Izifo ezincinci ngokubhekiselele kwiSifo se-Park ononPestas

Awunakutsha kakhulu ...

Isifo se-Parkinson siphakathi kwezifo eziqhelekileyo eziqhelekileyo ekupheleni kwempilo, ezichaphazela malunga ne-1.5% ukuya kwi-2.0% yabantu abaneminyaka engama-60 ubudala. Ukuqala kwe-Parkinson (ngaphambi kweminyaka engama-40) kwenzeka ngo-5-10% wabantu abaxilongwa xa i-20% yalabo bachaphazelekayo baneminyaka engama-50.

Kungakhathaliseki ukuba siqala kangakanani, sonke simanyene ngandlela-thile ngamava afana neParkinson azisa kodwa abo abane-YOPD banokujamelana neengxaki ezichaseneyo, ukususela ekuxilongweni ukuya kwintlupheko yesifo kunye nokuphendula kwonyango ukuya kwixesha lesifo - abo abane-YOPD kufuneka baphile ixesha elide kunye neengxaki zolu xilongo.

Ukungabi nciphisa nangayiphi na inselele abajongene nayo nezifo ezinokuqala emva kokugula - ukuxilongwa emva koko ebomini kukhokelela kwimibandela ekhethekileyo. Ngoko nangona i-diagnostic ingabelana, amava ngendlela esi sibonakalisa ngayo isifo ahluke ngeendlela ezininzi.

Iingxaki zeZifo ezincinci

Okokuqala kubo bonke abanezifo ezincinane zokuqala akubonakali ngendlela efanayo nabafana babo abadala. Ucwaningo luye lwabonisa ukuba kwifom yezaziso ezincinane zezigulane zezifo ziyakwazi ukubonisa ngokuqineka nentlungu; i-cramps kunye ne-dystonic postage eyenzeka ngokuphindaphindiweyo kunezo zinezifo ezinokuqala. Oku kwenzeka ukuba ukuxilongwa kwe-tendonitis okokuqala kubandakanyeka inxalenye engaphezulu kwinto eqhelekileyo kwizigaba zokuqala zesifo kwizigulana ezininzi ezincinci. Ngokwengxenye ngenxa yemvelo yeempawu ekuboniseni kunye nelokuba iiklinikhi zisoloko zilawula ukuphuma kwe-Parkinson ngenxa yobudala bentsholongwane, uphando lubonise ukuba oogqirha badla ixesha elide ukuba baxilonge izigulane zokuqala.

Kwisifundo esithile, ukungafani ngexesha lokuxilongwa kwimizuzu engama-15 ixesha elide kwiigulane ezincinci.

Izigulane ze-YOPD nazo zisengozini yokunyuka kweempawu zePD (ezifana nokukhathazeka kokulala, ukuxinezeleka, ukuxhalaba, ukuqothulwa, amandla angaphantsi, imiba ye-urinary, ukunganakwa nokunye okunjalo) nangona banesilinganiso esincinane somqondo wokugula komzimba.

Izigulane zokuqala eziqalayo zifumana ubuninzi bezinga le- dystonia ekuqaleni kwaye ngexesha lokonyango,

Ngokubhekiselele kulawulo, izigulane ezincinci zinezinga lokunyuka kwama- dyskinesias ekuphenduleni ukwelashwa kwe-L-DOPA. Iziguli ze-YOPD ziyakwazi ukuvelisa iingxaki ezinxulumene nonyango ezifana nokuhamba kweemoto kunye ne-dyskinesias ngaphambili kweso sifo. Schrag et. al. ifumene ukuba i-100% yezifundo ze-YOPD ekufundeni kwazo zaphuhliswa iingxaki zonyango zingaphantsi kweminyaka eli-10 okanye ngaphantsi kwe-diagnostic.

Ngokubhekiselele kwixesha lokugula, ubungqina obukhoyo bubonisa ukuba izigulane ze-PD ezincinci ekuqaleni zibuye zineenkqubela phambili zesifo. Kwesinye isifundo se-YOPD isiguli sithatha ixesha elide (2.9 iminyaka) ukufikelela kwi-H & Y Stage 1 ukusuka kwiimpawu eziza kuqhathaniswa nezigulane ezisekupheleni (1.7 iminyaka) (Jankovic et al.).

Iingcamango Zokuvala

Ngoko ke kukho imingeni emininzi yonyango kunye nolawulo olukhethekileyo kwiqela leYOPD. Kukhona nje ukulawulwa kwezimpawu ezinzima kodwa izigulane ze-Young-allt Parkinson (I-YOPD) zineengxaki zengqondo ezenza iingxaki. Izifundo zibonise ukuba ubuncinci obuqala ekuqaleni buhlanganiswe kakhulu nomgangatho wobuninzi bomgangatho wobomi.

Ukuqala okusemncinci kwakunomngcipheko wezinto eziphathekayo eziphathekayo ezizimeleyo ezizimeleyo kwiimeko zokudandatheka.

Abo bafumana i-YOPD bafunyaniswa ngethuba leminyaka ebaluleke kakhulu yobomi babo, kwinqanaba lemisebenzi yabo, njengoko bezibeka ngokwasemali, bakhulisa iintsapho, ngokuqhelekileyo iintsapho ezincinci ezihlala zihleli iishedyuli zokuphila. Iziganeko ezingenakube ziingqinamba ezinkulu eziphakanyisiweyo-malunga nomsebenzi, ukhuseleko lwezezimali, ubudlelwane, ukuzalana kunye neenjongo ezizayo. Ezi ngxaki zengqondo zifuna ingqwalasela enkulu njengengxaki zezokwelapha; abachaphazela kakubi ukuzinza kwengqondo kweso sigulane kunye nosapho, bephazamise bonke ubudlelwane.

Izigulane ze-YOPD zinokuzuza kwiinkqubo zecandelo kwonyango ukuze kulungiswe zonke iinkalo zokuxhalabisa kunye nokwandisa umgangatho wobomi.

> Imithombo:

> Rana, Abdul Qayyum, > Ishraq > Siddiqui, kunye noM Muhammad Saad Yousuf. "Iingxaki kwi-Diagnosis ye-Youngestset Parks." Umbhalo weeNzululwazi zeNzululwazi 323.1-2 (2012): 113-16. Phrinta.

> Schrag, A. "I-Dyskinesias kunye neZithuthuthu zeeMoto kwiiNgxaki zePasinson: Isifundo esisekelwe kuluntu." Ubunono 123.11 (2000): 2297-305. Phrinta.

> Isilivere, uGreg A., uBBA, uKevin D. Vuong, MA, noJoseph Jankovic, MD. Izifo ezincinci ngokubhekiselele kwiSifo sePasinson seLate-Onset: Iinkqubo zeeNkliniki kunye neZifo eziqhubekayo . Ikholeji yeeNgqungquthela . Np, iWeb.