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Cervicitis

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Cervicitis
Cervicitis is inflammation of the cervix -- the lower end of the uterus that opens into the vagina.

Cervicitis is common. It may be caused by a number of factors, including infections, chemical or physical irritations, and allergies.



Cervix

Determining the cause of cervicitis is important. If an infection is the problem, it can spread beyond the cervix to the uterus and fallopian tubes and into the pelvic and abdominal cavity and cause life-threatening infection. This may cause problems with fertility --the ability to become pregnant. Or it may cause problems with your unborn baby if you are already pregnant.

Here's what you need to know about symptoms, causes, risk factors, tests, diagnosis, and treatment of cervicitis.

What Is Cervicitis?
Cervicitis is inflammation of the cervix, which can bedue to:

Irritation
Infection
Injury of cells that line the cervix
These irritated or infected tissues may become red, swollen, and ooze mucus and pus. They may also bleed easily when touched.

What Causes Cervicitis?
Severe cases of inflammation are usually caused by infections that are passed during sexual activity.

Sexually transmitted diseases (STDs) that may cause cervicitis include:

Gonorrhea
Chlamydia
Genital herpes
Trichomoniasis
Mycoplasma and ureaplasma
But many women with cervicitis don't test positive for any type of infection. Other causes of the inflammation may include:

Allergies to chemicals in spermicides, douches, or to the latex rubber in condoms
Irritation or injury from tampons, pessaries, or from birth control devices like diaphragms
Bacterial imbalance; normal, healthy bacteria in the vagina are overwhelmed by unhealthy or harmful bacteria. This is also called bacterial vaginosis.
Hormonal imbalance; having relatively low estrogen or high progesterone may interfere with the body's ability to maintain healthy cervical tissue.
Cancer or cancer treatment; rarely, radiation therapy or cancer may cause changes to the cervix consistent with cervicitis.
Symptoms of Cervicitis
Many women with cervicitis don't have any symptoms. The condition may be discovered only after a routine exam or test.

Signs and symptoms, if present, may include:

Grayish or pale yellow vaginal discharge
Abnormal vaginal bleeding, such as bleeding after sex or between periods
Pain during sex
Difficult, painful, or frequent urination
Pelvic or abdominal pain or fever, in rare cases
Risk Factors for Cervicitis
You may be at higher risk for cervicitis if you:

Had recent sexual intercourse without a condom
Recently had multiple sexual partners
Have had cervicitis before
Studies show that cervicitis will recur in 8% to 25% of women who get it.

Diagnosing Cervicitis
If your doctor suspects you have cervicitis, he or she may do a pelvic exam. This lets the doctor get a closer look at the cervix.

The doctor will probably also swab the cervix to collect vaginal fluids or to see how easily it bleeds.

Your doctor will also probably ask questions about your sexual history. The doctor will want to know:

The number of partners you've had in the past
Whether or not you've had sex without a condom
The kind of contraception you used
Even if you don't have symptoms, your doctor will perform a routine exam to look for cervicitis if:

You are pregnant
The doctor thinks you are at high risk for an STD


Tests for Cervicitis
Your doctor may swab the cervix to check for discharge, swelling, tenderness, and bleeding. Your doctor will test your vaginal fluid for the presence of harmful bacteria or viruses.

Cervicitis Treatment
You may not need treatment for cervicitis if a sexually transmitted infection is not the cause.

If an infection is suspected, the main goal of treatment is to eliminate the infection and prevent it from spreading to the uterus and fallopian tubes, or if you are pregnant, to your baby.

Depending on what organism is causing the infection, your doctor may prescribe:

Antibiotics
Antifungal medications
Antiviral medications
Your doctor may also recommend that your partner be treated to make sure you don't get infected again. You should not have sex until you and your partner have finished treatment.

Treatment is especially important if you are HIV positive. That's because cervicitis increases the amount of virus that is shed from the cervix. This may increase your chances of infecting a partner. Also, having cervicitis can make it easier for you to get HIV from an HIV-positive partner.

If your symptoms persist despite treatment, you should be reevaluated by your doctor.

Nondrug treatments like douches or yogurt-based therapy do not work for cervicitis and may actually worsen symptoms. They are not recommended.

Preventing Cervicitis
You can decrease your risk of getting cervicitis by taking the following steps:

Have your partner always use condoms during sex.
Limit the number of people you have sex with.
Don't have sex with a partner who has genital sores or penile discharge.
If you get treatment for a sexually transmitted disease, ask your doctor if your partner should also be treated.
Don't use feminine hygiene products. These may cause irritation of your vagina and cervix.
If you have diabetes, try to maintain good control of your blood sugar.

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Cervical Pain

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Cervical pain is the pain caused due to cervicalspondylolysisorosteoarthritis. This condition involves changes in the bones, disc or joints that are connected to the neck. The major cervical pain reasons are due to the wear and tear of the cartilages and bones, and thus are often found in ageing people. However, it can be caused due to other factors as well and thus occur in younger adults as well.
There are different levels of severity of cervical pain experienced, from mild to severe and each has its own way of treatments. Cervical pain exercises, home remedies for cervical pain and medications are certain options that are commonly considered.
This article talks in detail about all things related to cervical pain. Read on to learn more.
TOP CERVICAL PAIN REASONS:
Here are some of the top causes for cervical pain.
Overuse of the neck– some people’s everyday work involves tedious movements that put pressure on the spine, resulting in easy wear and tear. This does not have to involve just physical work like heavy lifting, but also desk jobs where posture can be a problem.
Injury– an injury in your neck or spine region is an instant aggregator for cervical pain.
Herniated discs– this kind of cervical pain occurs when spinal discs develop cracks in them. These cracks give way to leakage of the internal cushioning material which can in result, pressurize the spinal nerves and cords. Cervical pain symptoms caused due to this can bring numbness and pain in the arms.
Dehydrated spinal discs– the discs between your spine can dry out at times and thus the rubbing of them can cause chronic cervical pain.
Bone spurs– this cervical pain is caused due to the overgrowth of a bone that can press against other the spinal nerves and spinal cord and get painful.
In addition to these causes, there may be other regular bad body postures. This may be due to bad seating arrangements, improper mattress structures and more.
SYMPTOMS OF CERVICAL PAIN
Some of the general cervical pain symptoms include:
Cervical pain symptoms are generally pain in and around the shoulder and neck region. Other symptoms may include:
• Numbness or weakness and tingling in the arms, hands, legs and feet as these parts are directly connected to the cervical nerves.
• Difficulty in walking and other casual activities due to the lack of coordination
• Abnormal reflexes by the hands and legs
• Muscles spasms
• Stiffness in the neck
• Headaches at the back of the head
Different symptoms may have different types of treatment that can be used to heal the pain. One must always consult an expert before proceeding with any treatment and be aware of what is cervical pain. This is important because the spine is a major connector to other body parts and any mishaps in treatments can cause further injuries and problems.

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Cervical Dystonia

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Cervical Dystonia
NORD gratefully acknowledges Cynthia L. Comella, MD, FAAN, Professor, Rush University Medical Center, Department of Neurological Sciences, for assistance in the preparation of this report.

Synonyms of Cervical Dystonia
focal dystoniaidiopathic cervical dystonia
isolated (formally primary) cervical dystonia
spasmodic torticollis
spasmodic wryneck
torticollis
General Discussion
Cervical dystonia, also known as spasmodic torticollis, is a rare neurological disorder that originates in the brain. It is the most common form of focal dystonia in an office setting. Cervical dystonia is characterized by involuntary muscle contractions in the neck that cause abnormal movements and postures of the neck and head. In some cases, these abnormal contractions may be sustained or continuous; in others, they may be present as spasms that can resemble tremor. The severity of cervical dystonia can vary, but the disorder can cause significant pain and discomfort as well as difficulty due to the abnormal postures. It can affect quality of life and activities of daily living including employment. Cervical dystonia typically begins in middle age, and rarely begins in adolescence and young adulthood. The cause of cervical dystonia is unknown, although a genetic susceptibility is thought to underlie some cases. If cervical dystonia begins in infancy or early childhood, secondary causes should be investigated.

Signs & Symptoms
The symptoms of cervical dystonia may begin slowly and can involve any of the muscles of the neck. The head posture in cervical dystonia can vary. The most common abnormal posture associated with cervical dystonia is the twisting of the chin toward a shoulder so that the head rotates sideways (torticollis). Other abnormal postures associated with cervical dystonia including anterocollis, in which the head tips forward; retrocollis, in which the head is tilted backward; or laterocollis, in which the head tilts toward one side. There can also be shifting of the head on the shoulders in a forward (anterior sagittal shift) or backward (posterior sagittal shift) direction. Often cervical dystonia is complex and combines several angles of head movement. In some people with isolated CD, there may also be a postural tremor of the hands. Symptoms of cervical dystonia vary over the course of the disorder. Studies of the natural history of CD are needed to better understand the natural history of this disorder. Symptoms may temporarily worsen with stress or excitement. The dystonia can be activated by certain postures or positions. This varies in individual patients. Symptoms may improve with the performance of sensory tricks, such as touching the cheek or the back of the head. A small percentage of individuals experience a spontaneous recovery (remission) after symptom onset. This remission is often temporary, lasting days to years, with recurrence of symptoms. It is likely that less than 1 percent of affected individuals have permanent remissions.

There can be secondary problems arising from cervical dystonia that include cervical spine arthritis, compression of nerve roots, and sometimes narrowing of the spinal cord in the neck (cervical stenosis). Pain related directly to cervical dystonia typically is on the same side as the head turn and is felt as muscular pain in the area of the overactive muscles. Pain can potentially become severe and disabling.

Causes
Cervical dystonia is classified as an isolated dystonia if there are no other associated abnormal findings, such as spasticity, Parkinsonism or ataxia. Most isolated cervical dystonia had no identifiable underlying causes. However, in some cases, cervical dystonia can arise from another underlying cause and be considered secondary (occurring as consequence of another disorder or condition). In most cases, isolated cervical dystonia is idiopathic although a genetic susceptibility may be present as evidenced by a positive family history in approximately 10-25% of cases. There are several gene mutations associated with cervical dystonia (GNAL, THAP1, CIZ1, ANO3) and several possible environmental factors. However, at this time there is no gene test that is recommended for clinical purposes in people with cervical dystonia. Some cases of cervical dystonia may have an identifiable cause (secondary cervical dystonia). In these cases, cervical dystonia may develop due to the use of certain drugs such as anti-psychotics or certain nausea medications with dopamine receptor blocking activity, , In most secondary cases, such as those due to toxins or degenerative brain diseases, there are additional signs and symptoms other than cervical dystonia. Whether trauma to the neck could cause cervical dystonia remains controversial. Cervical dystonia is a neurological disorder. However there are some non-neurological conditions that may mimic cervical dystonia. In children with slippage of the vertebrae in the neck (atlanto-axial subluxation), there may be a twisting of the head that is very painful and requires specialized orthopedic treatments. Some infants are born with a shortening of one of the muscles in the neck (congenital infantile torticollis) that causes a head turn. Is some children with esophageal reflux, there can also be posturing of the head. There are additional conditions, including functional movement disorders that may appear similar to cervical dystonia but are non-neurologic in origin.

Affected Populations
Cervical dystonia affects women approximately twice as often as men. It is the most common form of focal dystonia in an office setting. Cervical dystonia may affect individuals of any age, but typically develops in people between 40 and 60 years of age. Cervical dystonia affects people of all ethnic backgrounds. The exact incidence or prevalence of cervical dystonia in the general population is unknown but is estimated to be about 60,000 people in the United States.

Diagnosis
A diagnosis of cervical dystonia is based upon clinical examination, a detailed patient history, and knowledge of the disorder. No specific laboratory or imaging test confirms a diagnosis of cervical dystonia. There are no abnormalities in laboratory or imaging tests. Magnetic resonance imaging (MRI) of the brain is normal, and MRI of the neck does not help with the diagnosis unless compression of the spinal cord is suspected. Electromyography is not indicated unless there are additional signs of nerve irritation.

Standard Therapies
Treatment
Not every treatment option for cervical dystonia is successful for all affected individuals. Therefore, no single strategy is appropriate for every case. Most therapies are symptomatic and are intended to relieve spasms, pain and disturbed postures or functions. Identifying the treatment regimen that is most effective in individual cases may require patience and perseverance on the part of the patient and physician.

There are essentially three treatment options: botulinum toxin injections, oral medications, and, in some cases, surgery. These treatments may be used alone or in combination. In addition, physical therapy may provide a helpful complement to medical treatment. In some cases, if there is a trick such as touching the chin, a soft cervical collar may be beneficial.

Botulinum toxin injections are the treatment of choice for cervical dystonia. Botulinum toxin is a neurotoxin that is injected into the dystonic neck muscles in small doses. Botulinum toxin works by preventing the nerve from releasing a messenger, called acetylcholine, that tells the muscle to contract. This causes weakness of the muscle. The effect of botulinum toxin on the muscle begins approximately 2-3 days following injection, peaks at around 4 weeks, and provides relief for approximately 2-6 months. Botulinum toxin treatment is not a cure, but rather a symptom treatment. When the effect of botulinum toxin wears off, the symptoms of cervical dystonia recur and another injection is needed to sustain benefit. In order for botulinum toxin injections to be successful, it is critical that the injecting physician be well-versed in cervical dystonia, the functional anatomy of the neck muscles, and the type and doses of botulinum toxin to use.

There are now four brands of Botulinum toxin that have been approved by the Food and Drug Administration (FDA) for the treatment of individuals with cervical dystonia. There are three brands of botulinum toxin serotype A, including onabotulinumtoxinA (BOTOX, Allergan Inc.) abobotulinumtoxinA (Dysport, Tercica Inc) and incobotulinumtoxinA (Xeomin, Merz Pharmaceuticals). There is one formulation of botulinum toxin type B called rimabotulinumtoxinB (Myobloc, Solstice, US World Meds). These brands are not interchangeable, and each should be administered as a unique drug. At this time, there is no clinical data that supports the use of one over the other. The most frequent side effects from the injection are swallowing difficulties, pain and sometimes neck weakness. These side effects are usually mild and transient, lasting a few weeks. The FDA has a “black box” warning concerning the use of any of these toxins that indicates that the toxin can spread from the injection site. However, with the doses used for cervical dystonia the clinical effects of spread of toxin are rare.

Currently, there are no oral medications that are FDA approved for use in dystonia. Among the oral medications used, dopaminergic agents (levodopa), anticholinergic agents (benztropine, trihexyphenidyl), baclofen and clonazepam are the most frequently used. These drugs are usually most effective in children with generalized dystonia. In adults, the side effects of these agents, including memory problems and sedation, often occur before an effective dose can be reached. Surgical treatments for cervical dystonia are of two types. One is selective peripheral denervation in which the nerves to the dystonic muscles are cut. Although this has been reported to be effective, this approach is limited by the ability to access the nerve involved, the need for considerable expertise of the surgeon, and the potential for side effects. Side effects from the surgery are not uncommon and following surgery, there is a long period of rehabilitation.

Deep brain stimulation surgery (DBS) is effective for cervical dystonia and may be appropriate for patients who lose their response to botulinum toxin, or have a form of cervical dystonia that is difficult to treat with the injections, in particular anterocollis. DBS involves the placement of electrodes (thin wires) into the area of the brain called the globus pallidus on both sides. The electrodes are connected to stimulators which send small electrical pulses to the brain. Although the precise mechanism is not clear, the electrical impulses seem to “reset” the brain and improve the dystonic movements. After the DBS is placed, the stimulators are programmed for the optimal outcome.

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मानदुखी

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मानदुखी हा सर्वत्र आढळणारा एक सामान्य त्रास. काही लोक म्हणतात, की आयुष्यात एकदाही मानदुखी झाली नाही, असा माणूस सापडणं शक्य नाही.

डॉक्टर मला बाकी काही त्रास नाही; पण ही मानदुखी कितीही गोळ्या घेतल्या, तरी कमी होत नाही, अभ्यंकर काकू सांगत होत्या. आता माझ्या वयाची पन्नाशी आली. मला ना ब्लड प्रेशर आहे ना थायरॉइड; पण ही मानदुखी मी किती वर्षं सहन करते आहे, हे मला आठवतही नाही, एका मध्यमवयीन गृहिणीचे हे प्रातिनिधीक उद्गार. मानदुखी हा सर्वत्र आढळणारा एक सामान्य त्रास. काही लोक म्हणतात, की आयुष्यात एकदाही मानदुखी झाली नाही, असा माणूस सापडणं शक्य नाही. यातील विनोदाचा भाग बाजूला ठेवला, तरी मानदुखी अत्यंत सार्वत्रिक आहे, हेही तितकंच खरं. या त्रासाचं सर्वांत महत्त्वाचं कारण शरीर घडतानाच तयार झालं आहे. ते म्हणजे मानेच्या मणक्याची रचना. शरीराच्या सर्व मणक्यांपैकी सर्वाधिक हालचाल मानेच्या मणक्यांमध्येच होते. जिथे हालचाल जास्त, तिथे घर्षण आणि घर्षणामुळे झीज जास्त, हे अध्याहृतच आहे. या झीजेमुळे मणक्यातील चकत्या सरकणं, मणक्याचे सांधे झिजणं या गोष्टी मानेच्या मणक्यांना सर्वाधिक बाधित करतात.
नैसर्गिक रचना, हेच या मानदुखीचं एकमेव कारण नाही. इतरही अनेक गोष्टी त्यास हातभार लावत असतात.

कामाचं स्वरूप- गृहिणी, शेतमजूर, विद्यार्थी अशा नानाविध कार्यगटातील आणि वयोगटातील व्यक्तींना मानदुखी असू शकते. वाकून काम करणं, वजन उचलणं, पाठीवर ओझं वाहणं, सलग अनेक तास चालणं, संगणकावर सलग काम करणं, इत्यादी गोष्टी मानेचे मणके आणि स्नायूंवर ताण पाडतात. ही सर्व कामं दैनंदिन जीवनाचा आणि व्यवसायाचा भाग असल्यानं टाळणं अशक्य असतं. त्याची परिणती म्हणजे मानेच्या मणक्याची झीज लवकर सुरू होते.
व्यायामाचा अभाव- व्यायामाकडे दुर्लक्ष, स्थूलतेमुळे स्नायूंमध्ये वाढणारं मेदाचं प्रमाण हा मानदुखीला हातभार लावणारा सर्वांत मोठा घटक. मान दुखणं म्हणजे, जे काम तुम्ही करत आहात, ते सहन करण्याची क्षमता मानेच्या स्नायूंमध्ये नाही, असं सांगण्याचा प्रयत्न शरीर करत असतं. त्यामुळे जोपर्यंत स्नायू बळकट होत नाहीत, तोपर्यंत कोणतीही गोळी किंवा मलम हा मानदुखीवरील अंतिम उपाय असू शकत नाही.

जीवनसत्वांचा अभाव- खाण्याच्या सवयी, वातानूकुलीत जीवनशैली यामुळे अनेक व्यक्तींमध्ये 'बी१२' आणि 'ड' जीवनसत्वाचा अभाव असतो. ही जीवनसत्वं हाडांची मजबूती, नसांची कार्यक्षमता आणि स्नायूंची ताकद या तिन्ही महत्त्वाच्या गोष्टींसाठी आवश्यक असतात. शाकाहारी जेवणामुळे 'बी १२'ची कमतरता, 'ड' जीवनसत्वाच्या निर्मितीसाठी आवश्यक असणारं कोवळं ऊन न मिळाल्यामुळे मानदुखीला हातभार लागतो.दुचाकीवरचा प्रवास- भारतीय रस्त्यांबद्दल फार काही न बोलणंच बरं. खाचखळग्यांतून दुचाकीवरून केलेला प्रवास म्हणजे मानदुखीला आमंत्रण. दुचाकीवरून दररोज खूप अंतर कापणं, दुचाकी चालवताना सदैव हादरे बसणं, दूर अंतर कापताना मधे विश्रांती न घेणं, या गोष्टी मानेच्या मणक्यासाठी धोकादायक असतात. दैनंदिन जीवनातील काही गोष्टी टाळता येण्याजोग्या नसतात. दिवसभर झोपून राहता येत नाही. काही साध्या गोष्टींची काळजी घेऊन मानदुखी टाळता येऊ शकते. मणक्यांच्या सर्जनना दाखवून मानेचा त्रास गंभीर स्वरूपाचा नाही, याची खात्री करणं. एक्स रे, एमआरआय इत्यादी तपासण्यांमुळे चकती सरकणं, मज्जारज्जूवर दाब असे त्रास तत्काळ ओळखता येतात. कदाचित ते साधी मानदुखी म्हणून दुर्लक्षिले जाऊ शकतात. असे काही त्रास असल्यास ते इंजेक्शन अथवा सुरक्षित अशा मणक्याच्या शस्त्रक्रियेद्वारे बरे होऊ शकतात.

नियमित व्यायाम, फिजिओथेरपीद्वारे मानेचे स्नायू बळकट करणं, हा रामबाण म्हणावा इतका महत्त्वाचा उपचार आहे. नियमित व्यायामामुळे स्नायूंमधील मेदाचं प्रमाण कमी होतं. या स्नायूंमध्ये ताण देणारी कामं करण्याची ताकद येते. कामाच्या जागेचा कार्याभ्यास- कामाच्या ठिकाणी केलेले नाममात्र कार्यबदल मान किंवा पाठदुखी घालवू शकतात. संगणकाचा पडदा डोळ्यांच्या सम उंचीवर असणं, त्यासाठी खाली वा वर पाहावं न लागणं, खाली न वाकता गुडघ्यावर बसून वजन उचलणं, अभ्यास करताना टेबल-खुर्चीचा वापर करणं, शिक्षकांनी फळ्यावर लिहिताना हात खूप उंच न करता मानेच्या पातळीवरून लिहिणं, या गोष्टी अत्यंत महत्त्वाच्या असतात. प्रवास करावा लागत असल्यास मध्ये विश्रांती घेण्यास विसरू नये.
आहारातील पथ्य- जितकं जास्त वजन, तितकी जास्त मान आणि पाठदुखी. वजनावर नियंत्रण ठेवणं, जेवणात 'डी३' आणि 'बी१२' जीवनसत्व असणाऱ्या घटकांचं प्रमाण वाढवणं, अति मांसाहारामुळे वाढणाऱ्या युरिक अॅसिड या सांधेदुखीस कारणीभूत घटकाचं प्रमाण वाढू न देणं, आहारातील कॅल्शिअमचं प्रमाण कायम ठेवणं या प्रमुख बाबी मानदुखीला हातभार लावणाऱ्या घटकांचं बऱ्याच प्रमाणात निर्दालन करू शकतात.

मानदुखीवर करा हा आरामदायी व्यायाम
हलका व्यायाम मानदुखीसाठी फायदेशीर असतो. यामुळे स्नायू रिलॅक्स होण्यास मदत मिळते. या व्यायामामुळे स्नायूंचा रक्तप्रवाह वाढेल आणि स्नायू दुखण्याचेही थांबेल. अशा प्रकारे तुम्हाला लवकर आराम मिळेल.

- टिल्ट स्ट्रेच - खुर्चीवर रिलॅक्स होऊन बसा. आता डाव्या हाताने डोक्याला मागच्या बाजूने आधार देत उजव्या खांद्याकडे झुकवण्याचा प्रयत्न करा.

- चिन टक स्ट्रेच - खुर्चीवर बसूनच हनुवटी खालच्या बाजूने झुकवत छातीकडे घेऊन या. डोक्याला वरून आधार देत असे करा.

- साइड टू साइड रोटेशन - खुर्चीवर सरळ बसा आणि आता हळूहळू आपला चेहरा उजव्या बाजूने फिरवा. यानंतर चेहरा डाव्या बाजूने फिरवा. चेहरा बळजबरीने फिरवल्यास त्रास वाढू शकतो. त्यामुळे शक्य होईल तेवढाच फिरवावा.

हे लक्षात ठेवा - वर दिलेल्या सर्व व्यायामाच्या दोन स्टेप्स करा आणि प्रत्येक सेटमध्ये 12 रिपिटेशन्स करा. तसेच प्रत्येक पोझिशनमध्ये 20 सेकंदांपर्यंत होल्ड करा.




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सर्व्हिकल डायस्टोनिया

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सर्व्हिकल डायस्टोनिया, याला स्पस्मोस्मिक टॉर्टीकोलिस देखील म्हणतात, ही एक वेदनादायक स्थिती आहे ज्यामध्ये आपल्या मानांच्या स्नायूंचा स्वेच्छेने संयोग होतो आणि त्यामुळे आपले डोके वळते किंवा एक बाजूला फिरते. गर्भाशयाच्या डायनॉन्स्टियामुळे आपले डोके अनियंत्रितपणे पुढे किंवा मागे जाऊ शकते.

गर्भाशयाच्या दुग्धशाळा कोणत्याही वयातील एक दुर्मिळ विकार, बहुतेकदा मध्यमवर्गीय लोकांमध्ये, पुरुषांपेक्षा स्त्रियांमध्ये जास्त असतात. लक्षणे सामान्यपणे हळूहळू सुरू होतात आणि नंतर त्या बिंदूवर पोहोचतात जिथे ते अधिक वाईट होत नाहीत.

ग्रीक डायस्टोनियासाठी कोणताही उपचार नाही. डिसऑर्डर कधीकधी उपचारांशिवाय निराकरण होते परंतु सतत निरसन करणे असामान्य आहे. प्रभावित स्नायूंमध्ये बोट्युलिनम विषारी इंजेक्शन सहसा गर्भाशयाच्या डायनॉन्शियाचे चिन्हे आणि लक्षणे कमी करते. काही प्रकरणांमध्ये शस्त्रक्रिया योग्य असू शकते.

लक्षणे
गर्भाशयाच्या डायस्टोनियामध्ये समाविष्ट असलेल्या स्नायूंच्या संकुचिततेमुळे आपले डोके विविध दिशानिर्देशांमध्ये बदलू शकतात, यासह:

- खांद्याच्या दिशेने चिन
- खांद्याच्या दिशेने कान
- चिन सरळ
- सरळ खाली

गर्भाशयाच्या डायस्टोनियाशी संबंधित सर्वात सामान्य प्रकारचा विषाणू जेव्हा आपल्या खांद्यावर काढला जातो तेव्हा. काही लोक असामान्य डोके मुसळते एकत्र करतात. डोक्याची एक झटपट हालचाल देखील होऊ शकते.

गर्भाशयाच्या दुग्धशाळा असलेल्या बर्याच लोकांना देखील मानांच्या वेदना होतात ज्यामुळे खांद्यामध्ये विकृती येऊ शकते. डोकेदुखी देखील होऊ शकते. काही लोकांमध्ये, गर्भाशयाच्या डायस्टोनियातील वेदना थकवणारी आणि अक्षम होऊ शकते.

कारणे
गर्भाशयाच्या डायस्टोनियाच्या बहुतेक प्रकरणांमध्ये कारण अज्ञात आहे. ग्रीक डायस्टोनिया असलेल्या काही लोकांना विकारांचा कौटुंबिक इतिहास असतो, त्यामुळे आनुवांशिक घटक असू शकतात. सरव्हिकल डायस्टोनिया कधीकधी डोके, मान किंवा खांद्याच्या जखमांशी जोडली जाते.

जोखिम घटक
गर्भाशयाच्या डायस्टोनियासाठी जोखीम घटक समाविष्ट करतात:

- आजारपण कोणत्याही वयाच्या व्यक्तींमध्ये येऊ शकते, परंतु सामान्यत: 30 वर्षांनंतर हे सुरू होते.
- स्त्रियांना गर्भाशयाच्या डिस्टोनिया विकसित होण्याची अधिक शक्यता असते.
- कौटुंबिक इतिहास जर एखाद्या जवळच्या कुटूंबातील सदस्याला गर्भाशयाच्या डायनॉन्स्टिया किंवा इतर प्रकारचे डायस्टोनिया असेल तर आपणास विकार विकसित होण्याची जास्त शक्यता असते.
- गुंतागुंत
- काही प्रकरणांमध्ये, गर्भाशयाच्या डायस्टोनियाशी संबंधित अनैच्छिक स्नायू संकुचन आपल्या शरीराच्या जवळपासच्या भागात पसरू शकतात. चेहरा, जबडा, हात आणि ट्रंक यांचा सर्वात सामान्य ठिकाणी समावेश असतो.

गर्भाशयाच्या दुग्धशाळा असलेल्या लोकांना देखील हाडे स्पर्च विकसित होऊ शकतात ज्यामुळे स्पाइनल कॅनलमध्ये जागा कमी होईल. यामुळे आपल्या हात, पाय किंवा पायातील कटुता, सौम्यता आणि कमजोरी होऊ शकते.

Dr. Chandrakant Raut
Dr. Chandrakant Raut
BAMS, Family Physician General Surgeon, 4 yrs, Pune
Dr. Sumit Patil
Dr. Sumit Patil
BAMS, Family Physician General Physician, 15 yrs, Pune
Dr. Ashwini Hirekar
Dr. Ashwini Hirekar
BHMS, Homeopath Family Physician, 4 yrs, Mumbai Suburban
Dr. Vijay E Chaudhari
Dr. Vijay E Chaudhari
BHMS, Homeopath, 25 yrs, Pune
Dr. Manna  Varghese
Dr. Manna Varghese
BAMS, Ayurveda, 4 yrs, Pune
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