Kubantu abaningi abanesifo sikaChinsinson , ukukhathala kungokukhubaza futhi kungathandeki uphawu njengoba ukuhamba kwezimoto noma ukuthuthumela.
Ukukhathala kunciphisa zonke izinhlobo zemisebenzi yansuku zonke nezinhlelo zokuvuselela. Iphazamisa indlela esabela ngayo ngokomzwelo kuzimpawu zikaParkinson futhi yenza kube nzima kakhulu ukuthwala. Ihlukumeza ikhono lethu lokubhekana nezinselelo isimo esinikeza nsuku zonke futhi kwenza kube nzima ukuxhumana nabanye.
Ngakho-ke, ukukhathala ngezinye izikhathi kungakwandisa ukuzihlukanisa komphakathi njengoba kusitshala amandla esiwadingayo ukuze siphume emnyango futhi sihlanganyele nabanye.
Uma udokotela wakho engakakucelanga ngezinga lakho lokukhathala, kodwa unezibonakaliso noma imibuzo, sicela uwaphakamise.
Ukhathala ku-Parkinson's: Isibonakaliso Esiyinhloko
Nazi amaqiniso mayelana nokukhathala kwesifo sikaParkinson:
- Kuvame ukukhula ekuqaleni kwesifo futhi, uma ungaphathwa kabi, uhamba ngokubi ngokuhamba kwesikhathi.
- Ihlotshaniswa nomsebenzi owenziwe ngokomzimba kanye nemfanelo yokuphila empofu.
- Kungenza i-Parkinson nokucindezeleka bazizwe bebi kakhulu.
- Akukona ngenxa yokuntuleka kokulala, nakuba kungahlanganiswa nezinkinga zokulala .
- Ngokuvamile kuthonya ingqondo, okwenza kube nzima ukugxila futhi ugxile ukunakwa.
- Ayaziwa ngalesi sikhathi uma ukukhathala kuvame kakhulu emadodeni noma kwabesifazane abane-Parkinson.
- Ingxenye eyodwa kwezintathu zeziguli zikaParkinson zithatha ukukhathala isifo sabo esisodwa esikhubaza kakhulu, esibi kakhulu kunezimpawu zesimo.
- Amaphesenti angamashumi ayisishiyagalolunye nesishiyagalolunye weziguli zikaParkinson abheka ukukhathala kube esinye sezibonakaliso zabo ezintathu ezikhubaza kakhulu
Izimpawu
Ukukhathala ngokuvamile kubhekana nakho njengesimo sokukhathala, ukhathele, ukhathele futhi ngaphandle kwamandla. Abanye abantu bathi bazizwa sengathi bahamba ngaphansi kwamanzi noma nge-milasses-konke kuyimzamo futhi kuyayikhathaza.
Nakuba ukukhathala kungenza ukucindezeleka bubi nakakhulu, akufani nokucindezeleka. Ungakwazi ukukhathala ngaphandle kokucindezeleka, futhi abantu abaningi abanokukhathala abadabuki noma abazilimazayo.
Ngokufanayo, ukukhathala akufani nokulala ngokweqile kwansuku zonke . Nakuba ukukhathala kwenza ubuthongo besimini bubi futhi bunzima ukubekezelela, ungalala ubusuku kodwa ungapheli amandla. Ungakwazi futhi ukuthola isidingo sokuba nesibindi sokulala, kodwa ungazizwa sengathi uhamba ngaphansi kwamanzi noma ngensimu yama-merlasses! Ukhathala nokukhathala akufani nokulala.
Ukuthola Ukukhathala Kakho
Uma uzizwa ukhathazekile futhi udinwe sonke isikhathi futhi usho le nkinga kudokotela wakho, angase akucele ukuthi ugcwalise uhlu lwemibuzo ukuze uhlole izimpawu zakho. Ngaphezu kwalokho, angase enze ezinye izivivinyo ezikhethekile kuwe. Ngokwesibonelo:
- Ukukhathala okungokwengqondo nokwemvelo okuhloswe kuhlolwe kusetshenziswa imibuzo yokuzibika efana ne-Multidimensional Fatigue Inventory.
- "Ukuphelelwa amandla ngokomzimba" kungalinganiswa ngokubheka amazinga akho okukhuthazela lapho udlala umzimba.
- "Ukuphelelwa amandla kwengqondo" kuhlolwa ngokulinganisa ngokuhamba kwesikhathi usebenzisa ithuluzi lokuhlola elibizwa nge-Attention Network Test. Kulesi sivivinyo, uzocelwa ukuba ucindezele inkinobho noma nini lapho ubona "ukuvuselela" okuthile noma isithonjana phakathi kweqembu lezinye izithonjana kwikhompyutha. Abantu abanokukhathala babonisa iphethini elithile lezinkinobho zenkinobho ezithintekayo.
Yiqiniso, ukuvivinywa okukhethekile akudingeki ukuthi ukwazi ukuthi uyakhathala yini. Kungase kubonakale sengathi kuyisiwula kuwe ukugcwalisa imibuzo lapho wazi ukuthi awunawo amandla owawunakho. Lezi zivivinyo zingaba usizo njengendlela yokulandela inqubekelaphambili yakho noma indlela yokubona ngeso lengqondo ngisho nokuthuthukiswa okucashile njengoba usebenza ngendlela yokwelashwa nodokotela wakho.
Izinyathelo Ongayithatha Ukunciphisa Ukukhathala
Uma uzizwa ukhululekile futhi udinwe sonke isikhathi, yini ongayenza ngakho?
Okokuqala futhi okubaluleke kakhulu, khuluma nodokotela wakho mayelana nokuthi ukukhathala kukukhathaza kangakanani. Ingabe ihlukumeza imisebenzi yakho yansuku zonke?
Ingabe kungenza kube nzima kakhulu ukuvakashelwa emtholampilo noma ukuqokwa kwabaqashi? Ingabe iyondla ekuphileni kwakho ngokomzwelo? Ingabe ihlukumeza ikhono lakho lokubhekana? Uma ukhuluma nodokotela wakho mayelana nokukhathala kwakho, udokotela wakho angase futhi ancoma izinyathelo ezilandelayo:
- Yenza umzimba wokuzivocavoca umzimba njalo, kuhlanganise nokusetshenziswa kwezisindo ukukhulisa amandla omzimba. Ucwaningo lubonisa ukuthi ukuvivinya umzimba kulwa kokubili ukukhathala ngokomzimba nangokwengqondo.
- Cabanga ukuthatha imithi elwa no-depressant. Nakuba ukukhathala kungabangelwa ukucindezeleka, ukucindezeleka kungadala ukukhathala (futhi ngokuphambene nalokho). Ukwelashwa ukucindezeleka uma kukhona kungakuvumela ukuba unqobe ukukhathala ngokuzivocavoca noma olunye ukwelashwa.
- Cabanga ngokuzama ukuzama ukufana no- Ritalin (methylphenidate), evame ukubekwa ukunakekelwa kokungabi nalutho-ukukhubazeka komzimba noma i- Provigil (i-modafinil), enqunyelwe ukuphefumula kokulala, njengendlela yokudabuka nokucindezeleka ekupheleni kokunakekelwa kokuphila. Abanye odokotela baye babika ukuthi lezi zidakamizwa zingasiza iziguli ezithile zikaParkinson.
I-Pep Ikhuluma Ngokubhekana Nokukhathala Ngezifo Ze-Parkinson
Ukuqala ohlelweni lokuzivocavoca umzimba kungase kuzwe kunzima, kodwa kungenza umehluko. Kungadingeka uziphoqe uqale kodwa uqale endaweni ethile. Isikhathi esiningi abantu bathola amandla okwanda okwenzekayo ngokuzivocavocavoca kusiza ukuqinisa uhlelo lokuzivocavoca uma seluqalile. Ingabe unomuntu ongayisebenzisa naye? Abantu abaningi bathola ukuthi ukuzophendulela komunye ngalezo zinsuku uma ufuna nje ukweqa umsebenzi wakho kungasiza kakhulu.
Lokho kusho ukuthi ukukhathala sekucishe kube khona yonke indawo nesifo sikaParkinson, futhi okwamanje, abantu abaningi bazoqhubeka nokubhekana nokukhathala okuthile. Ungase ucabange ukucabanga ngezinye izinyathelo ezivivinywe nezamaqiniso eziye zasiza abantu abanezimo eziningana ukubekezelela ukhathala kalula kancane kancane.
- Phambili - Abanye abantu bakuthola kuwusizo ukuphenya okubaluleke kakhulu ukufeza phakathi nosuku bese bebeka lezo zinto kusuka kuningi ukuya kubalulekile. Uma ngabe okungenani uyeke imisebenzi ebaluleke kunazo zonke, cishe uzozizwa ungcono kunokuba ngabe ufeze imisebenzi embalwa engabalulekile.
- Hlela phambili - Uma kwenzeka, hlela kusengaphambili ukwazi ukuthi awukwazi ukwenza okuningi ngosuku njengoba kwenzeka.
- Ukudluliselwa komsebenzi - Ukudlulisela imisebenzi kukhulunywa kalula kunokuba kwenziwe. Asifuni ukucindezela abanye, futhi sithanda ukuphatha. Kodwa kuningi abantu abazokujabulela ukuthatha umsebenzi noma amabili kithi. Thatha isikhashana ukujwayela ukuthi "yebo" ekunikezeni usizo.
- Hlela - I-gurus yenhlangano isitshela ukuthi ukuhlelwa kokubili kunciphisa ukucindezeleka futhi kusindisa isikhathi. Ingabe kukhona indlela ongahlela ngayo impilo yakho ukuze ukugeleza kwemisebenzi yakho kulula?
- Zijaha - Zama ukwenza imisebenzi yakho yokuzikhandla kakhulu ngesikhathi sosuku lapho uzizwa unamandla kakhulu.
- Cabanga ngokujoyina iqembu lokusekela - Abantu abaningi abanesifo sika-Parkinson bathola ukuhamba eqenjini lokusekela kunzima kakhulu. Noma kunjalo unakho ikhompyutha eseduzane. Kuningi imiphakathi ye-Parkinson yesifo esihle kakhulu ngokuchofoza nje. Ngokuqinisekile ukungena emphakathini wesifo se-Parkinson ngeke kususwe ngokukhipha amandla ukukhathala kwakho. Kodwa ukuthola ukuthi kunezinye ezifana nawe obhekana nezithiyo ezifanayo kunganciphisa ukucindezeleka kokufisa ukuthi ubuyele emuva emuva kwezinga lakho lamandla.
Imithombo:
Elbers, R., Verhoef, J., van Wegen, E., Berendse, H., noG. Kwakkel. Ukungenelela kokukhathala emagceni kaPasinson. I-Cochrane Database yezibuyekezo ezihleliwe . 2015. 10: CD010925.
UFriedman, J. Ukhathala ezigulini zikaPalinson's. Izinketho zamanje zokwelashwa ku-Neurology . 2009. 11 (3): 186-90.
ULou, J. Ukukhathala emagceni kaPasinson kanye nokuNgenzeka kwamandla. I-NeuroRabilitation . 2015. 25-34.