I-dystonia yesibeletho, ebizwa ngokuthi i-spasmodic torticollis, iyisifo sezinzwa lapho, ngenxa yokuhlukunyezwa kwengqondo emithanjeni yentamo, ukujikeleza okungenasici kwekhanda kwenzeka. Ezimweni eziningi, ukuhlanekezela nokujika kwekhanda kwelinye icala kubonakala, ngokuvamile ikhanda lisibuyisela emuva noma liqhubeke. Ngezinye izikhathi ama- spasms angalawuliwe emisipha yentamo ahambisana nezinzwa ezibuhlungu ezibuhlungu.
Izimbangela ze-dystonia yomlomo wesibeletho
I-dystonia yomlomo wesibeletho ingaba yifa (idiopathic), futhi iphinde ikhule ngenxa yezinye izifo (isibonelo, isifo sikaWilson, isifo se-Gallervorden-Spatz, njll). Kukhona namacala okuvela kwe-pathology ngenxa yokudlula ngokweqile kwama-antipsychotics. Kodwa-ke, isizathu esiqondile se-spasmodic torticollis ngokuvamile asiqiniseki.
Inkambo yesifo
Njengomthetho, lesi sifo siphuthuka kancane kancane, sithuthuka kancane kancane. Ezigaba zokuqala, ikhanda elizimela ngokungazelelwe liphendukeleke lapho lihamba, lihambisana nokucindezeleka ngokomzwelo noma ukuzama ukusebenza ngokomzimba. Kulokhu, iziguli zingazibuyisela ngokuzimela isikhundla esijwayelekile sekhanda. Ngesikhathi sokulala, ukuphazamiseka kwemisipha engavamile akugcini.
Esikhathini esizayo, ukususwa kwekhanda kuya endaweni ephakathi kungenziwa kuphela ngosizo lwezandla. I-muscle spasm ingasuswa noma ihliswe ngokuthinta izindawo ezithile zobuso. Ukuqhubeka okuqhubekayo kwalesi sifo kubangela ukuthi isiguli asinakuziphendulela ngokuzenzekelayo ikhanda, imisipha ethintekile yinkimbinkimbi, i-vertebral radicular compression syndromes iyabonakala.
Ukwelashwa kwe-dystonia yomlomo wesibeletho
Lapho ukwelashwa lesi sifo, i-pharmacotherapy isetshenziselwa ukuqokwa:
- izidakamizwa zokulwa nezifo;
- imisipha yokuphumula;
- anticholinesterase agents.
Imiphumela ephumelela kakhulu ibonisa ukusetshenziswa kwamagciwane we-botulinum toxin emisipha ethintekile, okuvumela okwesikhashana ukuqeda izimpawu. Kwezinye izimo, ukungenelela okuhlinzekwa ukuhlinzwa (ukukhethwa kwezidakamizwa, ukuhlinzwa okuqhubekayo) kungenziwa.