonteka Kwemisipha, i-Botox, Ukwelashwa