Intshukumo - engalindelekanga okanye engacacanga

Ukuhamba komzimba nguJerky yimeko apho umntu esenza khona intshukumo ekhawulezayo angenako ukuyilawula kwaye engenanjongo. Ezi ntshukumo ziphazamisa ukuhamba okanye ukuhlala komntu kwesiqhelo.

Igama lonyango lale meko yi-chorea.

Le meko inokuchaphazela elinye okanye omabini amacala omzimba. Ukuhamba okuqhelekileyo kwe-chorea kubandakanya:

• Ukugoba nokulungisa iminwe kunye neenzwane
• Ukuncipha ebusweni
• Ukunyusa nokuthoba igxalaba

Ezi ntshukumo azihlali ziphindaphindwa. Banokubonakala ngathi benziwa ngenjongo. Kodwa iintshukumo azikho phantsi kolawulo lomntu. Umntu onechorea unokujongeka ngathi ujittery okanye akaphumli.

I-Chorea inokuba yimeko ebuhlungu, yenze kube nzima ukwenza imisebenzi yokuphila yemihla ngemihla.

Zininzi izinto ezinokubangela iintshukumo ezingalindelekanga, ezihamba kunye, kubandakanya:

• I-Antiphospholipid syndrome (ingxaki ebandakanya ukujija kwegazi ngokungaqhelekanga)
• I-Benign hereditary chorea (imeko enqabileyo yelifa)
• Ukuphazamiseka kwecalcium, iswekile, okanye imetabolism yesodium
• Isifo i-Huntington (ingxaki ebandakanya ukonakala kweeseli zemithambo-luvo kwingqondo)
• Amachiza (njenge-levodopa, i-antidepressants, i-anticonvulsants)
• I-Polycythemia rubra vera (isifo somongo wethambo)
• I-Sydenham chorea (intshukumo yokuhamba eyenzeka emva kosulelo kwiibhaktheriya ezithile ezibizwa ngokuba liqela A streptococcus)
• Isifo sikaWilson (ingxaki ebandakanya ubhedu oluninzi emzimbeni)
• Ukukhulelwa (chorea gravidarum)
• Ukubetha
• Isystemic lupus erythematosus (isifo apho amajoni omzimba ahlasela ngempazamo izicwili ezisempilweni)
• I-Tardive dyskinesia (imeko enokubangelwa ngamayeza anje ngeziyobisi ezichasene nengqondo)
• Isifo se-thyroid
• Ezinye iingxaki ezinqabileyo

Unyango lujolise kwisizathu sokuhamba.

• Ukuba iintshukumo zibangelwa liyeza, iyeza kufuneka limiswe, ukuba kunokwenzeka.
• Ukuba iintshukumo zibangelwa sisifo, isifo kufuneka sinyangwe.
• Kubantu abanesifo sikaHuntington, ukuba iintshukumo ziqatha kwaye zichaphazela ubomi bomntu, amayeza afana netetrabenazine anokunceda ekulawuleni.

Imincili kunye nokudinwa kunokwenza i-chorea ibe mandundu. Ukuphumla kunceda ukuphucula i-chorea. Zama ukunciphisa uxinzelelo lweemvakalelo.

Amanyathelo okhuseleko kufuneka athathwe ukunqanda ukwenzakala kwiintshukumo ezingazibandakanyi.

Fowunela umboneleli wakho wezempilo ukuba uneempawu zomzimba ezingachazekiyo ezingalindelekanga kwaye azihambi.

Umboneleli uya kwenza uvavanyo lomzimba. Oku kunokubandakanya uvavanyo oluneenkcukacha lweenkqubo zemithambo-luvo kunye nezihlunu.

Uya kubuzwa malunga nembali yakho yonyango kunye neempawu, kubandakanya:

• Loluphi uhlobo lwentshukumo olwenzekayo?
• Leliphi ilungu lomzimba elichaphazelekayo?
• Zeziphi ezinye iimpawu ezikhoyo?
• Ngaba kukho ukucaphuka?
• Ngaba kukho ubuthathaka okanye ukukhubazeka?
• Ngaba kukho ukungazinzi?
• Ngaba zikhona iingxaki zeemvakalelo?
• Ngaba zikhona izinto zobuso?

Uvavanyo olunoku-odolwa lubandakanya:

• Uvavanyo lwegazi olunjengephaneli yemetabolic, ubalo lwegazi olupheleleyo (CBC), umahluko wegazi
• Ukuxilongwa kwe-CT kwentloko okanye kwendawo echaphazelekayo
• I-EEG (kwiimeko ezinqabileyo)
• I-EMG kunye ne-velocity conduction velocity (kwiimeko ezinqabileyo)
• Izifundo zofuzo ukunceda ukufumanisa izifo ezithile, ezinjengesifo sikaHuntington
• Ukugqobhoza iLumbar
• I-MRI yentloko okanye yendawo echaphazelekayo
• Uhlalutyo lomchamo

Unyango lusekwe kuhlobo lwechorea umntu anayo. Ukuba amayeza ayasetyenziswa, umboneleli uya kuthatha isigqibo sokuba leliphi iyeza anokumisela ngokusekwe kwiimpawu zomntu kunye neziphumo zovavanyo.

Chorea; Iintshukumo zemisipha (ezingalawulwayo); Ukuhamba kwehyperkinetic

UJankovic J, uLang AE. Ukuchongwa kunye nokuvavanywa kwesifo seParkinson kunye nokunye ukuphazamiseka kokuhamba. Ku: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, ii-eds. I-Neurology kaBradley kwiKlinikhi yokuziqhelanisa. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2016: isahluko 23.

Umlenze AE. Ezinye iingxaki zokuhamba. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Umhla wama-25. IPhiladelphia, PA: Elsevier Saunders; I-2016: isahluko 410.