Ukuthuthumela okubalulekile

Ukuthuthumela okubalulekile (i-ET) wuhlobo lokunyakazisa okungazibandakanyi. Ayinayo imbangela ekhonjiwe. Ukuzibandakanya kusho ukuthi uyaqhaqhazela ngaphandle kokuzama ukwenza lokho futhi awukwazi ukumisa ukuzamazama ngentando.

I-ET uhlobo oluvame kakhulu lokuthuthumela. Wonke umuntu unokuthuthumela okuthile, kepha ukunyakaza kuvame ukuba kuncane kakhulu kangangokuba kungabonakali. I-ET ithinta abesilisa nabesifazane. Kuvame kakhulu kubantu abadala kuneminyaka engama-65.

Imbangela ngqo ye-ET ayaziwa. Ucwaningo luphakamisa ukuthi ingxenye yobuchopho elawula ukunyakaza kwemisipha ayisebenzi kahle kubantu abane-ET.

Uma i-ET ivela ngaphezu kwelungu elilodwa lomndeni, ibizwa ngokuthi ukuthuthumela komndeni. Lolu hlobo lwe-ET ludluliselwa emindenini (ezuzwe njengefa). Lokhu kusikisela ukuthi izakhi zofuzo zidlala indima ethile emgomweni wazo.

Ukuzamazama komndeni ngokuvamile kuyisici esivelele. Lokhu kusho ukuthi udinga kuphela ukuthola isakhi kusuka kumzali oyedwa ukuze uthuthukise ukuzamazama. Imvamisa iqala ekuqaleni kweminyaka yobudala, kepha ingabonakala kubantu abadala noma abancane, noma ezinganeni.

Ukuzamazama kulindeleke kakhulu ukuthi kubhekwe engalweni nasezandleni. Izingalo, ikhanda, amajwabu amehlo, noma eminye imisipha nayo ingathinteka. Ukuzamazama akuvamile ukwenzeka emilenzeni noma ezinyaweni. Umuntu one-ET angaba nenkinga yokubamba noma ukusebenzisa izinto ezincane ezinjenge-silverware noma ipeni.

Ukunyakaziswa kuvame ukuhilela ukunyakaza okuncane, okusheshayo okwenzeka izikhathi ezine kuye kwezingu-12 ngomzuzwana.

Izimpawu ezithile zingafaka:

• Anqekuzise ikhanda
• Ukunyakazisa noma ukuthuthumela umsindo ezwini uma ukuzamazama kuthinta ibhokisi lezwi
• Izinkinga ngokubhala, ukudweba, ukuphuza enkomishini, noma ukusebenzisa amathuluzi uma ukuzamazama kuthinta izandla

Ukuthuthumela kungahle:

• Kuvela ngesikhathi sokunyakaza (ukuthuthumela okuhlobene nokwenziwa) futhi kungahle kungabonakali ngokuphumula
• Woza uhambe, kepha imvamisa iba mibi ngokukhula
• I-Worsen ene-stress, i-caffeine, ukungalali kahle, nemithi ethile
• Akuthinti zombili izinhlangothi zomzimba ngendlela efanayo
• Thuthukisa kancane ngokuphuza inani elincane lotshwala

Umhlinzeki wakho wokunakekelwa kwezempilo angenza ukuxilongwa ngokwenza ukuhlolwa komzimba nokubuza ngomlando wakho wezokwelapha nowomuntu siqu.

Ukuhlolwa kungadingeka ukuze kukhishwe ezinye izizathu zokuthuthumela okufana nalokhu:

• Ukubhema nogwayi ongenantuthu
• Indlala yegilo eyeqile (hyperthyroidism)
• Ukumisa ngokungazelelwe utshwala ngemuva kokuphuza kakhulu isikhathi eside (ukuhoxiswa kotshwala)
• I-caffeine eningi kakhulu
• Ukusetshenziswa kwemithi ethile
• Ukwesaba noma ukukhathazeka

Ukuhlolwa kwegazi kanye nezifundo ze-imaging (njenge-CT scan yekhanda, i-MRI yobuchopho, nama-x-ray) kuvame ukuba yinto ejwayelekile.

Ukwelashwa kungenzeka kungadingeki ngaphandle kwalapho ukundindizela kuphazamisa imisebenzi yakho yansuku zonke noma kubangela amahloni.

UKUNAKEKELWA KWEKHAYA

Ngokuthuthumela okwenziwe kwaba kubi kakhulu yingcindezi, zama izindlela ezikusiza uphumule. Ngokuzamazama kwanoma yisiphi isizathu, gwema i-caffeine futhi ulale ngokwanele.

Ngokuzamazama okubangelwe noma kwenziwa kubi kakhulu ngumuthi, khuluma nomhlinzeki wakho mayelana nokumisa umuthi, ukunciphisa umthamo, noma ukushintsha. Ungashintshi noma uyeke noma imuphi umuthi uwedwa.

Ukuzamazama okukhulu kwenza kube nzima ukwenza imisebenzi yansuku zonke. Ungahle udinge usizo ngale misebenzi. Izinto ezingasiza zifaka:

• Ukuthenga izingubo ngama-Velcro fasteners, noma ukusebenzisa izingwegwe zezinkinobho
• Ukupheka noma ukudla ngezitsha ezinesibambo esikhudlwana
• Usebenzisa ama-straws ukuphuza
• Ukugqoka izicathulo ezishelelayo nokusebenzisa izimpondo zezihlangu

IMITHI YESIKHATHI

Imithi ingasiza ekunciphiseni izimpawu. Izidakamizwa ezisetshenziswa kakhulu zifaka:

• I-Propranolol, i-beta blocker
• I-Primidone, umuthi osetshenziselwa ukwelapha ukuquleka

Le mithi ingaba nemiphumela engemihle.

• I-Propranolol ingadala ukukhathala, ikhala eligcwele, noma ukushaya kwenhliziyo okuhamba kancane, futhi kungenza i-asthma ibe yimbi kakhulu.
• I-Primidone ingadala ukozela, izinkinga zokugxila, isicanucanu, nezinkinga ngokuhamba, ukulinganisela, nokuxhumanisa.

Eminye imithi enganciphisa ukuthuthumela ihlanganisa:

• Imithi yokwelapha amagciwane
• Ama-tranquilizers amancane
• Imithi yengcindezi yegazi ebizwa nge-calcium-channel blockers

Imijovo ye-Botox enikezwe esandleni ingase izanywe ukunciphisa ukuzamazama komhlaba.

UKUHLINZA

Ezimweni ezimbi kakhulu, kungahlolwa ukuhlinzwa. Lokhu kungafaka:

• Ukugxila kuma-x-ray aphakeme ngamandla endaweni encane yobuchopho (i-stereotactic radiosurgery)
• Ukufaka okukhuthazayo ebuchosheni ukukhombisa indawo elawula ukunyakaza

I-ET akuyona inkinga eyingozi. Kepha abanye abantu bakuthola kuyacasula futhi kujabhisa. Kwezinye izimo, kungaba okumangazayo ngokwanele ukuphazamisa umsebenzi, ukubhala, ukudla noma ukuphuza.

Kwesinye isikhathi, ukundindizela kuthinta imisipha yezwi, engaholela ezinkingeni zokukhuluma.

Shayela umhlinzeki wakho uma:

• Unokuthuthumela okusha
• Ukuthuthumela kwakho kwenza kube nzima ukwenza imisebenzi yansuku zonke
• Unemiphumela engemihle evela emithini esetshenziselwa ukwelapha ukuthuthumela kwakho

Iziphuzo ezidakayo ngamanani amancane zinganciphisa ukuzamazama komhlaba. Kepha inkinga yokusebenzisa utshwala ingaqala, ikakhulukazi uma unomlando womndeni walezi zinkinga.

Ukuthuthumela - kubalulekile; Ukundindizela komndeni; Ukuthuthumela - komndeni; Ukuzamazama okubalulekile kweBenign; Shaking - ukuthuthumela okubalulekile

• Isistimu yezinzwa emaphakathi nesistimu yezinzwa ezungezayo

UBhatia KP, uBain P, uBajaj N, et al. Isitatimende Sokuvumelana ngokuhlukaniswa kokundindizela. kusuka eqenjini elisebenza ngokuzamazama kwe-International Parkinson neMovement Disorder Society. Ukuphazamiseka kweMov. 2018; 33 (1): 75-87. I-PMID: 29193359 pubmed.ncbi.nlm.nih.gov/29193359/.

UHariz M, Blomstedt P. Ukuphathwa kokuhlinzwa kokuthuthumela. Ku: Winn HR, ed. Ukuhlinzwa Kwe-Youmans neWinn Neurological. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2017: isahluko 87.

Isifo sikaJankovic J. Parkinson nezinye izinkinga zokuhamba. Ku: Daroff RB, Jankovic J, Maziotta JC, Pomeroy SL, ama-eds. I-Neurology kaBradley ekwenziweni kwemitholampilo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2016: isahluko 96.

Okun MS, Lang AE. Ezinye izinkinga zokuhamba. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 382.