Mawallafi: Laura McKinney
Ranar Halitta: 4 Afrilu 2021
Sabuntawa: 18 Nuwamba 2024
Anonim
A Patient With Severe Cervical Dystonia
Video: A Patient With Severe Cervical Dystonia

Wadatacce

Bayani

Cervical dystonia wani yanayi ne mai sauƙi wanda wuyan wuyan ku ba da gangan ya shiga cikin matsayi mara kyau ba. Yana haifar da saurin juyawar kai da wuyanka. Theawayoyi na iya zama tsaka-tsalle, a cikin ɓacin rai, ko na dindindin.

Tsananin dystonia na mahaifa ya bambanta. Zai iya zama mai raɗaɗi da nakasawa a wasu yanayi. Ba a san takamaiman dalilin ba. Babu magani har yanzu, amma ana iya magance alamun.

Cervical dystonia kuma ana kiranta spasmodic torticollis.

Alamomin ciwon dystonia na mahaifa

Jin zafi shine mafi yawan alamun da ke fuskantar kalubale na dystonia na mahaifa. Ciwon yawanci akan gefen kai ɗaya ne da karkatar.

Mafi yawan motsawar mahaukaci a cikin dystonia na mahaifa shine karkatar da kai da cinci a kaikaice, zuwa ga kafada, wanda ake kira torticollis Sauran motsin mahaukaci sun haɗa da kai:

  • tsugunnawa gaba, chin zuwa kasa, wanda aka fi sani da anterocollis
  • karkatar da baya, cinya sama, wanda ake kira retrocollis
  • karkatar da kai gefe, kunne zuwa kafada, wanda aka sani da laterocollis

Wasu na iya samun haɗin waɗannan motsi. Hakanan, alamun cutar na iya bambanta kan lokaci da kuma ɗayansu.


Damuwa ko tashin hankali na iya ƙara bayyanar cututtuka. Hakanan, wasu matsayin na jiki na iya kunna alamun.

Alamun cutar sukan fara ne a hankali. Suna iya yin muni sannan su isa wani tudu. Sauran cututtuka na iya haɗawa da:

  • ciwon wuya wanda ke haskakawa zuwa kafaɗun
  • kafada ta daga
  • girgizar hannu
  • ciwon kai
  • girgiza kai, wanda ke shafar kusan rabin mutanen da ke fama da cutar dystonia ta mahaifa
  • faɗaɗa ƙwayar wuyan wuya, yana shafar kusan kashi 75 na mutanen da ke fama da cutar dystonia na mahaifa
  • rashin sanin motsi na jiki wanda dystonia bai shafeshi ba

Abubuwan da ke haifar da dystonia na mahaifa

A mafi yawan lokuta, ba a san dalilin dystonia na mahaifa ba. Matsalolin da ka iya ganowa a wasu lokuta sun hada da:

  • cututtukan jijiyoyin jiki, kamar na Parkinson’s
  • magani wanda yake toshe kwayoyin dopamine, kamar wasu magungunan kwantar da hankali
  • rauni a kai, wuya, ko kafadu
  • maye gurbi, kamar yadda kashi 10 zuwa 25 na mutanen da ke fama da cutar dystonia na iya zama tarihin iyali na cutar
  • matsala ta hankali

A wasu lokuta, dystonia na mahaifa yana nan lokacin haihuwa. Hakanan abubuwan mahalli na iya kasancewa.


Hanyoyin haɗari

Cervical dystonia an kiyasta zai shafi kusan mutane 60,000 a Amurka. Waɗanda ke cikin haɗarin sun haɗa da:

  • mata, waɗanda abin ya shafa kusan ninki biyu kamar na maza
  • mutanen da ke tsakanin shekara 40 zuwa 60
  • waɗanda ke da tarihin iyali na dystonia

Samun sauƙi daga ciwo

Jin zafi shine babban alama na dystonia na mahaifa. Mutane suna amsawa daban-daban ga nau'ikan magunguna da haɗuwa da jiyya. Abin da ke aiki don wasu bazai yi aiki a gare ku ba.

Gubar Botulinum

Maganin farko don magance ciwo shine allurar toxin botulinum a cikin tsokoki na wuyan kowane mako 11 zuwa 12. Wannan yana motsa jijiyoyin cikin wuyan wuya. An bayar da rahoton don taimakawa ciwo da sauran alamun a cikin kashi 75 na mutanen da ke fama da dystonia na mahaifa.

A cewar wani binciken na 2008, yana da mahimmanci a yi amfani da alamun siginar lantarki, ko kuma nazarin halittu, don auna musammam tsoffin don allurar toxin botulinum.

Magungunan guba na botulinum da ake amfani dasu sun hada da Botox, Dysport, Xeomin, da Myobloc. Wataƙila ku saba da Botox azaman mai laushi wanda ake amfani dashi don dalilai na kwalliya.


Magunguna

Yawancin nau'ikan magungunan baka ne aka ruwaito ta Gidauniyar Dystonia don taimakawa sauƙaƙa alamun cututtukan da ke tattare da dystonia na mahaifa. Wadannan sun hada da:

  • anticholinergics, kamar su trihexyphenidyl (Artane) da benztropine (Cogentin), wanda ke toshe mai maganin ƙwaƙwalwar acetylcholine
  • dopaminergics, kamar levodopa (Sinemet), bromocriptine (Parlodel), da amantadine (Symmetrel), wanda ke toshe kwayar cutar neurotransmitter dopamine
  • GABAergics, kamar su diazepam (Valium), wanda ke amfani da kwayar cutar GABA-A
  • anticonvulsants, kamar su topiramate (Topamax), yawanci ana amfani dasu azaman maganin duka farfadiya da ƙaura, kuma ya bayar da rahoton yin amfani da nasara wajen magance alamomin cutar dystonia na mahaifa

Tabbatar tattaunawa da likitanka game da illolin da ke tattare da waɗannan magunguna.

Jiyya ga dystonia na mahaifa

Zaɓuɓɓukan magani don dystonia na mahaifa sun inganta a cikin 'yan shekarun nan. Baya ga jiyya ta jiki, nasiha na iya zama mai taimako, musamman a hanyoyin da za su taimake ka ka jimre da damuwa.

Jiki na jiki

Jiki na jiki na iya taimakawa. Wannan ya hada da tausa da zafi don shakatawa wuyanka da kafadunku harma da niyyar miƙawa da ƙarfafa motsa jiki.

Wani daga cikin mutanen 20 tare da dystonia na mahaifa ya gano cewa farfadowa na jiki ya inganta ciwo, wasu alamomi, da ingancin rayuwa. Yarjejeniyar binciken ta ƙunshi:

  • motsa jiki don motsawa a cikin kishiyar shugabanci na karkatarwar mutum
  • motsa jiki na kinesiotherapy don motsawa da kuma miƙa wuya
  • ƙarfin lantarki na tsokoki

Biofeedback

Biofeedback ya haɗa da amfani da kayan lantarki don auna masu canji kamar aikin tsoka, gudan jini, da raƙuman kwakwalwa.

Bayanan ana mayar da bayanin ga mutumin da ke fama da cutar dystonia na mahaifa, don taimaka musu don su sami damar sarrafa motsin da ba su so.

Smallananan nazarin 2013 da aka yi amfani da biofeedback sun nuna mahimmancin sauƙin ciwo da haɓaka rayuwa mai kyau.

Tiyata

Lokacin da ƙarin magungunan masu ra'ayin mazan jiya ba su aiki, hanyoyin tiyata na iya zama zaɓi. Yi la'akari da cewa dystonia na mahaifa wani yanayi ne mai wuya, don haka ba a samun manyan karatun sarrafawa.

Tsoffin hanyoyin tiyata sun haɗa da yanke jijiyoyi a cikin kwakwalwar da ke cikin motsawar motsin kai. Wadannan hanyoyin aikin na iya samun illoli. Hakanan, motsi mara izini na iya dawowa bayan lokaci.

Brainaramar kwakwalwa

Brainarar da ƙwaƙwalwar ƙwaƙwalwa, wanda ake kira neuromodulation, sabon magani ne. Ya ƙunshi haƙa ƙaramin rami a kwanyar da shigar da wutar lantarki cikin kwakwalwa.

An saka ƙaramin baturi mai sarrafa abubuwan jagoranci kusa da ƙashin wuyan wuya. Wayoyi da ke ƙarƙashin fata suna haɗa batirin zuwa hanyoyin. Kuna amfani da iko mai nisa don sadar da wutar lantarki mai ƙananan lantarki zuwa jijiyoyin da ke da alhakin motsa kai da wuyan motsi.

Motsa jiki

Mai ilimin likita na jiki na iya taimakawa tare da takamaiman motsa jiki waɗanda zaku iya yi a gida cikin aminci don taimakawa bayyanar cututtuka da ƙarfafa tsokoki.

Wasu lokuta dabaru masu sauƙin fahimta zasu iya taimakawa dakatar da spasm. Waɗannan sun haɗa da shafar ɗayan gefen fuskarka, cincinka, kunci, ko bayan kai. Yin wannan a gefe ɗaya kamar yadda spasm ɗinku na iya zama mafi tasiri, amma tasirin na iya raguwa cikin lokaci.

Kasancewa don dystonia na mahaifa

Cervical dystonia cuta ce mai cutar ƙwaƙwalwa ba tare da sanannun magani ba har yanzu. Ba kamar sauran nau'in dystonia ba, yana iya ƙunsar mahimmancin ciwo na jiki da nakasa. Matsalar ta kara munana.

Wataƙila kuna da haɗin jiyya, gami da:

  • guba na botulinum
  • gyaran jiki
  • nasiha
  • tiyata, a wasu lokuta

Fewananan mutane na iya shiga cikin gafara tare da magani.

Matsalolin da ka iya faruwa sun hada da:

  • yaduwar motsin ganganci zuwa wasu sassan jikinka
  • ƙashi a cikin kashin baya
  • cututtukan zuciya na mahaifa

Mutanen da ke fama da dystonia na mahaifa suma suna da haɗarin damuwa da damuwa.

A gefe mai kyau, jiyya don dystonia na mahaifa na ci gaba da haɓaka yayin da ake yin ƙarin binciken bincike. Kuna iya sha'awar shiga cikin gwaji na asibiti wanda ke binciken sababbin jiyya.

Cibiyar Nazarin Magungunan Dystonia na iya taimakawa tare da bayanai da albarkatu, kamar neman rukunin talla na kan layi ko na gida.

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