Izinketho zezoNyango kunye nokuPhepha kule Nkcazo
Inyikima ebalulekileyo ichaphazela umntu oyedwa kwi-20 e-United States kwaye iya kuba yinto eqhelekileyo njengoko sibudala. Nangona inkqubo yesifo ayisongelo lobomi, inyikima ingabacaphukisa kwaye iyancipha kwabanye abantu.
Ngenxa yokuba ukuzamazama kuqhubeka ngakumbi xa abantu bezama ukusebenzisa izandla zabo, kungenza imisebenzi yemihla ngemihla, njengokusela kwendebe okanye ukubhala ileta, ibe ngumngeni.
Ukongezelela, abaninzi banokuthothozela ukunyaniseka kweentlalo.
Ukujamelana Neentlanzi Ezibalulekileyo
Abantu abaninzi banqwenela ukuphatha unyango olubalulekileyo kunye neyeza okanye utyando. Ukuba ukuthuthumela kubangela kuphela inani elincinci lokukhubazeka, ingozi yemiphumo yempembelelo ingadlula ukuphazamiseka kwesidima. Kule miqathango, abantu bafunda indlela yokwenza uhlengahlengiso kwimpilo yabo ukuze bahlalise. Ezinye iingcebiso zibandakanya oku kulandelayo:
- Sebenzisa isandla ngokunciphisa ubuncinane kangangoko kunokwenzeka, okanye sebenzisa izandla ezimbini ukuze uzinze.
- Sebenzisa iibhondi kunye neengcambu ukuze ugweme ukutywala.
- Nika ingqalelo kwizinto ezenza ukugqithisa kwakho kube nzima (uxinzelelo, i-caffeine, ukukhathala) kwaye wenze okusemandleni akho ukuphepha ezo zinto.
- Sebenzisa iipenki ezinzima kunye nezitya zokutya.
- Ukuba kwindawo yokutyela, cela inyama inqunywe ekhitshini, okanye yenza umyalelo wokutya ngomunwe ukuphepha izitsha. Cinga ukucela ukuba iiglasi zizaliswe kuphela.
- Shintsha indlela yakho yokusa ngokusebenzisa i-razor kagesi yokucheba, kunye ne-brush yezinyo zombane ukuphucula ukulawulwa kweentshukumo zakho.
- Gxininisa izandla zakho ngokuphumla izibhambathiso zakho kwi-countertop okanye ukukhokelela esinye isandla xa wenza ukunyakaza okulungileyo, okufana nokuseta.
- Zama ukubhala kwindawo epholileyo, njengemagazini, ukuze ulawule ukuthuthumela xa ubhala. Phrinta endaweni yokubhala i-cursive.
- Khetha iifowuni ngamaqhosha amakhulu. Cinga ukusebenzisa i-headset okanye ifowuni, kunye nokufowunelwa kwezwi.
- Hlela ikhomputha yakho ukuba ungayihoyi imivalo emibini kwibhodibhodi. Cinga iteknoloji eyaziwayo ngezwi.
Unyango lwezonyango olubalulekileyo
Ukuba ukugubhazela kukuphazamisa, unokukhetha ukuthatha imithi yokunciphisa iimpawu. Amachiza aqhelekileyo afaka i- beta-blockers , njengepropranolol. Ukusebenza kwale mayeza kuyahlukahluka kumntu kumntu, kodwa kunokuba luncedo ekulawuleni ukuthuthumela kwesandla, kunye nokuba nomthelela othile kwintloko, ilizwi kunye nolwimi.
I-Beta-blockers nayo igalelo lonyango lwegazi, ngoko kunokwenzeka ukuba uxinzelelo lwegazi lungahle lube lukhulu kakhulu, okubangelwa kukukhanya kwimiba. I-Beta-blockers nayo ilawula isantya senhliziyo ngokuthoba intliziyo, enokubangela ingxaki ukuba izinga lakho lentliziyo sele lincinci. Abantu abane-asthma mabaqaphele ngokusebenzisa i-beta-blockers, njengoko eli nqanaba lonyango lingalimaza ukuhlaselwa kwe-asthma . Kwakhona, kubantu abanesifo sikashukela, i-propranolol inokuthi ifake iimpawu ze- hypoglycemia , okwenza kube nzima kwizigulana ukuxelela xa isetyhi yegazi iphantsi.
I-Primidone yinye imithi ewusizo ebalulekileyo. Eli nyanga liyi-anticonbulsant kodwa liye laboniswa ngamanye amaxesha likhokelela ekunciphiseni ngokupheleleyo ukugubungela okubalulekileyo.
Iziphumo eziqhelekileyo ezisecaleni ze-primidone ziquka isisulu, isisulu sezulu, ukuxhamla, kunye nokulala. Amanye amaninzi amachiza anomlinganiselo othile wokuncedisa ekudandeni okubalulekileyo kodwa athambekele ekusebenziseni ngaphantsi kwepropranolol okanye i-primidone. La mayeza aquka
- Atenolol
- Sotalol
- Topamax (topiramate)
- Neurontin (gabapentin)
- Xanax (alprazolam)
Amachiza ahlaziywayo athathwe ngomlomo, kwaye athambekele ekuncedeni ukuthuthumela kwesandla ngaphezu kwenyikima yentloko okanye ilizwi. Izilwanyana ze-botulinum I-A (iBotox) ibonise enye insiza ekuphatheni ikhanda okanye ukuthuthumela kwezwi. Izigulane kwiingalo ziye zazama kunye nempumelelo ethile.
I-Botox isebenza ngokubuthathaka kwemizimba, kwaye ngoko kufuneka ijojowe ngokunyamekileyo ukuphepha ubuthathaka obuba ngumqobo ongaphezu kwesithintelo ngokwayo.
Ukunyangwa koPhando oluBalulekileyo
Xa ukugungqiswa okubalulekileyo kukukhubaza ngokwenene, kwaye amayeza ayisebenzanga, unyango olunokuthi lucatshungulwe. Ezi ziquka iinkqubo ezibizwa ngokuba yi-stereotaxic thalamotomy okanye i-thalamic yokuvuselela ingqondo.
I-thalamotomy ye-stereotactic ibandakanya ukudala izilonda zokuhlinzwa kwi-thalamus. Le nkqubo ayinakuphikiswa kodwa ngoku kutshatyalaliswa inzuzo eyongeziweyo kunye neziphumo ezimbi ezimbalwa ngenxa yokuqhubela phambili kwiindlela zobuchule.
Ukuvuselela ingqondo ejulile kubandakanya i-electrodes ibekwe kwiindawo zengqondo echaphazelekayo. Xa i-stimulator ivuliwe, umphumo kukuhlalisa iingcambu ezingekho phantsi kweengqondo, ezikhokelela ekunciphiseni. Oku kuguqulwa kwaye kukho iziphumo ezingcono kunokuba ithalamotomy, kodwa iyabiza kwaye idinga ixesha kunye nomzamo wokutshintshwa kwebhetri kunye nokulungiswa kwezixhobo kunye nokuhlengahlengiswa. Ngokuxhomekeka apho iindawo zombane zifakwe khona, unokuba nemiphumo emibi njengentetho ekhethiweyo, i-paresthesias, okanye iimpazamo ezingavamile zesisu.
Iinkqubo zokuphanda kufuneka ziqwalaselwe kuphela ukuba imishanguzo ayizange ilawulwe ingqungquthela kwaye inyikima iyakhubaza. Ukongezelela, abantu abanokukhubazeka kwengqondo kunye nezifo zonyango ezingaqinisekanga bayacetyiswa ukuba bangaba nale nkqubo.
Imithombo:
I-International Essential Tremor Foundation. Ngokubaluleka Okubalulekileyo.
Zesiewicz, TA, et al. (2011). Uhlaziyo oluxhomekeke kwisibonakaliso-esekelwe kwimiqondiso: unyango lobungcipheko obalulekileyo: ingxelo yekomiti yamanqanaba eMigangatho ye-American Academy ye-Neurology. Neurology, Novemba 8; 77 (19): 1752-5. Epub 2011 Oct 19. Ukuphonononga.
INKCAZELO: Ulwazi olukule ndawo lusezinjongo zemfundo kuphela. Akufanele isetyenziswe njengendawo yokunyamekelwa ngumntu ogqirha. Nceda ubone ugqirha wakho ukuze ufumane unyango kunye nonyango malunga nayiphi na impawu okanye imeko yonyango .