Ingqwalaselo yeDystonia

Umxholo

• Zithini iimpawu zedystonia egxile kuyo?
• Yintoni ebangela i-dystonia egxile kuyo?
• Ugqirha uyifumana njani i-dystonia egxile kuyo?
• Inganyangwa njani i-dystonia ekhaya?
• Luthini unyango lwezonyango lwe-dystonia egxile kuyo?
• Ukuvuselelwa kwengqondo enzulu
• Utyando lokhetho olukhethiweyo
• Uyintoni umbono we-focal dystonia?
• Ngaba kunokuthintelwa i-dystonia?

Yintoni idystonia egxile kuyo?

I-Dystonia yimeko ebangela intshukumo engazibandakanyi okanye engaqhelekanga.

Kukho iintlobo ezahlukeneyo zedystonia. I-dystonia yefocal ichaphazela ilungu elinye lomzimba, elihlala liyiminwe okanye izandla. Amagama ongezelelweyo oogqirha banokubiza i-dystonia egxile kubandakanya:

• i-dystonia yesandla
• Umsebenzi ojolise ngqo kwi-dystonia
• Inkampu / idystonia yasemsebenzini
• Idystonia ekhethekileyo yomsebenzi

IDystonia eyenzeka kwiimbaleki yaziwa ngokuba zii “yips”

Iimvumi zinamava aphezulu edystonia. Uqikelelo lwe-1 ukuya kwi-2 yepesenti yazo zonke iimvumi zobungcali ezinamava e-dystonia. Amadoda nawo kunokwenzeka ngakumbi kunabafazi ukuba bafumane i-dystonia egxile kuyo.

I-Dystonia nayo ixhaphakile:

• abathungi
• abalungisi beenwele
• abantu abachwetheza ikhompyuter uninzi lwemini yabo

Zithini iimpawu zedystonia egxile kuyo?

I-dystonia yefocal inokwenzeka gabalala kwiindawo ezahlukeneyo zomzimba. Imizekelo yeentlobo ze-dystonia egxile kunye neempawu zibandakanya:

• i-blepharospasm: ukujijeka kwamehlo
• i-dystonia yomlomo wesibeleko: xa izihlunu zentamo zijikeka okanye zibangela ukuba intamo ijike ngendlela engaqhelekanga, kungenjalo ibizwa ngokuba yi-torticollis
• I-oromandibular dystonia: ukugoba okanye ukutshixa kwemisipha yomhlathi
• i-spasmodic dysphonia: xa iintambo zezwi zingasebenzi ngokufanelekileyo kwaye umntu usenokuba nobunzima ekwenzeni izandi ezithile

Ukuba imvumi ine-dystonia egxile kuyo, banokufumanisa ukuba izandla zabo aziphenduli njengoko bekucwangcisiwe xa bezama ukudlala isixhobo.

Imizekelo yeempawu zibandakanya:

• iminwe ejikelezayo okanye ejijekileyo
• izandla "ezibandayo" okanye ziyeke ukuhamba ngokupheleleyo
• iminwe engcangcazelayo

Ngokwesiqhelo, iminwe echaphazeleka kakhulu yiminwe yesine neyesihlanu.

Yintoni ebangela i-dystonia egxile kuyo?

I-dystonia egxile sisiphumo sotshintsho kwindlela imithambo-luvo yamalungu omzimba enxibelelana ngayo nengqondo. Ngenxa yoko, imiyalelo evela kwingqondo ayihambelani nentshukumo oyifunayo. I-Dystonia Medical Research Foundation ifanisa usulelo lwe-nerve oluchaphazelekayo "yintsholongwane yekhompyuter" okanye "i-hard drive crash" yenkqubo kunye nokuhamba kwangaphakathi komntu.

Uninzi lwezinto ezibangela i-dystonia egxile ikakhulu, oko kuthetha ukuba ugqirha akanakuchonga imeko yezonyango ebangela ukuba i-dystonia egxile kuyo. Nangona kunjalo, ezinye iintlobo ze-dystonia egxile kwinqanaba lesibini. Oku kuthetha ukuba umntu unokunxibelelanisa i-dystonia yakhe yokugxila kwimeko yezonyango okanye unobangela. Imizekelo inokubandakanya:

• ukwenzakala kwilungu lomzimba elichaphazelekayo
• usulelo
• impendulo engathandekiyo kumayeza
• ityhefu yekharbon monoksayidi
• Isifo sikaParkinson
• ukubetha

Iimvumi ezinamava e-dystonia egxile ekubeni nakho ukudibanisa unobangela wokubuyela kutshintsho kwimikhwa yabo, enje:

• ukwanda kwenani lokusebenza okanye ixesha lokusebenza
• utshintsho kubuchule
• utshintsho olwenziwe ngenxa yokwenzakala kwemithambo-luvo
• ukudlala uhlobo olutsha lwesixhobo

Imeko yendalo esingqongileyo kunye nemvelaphi yemfuza inokudlala indima kokubini kwi-dystonia yomntu. Nangona kunjalo, abaphandi abachonganga i-gene ethile okanye i-genes ebangela i-dystonia egxile kuyo. Kuqikelelwa iipesenti ezili-10 zabantu abane-dystonia egxile ekubeni nembali yosapho.

Ugqirha uyifumana njani i-dystonia egxile kuyo?

Ngexesha lokuqeshwa kwakho, ugqirha wakho uya kubuza malunga nembali yakho yezonyango, imisebenzi kunye namayeza owathathayo. Baza kwenza novavanyo lwenxalenye yomzimba echaphazelekayo.

Iimpawu ze-dystonia egxile ekujongeni zihlala zilingisa ukonzakala okungaphezulu, njenge-carpal tunnel. Nangona kunjalo, i-dystonia egxileyo yenzeka ngenxa yotshintsho kwingqondo, hayi ukwenzakala kwimithambo-luvo okanye ezandleni. Ngamanye amaxesha i-dystonia ekugxilwe kuyo inokuchongwa gwenxa njengokulimala kokusebenzisa gwenxa.

Ugqirha wakho uya kuzama ukulawula ukubanjwa kwemithambo-luvo kunye nokusebenzisa kakhulu ukulimala njengezizathu zeempawu zakho.

Banoku-odola kuvavanyo oluninzi kubandakanya:

• kuvavanyo lwegazi ukukhangela iimpawu zosulelo
• i-electromyography yokujonga umsebenzi wombane kwimisipha yakho
• iMRI okanye iCT scan ukujonga amathumba okanye izilonda kwingqondo yakho

Inganyangwa njani i-dystonia ekhaya?

I-dystonia egxile ekuchaphazeleni ulwazi lokuqhubekeka kwengqondo olusebenzisa ingqondo ukwenza intshukumo. Utshintsho oluncinci kwindlela umntu asiphethe ngayo isixhobo okanye utshintsho kubume phantsi kweminwe kunganciphisa imeko ye-dystonia egxile kuyo.

Umzekelo, igitare ene-focal dystonia inokufumana isiqabu kwiimpawu zayo ngokunxiba iglavu encinci xa idlala.

Enye indlela inokutshintsha i-engile yekhibhodi yekhompyuter. Abanye abadlali bepiyano banokufumanisa ukuba banokudlala kwikhibhodi yombane endaweni yepiyano yesiko kuba amaqhosha anokuhluka okwahlukileyo.

Ukolula indawo ezichaphazelekayo kunokunceda ukunciphisa ukungonwabi okunxulunyaniswa ne-dystonia egxile kuyo. Nxibelelana nonyango oluchanekileyo ukuze ubone ezona ndlela zokuzilolonga zikhuselekileyo kunye nohlobo olukhuselekileyo lwe-dystonia.

Luthini unyango lwezonyango lwe-dystonia egxile kuyo?

Akukho lunyango lwangoku lwe-dystonias ezigxile, nokuba kungonyango okanye ekhaya. Nangona kunjalo, zikhona ezinye iindlela zonyango eziye zafezekiswa ngempumelelo. Oku kubandakanya ukuthatha amayeza abizwa ngokuba yi-anticholinergics. Oogqirha banokumisela iyeza elibizwa ngokuba yiArtane (trihexyphenidyl), i-anticholinergic. Eli yeza linceda ukuthintela ukuhanjiswa kwemithambo-luvo kwiimisipha ezichaphazelekayo. Nangona kunjalo, banokubangela iziphumo ebezingalindelekanga ezibandakanya umlomo owomileyo kunye nobunzima bokuchama. Amanye amayeza, anjenge tetrabenazine, anokusetyenziswa, kodwa iziphumo ebezingalindelekanga zibandakanya ukozela, unxunguphalo, okanye uxinzelelo.

Inaliti ye-botulinum toxin (BOTOX) inokunceda ngobuqili buthathaka izihlunu ezichaphazelekayo zesandla. Oku kunokunceda ukunciphisa imeko ye-dystonia enxulumene ne-spasms.

Kwiimeko ezinzima, ugqirha unokucebisa iinkqubo zotyando. Iinkqubo zotyando ze-dystonia egxile zibandakanya:

Ukuvuselelwa kwengqondo enzulu

Ii-electrode zifakelwe kwinxalenye yengqondo elawula izihlunu ezichaphazelekayo. Ezi electrode zidityaniswe kumvelisi ofakwe esifubeni sakho. Umvelisi ukhupha imiqondiso yombane ukunceda ukulawula ukushukuma kwezihlunu.

Utyando lokhetho olukhethiweyo

Olu tyando luya kugcinelwa abantu abangakhange bakwazi ukulawula iimpawu zabo ngalo naluphi na olunye unyango. Kule nkqubo, imithambo-luvo elawula ukungqubana kwezihlunu iya kunqunyulwa.

Uyintoni umbono we-focal dystonia?

I-dystonia egxile emntwini inokusasazeka kwamanye amalungu omzimba. Icandelo le-dystonia lichaphazela amalungu omzimba amabini ahambelanayo. I-multifocal dystonia ichaphazela amalungu amaninzi omzimba. Uqikelelo lweedystonias ezijolise ekusasazeni kwenye indawo yomzimba. Ukusebenza nogqirha kunokunceda ukunciphisa iimpawu ezinxulumene ne-dystonia egxile kuyo.

Ngaba kunokuthintelwa i-dystonia?

Oogqirha bayazi ukuba i-dystonia egxile ikakhulu ichaphazela abantu abathile, njengeemvumi. Nangona kunjalo, banobunzima ekuqikeleleni ngokuthe ngqo ukuba ngubani onokuchaphazeleka kuba abayiqondi unobangela wayo. Kodwa bayazi ukuba izinto ezithile zinokuyenza mandundu i-dystonia. Oku kubandakanya:

• uxinzelelo olugqithisileyo
• ukudinwa
• ukuthetha ngokugqithiseleyo
• ukuphazamiseka okugqithisileyo

Ukuthintelwa kwezi zinto zigqithisileyo kunokunceda ukulawula imeko kunye nokuthintela i-dystonia ekubeni mandundu.