(If you are seriously ill after learning, I still suggest seeing a doctor. )
■ Tremor is a regular, repeated and involuntary body shaking, which can occur all over the body, but mostly in the limbs. The amplitude can be large or small, and the speed can be fast or slow, generally between 1- 10 times per second.
Regularity is its greatest feature, and any irregular involuntary movement is not trembling.
Here are some of the more common tremors:
1: physiological tremor
2. Physical or hereditary tremors
3. Parkinson's disease is trembling
4. Tremor caused by cerebellar lesions
★ Physiological trembling
It's a normal physiological phenomenon, not a disease. The vibration is small and rapid. Normal people have this tremor, but it is not obvious and unconscious. In some cases, physiological tremor will be aggravated and become serious and obvious. The common causes of aggravating physiological tremor are as follows:
Emotional excitement and fear
cold
hypoglycemia
hyperthyroidism
Withdrawal symptoms of alcohol or drugs
The effect of drugs or caffeine
It accounts for the highest proportion of all vibrations. The cause of this tremor is unknown. It is generally considered to be related to personal physique.
Half of them have family history, so this trembling has a lot to do with heredity.
★ Physical or hereditary trembling
It happens at all ages, but with the growth of age, trembling will become more and more serious, mainly in your hands, often on your head, and even your voice will tremble. It is especially obvious when the hand keeps a fixed posture or does fine movements, and it will be relieved when resting, and some patients will be relieved after drinking. The course of this trembling is getting worse, and there will be no other neurological symptoms.
There are some variants of physical or hereditary tremor, such as:
Tremors that only happen when you move.
Tremors that occur when resting and maintaining a fixed posture.
Tremors that only occur when writing (writing tremors)
Simple voice trembling.
Jaw trembling
Simple tongue trembling
Stand trembling
★ tremor of Parkinson's disease
It is common in middle-aged and elderly people, mainly in hands and feet, especially at rest. It will be relieved when doing exercises, which is contrary to physical or hereditary trembling. The course of the disease continues to deteriorate, accompanied by other neurological symptoms of Parkinson's disease.
★ Tremor caused by cerebellar lesions
This tremor is caused by cerebellar lesions, showing no or very slight at rest, slight when maintaining a fixed posture, but especially obvious when approaching the target, accompanied by other cerebellar symptoms such as imbalance.
■ How to treat the prognosis of tremor?
As long as the cause can be found and treated, physiological tremor will mostly disappear.
Physical or hereditary tremor cannot be eradicated, and it will get worse with time and aging. Fortunately, treatment can achieve good symptom control.
● Commonly used drugs include beta blockers, barbiturates and other sedatives, primidone, etc. For severe patients with poor drug treatment effect, stereotactic brain surgery can be considered.
Hand tremor can be divided into physiological hand tremor and pathological hand tremor.
Physiological hand jitter is a tiny, rapid and irregular jitter, which usually occurs at rest. Physiological hand tremors often appear in situations of mental tension, fear, emotional excitement, severe pain and extreme fatigue. Once the above causes of hand tremor are eliminated, hand tremor will disappear.
Pathological hand trembling, medically called "tremor"; Involuntary tremor of the hand, often permanent. It is mainly divided into two types: static hand tremor and exercise hand tremor. Among them, static hand tremor is hand tremor when muscles are completely relaxed, that is, when they are in a quiet state. This kind of hand tremor can disappear when sleeping, and the speed of hand tremor is 4-6 times/second, which is relatively regular, typical diseases such as Parkinson's syndrome. Motion-induced hand tremor only occurs during the movement, and the jitter intensifies when the movement approaches the target. If the doctor gives the patient a finger nose test, ask the patient to straighten his forearm; Then the index finger points to the tip of the nose; The closer the fingertip is to the tip of the nose, the more obvious the hand jitter is. Exercise-induced hand tremor is irregular, with a large jitter range, which is enhanced by emotional influence, and is common in the pathological changes of cranial nerves and upper limb nerves.
Clinically, the common diseases that cause pathological hand trembling are: upper limb neuropathy, peptone, forgiveness and slaughter. Why don't you release your nephew?
Hand shaking is a common phenomenon among the elderly. Both hands are shaking, and eating and writing are seriously affected, which makes the old people very upset. Medically, this jitter is called tremor. Although tremors are characterized by shaking hands, the root of the disease is mostly big troubles. Due to some disease, the big trouble area responsible for sports coordination is damaged, which leads to trembling.
Clinically, paralysis agitans, cerebral arteriosclerosis, midbrain or cerebellar flat lesions, hepatic encephalopathy, drug poisoning, dementia and so on. , may cause the elderly to shake hands. According to medical research, eating broad beans and coffee can effectively control tremors. Family members can appropriately give the elderly more of these two foods.
If pathological factors are excluded, another common cause of hand trembling is psychological factors.
Your question is a bit like anxiety. This kind of problem often creates a situation that makes patients feel scared. For example, you are worried that your hands will tremble when others are present at work, and as a result, your hands are really shaking when others come to see you. In anticipatory anxiety disorder, anxiety that causes psychological reaction symptoms will aggravate or lead to symptoms. The appearance of symptoms further strengthens the expected anxiety, thus forming a vicious circle. In this vicious circle, you are imprisoned and unable to extricate yourself.
So what you are really afraid of is fear itself.
For such a situation, psychologist frankl has a contradictory intention therapy.
Patient d, age 4 1. Fear of seeing a doctor. His symptoms are that he can't write in front of people, or he can't operate machinery effectively in front of people. For a long time, if someone is around, he can't sign a check. When I speak in front of everyone, I am also very nervous. The doctor told him not to avoid the situation of fear, but to enter this state at once. Try to show what a good shivering person you are in front of everyone. He wants to show his illness to others and try his best to show his trembling. The patient did as the doctor said, and he succeeded. He said: I no longer tremble, I no longer feel afraid, no matter how I make myself tremble, I can't do it.
Another example is a medical college student who had a problem during his internship. Every time he walked into the operating room, his hands began to shake when his instructor appeared. I can't control it anyway. Once, he happened to attend frankl's lecture on meaningful therapy. He told himself: here he comes, I want to show him what a wonderful person I am with trembling hands, and I want to show him how beautiful my hands are shaking. But to his surprise, no matter how much he wanted to shake it, he couldn't shake it. (The above is quoted from the book "Finding the Meaning of Life")
Some people commented that the root of this phobia began to strengthen itself. Because of fear, fear of losing their jobs, they feel that their abilities are beginning to decline. The advice that made him write as badly as possible reversed his basic attitude, which was the direct source of fear.
1, reduce self-concern. It means that you should turn your attention to the specific affairs you are facing, not to your feelings. This is very important. When you find out whether you care about blushing or fast heartbeat, the activity of the nervous system will be activated or strengthened involuntarily. And if you pay less attention to it, you can let it rest, and its impulse intensity will naturally weaken. In order to reduce self-concern, you should learn to pay attention to the real problems in your situation, such as your application, your examiner, your environment and so on.
2. Give up control intention. It means that we usually find ourselves unnatural, blushing and shaking hands, and we will consciously or unconsciously try to control these reactions. The problem is that the work of the autonomic nervous system is difficult to be controlled by our consciousness in a short time. So the harder we try to control, the easier it is to find that our control is ineffective, and as a result, we are in a state of tension and even anxiety. And if we give up the control intention and ignore it, it will go out automatically. The intention of giving up control requires you to know the worst consequences and accept it frankly: if I fail in this application, I can make a comeback! I am still young, I am not afraid of temporary setbacks, and I will not be devastated!
3. Cultivate an accepting attitude. It means that we should learn to be friends with symptoms. When we find ourselves trembling and blushing, we should learn to accept it, not to fight and control it. We can say to ourselves, I'm just a little timid and shy, which is nothing. Come on, just blush and shake hands. If you can say this to yourself (that is, to yourself), the work of the nervous system will become less tense and have less influence on us. Our confrontation strengthened it. Accept it. It's okay. Symptomatic peace must also be peaceful. Only with an accepting attitude can we win with softness and wisdom.