Kugwedezeka kwa mankhwala osokoneza bongo

Kugwedezeka kwamankhwala osokoneza bongo ndikunjenjemera kosafunikira chifukwa chogwiritsa ntchito mankhwala. Kudzipereka kumatanthauza kuti mumanjenjemera osayesera kutero ndipo simungathe kuyima mukayesa. Kugwedezeka kumachitika mukamayenda kapena kuyesa kugwira mikono, manja, kapena mutu wanu mwanjira inayake. Sichikugwirizana ndi zizindikiro zina.

Kugwedezeka kwamankhwala osokoneza bongo ndi njira yosavuta yamanjenje komanso kuyankha kwamankhwala pamankhwala ena. Mankhwala omwe angayambitse kunjenjemera ndi awa:

• Mankhwala a khansa monga thalidomide ndi cytarabine
• Mankhwala olanda monga valproic acid (Depakote) ndi sodium valproate (Depakene)
• Mankhwala a mphumu monga theophylline ndi albuterol
• Mankhwala opondereza chitetezo cha mthupi monga cyclosporine ndi tacrolimus
• Zolimbitsa thupi monga lithiamu carbonate
• Zolimbikitsa monga caffeine ndi amphetamines
• Mankhwala osokoneza bongo monga serotonin reuptake inhibitors (SSRIs) ndi tricyclics
• Mankhwala amtima monga amiodarone, procainamide, ndi ena
• Maantibayotiki ena
• Mankhwala enaake monga acyclovir ndi vidarabine
• Mowa
• Chikonga
• Mankhwala ena othamanga magazi
• Epinephrine ndi norepinephrine
• Mankhwala ochepetsa thupi (tiratricol)
• Mankhwala ochuluka a chithokomiro (levothyroxine)
• Tetrabenazine, mankhwala ochizira matenda osokoneza bongo

Kutetemera kungakhudze manja, mikono, mutu, kapena zikope. Nthawi zambiri, thupi lakumunsi limakhudzidwa. Kugwedeza sikungakhudze mbali zonse ziwiri za thupi mofanana.

Kugwedezeka nthawi zambiri kumakhala kofulumira, pafupifupi mayendedwe 4 mpaka 12 pamphindikati.

Kutetemera kungakhale:

• Episodic (yomwe imayamba kuphulika, nthawi zina pafupifupi ola limodzi mutamwa mankhwala)
• Zosasintha (zimabwera ndikupita ndi zochitika, koma osati nthawi zonse)
• Zosowa (zimachitika nthawi zina)

Kutetemera kungathe:

• Zimachitika mwina ndi kuyenda kapena kupumula
• Zimasowa tulo
• Zikukulirakulira ndi kuyenda kodzifunira komanso kupsinjika kwamaganizidwe

Zizindikiro zina zitha kuphatikiza:

• Kugwedeza mutu
• Kugwedeza kapena kunjenjemera kwa mawu

Wothandizira zaumoyo wanu amatha kukupatsani matendawa pofufuza komanso kufunsa za mbiri yanu yazachipatala komanso mbiri yanu. Mudzafunsidwanso za mankhwala omwe mumamwa.

Mayeso atha kuchitika kuti athetse zifukwa zina zakunjenjemera. Kugwedezeka komwe kumachitika minofu ikamasuka kapena yomwe imakhudza miyendo kapena kulumikizana ikhoza kukhala chizindikiro cha vuto lina, monga matenda a Parkinson. Kuthamanga kwa kunjenjemera kungakhale njira yofunikira yodziwira chomwe chimayambitsa.

Zina zomwe zimayambitsa kunjenjemera ndi monga:

• Kuchotsa mowa
• Kusuta ndudu
• Chithokomiro chopitilira muyeso (hyperthyroidism)
• Matenda a Parkinson
• Chotupa cha adrenal gland (pheochromocytoma)
• Kafeini wambiri
• Kusokonezeka komwe kuli mkuwa wochuluka mthupi (matenda a Wilson)

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

Kugwedezeka kwamankhwala osokoneza bongo nthawi zambiri kumatha mukasiya kumwa mankhwala omwe akuyambitsa kugwedezeka.

Simungafunike chithandizo kapena kusintha kwa mankhwalawa ngati kunjako kuli pang'ono ndipo sikukusokoneza zochitika zanu za tsiku ndi tsiku.

Ngati phindu la mankhwalawo ndilokulirapo kuposa mavuto omwe amayambitsidwa ndi kunjenjemera, omwe amakupatsani mwayi atha kukupemphani kuti muyesere mankhwala osiyanasiyana. Kapena, mutha kupatsidwa mankhwala ena kuti muthane ndi vuto lanu. Nthawi zina, mankhwala monga propranolol amatha kuwonjezeredwa kuti athandize kunjenjemera.

Osasiya kumwa mankhwala osalankhula ndi omwe akukuthandizani.

Kugwedezeka kwamphamvu kumatha kusokoneza zochitika za tsiku ndi tsiku, makamaka luso lagalimoto monga kulemba, ndi zina monga kudya kapena kumwa.

Itanani omwe akukuthandizani ngati mukumwa mankhwala ndipo kunjenjemera kumayamba kusokoneza zochitika zanu kapena kutsagana ndi zizindikilo zina.

Nthawi zonse muuzeni omwe akukuthandizani za mankhwala omwe mumamwa. Funsani omwe akukuthandizani ngati zili bwino kumwa mankhwala owonjezera omwe ali ndi zowonjezera kapena theophylline. Theophylline ndi mankhwala omwe amagwiritsidwa ntchito pochiza kupuma komanso kupuma movutikira.

Caffeine amatha kunjenjemera ndikupangitsa kunjenjemera chifukwa cha mankhwala ena kukulira. Ngati mwanjenjemera, pewani zakumwa za khofi monga khofi, tiyi, ndi soda. Komanso pewani zolimbikitsa zina.

Kunjenjemera - mankhwala osokoneza bongo; Kugwedeza - kunjenjemera kwa mankhwala

• Central dongosolo lamanjenje ndi zotumphukira zamanjenje

Morgan JC, Kurek JA, Davis JL, Sethi KD. Kuzindikira kwa pathophysiology kuchokera kunjenjemera komwe kumayambitsa mankhwala. Kugwedezeka Kwina Hyperkinet Mov (N Y). 2017; 7: 442. PMID: 29204312 pubmed.ncbi.nlm.nih.gov/29204312/.

O'Connor KDJ, Mastaglia FL. Matenda osokoneza bongo amanjenje. Mu: Aminoff MJ, Josephson SA, olemba. Aminoff's Neurology ndi General Medicine. 5th ed. Waltham, MA: Atolankhani a Elsevier Academic; 2014: mutu 32.

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.