Indlela i-Neurologists ebeka ngayo abaHlengi abaqhelekileyo
Ukuze ufumane isigxina se-tumor, kwaye ngoko ke, ukhetho olungcono kunyango, kubalulekile ukwazi uhlobo lokuthuthumela. Makhe sijonge indlela iintlanzi ezihlelwa ngayo kwiindidi ezahlukileyo, kunye nesinye isigama esetyenziswayo ukuchaza iimpawu zezifo ezihlukeneyo.
Ukuvavanya kweentlanzi
Xa uvavanya umntu onentshukumo efana nokuthungatha ngomunwe okanye ukunyuka kwezandla, i-neurologist iyakubuza imibuzo malunga nento eyenza intuthuko ibe bhetele okanye ibuhlungu, nokuba yeyiphi na intsapho inentshukumo kunye naziphi na iimpawu ezingabonelela ngolu hlobo.
Ukusebenzisa le mbali, kwaye emva kokuvavanya umzimba, izazi ze-neurologists ziya kusebenzisa lonke ulwazi abadibeneyo ukufaka ukuthuthumela kwelinye leendidi eziliqela. Udidi ngalunye lunxulumene neentlobo ezahlukeneyo zesifo, kwaye ngoko ke zidibana neentlobo ezahlukeneyo zonyango.
Ukwenza ezi zigaba zilula ukuqonda, makhe siqale ukucacisa ezinye iigama-magama ongazenzayo apha.
Ukuchaza iintlanzi
Kukho amagama amaninzi asetyenziselwa ukuchaza intshukumo. Zininzi zezi zinto zisekelwe ekubeni izenzo (ukunyakaza) zenza ukuthuthumela kunzima.
- Ukuphumla ukuthuthumela - Intlanzi ekhoyo
- Inyikima ye-Action- Inyikima ebonakalayo xa inxalenye yomzimba ishukunyiswa
- Ukuzamazama kwenjongo - Inyikima yenjongo iphinda iqhutywe ngokunyakaza kodwa ibuhlungu xa usondela kumnqophiso
- Inyikima ye-Kinetic - Inyikima eyenzeka ngexesha lokunyakaza ngokuzithandela
- Iimpawu ezixhamliweyo zemiSebenzi - Izibhengezo ezenzeka kuphela ngezenzo ezithile
- Inyikima ye-Isometric - Ingqungquthela eyenzekayo xa inxalenye yomzimba ingagudluli kodwa iimisipha zithinteka. Umzekelo uvame ukusetyenziswa ukuba ukuxhaphaza iingalo zakho ngexesha lokuxhaswa xa isikhundla sakho siphethwe.
- Inyibiliko yePostural - Intlanzi eyenzekayo xa inxalenye yomzimba ibanjwe ngokukrakra (ukubamba iingalo zakho ngqo phambi kwakho)
Ukwahlula koBugcisa kwiiNdawo
Ukuba uhlobo lwakho lokuthuthumela oluhle ngokuchanekileyo lunokukunceda ufumane uhlobo olulungileyo lwenyango yakho. Ukwahlula kweentlanzi zilandelayo:
I-Physiologic Tremor
Wonke umntu unentshukumo ye-physiologic, nangona kaninzi ayibonakali kakhulu. Le ngqungquthela oye wayibona xa ubamba isandla sakho ngeminwe eyongeziweyo. Ingabonakala ngokugqithiseleyo (ngaloo ndlela ibe "ukukhushulwa komzimba") ngenxa yokuxhalaba, ukukhathala, ukuvuselela njenge-caffeine, umkhuhlane, ukuhoxiswa kotywala, isetyhu ephantsi yegazi, amanye amayeza kunye nokunye. Ukunyusiswa komzimba kuphuculwe xa isisombululo sisoloko silungiswa.
Umthunzi obalulekileyo
Inyikima ebalulekileyo yinkathazo eqhelekileyo, ichaphazela malunga neepesenti ezintlanu zoluntu. Le ntshukumo iqhubela phambili kwaye ihlala ichaphazela abantu emva kweminyaka engama-40. Izandla zihlala zichaphazeleka kakhulu. Inyikima yinto yokuthuthumela , isichazela ukuba ibaluleke kakhulu xa umntu ezama ukuzisebenzisa izandla zakhe ukwenza into ethile. Ekubeni ukuthuthumela kwenzeka xa wenza izinto, kunokubangela iingxaki eziphazamisayo ezifana nokucima ikhofi kunye nokulimala.
Inyikima ibuhlungu ngakumbi, ukuxinezeleka, okanye ukunyuka komzimba, kwaye ngamanye amaxesha kuphucula emva kokusela utywala obuncinane.
Ukudandatheka okubalulekileyo kudla rhoqo kwiintsapho, kodwa akukho gama esisodwa esiye safunyanwa ukuchaza intsingiselo. Inxalenye yengqondo echaphazelekayo inqabileyo ibalulekileyo, nangona abanye bakholelwa ukuba i-cerebellum okanye i-thalamus ingabandakanyeka.
Akusoloko kuyimfuneko ukuphatha unyango olubalulekileyo ngamayeza. Ukuba amayeza asetyenziswa, ipropranolol (i- beta-blocker ) kunye ne-primidone yonyango olwamkelekileyo kakhulu. Kakade ke, akukho myeza ayinayo imiphumo emihle, kwaye ingozi ebalulekileyo kufuneka iqwalaselwe malunga neenzuzo ezifanelekileyo zokuthatha nayiphi na imithi.
Funda kabanzi malunga nokujamelana kunye nokuphathwa ngentshukumo ebalulekileyo .
I-Parkinson Tremor
Inyikima ye-Parkinsonian ibonakala kakhulu xa izandla ziphumla. Oku kuye kwachazwa njenge-" pilill-rolling" ukuxubusha ekubeni ibukeka njengeklasi nje ukuba ipilisi iyakutywa phakathi kweesithupha kunye neminwe yesandla. Imilenze, i-chin, nomzimba inokubandakanywa. Njengezinye iintuthuzelo, ukuthuthumela kwe-Parkinsonian kunokugqithisa ngokunyamezela. Ngaphandle kwegama, ukuthuthumela kwe-Parkinson akusoloko kubangelwa isifo sika-Parkinson, kodwa kunokubangelwa nezinye izifo ezibangelwa yi- neurodeergenerative , iziyobisi, izifo kunye neesxibisi. Ukuba intshukumo ibangelwa yisifo sikaParkinson, ngokuqhelekileyo iqala ngaphezulu kwelinye icala lomzimba kunalo.
Ukuba imbangela yentshukumo ye- Parkinson isifo se-Parkinson , singaphendula kakuhle kwi-levodopa okanye kwezinye iyeza zemizimba ye-dopaminergic . Ezinye izinto zibandakanya izidakamizwa ze-amantadine kunye ne-anticholinergic.
IDystonic Tremor
I-Dystonia yintlupheko yentshukumo apho inkontileka yemisipha ingabandakanyekanga, kubangela ukungahambi ngendlela engafanelekanga enokuthi ibuhlungu. Inyikima ingabonisa isilungiso sokulungisa ukungaqhelekanga kwemisipha engaqhelekanga ngokuphindaphindiweyo. Ngokungafani nezinye iintlobo zentshukumo, ukuhamba okanye ukubamba umzimba ngendlela ethile kunokudakalisa intshukumo yedaystonic. Inyikima ingaphucula ngokuphumla okanye ngokuthinta inxalenye yomzimba (ngokuqhelekileyo kodwa akusoloko iyingxenye echaphazelekayo yi-dystonia).
Unyango lwe-dystonia , kunye ne-tremor ehambelanayo, ngokuqhelekileyo kwenziwa ngeenjini ze-toxin ezithintekayo. I-Clonazepam okanye imishanguzo ye-anticholinergic ingaba luncedo.
Cerebellar kunye neRubral Tremors
Ukuthungca kwe-cerebellar yeklasi yintshukumo yenjongo ithetha ukuba ibaluleke kakhulu ngexesha lomsebenzi woqhagamshelwano olunjengokunyakraza iqhosha. Inyikima iya kuba yimbi xa umnwe usondele ukufikelela ekujoliswe kuyo. Njengoko igama libonisa, ukuthuthumela kwe-cerebellar kubangelwa ngumonakalo kwi-cerebellum okanye kwiindlela zayo kwi-brainstem.
Ingqungquthela yeRubral yincinci encinane ye-cerebellar tremor. Iphuza, inkulu kwi-amplitude, kwaye iyakwenzeka kuzo zonke izikhokelo. Ngelishwa, akukho zonyango ezilula zokuthungulwa kwe-cerebellar. Ukuba kunokwenzeka, isizathu esiyintloko kufuneka sibhekiswe.
I-Orthostatic Tremor
Inyikima ye-orthostatic, imilenze kunye ne-trunk ziqala ukuthuthumela emva kokuma. Umntu onokugubungela nge-orthostatic angayi kubona ukuthuthumela kuninzi ukungaqiniseki emva kokuma. Iphucula ngokukhawuleza xa umntu ehleli phantsi. Unyango lunokuba yi-clonazepam okanye i-primidone.
Ukugubha kwengqondo
Njengayezinye iingxaki zengqondo ( iingxaki ze- psychosomatic), ukugubha kwe-psychogenic kukuxilongwa kokukhutshwa, oku kuthetha ukuba ezinye iintlobo zentshukumo mazibe zingabandakanywa. Inyikima yengqondo nayo ingathunyelwa njengento yokuthuthumela. Iimpawu ezibangelwa ngumthungelwano zengqondo ziquka ukuphazamiseka xa umntu ephazamisekile, ukutshatyalaliswa ngokukhawuleza emva kwesiganeko esixinzelelekileyo okanye ngokuthe ngandlela-thile nenye inguqu engaqondakaliyo kwicandelo lomzimba elichaphazelekayo. Ezinye iimpawu zokuguquka kwezifo okanye ukugula ngengqondo kunokunceda ekuhloleni ukuthuthumela kwengqondo.
Ufuna unyango
Kuzo zonke iziganeko zokuthuthumela, kubandakanywa ukuyikima kwengqondo, iinjongo eziphambili kufuneka zibe kunyango kwanoma yiyiphi imingcipheko engundoqo, kunokuba nje uphathe isifo (intshutshiso).
Unyango lwangokwenyama lunokuba luncedo lokuthuthumela.
Kwiimeko apho unyango lwezonyango kunye nezokwelapha ezingenakwaneleyo, kwaye ukugubungela kusenokuba yiyona nto inokukhubazeka, engakumbi inokungena, njengophando lobuchopho okanye ukuvuselela ingqondo , ingacingwa. Njengamaxesha onke, iinketho zokonyango kufuneka zixoxwe ngokucacileyo kunye nomboneleli wakho wenkonzo.
Imithombo
- Espay, A., Lang, A., Erro, R. et al. Izibilini ezibalulekileyo "kwi-Essential". Iingxaki zokuhamba . 32 (3): 325-331.
- Kasper, uDennis L .., u-Anthony S. Fauci, noStephen L .. Hauser. Iinqununu zeHarrison zeMithi yoPhakathi. ENew York: iMac Graw-Hill Education, 2015. Phrinta.
- UPandey, S., noN. Sarma. Ukugubha kwiDystonia. I-Parkinsonism kunye neengxaki ezinxulumene nazo . 2016. 29: 3-9.
- Schwingenschuh, P., noG. Deuschl. Ukugubha. I-Handbook ye-Clinic Neurology . 2017. 139: 229-233.