Indlela Yokusiza I-Neurologist Yakho Yenza Ukuthola Ukukhathazeka
Uma umuntu ebheka ngokucophelela esandleni sabo eseluliwe, bazobona ukuzamazama okungabonakali. Uma othile ekhulelwe noma ephethe i-caffeine kakhulu, lokhu kuthuthumela kungahle kubonakale-kodwa ngokuvamile akuphazamisi ukuphila kwabo kwansuku zonke.
Abanye abantu bathola ukuthuthumela okwehlisa amandla ngempela. Isibonelo, omunye umuntu angeke akwazi ukudla ngoba ukuthuthumela kwawo kwenza kube nzima ukuthola impahla noma indebe emlonyeni wabo.
Ngisho nasezimo lapho ukudumazeka kubonakala ngempela futhi kuyinkinga, kungase kungabangeli ukugula okungathí sina. Abanye abantu bangase babe nokuzamazama okuphawulekayo okubangelwa isifo esifana nesifo sika-Parkinson . Izazi zezinzwa zingatshela kanjani lapho ukuzamazama kuyinto okufanele ukhathazeke ngayo?
Sibutsetelo
Intukuthelo uhlobo oluvame kakhulu lokunyakaza okungazibandakanyi futhi lungathinta cishe noma iyiphi ingxenye yomzimba. Izibhamu zibonakala ziningi kakhulu ezandleni kepha zingabandakanya nemilenze, insizwa noma ikhanda.
Ngisho nezwi lingathinteka ukuthuthumela. Kuwusizo ukuphawula ukuthi uhlangothi olulodwa lomzimba luyathinteka kakhulu ukwedlula ukwedlula elinye (ukulinganisa). Nakuba kukhona okungafani nayo yonke imithetho, ukuzamazama okukhulu kuhlanganisa zombili izinhlangothi ngokulinganayo. Esigabeni sikaPasinson, uhlangothi olulodwa luvame ukuthinteka ngaphezu kwesinye.
Kuye ngenxa yesibindi sokuzamazama, ukuzamazama kungabonakala nakakhulu uma uphumule, ubambe okuthile, noma uma uhamba.
Abanye abantu bakuthola kuwusizo ukuhlukanisa ukuthuthumela phakathi kwezigaba ezilandelayo:
- Ukuqeda ukuthuthumela : Lolu hlobo lokuzamazama luyenzeka uma imisipha ikhululekile. Lona uhlobo lokuthuthumela okuvame ukuhambisana nesifo sikaParkinson.
- Ukuzamazama kwezenzo : Lokhu kuthuthumela kwenzeka lapho imisipha ihlushwa ngendlela ethile. Lesi yisigaba esikhulu futhi sihlukaniswe ngokuqhubekayo kuzo zonke izigaba ezibalulwe ngezansi.
- Ukuzamazama kwe-postural : Lokhu kuthuthumela kudlulela lapho ingxenye yomzimba ibanjwa ngokumelene nodlame. Lokhu kubonakala ekudumeni okubalulekile , isifo esivamile esicasulayo kodwa esingasongela ukuphila.
- Ukuzamazama kwe-Kinetic : Lokhu kungukudabuka okubuhlungu lapho kunesidingo somzimba esuswa.
- Ukuzamazama kwenhliziyo : Lolu hlobo lokuzamazama lungabhekwa njengeluhlobo lwe-kinetic ukuzamazama ngoba kuhilela ukuhamba komzimba okuhambayo, kodwa kusho ngempela into ecacile. Ukuzamazama kwenhliziyo kudlulela lapho uhambela kwelinye ilitshe, okuthatha ukusebenzisana okulingana. Ukuzamazama kwenhliziyo kuyodlula njengoba nje umunwe wakho usondela.
- Ukuzamazama okuqondene nomsebenzi : Lokhu kwenzeka kuphela uma wenza umsebenzi othile, njengokubhala. Lezi zingabuka ku-dystonia.
- Ukuzamazama kwe-Isometric : Lokhu kuthuthumela kuhilela ukuzamazama uma isisindo sinomsindo kodwa singadluli. Uma uye waba nesikhundla esifana ne-push-up isikhathi eside, kungenzeka ukuthi ubhekene nalokhu kudumala.
Izimbangela
Ukuzamazama okunye kujwayelekile kuwo wonke umuntu. Ngezinye izikhathi into ethile ingahamba kahle ngezingxenye zobuchopho ezihilelekile ngokunyakaza, njenge-basal ganglia noma i-cerebellum.
Ukwesaba kungabangelwa izifo ezinjenge- multiple sclerosis , ukushaywa isifo, nezinkinga ze-neurodegenerative ezifana nesifo sika-Parkinson .
Kungabuye kubangelwe izidakamizwa ezinjenge-alcohol, amphetamine, ne-steroids.
Izinkinga ezithinta wonke umzimba, njengesifo se- thyroid noma ukwehluleka kwesibindi , zingabangela ukuthuthumela. Ngokuthakazelisayo, akekho owazi ngempela ukuthi kungani abantu beqala ukuthuthumela okubalulekile, nakuba kubonakala sengathi bazuze njengefa futhi kuvamile kakhulu.
Kungase kubonakale kusobala, kodwa abantu abaningi abaqapheli ngokushesha ukuthi ukuthuthumela kwabo kungase kwenzeke ngemuva kokuthatha imithi ethile, lapho beba ne-caffeine kakhulu, noma uma bengadli okwesikhashana. Ukucindezeleka ngokomzwelo noma ngokomzimba okuvuthiwe kuvame ukuqhubekela phambili. Ekudumeni kwe-orthostatic, ukuzamazama kuqala njalo ngemva kokuma.
Kuyasiza futhi ukuqaphela ukuthi yini eyenza ukuthuthumela kungcono. Isibonelo, ukuzamazama okubalulekile kuyimbangela evamile yokuthuthumela ukuthi, ngenxa yezizathu ezingaziwa, kuvame ukuthuthukisa lapho isiguli sinesidakwa sokuphuza. Ukuzamazama kwe-Orthostatic kuthuthukisa ngemva kokuhlala phansi.
Ukuhlolwa Nokunakekelwa
Ngaphezu kokuhlolwa okusemzimbeni ukufuna ezinye iziphumo eziphakamisa imbangela yokuzamazama, udokotela angase alawule ukuhlolwa kwegazi ukuze afune izimbangela ze-hormonal noma zamakhemikhali zokuzamazama. Bangase bahlele i- CT scan noma i- MRI ukuze babone ukuthi ukuthuthumela kwenzeka yini ngenxa yesifo esifana ne-MS noma isifo sohlangothi.
Kuye ngokuthi yini etholakala, bangase bahlele nokuhlolwa njengokufana ne- electromyogram noma isifundo sokuqhutshwa kwesisindo sokubona uma ukuzamazama kungenxa yenkinga yesistimu yesifo sezinzwa .
Ukwelashwa kokuthuthumela kuncike ekutheni uhlobo lokuthuthumela nokubangela. Ukuqaphela nokuqeda izimo ezidambisa ukuzamazama kuyisinyathelo esibalulekile.
Ukwelapha ngokomzimba kungakusiza ukuba uhlale ukhululekile ngangokunokwenzeka futhi kunganciphisa ukuthuthumela. Ezimweni ezimbi kakhulu, ukwelashwa okuhlinzekwayo noma ukukhushulwa kobuchopho obujulile kungahlolwa, nakuba lokhu kuvame ukugcinwa ezimweni lapho izindlela ezingacindezeli ezincane ezingazange zisebenze.
Ukwazi ukuthi kufanele unake yini kungakusiza ukuthola izimpendulo ozifunayo ngokuzamazama kwakho futhi uthole usizo oludingayo ngokushesha.
> Imithombo:
> Braunwald E, Fauci ES, et al. Izimiso zikaHarrison zeMithi yangaphakathi. 16th ed.
> Ropper AH, Samuels MA. Adams kanye Nemigomo kaVictor ye-Neurology, 9th ed: The McGraw-Hill Companies, Inc., 2009.