Ukuzamazama okubangelwa izidakamizwa

Ukuzamazama okubangelwa izidakamizwa ukuthuthumela ngokungenhloso ngenxa yokusetshenziswa kwemithi. Ukuzibandakanya kusho ukuthi uyazamazama ngaphandle kokuzama ukwenza kanjalo futhi awukwazi ukuma lapho uzama. Ukuqhaqhazela kwenzeka lapho unyakaza noma uzama ukubamba izingalo, izandla, noma ikhanda lakho endaweni ethile. Akuhlotshaniswa nezinye izimpawu.

Ukuzamazama okubangelwa yizidakamizwa kuyisistimu yezinzwa elula nokuphendula kwemisipha emithini ethile. Izidakamizwa ezingadala ukuthuthumela zihlanganisa okulandelayo:

• Imithi yomdlavuza efana ne-thalidomide ne-cytarabine
• Imithi yokudla njenge-valproic acid (Depakote) ne-sodium valproate (Depakene)
• Imithi ye-asthma efana ne-theophylline ne-albuterol
• Imithi ecindezela ama-immune efana ne-cyclosporine ne-tacrolimus
• Ama-Mood stabilizers afana ne-lithium carbonate
• Izikhuthazi ezifana ne-caffeine nama-amphetamine
• Izidakamizwa ezilwa nokudangala njenge-serotonin reuptake inhibitors (SSRIs) ekhethiwe kanye nama-tricyclics
• Imithi yenhliziyo efana ne-amiodarone, i-procainamide, neminye
• Imithi elwa namagciwane ethile
• Izidambisigciwane ezithile, njenge-acyclovir ne-vidarabine
• Utshwala
• I-Nicotine
• Imithi ethile yomfutho wegazi ophezulu
• I-Epinephrine ne-norepinephrine
• Umuthi wokwehlisa isisindo (tiratricol)
• Umuthi omningi we-thyroid (levothyroxine)
• I-Tetrabenazine, umuthi wokwelapha ukuphazamiseka ngokweqile kokunyakaza

Ukuzamazama komhlaba kungathinta izandla, izingalo, ikhanda noma amajwabu amehlo. Ezimweni ezingavamile, umzimba ophansi uyathinteka. Ukuzamazama kungenzeka kungathinti izinhlangothi zombili zomzimba ngokulinganayo.

Ukuzamazama kuvame ukushesha, cishe ukunyakaza okungu-4 kuye ku-12 ngomzuzwana.

Ukuzamazama kungaba:

• I-Episodic (eyenzeka ngokuqhuma, kwesinye isikhathi cishe ihora ngemuva kokuthatha umuthi)
• Okuphakathi (kuza futhi kuhamba nomsebenzi, kepha hhayi njalo)
• Okuvamile (kwenzeka kwesinye isikhathi)

Ukuthuthumela kunga:

• Kutholakala ngokunyakaza noma ekuphumuleni
• Nyamalala ngesikhathi sokulala
• Kubi kakhulu ngokuhamba ngokuzithandela nokucindezeleka ngokomzwelo

Ezinye izimpawu zingafaka:

• Anqekuzise ikhanda
• Ukunyakazisa noma ukuthuthumela umsindo ezwini

Umhlinzeki wakho wokunakekelwa kwezempilo angenza ukuxilongwa ngokwenza ukuhlolwa komzimba nokubuza ngomlando wakho wezokwelapha nowomuntu siqu. Uzobuzwa futhi ngemithi oyiphuzayo.

Ukuhlolwa kungenziwa ukukhipha ezinye izizathu zokuzamazama komhlaba. Ukuthuthumela okwenzeka lapho imisipha ikhululekile noma okuthinta imilenze noma ukuhlangana kungaba wuphawu lwesinye isimo, njengesifo i-Parkinson. Ijubane lokuthuthumela lingaba yindlela ebalulekile yokuthola imbangela yakho.

Ezinye izimbangela zokuthuthumela zingabandakanya:

• Ukuhoxiswa kotshwala
• Ukubhema ugwayi
• Indlala yegilo eyeqile (hyperthyroidism)
• Isifo se-Parkinson
• Isimila sendlala ye-adrenal (pheochromocytoma)
• I-caffeine eningi kakhulu
• Ukuphazamiseka lapho kunethusi eliningi kakhulu emzimbeni (Isifo seWilson)

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

Ukuzamazama okubangelwa izidakamizwa kuvame ukuphela lapho uyeka ukuthatha umuthi obangela ukuzamazama.

Ungahle ungadingi ukwelashwa noma ushintsho emithini uma ukundindizela kukuncane futhi kungaphazamisi umsebenzi wakho wansuku zonke.

Uma inzuzo yomuthi inkulu kunezinkinga ezibangelwe ukuzamazama komhlaba, umhlinzeki wakho kungenzeka ukuthi uzame imithamo ehlukene yomuthi. Noma, ungahle unikezwe omunye umuthi wokwelapha isimo sakho. Ezimweni ezingavamile, umuthi ofana nepropranolol ungangezwa ukusiza ukulawula ukuthuthumela.

Ungayeki ukuthatha noma imuphi umuthi ngaphandle kokuqala ukhulume nomhlinzeki wakho.

Ukuzamazama okukhulu kungaphazamisa imisebenzi yansuku zonke, ikakhulukazi amakhono emoto amahle njengokubhala, neminye imisebenzi efana nokudla noma ukuphuza.

Shayela umhlinzeki wakho uma uthatha umuthi bese kuba nokuthuthumela okuphazamisa umsebenzi wakho noma okuhambisana nezinye izimpawu.

Hlala utshela umhlinzeki wakho ngemithi oyiphuzayo. Buza umhlinzeki wakho uma KULUNGILE ukuthatha imishanguzo yamakhompiyutha equkethe izikhuthazi noma i-theophylline. I-Theophylline yisidakamizwa esisetshenziselwa ukwelapha ukuphefumula nokuphefumula okuncane.

I-caffeine ingadala ukuthuthumela futhi yenze ukuvevezela okubangelwa eminye imithi kube kubi kakhulu. Uma ukundindizela, gwema iziphuzo ezine- caffeine ezifana nekhofi, itiye, nesoda. Futhi gwema ezinye izikhuthazi.

Ukuthuthumela - kubangelwa izidakamizwa; Shaking - ukuthuthumela kwezidakamizwa

• Isistimu yezinzwa emaphakathi nesistimu yezinzwa ezungezayo

UMorgan JC, uKurek JA, uDavis JL, uSethi KD. Imininingwane ye-pathophysiology kusuka ekuthuthumeleni okubangelwa yimithi. Ukuthuthumela Enye i-Hyperkinet Mov (N Y). 2017; 7: 442. I-PMID: 29204312 pubmed.ncbi.nlm.nih.gov/29204312/.

U-O'Connor KDJ, uMastaglia FL. Izinkinga ezibangelwa izidakamizwa zesistimu yezinzwa. Ku: Aminoff MJ, Josephson SA, ama-eds. I-Neurology ne-General Medicine ka-Aminoff. Umhlaka 5. I-Waltham, MA: I-Elsevier Academic Press; 2014: isahluko 32.

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.