Zomwe Muyenera Kudziwa Zokhudza Kusunthika Kodzipereka

Zamkati

• Kodi mitundu yamayendedwe osalamulirika ndi iti?
• Tardive dyskinesia (TD)
• Kugwedezeka
• Myoclonus
• Zamatsenga
• Matenda
• Nchiyani chimayambitsa kuyenda kosalamulirika?
• Mwa ana
• Akuluakulu
• Kodi zimayambitsa bwanji zoyambitsa zosayendetsa?
• Mayeso ozindikira
• Kodi njira zamankhwala zomwe mungasamalire zosagwirizana ndi ziti?

Chidule

Kusuntha kosadzipereka kumachitika mukamayendetsa thupi lanu m'njira yosalamulirika komanso yosakonzekera. Kusunthika kumeneku kumatha kukhala chilichonse kuyambira pakufulumira, kugwedeza mpaka kunjenjemera kwanthawi yayitali ndikugwa.

Mutha kuwona kusunthaku pafupifupi gawo lililonse la thupi, kuphatikiza:

• khosi
• nkhope
• miyendo

Pali mitundu yambiri ya mayendedwe osalamulirika ndi zoyambitsa. Kusuntha kosalamulirika gawo limodzi kapena angapo amthupi kumatha msanga nthawi zina. Kwa ena, mayendedwe awa ndi vuto lomwe likupitilira ndipo amatha kupitilira nthawi.

Kodi mitundu yamayendedwe osalamulirika ndi iti?

Pali mitundu ingapo yamaulendo osadzipereka. Mwachitsanzo, kuwonongeka kwa mitsempha, nthawi zambiri kumatulutsa minofu yaying'ono paminyewa. Mitundu yayikulu yazoyenda mwadzidzidzi ndi awa:

Tardive dyskinesia (TD)

Tardive dyskinesia (TD) ndimavuto amitsempha. Amachokera muubongo ndipo amapezeka pogwiritsa ntchito mankhwala osokoneza bongo. Madokotala amapereka mankhwalawa kuti athetse mavuto amisala.

Anthu omwe ali ndi TD nthawi zambiri amawonetsa nkhope zawo mobwerezabwereza zomwe zingaphatikizepo:

• wachisoni
• kuphethira msanga kwamaso
• lilime lotuluka
• kumenya milomo
• kutseka pakamwa
• kutsata milomo

Malinga ndi National Institute of Neurological Disorders and Stroke (NINDS), pali mankhwala ochepa omwe awonetsa kuti ndi othandiza. Muyenera kukambirana ndi dokotala wanu kuti mudziwe mankhwala omwe angakuthandizeni.

Kugwedezeka

Kunjenjemera ndimayendedwe amtundu wa thupi. Zimachitika chifukwa cha kuchepa kwaminyewa yaminyewa.

Malinga ndi Stanford School of Medicine, anthu ambiri amanjenjemera chifukwa cha zinthu monga:

• shuga wotsika magazi
• kusiya mowa
• kutopa

Komabe, kunjenjemera kumatha kuchitika ndi zovuta zazikulu kwambiri, monga:

• multiple sclerosis (MS)
• Matenda a Parkinson

Myoclonus

Myoclonus imadziwika ndi mayendedwe achangu, onga, othamangitsa. Zitha kuchitika mwachilengedwe:

• nthawi yogona
• nthawi yomwe mumadzidzimuka

Komabe, atha kukhalanso chifukwa cha zovuta zazikulu monga:

• khunyu
• Matenda a Alzheimer

Zamatsenga

Tics ndi mayendedwe mwadzidzidzi, obwerezabwereza. Amagawidwa ngati osavuta kapena ovuta, kutengera ngati akukhudzanso magulu ocheperako kapena okulirapo a minofu.

Kugwedeza kwambiri mapewa kapena kusinthasintha chala ndi chitsanzo cha tic yosavuta. Kubwereza mobwerezabwereza ndikumenyetsa manja ake ndi chitsanzo cha tic yovuta.

Kwa achinyamata, ma tics nthawi zambiri amapezeka ndi matenda a Tourette. Mitundu yamagalimoto yomwe imachitika chifukwa cha vutoli imatha kutha kwakanthawi kochepa. Ngati mukukhala ndi matenda a Tourette, mungathenso kuwaletsa pamlingo winawake.

Kwa achikulire, ma tiki amatha kukhala ngati chizindikiro cha matenda a Parkinson. Ma tiki oyambira achikulire amathanso kukhala chifukwa cha:

• kupwetekedwa mtima
• kugwiritsa ntchito mankhwala ena, monga methamphetamines

Matenda

Izi zikutanthauza kuyenda kochedwa, kosokonekera. Malinga ndi Stanford School of Medicine, mayendedwe amtunduwu mosakhudzidwa nthawi zambiri amakhudza manja ndi mikono.

Nchiyani chimayambitsa kuyenda kosalamulirika?

Pali zifukwa zingapo zomwe zingayambitse kuyenda kosafunikira. Mwambiri, kuyenda kosafunikira kumawonetsa kuwonongeka kwa mitsempha kapena madera amubongo anu omwe amakhudza kuyenda kwamagalimoto. Komabe, zochitika zosiyanasiyana zimatha kuyambitsa kusayenda.

Mwa ana

Kwa ana, zina mwazomwe zimayambitsa kusuntha kosagwirizana ndi izi:

• hypoxia, kapena mpweya wosakwanira panthawi yobadwa
• kernicterus, yomwe imayamba chifukwa cha pigment yochulukirapo yomwe imapangidwa ndi chiwindi chotchedwa bilirubin
• cerebral palsy, yomwe ndi matenda amitsempha omwe amakhudza kuyenda kwa thupi komanso kugwira ntchito kwa minofu

Kernicterus tsopano sapezeka ku United States chifukwa chakuwunika kawirikawiri kwa ana akhanda.

Akuluakulu

Kwa achikulire, zina mwazomwe zimayambitsa kusuntha kosadzipereka ndi monga:

• kugwiritsa ntchito mankhwala osokoneza bongo
• Kugwiritsa ntchito mankhwala a neuroleptic omwe amaperekedwa kwa matenda amisala kwa nthawi yayitali
• zotupa
• kuvulala kwaubongo
• sitiroko
• matenda opatsirana, monga matenda a Parkinson
• matenda olanda
• chindoko chosachiritsidwa
• matenda a chithokomiro
• Matenda amtundu, kuphatikiza matenda a Huntington ndi matenda a Wilson

Kodi zimayambitsa bwanji zoyambitsa zosayendetsa?

Pangani msonkhano ndi dokotala wanu ngati inu kapena mwana wanu mukukumana ndi kusunthika, kusayenda kosalamulirika kwa thupi ndipo simukudziwa chomwe chikuyambitsa.

Kusankhidwa kwanu kumayamba ndi kufunsa mafunso azachipatala. Dokotala wanu adzawunikiranso mbiri yanu yazachipatala komanso yamabanja, kuphatikiza mankhwala aliwonse omwe mwakhala mukumwa kapena kumwa kale.

Mafunso ena atha kukhala:

• Kodi mayendedwe adayamba liti ndipo motani?
• Ndi ziwalo ziti za thupi zomwe zikukhudzidwa?
• Kodi chikuwoneka kuti chikupangitsa mayendedwe kukulirakulira kapena kukhala bwino?
• Kodi kupsinjika kumakhudza mayendedwe awa?
• Kodi kusunthaku kumachitika kangati?
• Kodi mayendedwe akuipiraipira pakapita nthawi?

Ndikofunika kutchula zina zilizonse zomwe mungakhale nazo limodzi ndi mayendedwe osalamulirikawa.Zizindikiro zina ndi mayankho anu pamafunso a dokotala anu ndizothandiza kwambiri posankha njira yabwino kwambiri yothandizira.

Mayeso ozindikira

Kutengera zomwe akukayikira, dokotala akhoza kuyitanitsa mayeso amodzi kapena angapo azachipatala. Izi zitha kuphatikizira kuyesa magazi osiyanasiyana, monga:

• maphunziro a electrolyte
• chithokomiro chimayesa kuti athetse vuto la chithokomiro
• mayeso a mkuwa kapena seramu ceruloplasmin kuyesa matenda a Wilson
• syphilis serology kuti athetse matenda amitsempha
• mayeso olumikizirana ndi matenda kuti athetse lupus erythematosus (SLE) ndi matenda ena okhudzana nawo
• mayeso a seramu calcium
• kuchuluka kwa maselo ofiira amwazi (RBC)

Dokotala wanu amathanso kufunsa:

• kuyesa mkodzo kuti athetse poizoni
• kachilombo ka msana kakusanthula zakumwa zamtsempha
• MRI kapena CT scan yaubongo kuti ayang'ane zovuta zina
• electroencephalogram (EEG)

Kuyesa kwa Psychopharmacology kungathandizenso kuyesa kuyezetsa. Komabe, izi zimadalira ngati mukumwa mankhwala enaake kapena zinthu zina.

Mwachitsanzo, TD ndi zotsatira zoyipa zogwiritsa ntchito ma neuroleptics kwakanthawi. Kaya muli ndi TD kapena vuto lina, zotsatira za mankhwala aliwonse amafunika kuyesedwa mukamayesedwa. Izi zidzakuthandizani dokotala kuti adziwe bwinobwino.

Kodi njira zamankhwala zomwe mungasamalire zosagwirizana ndi ziti?

Maganizo anu amasiyana, kutengera kukula kwa chizindikirochi. Komabe, mankhwala ena amatha kuchepetsa zovuta. Mwachitsanzo, mankhwala amodzi kapena angapo amatha kuthandiza kuti mayendedwe osalamulirika omwe akukhudzana ndi zovuta zakuchepa achepe.

Kuchita masewera olimbitsa thupi mothandizidwa ndi dokotala kungakuthandizeni kuti mukhale ogwirizana. Zingathandizenso kuchepa kwa minofu. Zochitika zolimbitsa thupi monga:

• kusambira
• kutambasula
• kugwirizanitsa ntchito
• kuyenda

Mutha kupeza magulu othandizira ndi othandizira omwe angakuthandizeni ngati muli ndi mayendedwe osalamulirika. Funsani dokotala wanu kuti akuthandizeni kupeza ndi kulowa nawo magulu awa.