Yeeb tsim txom tshee hnyo

Qhov quav vim quav tshuaj yog tsis tuaj yeem co vim kev siv tshuaj. Kev tsis tuaj yeem txhais tau tias koj tshee yam tsis tau sim thiab tsis tuaj yeem nres thaum koj sim. Qhov tshee yuav tshwm sim thaum koj tsiv los yog sim tuav koj ob txhais caj npab, tes, lossis taub hau hauv ib txoj haujlwm. Nws tsis txuam nrog lwm cov tsos mob.

Qaug tshuaj tshee tshee yog lub paj hlwb yooj yim thiab cov leeg teb rau qee yam tshuaj. Cov tshuaj uas tuaj yeem ua rau tshee tshee muaj xws li hauv qab no:

• Cov tshuaj qog noj ntshav xws li thalidomide thiab cytarabine
• Quav cov tshuaj xws li cov tshuaj valproic acid (Depakote) thiab sodium valproate (Depakene)
• Cov tshuaj rau hawb pob xws li theophylline thiab albuterol
• Kev txhaj tshuaj tiv thaiv kab mob xws li cyclosporine thiab tacrolimus
• Mood stabilizers xws li lithium carbonate
• Stimulants xws li caffeine thiab amphetamines
• Cov tshuaj tiv thaiv kev ntxhov siab xws li xaiv serotonin reuptake inhibitors (SSRIs) thiab tricyclics
• Tshuaj kho plawv xws li amiodarone, procainamide, thiab lwm yam
• Qee yam tshuaj tua kab mob
• Qee yam tshuaj tua kab mob, xws li acyclovir thiab vidarabine
• Cawv
• Nicotho
• Qee cov tshuaj tiv thaiv ntshav siab
• Epinephrine thiab norepinephrine
• Cov tshuaj yuag (tiratricol)
• Cov tshuaj cov thyroid ntau heev (levothyroxine)
• Tetrabenazine, ib yam tshuaj los kho kev tshem tawm ntau heev

Kev tshee tshee yuav cuam tshuam rau txhais tes, caj npab, taub hau, lossis tawv muag. Tsawg tsawg zaus, lub cev qis dua cuam tshuam. Qhov tshee yuav tsis cuam tshuam rau ob sab ntawm lub cev sib npaug.

Qhov kev co feem ntau yog nrawm, li 4 txog 12 taw ib pliag.

Cov tshee tshee yuav:

• Episodic (tshwm sim hauv kev tawg, qee zaum li ib teev tom qab noj tshuaj)
• Sib quas ntus (los thiab mus nrog kev ua si, tab sis tsis tas li)
• Sporadic (tshwm sim rau qee lub sijhawm)

Cov tshee tshee tuaj yeem:

• Muaj tshwm sim nrog kev mus los yog ntawm chaw so
• Ploj thaum lub sijhawm pw
• Tau txais kev ua tsis zoo nrog kev txav mus los thiab kev ntxhov siab

Lwm cov tsos mob tuaj yeem suav nrog:

• Hau taub hau
• Kev co los yog xa suab rau lub suab

Koj tus kws kho mob tuaj yeem kuaj pom los ntawm kev kuaj mob lub cev thiab nug txog koj li kev kho mob thiab keeb kwm kev mob nkeeg. Koj tseem yuav tau nug txog cov tshuaj koj noj.

Kev ntsuam xyuas yuav ua tau los txiav txim tawm lwm yam vim li cas rau tshee tshee. Kev tshee tshee uas tshwm sim thaum cov nqaij ntshiv los so lossis cuam tshuam rau ob txhais ceg lossis kev sib koom tes yuav yog qhov qhia ntawm lwm yam mob, xws li tus kab mob Parkinson. Qhov ceev ntawm qhov tshee tuaj yeem yog qhov tseem ceeb ntawm kev txiav txim siab nws qhov ua rau.

Lwm yam ua rau tshee tshee xws li:

• Haus dej cawv
• Ua luam yeeb
• Lub zog qog ua ntshav (hyperthyroidism)
• Kab mob Parkinson
• Mob qog rau cov qog ntshav (pheochromocytoma)
• Caffeine ntau dhau lawm
• Kev tsis sib haum uas muaj ntau cov tooj liab hauv lub cev (kab mob Wilson)

Kev kuaj ntshav thiab ntsuam xyuas cov duab (xws li thaij duab CT thaij ntawm lub taub hau, paj hlwb MRI, thiab xoo duab) feem ntau tsis zoo.

Cov tshuaj uas quav yeeb tshuaj feem ntau yuav ploj mus thaum koj tsum tsis noj cov tshuaj uas ua rau qhov tshee.

Koj yuav tsis xav tau kev kho mob lossis hloov pauv ntawm cov tshuaj yog tias tshee tshee me me thiab tsis cuam tshuam nrog koj cov haujlwm txhua hnub.

Yog tias qhov txiaj ntsig zoo ntawm cov tshuaj muaj ntau dua li cov teeb meem tshwm sim los ntawm qhov tshee, koj tus kws kho mob yuav kom koj sim ntau txoj kev noj tshuaj. Lossis, koj tuaj yeem raug tso cai sau lwm yam tshuaj los kho koj tus mob. Tsawg tsawg zaus, yeeb tshuaj xws li propranolol ntxiv tau ntxiv los pab tswj cov tshee hnyo.

Tsis txhob tsum tsis noj cov tshuaj yam tsis tau tham ua ntej nrog koj tus kws kho mob.

Kev tseeg hnyav tuaj yeem cuam tshuam nrog kev ua si txhua hnub, tshwj xeeb yog cov txuj ci zoo xws li kev sau ntawv, thiab lwm yam haujlwm xws li kev noj mov lossis haus.

Hu rau koj tus kws kho mob yog tias koj noj tshuaj thiab tshee tshee uas cuam tshuam koj txoj kev ua ub no los yog nrog lwm cov tsos mob tshwm sim.

Qhia koj tus kws kho mob ib txwm paub txog cov tshuaj koj noj. Nug koj tus kws kho mob yog nws tsis ua li cas los noj cov tshuaj yuav tom khw uas muaj cov tshuaj stimulants lossis theophylline. Theophylline yog cov tshuaj siv los kho mob hawb pob thiab txog siav.

Caffeine yuav ua rau tshee tshee thiab ua tshee tshee ua los ntawm lwm yam tshuaj tsis zoo. Yog tias koj muaj tshee tshee, tsis txhob haus cov dej qab zib xws li kas fes, tshuaj yej, thiab dej qab zib. Tsis tas li zam lwm yam kev txhawb zog.

Tremor - quav yeeb tshuaj; Tuav - tshuaj tshee tshee

• Nruab nrab hauv lub paj hlwb thiab lub paj hlwb peripheral

Morgan JC, Kurek JA, Davis JL, Sethi KD. Kev nkag siab rau hauv pathophysiology los ntawm kev siv tshuaj mob siab tshee. Qhuas Lwm Yam hyperkinet Tawm (N Y)Cov. 2017; 7: 442. PMID: 29204312 pubmed.ncbi.nlm.nih.gov/29204312/.

O'Connor KDJ, Mastaglia FL. Kev quav yeeb tshuaj ua rau cov leeg poob siab. Hauv: Aminoff MJ, Josephson SA, eds. Aminoff's Neurology thiab General TshuajCov. Thib 5 ed. Waltham, MA: Elsevier Txuj Ci Tseem Ceeb; Xyoo 2014: chap 32.

Okun MS, Lang AE. Lwm qhov txawv txav. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil TshuajCov. 26th ed. Philadelphia, PA: Elsevier; 2020: cha 382.