Ingabe imilenze yakho iyathuthumela uma umi? Ingabe uzizwa sengathi ulahlekelwa yibhalansi yakho? Kungaba ukuthuthumela kwe-Orthostatic!

Wake wazizwa sengathi imilenze yakho iyaba ndikindiki, iyathuthumela, noma ilahlekelwa yibhalansi yakho lapho usukuma, ikakhulukazi ngemva kokuma isikhathi eside? Kodwa uma, ngokumangazayo, lokhu kungakhululeki kuncipha lapho uhlala phansi noma uhamba, ungase ube nesifo esibizwa ngokuthi "Orthostatic Tremor". Leli kungaba igama elingavamile ukulizwa, kodwa ake sixoxe ngalo kalula.

Kuyini `(Orthostatic Tremor)`? Kalula nje...

Kalula nje, i-Orthostatic Tremor iyisifo esingavamile sesimiso sezinzwa esibangela ukuba imisipha emilenzeni yakho inciphe ngokushesha (inyakaze) uma umi. Lokhu kuthuthumela kungakwenza uzizwe ungazinzile uma umi, ulahlekelwe ibhalansi yakho, futhi uzizwe sengathi usuzowa. Kodwa ngokumangazayo, lokhu kuthuthumela kuvame ukuncipha noma kunyamalale ngokuphelele uma uhamba, uhleli, noma uncike kokuthile.

Lesi simo sivame kakhulu kubantu abaneminyaka engaphezu kwengu-60. Kodwa-ke, ucwaningo lukhombisile ukuthi singathinta noma ubani oneminyaka engu-13 kuya kwengu-85 ubudala. Cabanga nje, odokotela bathola futhi bachaza lesi simo esibizwa ngokuthi "i-Orthostatic Tremor" ngo-1984. Ngakho lokho kusho ukuthi yisimo esisha kakhulu. Odokotela basafunda okuningi ngaso.

Ziyini izimpawu zalokhu? Uzizwa kanjani?

Uphawu oluyinhloko abantu abane-`(Orthostatic Tremor)` abavame ukulubika ukungazinzile abakuzwayo lapho bemi. Okusho ukuthi, umuzwa wokuthi umhlaba uyazamazama, noma ukuthi imizimba yabo ayilingani. Kodwa-ke, abazizwa lokhu kungakhululeki lapho behleli noma behamba. Uma behlala bemile, beqala ukuhamba, bencika entweni efana nodonga, noma belala phansi, lokhu kuzamazama, lokho kungazinzile, kuncishiswa kakhulu noma kunyamalale ngokuphelele.

Ukuze unciphise lokhu kungazinzile, ungase uzame ngokungazi ukugcina imilenze yakho ihlukene kancane, njengokungathi uthinta phansi ngezinzwane zakho . Cabanga ngakho njengokungathi umi ebhasini noma esitimeleni futhi uzabalaza ukugcina ibhalansi yakho.

Esikhathini esiningi, ungase ungaboni noma uqaphele ukuthi imilenze yakho iyathuthumela ngokushesha uma umi. Ungase uzizwe nje ukungazinzile noma ukulahlekelwa yibhalansi engikushilo. Kodwa-ke, uma ubeka izandla zakho emathangeni noma ezinqeni zakho, ungase uzizwe imisipha ithuthumela ngokushesha, njengamagagasi . Lokhu kuthuthumela ngokuvamile akubuhlungu. Kodwa-ke, ngokuhamba kwesikhathi, ubuhlungu emisipheni yemilenze bungakhula.

Abanye abantu abane-"Primary Orthostatic Tremor" (sizoxoxa ngalokhu kamuva) bangase babe nokuthuthumela ezingalweni noma esiqwini ngaphezu kwemilenze yabo. Kodwa-ke, bangase bangabi nanoma yiziphi ezinye izimpawu zezinzwa.

Ubukhali be-"Orthostatic Tremor" bungahlukahluka kuye ngomuntu nomuntu. Abanye abantu bangase baqale ukuthuthumela ngokushesha nje lapho besukuma. Kwabanye, ukuthuthumela kungase kuqale ngemva kwemizuzu embalwa bemile. Kwabaningi, ukuthuthumela kuyanda kancane kancane ngokuhamba kwesikhathi.

Kungani lokhu `(Ukuduma Kwamathambo)` kwenzeka? Ziyini izimbangela?

Eqinisweni, odokotela nabacwaningi basafunda "i-Orthostatic Tremor", ngakho-ke imbangela eqondile ayaziwa okwamanje. Abanye ochwepheshe bakholelwa ukuthi kuyinhlobo yolunye uhlobo lokuthuthumela olubizwa ngokuthi "i-Essential Tremor". Abanye bakholelwa ukuthi "i-Orthostatic Tremor" iyisimo esihlukile ngokuphelele, esizimele.

Esikhathini esiningi, lesi simo senzeka ngokungahleliwe, ngaphandle kwesizathu esithile. Kodwa-ke, kube nemibiko engavamile yokuthi senzeka emalungwini omndeni. Isibonelo, kumawele, izingane zakubo, noma umzali nengane. Ngakho-ke, abacwaningi babheka ukuthi izici zofuzo, njengokuguquka kwezakhi zofuzo, zinendima yini.

Ingabe kukhona izinhlobo ze-`(Orthostatic Tremor)`?

Yebo, odokotela bavame ukuhlukanisa `(Orthostatic Tremor)` ngezinhlobo ezimbili eziyinhloko:

1. Ukuqhaqhazela Okuyinhloko Kwamalunga: Lokhu kubizwa nangokuthi yi-idiopathic. Lokhu kusho ukuthi imbangela eqondile ayaziwa. Abantu abane-primary orthostatic tremor ababi nezimpawu zanoma yisiphi esinye isifo sesimiso sezinzwa.

2. Ukuqhaqhazela Kwe-Secondary Orthostatic: Lokhu kubangelwa esinye isimo sezokwelapha. Izifundo zikhombisile ukuthi ukuqhaqhazela kwe-secondary orthostatic kungabangelwa izimo zezokwelapha ezahlukahlukene. Ezinye zalezi zimo zifaka:

• Isifo sama-Graves (isifo se-thyroid gland)
• Ukulimala ekhanda
• `I-Multiple Sclerosis (MS)` (isifo esithinta uhlelo lwezinzwa)
• `I-Parkinsonism` (isimo esibangela izimpawu ezifana nesifo sikaParkinson)
• I-Restless Legs Syndrome (isimo esibangela ukungahlaliseki emilenzeni)
• Ukulimala kwezinye izingxenye zobuchopho (isb., izilonda zePontine kanye nobuchopho obuphakathi)
• Izilonda zomgogodla
• 'Isifo somuntu oqinile'
• Ukuntuleka kwe-Vitamin B12

Into ebaluleke kakhulu ukufuna iseluleko sezokwelapha uma unalezi zimpawu. Ungazihlolisisi.

Ukuthola kanjani lokhu ngqo? (Ukuxilongwa)

Ukuze ahlole ukuthuthumela kwe-orthostatic, udokotela wakho uzoqala ngokukubuza ngezimpawu zakho kanye nomlando wezokwelapha. Ngemuva kwalokho, bazokwenza ukuhlolwa ngokomzimba kanye nokuhlolwa kwezinzwa ukuze bahlole ukuthi ukuthuthumela kwenzeka kanjani futhi nini.

Kwezinye izikhungo ezikhethekile, ukuxilongwa kwe-`(Orthostatic Tremor)` kuqinisekiswa yi -`Surface EMG (Electromyography)`Ukuhlolwa okubizwa ngokuthi ‘i-muscle electromyography’ kuyenziwa. Kodwa-ke, ngezinye izikhathi ochwepheshe bezinkinga zokunyakaza (Ochwepheshe Bezinkinga Zokunyakaza) bangakuthola lokhu ngokusekelwe ezimpawini zezokwelapha. Ukuhlolwa ‘kwe-EMG’ kuhlola impilo kanye nokusebenza kwemisipha yakho yamathambo kanye nezinzwa ezilawulayo. Ngokuqondile, kuhilela ukubeka ‘izinzwa’ ezincane esikhumbeni somlenze wakho kanye nokulinganisa umsebenzi kagesi wemisipha yakho.

Udokotela wakho angase futhi ancome ezinye izivivinyo - njengokuhlolwa kwegazi kanye nokuhlolwa kwezithombe (isb., i-MRI scan) - ukuze kunqunywe ezinye izimo ezingase zibangele ukuthuthumela kwakho.

Ngeshwa, ngenxa yokuthi i-Orthostatic Tremor iyisimo esingavamile, odokotela ngezinye izikhathi bayihlola kabi njengenye into. Ikakhulukazi, ivame ukudidaniswa ne-Functional Tremor (ebizwa nangokuthi i-Psychogenic Tremor), ukuphazamiseka kokunyakaza okungabangelwa izinto ezifana nokucindezeleka. Ngakho-ke, ukuthola ukuxilongwa okunembile kungaba yinselele kancane.

Yiziphi izindlela zokwelapha? Ingabe ingelapheka?

Akukho ukwelashwa kwe-Orthostatic Tremor. Kodwa-ke, kunemithi ethile engasiza ukulawula izimpawu zakho, okungukuthi, ukunciphisa ukuthuthumela nokungazinzi.

Umuthi wokuqala ovame ukunikezwa yi-'Clonazepam' (umuthi osesigabeni se-'(Benzodiazepine)'). Kodwa-ke, lo muthi awusebenzi kuwo wonke umuntu. Ngakho-ke, kuneminye imithi ehlukile:

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

Ukwelashwa okusiza ngezinye izinhlobo zokuthuthumela kungasiza futhi ngezimpawu "zokuthuthumela kwe-Orthostatic". Kodwa-ke, lokhu kusesesigabeni sokucwaninga. Ukwelashwa okunjalo kufaka phakathi:

• Ukukhuthazwa Kobuchopho Obujulile (i-DBS)
• Ukuvuselelwa Kwentambo Yomgogodla

Ngenxa yokuthi abacwaningi basafunda ngenkuthalo nge-Orthostatic Tremor, ungase ufanelekele ukuhlanganyela esivivinyweni somtholampilo. Buza udokotela wakho ukuthi lokhu kuyindlela yakho.

Uphila kanjani nalesi simo? Yini ongayilindela?

Ukuqhaqhazela kwe-Orthostatic kuyinkinga enkulu uma umile, kodwa kungathinta ikhwalithi yempilo yakho. Isibonelo, ungase uqale ukugwema izimo lapho kufanele ume khona, njengokugeza, ukulinda emgqeni, ukwenza imisebenzi yasekhaya, noma ukupheka. Lokhu kungaba yinto ecasulayo ngempela.

Nokho, ukwenza izinguquko ezithile endleleni yakho yansuku zonke kungenza ukuphila nalesi simo kube lula kancane.Isibonelo, ukusebenzisa isihlalo sokugeza endlini yokugezela, noma ukusebenzisa isihlalo sabakhubazekile uma kufanele ulinde emgqeni. Uchwepheshe wezokwelapha angakusiza ukuthola izindlela zokwenza imisebenzi yansuku zonke kalula.

Ngenxa yokuthi lesi yisimo esingavamile kakhulu, ngezinye izikhathi kungaba nzima ngabanye ukuqonda lesi `(Orthostatic Tremor)`, kanye nodokotela ukusixilonga ngokunembile. Ngakho-ke, kubaluleke kakhulu ukuthola ukwesekwa kwabathandekayo bakho. Uma ubhekene nezinkinga zempilo yengqondo ezifana ne-`(Orthostatic Tremor)`, `(Anxiety)`, noma uma uzizwa sengathi uhlukaniswa nomphakathi, ungangabazi ukubona umeluleki wezempilo yengqondo njengo-`(Psychologist)`. Lokho kuzokunikeza impumuzo enkulu.

Ingabe ikhona indlela yokuvimbela lokhu?

Ngeshwa, njengoba imbangela eqondile ye-Orthostatic Tremor ingaziwa, akukho ongakwenza ukuyivimbela.

Kulapho kuphela lapho kuba nzima khona lapho siqaphela ukuthi kubaluleke kangakanani ukukwazi ukuma unganyakazi futhi ungenakho ukungakhululeki. Njengoba i-Orthostatic Tremor iyisimo esingavamile, uhambo oluya ekuxilongweni okunembile lungaba lude. Kungase kudingeke ukhulume ngokwakho futhi ufune ulwazi. Kodwa-ke, ukuthola ukuxilongwa okunembile kuwufanele umzamo. Khumbula, eminye imithi kanye nezinsiza zokuhamba kungenza ukuphila ne-Orthostatic Tremor kube lula.

Okokugcina, izinto okufanele uzikhumbule

Nokho, ngithemba ukuthi usunawo umbono mayelana ne-"Orthostatic Tremor" esasikhuluma ngayo.

Lesi yisimo esiyinkimbinkimbi futhi esingavamile, kodwa ngokuqonda nokusekelwa okufanele, singaphila naso ngempumelelo.

Izinto ezimbalwa okufanele uzikhumbule yilezi:

• Uma uzizwa imilenze yakho iqhaqhazela noma uzizwa sengathi ulahlekelwa yibhalansi yakho ngenkathi umile, ungakushayi indiva lokho. Bona udokotela.
• Udokotela kuphela ongasho ngokuqinisekile ukuthi lokhu "kuyi-Orthostatic Tremor" encane.
• Ukwelashwa kungalawula izimpawu.
• Awuwedwa. Thola usizo emndenini, kubangani, futhi uma kudingeka, kochwepheshe bezempilo yengqondo.

Uma uneminye imibuzo mayelana nalokhu, ungangabazi ukukhuluma nodokotela wakho. Angakuchazela kangcono lokhu.

ukuthuthumela kwe- orthostatic, ukuthuthumela, ukuthuthumela kwemilenze, ubunzima bokuma, ukulahlekelwa ibhalansi, ukuphazamiseka kwemizwa, ukuphazamiseka kokunyakaza