Oko Kufuneka Ukwazi Ngobuhlungu obubalulekileyo
Abantu abaninzi banenkxalabo xa bexakeka ukuba kungabonakalisa isifo seParkinson. Nangona kunjalo, kukho enye imbangela eqhelekileyo yokuthuthumela eyaziwayo njenge- quorum ebalulekileyo (ET), kwaye ayinayo impembelelo enkulu ye- Parkinson . Enyanisweni, i-ET ingaphezu kwezihlandlo ezilishumi eziqhelekileyo njengesifo se-Parkinson, kwaye, ngokungafani ne-Parkinson, ayibangela ukuba kube nzima ukungazinzi, ukunyaniseka, okanye ukugula komqondo .
Akukho mqondo ochaphazelekayo.
Nangona kunokuba kukhululeke ukuva ukuba ukugubha kwakho akubangelwa yisifo sikaPasinson, akuyi kubangela ukuba inyikima ingakhathazeki. Kwabanye abantu, ukuthuthumela okubalulekileyo kuza kwaye kuya kuba nzima. Kwabanye, ukuthuthumela okubalulekileyo kubi kangangokuthi ukubopha izicathulo okanye ukutya kunye nezixhobo akunakwenzeka.
Ukuqaphela Ukubaluleka Okubalulekileyo
Ngokungafani nentshukumo ye-Parkinsonian, ukudandatheka okubalulekileyo kudla ngokuba (kodwa kungekho rhoqo) ephakathi kwamanye amazwe - oko kukuthi, kuyachaphazela amacala omabini ngamanye. Izandla zithatha ukuba zona zichaphazelekayo inxalenye yomzimba, nangona intloko inokubandakanyeka. Olunye ulwahlulo oluvela kwi-Parkinson yinto yokuba ukugubhazela kunokuba kubi ngakumbi xa izandla zisetyenziselwa endaweni yokuphumla.
Ezinye izikhombisi ziquka imbali yentsapho yenyikima. Inyikima ebalulekileyo idla ilifa kwi-autosomal fashion fashion, oku kuthetha ukuba xa unayo, kukho ithuba elihle ubuncinane omnye wabazali bakho, naye.
Enye into ebangel 'umdla enomdla wokubaluleka okubalulekileyo kukuba iyancipha rhoqo emva kokusela utywala obuncinane.
Ziyinto eqhelekileyo njani ukuGubha Okubalulekileyo?
Phantse izigidi ezili-10 zaseMelika zinomngcipheko obalulekileyo, eziquka malunga neepesenti ezingama-5 zabantu bonke e-United States. Njengeenguqu ezininzi zezempilo, inyikima ebalulekileyo ithambe ukwandisa njengoko sikhula.
Inyikima iyanda kwi-amplitude, ibe enkulu kwaye ibonakale ngakumbi ngexesha. Ingasasazeka nakweminye imimandla yomzimba.
Yintoni Eyibangela Ukugubha Okubalulekileyo?
Iingxenye zengqondo ejongene nokulungelelanisa intshukumo yinto efana namacandelo ahlukeneyo omculo. Zonke iinqununu zinesigqi sayo, esivame ukudibanisa kunye nezinye iindawo. Ingqungquthela yentshukumo ebalulekileyo ihamba ngokukhawuleza njengengqungquthela engokwemvelo eyenziwa yi-thalamus kunye nucleus engaphantsi kweolivary ye-brainstem, ezo zombini ziyaziwa ukuba zibandakanya ukunyakaza. Le mimandla iphinde isebenze kakhulu kwi- PET ityhila ngexesha lokudanduluka.
Akucaci ukuba kutheni le mimandla ingaqhutyelwa ngokungaqhelekanga. Nangona kukho imvelaphi yentsapho ehlala rhoqo kwintlanzi kubantu abane-ET, akukho gesi echongwe ngokucacileyo. Abanye abantu baye bacetyiswa ukuba izinto ezithile zendalo, njengezinye iikhemikhali ezitholakala kwimpilo ephekwe kakuhle, zinokubandakanyeka. Akukho mbutho ufunyenwe kunye neerticide okanye i-solvents.
Yintoni Enokwenza Ubungcwangu Obaluleke Kakhulu?
Ukongezelela ekukhuleni, ukugungqiswa okubalulekileyo kunokugqithiseleyo ngezinto esinokuzifumana imihla ngemihla. Ukukhathala , utshintsho lokushisa, uxinzelelo lwengqondo, kunye neenguqu eziqhelekileyo kwiindlela olala ngazo zingatshintsha ukukhawuleza kwenkohlakalo.
Kukho nenani elibanzi leziyobisi ezixhalabisa ngakumbi, njengalezo ezisebenza kwiinkqubo zesantya eziphambili ezifana ne-anti-depressants, i- Reglan , i-lithium, kunye notywala, kunye nezikhuthazo ezifana ne-caffeine, i- bronchodilators okanye i-cocaine. I-Steroids inokubandezela ngakumbi, njengama-hormone e-thyroid. Enyanisweni, kukho imichiza eyahlukileyo enokuthi ingadakali ngakumbi, mhlawumbi ibhetele kakhulu ukuba ubeke ingqwalasela ngokukhawuleza ngexesha lokutshatyalaliswa kwakho, kwaye uqhelane nemiphumo emibi yeliphi unyango othabathayo.
Ingaba I-Neurologist Ingaba Njani Ingqiqo Yam Isifo Siyi-Parkinson's?
Ngokuqhelekileyo, nje ukuthetha nawe kwaye ujonge ukuthungca kwakho kuya kuba nokwanele kwi-neurologist ukufumanisa intshukumo ebalulekileyo.
Ngamanye amaxesha kuthatha ixesha ukuqiniseka. Inyikima ebalulekileyo ithambe ukutshintsha ngokukhawuleza kunesifo sika-Parkinson.
Kwiimeko ezididekayo, uvavanyo oluthiwa yi-DaTscan lunokwenziwa ukuba lujonge i-substantia nigra, ezo ziyinxalenye yengqondo egule kwisifo sika-Parkinson. Oku kukhangela kusetyenziswa i-radiosotope ukujonga umsebenzi we-basal ganglia. Ngomngcipheko obalulekileyo, ukukhangela kuyakuqheleka.
Ubungqina Bokubaluleka Okubaluleke Kangakanani?
Kukho iindlela ezininzi ezahlukahlukeneyo zokulawula ukuthuthumela okubalulekileyo. Ngokuxhomekeka kwimeko enzima ngayo, ukukhetha okulungileyo kungabikho unyango lwezokwelapha nhlobo. Ekubeni zonke iinkatho ziza kuba nomngcipheko othile wemiphumo emibi, ukuba ukugubhazela akukona ukukhathazeka, ngoko akukho mfuneko yokuba nobudlova ngemithi okanye kwezinye iindlela zokwelapha.
Nangona kunjalo, ukuba intshukumo ifumana indlela yokuphila imihla ngemihla, ngoko imithi, njengepropranolol okanye i-primidone, inokuba luncedo. Ukuba ezi zinto zingasebenzi, amanye amayeza angalingwa, kuquka neenjini zeBotox zentloko okanye ukuthuthumela kwezwi. Kwiimeko ezinzima kakhulu, ukhetho lokuhlinzwa, olunjengefuthe lokukhupha kwengqondo, lunokuqwalaselwa.
Nangona ukugungqiswa okubalulekileyo kungaba yinkathazo, akuyiyo ingozi yokuphila. Ukuba iimpawu ziyakuthintela ukwenza izinto ofuna okanye kufuneka uzenze, nangona kunjalo, kufuneka uthethe nodokotela ofanelekileyo malunga nendlela efanelekileyo yokulawula iimpawu zakho.
Imithombo
ED Louis, Zheng W, Jurewicz EC, Watner D, Chen J, Factor-Litvak P, Parides M. Ukuphakanyiswa kwe-beta-carboline alkaloids ebalulekileyo. Neurology. Ngomhla wama-24 ngoDisemba 24; 59 (12): 1940-4.
ED Louis, Agnew A, Gillman A, Gerbin M, Viner AS.Ukulinganisela izinga lokunciphisa umyinge wonyaka: i-data engapheliyo, ingcaciso engapheliyo kwimbandezelo enamandla engamaqela amabini amacala angcolileyo.Jeurol Neurosurg Psychiatry. 2011 Julayi; 82 (7): 761-5. Epub 2011 ngoMatshi 24.
UKathleen Poston, Uhlolo-nkcukacha lweeNtsholongwane eziManyeneyo, i-Continuum: Ukuphazamiseka kwemiqhubi yoMqulu 16, iNombolo 1, ngoFebruwari 2010