Essential tremor

Essential tremor anopiwa maonero akasiyana. Rinogona kuva vachiberekwa, benign, mhuri, enhaka kana idiopathic. It anonzi rakajairika extrapyramidal nyonganyonga, achiperekedzwa postural uye kinetic tremor. Pasinei chokwadi kuti chirwere chacho benign, kakawanda kunokonzera chinokosha dzichipfekeka nemagariro chokudzingwa.

Essential tremor iri zvakafanana muvanhu nevakadzi. Kazhinji, zviratidzo zvokutanga akacherechedza yake zera rapakati. Zvisinei, kana ndepana vaduku, akacherechedza.

Órgãos tremor anofungidzirwa nevanhu zvenhengo huru mbiri: pamberi peripheral uye nechepakati oscillations (vibrations). Nokufamba kuitika nechepakati kunobatanidza cerebellar nuclei, muorivhi akaderera, uye tsvuku neerekitironi nzvimbo hurongwa.

Peripheral oscillations kwakaitwa peripheral kutsinga dzinouya harinzwi kufurira (zvichiratidza) ari vachisiyanisa inzwi injini. In ichi unobatanidza maatomu akafanana zviri peripheral uye nechepakati tsinga chinhu pyramidal turakiti.

Nhaka zvinokosha tremor sokuti zvakafanana, ichibata, bilateral postural uye kinetic tremor (nokudedera) maoko. Mune zvisingawanzoitiki kacho pane asymmetrical tremor.

Kuratidzwa chokutanga tremor vari nenguva dzirikure zvakasikwa, anowanikwa kana kuneta kana nokusagadzikana. Nokufamba kwenguva, mukuru tremor inova kugara, mberi kwoupenyu. Munguva ino kungava rutapudzo ari jitter kakawanda, uye kuwedzera zvayo amplitude. With nokuwedzera kakawanda wevarwere kuona nematambudziko inokosha pakudya, kupfeka, kunyora uye zvichingodaro. Sezvo tsika inoratidza kukosha tremor muna gumi namashanu makumi maviri muzana vanenge kunotungamirira kuremara.

Essential tremor chinonyanya iziviswe mumaoko (avo distal zvikamu). Mune zvimwe zviitiko, zvinoita sokuti vari musoro (tremor ari mhando "kwete-kwete", "hungu"), iri nyoro mukanwa, dzinobudisa inzwi pazvirugu, nomutauro. Jitter anogona huchawedzerwa achifuridzirwa kuneta, kushushikana, muviri, uyewo tembiricha rinobuda. A kuoneka kuderera jitter kunoitika munguva hope kana mushure kunwa.

maperembudzi runowanzotaurwa nezvarwo dystonia kana parkinsonism. Panyaya iyi, pane mibvunzo ine vanhu vane zvinokosha tremor. Varwere vakawanda ari kusonganirana adedere pamberi nhoroondo mhuri Parkinson chirwere. Zvisinei, sezvo tsika inoratidza kuratidzirana mashoko kunoratidzwa shanu muzana varwere.

Essential tremor. Treatment.

dzokurapa ose symptomatic uye zvainanga kuderedza kwokuomerwa tremor. In kwokutanga matanho, sezvinoita mutemo, mishonga havafaniri yakatarwa. Muzviitiko zvakadaro, zvinonyanya zvichakubatsirai kuvimbisa murwere, achitsanangura kwaari kuti arege kutambura nechirwere chinonzi Parkinson. Muzviitiko apo tremor kunokanganisa maoko uye anoita zvakaoma kushanda chero basa prescribers. Somunhu vomuzana mutsetse mishonga inoshandiswa Beta blockers. Nokuti kurapa unoshandiswawo anticonvulsant zvinodhaka (anticonvulsants). Vanofanira kushandiswa kana kukwana kuona kana murombo achishivirira kuti Beta-adrenablokatorov. Benzodiazepines vanotumirwa kune varwere vane kuwedzera jitter nokuda mupfungwa zvakaitika ikoko. Muzviitiko apo pasina migumisiro kubva pamusoro kugadzirira, pangava kuva jekiseni ari neurotoxin mapuroteni zvisikwa. Wakakura zvikuru kacho zvinoda neurosurgical kurapwa.

A chinokosha, asi panguva imwe chete, kwenguva pfupi zvinoderedza jitter vakachengeta apo achitora doro. Zvisinei, nokufamba kwenguva murwere Zvakakodzera kuwedzera dose, uye kuramba doro kunotungamirira munhu rakawedzera kusimba jitter (kupfuura vasati kugamuchira doro).