I-Torticollis yinkinga ye-musculoskeletal eyenziwa ngumnqophiso wemisipha yentamo. Ngokuqhelekileyo, i-torticollis ibonakala ngesikhundla apho intloko ijikezela kwelinye icala, okwenza ukuba, ngokukhawuleza, ijikeleze kwicala eliphambene (i-chinki ibonisa kwicala apho ikhanda lijikelezwa khona). Imisipha yentamo echaphazelekayo kwi-torticollis iya ngaphaya kohlobo oluqhelekileyo lokunyakaza; Ukunyuka okubandakanyekayo kule meko kuhamba , kwandiswa kunye nokujikeleza .
Elinye igama le-torticollis "yintamo."
Ngubani ofumana i-Torticollis?
I-Torticollis ithintela kubantwana kunye nabantu abadala. Abantwana abazalelwa kuwo (kule ngxaki kuthiwa yi-congenital torticollis) banokuthi babe nesimo esitshintshileyo sekhanda ngelixa besesisu. Ukulimala kwiimisipha kunye / okanye ukunikezelwa kwegazi ngelixa sisesibelekweni sisinye isizathu esibangela ukuba i-torticollis yokuzalwa.
I-Torticollis ingaba yimizimba okanye ifumaneke. I-torticollis ye-Genetic ikhula ngokukhawuleza kwaye iquka ingqondo yakho kunye nenkqubo yesifo. Ukuba unolu hlobo lwe-torticollis, kubalulekile ukuba ufumane unyango kwaye uphathwe ngokukhawuleza xa ubona iimpawu. Ngonyango lokuqala, unako ithuba elihle lokunciphisa okanye ukuphelisa amathuba okuba unaphakade (ukuhlala uhlala entanyeni yakho ngesimo esiphambeneyo).
I-torticollis efunyenwe ngokubanzi ibangelwa yintlungu okanye isabela kumachiza, kwaye ithathwa njengesimo esibi.
(I-torticollis efanelekileyo kukuba ukulawulwa ngokuqhelekileyo kwemisipha yakho yentamo.)
Izizathu kunye neengozi
Njengoko kuchazwe ngasentla, ukuxhwaleka kukubangela esinye isizathu kunye nomngcipheko we-torticollis, kuba ukuxhwalaleka kunokubangela ukuqhuma kwe-muscle, okungathatha intamo yakho ngaphandle kokulungelelaniswa.
Usulelo lwesinye isisombululo se-torticollis: izifo zihlala zichaphazela zakho izilonda kunye ne-lymph nodes (i-torticolous inflammatory), kwaye xa oko kwenzeka, isiphumo sinokuba sisiphazamiso kwisistim esiphezulu ngaphaya kwezo zakhiwo.
Ezinye iziyobisi zingabangela ukuqhaqhazeka ngokukhawuleza kwentamo, ubuso kunye / okanye imisipha yangasemva yangasemva (i-torticollic acute). Oku kuya kwenzeka kokubili kwizidakamizwa ezimiselweyo ezifana neTrazine, kunye neziyobisi zokuzonwabisa ezifana ne-cocaine okanye i-amphetamines. Ukuthatha ezi ntlobo zamachiza kubonwa njengengozi ye-torticollis.
Ezinye izimbangela ze-torticollis zibandakanya izicubu ezinqabileyo , izicubu, intamo ye-arthritis , kunye nokunye.
Ngokumalunga noxinzelelo kunye nokuthatha iindidi zamachiza echazwe ngasentla, imbali yentsapho ye-torticol kunye nokungaqhelekanga kwentamo ekuzalweni nayo yingozi.
Iimpawu eziqhelekileyo
Ngoko unokwazi njani ukuba unayo i-torticollis? Okanye ubuncinane ukuba ufanele ubone ugqirha wakho?
Ngokusekelwe kwinto yokuba i-torticollis ibonisa njengendawo apho ikhanda lijikelelwe kwelinye icala, le nto yokuqala ukuyiqonda. Kwakhona, uya kuba novelwano okanye intlungu entanyeni yakho nasentanjeni yehlombe.
Kwaye kunokuba kubuhlungu okanye kunzima, ukuba kungenakwenzeka, ukuzama ukuhambisa intloko yakho kwicala elibhekiselele kuyo "uhlale unamathele." Ezinye izinto zokuthatha ingqalelo ziquka intloko, intlungu, intlungu, kunye neentlungu ezitshisayo. Ukuba unayo le mpawu, khangela ugqirha wakho.
Ukuxilongwa
Ngokugqithiseleyo oogqirha baxilonga i-torticollis ngokuthatha imbali yezokwelapha, ukwenza uvavanyo lomzimba, kunye ne-torticollis eyenziwa ngengozi, ngokuthatha ii-ray-ray.
Ngamanye amaxesha i-CT scan iyadingeka.
Unyango
Ngokuqhelekileyo, i-torticollis ayisongelo lobomi. Ngaloo nto uthe, ezinye iimpawu zibonisa ukulimala okanye ukucasula kwiinkqubo zesistim sakho semisipha (oko kukuthi ingqondo kunye / okanye intambo yomthambo). Ukuba unayo impawu, nokuba zikhona iimpawu ze-torticollis, kufuneka ufike kwigumbi lokuxakeka, ngokukhawuleza. Iimpawu ziquka:
- Ukuphefumula okunzima
- Unzima ukugwinya
- Unzima ukuthetha
- Unzima ukuhamba
- Ubuthathaka, ukuphazamiseka okanye izikhonkwane kunye neenaliti kwimilenze yakho nasemilenzeni
- I-incontinence (i-urinary okanye i-fecal)
Ukuba unemisipha ye-neck-muscle kunye nomkhuhlane, izigulane ezivuvuzayo, ukuqina kwentamo, intloko yesifo kunye / okanye ukuvuvukala, fumana unyango ngokukhawuleza.
Ukuba unentlungu kunye nobunzima entanyeni yakho, jonga ugqirha wakho ngokukhawuleza ukuba unako, kodwa akudingeki ukuba uye kwigumbi lexakeka.
Injongo yonyango oluninzi lwe-torticollis ukukhupha imisipha yentamo kwi-spasm okanye kwisivumelwano. Unyango oluthile luquka unyango, unyango lomzimba, ukunweba, ukusetyenziswa kwezixhobo zomzimba kunye nokuhlinzwa. Amachiza aqhelekileyo anikwe abantu abane-torticollis aquka izihlunu zokuzihlaziya kunye nokuchasene nezidumbu.
Izigulane ezininzi zibika ukuba iilenki ze-botulinum toxin, oko kukuthi i-Botox, inceda iimpawu zabo.
Ukuba uphathwe nge-torticollis enamandla, unako ukulindela ukuba ubuyele kwinto eqhelekileyo kwiintsuku ezimbalwa kwiiveki ezimbalwa. Ukuba emva kwesi sixa sexesha (kunye nonyango) intlungu yakho kunye neentlupheko azihlali, ungadinga ukuthunyelwa kwingcali-nokuba yi-neurologist okanye ugqirha.
Ugqirha kunye neNkqubo ze-Spasmodic Torticollis kunye neCervical Dystonia
Ukuhlinzwa ngokubanzi kubandakanya ukusika iimbilini ezijongene nokudlulisa imiphumo yokuqhekeza kwimisipha yentamo, kodwa akunakunikwa. Ingcipheko yokuhlinzwa yinto yokuba rhoqo isifo esonteleyo sesifo sibuyela emva kweenyanga ezimbalwa emva kokuhlinzwa.
Enye inqubo eyenza ukufumana umthamo ekhatyweni kwe-torticollis ishukumisa ubuchopho obunzulu, ngokuqhelekileyo ebizwa ngokuba unyango lwesifo sika-Parkinson . Xa sisetyenziselwa i-torticollis-kule meko, i-spasmodic torticollis, eyaziwa nangokuthi i-dystonia yentsholongwane-ibandakanya ukubeka ifowuni efana ne-pacemaker (kuphela yengqondo) kwindawo ekukholelwa ngayo ukuba i-torticollis ivela.
Imithombo:
Cunha, uJohn P. DO, FACOEP, Davis, Charles Patrick, MD, PhD. Torticollis. kwiMedicineHealth iwebhusayithi.
I-Dressler D. I-botulinum isxin ekwenzeni unyango lwe-dystonia. Eur J Neurol. 2010 Julayi; Isibonelelo 1: 88-96. i-doi: 10.1111 / j.1468-1331.2010.03058.x.
Krauss JK. Unyango lophando lwe-dystonia. Eur J Neurol. 2010 Julayi; 17 Isibonelelo 1: 97-101. i-doi: 10.1111 / j.1468-1331.2010.03059.x.
Ubungqingili beBrain Stimulation (DBS). Iwebhusayithi yeSizwe ye-Spasmodic Torticollis.
Torticollis. Medline Plus. Iziko zeSizwe zezeMpilo (NIH). Kugqitywe ngokutsha ngoMeyi 21 ngo-2012.