Izinketho zezokwelapha nezokuhlinzekwa kulesi simo Benign
Ukuthuthumela okubalulekile kuyathinta umuntu oyedwa kubantu abangu-20 e-United States futhi iba yinto evame kakhulu njengoba sikhula. Nakuba inqubo yesifo ayisongeli ukuphila, ukuzamazama kungacasula futhi kubangele nakwezinye abantu.
Ngenxa yokuthi ukuzamazama kuyanda kakhulu lapho abantu bezama ukusebenzisa izandla zabo, kungenza imisebenzi yansuku zonke, njengokuphuza ekomishini noma ukubhala incwadi, ibe yinselelo.
Ngaphezu kwalokho, abaningi bathola ukuthuthumela ukuba babe namahloni emphakathini.
Ukubhekana Nokukhononda Okubalulekile
Abantu abaningi bakhetha ukungaboni ukuthuthumela okukhulu ngemithi noma ukuhlinzwa. Uma ukuzamazama kungabangela inani eliphansi lokukhubazeka, izingozi zemiphumela emibi zingadlula ukuphazamiseka kwesibindi. Kulezi zimo, abantu bafunda ukwenza izinguquko empilweni yabo ukuze bahambisane nokuthuthumela. Amanye amathiphu afaka okulandelayo:
- Sebenzisa isandla ngokuthuthumela okungenani ngangokunokwenzeka, noma sebenzisa izandla ezimbili ukuze uzinze.
- Sebenzisa amabhodlela kanye namagundane ukuze ugweme ukuphuza utshwala.
- Qaphela ukuthi yini eyenza ukuthuthumela kwakho kubi kakhulu (ukucindezeleka, i-caffeine, ukukhathala) futhi wenze konke ongakwenza ukuze ugweme lezo zici ezicasulayo.
- Sebenzisa izinkinobho ezinzima kakhulu nezitsha zokudla.
- Uma usendaweni yokudlela, cela inyama iqedwe ekhishini, noma ulayishe ukudla okunezinhlamvu ukuze ugweme izitsha. Cabangela ukucela ukuthi izibuko zigcwaliswe kuphela.
- Shintsha isimiso sakho sasekuseni ngokusebenzisa i-razor kagesi yokushefa, kanye nebhokisi lezinyo zokugesi ukuze uthuthukise ukulawula kokunyakaza kwakho.
- Qinisekisa izandla zakho ngokuphumula izikhala zakho kwi-countertop noma uqondisa isandla esisodwa nomunye uma wenza ukunyakaza okuhle, njengokusebenzisa ukwenza izimonyo.
- Zama ukubhala phansi, njengomagazini, ukuze ulawule ukuthuthumela ngenkathi ubhala. Phrinta esikhundleni sokubhala okuphephile.
- Khetha amathoni ngezinkinobho ezinkulu. Cabanga ukusebenzisa i-headset noma i-speakerphone, kanye nokudayela okusebenza ngezwi.
- Setha ikhompyutha yakho ukungazinaki imivimbo emibili ekhibhodi. Cabanga ngobuchwepheshe bokuqaphela izwi.
Ukwelashwa Kwezobuhlungu Obalulekile
Uma ukuzamazama kuyaphazamisa kakhulu, ungakhetha ukuthatha imithi yokwehlisa izimpawu. Imithi ejwayelekile kakhulu ihlanganisa beta-blockers , njengepropranolol. Ukusebenza kwalo muthi kuyahlukahluka komunye nomuntu, kodwa kungasiza ekulawuleni ukuthuthumela kwesandla, kanye nokuba nomthelela wokuthuthumela kwekhanda, izwi nelimi.
Ama-beta-blockers nawo nemishanguzo yegazi, ngakho-ke kungenzeka ukuthi ukucindezeleka kwegazi kungase kwehle kakhulu, okwenza kube nomzimba obala kule mithi. Ama-beta-blockers nawo alawula izinga lenhliziyo ngokunciphisa inhliziyo, okungaba nzima uma izinga lakho lenhliziyo selivele lincane kancane. Abantu abane-asthma kufanele baqaphele ngokusebenzisa i-beta-blockers, njengoba leli klasi lemithi lingadala ukuhlaselwa kwe-asthma . Futhi, kubantu abanesifo sikashukela, i-propranolol ingakwazi ukugubha izimpawu ze- hypoglycemia , okwenza kube nzima iziguli ukutshela ukuthi ushukela wegazi liphansi kangakanani.
I-Primidone ingenye imithi ewusizo yokuthuthumela okukhulu. Le mithi i-anticonvulsant kodwa nayo iboniswe ngezinye izikhathi iholela ekuqedeni okuphelele kokuthuthumela okubalulekile.
Imiphumela emibi kakhulu ye-primidone ihlanganisa isicashu, isizungu, ukuhlushwa nokulala. Iminye imithi eminingi inezici ezithile eziwusizo ekudumeni okubaluleke kakhulu kodwa ivame ukungasebenzi kangcono kunepropranolol noma i-primidone. Le mithi ihlanganisa
- I-Atenolol
- I-Sotalol
- I-Topamax (i-topiramate)
- I-Neurontin (gabapentin)
- I-Xanax (alprazolam)
Imithi ebuyekezwayo yenziwa ngomlomo, futhi ijwayele ukusiza ukuthuthumela kwesandla ngaphezu kokuthuthumela kwekhanda noma izwi. Izifo ze-botulinum I-A (i-Botox) ibonise enye insiza ekuphatheni ikhanda noma ukuthuthumela kwezwi. Izilonda ezandleni ziye zazama ngempumelelo ethile.
I-Botox isebenza ngemisipha ebuthakathaka, ngakho-ke kufanele ijojowe ngokucophelela ukugwema ubuthakathaka obuba yisithintelo esingaphezu kwesibindi ngokwayo.
Ukwelapha Okuhlinzekwa Kokudumisa Okubalulekile
Lapho ukuzamazama okubalulekile kukhubaza ngempela, futhi imithi ayisebenzi, ukwelashwa kungacatshangwa. Lezi zihlanganisa izinqubo ezibizwa ngokuthi i-thalamotomy stereotaxic noma i-thalamic yokuvuselela ubuchopho obujulile.
I-thalamotomy e-Stereotactic ihilela ukudala izilonda zokuhlinzeka ngengxenye ye-thalamus. Le nqubo ayinakuphelelwa yisikhathi kodwa yakamuva ibonise inzuzo ekhulayo nemiphumela embalwa embi ngenxa yentuthuko yamasu we-neuroimaging.
Ukukhushulwa kobuchopho obujulile kuhilela ama-electrode abekwe ezingxenyeni zobuchopho ezibandakanyeka ngokuthuthumela. Uma i-stimulator ivuliwe, umphumela ukuthulisa izingxenye ezingasebenzi ezingqondweni, okuholela ekuthungeni okunciphise. Lokhu kubuyiselwa futhi kube nemiphumela engcono kakhulu kune-thalamotomy, kodwa iyabiza kakhulu futhi idinga isikhathi nemizamo yokushintshwa kwebhethri ne-hardware nokulungiswa. Kuncike lapho ubeka khona umzila kagesi, ungase ube nemiphumela emibi njengenkulumo emisiwe, i-paresthesias, noma iziphazamiso ezingavamile zemisipha.
Izinqubo zokuhlinzekwa kufanele zicatshangelwe kuphela uma imishanguzo ingalawuli ukuzamazama nokuzamazama ukukhubaza. Ngaphezu kwalokho, abantu abanokukhubazeka kwengqondo nokugula okungaqiniseki bayalulekwa ukuba bangene nalezi zinqubo.
Imithombo:
I-International Essential Tremor Foundation. Mayelana Nokubaluleka Okubalulekile.
I-Zesiewicz, TA, et al. (2011). Ukubuyekezwa okusekelwe ebukhosini: ukuphathwa kokuzamazama okubalulekile: umbiko wekomidi eliphansi le-Quality Standards le-American Academy of Neurology. Neurology, Nov 8; 77 (19): 1752-5. I-Epub 2011 Oct 19. Isibuyekezo.
QAPHELA: Ulwazi olukulesi sayithi lunguzinhloso zemfundo kuphela. Akufanele isetshenziswe njengengxenye yokunakekelwa ngumuntu udokotela olayisenisi. Sicela ubheke udokotela wakho ukuze ahlolwe futhi aphathwe noma yiziphi izimpawu noma isimo sezokwelapha .