Ukungcangcazela kwesandla: Indlela yokumisa izandla ezingcangcazelayo
Imfundo yezeMpiloYintoni ebangela ukungcangcazela kwezandla? | Ungamisa njani izandla ezingcangcazelayo | Amayeza | Ugqirha | Nini ukubona ugqirha ngokuxhawula
Iinyikima ziimisipha ezingazibandakanyi ezinokubakho kwiindawo ezininzi zomzimba. Ngelixa ukujija kwezihlunu kunokuchaphazela amehlo, imilenze, ubuso, iintambo zezwi, kunye namanye amalungu omzimba, ukungcangcazela kuhlala kunxulunyaniswa nezandla. Ukuhlala ungcangcazela ngesandla kunokudandathekisa kwaye wenze imisebenzi yemihla ngemihla enjengokutya okanye ukunxiba ngokwakho kunzima. Phantse Izigidi ezili-10 zabantu eUnited States bafumana uhlobo oluthile lokungcangcazela kwezandla .
Kukho iintlobo ezininzi zeenyikima kunye nezizathu zokuba zenzeke. Ezinye zezokwexeshana kwaye ziyahamba zodwa, kwaye ezinye zinxulunyaniswa neengxaki zempilo ezinzima. Funda ngakumbi malunga nonobangela wokungcangcazela kwezandla, indlela yokumisa izandla ezingcangcazelisayo, kunye nexesha lokufuna iingcebiso kwezonyango kwingcali yezempilo malunga nokungcangcazela kwesandla.
Yintoni ebangela iinyikima?
Izinto ezininzi ezivela ekutyeni nasekutshintsheni indlela yokuphila kumayeza kunye neemeko zempilo zinokubangela ukuthuthumela ngesandla. Izandla ezi-Shaky kusasa zinokuba sisiphumo sokudinwa okanye i-caffeine eninzi. Ukuthuthumela kubantu abadala kunokubangelwa kukunqongophala kweevithamini okanye isiphumo secala lonyango. Iinyikima zisenokuba ngumqondiso osisilumkiso wokurhoxa etywaleni, uxinzelelo, uxinzelelo lwegazi, kunye nezinye iimeko zempilo.
Iindidi zokungcangcazela kwezandla
Unyango ukhetho lokungcangcazela kwezandla lunokwahluka ngokuxhomekeke kuhlobo onalo. Ingcali yezempilo inokukunceda ubone ukuba yeyiphi uhlobo lokungcangcazela kwesandla wena okanye umntu omthandayo. Nazi iintlobo ezithile eziqhelekileyo zokungcangcazela kwesandla.
Ukungcangcazela komzimba
Ukungcangcazela komzimba kungayimpembelelo yecala. Iicorticosteroids, iiamphetamines, kunye namanye amayeza esifuba ayaziwa ngokubangela ukungcangcazela okwethutyana. Amayeza asetyenziselwa ukunyanga imeko ye-neurological kunye ne-psychiatric anokuvelisa ukungcangcazela komzimba.
Iinyikima zomzimba zinokuba luphawu loku kulandelayo:
- Ukurhoxiswa kotywala
- Hypoglycemia (iswekile esezantsi yegazi)
- I-thyroid engasebenzi (hyperthyroidism)
Ukungcangcazela kwesifo sikaParkinson
Abantu abaninzi bahlala bedibanisa ukungcangcazela izandla kunye neenyawo kunye nengxaki ye-neurological disorder yePasinson. Phantse I-80% yabantu abane-Parkinson Yiba neenyikima, ezidla ngokwenzeka kwindawo yokuphumla (ebizwa ngokuba ziiholide). Izigulana ezinesifo esongezelelekileyo seParkinson's zinokuba nongcangcazelelo oluqhubekayo nolomeleleyo, oluphazamisa kakhulu imisebenzi yemihla ngemihla enjengokutya okanye ukubopha izihlangu.
Ukungcangcazela okubalulekileyo
Izandla ziyashukuma ngesingqi nangokubandakanyeka ngokungcangcazela okubalulekileyo. Nangona iinyikima eziyimfuneko zinemithambo-luvo, ayikho kudidi olufanayo neenyikima ezinxulunyaniswa nesifo sika-Parkinson. Iinyikima eziyimfuneko ziyanyangeka kwaye ngamanye amaxesha zinokuphetshwa, kodwa azinyangeki. Amaqondo obushushu aphezulu, uxinzelelo, ixhala, ukutshaya icuba, kunye necaffeine kubangele kwaye kube nzima ngakumbi ukuthuthumela .
Ukungcangcazela kwengqondo
Ukungcangcazela kwengqondo kusoloko kusisiphumo semeko yengqondo enje ngoxinzelelo, unxunguphalo, umothuko, okanye ukuphazamiseka kwengqondo. I-Spasms kunye nokuhamba komzimba okungazibandakanyi kunokukhula ngokunyuka okukhawulezayo koxinzelelo lwegazi kunye nenqanaba lentliziyo elinxulunyaniswa noxinzelelo.
I-Cerebellar
Ukungcangcazela kwe-cerebellar kunokwenzeka xa i-cerebellum okanye iindlela eziya kwingqondo zonzakele okanye zonakalisiwe. Izigulana zestroke zinokuphelisa ukungcangcazela ukuba imithambo yobuchopho yonakele. Ithumba ngomnye umzekelo womonakalo kwi-cerebellum, ebangela ukungcangcazela kwesandla okanye komzimba.
Amayeza abangela ukungcangcazela
Ukungcangcazela kwezandla ziziphumo ebezingalindelekanga ezinokubakho amayeza amaninzi . Amachiza amiselweyo asetyenziselwa ukunyanga uxinzelelo, isifuba, umhlaza, kunye ne-asidi ye-asidi ziphakathi kwezinto ezininzi ezinokubangela izandla ezingcangcazelisayo. Amanye amayeza okubulala iintsholongwane, amayeza okuphulukana nobunzima, kunye nee-antivirals zikuluhlu lwamachiza anokubangela ukuthuthumela ngesandla okwexeshana.
Ukudakumba kunye ne-antipsychotic
Nangona kusebenza kunyango loxinzelelo, izandla ezigezekayo ziziphumo ebezingalindelekanga ezininzi iziyobisi . Amayeza e-Antipsychotic nawo abangela ukungcangcazela okwaziwa ngokuba yi-tardive dyskinesia. Amayeza aqhelekileyo abandakanya:
- I-Tricyclic antidepressants, enje nge-amitriptyline, doxepin, amoxapine
- I-Serotonin reuptake inhibitors (i-SSRIs), efana neZoloft, Prozac, Lexapro
- Izinto ezizinzileyo ezinjengemo lithium, Depakote, Lamictal
Iyeza lesifuba
Iziphumo ebezingalindelekanga ze-asthma okanye i-bronchodilators zingakhokelela kukuphazamiseka kwentshukumo kwiminwe nakwizandla. Ama-inhalers amiselweyo okanye Iifayile ezinje ngeProventil kunye neVentolin (albuterol) ziphakathi kwezo zivuselela inkqubo yeemvakalelo, ezinokubangela izandla ezingcangcazelisayo. Ukushukuma kwesandla okwethutyana, kuhlala imizuzu engama-30 ukuya kwengama-60 emva kokusebenzisa iyeza kwaye akufuneki kuthathwe njengokuyingozi.
Iyeza le-Acid reflux
I-Prilosec (omeprazole) inokubangela ukungcangcazela kwezandla njengesiphumo esingalindelekanga. I-Omeprazole iphazamisa ukufunxwa kwe-vitamin B12, eyi ivithamini ebalulekileyo yenkqubo yemithambo-luvo. Ukudinwa kufuneka kuyeke ukuyeka ukusebenzisa iziyobisi.
Iyeza anti-isicaphucaphu
I-Reglan (metoclopramide) ineziphumo ebezingalindelekanga ze-spasms zemisipha, kodwa kuya kufuneka wazise uchwepheshe wakho wezempilo ukuba ufumana le mpembelelo yecala. UReglan unokuphazamisana namanye amayeza (nokuba zii-pain-the-counter meds), ke kubalulekile ukuba uxelele ugqirha wakho kwaye loluphi olunye unyango oluthathayo.
Ungayimisa njani izandla ezingcangcazelayo ngokwemvelo
Ukungcangcazela kwesandla kunokucaphukisa, kuhlazise kwaye kuchaphazele indlela ophila ngayo. Utshintsho kwindlela yokuphila kunye nonyango lwendalo njengokutshintsha indlela otya ngayo, umthambo, unyango, kunye notyando kukhetho lokuphelisa ukungcangcazela kwezandla. Unyango lwendalo lwendalo lunokunciphisa okanye kususe iimpawu zesandla esingcangcazelisayo kunye nokunciphisa isidingo sonyango okanye unyango.
Ukutshintsha kokutya
UKUYA Ukutya kweMeditera egcwele iziqhamo kunye nemifuno inokuba nefuthe elihle kwimpilo iyonke, kodwa ikwafundisiwe ngokuchasene ne-neurodegeneration, i-Alzheimer's, kunye iinyikima eziyimfuneko . Ukutya kubandakanya imifuno, iimbotyi, iziqhamo, ukutya okuziinkozo okugcweleyo kunye neeasidi ezinamafutha ezingafakwanga. Intlanzi nayo iyavunyelwa, kodwa ngamanye amaxesha inokungcoliswa yimekyuri, enokwenza ukuba iinyikima zibe mbi. Abantu abakukutya kweMeditera kufuneka banciphise ubisi, inyama, iinkukhu kunye nokusela utywala.
Amanzi lolunye uhlobo lwamayeza. Ukusela okucetyiswayo iikomityi ezine ukuya kwezintandathu zamanzi ngosuku unokugcina umzimba uhlanjululwe kunye neetyhefu ezisuka emzimbeni ezinokuba negalelo kukungcangcazela kwezandla.
Icaffeine Isikhuthazi, ke ukusinciphisa okanye ukusisusa kwindlela otya ngayo kunokunciphisa ukungcangcazela kwezandla. ICaffeine ikofu, iti, iisoda, kunye nezinye iziselo kunye netshokholethi. Ukuba usebenzisa icaffeine rhoqo kwaye uyeke ngesiquphe, unokufumana ukungcangcazela ekurhoxisweni kwecaffeine. Emva kokuyeka icaffeine, izandla ezigezekayo kunye nezinye iimpawu zokurhoxa zinokuhlala kwiintsuku ezili-10. Ukuzilumla kwesi sikhuthazo kunokuba yindlela efanelekileyo yokuphepha ukungcangcazela kwezandla.
Utywala yenye into ebangela ukuthuthumela ngesandla. Njengoxinzelelo, utywala buchaphazela inkqubo ye-nervous system. Ukungcangcazela kwesandla kunokwenzeka xa usela utywala kakhulu kunye nokushiya utywala.
Vitamin B12
Vitamin B12 kubalulekile ukugcina inkqubo ye-nervous esempilweni. Ukusilela kwe vithamin B12, B-6, okanye B-1 kunokukhokelela kuphuhliso lokungcangcazela kwesandla. Isibonelelo sokutya esinconywayo (RDA) sevithamini I-B12 yabantu abadala yi-6 mcg , kodwa unokufuna ngaphezulu ukuba uthatha iyeza elithintela ukufunxwa kweevithamini.
Vitamin B12 ingathathwa ngefomule, inaliti, okanye efumaneka kukutya kwemihla ngemihla. Amaqanda, ubisi, inyama, kunye neemveliso zezilwanyana ezininzi ngokwemvelo ziqulathe ivithamini B12. Iinkozo ezininzi ziye zaqiniswa neevithamini ngokunjalo.
Ukuzivocavoca kwesandla kunye nesihlahla
Umboneleli wakho wokhathalelo lwempilo unokukuthumela kunyango olusebenzayo okanye olusebenzayo kunyango okanye acebise imithambo onokuyenza ekhaya.
Ukucwina ibhola yoxinzelelo okanye ukubamba ngesandla Imizuzwana emibini ukuya kweli-10, ukukhulula, kunye nokuphinda-phinda amaxesha ali-10 kwisandla ngasinye kunokuba ngumthambo olula ukubandakanya usuku lwakho.
Ukujikelezisa izihlahla ngokuhamba setyhula kunokugcina imisipha kunye nemisipha bhetyebhetye. Ukuhambisa izandla ngenjongo kunokugcina i-synovial fluid ekwakheni, ethintela okanye inciphise ukungcangcazela.
Ukugoba ubunzima bokukhanya kwesandla iingalo ziphumle etafileni kwaye iintende zakho zijonge phezulu nazo zinokomeleza kwaye zilungelelanise ulawulo lwemisipha yakho.
Iglavu yesandla esinobunzima
Iglavu enesisindo sisiqwenga sezixhobo eziguqukayo eziyilelwe ngabanyangi. Iiglavu ziza ngobunzima obahlukeneyo. Iiglavu zibonelela umntu ngokungcangcazela ngakumbi ukuzinza kwesandla kwaye zinokunciphisa isidingo sesigulana sotyando.
Ukuphumla
Uxinzelelo, unxunguphalo kunye nezinye iingxaki zempilo yengqondo kunokubangela ukungcangcazela kwezandla. Iindlela zokuphumla ezinje ngemithambo yokuphefumla, ukudala imeko yokuphumla, ukuziqhelanisa neyoga kunye nokucamngca zonke kufanelekile ukuba ziphonononge ukuba uxinzelelo lunegalelo kwiinyikima.
Ukunyanga kwamassage kunokuphilisa izihlunu ezandleni ezichaphazeleke kukungcangcazela ngelixa kunciphisa uxinzelelo engqondweni nasemzimbeni.
Ukukhathala ngomnye unobangela wokungazinzi, kuba ukufumana ukuphumla okuninzi kubalulekile ukuze umzimba kunye nenkqubo yeemvakalelo zisebenze ngokuchanekileyo. Umndilili wabantu abadala ufuna phantse Ukulala iiyure ezisixhenxe ukuya kwezisithoba .
Amayeza okungcangcazela
Iinyikima zinokunyangwa ngamayeza ahlukeneyo. Iibhloko blocker, ii-anticonvulsants, amayeza okulwa ukuxhuzula, kunye neeamino acid ziphakathi kwezinye iziyobisi ezichazwe njengesiqhelo ukunciphisa izandla ezingcangcazelayo.
Iprogesterone
I-5% ye-progesterone cream ingavimba i-adrenaline kwaye ibe luncedo ekunciphiseni izandla ezingcangcazelayo, ngokuka-Micheal E. Platt, MD, umnini IZiko lezeMpilo lePlatt kunye nombhali we Ulawulo lweAdrenaline . Esi sisombululo somxholo siyafumaneka ngaphezulu kwe-counter (i-OTC) kwaye sinokukhutshwa kulusu lwezandla ukunciphisa iimpawu.
Iprimidone
Mysoline ( inyani ) liyeza elichazwe rhoqo elisetyenziselwa ukunyanga ukuxhuzula, kodwa kunokuba luncedo ekunciphiseni ukungcangcazela kwezandla. Eli chiza likagqirha yi-barbiturate anticonvulsant, kwaye iyanceda ukuzinzisa ukubetha kombane kwengqondo.
ILevodopa
ILevodopa yi-amino acid enokunceda ukunciphisa ukungcangcazela ngokugcwalisa ukubonelelwa komzimba nge-dopamine. Ngokuqhelekileyo esetyenziselwa unyango lwe-Parkinson's disease, i-levodopa inokukunceda ukunyanga ezinye iindlela zokuthuthumela. Abantu abathatha i-levodopa kufuneka baphephe iiproteni ezifumaneka kukutya okunje ngenyama kunye nezongezo zentsimbi, njengoko ezi zinokunciphisa into yokufunxa kweyeza.
Ibhlokhi yeBeta
I-beta blockers (okanye i-beta-adrenergic blocking agents) ibhloko ye-adrenaline, ekwabizwa ngokuba yi-epinephrine, kunye nokunciphisa uxinzelelo lwegazi. Uxinzelelo lwegazi olusezantsi lunokunciphisa ukuqala kweenyikima. Beta blocker ezinje nge imoloprolol , ipropranolol , nadolol , okanye ibhisoloprolol phatha imiba yezempilo, kubandakanya neenyikima.
Ukongeza okanye endaweni ye-beta blocker ezimiselweyo, ii-beta-adrenergic blocking agents zingafunyanwa ngokwendalo kukutya okuninzi. Amandongomane, iimbewu, iibhanana, imifuno enamagqabi, iinkukhu kunye nenyama ziqulathe iibeta blocker. Ukutya oku kutya kunokunceda ukunciphisa uxinzelelo, kube negalelo kwimpilo entle, kwaye kunciphise ukungcangcazela.
Utyando lokungcangcazela kwesandla
Kwezinye iimeko ukungcangcazela, ngakumbi ukungcangcazela okubalulekileyo, utyando lunokuba yimfuneko. Inkqubo encinci engenayo yokufaka i-neurostimulator kwingqondo ebizwa ngokuba yintsholongwane yengqondo (DBS) iyafumaneka. Ngokufana ne-pacemaker, isixhobo se-neurostimulator sithumela ukubetha kombane okunokuthintela ukungcangcazela kungenzeki.
I-thalamotomy lolunye utyando kubantu abaneenyikima eziyimfuneko. Olu tyando luphazamisa i-thalamus kwelinye icala lobuchopho. Olu tyando luhlala lusenziwa kwicala lobuchopho elichasene nesandla sakho esiphambili. Iziphumo zomsebenzi ziya kuthi emva koko zichaphazele kwaye zinciphise iimpawu zesandla esiphambili. Iziphumo ebezingalindelekanga zotyando zihlala zexeshana kodwa zinokubandakanya ubunzima bokuthetha, ukudideka kunye nemicimbi yokulinganisa.
Umntu kufuneka abone nini kugqirha kwizandla ezingcangcazelayo
Ukuba unesandla sokungcangcazela, ukufuna uncedo lobuchwephesha kungekudala kunokuba kuthintele ukwanda kwemeko yonyango. Amayeza acothisa ukuqala kunye nokuqhubela phambili kokuphazamiseka kwemithambo-luvo kunokuba linyathelo elibalulekileyo ekulawuleni impilo yakho. Kwelinye icala, ukhathalelo lwempilo yakho unokukwazisa ukuba kufuneka unciphise uxinzelelo ebomini bakho okanye utshintshele kwi-decaf. Nokuba yeyiphi na indlela, ukufumana ukuba kutheni ungcangcazela ngesandla kufuneka kube yinto ephambili.
