Ingabe ubuso bakho nomhlathi wakho kuyanyakaza ngaphandle kokuzithandela? Kungaba yiMeige Syndrome!

Ingabe ngezinye izikhathi uzizwa sengathi imisipha ebusweni bakho, emehlweni, emhlathini, noma olimini ivele inyakaze noma inyakaze ngaphandle kokuthi uqaphele? Lokhu kungaba buhlungu kancane. Empeleni kungaba yinto engalawuleki. Uma uke waba nalokhu, kubalulekile ukuqaphela isimo esingavamile sezinzwa esizokhuluma ngaso namuhla esibizwa ngokuthi i-Meige Syndrome.

Iyini ngempela i-Meige Syndrome?

Kalula nje, i-Meige Syndrome yisimo esithinta ubuchopho bakho kanye nesistimu yezinzwa, okubangela ukufinyela kwemisipha okungalawuleki (ukuqaqamba). Lokhu kungabangela izinto ezifana nomhlathi wakho ukuba ziqine futhi amehlo akho avaleke kahle. Ngezinye izikhathi lokhu kufinyela kwemisipha kungahambisana nobuhlungu.

Lesi simo sithinta kakhulu:

• Emisipheni engxenyeni engezansi yobuso bakho
• Kuye esilevini
• Olimini
• Futhi ngenxa yamehlo .

I-Meige Syndrome yisimo esiseqenjini lezifo ezibizwa ngokuthi i-dystonia. I-Dystonia yigama elinikezwa iqembu lezifo ezibangela ukunyakaza kwemisipha okungalawuleki. Abanye odokotela bayibiza nangokuthi i-segmental cranial dystonia noma i-idiopathic blepharospasm-oromandibular dystonia syndrome. Nakuba leli gama lingase lizwakale liyinkimbinkimbi kancane, okudingeka ukuqonde ukuthi kuyisifo sokunyakaza esingalawuleki esithinta imisipha yobuso nomhlathi.

Lokhu akuyona into evame ukubonwa. Eqinisweni, i-Meige Syndrome iyisimo esingavamile esigabeni se-`(Dystonia)`.

Ziyini lezi zimpawu? Zizizwa kanjani ngempela?

I-Meige Syndrome ithinta indlela ubuso bakho kanye nomhlathi wakho onyakazayo ngayo. Ungase wenze ubuso obungalawuleki futhi obungenakulawulwa. Ake sibheke izimpawu ezivame kakhulu:

• Ukuhlikihla ubuso
• Ukububula, njalo ubukeka ethukuthele
• Ukusunduza isilevu phambili (lokhu kungenzeka ikakhulukazi uma ukhuluma noma udla)
• Ukuqhaqhazela komhlathi
• Ubuhlungu bomhlathi (ubuhlungu obungazelelwe, obubukhali, bungase buzwakale njengokugwazwa ngommese)
• Ubunzima bokuvula noma ukuvala umlomo
• Umlomo ocijile
• Ukugaya amazinyo (bruxism) (Abanye abantu bagaya amazinyo abo ebuthongweni babo, kungaba yinto efana naleyo.)

Ngaphezu kwalokho, ungase ubhekane nalezi zinhlobo zokufinyela okungalawuleki (ukufinyela) olimini lwakho, emphinjeni, kanye nasemgudwini womoya . Uma unalezi zinhlobo zokufinyela olimini lwakho, kungaba nzima ukudla, ikakhulukazi ukugwinya ukudla okuqinile. Futhi, uma unalezi zinhlobo zokufinyela emgudwini wakho womoya, kungaba nzima ukuphefumula.Uma ubhekene nobunzima bokuphefumula, kufanele uye esibhedlela esiseduze ngokushesha noma ushayele u-1990.

Kukhona nezimpawu ezithinta amehlo:

• Ukucwayiza kwamehlo okuvamile noma okungalawuleki
• Ubuhlungu bamehlo
• Ubunzima bokugcina amehlo evulekile
• Amehlo omile, uzizwa sengathi kunezinhlayiya zesihlabathi emehlweni

Ekuqaleni, lezi zimpawu zingathinta iso elilodwa kuphela, kodwa ngokuhamba kwesikhathi, womabili amehlo angathinteka. Njengoba ukhula, lezi zimpawu zingase zibe zivamile futhi zibe zimbi kakhulu. Lokhu kungabangela ubunzima bokubona ngoba awukwazi ukugcina amehlo akho evulekile. Kodwa-ke, lokhu akulimazi ngqo ukusebenza kwamehlo. Inkinga ukuthi awukwazi ukugcina amehlo akho evulekile.

Kungani lokhu kwenzeka? Iyini imbangela?

Imbangela eqondile ye-Meige Syndrome ayikakaziwa . Ochwepheshe bakholelwa ukuthi kungenzeka ukuthi ibangelwa yinhlanganisela yezici zofuzo (izinguquko ezingalindelekile ku-DNA ngesikhathi sokukhulelwa) kanye nezici zemvelo (izinto ezenza izimpawu zibe zimbi kakhulu).

Abanye abacwaningi bakholelwa ukuthi lesi simo sithinta ingxenye yobuchopho ebizwa ngokuthi i-basal ganglia. Le ngxenye yobuchopho ilawula ukunyakaza kwemizimba yethu. Ngakho-ke, bakholelwa ukuthi uma kukhona okungahambi kahle lapho, lokhu kunyakaza okungalawulwa kungenzeka.

Yiziphi izimbangela ezingadala izimpawu zibe zimbi kakhulu?

Kunezinto ezithile endaweni okuyo ezingenza izimpawu ze-Meige Syndrome zibe zimbi kakhulu. Sizibiza ngokuthi 'izimbangela'. Lezi yizi:

• Ukukhanya okukhanyayo (Cabanga uma uzizwa lokhu kukhazimula kukhuphuka uma uphuma ngosuku olukhanyayo olunelanga, noma lapho izibani zemoto zishaya amehlo akho ebusuku...)
• Ukuzizwa ukhathele
• Ukucindezeleka
• Umoya onamandla
• Ukungcoliswa komoya

Lezi zinto azithinti wonke umuntu ngendlela efanayo, kodwa kubalulekile ukuzazi.

Ingabe lokhu kungahlobene nezinye izifo?

Yebo, ngezinye izikhathi i-Meige Syndrome ingavela kanye nezinye izifo. Ezinye zalezi zifo yilezi:

• Isifo sikaParkinson: Lesi futhi yisifo sokunyakaza esihlobene nesimiso sezinzwa. Izimpawu eziyinhloko ukuthuthumela, ukuhamba kancane, ukuqina kwemisipha, ukungazinzile lapho uhamba, kanye nezinkinga zokulinganisela nokuxhumana.
• I-Tardive dyskinesia: Lesi futhi yisimo sesimiso sezinzwa. Singabangelwa ukusetshenziswa isikhathi eside kwemithi ethile yesifo sengqondo, kanye neminye imithi yezinkinga zesisu kanye nezezinzwa.
• Isifo sikaWilson: Lesi yisimo sofuzo esibangela ukwakheka kwethusi emzimbeni. Lokhu kungabangela isifo sesibindi kanye nokunyakaza okungajwayelekile nokungalawuleki.

Ubani osengozini enkulu yalokhu?

I-Meige Syndrome ingathinta noma ubani, kodwa ucwaningo lubonisa ukuthi abesifazane banamathuba amaningi okuthola lesi simo kunabesilisa .

Iningi labantu litholakala linalesi sifo phakathi kweminyaka engama-40 nengama-70. Kodwa-ke, kubalulekile ukukhumbula ukuthi singavela kunoma yimuphi ubudala.

Yiziphi ezinye izinkinga ezingabangelwa yilokhu?

I-Meige Syndrome ingabangela izinkinga ezilandelayo:

• Ikhanda elibuhlungu
• Ubunzima bokubona (ngenxa yokungakwazi ukuvula amehlo)
• Ukungondleki kahle (ngenxa yobunzima bokugwinya ukudla)
• Ukucindezeleka (kungaholela ekucindezelekeni ngenxa yokungakhululeki kanye noshintsho ekubukekeni okubangelwa yilesi sifo)

Odokotela bakuthola kanjani lokhu?

Udokotela uzoxilonga i-Meige Syndrome ngokukuhlola (ukuhlolwa ngokomzimba), ukwenza ukuhlolwa kwezinzwa, nokwenza izivivinyo (ezifana nokuhlolwa kwegazi nokuhlolwa kwezithombe) ukuze akhiphe ezinye izimo ezinezimpawu ezifanayo. Okwamanje akukho ukuhlolwa okuqondile kokuxilongwa kwalesi simo. Udokotela wakho uzokwenza ukuxilongwa ngokusekelwe ezimpawu zakho.

Yiziphi izindlela zokwelapha?

Udokotela wakho angase ancome ukwelashwa kokunciphisa izimpawu ze-Meige Syndrome noma ukwehlisa ijubane lokuqhubeka kwesifo. Ezinye zezindlela zokwelapha ezisetshenziswa kakhulu zifaka:

• Imithi: Imithi evamile ihlanganisa i-clonazepam (Klonopin®), i-trihexyphenidyl (Artane®), i-diazepam (Valium®), kanye ne-baclofen (Lioresal®). Le mithi isiza ekunciphiseni ukuqaqamba kwemisipha.
• Imijovo ye-Botulinum toxin (Botox®): Udokotela ufaka lo mjovo emisipheni ezungeze amehlo akho kanye nomhlathi. Lokhu kwenza imisipha ibe buthaka okwesikhashana futhi kunciphise ukudikiza okungalawuleki. Kungadingeka ukuthi uthole lo mjovo cishe njalo ezinyangeni ezintathu, noma njengoba kuqondiswe udokotela wakho.
• Ukushukunyiswa kobuchopho okujulile (i-DBS): Lokhu kuyindlela yokwelapha eyinkimbinkimbi kakhulu. I-DBS isebenza ngokuphazamisa amaphethini omsebenzi angajwayelekile ebuchosheni. Kule nqubo, udokotela ufaka i-electrode encane yensimbi ebuchosheni bakho bese eyixhuma kujeneretha yokushaya kwenhliziyo efakwe ngaphansi kwesikhumba. Cabanga ngale jeneretha yokushaya kwenhliziyo njenge-pacemaker ebuchosheni bakho. Njengoba udokotela wakho ekuxilonga, idivayisi iyalungiswa ukuze isize ukulawula izimpawu zakho.
• Ukwelapha ngokukhuluma nokugwinya: Ukwelapha ngokukhuluma kungasiza ekuqiniseni imisipha yakho yomhlathi futhi kunciphise ubukhali bokugwinya kwakho. Lokhu kuyasiza futhi uma unenkinga yokugwinya.

Zikhona yini izinto ongazenza ekhaya ukuze unciphise izimpawu?

Abanye abantu abane-Meige Syndrome basebenzisa amaqhinga alula okuzwa abangayenza ekhaya ukusiza ekunciphiseni izimpawu zabo. Lawa maqhinga ahilela ukugxila kabusha engxenyeni yobuchopho ebangela izimpawu. Lokhu kufaka phakathi:

• Ushingamu
• Ukuhlafuna nge-toothpick
• Ukuthinta izindebe noma isilevu
• Ukubheka phansi

Ngaphezu kwalokho, ungagwema nezinto ezibangela imvelo njengokukhanya okukhulu nomoya onamandla. Ungenza izinto ezifana nokugqoka izibuko zelanga futhi unciphise ukuchayeka kwakho ezinsukwini ezinomoya.

Ingabe ikhona imiphumela emibi yokwelashwa?

Njenganoma yikuphi ukwelashwa, lokhu kwelashwa kungaba nemiphumela emibi, ngakho-ke kubalulekile ukuxoxa ngakho nodokotela wakho ngaphambi kokuqala ukwelashwa.

Isibonelo, eminye imithi ingabangela ukozela, ubunzima bokuphefumula, kanye nomlomo owomile.

Imijovo ye-Botulinum toxin (Botox®) ingabangela ubuhlungu, ukuvuvukala, ukushaqeka endaweni yomjovo, noma ngezinye izikhathi ubuthakathaka bemisipha.

Ingabe ikhona indlela yokuvimbela lokhu?

Ngeshwa, okwamanje ayikho indlela eyaziwayo yokuvimbela i-Meige Syndrome. Kodwa-ke, ukugwema izinto ezibangela lesi sifo - njengokukhanya okukhulu nomoya - kungasiza ekunciphiseni ukuvama kwezimpawu zakho.

Yini ongayilindela ngenkathi uphila nalesi sifo?

I-Meige Syndrome ingathinta indlela yakho yokuphila. Kungaba nzima ukwenza ngisho nezinto ezilula njengokuba selangeni noma ukushayela uvulwe amafasitela. Abanye abantu bangase bazizwe benamahloni noma benamahloni ngokuzihlanganisa nabantu noma ukuya emicimbini ngoba lokhu kuphazamiseka kwemisipha kuthinta ukubukeka kwabo.

Ngezikhathi ezinjengalezi, ukukhuluma nomeluleki wezempilo yengqondo kungaba usizo kakhulu. Kubalulekile ukuhlala uqinile engqondweni, njengoba ukulawula izimpawu kungaba nzima kakhulu ngokuhamba kwesikhathi.

Nakuba kungekho ukwelashwa kwe-Meige Syndrome, ukwelashwa kungakusiza ukuthi uphathe izimpawu zakho futhi uqhubeke nokwenza izinto ozijabulelayo futhi wenze imisebenzi yakho yansuku zonke ngangokunokwenzeka.

Lesi sifo asithinti ngqo isikhathi sakho sokuphila. Lokho kusho ukuthi akusona isifo esibulalayo. Kodwa-ke, singathinta izinga lempilo yakho. Ngakho-ke, khuluma nodokotela wakho ngezinketho zokwelapha ezingcono kakhulu zokulawula izimpawu zakho.

Kufanele ubonane nini nodokotela?

Uma uhlangabezana nemiphumela emibi ngemva kokwelashwa, noma uma izimpawu zakho ziba zimbi kakhulu ngemva kokwelashwa, khuluma nodokotela wakho. Angakusiza ukuthola enye indlela yokwelashwa efanele wena kanye nezimpawu zakho.

Futhi, uma unenkinga yokudla ngenxa yezimpawu, yazisa udokotela wakho ngokushesha ngangokunokwenzeka ngaphambi kokuba kuqale ukungondleki kahle.

Esimweni esiphuthumayo, okusho ukuthi uma unenkinga yokuphefumula, shayela u-1990 ngokushesha noma uye esibhedlela esiseduze.

Yimiphi imibuzo okufanele uyibuze udokotela wakho?

Uma ubona udokotela wakho, kungaba usizo ukubuza imibuzo efana nale:

• Ingabe ngine-Meige Syndrome, noma olunye uhlobo lwe-dystonia?
• Hlobo luni lokwelashwa olunconywayo?
• Iyini imiphumela emibi yalezo zindlela zokwelapha?
• Ingabe kukhona ukwelashwa okusha noma izivivinyo zemitholampilo zalokhu?
• Izimpawu zami zithinta ukuzethemba kwami. Ingabe kufanele ngikhulume nomeluleki wezempilo yengqondo ?

Uyini umehluko phakathi kwalokhu nezinye izinkinga zokunyakaza?

I-Meige Syndrome uhlobo lwe-dystonia oluthinta ukunyakaza kwakho. Kunezinye izimo ezithinta ukunyakaza. Ezinye izibonelo:

• I-dystonia evula umhlathi: Lolu uhlobo lwe-dystonia oluthinta umhlathi. Ayibangeli i-blepharospasm.
• Ukuqina kwemisipha ye-hemifacial: Lokhu kwenzeka lapho yonke imisipha ohlangothini olulodwa lobuso inyakaza. Lokhu ngokuvamile akubuhlungu. Kwabanye abantu, ukuhlolwa kobuchopho nge-MRI kungabonisa ukuthi kukhona inzwa ebusweni ecindezelwe.

Ingabe i-Meige Syndrome iyafana ne-Meige Disease?

Cha. Lezi zimo ezimbili zihlukile. Ziqanjwe ngodokotela wezinzwa waseFrance uHenri Meige, ngakho kulula ukudideka. Isifo sikaMeige siyisifo esizuzwe njengefa ohlelweni lwe-lymphatic. Sibangela uketshezi lwe-lymph ukuba luqongelelane ezithweni zakho.

Okokugcina, yini okufanele ukwazi

Ukutholwa unesifo esingavamile njenge-Meige Syndrome, isimo esibangela ukunyakaza okubuhlungu nokungalawuleki kwamehlo, umhlathi, kanye nobuso obungezansi, kungaba yinto enzima kakhulu. Ungase ube nemibuzo eminingi mayelana nokuthi izimpawu zizokuthinta kanjani njengoba lesi sifo siqhubeka.

Kodwa khumbula, nakuba kungekho ukwelashwa kwe-Meige Syndrome, kunezindlela zokwelapha ezitholakalayo. Udokotela wakho angakusiza ukuthi uphathe izimpawu zakho futhi uqhubeke nemisebenzi yakho yansuku zonke ngangokunokwenzeka. Ngakho-ke, hlala uqinile futhi ulandele iseluleko sikadokotela wakho.

I- Meige syndrome, isifo sezinzwa, ukufinyela kwemisipha, ukudikiza kobuso, ubuhlungu bomhlathi, izimpawu zamehlo