Mphamvu Dystonia

Zamkati

• Kodi Zizindikiro za Dystonia Yoyang'ana Kwambiri Ndi Ziti?
• Nchiyani chimayambitsa focal dystonia?
• Kodi dokotala amazindikira bwanji dystonia ya focal?
• Momwe dystonia ingathandizire kunyumba
• Kodi mankhwala azachipatala a focal dystonia ndi ati?
• Kukondoweza kwa ubongo
• Kuchita opaleshoni yosankha
• Kodi malingaliro a dystonia ofunikira ndi otani?
• Kodi dystonia yofunikira ingapewe?

Kodi focal dystonia ndi chiyani?

Dystonia ndichikhalidwe chomwe chimayambitsa mayendedwe osadzipangitsa kapena osazolowereka.

Pali mitundu yosiyanasiyana ya dystonia. Focal dystonia imakhudza gawo limodzi la thupi, lomwe nthawi zambiri limakhala zala kapena manja. Mayina owonjezera omwe madotolo angayitane kuti focal dystonia ndi awa:

• focal dzanja dystonia
• dystonia yofunikira kwambiri pantchito
• cramp / dystonia yantchito
• dystonia yokhudza ntchito

Dystonia yomwe imapezeka mwa othamanga imadziwika kuti "yips."

Oimba amakumana ndi vuto lalikulu kwambiri la dystonia. Pafupifupi 1 mpaka 2% ya akatswiri onse oimba amakhala ndi dystonia. Amuna nawonso amakhala ovuta kuposa akazi kukhala ndi vuto la dystonia.

Dystonia imadziwikanso mu:

• osoka zovala
• olemba tsitsi
• anthu omwe amalemba pa kompyuta nthawi yayitali

Kodi Zizindikiro za Dystonia Yoyang'ana Kwambiri Ndi Ziti?

Focal dystonia imatha kupezeka m'malo osiyanasiyana amthupi. Zitsanzo zamitundu yazizindikiro za dystonia ndi monga:

• blepharospasm: kugwedezeka kwa diso
• khomo lachiberekero dystonia: pamene khosi limafinya kapena limapangitsa kuti khosi ligwedezeke mwanjira yachilendo, yotchedwa torticollis
• oromandibular dystonia: kukumira kapena kutseka kwa nsagwada
• spasmodic dysphonia: zingwe zamawu sizigwira ntchito moyenera ndipo munthu akhoza kuvutika kupanga mawu ena

Ngati woimba ali ndi focal dystonia, atha kupeza kuti manja awo sakuyankha monga amayesera akafuna kuyimba chida.

Zitsanzo za zizindikilo izi ndi izi:

• zala zomwe zimapinda kapena kumata
• manja omwe "amaundana" kapena kusiya kusuntha kwathunthu
• zala zomwe zimagwedezeka

Kawirikawiri, zala zomwe zakhudzidwa kwambiri ndi zala zachinayi ndi zachisanu.

Nchiyani chimayambitsa focal dystonia?

Focal dystonia ndi zotsatira za kusintha kwamomwe mitsempha ya ziwalo zamthupi imalumikizirana ndi ubongo. Zotsatira zake, malangizo ochokera muubongo sagwirizana ndi mayendedwe omwe mukufuna. Dystonia Medical Research Foundation imayerekezera kufalikira kwamitsempha komwe kumakhudzidwa ndi "kachilombo koyambitsa kompyuta" kapena "kuwonongeka kwa hard drive" kwamapulogalamu amkati mwa munthu ndi mayendedwe ake.

Zambiri zomwe zimayambitsa matenda otchedwa dystonia ndizofunikira, zomwe zikutanthauza kuti dokotala sangazindikire vuto lazachipatala lomwe limayambitsa dystonia. Komabe, mitundu ina ya focal dystonia ndiyachiwiri. Izi zikutanthauza kuti munthu amatha kulumikiza dystonia yawo ndi matenda kapena chifukwa. Zitsanzo zingaphatikizepo:

• kuvulala kwa gawo lomwe lakhudzidwa
• matenda
• chokhwima mankhwala
• Mpweya wa carbon monoxide
• Matenda a Parkinson
• sitiroko

Oimba omwe amapeza focal dystonia atha kulumikiza vutoli kuti lisinthe zizolowezi zawo, monga:

• kuchuluka kwa nthawi yochita kapena nthawi yogwirira ntchito
• kusintha maluso
• zosintha zomwe zidachitika chifukwa chovulala mitsempha
• kusewera chida chatsopano

Zinthu zachilengedwe komanso chibadwa chake zitha kutengera gawo la dystonia yamunthu. Komabe, ofufuza sanapeze mtundu winawake wa jini kapena majini omwe amayambitsa focal dystonia. Pafupifupi 10 peresenti ya anthu omwe ali ndi dystonia wokhala ndi mbiri yakale ali ndi mbiri yakubanja.

Kodi dokotala amazindikira bwanji dystonia ya focal?

Mukasankhidwa, dokotala wanu adzafunsa za mbiri yanu yazachipatala, zochita zanu, ndi mankhwala omwe mumamwa. Adzaunikanso gawo lomwe lakhudzidwa.

Zizindikiro za focal dystonia nthawi zambiri zimatsanzira zomwe zavulala kwambiri, monga carpal tunnel. Komabe, focal dystonia imachitika chifukwa cha kusintha kwaubongo, osati kuvulala kwamitsempha kapena manja. Nthawi zina matenda otchedwa dystonia amatha kuzindikiridwa molakwika ngati kuvulala kwambiri.

Dokotala wanu amayesa kuthana ndi kutsekeka kwa mitsempha komanso kuvulala kwambiri ngati zomwe zimayambitsa matenda anu.

Atha kuyitanitsa mayeso angapo kuphatikiza:

• kuyezetsa magazi kuti ayang'ane zizindikiro za matenda
• electromyography yowunika momwe magetsi amagwirira ntchito m'minyewa yanu
• MRI kapena CT scan kuti ayang'ane zotupa kapena zotupa paubongo wanu

Momwe dystonia ingathandizire kunyumba

Focal dystonia imakhudza magwiridwe antchito am'maganizo omwe ubongo umagwiritsa ntchito poyenda. Kusintha kwakung'ono momwe munthu amagwiritsira ntchito chida kapena kusintha kapangidwe kake pamanja kumatha kuchepetsa kuchepa kwa dystonia.

Mwachitsanzo, woyimba gitala yemwe ali ndi focal dystonia atha kupeza mpumulo kuzizindikiro zawo mwa kuvala magolovesi owonda akusewera.

Njira ina ikhoza kukhala kusintha kwa kiyibodi yakompyuta. Oimba piyano ena atha kupeza kuti amatha kusewera pa kiyibodi yamagetsi m'malo mwa piyano yachikhalidwe chifukwa makiyi ali ndi mawonekedwe osiyana pang'ono.

Kutambasula madera omwe akhudzidwa kumathandizira kuchepetsa mavuto omwe amabwera chifukwa cha dystonia. Funsani othandizira thupi kuti mudziwe njira zabwino kwambiri komanso zotetezeka zamtundu wanu wa dystonia.

Kodi mankhwala azachipatala a focal dystonia ndi ati?

Palibe mankhwala aposachedwa a dystonias, kaya kudzera kuchipatala kapena kunyumba. Komabe, pali njira zina zamankhwala zomwe zakwaniritsidwa bwino. Izi zimaphatikizapo kumwa mankhwala omwe amadziwika kuti anticholinergics. Madokotala amatha kupereka mankhwala otchedwa Artane (trihexyphenidyl), anticholinergic. Mankhwalawa amathandiza kuletsa kufalikira kwa mitsempha ku minofu yomwe yakhudzidwa. Komabe, zimatha kuyambitsa zovuta zina zomwe zimaphatikizapo kukamwa kouma komanso kukodza kukodza. Mankhwala ena, monga tetrabenazine, amathanso kugwiritsidwa ntchito, koma zoyipa zimaphatikizapo kugona, nkhawa, kapena kukhumudwa.

Majekeseni a poizoni wa botulinum (BOTOX) amatha kuthandizira mochenjera kufooketsa minofu yomwe yakhudzidwa ndi dzanja. Izi zitha kuthandiza kuchepetsa kuchepa kwa zovuta zokhudzana ndi dystonia.

Pazovuta kwambiri, dokotala wanu angakulimbikitseni kuchitidwa opaleshoni. Njira zopangira opaleshoni ya dystonia ndi monga:

Kukondoweza kwa ubongo

Maelekitirodi amaikidwa pa gawo la ubongo lomwe limayang'anira minofu yomwe ikukhudzidwa. Maelekitirodi awa amalumikizidwa ndi jenereta yomwe imayikidwa m'chifuwa chanu. Jenereta amatulutsa zikwangwani zamagetsi kuti zithandizire kuchepetsa minofu.

Kuchita opaleshoni yosankha

Kuchita opaleshoniyi kudzasungidwa kwa anthu omwe sanathe kuthana ndi matenda awo ndi chithandizo china chilichonse. Pochita izi, mitsempha yomwe imathandizira kupindika kwa minofu imadulidwa.

Kodi malingaliro a dystonia ofunikira ndi otani?

Dystonia ya munthu imatha kufalikira mbali zina za thupi. Segmented dystonia imakhudza ziwalo ziwiri za thupi. Multifocal dystonia imakhudza ziwalo zambiri za thupi. Chiwerengero cha ma dystonias ofunikira amafalikira kudera lina la thupi. Kugwira ntchito ndi dokotala kungathandize kuchepetsa zizindikilo zomwe zimakhudzana ndi focal dystonia.

Kodi dystonia yofunikira ingapewe?

Madokotala amadziwa kuti focal dystonia imakhudza anthu ena, monga oimba. Komabe, zimawavuta kulosera ndendende yemwe angakhudzidwe chifukwa samvetsetsa zomwe zimayambitsa. Koma akudziwa zinthu zina zomwe zingapangitse dystonia kukulirakulira. Izi zikuphatikiza:

• kupsinjika kwakukulu
• kutopa
• kulankhula mopitirira muyeso
• kusokonezeka kwambiri

Kupewa izi mopambanitsa kungathandize kuthana ndi vutoli komanso kupewa kuti dystonia isawonongeke.