Kuyini i-Benign Fasciculation Syndrome?

-Delile

• Izimpawu zeBenign fasciculation syndrome
• Izimbangela ze-benign fasciculation syndrome
• Ukuhlonza i-benign fasciculation syndrome
• Ukwelashwa kwe-Benign fasciculation syndrome

Ukubuka konke

I-Fasciculation yigama elide lokushikiza kwemisipha. Akubuhlungu, futhi awukwazi ukukulawula. Akuzikhetheli.

Uhlobo lokuthakazelisa abantu abaningi abalwaziyo ukujija kwejwabu leso. Inamagama ayo, afaka:

• ukudumba kwejwabu leso
• blepharospasm
• myokymia

I-Fasciculations ingaba uphawu ezinhlotsheni eziningi zezimo. Cishe amaphesenti angama-70 abantu abaphilile anabo. Akuvamile ukuba uphawu lwesifo esibi se-neuromuscular. Kodwa-ke, ngoba ziwuphawu lokuphazamiseka okuthile okubhubhisayo, njenge-amyotrophic lateral sclerosis (ALS), ukuba ne-fasciculations kungaba uphawu lokuthi kufanele ufune usizo lwezempilo. Odokotela bavame ukuzihlola kahle.

I-Benign fasciculation syndrome ayivamile. Abantu abane-benign fasciculation syndrome bangaba nokushintshwa koku:

• iso
• ulimi
• izingalo
• isithupha
• izinyawo
• amathanga
• amathole, okuvame kakhulu

Abanye abantu futhi banezicubu zemisipha ezinama-fasciculations. Abantu abanalesi simo ngenye indlela banempilo. Akunasifo esiyimbangela noma isizathu sezinzwa salezi cramp kanye nama-twitch. Noma kunjalo, izimpawu zingakhathaza ngokomzimba nangokwengqondo. Uma amajaqamba enzima, angaphazamisa imisebenzi yansuku zonke efana nomsebenzi nemisebenzi yasekhaya.

Izimpawu zeBenign fasciculation syndrome

Uphawu oluyinhloko lwe-benign fasciculation syndrome ukuphikelela kwemisipha okuphikelelayo, ukushoshozela, noma ukuba ndikindiki. Lezi zimpawu zenzeka lapho imisipha iphumule. Ngokushesha lapho isicubu sihamba, ukudikiza kuyama.

Ukushintshwa kwenzeka kaningi emathangeni nasematholeni, kepha kungenzeka ezingxenyeni eziningana zomzimba. Ukudikiza kungaba njalo kuphela, noma kungaba cishe sonke isikhathi.

Abantu bavame ukukhathazeka ukuthi ama-fasciculations ahlobene nesimo esibi se-neuromuscular like ALS. Kuyaqapheleka ukuthi ukuthakazelisa akuzona ukuphela kwezimpawu ze-ALS. Ku-benign fasciculation syndrome, ama-fasciculations yizimpawu eziyinhloko. Ku-ALS, ama-fasciculations ahambisana nezinye izinkinga ezinjengobuthakathaka obubi, inkinga yokubamba izinto ezincane, nobunzima bokuhamba, ukukhuluma, noma ukugwinya.

Izimbangela ze-benign fasciculation syndrome

I-Benign fasciculation syndrome kucatshangwa ukuthi ingenxa yokusebenza ngokweqile kwemizwa ehambisana nemisipha eshwibayo. Imbangela ivame ukuba yi-idiopathic, okusho ukuthi ayaziwa.

Ezinye izifundo zikhombise ukuhlangana okuthile phakathi kwe-fasciculations kanye:

• isikhathi esicindezelayo
• ukuhlukumezeka
• ukukhathazeka noma ukudangala
• ukuqina okuphezulu, ukuvivinya umzimba kanzima
• ukukhathala
• ukuphuza utshwala noma i-caffeine
• ukubhema osikilidi
• ukutheleleka ngegciwane kwakamuva

Zivame ukuxhunyaniswa nezimpawu ezihambisana nengcindezi, kufaka phakathi:

• ikhanda
• isilungulela
• i-irritable bowel syndrome (IBS)
• izinguquko emikhubeni yokudla

Imithi ethile ye-counter-the-counter kanye nemithi kadokotela nayo ingadala ukuthambeka, kufaka phakathi:

• i-nortriptyline (Pamelor)
• i-chlorpheniramine (i-Chlorphen SR, i-Chlor-Trimeton yokungezwani komzimba nehora eli-12)
• i-diphenhydramine (I-Benadryl Allergy Dye Mahhala)
• ama-beta-agonists asetshenziselwa i-asthma
• amanani aphakeme ama-corticosteroids alandelwa amanani aphansi ukuze awanciphise

Ukuhlonza i-benign fasciculation syndrome

I-Fasciculations ingaba yizimpawu zezinkinga eziningana zempilo. Isifo esibi se-neuromuscular disorder akusiyona imbangela. Ezinye izimbangela ezivame kakhulu zingabandakanya i-apnea yokulala, i-hyperthyroidism (i-thyroid engasebenzi ngokweqile), namazinga egazi angajwayelekile we-calcium ne-phosphorus.

Noma kunjalo, i-fasciculations ingaba uphawu lwezinkinga ze-neuromuscular ezinzima kakhulu. Ngaleso sizathu, odokotela kungenzeka bazihlole ngokucophelela.

Indlela ejwayelekile yokuhlola ukushukuma kwemisipha nge-electromyography (EMG). Lokhu kuhlolwa kuvusa inzwa enesamba esincane sikagesi. Bese iqopha ukuthi imisipha iphendula kanjani.

Odokotela bangabuye bahlole impilo kanye nezingozi eziphelele ze-fasciculations nge:

• ukuhlolwa kwegazi
• ezinye izivivinyo zezinzwa
• ukuhlolwa okuphelele kwezinzwa, kufaka phakathi ukuhlolwa kwamandla emisipha
• umlando ophelele wezempilo, kufaka phakathi izinkinga zengqondo, izimpawu zomzimba ezivela ekucindezelekeni, nokukhathazeka kwekhwalithi yempilo

Isifo seBenign fasciculation sitholakala lapho ama-fasciculations ebeyinsakavukela, uphawu oluyinhloko futhi asikho esinye isibonakaliso sokuphazamiseka kwemizwa noma kwemisipha noma esinye isimo sezokwelapha.

Ukwelashwa kwe-Benign fasciculation syndrome

Akunakho ukwelashwa ukunciphisa ama-fasciculations enobungozi. Bangakwazi ukuzixazulula ngokwabo, ikakhulukazi uma inhlamvu itholakele futhi isuswe. Abanye abantu bathole ukukhululeka ngemithi eyehlisa ukuthokoza kwezinzwa, kufaka phakathi:

• i-carbamazepine (Tegretol)
• i-gabapentin (Horizant, Neurontin)
• i-lamotrigine (Lamictal)
• pregabalin (eLyrica)

Kwesinye isikhathi odokotela banikeza i-serotonin reuptake inhibitor ekhethiwe, uhlobo lomuthi osetshenziselwa ukwelapha ukudangala nokukhathazeka. Ukwelulekwa nakho kungasiza.

Amajaqamba angadanjiswa ngokuzivocavoca umzimba kanye nokusikhipha umzimba. Uma amajaqamba abanzima futhi ingekho eminye imishanguzo esizayo, odokotela bangahle banikeze ukwelashwa kokuzivikela nge-prednisone.

Odokotela bangazama ezinye izindlela zokwelapha imisipha enamandla ephazamisa impilo yansuku zonke.