Munyori: Laura McKinney
Zuva Rekusika: 4 Kubvumbi 2021
Gadziridza Zuva: 18 Mbudzi 2024
Anonim
A Patient With Severe Cervical Dystonia
Vhidhiyo: A Patient With Severe Cervical Dystonia

Zvemukati

Mhedziso

Cervical dystonia chiitiko chisingawanzoitika mukati mako mhasuru dzemutsipa dzisingabvumirwe kuita munzvimbo dzisina kujairika. Izvo zvinokonzeresa kudzokorora kudzokorodza mafambiro emusoro wako nemutsipa. Iwo mafambiro anogona kuve epakati, mune spasms, kana kugara.

Kuomarara kwechibereko dystonia kunosiyana. Zvinogona kurwadza nekuremadza mune dzimwe nguva. Chikonzero chaicho hachizivikanwe. Iko hakuna mushonga parizvino, asi zviratidzo zvinogona kurapwa.

Cervical dystonia inonziwo spasmodic torticollis.

Zviratidzo zvecervical dystonia

Marwadzo ndicho chiratidzo chinowanzoitika uye chinonetsa checervical dystonia. Iwo marwadzo anowanzo ari kudivi rimwe chete remusoro sekurereka.

Iko kufamba kwakajairika zvakanyanya mukervical dystonia ndiko kumonyoroka kwemusoro nechirebvu padivi, wakanangana nefudzi rako, rinonzi torticollis. Mamwe mafambiro asina kujairika anosanganisira musoro:

  • kuchinjira kumberi, chin pasi, inozivikanwa seanterocollis
  • kurerekera kumashure, chin kumusoro, inonzi retrocollis
  • kusendamira padivi, nzeve kubendekete, inozivikanwa se laterocollis

Vamwe vanogona kuve nemubatanidzwa wemafambiro aya. Zvakare, zviratidzo zvinogona kusiyana nekufamba kwenguva uye nemunhu.


Kushungurudzika kana kufara kunogona kuwedzera zviratidzo. Zvakare, zvimwe zvinzvimbo zvepanyama zvinogona kumutsa zviratidzo.

Zviratidzo zvinowanzotanga zvishoma nezvishoma. Vangatowedzera uye vobva vasvika pabani. Zvimwe zviratidzo zvinogona kusanganisira:

  • kurwadziwa kwemutsipa kunopenya kumapfudzi
  • bendekete rakasimudzwa
  • kudedera kwemaoko
  • musoro
  • kudedera kwemusoro, uko kunokanganisa ingangoita hafu yevanhu vane remuromo wechibereko dystonia
  • kuwedzera kwemutsipa wemutsipa, uchikanganisa vangangoita makumi manomwe neshanu muzana yevanhu vane remuromo kenza
  • kusaziva kwekufamba kwemuviri kusingakanganiswe nedystonia

Zvinokonzera cervical dystonia

Muzviitiko zvakawanda, chikonzero checervical dystonia hachizivikanwe. Zvimwe zvikonzero zvinogona kuzivikanwa mune mamwe mamiriro zvinosanganisira:

  • kusagadzikana kwetsinga, senge yaParkinson
  • mishonga inovhara dopamine, senge mamwe antipsychotic
  • kukuvara kumusoro, mutsipa, kana mapfudzi
  • genet mutation, sevane gumi kusvika makumi maviri muzana muzana vevanhu vane remuromo dystonia vanogona kuve nenhoroondo yemhuri yechirwere
  • dambudziko repfungwa

Mune zvimwe zviitiko, cervical dystonia inowanikwa pakuzvarwa. Zvemamiriro ekunze zvinogona zvakare kuverengerwa.


Njodzi zvinhu

Cervical dystonia inofungidzirwa kukanganisa vanhu vangangoita zviuru makumi matanhatu muUnited States. Avo vari panjodzi vanosanganisira:

  • vakadzi, vanobatwa zvakapetwa kaviri kazhinji sevarume
  • vanhu vari pakati pemakore makumi mana nemakumi matanhatu
  • avo vane nhoroondo yemhuri ye dystonia

Kuwana zororo kubva pakurwadziwa

Marwadzo chiratidzo chikuru checervical dystonia. Vanhu vanopindura zvakasiyana kune akasiyana marudzi emishonga uye musanganiswa wemishonga. Izvo zvinoshanda kune vamwe zvinogona kusashandira iwe.

Botulinum chepfu

Mushonga wekutanga wekurwadziwa kwekurwadziwa ndeye botulinum jekiseni jekiseni mumhasuru yemhasuru vhiki dzese gumi nembiri. Izvi zvinoita kuti tsinga dzemumutsipa dzishaye simba. Zvinonzi kubvisa marwadzo uye zvimwe zviratidzo mu75 muzana yevanhu vane cervical dystonia.

Zvinoenderana neongororo yakaitwa muna 2008, zvakakosha kushandisa magetsi ekuongorora zviratidzo, kana kuti electromyography, kunongedza tsandanyama dzakati kuti dzejekiseni re botulinum toxin.

Botulinum toxin zvinodhaka zvinoshandiswa zvinosanganisira Botox, Dysport, Xeomin, uye Myobloc. Iwe unogona kunge uchizivana neBotox seyakaunyana inotsvedza inoshandiswa pazvinangwa zvekupoda.


Mishonga

Mhando dzinoverengeka dzemishonga yekunwa dzinotaurwa neiyo Dystonia Foundation kubatsira kubvisa zviratidzo zvine chekuita nekervical dystonia. Izvi zvinosanganisira:

  • anticholinergics, senge trihexyphenidyl (Artane) uye benztropine (Cogentin), inovhara iyo neurotransmitter acetylcholine
  • dopaminergics, senge levodopa (Sinemet), bromocriptine (Parlodel), uye amantadine (Symmetrel), iyo inovhara iyo neurotransmitter dopamine
  • GABAergics, senge diazepam (Valium), inotarisana neurotransmitter GABA-A
  • anticonvulsants, senge topiramate (Topamax), inowanzo shandiswa senzira yekurapa zvese pfari uye migraine, uye yakataura kushandiswa kwakabudirira pakurapa zviratidzo zvecervical dystonia

Ive neshuwa yekukurukura nachiremba wako mhedzisiro inosangana nemishonga iyi.

Kurapa kwechibereko dystonia

Kurapa sarudzo yekervical dystonia yakagadziridzwa mumakore achangopfuura. Pamusoro pekurapwa panyama, kurairwa kunogona kubatsira, kunyanya munzira dzekukubatsira kukunda kunetseka.

Kurapa kwepanyama

Kurapa kwepanyama kunogona kubatsira. Izvi zvinosanganisira kukwiza uye kupisa kuti uzorodze mutsipa wako nemapendekete pamwe nekutarisa kwakatwasanudzwa nekusimbisa zviitwa.

Mumwe wevanhu makumi maviri vane cervical dystonia vakawana kuti kurapwa kwemuviri kwakavandudza marwadzo, zvimwe zviratidzo, uye hupenyu hwehupenyu. Iyo protocol yekudzidza yaisanganisira:

  • kurovedza muviri kuti ufambe nenzira inopesana nekukanganisa kwemunhu
  • kinesiotherapy kurovedza kufamba uye kutambanudza mutsipa
  • kukurudzira magetsi kwemhasuru

Biofeedback

Biofeedback inosanganisira kushandiswa kwesimbi yemagetsi kuyera misiyano senge musimba chiitiko, kuyerera kweropa, uye mafungu ehuropi.

Ruzivo irworwo rwunopihwa rwunodzoserwa kumunhu ane cervical dystonia, kubatsira kuita kuti vakwanise kubata kwavo kusazvipira kuita.

Chidzidzo chidiki cha2013 uchishandisa biofeedback chakaratidza kusununguka kwekurwadziwa uye kugadzirisa muhupenyu hwehupenyu.

Kuvhiya

Kana kurapwa kwakanyanya kusingashande, nzira dzekuvhiya dzinogona kuve sarudzo. Ziva kuti remuromo dystonia chinhu chisingawanzoitika, saka hombe-dzakadzvanywa dzinodzorwa dzisipo.

Maitiro ekare ekuvhiya anosanganisira kucheka tsinga dziri muhuropi dzakabatanidzwa mukufamba kwekusazvibata kwemusoro. Aya maitiro ekuvhiya anogona kuve nemhedzisiro. Zvakare, mafambiro ekusazvipira anogona kudzoka mushure menguva.

Hwakadzika huropi hunosimudzira

Yakadzika huropi kukurudzira, inonziwo neuromodulation, mushonga mutsva. Inosanganisira kuchera gomba mudehenya uye kuisa zvinotungamira zvemagetsi muuropi.

Bhatiri diki rinodzora zvinotungamira rinodyarwa padhuze nekora. Tambo dziri pasi peganda dzinobatanidza bhatiri kune zvinotungamira. Iwe unoshandisa kure kure kudzora yakaderera-magetsi magetsi azvino kumitsipa inokonzeresa yekusazvipira kwemusoro nemutsipa kufamba.

Kudzidzira

Chiremba wepanyama anogona kubatsira nemaitiro akasarudzika aunogona kuita kumba zvakachengeteka kubvisa zviratidzo uye kusimbisa mhasuru dzako.

Dzimwe nguva manyorerwo ehungwaru anogona kubatsira kumisa kupaza. Izvi zvinosanganisira kubata zvishoma kudivi rakatarisana nechiso chako, chin, dama, kana kumashure kwemusoro wako. Kuita izvi padivi rakafanana neako spasm yako kungave kunoshanda, asi kugona kwacho kunogona kuderera munguva.

Maonero echirwere dystonia

Cervical dystonia chirwere chakakomba chetsinga uye hapana mushonga unozivikanwa parizvino. Kusiyana nemamwe marudzi edystonia, inogona kusanganisira kurwadziwa kwepanyama nekuremara. Izvo zvinowedzerwa nekushushikana.

Zvichida iwe unenge uine musanganiswa wemishonga, kusanganisira:

  • chepfu botulinum
  • kurapa kwepanyama
  • kuraira
  • kuvhiya, mune dzimwe nguva

Vanhu vashoma vanogona kupinda mukuregererwa pamwe nekurapwa.

Zvinogona kuitika zvinosanganisira:

  • kupararira kwekusazvipira kune dzimwe nhengo dzomuviri wako
  • pfupa rinobuda musana
  • remuromo remuzongoza arthritis

Vanhu vane cervical dystonia vanewo mukana wepamusoro wekushungurudzika uye kushushikana.

Padivi rakanaka, kurapwa kwechibereko dystonia kunoenderera nekuvandudzwa sekutsvagisa kwakawanda kwekutsvagisa. Iwe unogona kufarira kujoina kiriniki kutongwa kuri kuongorora marapirwo matsva.

Iyo Dystonia Medical Research Foundation inogona kubatsira neruzivo uye zviwanikwa, sekutsvaga online kana yeboka rutsigiro boka.

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