Iingxaki ezinxulumene neParkinson ziyakuthinta ukusinda
I-Parkinson yinto eqhelekileyo ye-neurodeergenerative ("ukufa ngamaseli esifo") isifo, kwaye nangona kungabhubhi, uphando lubonisa ukuba lunokuchaphazela ixesha lokuphila.
Uhlolisiso kwi- Archives of Neurology luhlolisise ukusinda kweminyaka engama-140 000 abaxhamli be-Medicare kunye nesifo se-Parkinson e-United States. Ngexesha leminyaka emithandathu, i-64 ekhulwini yabathathi-nxaxheba beCastinson iswele.
Umngcipheko wokufa kwalabo abane-Parkinson waqhathaniswa nabaxhamli be-Medicare abangazange babe ne-Parkinson okanye nayiphi na izifo eziqhelekileyo, kuquka:
- isifo senhliziyo okanye ukungaphumeleli kwentliziyo
- isifo esingapheliyo sesiphene
- umhlaza wekolon, umphunga, okanye isifuba
- iswekile
- ukubetha
- isifo esesigxina
- ukuqhaqha
- Ukunyamezeka kwe-Alzheimer
Xa ukulawulwa kwemimandla efana nobudala, ubuhlanga, kunye nesini, ingozi yeminyaka emithandathu yokufa phakathi kwabantu abane-Parkinson yafunyaniswa ukuba iphindwe kabini ngaphezu kwalaba baxhamli be-Medicare ngaphandle kwesi sifo okanye ezinye izifo eziqhelekileyo.
Ngelo xesha, isantya sokufa phakathi kwabo bane-Parkinson sifo sasifana nalabo abane-hip fracture, i-Alzheimer's dementia, okanye ukuhlaselwa kwintliziyo yakutshanje-nangona kwakuphezulu kunabo babesandul isifo senhliziyo, okanye isifo esingapheliyo sesiphene.
Ithetha ntoni le nto? Kuthetha ukuba ukuba nesifo se-Parkinson sichaphazela ixesha elide lomntu.
Kodwa khumbula, akusiyo isifo se-Parkinson ngokwayo esiyingozi. Kunoko, ziinkathazo ezifana nokusuleleka okanye ukuwa okuvela ngenxa yokuba ne-Parkinson ekhokelela ekufutshane ubomi obufutshane.
Indima yeDementia kunye nobudala
I-Dementia nayo idlala indima ebalulekileyo ekusindeni kwi-Parkinson.
Ekupheleni kwesi sifundo esasentla, malunga neepesenti ezingama-70 zabantu abahlala neParkinson baye bafumanisa ukuba banesifo sengqondo sengqondo, kwaye abo abanomdla wokuphefumula komzimba babenomlinganiselo ophantsi wokusinda xa kuthelekiswa nabangenalo.
Oku kuthetha ukuba abo abane-dementia babekho amathuba okufa ngexesha leminyaka emithandathu kunabo abangenayo ingqondo yokugula. Ukongezelela, uphando lwezenzululwazi luye lwabonisa ukuba ukukhula kweminyaka kunxulumene nobungozi bokufa.
Kubalulekile ukukhumbula ukuba isifo se-Parkinson somntu esibonakalayo kwaye siqhubela phambili siyahluka, kwaye i-neurologist yomntu ayikwazi ukuqikelela ngokuchanekileyo ixesha lokuphila komntu.
Ngamanye amazwi, akukho mqondiso okanye iimpawu ezisemgangathweni ezivumela ugqirha ukuba alungele ixesha elide. Ubudala kunye nobukho bentsholongwane yentsholongwane yokuxhomekeka komzimba kudibaniswa nje nomngcipheko wokufa.
Unyaka ophelileyo woBomi kwiZifo zikaPasinson
Olu pho nonongo luhlolisise izibhedlele ezingama-45,000 kubantu abaphethe i-terminal ye-Parkinson, echaza ukuphela kwexesha lokuphila. Kulabo abanePD yesigxina, izizathu eziqhelekileyo zokuba esibhedlele zi:
- Usulelo (phantse ama-21 ekhulwini lwezibhedlele)
- Isifo senhliziyo (18.5 ekhulwini)
- Isifo se-Lung esasingenaso isifo (malunga nama-13 ekhulwini)
Izizathu ezincinci eziqhelekileyo zokubhedlelelwa kwizibhedlele ziinkxalabo ezihambelana nesisu okanye amathumbu, imisipha, inkqubo yesantya, okanye inkqubo ye-endocrine (umzekelo, isifo sikashukela).
Akumangalisi ukuba intsholongwane yayisisifo esiphezulu kakhulu esibhedlele ngaphambi kokufa, njengoko abantu abaneParkinson bafumana ingozi ekuphuhliseni inani lezonyango ngenxa yesifo sabo. Ngokomzekelo, ukungasebenzi komzimba kwi-Parkinson kwanda umngcipheko womntu wokuphulukana nezifo zogcino, ezingasongela ubomi ukuba zingabonakali kwaye ziphathwe ngokukhawuleza.
Ukongezelela, uphando lubonisa ukuba i-aspiration pneumonia i-3.8 yezihlandlo eziqhelekileyo kubantu abaneParkinson xa kuthelekiswa noluntu jikelele.
Kuye kwaye kwaxelwa njalo ukuba yimbangela enkulu yokufa kubantu abane-Parkinson.
I- pneumonia yokuphefumula ivela kwiimeko ezinzima zokugwinya, ezikhokelela kwisisu esiswini sezisongele kwimiphunga. Ukuchithwa kwempahla kunye nokunyaniseka, okuya kuphazamisa ukususwa kwe-phlegm, kunye negalelo ekuphuhliseni i-pneumonia kubantu abane-Parkinson.
Ngokuqinisekileyo, isifo senhliziyo sisisusa esibangela ukufa kubantu baseUnited States, ngoko akumangalisi ukuba abantu abaneParkinson bayabhedlele esibhedlele ngaphambi kokufa. Kuyathakazelisa ukuba abalobi besifundo babonisa ukuba oogqirha abaphatha abantu abane-Parkinson bangabonakalisa ngokungahambi kakuhle iimpawu zentliziyo okanye izifo zamaphaphu (umzekelo, ukukhathala, ubuthathaka kunye nokukhathazeka) njengempawu zeParkinson.
ILizwi
Ukongeza kokunyamekela impilo yakho ye-Parkinson, kubalulekile ukunyamekela impilo yakho yonke. Oku kuthetha ukutyelela ugqirha wakho wokunyamekela ngokukhawuleza ukwenzela ukunakekelwa kokukhusela njengomkhuhlane wentsholongwane yonyaka kunye nomhlaza wesifo-umzekelo, i-mammogram yesifo somhlaza wesifuba kunye ne-colonoscopy yokuhlola i-colon yomhlaza.
Udokotela ogqithiseleyo unokuphinda ahlole iingozi ezinxulumene nokuhlaselwa kwentliziyo kunye nemivimbo, kunye nokunika iingcebiso malunga nokuzivocavoca, ukutshaya, ukusetyenziswa kotywala, ukuxinezeleka, okanye ezinye iingxaki zempilo yengqondo. Ukutyelela rhoqo ugqirha wakho oyintloko okanye ugqirha we-neurologist uya kumvumela ukuba athabathe izifo ezithintela iintsholongwane ezinjenge-urinary tract infections ngaphambi kokuba ahlawule.
Ngamanye amagama, ngelixa isifo se-Parkinson sinokuchaphazela ukuhlala kwakho okanye umhlobo wakho othandekayo, iindaba ezilungileyo kukuba umgangatho wobomi (kwaye mhlawumbi ubude bude) unokuphuculwa ngokunyamekela. Qinisekisa ukuba ulungelelanise ukulandelelana rhoqo kunye nogqirha wakho, kwaye ujoyine kwiingcebiso zonyango ezinjengezonyango zomzimba kunye nokusebenza, ngokukhawuleza kweso sifo.
> Imithombo:
> Macleod AD, Taylor KS, CE Counsell. Ukufa e-Parkinson isifo: ukuhlolwa ngokuchanekileyo kunye nokuhlaziywa kwemeta. Disv Disord . 2014 Nov; 29 (13): 1615-22.
> Martinez-Ramirez D. et al. Isilinganiselo sesifiso sesifo sesifo sepneumonia kwizibhedlele zezigulane zaseParkinson: isifundo esinqamlezileyo. BMC Neurol . 2015; 15: 104.
> I-National Parkinson Foundation. Yintoni i-Parkinson?
> Faka iPinter B, et al. Ukufa eMgodini kaPasinson: uphando olulandelayo lokulandela u-38. Disv Disord . 2015 Feb; 30 (2): 266-9.
> Willis AW, Schootman M, Kung N, Evanoff BA, Perlmutter JS, Racette BA. Iziqendu zokusinda kwi-Parkinsons > izifo. Arch Neurol. NgoMeyi ka-2012; 69 (5): 601-07.