Ingabe ngezinye izikhathi uzizwa sengathi izandla zakho ziyaqhaqhazela kancane? Nakuba ukuxhawula izandla zakho ngenkathi uphethe inkomishi yetiye noma uzama ukubhala okuthile kuyinto evamile, ngezinye izikhathi kungaba uphawu lwesimo esibucayi kakhulu. Lokhu kungakwenza uzizwe ungakhululekile, unamahloni, futhi ucindezeleke ngisho nokucindezeleka. Ngakho-ke namuhla, ake sixoxe ngalokhu kuqhaqhazela, noma lokho okwaziwa ngokwezokwelapha ngokuthi `(Tremor)`, ngamagama alula.
Kuyini ngempela i-Tremor?
Kalula nje, ukuthuthumela kuwukunyakaza okungenangozi, okunesigqi kwengxenye yomzimba wakho ongakwazi ukuyilawula . Kungazwakala sengathi kuyathuthumela noma kuyanyakaza. Kwabanye abantu, kungaba mnene kakhulu, kanti kwabanye, kungaba nzima kangangokuthi abakwazi ngisho nokwenza imisebenzi yansuku zonke.
Lokhu kuthuthumela kungenzeka endaweni eyodwa noma ngaphezulu yomzimba. Kuvame ukubonakala ezandleni. Kodwa-ke, kungenzeka futhi kulezi zindawo:
- Izandla
- Imilenze
- Ikhanda, intamo, noma ubuso
- Izwi (izintambo zezwi)
- Isiqu
Eqinisweni, sonke sinokuthuthumela okuncane kakhulu, okungabonakali emizimbeni yethu. Lokhu kubizwa ngokuthi "Ukuthuthumela Kwemizimba". Uma uphakamisa izandla zakho phambi kwakho, uzobona ukuthi azikahlali phansi ngokuphelele. Lokhu kuvamile. Kodwa-ke, uma uphuza ikhofi, uma ukhathele, noma uma ukhathazekile kakhulu, lokhu kuthuthumela okuvamile kungabonakala kakhudlwana.
Ukuthuthumela kuba yinto ebalulekile kwezokwelapha uma kuphazamisa impilo yakho yansuku zonke . Isibonelo, uma kuthinta ikhono lakho lokudla, ukugqoka, ukuhamba, noma ukusayina idokhumenti, kuyinto okufanele uyikhathazeke ngayo.
Yiziphi izinhlobo eziyinhloko zokuthuthumela?
Odokotela bahlukanisa ukuthuthumela ngezinhlobo ezimbili eziyinhloko, ngokusekelwe endleleni okwenzeka ngayo. Ukuze uqonde lokhu ngokucacile, bheka ithebula elingezansi.
| Uhlobo Lokuthuthumela | Kwenzeka kanjani lokho? (Kwenzeka kanjani lokho?) |
|---|---|
| Ukuthuthumela Kokuphumula | Lokhu kwenzeka lapho ingxenye yomzimba iphumule ngokuphelele, ingenaso isisindo. Cabanga uhleli esihlalweni, isandla sakho siphumule esihlalweni esisekelweni sengalo, bese isandla sakho siqala ukuthuthumela, yilolu hlobo. |
| Ukuthuthumela Kwesenzo | Lokhu kwenzeka uma usebenzisa imisipha yakho ukwenza isenzo. Isibonelo, uma isandla sakho sithuthumela uma uphakamisa isandla sakho noma uletha ingilazi yamanzi emlonyeni wakho, singesalolu hlobo. |
Izinhlobo Ezincane Zokuduma Kwesenzo
Ukuthuthumela okusebenzayo kuhlukaniswe kabanzi ngezinhlobo eziningana:
- Ukuthuthumela Kwesimo Sengqondo: Ukuthuthumela okwenzeka lapho ubambe isikhundla esithile. Isibonelo, lapho ubambe izingalo phambi kwakho.
- Ukuqhaqhazela kwe-Isometric: Ukuqhaqhazela okwenzeka lapho imisipha iqinile, ngaphandle kokunyakaza. Isibonelo, lapho ubambe isikhwama esindayo endaweni efanayo.
- Ukuqhaqhazela kwe-Kinetic: Ukuqhaqhazela okwenzeka lapho kwenziwa ukunyakaza. Isibonelo, lapho welula isandla futhi uzama ukuthinta ikhala lakho.
Yini engabangela lokhu kuzamazama?
Ukuthuthumela kuyisibonakaliso, hhayi isifo, ngakho kungaba nezimbangela eziningi.
- Ukusetshenziswa kotshwala kanye nezimpawu zokuhoxa.
- Izimila zobuchopho .
- Eminye imithi oyithathayo.
- Ezinye izimo zezokwelapha ezingelashwa. Izibonelo: I-thyroid esebenza ngokweqile (i-Hyperthyroidism), Ushukela wegazi ophansi (i-Hypoglycemia), Ukuntuleka kwe-calcium noma i-magnesium.
- Izifo ezihlobene nohlelo lwezinzwa, njengesifo sikaParkinson kanye ne-Multiple Sclerosis (MS) .
- Isifo sohlangothi .
- Ukulimala okukhulu ekhanda (Ukulimala Kobuchopho Okubuhlungu) .
Eminye imithi ebangela ukuthuthumela
Eminye imithi ingabangela ukuthuthumela noma yandise ukuthuthumela okukhona.
- Eminye imithi ye-asthma (isb. i-Albuterol)
- Imithi yezifo ezithile zengqondo (isib. i-Lithium, i-Fluoxetine)
- I-Atorvastatin ye-cholesterol ephezulu
- Ama-Corticosteroids
- I-Amiodarone yesifo senhliziyo
Kubaluleke kakhulu: Uma uthatha lolu hlobo lomuthi futhi uthuthumela, ungalokothi uyeke ukuwuthatha wedwa. Qiniseka ukuthi ukhuluma nodokotela wakho ukuze akunike iseluleko.
Udokotela usithola kanjani lesi simo?
Uma ubona udokotela ethuthumela, uzoqala ngokukubuza imibuzo embalwa bese ekuhlola umzimba.
- Ingabe ukuzamazama kwaqala ngokuzumayo, noma kwanda kancane kancane?
- Yiziphi izingxenye zomzimba ezinyakazayo?
- Ingabe ukuzamazama kuyanda ngemisebenzi ethile noma lapho uphumule?
- Ingabe kuyakhula ngezinto ezifana nekhofi nokucindezeleka, noma kuyancipha uma ugxila kokunye?
Ngemuva kwalokho, kuzokwenziwa ukuhlolwa kwezinzwa . Lokhu kuzohlola ibhalansi yakho kanye nokusabela ukuze kutholakale okwengeziwe ngohlobo lokuthuthumela kwakho.
Kungenziwa ezinye izivivinyo eziningana ukuthola imbangela eqondile:
- Ukuhlolwa kwegazi
- Ukuhlolwa komchamo
- Izifundo ze-EMG kanye nokuqhutshwa kwemizwa
- Ukuskena kobuchopho nge-CT noma i-MRI
Izifo Ezinkulu Zokuthuthumela
Kunezimo eziningana zezokwelapha eziyinhloko odokotela abazixilonga ngokusekelwe endleleni yokuthuthumela.
| Isifo | Incazelo kanye nezici |
|---|---|
| Ukuduma Okubalulekile | Isimo sokuthuthumela esivame kakhulu. Uphawu oluyinhloko ukuthuthumela ezandleni zombili lapho kwenziwa isenzo. Azikho ezinye izimpawu zezinzwa. Kungathinta nekhanda, izwi, kanye nemilenze. |
| Ukuthuthumela kweCerebellar | Ngokuvamile ukuzamazama okukhulu okuhamba kancane . Ukuzamazama kuba kubi kakhulu uma usuzoqeda isenzo (isb., ukuvula umnyango). Kubangelwa ukulimala kwe-cerebellum yobuchopho. |
| Ukuthuthumela Okumangalisayo | Ukuthuthumela okungajwayelekile nokungajwayelekile. Kungase kume lapho ingalo noma umlenze ushukunyiswa. Kubangelwa ukulimala kwe -basal ganglia yobuchopho. |
| Ukuthuthumela Kwamathambo | Ukufinyela okusheshayo kwemisipha emilenzeni ngenkathi umi. Lokhu kuyama lapho uhleli noma uhamba. Lesi yisimo esingavamile kakhulu. |
| Ukuthuthumela kwe-Parkinsonian | Kubonakala kubantu abangaphezu kuka-70% abane-Parkinson's. Kungaba futhi uphawu lokuqala. Kuvame ukubonakala lapho uphumule (Ukuphumula Ukuduma). Kuqala engalweni eyodwa noma ohlangothini olulodwa, futhi kamuva kungasakazekela ezinhlangothini zombili. |
| Ukuthuthumela Okusebenzayo (Okubangela Ingqondo) | Lokhu kungaba yinoma yiluphi uhlobo lokuthuthumela. Kuqala ngokuzumayo. Kuyanda uma ugxila kukho, futhi kuncipha uma ucabanga ngenye into. Kungabangelwa yizici zengqondo. |
Yiziphi izindlela zokwelapha ukuthuthumela?
Ukwelashwa kuncike embangela eyinhloko yokuthuthumela. Ukuthuthumela okubangelwa ukulimala kobuchopho kunzima ukukwelapha ngokuphelele. Kodwa-ke, ukuthuthumela okubangelwa imithi, izidakamizwa, noma ezinye izimo zezokwelapha ngokuvamile kungalawulwa noma kwelashwe.
- Ukuqhaqhazela Okubalulekile: Kungalawulwa ngemithi efana nePropranolol. Ezimweni ezimbi kakhulu, kusetshenziswa ukwelashwa okufana nemijovo ye-`(Botox®)` noma i-`(Deep Brain Stimulation)`.
- Ukuqhaqhazela kwe-Parkinsonian: Kulawulwa ngemithi yesifo sikaParkinson, njenge-Levodopa.
- I-Dystonic Tremor: Kusetshenziswa izindlela zokwelapha ezifana nemithi, imijovo ye-Botox®, kanye ne-Deep Brain Stimulation.
- Ukuqhaqhazela Okusebenzayo: Ukwelashwa ngokomzimba kanye nokwelashwa kwengqondo kubaluleke kakhulu.
Izinto ongazenza ekhaya
Ngaphezu kokwelashwa ngemithi, ungazama lezi zinto ukuze wenze ukuphila nokuthuthumela kube lula:
- Uma izinto ezifana nekhofi notshwala zikhulisa ukuthuthumela kwakho, zinciphise noma uziyeke.
- Sebenzisa amadivayisi okusiza njengezinto zokusika ezikhethekile ukuze wenze imisebenzi yansuku zonke ibe lula.
- Khetha izingubo okulula ukuzigqoka, njengezingubo ezine-Velcro esikhundleni sezinkinobho.
- Nciphisa ukucindezeleka . Izinto ezifana nokuzindla nokulalela umculo zingasiza.
- Lala ngokwanele . Ukungalali kahle kungenza ukuzamazama kube kubi nakakhulu.
- Joyina iqembu lokusekelana nabantu ababhekene nesimo esifanayo nesakho. Kuzokunika amandla amaningi engqondo.
Noma nini lapho ufuna ukubona udokotela
Uma uzizwa kanje, qiniseka ukuthi ubona udokotela:
- Uma ukuzamazama kwanda ngokuhamba kwesikhathi.
- Uma kuphazamisa imisebenzi yakho yansuku zonke .
- Uma lokhu kukwenza uzizwe ucindezelekile futhi ukhathazekile.
- Uma kuvela ezinye izimpawu zemizwa (isib. ukushintsha kwenkumbulo, ukwehla kwamandla omzimba) ngaphezu kokuthuthumela.
Akumnandi nganoma ubani ukuzizwa sengathi ulahlekelwa ukulawula umzimba wakhe. Ngakho-ke kuyinto evamile ukuzizwa wesaba uma uthuthumela. Kodwa khumbula, ukuze uthole ukuthi yini ngempela ebangela lokhu, udinga ukubona udokotela. Angenza izivivinyo ezidingekayo futhi akunike uhlelo lokwelashwa olufanele.
Umlayezo Wokuya Nawe Ekhaya
- Ukuthuthumela akusona isifo, kodwa kuyisibonakaliso. Kungaba nezimbangela eziningi.
- Akuzona zonke izithuthuthu eziyisibonakaliso sesifo esingathi sína, kodwa kubalulekile ukuhlonza imbangela ngokufanele.
- Uma uphuza umuthi obangela ukuthuthumela, ungalokothi uyeke ukuwuthatha ngaphandle kweseluleko sikadokotela.
- Kunezindlela zokwelapha ezisebenzayo zokulawula ukuthuthumela nokuphatha izimpawu.
- Uma ukhathazekile ngokuthuthumela kwakho, ungalibali bese uthintana nodokotela wakho ukuze akunike iseluleko.
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