Thothomelo ea bohlokoa

Thothomelo ea bohlokoa (ET) ke mofuta oa motsamao o sa reroang oa ho tsitsinyeha. Ha e na lebaka le tsebahalang. Ho ithaopela ho bolela ho sisinyeha ntle le ho leka ho etsa joalo mme ha o khone ho emisa ho sisinyeha ka thato ea hau.

ET ke mofuta o tloaelehileng oa ho thothomela. Motho e mong le e mong o na le thothomelo e itseng, empa motsamao hangata o monyane haholo hoo o sa bonahaleng. ET e ama banna le basali. E atile haholo ho batho ba baholo ho feta lilemo tse 65.

Lebaka le tobileng la ET ha le tsejoe. Lipatlisiso li bontša hore karolo ea boko e laolang ho sisinyeha ha mesifa ha e sebetse ka nepo ho batho ba nang le ET.

Haeba ET e hlaha ho litho tse fetang e le 'ngoe tsa lelapa, e bitsoa ts'isinyeho ea lelapa. Mofuta ona oa ET o fetisoa ka malapa (a futsitsoeng). Sena se fana ka maikutlo a hore liphatsa tsa lefutso li na le seabo molemong oa tsona.

Ho thothomela ho tloaelehileng hangata e le tšobotsi e hlahelletseng. Sena se bolela hore o hloka feela ho fumana liphatsa tsa lefutso ho motsoali a le mong ho etsa tšisinyeho. Hangata e qala lilemong tsa bohareng, empa e ka bonoa ho batho ba baholo kapa ba banyane, kapa le ho bana.

Ho thothomela ho ka etsahala hore ho hlokomelehe sephakeng le matsohong. Matsoho, hlooho, mahlo, kapa mesifa e meng le eona e ka ameha. Ho thothomela ho etsahala ka seoelo maotong kapa maotong. Motho ea nang le ET a ka ba le bothata ba ho ts'oara kapa ho sebelisa lintho tse nyane joalo ka silevera kapa pene.

Ho sisinyeha hangata ho kenyelletsa ho sisinyeha ho fokolang, ho potlakileng ho etsahalang makhetlo a 4 ho isa ho a 12 ka motsotsoana.

Matšoao a khethehileng a ka kenyelletsa:

• Ho oma ka hlooho
• Ho tsitsinya kapa ho thothometsa modumo haeba lentswe le thothomela le ama lebokose la lentswe
• Mathata a ho ngola, ho taka, ho noa ka senoelong, kapa ho sebelisa lisebelisoa haeba ts'isinyeho e ama matsoho

Litšisinyeho li kanna tsa re:

• E etsahala nakong ya motsamao (ho thothomela ho amanang le ketso) mme e kanna ea se bonahale haholo ha u phomotse
• Tloo o tsamaee, empa hangata o mpefala le botsofali
• Ho ba le khatello ea maikutlo, k'hafeine, ho hloka boroko le meriana e itseng
• Ha e ame mahlakore ka bobeli a 'mele ka tsela e ts'oanang
• Ntlafatsa hanyane ka ho noa joala bo fokolang

Mofani oa hao oa tlhokomelo ea bophelo a ka etsa hore a hlahlojoe ka ho etsa tlhahlobo ea 'mele le ho botsa ka nalane ea hau ea bongaka le ea hau.

Liteko li kanna tsa hlokahala ho hlakola mabaka a mang a ts'isinyeho e joalo ka:

• Ho tsuba le koae e se nang mosi
• Thyroid e feteletseng (hyperthyroidism)
• Ho emisa joala ka tšohanyetso kamora ho noa haholo nako e telele (ho tlohela joala)
• K'hafeine e ngata haholo
• Ts'ebeliso ea meriana e itseng
• Ho tšoha kapa ho tšoenyeha

Liteko tsa mali le lithuto tsa litšoantšo (joalo ka CT scan ea hlooho, MRI ea boko le x-ray) hangata li tloaelehile.

Kalafo e kanna ea se hlokehe ntle le haeba litšisinyeho li kena-kenana le mesebetsi ea hau ea letsatsi le letsatsi kapa li baka lihlong.

TLHOKOMELO LAPA

Bakeng sa ho thothomela ho mpefetseng ke khatello ea kelello, leka mekhoa e u thusang ho phomola. Bakeng sa ho thothomela ha sesosa sefe kapa sefe, qoba caffeine 'me u robale ka ho lekaneng.

Bakeng sa ho thothomela ho bakoang kapa ho mpefalitsoe ke moriana, bua le mofani oa hau mabapi le ho emisa meriana, ho fokotsa litekanyetso kapa ho chencha. Se ke oa fetola kapa oa emisa moriana o le mong.

Litšisinyeho tse matla li etsa hore ho be thata ho etsa mesebetsi ea letsatsi le letsatsi. U kanna ua hloka thuso ka mesebetsi ena. Lintho tse ka thusang li kenyelletsa:

• Ho reka liaparo ka li-fastel tsa Velcro, kapa ho sebelisa lihakisi tsa likonopo
• Ho pheha kapa ho ja ka lijana tse nang le mohele o moholoanyane
• Ho sebelisa mahlaka ho noa
• Ho roala lieta tse thellang le ho sebelisa linaka tsa lieta

LITLHARE MABAKENG

Meriana e ka thusa ho kokobetsa matšoao. Lithethefatsi tse sebelisoang haholo li kenyelletsa:

• Propranolol, beta blocker
• Primidone, sethethefatsi se sebelisetsoang ho alafa sethoathoa

Meriana ena e ka ba le litla-morao.

• Propranolol e ka baka mokhathala, nko e petetsaneng, kapa ho otla ha pelo butle, mme e ka mpefatsa asthma.
• Primidone e ka baka ho otsela, mathata a ho tsepamisa mohopolo, ho nyekeloa ke pelo, le mathata a ho tsamaea, ho leka-lekana le tšebelisano.

Meriana e meng e ka fokotsang ho thothomela e kenyelletsa:

• Meriana ea likokoana-hloko
• Lithibelo tse bonolo
• Meriana ea khatello ea mali e bitsoang calcium-channel blockers

Liente tsa Botox tse fanoeng letsohong li ka leka ho fokotsa ho thothomela.

HO SEBETSA

Maemong a boima, ho ka buuoa opereishene. Sena se ka kenyelletsa:

• Ho tsepamisa maikutlo ho li-x-ray tse nang le matla a maholo sebakeng se senyane sa boko (stereotactic radiosurgery)
• Ho kenya sesebelisoa se hlasimollang bokong ho tšoaea sebaka se laolang motsamao

ET ha se bothata bo kotsi. Empa batho ba bang ba fumana ho thothomela hoo ho tena ebile ho hlabisa lihlong. Maemong a mang, e kanna ea ba e tsotehang hoo e ka sitisang mosebetsi, ho ngola, ho ja kapa ho noa.

Ka linako tse ling, ho thothomela ho ama methapo ea lentsoe, e ka lebisang mathateng a puo.

Bitsa mofani oa hau haeba:

• O na le thothomelo e ncha
• Ho thothomela ha hao ho etsa hore ho be thata ho etsa mesebetsi ea letsatsi le letsatsi
• O na le ditlamorao tse tswang meriana e sebediswang ho alafa ho thothomela ha hao

Lino tse tahang tse nyane li ka fokotsa ho thothomela. Empa bothata ba ts'ebeliso ea joala bo ka hlaha, haholo haeba o na le nalane ea lelapa la mathata a joalo.

Ho thothomela - hoa hlokahala; Thothomelo e tloaelehileng ea lelapa; Ho thothomela - lelapa; Thothomelo ea bohlokoa ea Benign; Ho sisinyeha - ho thothomela hoa bohlokoa

• Sisteme ea methapo e bohareng le methapo ea methapo

Bhatia KP, Bain P, Bajaj N, le al. Polelo ea tumellano mabapi le tlhophiso ea ho thothomela. ho tsoa sehlopheng sa basebetsi ka ho thothomela ha Mokhatlo oa Machabeng oa Parkinson le Movement Disorder Society. Moferefere oa Mov. 2018; 33 (1): 75-87. PMID: 29193359 phatlalalitsoe.ncbi.nlm.nih.gov/29193359/.

Hariz M, Blomstedt P. Tsamaiso ea ho buoa ea thothomelo. Ka: Winn HR, e hlophisitsoeng. Phekolo ea Youmans le Winn Neurological. La 7th. Philadelphia, PA: Elsevier; 2017: khaolo ea 87.

Lefu la Jankovic J. Parkinson le mathata a mang a motsamao. Ka: Daroff RB, Jankovic J, Maziotta JC, Pomeroy SL, bahlophisi. Neurology ea Bradley ho Tloaelo ea Bongaka. La 7th. Philadelphia, PA: Elsevier; 2016: khaolo ea 96.

Okun MS, Lang AE. Mathata a mang a motsamao. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 26th. Philadelphia, PA: Elsevier; 2020: khaolo ea 382.