Ukunyakaza - okungalawulwa noma okuhamba kancane

Ukunyakaza okungalawulwa noma okuhamba kancane kuyinkinga ngethoni yemisipha, imvamisa emaqenjini amakhulu emisipha. Inkinga iholela ekunyakazeni okuhamba kancane, okungalawuleki kwekhanda, izitho, isiqu, noma intamo.

Ukunyakaza okungavamile kungancishiswa noma kunyamalale ngesikhathi sokulala. Ukucindezeleka ngokomzwelo kuyenza ibe yimbi nakakhulu.

Ukuma okungavamile futhi kwesinye isikhathi okungajwayelekile kungenzeka ngenxa yalokhu kuhamba.

Ukunyakaza okuhamba kancane kwemisipha (i-athetosis) noma ukuphambana kwemisipha okushisayo (i-dystonia) kungabangelwa esinye sezimo eziningi, kufaka phakathi:

• I-Cerebral palsy (iqembu lezinkinga ezingabandakanya imisebenzi yobuchopho nenqubo yezinzwa, njengokuhamba, ukufunda, ukuzwa, ukubona nokucabanga)
• Imiphumela emibi yezidakamizwa, ikakhulukazi yokuphazamiseka kwengqondo
• I-Encephalitis (ukucasuka nokuvuvukala kobuchopho, imvamisa kungenxa yezifo)
• Izifo zofuzo
• I-hepatic encephalopathy (ukulahleka kobuchopho lapho isibindi singakwazi ukususa ubuthi egazini)
• Isifo i-Huntington (ukuphazamiseka okubandakanya ukonakala kwamangqamuzana ezinzwa ebuchosheni)
• Unhlangothi
• Ukuhlukumezeka kwekhanda nentamo
• Ukukhulelwa

Kwesinye isikhathi izimo ezimbili (njengokulimala kobuchopho nomuthi) ziyasebenzisana ukudala ukunyakaza okungavamile lapho kungekho noyedwa ozodala inkinga.

Lala ngokwanele futhi ugweme ukucindezeleka okukhulu. Thatha izinyathelo zokuphepha ukugwema ukulimala. Landela uhlelo lokwelashwa olunikezwa ngumhlinzeki wakho wezempilo.

Shayela umhlinzeki wakho uma:

• Unokunyakaza okungachazeki ongeke ukwazi ukukulawula
• Inkinga iya ngokuya iba yimbi
• Ukunyakaza okungalawulwa kwenzeka ngezinye izimpawu

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

Uzobuzwa ngomlando wakho wezokwelapha nezimpawu, kufaka phakathi:

• Uqale nini le nkinga?
• Ingabe kuyefana ngaso sonke isikhathi?
• Ingabe ihlale ikhona noma ngezinye izikhathi kuphela?
• Ingabe kuya ngokuya kuba kubi?
• Ingabe kubi kakhulu ngemuva kokuzivocavoca umzimba?
• Ingabe kubi kakhulu ngezikhathi zokucindezeleka ngokomzwelo?
• Ingabe uke walimala noma engozini muva nje?
• Ingabe uke wagula muva nje?
• Ingabe kungcono ngemuva kokulala?
• Ngabe ukhona omunye emndenini wakho onenkinga efanayo?
• Yiziphi ezinye izimpawu onazo?
• Imiphi imithi oyiphuzayo?

Izivivinyo ezinga-odwa zifaka:

• Izifundo zegazi, ezifana nephaneli yemethabolic, ukubalwa kwegazi okuphelele (CBC), umehluko wegazi
• I-CT scan yekhanda noma indawo ethintekile
• I-EEG
• Izifundo ze-EMG kanye ne-nerve conduction velocity (kwesinye isikhathi zenziwa)
• Izifundo zofuzo
• Ukubhoboza i-lumbar
• I-MRI yekhanda noma indawo ethintekile
• Ukuhlolwa komchamo
• Ukuhlolwa kokukhulelwa

Ukwelashwa kusekelwe enkingeni yokunyakaza umuntu anayo nasesimweni esingahle sidale inkinga. Uma kusetshenziswa imithi, umhlinzeki uzonquma ukuthi imuphi umuthi okufanele awunikeze ngokuya ngezimpawu zomuntu kanye nanoma yimiphi imiphumela yokuhlolwa.

IDystonia; Ukunyakaza okungahambi ngokuzithandela nokusonteka; I-Choreoathetosis; Ukunyakaza kwemilenze nengalo - kungalawuleki; Ukunyakaza kwengalo nemilenze - okungalawuleki; Ukuhamba okuhamba kancane kokuzibandakanya kwamaqembu emisipha emikhulu; Ukunyakaza kwe-Athetoid

• I-atrophy yemisipha

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.