Iyini i-Cervical Dystonia? Izimpawu, Izimbangela, & Ukwelashwa

Iyini i-Cervical Dystonia?

I-Cervical dystonia yisimo sezifo zezinzwa lapho imisipha yomhlane wakho iqinisana ngokungaziwa, okubangela ikhanda lakho liguquke, liguquke, noma liqine ezindaweni ezingakhululekile. Lesi simo, esibizwa nangokuthi i-spasmodic torticollis, kwenzeka lapho ubuchopho bakho buthumela izimpawu ezihlangene emisipha yomhlane, okwenza iqine ngaphandle kokulawula kwakho.

Cabanga ngakho njengomisipha yomhlane wakho ebanjelwe esimweni abangakwazi ukuphuma kuwo bodwa. Ukunyakaza kungaba buthana futhi kuqhubeke, noma kungafika ngokunyakaza okusheshayo, okuqondile. Nakuba lokhu kuzwakala kukhulu, abantu abaningi abane-cervical dystonia bathola izindlela ezisebenzayo zokuphatha izimpawu zabo nokugcina ikhwalithi yokuphila enhle.

Lesi simo sivame ukuthuthuka kancane kancane, ngokuvamile luqala ngokunqamuka komhlane oluthambile oluqhubeka ngokuhamba kwesikhathi. Ungase uqaphele ikhanda lakho lidonsela ohlangothini olulodwa ngokuphindaphindiwe, noma ungase uzizwe sengathi ulwa njalo ukuze ugcine ikhanda lakho endaweni evamile.

Ziyini Izimpawu ze-Cervical Dystonia?

Izimpawu eziyinhloko ze-cervical dystonia zihilela ukunyakaza komhlane okungaziwa nokuqina kwemisipha ongakwazi ukulawula. Lezi zimpawu zingase zihluke kakhulu kumuntu nomuntu, kokubili ngamandla nangendlela ebonakala ngayo usuku lonke.

Nawa zimpawu ezivame kakhulu ongazihlangabezana nazo:

• Ukuguqula ikhanda (torticollis): Ikhanda lakho liguquka ngokungazi lulodwa kwesobunxele noma kwesokudla
• Ukukhotha ikhanda (laterocollis): Ikhanda lakho likhotha liye ehlombe linye
• Ukuma kwekhanda phambili (anterocollis): Ukuthomba kwakho kuya phansi esifubeni sakho
• Ukuma kwekhanda ngemuva (retrocollis): Ikhanda lakho likhotha liye ngemuva
• Ubuhlungu nokuqina kwentamo: Ngokuvamile yisiguli esibuhlungu kakhulu kubantu abaningi
• Ukuqina kwemisipha: Ukuqina okungazelelwe, okuhlungu kwemisipha yentamo
• Ukushintshashintsha okufana nokuthuthumela: Ikhanda lakho lingase lithuthumele noma liqhudelane

Abantu abaningi nabo baye bahlangabezana nalokho odokotela abakubiza ngokuthi i- "geste antagoniste" noma i-trick yemizwa. Lokhu kusho ukuthi ungase uthole ukuthi ukuthinta kancane ukuthomba kwakho noma emuva kwekhanda lakho kunganciphisa isikhashana ukunyakaza okungalungile. Yindlela yomzimba wakho yokunikeza impendulo esiza ukuthula imisipha esebenza kakhulu.

Izimpawu zivame ukuba zimbi ngezikhathi zengcindezi, ukukhathala, noma lapho uzama ukwenza imisebenzi eqondile. Ngokuthakazelisayo, abantu abaningi bathola izimpawu zabo ziphucuka lapho belele noma bekhululekile.

Izimpawu Ezingevame Ukubakhona

Abanye abantu abane-cervical dystonia bangase babe nezimpawu ezengeziwe ezingathinta impilo yabo yansuku zonke. Lezi zingase zihlanganise izinhlungu zikhanda ezihluke kakhulu ezinhlungwini zikhanda eziqhelekile zokucindezeleka, ngokuvamile zichazwa njengobunzima obukhulu, obuhlungu phansi komqondo.

Ungase futhi uqaphele ukuthi izimpawu zakho zinephethini usuku lonke. Abanye abantu bathola i-dystonia yabo imbi ekuseni, kanti abanye babhekana nobunzima obukhulu kusihlwa. Izinkinga zokulala zingase zenzeke futhi, ikakhulukazi uma ukuqina kwemisipha kuqhubeka ngesikhathi sokuphumula.

Imiphi Imikhakha Ye-Cervical Dystonia?

I-dystonia yomphimbo ingahlelwa ngezindlela eziningi ukuze kusize odokotela ukuqonda kangcono isimo sakho. Indlela evamile kakhulu iwukubuka ukuthi ikhanda lakho lihamba kanjani ngokungaziwa.

Ngokuya ngezindlela zokunyakaza, kunezinhlobo ezine eziyinhloko:

• Torticollis: Ikhanda lakho liguquka ohlangothini olulodwa, njengokungathi ubheka phezu kwesifuba sakho
• Laterocollis: Ikhanda lakho liqina eceleni liye ehlombe lakho
• Anterocollis: Ikhanda lakho liwa phambili, isifuba siye esifubeni
• Retrocollis: Ikhanda lakho lidonsela emuva

Abantu abaningi banesigcijo salezi zinyakaza kunokuba kube yilohlobo olulodwa oluhlanzekile. Udokotela wakho angase futhi ahlukanise i-dystonia yakho njenge-focal (ethinta kuphela intamo) noma i-segmental (ethinta intamo kanye nezinye izindawo eziseduze njengobuso noma amahlombe).

Enye indlela odokotela abahlela ngayo i-dystonia yomphimbo iwukuthi izimpawu zivele nini. I-dystonia yomphimbo eyi-primary ivele yodwa ngaphandle kwesizathu esaziwayo. I-dystonia yomphimbo yesibili kwenzeka ngenxa yesimo esinye, imithi, noma ukulimala.

Yini ebangela i-Cervical Dystonia?

Imbangela eqondile ye-cervical dystonia ayiqondakali ngokuphelele, kodwa abacwaningi bakholelwa ukuthi ivele ezinkingeni ezindaweni zobuchopho eziqondisa ukunyakaza. Ngokuqondile, kukhona okuphosakele e-basal ganglia, iqembu lezakhiwo zobuchopho ezisiza ekuhlanganiseni ukunyakaza kwemisipha okulula, okulawulwayo.

Ezimweni eziningi, i-cervical dystonia ibonakala iyidiopathic, okusho ukuthi ithuthuka ngaphandle kwesizathu esiqondiwe. Noma kunjalo, izinto eziningi zingase zifake isandla noma zivuselele lesi simo:

• Izimbangela ezivela ekuzalaneni: Cishe amaphesenti angu-10-15 eziguli anambali yomndeni, okubonisa izingxenyekazi ezithile zezinto ezivela ekuzalaneni
• Ukulimala kwengqondo: Ukulimala kwekhanda, isifo sokuqhaqhazela, noma ukutheleleka kwengqondo ngezinye izikhathi kungabangela i-dystonia
• Imithi ethile: Eminye imithi yezifo zengqondo, imithi yokulwa nokuhlanza, noma imithi yokwelapha izifo zokunyakaza ingabangela i-dystonia
• Ezinye izimo zezinzwa: I-Parkinson's disease, i-Wilson's disease, noma iziphumu ezingqondweni zingabangela i-dystonia yesibili
• Izimbangela zezindawo eziqophiwe: Ukubhekana nezinto eziyingozi noma amakhemikhali, nakuba lokhu kuyincasa

Kubalulekile ukuqonda ukuthi i-cervical dystonia ayibangelwa ukucindezeleka, ukungabi nendlela efanele yokuma, noma noma yini oyenzile okungalungile. Nakuba ukucindezeleka kungenza izimpawu zibe zimbi, akubangeli isimo esiyisisekelo.

Kwezinye izikhathi ezingavamile, i-cervical dystonia ingaba yingxenye yesifo esiyisisekelo esitholakala ekuzalaneni noma ibe ngumphumela we-gene mutations ethile. Udokotela wakho angaxoxa ngokuhlolwa kwe-gene uma unembali yomndeni eqinile noma uma i-dystonia yakho yaqala eneminyaka emincane.

Nini Okufanele Ubone Udokotela Nge-Cervical Dystonia?

Kufanele ubheke udokotela uma uqaphela ukunyakaza okungapheli, okungazithiba kwentamo noma uma ikhanda lakho lihlala liqondiswa ezindaweni ezingakhululekile. Ukuxilongwa kwasekuqaleni kubalulekile ngoba ukwelashwa okusheshayo kungasiza ukuvimbela izimpawu ezingabi zimbi futhi kuthuthukise ikhwalithi yokuphila kwakho.

Nawa ama-situations athile lapho kufanele ufuna ukunakekelwa kwezokwelapha:

• Ukudonsa okungapheli komphimbo: Ikhanda lakho liphenduka njalo, liqolo, noma liyaqala ngaphandle kokulawula kwakho
• Izimpawu ezithuthukayo: Ukunyakaza kuya kubi noma kwenzeka njalo
• Ubuhlungu nokungakhululeki: Uhlushwa ubuhlungu obukhulu bomphimbo noma ubunzima bemisipha
• Izinkinga zokusebenza: Ukunyakaza kuya kuphazamisa ukuqhuba, ukusebenza, noma imisebenzi yansuku zonke
• Ukukhathazeka komphakathi: Ugwema izimo zomphakathi ngenxa yokunyakaza okungakwazi ukulawulwa

Uma ubona ukuqala ngokuzumayo kokuphephetha komphimbo, ikakhulukazi ngemuva kokuqala ukusebenzisa imithi emisha, funa usizo lwezokwelapha ngokushesha. Lokhu kungaba ukusabela okubi kwe-dystonic okudinga ukwelashwa ngokushesha.

Ungalindi izimpawu zibe zimbi ngaphambi kokufuna usizo. Ochwepheshe bezifo zezinzwa kanye nochwepheshe bezifo zokunyakaza bangavame ukuxilonga i-cervical dystonia ngokuhlolwa kwezokwelapha futhi bakusize uqale ukwelashwa okufanele ekuqaleni komjikelezo wesimo.

Iyini Izingozi Ze-Cervical Dystonia?

Ukuqonda izingozi ze-cervical dystonia kungakusiza ubone ukuthi ungase ube sengozini enkulu yokuthuthukisa lesi simo. Noma kunjalo, ukuba nezingozi akusho ukuthi uzophuthuma uthuthukise i-dystonia.

Izingozi eziyinhloko zihlanganisa:

• Ubudala: Ngokuvamile ithuthuka phakathi kweminyaka engama-40-60, yize ingase ibonakale kunoma iyiphi iminyaka
• Ubulili: Abafazi bathinteka kabili kunamadoda
• Umlando womndeni: Ukuba nezihlobo ezine-dystonia noma ezinye izifo zokunyakaza kukhuphula ingozi
• Ukulimala kwangaphambili kwekhanda noma komphimbo: Ukulimala ekhanda, emphimbweni, noma emgogodleni ophezulu
• Imithi ethile: Imithi yokulwa nokuphazamiseka kwengqondo, imithi yokulwa nokugula, noma ezinye izidakamizwa zokucindezeleka
• Ezinye izimo zezinzwa: Ukuba nesifo se-Parkinson noma ezinye izifo zokunyakaza

Abanye abaculi bezingozi zomsebenzi bangase futhi badlale indima, ikakhulukazi imisebenzi ehilela ukunyakaza okuphikisanayo kwentamo noma izikhundla ezingalungile zekhanda. Kodwa-ke, lobu buxhumano abubonakali ngokuqinisekile.

Kwezinye izimo ezingavamile, ukuguqulwa okuthile kwe-genetic kungandisa kakhulu ingozi. Lezi zivame ukuxhumene nokuqala kwasebusheni be-dystonia okuqala ebuntwaneni noma ebusheni, ngokuvamile kuqala ezingalweni noma ezinyaweni ngaphambi kokuthinta intamo.

Ziyini Izingozi Ezingase Zenzeke Ze-Cervical Dystonia?

Nakuba i-cervical dystonia ngokwayo ingayingozi ebulalayo, ingabangela ezinye izingozi ezithinta impilo yakho yansuku zonke kanye nokuthuthuka kwakho okuphelele. Ukuqonda lezi zinkinga ezingase zenzeke kusiza wena nodokotela wakho ukuba usebenzisane ukuvimba noma ukuphatha ngokuphumelelayo.

Izingozi ezivamile ongazihlangabezana nazo zihlanganisa:

• Ubuhlungu obuhlala njalo: Ubuhlungu obuhlala njalo entanyeni, ehlombe, nasekhanda obuvela ekuqinisweni kwemisipha
• Izinkinga ze-cervical spine: Ukugqwala okungavamile nokukhahlela kwemisipha yentamo nama-discs
• Ubuthakathaka bemisipha: Eminye imisipha yentamo ingase ibe buthakathaka ngenxa yokungasetshenziswa okuvamile
• Izinkinga zokuma: Ukushintsha endleleni yokuma ukuze kulungiswe isikhundla sekhanda
• Ukuzihlukanisa nabantu: Ukugwema izimo zenhlalo ngenxa yokulahlekelwa ukuma okuzenzakalelayo
• Usizi nokukhathazeka: Izinselele zomzwelo ezivela ekuphileni nesimo esingapheli
• Ukungazinzi kokulala: Ubunzima bokuthola izikhundla zokulala ezanelisayo

Abanye abantu bathuthukisa okuthiwa yi-“dystonic tremor,” lapho imisipha ethintekayo ithuthukisa ukuxubha noma ukuthuthumela ngaphezu kokunqina okuhlala njalo. Lokhu kungenza isimo siqapheleke kakhulu futhi singase sibe nokukhubazeka okukhulu.

Kwezinye izikhathi ezingavamile, i-cervical dystonia ingasakazekela ezingxenyeni zomzimba, njengobuso, izwi, noma izingalo. Lokhu kuqhubeka kuvamile kubantu abasebancane kanye nalabo abanohlobo oluthile lwe-dystonia oluvela ngokufuywa.

Izindaba ezinhle ukuthi ngokwelashwa okulungile, iningi lalezi zinkinga lingavikeleka noma linciphise kakhulu. Ukungenelela kwasekuqaleni nokukhathalela okubanzi kungasiza ekuvikeleni ikhwalithi yakho yokuphila nokuvimbela izinkinga zesikhathi eside.

I-Cervical Dystonia Ihlonishwa Kanjani?

Ukuhlola i-cervical dystonia kuncike ikakhulu ekubukeni komzimba kanye nomlando wakho wezokwelapha. Ayikho i-test eyodwa engabonisa ngokuqinisekile leli gciwane, ngakho-ke udokotela wakho uzohlola ngokucophelela izimpawu zakho futhi asuse ezinye izimbangela ezingaba khona.

Udokotela wakho uzoqala ngokubuza imibuzo emininingi mayelana nokuthi izimpawu zakho zaqala nini, indlela eziqhubeke ngayo, nokuthi yini ezenza zibe ngcono noma zimbi. Uzothanda ukwazi nganoma iyiphi imithi oyithathayo, umlando womndeni wezifo zokunyakaza, nokuthi uke waba neziphukuphuku zekhanda noma intamo.

Phakathi kokuhlolwa komzimba, udokotela wakho uzobona ukunyakaza kwentamo yakho kanye nokuma. Uzobheka ukucindezeleka okungakwazi ukulawulwa futhi angakucela ukuba wenze imisebenzi ethile ukuze abone ukuthi izimpawu zakho ziphendula kanjani. Angase futhi ahlole “i-sensory trick” yakho ukuze abone ukuthi ukuthinta okuthambile kungathuthukisa yini isimo esingalungile isikhashana.

Ezinye izivivinyo udokotela wakho angase azincoma zihlanganisa:

• Izivivinyo zegazi: Ukuvimbela isifo se-Wilson, izinkinga zesithayirodi, noma ezinye izimo zokuguqulwa komzimba
• I-MRI yengqondo: Ukuhlola ukungalingani komzimba, iziphukuphuku, noma isifo sokuqhaqhazela
• I-Electromyography (EMG): Ukutadisha umsebenzi wamagetsi emiphini yentamo yakho
• Ukuhlolwa kwe-genetic: Uma unomlando womndeni noma izimpawu zokuqala

Inqubo yokuxilonga ingathatha isikhathi esithile, ikakhulukazi uma izimpawu zakho zingenazinzwa noma zivela ngezikhathi ezithile. Udokotela wakho angase afune ukubona ukuthi isimo sakho siqhubeka kanjani ngaphambi kokwenza ukuxilonga oluqinisekile.

Iyini Ukwelashwa kwe-Cervical Dystonia?

Ukuphathwa kwe-cervical dystonia kugxile ekunciphiseni ukucindezeleka kwemisipha, ukuphatha ubuhlungu, nokwenza kube lula ukusebenza empilweni yansuku zonke. Izindaba ezinhle ukuthi kunezindlela eziningi zokwelapha eziphumelelayo, futhi abantu abaningi bathola impumuzo enkulu ngendlela efanele.

Ukugonywa kwe-botulinum toxin kubhekwa njengendlela ehamba phambili yokwelapha i-cervical dystonia. Lezi zigonyo zisebenza ngokuvimba isikhashana izibonakaliso zezinzwa ezibangela ukucindezeleka kwemisipha. Imiphikisano ihlala iinyanga ezingu-3-4, futhi abantu abaningi babona ukuthuthuka okukhulu kokunyakaza okungavamile nobuhlungu.

Udokotela wakho uzothunga inani elincane le-botulinum toxin ngqo emisipha yentamo esebenza kakhulu. Le nqubo yenziwa ehhovisi futhi ithatha imizuzu eyi-15-30. Ungase uqaphele ukuthuthuka ezinsukwini ezimbalwa kuya kumaviki amabili ngemuva kokugonywa.

Imithi yomlomo nayo ingasiza, ngokwayo noma ngokuhlanganiswa ne-botulinum toxin:

• Imithi yokunciphisa ukucindezeleka kwemisipha: Njengoba baclofen noma tizanidine ukunciphisa ukucindezeleka kwemisipha
• Imithi ye-Anticholinergic: Njengoba trihexyphenidyl, ikakhulukazi iwusizo kubantu abasebancane
• I-Benzodiazepines: Njengoba clonazepam yokunciphisa ukucindezeleka kwemisipha nokukhathazeka
• I-Anticonvulsants: Njengoba gabapentin yokuphatha ubuhlungu

I-Physical therapy idlala indima ebalulekile ekwelapheni ngokukusiza ugcine ukuhamba kwentamo, uqine imisipha yokusekela, ufunde amasu okuphatha izimpawu. Uchwepheshe wakho angase akufundise imizamo ethile nezikhuthazo ezilungele uhlobo lwakho oluthile lwe-dystonia.

Kubangelwa izimo ezinzima ezingaphenduli kahle ekwelapheni okunye, ukucathulwa kwengqondo ejulile (DBS) kungacatshangelwa. Lokhu kuhilela ukufaka ama-electrodes ezindaweni ezithile zengqondo ukuze kusize ukulawula izibonakaliso zezinzwa ezingavamile.

Indlela Yokwelapha Ekhaya Ngesikhathi Se-Cervical Dystonia?

Ukuphatha i-cervical dystonia ekhaya kuhilela ukusetshenziswa kwezindlela ezihlukahlukene ezingasiza ekunciphiseni izimpawu nokuthuthukisa ukududuzeka kwakho usuku lonke. Lezi zindlela zisebenza kangcono uma zidibene nezinye izindlela zokwelapha ozibekwe yidokotela wakho.

Ukwelashwa ngokushisa nokubanda kungabangela impumuzo enkulu kubantu abaningi. Zama ukufaka i-compress efudumele noma i-heating pad emiphongolweni yomphimbo oluqinile imizuzu engu-15-20 ngesikhathi. Abanye abantu bathola ukuthi ukushintshana phakathi kwamaphakheji okushisa nokubanda kuwusizo, ikakhulukazi ngesikhathi se-flare-ups.

Ukuqiniswa okuthambile nokuzivocavoca kokunyakaza kungasiza ekugcineni ukuqina nokunciphisa ubuhlungu. Sebenza nodokotela wezokwelapha ukuze ufunde ukuzivocavoca okuvikelekile, okuphumelelayo okukhethekile esimweni sakho. Gwema ukuphoqa ukunyakaza noma ukuqiniswa ngokungathi sína, njengoba lokhu kungenza izimpawu zibe zimbi.

Nawa amanye amasu okuphatha ekhaya:

• Ukuphathwa kwengcindezi: Zama amasu okuphumula njengokuphefumula okujulile, ukucamngca, noma i-yoga ethambile
• Ukuma komzimba ngesikhathi sokulala: Sebenzisa amapilishi asekelayo ukuze ugcine intamo yakho ilukhuni ngesikhathi sokulala
• Ukwenza izinguquko ze-Ergonomic: Shintsha indawo yakho yokusebenza ukuze unciphise ukucindezeleka kwentamo
• Amaqhinga ezimpawu: Sebenzisa iqhinga lakho lomuntu siqu lezimpawu uma kudingeka ukuze uthole impumuzo yesikhashana
• Ukwenza izinguquko zemisebenzi: Hlukanisa imisebenzi eyenza izimpawu zibe zimbi zibe yizikhathi ezimfushane

Ukugcina impilo enhle ngokujwayelekile ngokuzivocavoca okuvamile, ukulala okwanele, nokudla okufanele kungasiza umzimba wakho ukuba ubhekane kangcono nezimpawu ze-dystonia. Imisebenzi engathinti kakhulu njokubhukuda noma ukuhamba ngezinyawo ivame ukwamukelwa kahle.

Gcina idayari yezimpawu ukuze uqaphele ukuthi yini esiza futhi yini ebiyisa isimo sakho. Ulwazi lolu lungaba luwusizo kakhulu eqenjini lakho lokunakekelwa kwezempilo ekulungiseni uhlelo lwakho lokwelashwa.

Kufanele Uzilungiselele Kanjani Ukuya Kudoctor?

Ukulungiselela i-aphoyintimenti yakho yedokotela kungakusiza uqinisekise ukuthi uthola okuningi kakhulu ekuhambeleni kwakho futhi unikeze iqembu lakho lokunakekelwa kwezempilo ngolwazi olulidingekayo ukuze likusize ngokuphumelelayo. Ukulungiselela okuhle kungenza umehluko ekutholeni ukuxilongwa okuchaneka kanye nokwelashwa okufanele.

Ngaphambi kwe-aphoyintimenti yakho, bhala ulwazi oluqondile mayelana nezimpawu zakho. Qaphela ukuthi zaqala nini, indlela eziye zashintsha ngayo ngokuhamba kwesikhathi, nokuthi yini ebonakala ikhuthaza noma ikhulula. Faka ulwazi mayelana nanoma yimiphi imithi oyithathayo, kufaka phakathi imithi yokuthengwa ngaphandle kwelayisensi kanye nezinye izongezo.

Letha uhlu oluphelele lomlando wakho wezokwelapha, kufaka phakathi noma yiziphi izikhathi zokulimala kwekhanda, ukuhlinzwa, noma ezinye izimo zezinzwa. Uma unezihlobo ezinezinhlungu zokunyakaza, qaphela lokhu futhi.

Cabanga ngokuletha lezi zinto e-aphoyintimenti yakho:

• Idayari yezimpawu: Amarekhodi ansuku zonke ezimpawu zakho, amazinga obuhlungu, nezici ezikhuthazayo
• Ukurekhoda kwevidiyo: Amavidiyo amafushane abonisa izimpawu zakho angaba usizo kakhulu
• Uhlu lwemithi: Yonke imithi yamanje ngezinga kanye nokuphindaphinda
• Uhlu lwemibuzo: Bhala imibuzo ofuna ukuyibuza udokotela wakho
• Umuntu wokusekela: Cabanga ngokuletha ilungu lomndeni noma umngani wokusekela

Cabanga ngendlela izimpawu zakho ezithinta ngayo impilo yakho yansuku zonke futhi ulungele ukuxoxa ngezinselele ezithile obhekene nazo. Lokhu kusiza udokotela wakho ukuthi aqonde umthelela wesimo sakho futhi abeke phambili imigomo yokwelashwa.

Ungesabi ukubuza imibuzo mayelana nokuxilongwa kwakho, izinketho zokwelashwa, imiphumela emibi engenzeka, nokuthi yini okulindelekile kuqhubeke. Udokotela omuhle uzonika isikhathi sokusingatha ukukhathazeka kwakho futhi achaze izinto ngezindlela oyiqondayo.

Iyini Iphuzu Eliyinhloko Mayelana Ne-Cervical Dystonia?

I-Cervical dystonia iyisimo sengqondo esilawuleka esithinta imisipha yentamo, sibangela ukunyakaza okungakwazi ukulawulwa futhi ngokuvamile ubuhlungu. Nakuba ukuthola leli xilongo kungase kuzwakale kukhulu, kubalulekile ukwazi ukuthi kukhona ukwelashwa okuphumelelayo okukhona futhi abantu abaningi bangazuza intuthuko enkulu ezimpahleni zabo.

Ukuze ulawule kahle, kubalulekile ukusebenzisana eduze neqembu lokunakekelwa kwezempilo eliqonda izifo zokunyakaza. Ukuxilongwa kwasekuqaleni nokwelashwa kungavimbela izimpawu ezingabi zimbi futhi kukusize ugcine ikhwalithi yokuphila enhle. Ukugonywa kwe-Botulinum toxin kuye kwaguqula ukwelashwa kwalesi simo, kunikeza impumuzo kubantu abaningi abane-cervical dystonia.

Khumbula ukuthi i-cervical dystonia akuyona iphutha lakho, futhi ayibangelwa ukucindezeleka noma ukubamba okubi. Kuyisimo sengqondo sangempela esidinga ukunakekelwa kwemithi nokwelashwa okufanele. Ngokusebenzisa ukwelashwa kwemithi, ukuqeqeshwa komzimba, nezinqubo zokuzilawula, ungaqhubeka uphila impilo egcwele.

Hlala uxhumene neqembu lakho lokunakekelwa kwezempilo, ubekezelele inqubo yokwelashwa, futhi ungangabazi ukufuna ukwesekwa uma ulikhona. Abantu abaningi abane-cervical dystonia bathola ukuthi ukuxhumana nabanye abaneli simo kungaba nokusekela okubalulekile ngokomzwelo nezeluleko eziwusizo zokuphatha kwansuku zonke.

Imibuzo Evame Ukubuzwa Mayelana Ne-Cervical Dystonia

Ingabe i-cervical dystonia iyadluliselwa ezizukulwaneni?

Amacala amaningi e-cervical dystonia awuhambelani nokuzuza, kodwa cishe amaphesenti angu-10-15 abantu abanesimo banembali yomndeni ka-dystonia noma ezinye izifo zokunyakaza. Uma unelungu lomndeni eline-dystonia, ingozi yakho iphakeme kancane kunabantu abavamile, kodwa lokho akusho ukuthi uzophuthuma ngokuqinisekile lesimo. Ukuhlolwa kwe-genetic kuyatholakala ngezinhlobo ezithile ezingavamile ze-dystonia, ikakhulukazi lezo eziqala ebuntwaneni.

Ingabe i-cervical dystonia yami izobe ibi kakhulu ngokuhamba kwesikhathi?

I-cervical dystonia ivame ukuqhubeka kancane ngokuhamba kweminyaka embalwa yokuqala ngemuva kokutholakala, bese ihlala njalo. Abantu abaningi bathola ukuthi izimpawu zabo zihlala ziningi kunokuba zibe zimbi ngokuqhubekayo ekuphileni kwabo konke. Ngokwelashwa okulungile, abantu abaningi bathola ukuthuthuka okukhulu ezimpawu zabo. Ikhona ukufumana ukunakekelwa kwezokwelapha okufanele kusenesikhathi ukuvimbela ukuqhubeka nokuphatha izimpawu ngokuphumelelayo.

Ingabe ukucindezeleka kungabangela i-cervical dystonia?

Ukucindezeleka akubangeli i-cervical dystonia, kodwa ngokuqinisekile kungenza izimpawu zibe zimbi. Lesi simo sibangelwa izinguquko ze-neurological ebuchosheni, hhayi izici ze-psychological. Noma kunjalo, njengoba ukucindezeleka kungakhuthaza ukucindezeleka kwemisipha nokwenza izinyathelo ze-dystonic zibe zimbi, ukufunda amasu okuphatha ukucindezeleka kuyisigaba esibalulekile sokwelashwa okuphelele. Abantu abaningi bathola ukuthi amasu okuphumula asisiza ukunciphisa ubukhulu bezimpawu zabo.

Isikhathi esingakanani ukugxilwa kwe-botulinum toxin kuhlala isikhathi esingakanani?

Ukugxilwa kwe-botulinum toxin kuvame ukunikeza impumuzo izinyanga ezingu-3-4, nakuba lokhu kungase kuhluke komuntu ngamunye. Abanye abantu baphawula imiphumela ehlala ize izinyanga eziyisi-6, kanti abanye bangadinga ukugxilwa njalo ngemva kwamasonto angu-10-12. Isikhathi sivame ukuthuthuka ngokwelashwa okuphindaphindwayo njengoba udokotela wakho elungisa indlela yokugxilwa kanye ne-dosage. Abantu abaningi baqala ukuphawula ukuthuthuka ngaphakathi kwamasonto angu-1-2 ngemuva kokugxilwa, ngemiphumela ephakeme eyenzeka cishe ngemva kwamasonto angu-4-6.

Ingabe i-cervical dystonia ingelapheka?

Okwamanje, ayikho imithi yokwelapha i-cervical dystonia, kodwa lesi simo silashwa kalula. Abantu abaningi bathola impumuzo enkulu yezimpawu ngokuqothulwa kwe-botulinum toxin, imithi, kanye ne-physical therapy. Nakuba ukwelashwa kuphatha izimpawu kunokuba kube ukwelapha isimo esiyimbangela, abantu abaningi bakwazi ukubuyela emisebenzini evamile futhi bagcine ikhwalithi yokuphila enhle. Ucwaningo lwemithi emisha luyaqhubeka, lunikeza ithemba lokuba nezinketho zokuphatha ezingcono nakakhulu esikhathini esizayo.