I-Torticollis iyinkinga ye-musculoskeletal ekhonjiswe ukuvumelanisa kwemisipha yentamo. Ngokuvamile, i-torticollis ibonakala ngesikhundla lapho ikhanda lijika khona, liphinde lenzeke eceleni kwelinye icala (i-chinki ibonisa ohlangothini lapho ikhanda elijikelezayo khona). Imisipha yentamo ehilelekile ku-torticollis ihamba ngaphezu kokuhamba kwayo okuvamile; ukunyakaza okuhilelekile kuleso simo kuhamba, ukukhulisa nokujikeleza .
Elinye igama le-torticollis "yintamo epholile."
Ubani othola i-Torticollis?
I-Torticollis ithinta kokubili izingane kanye nabantu abadala. Izingane ezizalwa nazo (kulokhu kuthiwa yi-torticollis ebusweni) kungenzeka ukuthi zinezimo eziguqukile zekhanda ngenkathi zisesibelethweni. Ukulimala kumisipha kanye / noma ukuhlinzeka ngegazi ngesikhathi esiswini kungenye imbangela ye-torticollis yokuzalwa.
I-Torticollis ingaba yizifuzo noma izuzwe. I-torticollis ye-genetic iqala kancane futhi ihilela ubuchopho bakho nesistimu yezinzwa. Uma unalolu hlobo lwe-torticollis, kubalulekile ukuthi litholakale futhi liphathwe ngokushesha uma ubona izimpawu. Ngendlela yokwelapha yokuqala, kungenzeka ume ithuba elihle lokunciphisa noma ukuqeda ukuthi kungenzeka ukuthi isimo sibe njalo (ie ukuhlala njalo entanyeni yakho ngesimo esisontekile).
I-torticollis etholakalayo ngokuvamile ibangelwa ukuhlukumezeka noma ukusabela kwezidakamizwa, futhi kubhekwa njengesimo esibi.
(I-torticollis elula kungukulawulwa okuvamile kwemisipha yakho yentamo.)
Izimbangela Nezici Zengozi
Njengoba kuphawuliwe ngenhla, ukuhlukunyezwa kokubili kuyimbangela eyodwa futhi ingozi ye-torticollis, ngoba ukuhlukumezeka kungaholela ekusakazeni kwemisipha, okungase kuthathe intamo yakho ukulungiswa.
Ukutheleleka kungenye imbangela ye-torticollis: ukutheleleka kuvamise ukuthinta izigulane zakho kanye nama-lymph nodes (ukuvutha kwe-torticollis), futhi uma lokhu kwenzeka, umphumela ungase ube spasm emisipha ekhonjwe ngqo ngalezo zakhiwo.
Ezinye izidakamizwa zingabangela ukungqubuzana okungazelelwe kokuthintana kwentamo, ubuso kanye / noma imisipha yangemuva yangaphezulu (i-torticollis acute). Lokhu kungenziwa kokubili kwezidakamizwa ezibekiwe njengeTrazine, kanye nezidakamizwa zokuzilibazisa ezifana ne-cocaine noma i-amphetamines. Ukuthatha lezi zinhlobo zezidakamizwa kubhekwa njengengozi ye-torticollis.
Ezinye izimbangela ze-torticollis zihlanganisa izicubu ezibomvu , izicubu, intamo ye-arthritis , nokuningi.
Ngokuhambisana nokuhlukunyezwa nokuthatha izinhlobo zezidakamizwa okukhulunywe ngenhla, umlando womndeni we-torticollis nokungajwayelekile kwenduku ekuzalweni nakho kuyingozi.
Izimpawu Ezivamile
Ngakho ungatshela kanjani ukuthi une-torticollis? Noma okungenani uma kufanele ubone udokotela wakho?
Ngokusekelwe eqinisweni lokuthi i-torticollis ibonisa njengesikhundla lapho ikhanda liphendukele khona kwelinye icala, lokhu kuyinto yokuqala ukuyiqaphela. Futhi, cishe uzozizwa uzwela noma ubuhlungu entanyeni yakho nasemisipha yehlombe.
Futhi kungase kube buhlungu noma kunzima, uma kungenakwenzeka, ukuzama ukuhambisa ikhanda lakho ohlangothini oluphambene lapho lizwa khona "lunamathele." Ezinye izinto okufanele uziqaphele zihlanganisa ikhanda, ubuhlungu emuva, ubuhlungu behlombe, nokuzwa okuvuthayo. Uma unezi zimpawu, bheka udokotela wakho.
Ukuxilongwa
Odokotela ngokuvamile bahlolisisa i-torticollis ngokuthatha umlando wezokwelapha, ukuhlolwa ngokomzimba, kanye nokubhekwa kwe-torticollis, ngokuthatha ama-x-ray.
Ngezinye izikhathi ukuhlolwa kwe-CT kuyadingeka.
Ukwelapha
Ngokuvamile, i-torticollis ayisongeli ukuphila. Ngalokho kusho, ezinye izimpawu zikhombisa ukulimala noma ukucasula ezakhiweni zesistimu yakho yamanzi (ie ubuchopho kanye / noma intambo yomgogodla). Uma unayo lezi zimpawu, ukuthi zikhona yini izimpawu ze-torticollis noma cha, kufanele ufike ekamelweni eliphuthumayo, ngokushesha. Izimpawu zifaka:
- Ukuphefumula okunzima
- Kunzima ukugwinya
- Kunzima ukukhuluma
- Kunzima ukuhamba
- Ubuthakathaka, ukuphazamiseka noma izikhonkwane nezinaliti ezandleni zakho nasemilenzeni
- I-incontinence (i-urinary noma i-fecal)
Uma unezinsalela ze-neck-muscle nomkhuhlane, izigulane ezivuvukala, ukuqina kwentamo, ikhanda kanye / noma ukuvuvukala, thola usizo ngokushesha.
Uma unomunyu nobunzima entanyeni yakho, bheka udokotela wakho ngokushesha, kodwa awudingi ukuya ekamelweni eliphuthumayo.
Umgomo wezinhlungu eziningi zokwelapha i-torticollis ukukhulula imisipha yezintanyeni kusuka ku-spasm noma isivumelwano. Ukwelashwa okuvamile kufaka imithi, ukwelashwa ngokomzimba, ukwelula, ukusetshenziswa kwamadivayisi ngokomzimba, nokuhlinzwa. Imithi ejwayelekile enikezwa abantu abane-torticollis ihlanganisa imisipha yokuzilibazisa nokulwa nezifo.
Iziguli eziningi zibika ukuthi imijovo ye-toxin ye-botulinum, okusho i-Botox, iyasiza izimpawu zabo.
Uma uphathwa nge-torticollis enamandla, kungenzeka ukuthi ulindele ukubuyela emuva evamile ezinsukwini ezimbalwa kuya emavikini ambalwa. Uma emva kwalesi silinganiso sesikhathi (futhi ukwelashwa) ubuhlungu bakho kanye nokuphambana kwakho akuphumi, ungadinga ukudluliselwa kwesazi-kungaba isazi sezinzwa noma udokotela ohlinzayo.
Ukuhlinzwa kanye nezinqubo ze-Spasmodic Torticollis neDervical Dystonia
Ukuhlinzwa ngokuvamile kuhilela ukusika izinzwa ezithintekayo ekudluliseni izimpikiswano zokuqhaqhazela emisipha yentamo, kodwa akuvamile ukunikezwa. Ukuphazamiseka kokuhlinzwa kungukuthi ngokuvamile isibonakaliso sentamo esisontekile sibuyela ezinyangeni ezimbalwa emva kokuhlinzwa.
Enye inqubo ethola isisindo ekwelapheni i-torticollis isisusa sokukhushulwa kobuchopho, ngokuvamile esibizwa ngokuthi ukwelashwa kwesifo sikaParkinson . Uma isetshenziselwa i-torticollis-kulokhu, i-spasmodic torticollis, eyaziwa nangokuthi i-dystonia yomlomo wesibeletho-ihlanganisa ukubeka idivayisi efana ne-pacemaker (kuphela ebuchosheni) endaweni okukholelwa ukuthi i-torticollis ivela.
Imithombo:
Cunha, John P. DO, FACOEP, Davis, Charles Patrick, MD, PhD. I-Torticollis. Iwebhusayithi yeMedicineHealth.
I-Dressler D. Botulinum i-toxin yokwelapha i-dystonia. I-Eur J Neurol. 2010 Jul; 17 Ukusekela 1: 88-96. i-doi: 10.1111 / j.1468-1331.2010.03058.x.
Krauss JK. Ukunakekelwa kokuhlinzwa kwe-dystonia. I-Eur J Neurol. 2010 Jul; 17 Ukusekela 1: 97-101. i-doi: 10.1111 / j.1468-1331.2010.03059.x.
Ukukhushulwa kobuchopho obujulile (DBS). Iwebhusayithi ye-National Spasmodic Torticollis Association.
I-Torticollis. I-Medline Plus. Izikhungo Zempilo Zikazwelonke (NIH). Kugcine ukubuyekezwa ngoMeyi 21 2012.