Iimeko eziqhelekileyo zeeUreko kunye noTyango ngeeNgxaki zeParkinson
Ukuba unesifo se-Parkinson , ekugqibeleni unokujongana neengxaki ze-urinary-uphando lubonisa ukuba iinkxalabo ze-urinary ziqhelekile ukongeza kwezinye iimpawu ze-Parkinson. Ekubeni iimpawu ze-urinary zingabangela ezinye iingxaki, ezifana nokulala ukuphazamiseka nokuphazamiseka kwimisebenzi yoluntu, kubalulekile ukuba uqaphele ezi nkxalabo kwaye ufunde oko kunokukwenzelwa ukunceda.
Ukukhula
Njengoko i-Parkinson yakho ibona ngakumbi, ingozi yokuba neengxaki ze-urinary izanda. Ngokubanzi, ukuya kuma-39 ekhulwini kwabantu abanesifo sikaParkinson bafumana imiba ethile ngemisebenzi yabo yokuvota. Ngethamsanqa, umngcipheko wakho wokungabikho kwamanzi okuncinci uncinci-kuphela ngama-15 ekhulwini.
UkuHlaba kweNkathi yasebusuku (iNocturia)
Ngona hlobo oluqhelekileyo lwezonyango ze-urinary kulabo abanesifo sika-Parkinson, okuchaphazela ubuncinane abantu abangama-60 ekhulwini (kunye nabanye abaninzi abantu abakwiqela elifanayo leminyaka) kuyimfuneko yokuvuthwa ebusuku, ebizwa ngokuba yi- nocturia . Esi sibonakaliso, sinokubangela izizathu ezininzi kunye neendlela kunye nesifo sikaParkinson.
Nxusa i-Incontinence
Ingxaki elandelayo yeyona ngxaki yokuvuthwa kwe-urinary yinqweno yokuhamba rhoqo-kwabanye abantu, ngokugqithiseleyo rhoqo. Esi sikhuthazo senzeke ngenxa yokuba iimpawu zesibindi phakathi kwe-bladder yakho kunye nengqondo yakho ayiphumeli kakuhle.
Le mfuneko yokukhupha rhoqo ingabangela zonke iintlobo zokuphazamiseka.
Enye yezona nkxalabo zingenakwenzeka, oko kwenzeka xa uvakalelwa kukuba awukwazi ukulinda ukuya kwindawo yokuhlambela kwaye ukukhupha ngokukhawuleza ukuvuthwa kulandelwa ukukhutshwa ngokungathandabuzekiyo kwesibindi. Kucacile ukuba oku kuya kuhlazisa.
Ukukhuthaza ukungahambisani nokungenzeka ngokukhawuleza ngexesha lomini, okanye kubangele ukuvuswa ebusuku okanye ukulala.
Inganqandwa ngamanzi okusela, okanye ngokukodwa, amanzi aphulaphulayo asebenza kwindawo yokuhlambela okanye ekhitshini.
Kukho iintlobo ezahlukeneyo zamachiza anokunceda ukulungisa le ngxaki yokufuna ukuya rhoqo. Ukuba unengxaki, xela ugqirha malunga nalo ukuze akwazi ukukunceda.
Iingxaki Zokulala
Enye ingxaki ngokucoca rhoqo kwisifo sikaParkinson kukuba kukuphazamisa ukulala kwakho. Akufuneki ukuthetha, abantu abaneParkinson baneengxaki ezaneleyo zokulala ngaphandle kokuba bavuke baze baye kwigumbi lokuhlambela nganye iiyure ezimbalwa!
Ngoko ke unokwenza ntoni ngale ngqweno yokuhamba rhoqo ebusuku? Uninzi oogqirha bancoma ukunciphisa ukungena kwamanzi okuhlwa kunye nokukhupha isantya sakho ngokukhawuleza ngaphambi kokulala. Ukumisela umgca wokulala komgca ukuze xa ufuna ukuhamba ubusuku konke okufuneka ukwenze ukuhlala okanye ukuma ecaleni kwesitya, kunokukunceda. Ekugqibeleni, unokuqwalasela ukusebenzisa iingubo zangaphantsi ezilahlayo ezifana nokuxhomekeka ebusuku ukuze ugweme ukuhamba ezininzi ukuya kwindawo yokuhlambela.
Ukugqitywa kweBladder Outlet
Isifo se-Parkinson sinokukwenza kube nzima kuwe ukukhupha ngokupheleleyo isilwanyana sakho. Oku kwenzeka kancinci ngaphezu kwesidingo sokuvutha rhoqo, kodwa kusasaza abantu abaninzi abane-Parkinson.
Iimisipha zakho zisola le ngxaki. Xa uchama, ukhulula imisipha ethile, kwaye i-Parkinson ingenza kube nzima kuwe ukukhulula le mihla. Ngamanye amaxesha, kuthatha ixesha elide ukuphumla ngokwaneleyo ukuba uhambe, abantu abanako ukuhlala kwindawo yokuhlambela ixesha elide ukwenzela ukukhupha izitya zabo.
Ngelishwa, imishanguzo ayisoloko iluncedo kunye nesifo esingazalwanga kwisifo se-Parkinson, nangona i-Urecholine yonyango (igama eliqhelekileyo: i-bethanechol) okanye ezinye iziyobisi ezijolise ekuphatheni ukugcinwa kwe-urinary zingenza umehluko.
Abanye abantu abanokugcinwa kwe-urinary kufuneka basebenzise ama-catheter okuvuthwa kwamanzi ukuze bachithe izibilini zabo.
Ukuba ngaba kunjalo kuwe, ugqirha wakho unokukufundisa ngendlela yokusebenzisa i-catheter.
Izinyango Zonyango
Ukunyanga okuthe ngqo kwiimpawu ze-urinary kwisifo sikaParkinson kuxhomekeke kwiindlela eziphantsi. Ezinye iinketho (kuxhomekeke kwisizathu kunye nendlela) ziquka:
- Imithi - Iziyobisi, ngakumbi izidakamizwa ze-antimuscarinic ezifana nesidakamizwa esidala i-Ditropan (oxybutyrin) inokuba luncedo kwabanye abantu, kodwa ubunzima bokusebenzisa imishanguzo yeempawu ze-urinary kunye nesifo sika-Parkinson kukuba ezininzi zezi ziyobisi zingonakalisa ezinye iimpawu.
- Uqeqesho lwe-Bladder
- I-toxin ye-Botulin ibekwe kwi-bladder
- Catheters
- Amanyathelo okugcinwa kwemilinganiselo enjenge-commode kwi-bedside kwaye ixhomekeka.
Ngaphantsi kwiiMpawu zeeUriyo ezinezifo ze-Parkinson
Izimpawu zase-Urinary zibaluleke kakhulu ukuvavanya kulabo abanesifo sika-Parkinson. Ngamanye amazwi, abayena nje inkathazo. Ukudibanisa neengxaki zokuhamba ngenxa yesifo, ubusuku bokuhlwa kunye nokukhuthaza ukungahambisani nokunyaniseka kunokuphakamisa umngcipheko wokuwa, kwaye yonke into ehamba nayo iyawa. Uphulo esinalo lweempawu ze-urinary lunokuba luncedo kwabanye abantu, kodwa kwakhona lunokubangela ukonakalisa ezinye iimpawu zesifo se-Parkinson. Ukuba uhlala nesi sifo, cinga ukucela ukubonisana nodokotela we-urologist ogqithiseleyo unyango lweempawu ze-urinary kulabo bajongana nesifo sikaParkinson.
Imithombo:
McDonald, C., Winge, K., no-D. Burn. Iziganeko ezingezantsi zeeUrinary kwiiNgqungquthela zeChinsinson: Ukunyamekela, i-Aetiology kunye noLawulo. I-Parkinsonism kunye neengxaki ezinxulumene nazo . 2016 Nov 1. (Epub ngaphambi kokuprinta).
Sakakibara, R., Panicker, J., Finazzi-Agro, E. et al. Isikhokelo soLawulo lwe-Bladder Dysfunction kwiZifo ze-Parkinson kunye nezinye izifo ezibangelwa yiGait Disorders. Neurourology kunye neUrodynamics . 2016. 35 (5): 551-63.
Yeo, L., Singh, R., Gundeti, M., Barua, J., no J. Masood. Ukungasebenzi kweeTyhutyana kwiiNgxaki zePasinson: Ukuhlaziywa. Urology International kunye neNefrology . 2012. 44 (2): 415-24.