Ukunyakaza - okungalindelekile noma okushisayo

Ukunyakaza komzimba kukaJerky kuyisimo lapho umuntu enza khona ukunyakaza okusheshayo abangakwazi ukukulawula futhi okungenanjongo. Lokhu kunyakaza kuphazamisa ukunyakaza okujwayelekile komuntu noma ukuma kwakhe.

Igama lezokwelapha lalesi simo yi-chorea.

Lesi simo singathinta uhlangothi olulodwa noma zombili zomzimba. Ukunyakaza okujwayelekile kwe-chorea kufaka:

• Ukugoba nokuqondisa iminwe nezinzwane
• Iyabukeka ebusweni
• Ukuphakamisa nokwehlisa amahlombe

Lokhu kunyakaza akuvamile ukuphinda. Bangabukeka sengathi benziwa ngenhloso. Kodwa ukunyakaza akukho ngaphansi kokulawulwa komuntu. Umuntu one-chorea angahle abukeke e-jittery noma engahlaliseki.

I-Chorea ingaba yisimo esibuhlungu, ikwenze kube nzima ukwenza imisebenzi yokuphila yansuku zonke.

Kunezimbangela eziningi ezingaba khona zokuhamba okungalindelekile, okunyakazayo, kufaka phakathi:

• I-Antiphospholipid syndrome (ukuphazamiseka okubandakanya ukujiya kwegazi okungavamile)
• I-Benign hereditary chorea (isimo esingajwayelekile esizuzwe njengefa)
• Ukuphazamiseka kwe-calcium, i-glucose, noma i-sodium metabolism
• Isifo i-Huntington (ukuphazamiseka okubandakanya ukonakala kwamangqamuzana ezinzwa ebuchosheni)
• Imithi (efana ne-levodopa, i-antidepressants, i-anticonvulsants)
• I-Polycythemia rubra vera (isifo somnkantsha)
• ISydenham chorea (ukunyakaza kwesifo okwenzeka ngemuva kokutheleleka ngamagciwane athile abizwa ngeqembu A streptococcus)
• Isifo i-Wilson (ukuphazamiseka okubandakanya ithusi eliningi kakhulu emzimbeni)
• Ukukhulelwa (chorea gravidarum)
• Unhlangothi
• Isystemic lupus erythematosus (isifo lapho amasosha omzimba ahlasela khona ngephutha izicubu ezinempilo)
• I-Tardive dyskinesia (isimo esingadalwa yimithi efana nemithi elwa nezengqondo)
• Isifo sendlala yegilo
• Ezinye izifo ezingavamile

Ukwelashwa kuhloselwe imbangela yokuhamba.

• Uma ukunyakaza kungenxa yomuthi, umuthi kufanele umiswe, uma kungenzeka.
• Uma ukunyakaza kungenxa yesifo, lesi sifo kufanele silashwe.
• Kubantu abanesifo sikaHuntington, uma ukunyakaza kunzima futhi kuthinta impilo yomuntu, imithi efana ne-tetrabenazine ingasiza ukuyilawula.

Injabulo nokukhathala kungenza i-chorea ibe nzima kakhulu. Ukuphumula kusiza ukuthuthukisa i-chorea. Zama ukunciphisa ukucindezeleka ngokomzwelo.

Izinyathelo zokuphepha kufanele futhi zithathwe ukuvimbela ukulimala ekuhambeni okungazibandakanyi.

Shayela umhlinzeki wakho wezokunakekelwa kwezempilo uma uneminyakazo yomzimba engachazeki engalindelekile futhi engapheli.

Umhlinzeki uzokwenza ukuhlolwa ngokomzimba. Lokhu kungafaka ukuhlolwa okuningiliziwe kwezinhlelo zezinzwa nezemisipha.

Uzobuzwa ngomlando wakho wezokwelapha nezimpawu, kufaka phakathi:

• Hlobo luni lokunyakaza olwenzekayo?
• Iyiphi ingxenye yomzimba ethintekayo?
• Yiziphi ezinye izimpawu ezikhona?
• Ngabe kukhona ukucasuka?
• Ingabe kukhona ubuthakathaka noma ukukhubazeka?
• Ingabe kukhona ukungahlaliseki?
• Ingabe zikhona izinkinga ezingokomzwelo?
• Ingabe kukhona ama-tics ebusweni?

Izivivinyo ezinga-odwa zifaka:

• Ukuhlolwa kwegazi okufana nephaneli ye-metabolic, ukubalwa kwegazi okuphelele (i-CBC), umehluko wegazi
• I-CT scan yekhanda noma indawo ethintekile
• I-EEG (ezimweni ezingavamile)
• I-EMG ne-nerve conduction velocity (ezimweni ezingavamile)
• Izifundo zofuzo ukusiza ukuxilonga izifo ezithile, ezifana nesifo seHuntington
• Ukubhoboza i-lumbar
• I-MRI yekhanda noma indawo ethintekile
• Ukuhlolwa komchamo

Ukwelashwa kusekelwe ohlotsheni lwe-chorea umuntu analo. Uma kusetshenziswa imithi, umhlinzeki uzonquma ukuthi imuphi umuthi okufanele awunikeze ngokuya ngezimpawu zomuntu kanye nemiphumela yokuhlolwa.

Chorea; Imisipha - ukunyakaza kwe-jerky (okungalawulwa); Ukunyakaza kwe-Hyperkinetic

UJankovic J, uLang AE. Ukuxilongwa nokuhlolwa kwesifo i-Parkinson nezinye izinkinga zokuhamba. Ku: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, ama-eds. I-Neurology kaBradley ekwenziweni kwemitholampilo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2016: isahluko 23.

I-Lang AE. Ezinye izinkinga zokuhamba. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-25. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 410.