Ngaba ufumene ukuba xa uthabatha isifo se-Parkinson sesifo sakho ngezinye izihlandlo uziva ungenakuvuthwa, unamandla kwaye unokwenene? Ngaba ukungafuneki kwakho kuye kwafika kukungena enkingeni? Ingaba umnakekeli wakho wakha wakhathazeka ngezinye zeendlela 'zokuziphatha' eziziphatha ngayo emva kokuba uthathe imithi yakho yePD? Amanye amayeza e-dopamine asetyenziswe ukuphathwa kwesifo sika-Parkinson kukubangela ukuba uhlakulele ukuziphatha okungaqhelekanga kuquka ukugembula, ukuchitha imali, ukutya, ukuxhatshazwa koxhatshazo, nokuhlambalaza.
Iindaba ezilungileyo kukuba ezininzi zeendlela zokulawulwa kwengxaki (ICD) zingaphathwa ngokulungiswa kwamanqanaba omlinganiselo weyeza. Kodwa ngamanye amaxesha ukulungelelanisa amazinga e dose asebenzi. Yintoni oyenzayo? Ngelishwa, ulwazi oluncinci lukho ngaphandle kwindlela yokwenza unyango lwe-ICDs kwi-PD ngaphaya kweenguqu zonyango. Nazi ezinye iingcebiso ngokuphathelele unyango lwe-ICD kwi-PD efunyenwe kwimithombo ekhoyo. Soloko uthetha nodokotela wakho ukuba anqume ukuba yintoni unyango olungcono kuwe.
Ngaba usengozini ye-ICD?
Okokuqala, ingabe uhlala kwindawo engengozini ye-ICD? Ngaba ufumana i- dopamine unyango lwe-agonist kunye / okanye i-levodopa ephezulu? Ngaba uyindoda, kunye nembali yokudakumba, imbali yentsapho okanye yentsapho yokuxhomekeka kwezinto, ubuncinci kwi-PD ekuqaleni, okanye ukuvela kwangoko kwedyskinesia? Xoxa ngale miqondiso kunye nogqirha uze ubone ukuba unako ukuphuhlisa inkqubo yokujonga kunye noogqirha bakho bancedisa ukuze ukwazi ukubona nayiphi na i-ICD ephumayo ngaphambi kokuba inokulimaza wena kunye nosapho lwakho.
Ukuba unesigaba esichengeni ingozi okanye okwangoku uhlangabezana ne-ICD, qwalasela amanyathelo okuqonda okunciphisa impembelelo ye-ICD njengokunciphisa ukufikelela kwimithombo yemali, ukuvimbela ii-intanethi ezibandakanya ukugembula okanye uonografi; kuthengwa kuphela xa isihlobo okanye umhlobo ukhona, kwaye uthatha inxaxheba kumaqela angama-12 ancedisayo (njengabaGembula, abaTyala, okanye abaThengayo abangaziwayo).
Ukuguqulwa kwamayeza kunokunceda
Buza ugqirha wakho malunga nokutshintsha amayeza akho kwenye uhlobo lwe-agonist ukuya kwesinye (njengokuthi i-pramipexole okanye i-gold ye-ropinirole okanye i-pramipexole ukuya kwi-gold)
Ukuba ukulungiswa kwamanani okanye ukuguqula imishanguzo yakho ayisebenzi, cela udokotela wakho ngokuzama 'i-neuroleptic' njenge-haloperidol okanye i-pimozide. Ezi zi yobisi zinciphisa amanqanaba e-dopamine kwingqondo kwaye inokunceda ukunciphisa i-ICD. Ingxaki kukuba leziyobisi kunye nezinto ezibizwa ngokuba yi-antiyyptic antiyypical efana ne-olanzapine kunye ne-risperidone ingaba yingozi nakakhulu umsebenzi we-PD.
Kukho ubungqina obuthakathaka bokuthi u-Quetiapine kunye ne-clozapine baphatha ngempumelelo ukugembula kunye nokuxhatshazwa kwe-Sexualist in PD. Ingxaki ngalezi ziyobisi kukuba ziyingozi ngakumbi iimpawu ze- PD kwaye zinezinye iziphumo ezibi kakhulu. I-Clozapine inomngcipheko omncinci we-agranulocytosis kwaye ingaba yingozi uma ingafumananga ekuqaleni.
Ukuphuculwa kwengqondo ejulile kucetyiswa njengonyango kuma-ICD kwi-PD kodwa ngoku, ubungqina buxutywe kwi-ICD.
Imithombo:
> Isaias IU, Siri C, Cilia R, De Gaspari D, Pezzoli G, Antonini A. Ubudlelwane Phakathi kobuthathaka kunye nokuphazamiseka koMgca kwiiNgxaki zePasinson. Disv Disord. 2008 Feb 15; 23 (3): 411-5.
Lim SY, uEvans AH, uMyasaki JM. Ann. Ulawulo lweMpress and Disorders in Izifo zeParkinson: ukuhlaziywa. NY Acad Sci. 2008 Oct; 1142: 85-107.
Weintraub D. Ukuphonononga. Ukuphazamiseka kweDopamine kunye nokuLawula umpembelelo kwiZifo zikaPasinson. Ann Neurol. Ngomhla ka-2008; 64 I-Suppl 2: S93-100.