Ukungcangcazela okubangelwa sisiyobisi

Ukungcangcazela okubangelwa sisiyobisi kukungcangcazela okungafunekiyo ngenxa yokusebenzisa amayeza. Ukungazibandakanyi kuthetha ukuba uyangcangcazela ungakhange uzame ukwenjenjalo kwaye awunakuyeka xa uzama. Ukungcangcazela kwenzeka xa ushukuma okanye uzama ukubamba iingalo, izandla okanye intloko kwindawo ethile. Ayidibani nezinye iimpawu.

Ukungcangcazela okubangelwa sisiyobisi yinkqubo elula yemithambo-luvo kunye nokuphendula kwezihlunu kumayeza athile. Iziyobisi ezinokubangela ukungcangcazela zibandakanya oku kulandelayo:

• Amayeza omhlaza afana ne-thalidomide kunye necytarabine
• Amayeza okuhlutha afana ne-valproic acid (Depakote) kunye ne-sodium valproate (Depakene)
• Amayeza e-asthma afana ne-theophylline kunye ne-albuterol
• Amayeza okucinezela amajoni omzimba afana ne-cyclosporine kunye ne-tacrolimus
• Izinto ezizinzileyo ezinjenge-lithium carbonate
• Izikhuthazi ezifana ne-caffeine kunye ne-amphetamines
• Iziyobisi ezichasayo ezinjenge-serotonin reuptake inhibitors (i-SSRIs) kunye neetriki
• Amayeza entliziyo afana ne-amiodarone, i-procainamide, kunye nabanye
• Iintsholongwane ezithile
• Ezinye ze-antivirals, ezinje nge-acyclovir kunye ne-vidarabine
• Utywala
• Inikotini
• Amachiza athile oxinzelelo lwegazi
• Epinephrine kunye norepinephrine
• Amayeza okuphulukana nobunzima (i-tiratricol)
• Amayeza e-thyroid amaninzi (levothyroxine)
• I-Tetrabenazine, iyeza lokunyanga ukuphazamiseka okungaphezulu kokuhamba

Ukungcangcazela kunokuchaphazela izandla, iingalo, intloko okanye iinkophe. Kwiimeko ezinqabileyo, umzimba ongezantsi uyachaphazeleka. Inyikima ayinakuchaphazela omabini amacala omzimba ngokulinganayo.

Ukungcangcazela kuhlala kukhawuleza, malunga neentshukumo ezi-4 ukuya kwezi-12 ngomzuzwana.

Ukungcangcazela kunokuba:

• I-Episodic (eyenzeka ngokugqabhuka, ngamanye amaxesha malunga neyure emva kokuthatha iyeza)
• Ukungena (kuza kwaye kuhamba nomsebenzi, kodwa hayi rhoqo)
• Ukungaqhelekanga (kwenzeka ngamanye amaxesha)

Ukungcangcazela kunoku:

• Yenzeka nokuba kungokuhamba okanye ukuphumla
• Ukunyamalala ngexesha lokulala
• Iya isiba mandundu ngokuhamba ngokuzithandela kunye noxinzelelo lweemvakalelo

Ezinye iimpawu zingabandakanya:

• Intloko inqwala
• Ukungcangcazela okanye isandi sokungcangcazela kwilizwi

Umboneleli wakho wezempilo unokukwenza ukuxilongwa ngokwenza uvavanyo lomzimba kwaye ubuze malunga nembali yakho yezonyango kunye neyakho. Uya kubuzwa malunga namayeza owasebenzisayo.

Iimvavanyo zinokwenziwa ukulawula ezinye izizathu zokungcangcazela. Ukungcangcazela okwenzeka xa izihlunu zikhululekile okanye ezichaphazela imilenze okanye ulungelelwaniso kunokuba ngumqondiso wenye imeko, njengesifo se-Parkinson. Isantya sokungcangcazela kunokuba yindlela ebalulekileyo yokufumanisa unobangela.

Ezinye izizathu zokungcangcazela zingabandakanya:

• Ukurhoxiswa kotywala
• Ukutshaya icuba
• I-thyroid engasebenzi (hyperthyroidism)
• Isifo seParkinson
• Ithumba ledrenal gland (pheochromocytoma)
• I-caffeine eninzi
• Ukuphazamiseka apho kukho ubhedu oluninzi emzimbeni (isifo seWilson)

Uvavanyo lwegazi kunye nezifundo zokucinga (ezinje nge-CT scan entloko, ingqondo ye-MRI, kunye ne-x-reyi) zihlala ziqhelekile.

Ukungcangcazela okubangelwa ziziyobisi kuhlala kumka xa uyeka ukuthatha iyeza elibangela ukushukuma.

Kusenokwenzeka ukuba awudingi nyango okanye lutshintsho kwiyeza ukuba inyikima ayinabungozi kwaye ayiphazamisani nomsebenzi wakho wemihla ngemihla.

Ukuba isibonelelo seyeza sikhulu kuneengxaki ezibangelwa kukungcangcazela, umboneleli wakho unokuzama iidosi ezahlukeneyo zamayeza. Okanye, unokumiselwa elinye iyeza ukunyanga imeko yakho. Kwiimeko ezinqabileyo, ichiza elinje ngepropranolol linokongezwa ukunceda ukungcangcazela.

Sukuyeka ukuthatha nawaphi na amayeza ngaphandle kokuqala uthethe nomboneleli wakho.

Ukungcangcazela ngamandla kunokuphazamisa imisebenzi yemihla ngemihla, ngakumbi izakhono zemoto ezinje ngokubhala, kunye nezinye izinto ezinje ngokutya okanye ukusela.

Fowunela umboneleli wakho ukuba uthatha iyeza kwaye ukungcangcazela kuyaqhubeka kuphazamisana nomsebenzi wakho okanye kuhamba kunye nezinye iimpawu.

Soloko uxelela umboneleli wakho ngamayeza owasebenzisayo. Buza umboneleli wakho ukuba ngaba kulungile ukuthatha amayeza e-counter anezikhuthazi okanye i-theophylline. I-Theophylline sisiyobisi esisetyenziselwa ukunyanga ukubethwa ngumoya nokuphefumla okufutshane.

I-caffeine inokubangela ukungcangcazela kwaye yenze ukungcangcazela okubangelwa ngamanye amayeza kubi. Ukuba uyangcangcazela, thintela iziselo ezinecafini ezifana nekofu, iti kunye nesoda. Kulumkele nezinye izinto ezikhuthazayo.

Ukungcangcazela-okubangelwa sisiyobisi; Ukungcangcazela - ukungcangcazela kweziyobisi

• Inkqubo ye-nervous central kunye ne-peripheral system

UMorgan JC, uKurek JA, uDavis JL, uSethi KD. Ukuqonda kwi-pathophysiology evela kunyikimo olwenziwe ngamayeza. Ingcangcazela Enye iHyperkinet Mov (N Y). Ngo-2017; 7: 442. IINKCUKACHA: 29204312 pubmed.ncbi.nlm.nih.gov/29204312/.

O'Connor KDJ, Mastaglia FL. Ukuphazamiseka okubangelwa sisiyobisi kwenkqubo yemithambo-luvo. Ku: Aminoff MJ, Josephson SA, ii-eds. I-Aminoff's Neurology kunye noNyango Jikelele. Umhla we-5. I-Waltham, MA: I-Elsevier yezeMfundo; I-2014: isahluko 32.

Okun MS, uLang AE. Ezinye iingxaki zokuhamba. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 382.