I-dystonia yomlomo wesibeleko, ebizwa ngokuba yi-spasmodic torticollis, isifo esinjengesifo sengqondo apho, ngenxa yokuxhatshazwa kweentlungu zentamo yentamo, ukujikeleza okungenakuphikelela kwentloko kwenzeka. Kwiimeko ezininzi, ukuguquka nokujika kwekhanda kwelinye icala lugcinwa, ngaphantsi kwexesha intloko ibuyela emva okanye iya phambili. Ngezinye izihlandlo ezinokungalawulwa kwezihlunu zeentamo zihamba kunye neentlungu ezibuhlungu.
Iimbangela ze-dystonia yomlomo wesibeleko
I-dystonia yesibeleko ingaba yindlalifa (idiopathic), kwaye iphinde iphuhliswe ngenxa yezinye izifo (umzekelo, isifo sikaWilson, isifo se-Gallervorden-Spatz, njl.). Kukho neemeko zokuvela kwentsholongwane ngenxa yokugqithisa kwe-antipsychotics. Nangona kunjalo, isizathu esona sizathu sokuthi i-spasmodic torticollis ayisoloko isungulwa.
Inkambo yesi sifo
Njengomthetho, eso sifo siphuhlisa kancane, siphuthuka kancane. Kwizigaba zokuqala, intloko engenaziganeko eziphendukelekileyo ziphenduleka xa zihamba, zidibene nokuxinzezeleka kwengqondo okanye ukunyanzelisa umzimba. Kule meko, izigulane zikwazi ukuzimela ngokuzimeleyo indawo eqhelekileyo yentloko. Ngethuba lokulala, izidumbu ezingaqhelekanga zinyanzelwanga.
Kwixesha elizayo, ukususwa kwentloko kwisikhundla esiphakathi kuya kwenzeka kuphela ngoncedo lwezandla. I-spasm ye-muscle ingasuswa okanye iyancitshiswe ngokuthinta iindawo ezithile zobuso. Ukuqhubela phambili kwesi sifo kubangela ukuba isiguli asikwazi ukuzimela ngokuzimeleyo intloko, izihlunu ezichaphazelekayo zichanekile, i-vertebral radicular compress syndromes ziyabonwa.
Unyango lwe-dystonia yomlomo
Xa unyango lwesifo, i-pharmacotherapy isetyenziswe ngokuqeshwa:
- izidakamizwa zokulwa nesifo;
- imisipha yokuphumla;
- anticholinesterase agents.
Iziphumo ezigqithiseleyo zibonisa ukusetyenziswa kweejoyi ze-botulinum toxin kwiimisipha ezichaphazelekayo, ezivumela ixesha elide ukuba zilahlekise iimpawu. Kwezinye iimeko, ukungenelela okutyathwayo (ukuchithwa okukhethiweyo kwezihlunu, ukuhlinzwa ngokusesikweni) kungenziwa.