Tremor (tremtinnya) - the cause of mimic muscular rucks. Tremor: causes, symptoms, diagnosis, treatment

Тікі are short-term repetitive stereotypes, in a large number of muscular hairs (head wrapping, grimaces, moving shoulders, etc.); You can just get it for an hour. Repeated vocalizations, for example, for example, imitational phenomena (so called echolalia / exopraxia or palilalii / palipraksii), are folding tics. The stench can be obscene (coprolalia / copropraxia). The order of idiopathic tics in the form and second form - in the syndrome obtrusive campsі in the case of ingestion of certain drugs (antipsychotics, antiepileptic drugs). Often tics are supravodzhuyutsya mental disorders.

- localized tics For example, in the area of the individual, the perch develops in all children and can be promoted for a short period of time for an hour.
- generalized tics is a syndrome of Gilles de la Tourette: for a new characteristic, the presence of motor and vocal tics, an ear of sickness up to the 20th fate of life and the triviality of ailments more than one fate. The family's character is not often observed in this disease.

tremor- rhythmic, regular, stereotypical ruch with a tremor characteristic of the specific skin form, with a frequency and most often with a small amount of ruch. To carry out a differential diagnosis, for example, with the urahuvannya of the minds, in which there is a tremor.

- physiological tremor at a frequency of 8-12 per second, it is even lower amplitude, for its appearance it is extremely necessary to add additional resources.
- At tremor calm tremins are in quiet droppings, if parts of the body are not strong enough to be hard. Tse is characteristic of parkinsonian tremor. Win accentu in distal views kintzivok, the frequency of the warehouse is 4-6 per second, the amplitude of the temporal direction, characteristic of the original and original hand and fingers. At the іnthensionnoe rukhs, wіn timchasovo znikaє. Before the tremor is calm, it is more likely to occur in young people for the duration of the day and in those who have shown parkinism. in a cycle of vines, the wine does not progress, in the process the head is drawn in, and also the wine is characteristic of Wilson's ailment.
- acute tremor to appear when there is pressure: for when a part of the body is lost, it’s hard (postural tremor), or when it’s too hard (kinetic tremor): it’s overwhelmed in the distal symptoms of symptoms. by itself often the reason to serve as an emotional tremor (in the summer, to speak about senile tremor), 60% of the cases are of a sluggish nature. The frequency becomes 8-13 per second, at least one hour it changes, and the amplitude increases. Prior to typical situations, when there is an emotional tremor, it will adapt and break down the activity;

special form acute tremorє asterixis ("flapping tremor") is a part of the nervous breakdown of the brushes, which is characteristic of the liver disease, as well as Wilson's ailments and deyakyh slugs. In the Danish hour, it is interpreted as pathological myoclonus (Div. Vishche).
- Rubral tremor(Synonymy - mesencephalic, Holmes' tremor) is a recurrence of the general (3-4 Hz) tremor with an auxiliary (more swirling) tremor, which can be triggered when the middle brain is affected.

tremor become suspicious in case of polyneuropathies.
Intensive tremor The titles are also atheistic, depending on the dressings of the cerebellar ataxis and the inherited lesion of the dentate nucleus of any eventual links. Winning in calmness, albeit in the midst of intensive Russia, it grows more pivoting, less more precisely, it is necessary to come and get closer to the part of the house to the point of further notice. For example, it’s good to take a finger-nose test. Especially often, a form of tremor occurs when rosy sclerosis... The term primary orthostatic tremor means inability when standing, as it is supervised by a high-frequency synchronous tremor of the mucous membrane, which only occurs when electrophysiological illnesses occur. A special form is psychogenic tremor. There can be some kind of tremor.

Especially often they are surrounded by a single picture, but they are irregular, high-standard and wear dramatic in most types, hostile character... When the patient is released, the tremor changes abnormally. With a passive fixation of a three-part part, a three-part part is started. Generalized form of psychogenic tremor is described in soldiers before the hour of the First Holy Day. In case of Charcot-Mari-Tooth ailment, depression of the X-type type, tremor and paroxysmal short-hour impairment of the central function are described nervous system And also the signal on the MRI of the skull. Premutations for the gene "X-chromosome creep" can be superficial to juvenile tremor, ataxis, impaired walking and cognitive disorder in young people.

Tremor - tse nayposhirenіshe rukhove ruinous. Treminnya winyak in case of rapid reciprocal -innerviginal muscular-antagonism. As a result of the process, the rhythmic uncontrolled ruff is promoted, as it will do with myaz activity, and after an hour sleep is awake. In that case, if the tremor provokes, whether it is the impairment of the function of the body, it is taken into account the pathology.

Physiological tremor characteristic of the cutaneous great people... As a rule, the amplitude of the floor is insignificant;

The tremor of the kids in newborns is caused by the immaturity of the child's nervous system. These are the most frequent є the norm or a time-consuming phenomenon.

It’s even more obvious that there’s a tremor of hands by stretching out two types of problems, and not to lay down on the basis of emotional experiences and physical problems, but rather to the development of pathology and advice from a person. The reasons for this may be different - from an overdose of drugs to important ailments of the central nervous system.

REASONS

The most common reason for the tremulous hands of children and people young vikє The nerves are overworked, and the longer the amount of stress, there are a lot of endocrine disruptions and the breakdown of communication processes. Most often, tremors serve as a sign of alcohol.

Treminnya of small parts of the body may be amazed by the pathologies of the nervous system and one of the primary signs of Parkinson's ailment in people of a kidnapped age can be seen. In addition, tremor is susceptible to the presence of a mucous membrane, or if it is tied to it in the brain.

The mimic parts of the bed can be of a decisive familiarity. A characteristic symptom of a similar etiology is a loss or weakening of the tremulousness of drinking alcohol.

KLASIFIKATSIYA

Classification of tremor for key signs:

Calm tremor (static) - a tremor in a weak part of the body with Parkinson's ailments and pathologies, which are supervised by Parkinson's syndrome.
Tremor dії (dynamic) - appears at the moment of speedy m'yazіv, as you don’t want to make it to ruins. It is characterized by lesions of the stovbur to the brain, corns and joints between them. There are two types of images: postural (with sparing positions) and kinetic (with active rukhs and oversupplied to meti).

Classification of tremor by ethology:

The first is to appear independently and not to be tied with those who are ill.
The second one is to develop as an acceleration of the other pathological conditions.
Tremor, which is the result of degenerative processes in the brain.

Classification of tremor in the presence of the frequency of occurrence:

3-5 Hz - general tremor;
6-12 Hz - a quick tremor.

SYMPTOMS

Klinichny show tremors in fallowness in the form of:

Parkinsonicheskiy (3-7 Hz). Become calm to tremor. It’s going to change for an hour, so we’ll turn more and more in the calm camp. If the symptoms disappear, the sleep will still show itself in the singing phases of sleep. A whole symptom є I recognize Parkinson's ailments and ailments with similar parkinsonian syndromes. Most of the time it is in the hands, but it can be connected to the head, lips, tongue, legs, and in the vicinity of the head. The tsei stan is a trivial hour, one-sided, often asymmetric, to tremble one arm and one leg.
Essential (7-12 Hz). This kind of tremor is considered postural. Most often, it is two-sided, hostile to the hands, it goes down when drinking alcoholic beverages, but it doesn’t go to coffee. The process can be done lower pictures, Head, voices, sounds, lips and tulub. In 25% of people with such a syndrome, deterioration of the letter, the muscular tone of the hands and a slight crank is more likely. Qia signs can be used to develop sporadically. When looking at the same seven characteristics, tremors and their severity in її members vary in wide gaps. On the basis of parkinsonian, there is a high frequency and in some cases it does not develop from the hands, but from the other parts of the body.
Mesencephalic (rubral, Holmes tremor) - the combination of calm tremor, postural, as well as intentional tremor. It’s the name of the word to sound like “midbrain”, as it can be manifested in case of malignant structures of the thalamus, as well as diseases of the brain, trauma to the skull and brain, puffy processes and in case of rosy sclerosis. Treminnya appears in kintzivkah, opposite to those sides of the middle brain, as it was pathologically changed.
Medullary (3-5 Hz). Pusky corns can lead to development of tremor, which is very kinetic and postural in nature. In the process of obtaining the proximal appearance of the cues, the tulub and the head. The causes of this fever are degenerative atrophic processes, Wilson's ailments, medication, alcohol, spasmodic sensory neuropathy, trauma to the cornsus and brain.
Neuropathic tremor can occur in calm, as well as with postural-kinetic collapse. The frequency of the tremline increases in stressful situations... Show the syndrome of raptus, then the infusion of remisia.
Dystonic tremor appears with dystonia. Yogo vіdminnuyu rice є health mimo viklikati tremіnnya in any part of the house, but not affected by ailments. Most often, it will be asymmetric, if there are two symptoms of symptoms, the symptoms will develop on them.
Physiological tremor manifests itself in healthy skin people and does not carry a pathological meaning. The frequency of the kolivannya is in the range of 6-12 Hz. This type of tremor appears when the arms are pulled forward. Kicks often occur in stressful situations, such as, in case of impaired metabolism (thyrotoxicosis, adrenal hypertension, alcohol consumption), as well as reactions to the intake of medications (ingestion of phosphodiesterase), glucocorticosteroid, coffee Під дією zaspok_ilive zasob_v and in alcohol physiological tremor is attributed.

DIAGNOSTICS

When a patient's scars for a tremor, the patient's presence at a given reason, the degree of variation and particularities, I will show tremor in different situations.

Methods of diagnostics for skargs for tremor:

Inspection and sbir anamnesis. The patient will learn about the peculiarities of showing tremors: for which circumstances they should be repaired, how could they provoke such a camp. It is also to reverse the manifestation of a recessionary official.
Functional test with the method of reconverting the physical abilities of the patient.
The "rapid" method is a high-frequency video recording with an advancing control over the frames of the material.
Tremography - the fixation of colival cuffs in three projections.
Electromyography is supplementary to the value of the number and the quality of the number.
Electroencephalography viyavlya zmini electrical activity brain.
CT and MRI are the signs of structural changes in the brain.

LIKUVANNYA

Methods for treating mild and good tremors:

the course of relaxation procedures;
dichny gymnastics;
zaspokiylivi lіkuvalny drugs;
sufficient sleep and failures;
taking baths with spokylivy pickles of herbs.

Likuvannya tremor, which creates a normal life:

the antagonism of beta-adrenergic blockers to change the amplitude of the colony, and the symptoms;
low dosage of benzodiazepines to reduce the rate of tremor;
low doses of barbiturates in combination with benzodiazepines and beta-adrenergic receptors;
іngіbіtory MAO-b і levodopi are recognized with Parkinson's ailments;
thyrostatic drugs for hyperthyroidism to induce the synthesis of thyroid-stimulating hormones;
tranquilizer and zaspookilivi preparations;
protisudomnі drugs;
drugs that stimulate blood flow to the brain;
surgical involvement (stereotactic thalamotomy) with the help of an electrodomal stimulation of the thalamic nuclei additionally in case of revolves of non-spillage up to drug therapy, If the tremor zavazha visonuvati physiological functions.

It is enough to shake off the tremor to go out of the way, ale modern drugs add to the meaningful polypsy of the life of people, as they suffer from a disease.

Folding

Ymovirni accelerated tremor:

the unhappiness of engaging in professional activity and well-being of simple activities;
difficult to adapt to social media;
Difficulty moving function with tremor pidboriddya, musing of disguise and movi;
the destruction of the psychological and emotional camp.

PROFILACTIC

Prophylactic come in to reduce the turn of tremor:

pomirnі physical options(Probіzhki, swimming);
povnotsinny ratsion;
sparing at fakhivtsya (especially with a tight family history);
іstotne obmezhennya to drink, scho to revenge coffee;
alcohol consumption;
arterial grip control.

FORECAST FOR ARUNGE

There is no specific treatment for suppressing tremors. Most often they are recruited to stabilize the sick person, to reduce the incidence of symptoms and improve the quality of their life.

In case of essential tremor, the frequency of colony with rocks will decrease, or, with the development of the first familiar pathology in the senior vice, it may lead to a rapid increase in symptoms and the growth of people. At the same hour, the tremor is uncomfortable є by the physiological norm and to indicate the impermanence of the nervous system. Expect to pass independently, but in children older than three months, the problem is due to the reason for the increased respect for the failures, since tremors can be a very common pathology.

The ethiology of tremor is even more useful, because the prognosis is infused with a primary diagnosis, a symptom of such a wine and є.

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Tremor - the tremor is uncontrollable in the small parts of the body. Most often, tremors of hands and tremors of the head.

The norm in the skin of the people is to develop more easily three parts of the body, as in the literal people they can do it. On the other hand, if you wiggle your hands in front of you, you can wrinkle them, but you can smell the stench lightly. Greater tremors appear before the hour of illness, fear, if people see fierceness or to be in stress. It is normal and tied to adrenaline in blood. Some of the time tremors can be caused by taking drugs, for example, against asthma or antidepressants.

Vzagalі, tremіnnya of hands, heads, exposing those parts of the body - the most destructive destruction of rukhovaya activity. Ale in a large number of vipadkiv tse razlads delivering less easily to peace. Only in some people the tremor in an hour can become morbid and transform into pathological.

Hands and hands are shaking on the cob of an impairment, even a step-like tremor can be hostile to the other part of the body, for example, the head, revealing, slit, tongue. When the voices are heard in the process, a tremulous voice is started. In most cases, others mimic rukhs it is practical to amuse people with buildings and services. The most difficult wiklicas a leaf from the hands, tied with laces, the people become unadorned by themselves, drink a bottle of water and in. For the additional help of lykarsky drugs in a large number of vipads, it is significant to change the tremor.

Tremor symptoms (tremors)

The only symptom of a tremor is a tremor of parts of the body. At about 9 to 10, the drop of the hand goes up and down with a small amplitude. It can also be hostile to the part of the body:

head;
crack;
ruin;
mova;
larynx and laryngeal sounds (including voices);
legs.

Tremors can occur in any child or children. Chim pіznіshe winikla tremіnnya in tіlі, tim more prediction of ill health, easier to manifest.

Most often, tremors want to hurt the sides of the soul in the rivniy world and to accommodate with the pressure of words: if you wake up, you can use your hands, for example, to write. In the country there is a calm tremty, as a rule, it is weak at all times. A tremor in the hands and only you can do it:

stress;
anxiety;
coffee (take revenge in tea, coffee, chocolate and other gas drinks);
deyakі lіkarskі drugs.

Cause tremors (tremors)

One of the reasons for the tremor is the decline in mental capacity. The results allow to allow for a delay in mutation in one of the genes to lead to improved cerebral viddil_s, so that nerve impulses are destroyed in the brain to mucous membranes. Such a tremor is called essential, primordial, so that the belt is not tied without a middle to the other ailments, in the inflow of the new middle and the other factors. However, there may be more symptoms, such as:

a copy of a robot, which can be used for other motor skills, for example, embroidery or a sheet of hands;
attracting a їzhі;
applying makeup;
holinnya.

Yakshcho vtomilis, turbutesya, you are hot or cold, you can also aggravate the symptoms.

Esential tremor due to the decline in mental strength is developed in half of the time. Even if one of your fathers has a pathological gene, you have a tremor, and you will get 50%. However, in any case tremor develops, as well as the steps of the turn in the members of the family may appear. You can be the nose of a mutant gene, and you may become healthy, so that gene mutations are not expected to appear. In addition, for some people, the mutation can develop spontaneously, and not be transmitted to the fathers.

In those cases, the tremor develops in a different way, so that the reasons for this і іnuchі ailments, for example, I will become, for example:

hyperactivity thyroid gland(Hyperthyroidism);
Parkinson's ailment is a chronic ailment, which will ruin the brain's co-ordination;
rosy sclerosis - the fall of the central nervous system (head and spinal cord).
dystonia - a neurological syndrome, when there are mimic spasms;
Stroke in the region of severe symptoms may experience tremors on the order of symptoms;
peripheral neuropathy - damage to the peripheral nervous system;
withdrawal syndrome in cases of alcohol withdrawal (alcohol withdrawal) can be found in people who have fallen asleep for alcohol, or have stopped living or hastened their life;
amphetamines and іnshі stimulating speeches;
drugs, for example, antidepressants and drugs for asthma;
coffee, how to take revenge in tea, kava and some gas drinks.

Lіkuvannya tremor (tremіnnya tila)

In a large number of cases of tremor symptomatic therapy With the mark of change, the manifestation of rukhovyh razladіv. If the tremor of the rolls is insignificant and does not affect the visitor's right, it can be displayed at the same time. Treminnya in tilі, in such a situation, you can significantly change, adjusting to the factors, as well as experiencing, for example, coffee and stress, as well as looking for a healthy way of living and how to hang around. However, it is not easy to recommend fixing tremors for early stages, So yak in a frivolous, without lіkuvannya, wіn can quickly progress.

As a rule, for the reduction of tremors in the hands, heads and other parts of the body, preparations are assigned from the groups:

beta-blockers,
get out of the room,
ін'єкції Botulinum Toxin і ін.

In important vipadkah vdajutsya to surgical treatment.

Lіkuvannya tremor for extra help

Beta-adrenoblockers: Propranolol, atenolol, metoprolol and are most often used to treat emotional tremors. Tsi koshty recognized wide popularity for the Koreans slid in a vice(Hypertonia) I am sick of my heart, but I can also help to change my heart. As a rule, 50-70% of people with tremors mean that when the ear is on the cob, the frequency of symptoms has changed. may side effects beta blockers:

nudota;
zamorochennya;
cold hands and feet;
deterioration of the potential of the choloviks.

The drugs are not suitable for people, we get sick on diabetes, bronchial asthma, As well as other types of arrhythmias.

get out of the room It can be widely used in the treatment of emotional tremor, as well as epilepsy. To them are mentioned: primidone, topiramate, gabapentin and іnshі zasobi. As long as the preparations do not add to the environment, you can recognize the combination. Unimportant to their efficiency, the drugs are often disgustingly tolerated, reduced blood pressure, drowsiness and boring.

Zaspokilivi preparations of diazepam series For example, clonazepam, alprazolam, lorazepam and іnshі are recognized in vipadkas, although the combination of digestive methods did not help. Zaspokіilivі can relieve tremors, lowering anxiety, as it is often possible to recover tremors in tіlі. The minuses of the chicks are the side effects: sleepiness and sound.

botulinum toxin vikorystovuєtsya, if the description of the drug is not effective. Botulinum toxin is injected directly into the ointment, which is weak to tremor, blocking the transmission of nerve impulses, and relaxes. Botulinum toxin is strong, but in small doses of wine it is not safe for health. Nada botulinum toxin for tremor, vicious dystonia.

Some pathological tremors can be very severe, but it seems to impair normal life and do not appear on lykarske lykuvannya... Todi check the nutrition about the surgical operation.

Hirurgical treatment of tremors

Gliboka stimulation of the brain- the process of reversal is minimally invasive operation, as there is a polyagus in the presence of one or more electrodes (thin metal heads) in the singular part of the thalamus (in the brain). The electrodes are provided with an impulse generator (an attachment similar to a cardiac pacemaker), which is placed on the chest. The viroblya generator is an electric strum, which is poured onto the dilenki of the brain, which can block tremors. Due to the fact that the stimulation of the brain can reduce tremor by 90%.

When carried out glibokoi stimulation of the brain vikoristovuyutsya of a better type of anesthesia, and a painless operation. Due to the peculiarities of the disease є the need for more than an hour to be used in the service, so that the surgeons could turn over, in the correct installation and the robot of the generator.

Possible side effects of brain stimulation:

surgical infection;
ruinous movi;
pokolyuvannya;
hemorrhagic in the brain;
insult;
accelerated anesthesia.

Recently, recent studies have shown that brain stimulation is a remarkably safe procedure. Any side effects can be unique by adjusting the robot mode of the pulse generator.

Thalamotomy for treating tremors polyaga in a small opening in the thalamus, which is also in the brain, de-stimulation is carried out. Bula brought the effectiveness of this procedure in the treatment of tremor. Most often thalamotomy will want to stimulate the brain, so that the procedure will increase the turnover and cause fewer side effects. However, the thalamotomy has its own passages, for example, there is a need for additional visits to the truck for reconfiguring the pulse generator and replacing the batteries.

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- ailment, characteristic symptoms which is the manifestation of the mimicry of the singing part of the body. Such a call will provoke alternating or synchronous speed reciprocal-internal communication ... Tremor can manifest itself practically in the be-like part of the body, or in the main, in the sick tremor in the head area і hand tremor ... At the same time, a tremulous voice is started by the people, and in the surroundings the shaking of the tulub and steps appears.

One of the most often appears to see tremors on the current day. emotional tremor ... Danes can be diagnosed with some members of the family. Particularly wrinkled tremor of the hands, if the patient is a singing object or a hand, it will affect something. However, for an hour the tremor does not occur.

The reasons for this illness may be the condition of ailments ( pechinkova lack , otruunnya lіtієm , mercury , mish'yakom ), And also, to pour the nervous system into the camp (for example, antidepressant ). Tremor appears in quality malignant fever for a number of drugs.

See and symptoms of tremor

On the current day, there are fewer types of tremors. TRemoor dobroyakisny- most widespread vineyards Roof systems ... Also, getting sick of inodi protest is important. It is mainly manifested in children and youth. Yak rule, yogo first manifest - hand tremor : A collection of one, sometimes - both. Naybіlshe tremіnnya pіtіnі with hands tight forward. There is a tremor in some parts of the body, and when tremor of the larynx і movi It can be difficult to win. Yogo show yourself to accommodate for an hour of stress, and also when you accept alcohol .

postural tremor- the Danish type of ailment can be a subtle malaise, as well as the result of a high anxiety, appearing hyperfunction of the thyroid gland ... The cause of this type of tremor can also be caused by alcohol or drug addiction. Another reason for the manifestation of this kind of tremor is that it is snuffed out by cheeky spikes or an overdose of singing drugs. The whole kind of tremor is characterized by small sweeping, so it is best to show it with the wiry hands and rosy fingers of the ailing one. At the end of the hour, the tremor is not known, but with the strong concentration of the sick person, the symptoms grow.

tremor intensive vinikak pislya punching corns That doesn’t make sense for an hour of walking. Such ailments are characterized by great-wickedness and trochies of rude ruha, which appear before the hour of fixed movement and day-to-day in the country of calm. Yakshcho the patient will try, curling his eyes, in a position standing with his hands twisted, by the way to the nose, but not at all.

asterixis- the most insecure type of this disease. Tsey prisovid tremor vynikє vnaslіdok, pechinkovo , nirkovo , dystopian lack , the presence of the middle brain ... For the whole type of tremor, it is characteristic of even more and more irregular hands and niggling.

Tremor is the main symptom. As a rule, the disease develops in people who have been abducted, the tremor of the hands is cob sign given ailments. Parkinson's ailment is often the cause of disability, protein does not at all flow into the triviality of life.

diagnosis of tremor

It is important to diagnose a tremor, it is important if there is a sign of illness, if you lie in the base, I will show a tremor. For the diagnosis of tremor, the fachіvets in the first churches, the origin of the localization, especially the rise in the tremor, the wretched respect for the characteristic topographic features (for example, only one finger tremor , symmetry abo asymmetry tremtinnya).

When staging a diagnosis, the amplitude-frequency characteristics are measured, then, in the case of a turn, I will especially manifest a tremor and dynamism in the background.

Specialist carry out the same description of the disease, as it became the background for the development of the process.

For diagnostics, video examination is carried out according to the method " rapid "- a high frequency and confidence in the projection of frames. Ailing to sleep for help tremograph You can register a tremor in three areas, with a dark photo (to fix the picture on the singing segments, to take part in the tremis). method electromyography allow the visibility of the same and the characteristic rhythmic hyperlinks .

lіkuvannya tremor

With the manifestation of a good tremor, the treatment of ailments is generally not necessary. If the tremulous parts of the tila twist even more strongly, then the sick person can be identified with the drug abo primidon ... If I show a tremor vklyuchno with emotional stress, it is indicated that a single dose of the drug is taken, which may be sleepy and difficult, for example.

With essential tremor, it is indicated complex lykuvannya drugs - beta-blocker antagonists , benzodiazepines і primidone ... For help beta blocker to reduce the amplitude of the tremor and the polish cool picture... Manifest an emotional tremor as well as change when receiving benzodiazepiniv ... However, if there is a sign of varto vrahuvati, there is a possibility of developing tolerance as a result of post-implantation of certain medications. To that їkh vikoristovuyut not permanently, but in times of consumption. Inodi for the reduction of symptoms in tremor stagnation alcohol , However, here is a vinnikє rizik yogo ominous. In the course of therapy for this type of tremor, primidon is indicated at a dose of 25-250 mg / day. You can also combine it with beta-blockers.

Likuvannya cerebellar tremor, which, as a rule, is not an oily effect. True, і information about the positive results of the therapy primidone ... Big bends effective yes microstimulation of the thalamus abo stereotactic thalamotomy .

Hvoroba Parkinson's sickness on this day. However, timely and correct therapy can be improved by stopping the development of Parkinson's ailments. So, the patient is recommended to post-vikoristovuvati reed. In case of a decrease in the rate of delivery and a broken one, it can be indicated by taking the drug. levodofu .

for effective treatment tremor is important to carry out with caution and due to the fact that you yourself will become the cause of its manifestation. In the midst of a positive effect, it’s hard to reach the point where there’s a decrease in pressure on the ailing stress factor. Hand tremor can be changed by wearing an important bracelet anyway.

the doctors

liks

prevention of tremor

To prevent tremor, it is necessary unique stressful situations... It is important to follow the tim, but the sick person did not appear to be seen at the same time, as soon as I could. As a rule, the patient is sick with tremors.

Slide to live yakomog less products and drinks, scho revenge coffee and more kurinnya ... also dієvoyu proactive visitє Regularly vikonannya physical rights.

Dyeta, kharchuvannya with tremor

Dzherel list

Golub in B.JI. Tremor // Neurological journal. No. 2. - 2003;
Levin O.S. Tremor. Russian Medical Journal 2001;
Kostich V.S. (Kostic V.S.) // Parkinson's Hvoroba and Rukhiv: A Key for Liquors / Ed. S.N. Illari-oshkina, M.M. Yakhno. M., 2008.

zm_st

One of the manifestations of unhealthy central and peripheral nervous systems is tremor. Zagvoryuvannya is characterized by rhythmic kolivannya of small parts of tila. Most often, mimic the arms of the head and hands are spared. In addition to the damage to the nervous system, the whole camp can be used to induce intoxication to organisms, endocrine pathologies, somatic and other diseases.

Sho take tremor

For the most part, the term means “tremtinnya”. Tremor is a quick way of thinking about it, or tremor in terms of mimic character. Vinikak pathology in case of quite Russia, or in the country of calm. M'yazovy fast-moving often allow the visonuvati only to the rude robot, and those who are not able to use other motor skills are inaccessible to the sick. For example, stick a thread into the head of the head, or in a beautiful handwriting, you can write to the patient smoothly.

Pidsilu tremor of kintzivok overwhelming myazove stress, increased concentration of respect, stronger instability, overcooling. The most frequent ailment is the enemy's hand, before a part of the body, roztashovani in the middle of the tulub. People who are more smart to the momentary tremors of ideas, people who are sick, can develop in a young age. Often, the Danish country is not considered to be an independent disease. Tremor of the head, or of the hands, one of the symptoms of numerical ailments.

cause

Mimic fasting musculature can be familiar with dysfunction of the brain dysfunction, which controls the muscle system. In addition to the tremor of the hands or the head, it is often inflicted in cases of malignant neurological disorders, for example, disseminated sclerosis, craniocerebral trauma, insult, neurodegenerative pathologies, which develop brain zones and

There are some reasons for provoking a tremor of myaziv tila:

a decrease in the amount of blood in the blood, like a wine with diabetes (hypoglycemia);
trivial depression camp;
drug withdrawal;
otrunnya organizmu toxic words;
nirkova or pechinka lack;
pobichna diya medicines;
genetically impaired Vilson-Konovalov, the essence of the destruction of the metabolism of the medium;
ushkodzhennya of the motor center of the brain for an hour with injuries;
degenerative damage due to unhealthy etiology, as it leads to the total loss of blood cells to the brain;
abscesses or puffy processes in the corns;
a state of deterioration of blood circulation on the brain, which supplies blood to the brain;
sinister alcoholic beverages;
Esential tremor, or Minor's ailment, with a family-like, uncomfortable, good-natured character;
інші pathology of the endocrine system;
atherosclerosis of the brain (it develops as a result of accumulation on the walls of the capillaries of cholesterol plaques, through which the arteries are sounded), which leads to the development of chronic cerebral blood circulation.

Classification

per key signs tremor on static and dynamic. The first to manifest itself in tranquility, if there is a tremor of the unruly part of the soul. Often, it is diagnosed with pathologies that are supervised by the syndrome of parkinsonism. Dynamical abo actsiyny tremor is manifested in the case of fast-flowing meat, which may not cause a collapse. It is characterized by lesions of the corns, stovbur to the brain and the sounds between them.

There are some types of dynamic tremors: postural tremor, kinetic (intellectual). The first vinikє with a sparing position, for example, with hands tight forward. Intense tremor in Russian, or when close to the mark, for example, when you rub your finger in nis. Also, the ailment is classified according to the frequency of colony (normal 3-5 Hz, sharp 6-12 Hz) and according to ethology. Falling as a cause of development, ailment buvaє:

Primordial. The disease manifests itself independently, without being a symptom of the disease.
Secondary. To develop in the number of accelerated pathologies (microcephaly, polyneuropathy, mediatorial neurochemical imbalance, thyrotoxicosis, immaturity or poor health of the nervous system and others).
Ruinuvannya of the brain system. Tremor is caused by degenerative processes in the brain.

see

Fakhivtsi develop a lot of types of tremor, the middle ones are often diagnosed:

Physiological. More importantly, postural tremors of cues and other parts of the body (tremor of the poop, shia, lips, etc.). Growing up on aphids, frustrated with cheeky words. Physiological splashing tremors are often due to a trivial binge.
Esentsialny. Kinetic or postural collapse of hands, which can be transmitted in recessions. The head, voices, sounds, lips, tongue, legs, tulub are then delivered to the hands. Once before the tremors, there will be a broken writing (literal spasm) and a slight rivn of crankiness.
Parkinsonicheskiy. Tremtynnya calm, as weak as the hour goes down, or if you can do it when you are open, or when you walk. I want a parkinsonistic view of the characteristic with Parkinson's ailments, but only sometimes to manifest itself in those who are ill, such as, for example, with a complex atrophy. Often spostering in the hands, or else it can start to flicker, lips, legs, head.
Mozochkovy. In the main, there is an intense tremor, albeit in case of rosy sclerosis, the vertebral and postural, which retracts the proximal viddili of the children, the tulub, the head.
Mesencephalic (rubral, midbrain). Combination of kinetic and postural tremor. This kind of sickness often manifests itself in the presence of an ugly middle brain, and in case of pathological processes in the thalamus.
Dystonic. Diagnosis in ailments from focal or generalized dystonia. Characterized by manifestations of asymmetric tremor. It is not uncommon for a dystonic posture, if you try to rely on a hyperkinesi when trying a patient. The hour of correcting gestures changes.
Neuropathic. Postural-kinetic tremosis, like vinicine in case of recessionary motor neuropathy of type 1, dysproteinemic polyneuropathy, chronic demilinizing polyradiculoneuropathy, neuropathic aerobic

symptoms

Klinichny show a tremor to lie down in the sight of a disease:

Parkinsonicheskiy. Before the hour collapses, the amplitude of the collapse changes, and in the calm it grows. Symptoms will disappear more often. At the early hour, the camp is one-sided, asymmetric or asynchronous, if you tremble with one hand and one leg in a different amplitude.
Esentsialny. Often there is a two-sided tremming, as it goes down when alcohol is consumed, but it’s like coffee is accepted. Tsey kind of tremor can calm down or develop sporadically. Characteristics and severity of pathology in members of the same family are seen in wide gaps.
Mesencephalic. A sick tremor appears in pictures, protested to the side of the brain, and the bully is attacked.
Neuropathic. Tremtinnya z'yavlyaetsya rapt, often in stressful situations. Then a remission may come.
Dystonic. Vidminna of rice - a tremor of the vine is mimic in any part of the body. Dystonic type of convalescence in the presence of vegetative-vascular dystonia in the patient. Show often asymmetric.
Physiological. Maybe winicati have a healthy person. The symptom is not pathological. A physiological tremor is caused by alcohol and spoky lavas.

may you expedite

In case of sparing of special health conditions, the tremor may not be trivial for an hour. When ailments move to an important stage, they attack the patient to reduce the quality of life as a whole, at the expense of social spilkuvannya. With the wrong or the lack of treatment, the pathological process is broadened throughout. Uncontrolled collapses become more intense and turn. People find it difficult not only in the professional middle, but in the casual spheres.

The ailment ceases to be a patriarch, it is impossible to service yourself independently without third-party help. Tremor is a serious pathological process, a kind of non-useful therapeutic treatment. Zakvoryuvannya to produce to the extent of the functions of the support-roach apparatus, vykrivleniya shyny viddil ridge, spreading leaves, strong defects in the movement. Rukhov's amplitude gradually decreases. On the whole inappropriate views v shyny vіddіlі, Post-release headaches. Naivazhche accelerated tremor - disability.

diagnostics

Most doctors have no difficulty in delivering correct diagnosis... At the first scars of the patient, the teacher of the polyagus has the cause of the tremulousness of the symptoms, the steps of the tremor and the peculiarities appear in the everyday life situations. Diagnostic methods:

Anamnesis that looks around. Likar tsykavitsya singularities, manifest a discomfort, under any circumstances, try to fix it as a provocation. The recession factor is changing.
Functional tests. It is carried out for the transformation of the physical abilities of the people.
"Rapid" technique. For her to rely on high-frequency video, for what kind of material changes to look through in the usual mode.
Tremography. For an additional special apparatus (tremograph), the patient's hands are restored in three projections.
Electromyography. They put on the electrodes on the heads of people, as they reestablish the potential of the myazovaya system and transmit the data to the elektromyograph. Determination of additional help in the number of pathological cases.
Electroencephalography. Behind the help of the sensors, attached to the patient's head, electro-magnetic splashes are caught and re-staged. Determination of viznachaє changes, which are seen in the electrical activity of the brain.
MRI or CT. It means that structural changes appear in the brain.

lіkuvannya tremor

Specific therapy for suppressing tremors is not even sleepy. Lіkuvannya in the main focus on the stabilization of the body, improving the quality of the life of the patient, reducing the incidence of symptoms. Oscillations of the etiology of the pathological process of development, the prognosis for the disease of people will be found in the primary diagnosis, the acceleration of such a wine. When explicit easy form getting involved in the process of lіkuvannya is brought up to a relaxed method, with every patient it is important to see a unique stress, emotional education. are recognized:

dichny gymnastics;
relaxing baths;
sedative preparations of natural or synthetic pokazhennya (Corvalol, Novo-Pasiv, Persen and іnshі).

With an important form of ailment, if the tremor inflicts a normal life of a person, there is a complex treatment for the intake of medications in a healthy diet:

antagonism of beta-blockers;
benzodiazepini;
barbіturati;
levodopi and іngіbіtory MAO;
thyrostatic coats;
zaspookіylivі lines and tranquilizers;
protisudomnі medication;
preparations for stimulation of the brain.

Found preparations for the drug mimic tremty kintzivok i tila:

Propranolol. Non-selective beta-blocker, which is nadaє hypotensive, antianginal, antiaritmic infusion. Reduces the speed of the myocardium, the pulse is hardened, and the zestiness is reduced. Pochatkova dose - 40 mg 2-3 times / dobu. Dalі dobove dosuvannya to increase up to 160 mg. Prolonged capsules of the depot treasure zastosovuvati 80 mg 1 time / add. The course of treatment is from 12 to 60 months. With the use of medication, there may be some side effects in vigyados of obstructed disease, swollen stomachaches, depression, and confusion of symptoms. Prototype indication before the drug is consumed: vaginism, cardiogenic shock, metabolic acidosis, Arterial hypotonia and іnshі.
Primidon. Snodinny, proto-dominal preparation, which can be applied to barbiturates. Pharmacological diyu the medication was summed up in the decrease in the zestiness of neurons in the epileptogenic production. Tablets are taken in cob doses of 0.125 g / add. Skin 3 days dobovanya increase by 0.25 m Maximum dose for an older person - 2 g / add. For an hour, there may be more allergic reactions, sleepiness, sleepiness, apathy, boringness, leukopenia. Prototype indications before the loss of symptoms: vaginism, lactation, severe pathology of nirok and / for liver, ailments of blood formation, temporal sensitivity to the components of the medication.

For glybokoi stimulation of thalamic nuclei, fix stereostaxic thalamotomy. qia surgical operation It is recognized that the patient is not comfortable before medication, if the tremor does not give a simple physiological function. During the course of the operation, the injection into the structures of the brain is carried out by an ultrasonic, electrothermal, radio frequency or mechanical method. The development of the current medical equipment viklyucha risik ruin the hour of the operative procedure of life is important to the organization.