Mmene Mungathandizire Katswiri Wanu Wopatsa Opaleshoni Pitirizani Kuzindikira
Ngati wina ayang'ana mokwanira pa dzanja lawo lotambasula, adzawona chivomezi chosaoneka bwino. Ngati wina ali wotopa kapena ali ndi caffeine wochuluka, mantha ameneĊµa akhoza kuwonekeratu-koma nthawi zambiri sichimasokoneza moyo wawo wa tsiku ndi tsiku.
Anthu ena amanjenjemera zomwe zimakhala zofooketsa kwenikweni. Mwachitsanzo, wina sangathe kudya chifukwa kuwopsya kwake kumapangitsa kuti zikhale zovuta kuti atenge chiwiya kapena kapu m'kamwa mwawo.
Ngakhale pamene phokoso limakhala loonekeratu komanso lovuta, silikhoza kudwala matenda aakulu. Anthu ena akhoza kukhala ndi mantha aakulu omwe amayamba chifukwa cha matenda monga Parkinson's disease . Kodi akatswiri a m'maganizo amatha bwanji kunena kuti mukuchita mantha?
Mwachidule
Mtundu ndi mtundu wofala kwambiri wosuntha ndipo umakhudza pafupifupi mbali iliyonse ya thupi. Mitengo imaoneka kuti imachitika kwambiri m'manja koma imatha kuphatikizapo miyendo, chinkhu, kapena mutu.
Ngakhale liwu likhoza kuthandizidwa ndi zivomezi. Zimathandiza kuona ngati mbali imodzi ya thupi imakhudzidwa kwambiri ndi mantha kuposa wina (asymmetry). Ngakhale pali malamulo ena onse, kutentha kwakukulu kumaphatikizapo mbali zonse ziwiri mofanana. Mu matenda a Parkinson, mbali imodzi imakhudzidwa kwambiri kuposa wina.
Malingana ndi chifukwa cha mantha, kugwedezeka kungakhale koonekera kwambiri pamene mukupuma, kugwira chinachake, kapena pamene mukusunthira.
Anthu ena amaona kuti zimathandiza kupatulira zivomezi m'magulu otsatirawa:
- Kudzitukumula : Mtundu uwu wamanjenjemera umachitika pamene minofu imasuka. Uwu ndi mtundu wamantha womwe nthawi zambiri umagwirizanitsidwa ndi matenda a Parkinson.
- Kudodometsa kwachithupi : Kutonthedwa uku kumachitika pamene minofu imatenthedwa mwa njira ina. Ili ndilo gulu lalikulu ndipo likugawidwa mosiyana muzinthu zonse zomwe zatchulidwa pansipa.
- Kusokonezeka kwa Postpost : Kutenthedwa uku kumapweteka pamene gawo la thupi likutsutsana ndi mphamvu yokoka. Izi zikuwoneka mukutentha kwakukulu , vuto lofala lomwe limakhumudwitsa koma osati loopsya.
- Kinetic tremor : Ichi ndi chivomezi chimene chimapweteka pamene gawo la thupi lisuntha.
- Kuwongolera Mwadzidzidzi : Mtundu umenewu umatha kuonedwa kuti ndi mtundu wa chiwombankhanga chakuthupi kuyambira pamene thupi limasuntha, koma limatanthauzira zina. Kuwongolera mwadzidzidzi kumayipiraipira pamene mukusunthira kuchindunji china, chomwe chimagwirizanitsa. Kuthamanga kwa zolinga kudzaipiraipira ngati chala chanu chikuyandikira.
- Zosokoneza zapadera : Izi zimachitika pokhapokha pakuchita ntchito inayake, monga kulemba. Izi zikhoza chifukwa cha dystonia.
- Kuthamanga kwa Isometric : Kutonthedwa uku kumaphatikizapo kugwedezeka pamene minofu imatha kuchepa koma osasuntha. Ngati mwakhala ndi malo ngati kukakamizika kwa nthawi yayitali, mwinamwake mukukumana ndi mantha.
Zimayambitsa
Kutonthoza kwina kulikonse kwa aliyense. Nthawi zina chinachake chimakhala cholakwika ndi mbali zina za ubongo zomwe zimakhudzidwa ndi kuyenda, monga basal ganglia kapena cerebellum.
Mitengo ingayambitsidwe ndi matenda monga multiple sclerosis , stroke, ndi mavuto a ubongo monga Parkinson .
Ikhoza kuyambanso chifukwa cha mankhwala monga mowa, amphetamine, ndi steroids.
Mavuto omwe amakhudza thupi lonse, monga matenda a chithokomiro kapena chiwindi , amachititsanso mantha. Chochititsa chidwi n'chakuti palibe amene amadziwa chifukwa chake anthu amayamba kunjenjemera, ngakhale kuti amawoneka kuti ndi obadwa komanso amodziwika.
Zingamveke zoonekeratu, koma anthu ambiri samadziwa mwamsanga kuti mantha awo amatha nthawi zonse atatha kumwa mankhwala enaake, atakhala ndi caffeine wochuluka kwambiri, kapena ngati sanadye kwa kanthawi. Kukhumudwa maganizo kapena kupsinjika maganizo nthawi zambiri kumapangitsa kuti kunjenjemera kuwonjezeke. Phokoso lamaganizo, kugwedeza kumayamba nthawi zonse atayima.
Zimathandizanso kuona zomwe zimapangitsa kuti zikhale bwino. Mwachitsanzo, kunjenjemera kwakukulu ndi chifukwa chowopsa kwambiri chomwe, chifukwa cha zifukwa zosadziwika, nthawi zambiri chimakhala bwino pamene wodwalayo ali ndi chidakwa chakumwa. Kutentha kwa Orthostatic kumakhala bwino atakhala pansi.
Kufufuza ndi Chithandizo
Kuphatikiza pa kuunika kwa thupi pofunafuna zofufuza zina zomwe zimasonyeza chifukwa cha kunjenjemera, dokotala akhoza kuitanitsa mayeso a magazi pofuna kuyang'ana mahomoni kapena mankhwala omwe amachititsa mantha. Iwo akhoza kuitanitsa CT scan kapena MRI kuti awone ngati kunjenjemera kwachokera chifukwa cha matenda monga MS kapena stroke.
Malingana ndi zomwe zikupezeka, akhoza kupanga mayesero monga electromyogram kapena kuphunzira mitsempha yopangitsa kuti mchitidwe wa mitsempha uziwoneka ngati mantha chifukwa cha vuto la dongosolo la mitsempha yowopsa .
Chithandizo cha kunjenjemera kumadalira mtundu wa chisokonezo ndi chifukwa. Kuzindikira ndi kuthetsa zinthu zomwe zimapangitsa kuti manthawo awonjezeke kwambiri.
Thandizo la thupi lingakuthandizeni kukhalabe odziimira momwe mungathere komanso zingachepetsenso mantha. Nthawi zambiri, chithandizo cha opaleshoni kapena kukakamiza kwambiri ubongo kungayesedwe , ngakhale kuti nthawi zambiri izi zimagwiritsidwa ntchito pazifukwa zomwe sizinagwire ntchito zovuta.
Kudziwa zomwe muyenera kumvetsera kungakuthandizeni kupeza mayankho omwe mumafuna ponena za kuwopsa kwanu ndikupeza thandizo lomwe mukusowa mwamsanga.
> Zotsatira:
> Braunwald E, Fauci ES, ndi al. Mfundo za Harrison za Mankhwala a M'kati. 16th ed.
> Ropper AH, Samuels MA. Adams ndi Victor's Principles of Neurology, 9th ed: The McGraw-Hill Companies, Inc., 2009.