Chiberekero Dystonia

Zamkati

• Zizindikiro za khomo lachiberekero dystonia
• Zomwe zimayambitsa chiberekero dystonia
• Zowopsa
• Kupeza mpumulo ku zowawa
• Poizoni wa botulinum
• Mankhwala
• Chithandizo cha khomo lachiberekero dystonia
• Thandizo lakuthupi
• Zowonjezera
• Opaleshoni
• Kukondoweza kwa ubongo
• Zolimbitsa thupi
• Maonekedwe a khomo lachiberekero dystonia

Chidule

Khomo lachiberekero dystonia ndizosowa momwe minyewa yanu ya khosi imakhalira yolowerera mwadzidzidzi. Zimayambitsa kupindika mobwerezabwereza pamutu panu ndi m'khosi. Kusunthaku kumatha kukhala kwapakatikati, kosakhazikika, kapena kosasintha.

Kukula kwake kwa khomo lachiberekero dystonia kumasiyana. Zitha kukhala zopweteka komanso kulepheretsa nthawi zina. Cholinga chenichenicho sichidziwika. Pakadali pano palibe mankhwala, koma zitha kuchiritsidwa.

Cervical dystonia amatchedwanso spasmodic torticollis.

Zizindikiro za khomo lachiberekero dystonia

Ululu ndichizindikiro chofala kwambiri komanso chovuta cha khomo lachiberekero dystonia. Ululuwo umakhala mbali imodzi yamutu ngati kupendekera.

Kusuntha kofala kwambiri mu khomo lachiberekero dystonia ndikupotoza mutu ndi chibwano cham'mbali, chamapewa anu, otchedwa torticollis. Kusuntha kwina kosazolowereka kumaphatikizapo mutu:

• kutsogolo, chibwano pansi, chotchedwa anterocollis
• kupendekera kumbuyo, chibwano kumtunda, kotchedwa retrocollis
• kupendekera chammbali, khutu ndi phewa, lotchedwa laterocollis

Ena atha kuphatikiza kuphatikiza uku. Komanso, zizindikirazo zimatha kusiyanasiyana pakapita nthawi komanso payekhapayekha.

Kupsinjika kapena kusangalala kumatha kukulitsa zizindikilo. Komanso, malo ena athupi amatha kuyambitsa zizindikiro.

Zizindikiro zimayamba pang'onopang'ono. Amatha kukulirakulira kenako amafika kumapiri. Zizindikiro zina zitha kuphatikiza:

• kupweteka kwa khosi komwe kumawonekera pamapewa
• phewa lokwera
• kunjenjemera kwa manja
• mutu
• kunjenjemera kwa mutu, komwe kumakhudza pafupifupi theka la anthu omwe ali ndi khomo lachiberekero la dystonia
• kukulitsa kwa minofu ya khosi, yomwe imakhudza pafupifupi 75% ya anthu omwe ali ndi khomo lachiberekero la dystonia
• kusazindikira mayendedwe athupi omwe sakhudzidwa ndi dystonia

Zomwe zimayambitsa chiberekero dystonia

Nthawi zambiri, chifukwa cha khomo lachiberekero dystonia sichidziwika. Zina mwazifukwa zomwe zimayambitsa izi ndi izi:

• matenda amitsempha, monga Parkinson
• mankhwala omwe amaletsa dopamine, monga ma antipsychotic
• kuvulaza mutu, khosi, kapena mapewa
• kusintha kwa majini, monga 10 mpaka 25 peresenti ya anthu omwe ali ndi khomo lachiberekero dystonia atha kukhala ndi mbiri yabanja yamatendawa
• vuto lamaganizidwe

Nthawi zina, khomo lachiberekero dystonia limakhalapo pobadwa. Zinthu zachilengedwe zitha kukhalanso mbali.

Zowopsa

Cervical dystonia akuti ikukhudza anthu pafupifupi 60,000 ku United States. Omwe ali pachiwopsezo ndi awa:

• akazi, omwe amakhudzidwa pafupifupi kawiri kuposa amuna
• anthu azaka zapakati pa 40 ndi 60
• iwo omwe ali ndi mbiri ya banja la dystonia

Kupeza mpumulo ku zowawa

Ululu ndi chizindikiro chachikulu cha khomo lachiberekero dystonia. Anthu amayankha mosiyanasiyana mitundu yosiyanasiyana ya mankhwala ndi mitundu ya mankhwala. Zomwe zimagwirira ntchito ena sizingagwire ntchito kwa inu.

Poizoni wa botulinum

Chithandizo choyambirira chothandizira kupweteka ndi jakisoni wa poizoni wa botulinum muminyewa ya khosi milungu 11 kapena 12 iliyonse. Izi zimapangitsa kuti mitsempha ya m'khosi igwire. Amanenedwa kuti amachepetsa ululu ndi zisonyezo zina mwa anthu 75 pa anthu 100 aliwonse omwe ali ndi khomo lachiberekero dystonia.

Malinga ndi kafukufuku wa 2008, ndikofunikira kugwiritsa ntchito ma diagnostics amagetsi, kapena electromyography, kulunjika minofu inayake ya jakisoni wa poizoni wa botulinum.

Mankhwala osokoneza bongo a Botulinum omwe amagwiritsidwa ntchito ndi Botox, Dysport, Xeomin, ndi Myobloc. Mwinanso mukudziwa bwino za Botox ngati khwinya losalala logwiritsira ntchito zodzikongoletsera.

Mankhwala

Mitundu ingapo yamankhwala amkamwa imanenedwa ndi Dystonia Foundation yothandizira kuthetsa zizindikilo zomwe zimakhudzana ndi khomo lachiberekero dystonia. Izi zikuphatikiza:

• anticholinergics, monga trihexyphenidyl (Artane) ndi benztropine (Cogentin), yomwe imalepheretsa neurotransmitter acetylcholine
• dopaminergics, monga levodopa (Sinemet), bromocriptine (Parlodel), ndi amantadine (Symmetrel), omwe amaletsa neurotransmitter dopamine
• GABAergics, monga diazepam (Valium), yomwe imayang'ana GABA-A wama neurotransmitter
• anticonvulsants, monga topiramate (Topamax), omwe amagwiritsidwa ntchito ngati chithandizo cha khunyu ndi migraine, ndipo akuti wagwiritsa ntchito bwino pochiza matenda a khomo lachiberekero dystonia

Onetsetsani kuti mukukambirana ndi dokotala zotsatira zoyambitsidwa ndi mankhwalawa.

Chithandizo cha khomo lachiberekero dystonia

Njira zochiritsira khomo lachiberekero za dystonia zasintha m'zaka zaposachedwa. Kuphatikiza pa chithandizo chamankhwala, upangiri ungakhale wothandiza, makamaka m'njira zokuthandizani kuthana ndi kupsinjika.

Thandizo lakuthupi

Thandizo lakuthupi lingathandize. Izi zimaphatikizapo kutikita ndi kutentha kuti mutonthoze khosi ndi mapewa anu komanso zolimbitsa zolimbitsa thupi komanso zolimbitsa thupi.

A mwa anthu 20 omwe ali ndi khomo lachiberekero dystonia adapeza kuti chithandizo chamankhwala chimathandizira kupweteka, zizindikilo zina, komanso moyo wabwino. Pulogalamu yophunzirira idakhudzidwa:

• zolimbitsa thupi kusuntha mosiyana ndi kupindika kwa munthu
• Zochita za kinesiotherapy zosunthira ndikutambasula khosi
• kukondoweza kwamagetsi kwa minofu

Zowonjezera

Biofeedback imaphatikizapo kugwiritsa ntchito chida chamagetsi kuyeza zosintha monga minofu, kuthamanga kwa magazi, ndi mafunde aubongo.

Chidziwitsocho chimaperekedwa kwa munthu yemwe ali ndi khomo lachiberekero dystonia, kuti awathandize kuti athe kuyendetsa bwino zochita zawo.

Kafukufuku wocheperako wa 2013 wogwiritsa ntchito biofeedback adawonetsa kupumula kwakumva kupweteka komanso kusintha kwa moyo wabwino.

Opaleshoni

Ngati mankhwala osamalitsa ambiri sakugwira ntchito, njira zochiritsira zitha kukhala zosankha. Dziwani kuti khomo lachiberekero la dystonia limakhala lachilendo, kotero kuti kafukufuku wamkulu sanapezeke.

Njira zachikale zochitira opaleshoni zimaphatikizapo kudula mitsempha muubongo yomwe imakhudzidwa ndikusuntha kwamutu. Kuchita opaleshoniyi kumatha kukhala ndi zovuta zina. Komanso, mayendedwe osadziperekera amatha kubwerera patapita nthawi.

Kukondoweza kwa ubongo

Kulimbikitsana kwa ubongo, komwe kumatchedwanso neuromodulation, ndi chithandizo chatsopano. Zimaphatikizapo kubowola kabowo mu chigaza ndikulowetsa magetsi muubongo.

Batire yaying'ono yomwe imayang'anira kutsogolera imayikidwa pafupi ndi kolala. Mawaya omwe ali pansi pa khungu amalumikiza batiri ndi zotsogolera. Mumagwiritsa ntchito makina akutali kuti mupereke magetsi amagetsi otsika kwambiri pamitsempha yomwe imayambitsa kusuntha kwa mutu ndi khosi.

Zolimbitsa thupi

Katswiri wazachipatala atha kuthandiza ndi masewera olimbitsa thupi omwe mungachite bwino kunyumba kuti muchepetse zizolowezi ndikulimbitsa minofu yanu.

Nthawi zina zidule zokhazokha zimatha kuthana ndi kuphipha. Izi zimaphatikizapo kukhudza mopepuka mbali ina ya nkhope yanu, chibwano, tsaya, kapena kumbuyo kwa mutu wanu. Kuchita izi mbali imodzimodzi ndi kuphipha kwanu kungakhale kothandiza kwambiri, koma mphamvuyo ikhoza kuchepa pakapita nthawi.

Maonekedwe a khomo lachiberekero dystonia

Cervical dystonia ndi vuto lalikulu la mitsempha yopanda mankhwala omwe amadziwika. Mosiyana ndi mitundu ina ya dystonia, imatha kupweteketsa komanso kulemala. Kukula chifukwa chapanikizika.

Ndizotheka kuti mudzakhala ndi mankhwala osakanikirana, kuphatikiza:

• Poizoni wa botulinum
• chithandizo chamankhwala
• uphungu
• opaleshoni, nthawi zina

Anthu ochepa atha kupita kukakhululukidwa ndi chithandizo.

Mavuto omwe angakhalepo ndi awa:

• kufalikira kwa zoyenda zosagwira mbali zina za thupi lanu
• fupa limatulukira kumsana
• khomo lachiberekero nyamakazi

Anthu omwe ali ndi khomo lachiberekero dystonia amakhalanso ndi chiopsezo chachikulu cha kukhumudwa komanso kuda nkhawa.

Pazifukwa zabwino, chithandizo cha khomo lachiberekero cha dystonia chikupitilirabe patsogolo pomwe kafukufuku wambiri amachitika. Mutha kukhala ndi chidwi cholowa nawo mayeso azachipatala omwe akufufuza zamankhwala atsopano.

Dystonia Medical Research Foundation itha kuthandizira pazidziwitso ndi zothandizira, monga kupeza gulu lapaintaneti kapena lothandizira.