Kutetemera kofunikira

Kutetemera kofunikira (ET) ndi mtundu wamagulu osunthika osagwirizana. Ilibe chifukwa chodziwika. Kudzipereka kumatanthauza kuti mumanjenjemera osayesera kutero ndipo simutha kuyimitsa kugwedezeka kwanu.

ET ndiye mtundu wankhanza wambiri. Aliyense ali ndi kunjenjemera kwina, koma mayendedwe nthawi zambiri amakhala ocheperako kotero kuti sangathe kuwoneka. ET imakhudza amuna ndi akazi. Amakonda kwambiri anthu azaka zopitilira 65.

Chifukwa chenicheni cha ET sichidziwika. Kafukufuku akuwonetsa kuti gawo laubongo lomwe limayendetsa kusuntha kwa minofu siligwira bwino ntchito kwa anthu omwe ali ndi ET.

Ngati ET imachitika m'mabanja opitilira m'modzi, amatchedwa kunjenjemera kwa banja. Mtundu uwu wa ET umadutsa kudzera m'mabanja (obadwa nawo). Izi zikusonyeza kuti majini amatengapo gawo pazomwe zimayambitsa.

Kugwedezeka kwamtundu wambiri nthawi zambiri kumakhala gawo lalikulu. Izi zikutanthauza kuti muyenera kungopeza jini kuchokera kwa kholo limodzi kuti mupange kunjenjemera. Nthawi zambiri zimayambira msinkhu wapakatikati, koma zimawoneka mwa anthu okalamba kapena ocheperako, kapena ana.

Kunjenjemera kumawonekeratu m'manja ndi m'manja. Manja, mutu, zikope, kapena minofu ina imatha kukhudzidwanso. Kutetemera sikumachitika kwenikweni m'miyendo kapena m'mapazi. Munthu yemwe ali ndi ET atha kukhala ndi vuto logwira kapena kugwiritsa ntchito zinthu zazing'ono monga siliva kapena cholembera.

Kugwedezeka nthawi zambiri kumakhudza mayendedwe ang'onoang'ono, othamanga omwe amapezeka 4 kapena 12 pamphindikati.

Zizindikiro zenizeni zimatha kuphatikiza:

• Kugwedeza mutu
• Kugwedeza kapena kunjenjemera kwa mawu ngati kutetemera kukhudza bokosi lamawu
• Mavuto polemba, kujambula, kumwa chikho, kapena kugwiritsa ntchito zida ngati kunjenjemera kukhudza manja

Kutetemera kungachitike:

• Zimapezeka pakuyenda (kunjenjemera kokhudzana ndi zochita) ndipo mwina sikuwoneka pang'ono ndi kupumula
• Bwerani ndi kupita, koma nthawi zambiri mumakula ndi ukalamba
• Worsen ndi nkhawa, caffeine, kusowa tulo, ndi mankhwala ena
• Osakhudza mbali zonse ziwiri za thupi chimodzimodzi
• Sinthani pang'ono pakumwa pang'ono mowa

Wothandizira zaumoyo wanu amatha kukupatsani matendawa pofufuza komanso kufunsa za mbiri yanu yazachipatala komanso mbiri yanu.

Mayeso angafunike kuti athetse zifukwa zina zakunjenjemera monga:

• Kusuta ndi fodya wopanda utsi
• Chithokomiro chopitilira muyeso (hyperthyroidism)
• Kusiya mwadzidzidzi mutamwa kwambiri kwa nthawi yayitali (kusiya mowa)
• Kafeini wambiri
• Kugwiritsa ntchito mankhwala ena
• Mantha kapena nkhawa

Kuyezetsa magazi ndi maphunziro ojambula (monga CT scan of the head, brain MRI, and x-ray) nthawi zambiri amakhala abwinobwino.

Chithandizo sichingakhale chofunikira pokhapokha zivomerezi zitasokoneza zochitika zanu za tsiku ndi tsiku kapena kuchititsa manyazi.

KUSAMALIRA KWA PANSI

Kutetemera kumakulirakulira chifukwa cha kupsinjika, yesani njira zomwe zingakuthandizeni kupumula. Pazifukwa zilizonse, pewani tiyi kapena khofi ndikugona mokwanira.

Kunjenjemera komwe kwayambitsidwa kapena kukulitsidwa ndi mankhwala, kambiranani ndi omwe amakuthandizani za kuyimitsa mankhwalawo, kuchepetsa mlingo, kapena kusintha. Osasintha kapena kusiya mankhwala aliwonse panokha.

Zivomezi zazikulu zimapangitsa kuti zikhale zovuta kuchita zochitika za tsiku ndi tsiku. Mungafunike kuthandizidwa ndi izi. Zinthu zomwe zingathandize ndi monga:

• Kugula zovala ndi zomangira za Velcro, kapena kugwiritsa ntchito zingwe zama batani
• Kuphika kapena kudya ndi ziwiya zomwe zimakhala ndi chogwirira chokulirapo
• Kugwiritsa ntchito mapesi kumwa
• Kuvala nsapato zotsalira ndikugwiritsa ntchito ming'alu

MANKHWALA OGWIRITSA NTCHITO

Mankhwala angathandize kuthetsa zizindikiro. Mankhwala omwe amagwiritsidwa ntchito kwambiri ndi awa:

• Propranolol, beta blocker
• Primidone, mankhwala omwe amagwiritsidwa ntchito pochiza khunyu

Mankhwalawa amatha kukhala ndi zovuta zina.

• Propranolol imatha kubweretsa kutopa, mphuno yothinana, kapena kugunda kwamtima pang'ono, ndipo imatha kupangitsa kuti mphumu ichuluke.
• Primidone imatha kuyambitsa kuwodzera, kuvutikira, kusanza, komanso mavuto kuyenda, kulimbitsa thupi, komanso kulumikizana.

Mankhwala ena omwe amachepetsa kunjenjemera ndi awa:

• Mankhwala otetezera
• Zowononga zofatsa
• Mankhwala a magazi otchedwa calcium-channel blockers

Majekeseni a Botox operekedwa m'manja atha kuyesedwa kuti achepetse kunjenjemera.

KUGWIDWA

Zikakhala zovuta, opareshoni atha kuyesedwa. Izi zingaphatikizepo:

• Kuyang'ana ma x-ray opatsa mphamvu kwambiri m'dera laling'ono la ubongo (stereotactic radiosurgery)
• Kukhazikitsa chida cholimbikitsa muubongo kuti muwonetse dera lomwe limayendetsa mayendedwe

ET si vuto lowopsa. Koma anthu ena amawona kunjenjemera uku kukhumudwitsa komanso kuchititsa manyazi. Nthawi zina, zitha kukhala zosangalatsa mokwanira kusokoneza ntchito, kulemba, kudya, kapena kumwa.

Nthawi zina, kunjenjemera kumakhudza zingwe zamawu, zomwe zimatha kubweretsa zovuta pakulankhula.

Itanani omwe akukuthandizani ngati:

• Mukunjenjemera kwatsopano
• Kugwedezeka kwanu kumapangitsa kuti zikhale zovuta kuchita zochitika za tsiku ndi tsiku
• Muli ndi zovuta zoyipa zamankhwala ogwiritsira ntchito kuthana ndi kunjenjemera kwanu

Zakumwa zoledzeretsa pang'ono zingachepetse kunjenjemera. Koma vuto lakumwa mowa limatha kuyamba, makamaka ngati banja lanu lidakumana ndi mavuto otere.

Kugwedezeka - kofunikira; Kugwedezeka kwabambo; Kugwedeza - kwa banja; Benign kunjenjemera kofunikira; Kugwedezeka - kunjenjemera kofunikira

• Central dongosolo lamanjenje ndi zotumphukira zamanjenje

[Adasankhidwa] Bhatia KP, Bain P, Bajaj N, et al. Chigwirizano chazomwe zagawidwa monga kunjenjemera. kuchokera kwa omwe agwira ntchito pa kunjenjemera kwa International Parkinson ndi Movement Disorder Society. Kusokonezeka Kwa Magalimoto. 2018; 33 (1): 75-87. PMID: 29193359 pubed.ncbi.nlm.nih.gov/29193359/.

Hariz M, Blomstedt P. Kuwongolera kwakunjenjemera. Mu: Winn HR, mkonzi. Opaleshoni ya Youmans ndi Winn Neurological. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2017: mutu 87.

Matenda a Jankovic J. Parkinson ndi zovuta zina zoyenda. Mu: Daroff RB, Jankovic J, Maziotta JC, Pomeroy SL, olemba. Neurology ya Bradley mu Kuchita Zachipatala. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2016: chap 96.

Okun MS, Lang AE. Zovuta zina zoyenda. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: mutu 382.