Okudingeka Ukwazi Ngokubaluleka Okubalulekile
Abantu abaningi bakhathazeka uma besaba kakhulu ukuthi kungaba isibonakaliso sesifo sikaParkinson. Kodwa-ke, kukhona enye imbangela yokuthuthumela ejwayelekile eyaziwa ngokuthi ukuzamazama okubalulekile (ET), futhi ayinayo impikiswano enkulu kaParkinson . Empeleni, i-ET ingaphezu kweziphindwe eziyishumi njengokujwayelekile kwesifo sika-Parkinson, futhi, ngokungafani ne-Parkinson, ayibangeli ukungazinzi kahle, ukuqina komqondo noma ukuwohloka komqondo .
Ayikho futhi i-dementia ehambisanayo.
Nakuba kungase kube ukukhulula ukuzwa ukuthi ukuthuthumela kwakho akubangelwa yisifo sikaParkinson, akusho ukuthi ukuthuthumela kuncike kancane. Kwabanye abantu, ukuzamazama okubalulekile kuza futhi kuhamba futhi kungabakhathazi neze. Kwabanye, ukuzamazama okubalulekile kubi kangangokuthi ukubopha izicathulo noma ukudla ngezimpahla cishe akunakwenzeka.
Ukuqaphela Ukubaluleka Okubalulekile
Ngokungafani nokuthuthumela kwe-Parkinsonian, ukuzamazama okubalulekile ngokuvamile (kepha hhayi ngaso sonke isikhathi) okubili - okusho ukuthi kuthinta izinhlangothi zombili ngesikhathi esisodwa. Izandla zivame ukuba yingxenye ebaluleke kakhulu emzimbeni, nakuba inhloko ingabandakanyeka. Omunye umehluko ovela kuParkinson wukuthi ukuzamazama kudlingozi nakakhulu uma izandla zisetshenziselwa esikhundleni lapho ziphumula.
Ezinye izinkomba zihlanganisa umlando womndeni wokuthuthumela. Ukuthuthumela okubalulekile kuvame ukuzuzwa njengefa lokuzimela, okusho ukuthi uma unayo, kunethuba elihle okungenani oyedwa wabazali bakho naye.
Esinye isibonakaliso esithakazelisayo sokuzamazama okubalulekile ukuthi iyakuthuthukisa njalo emva kokuphuza inani elincane kakhulu utshwala.
Yeka ukuthi kuvamile kangakanani ukukhononda okubalulekile?
Abantu abangaba yizigidi ezingu-10 baseMelika banesibindi esikhulu, okubalwa ngamaphesenti angu-5 abantu bonke e-United States. Njengezinguquko eziningi zezempilo, ukuzamazama okubalulekile kuyanda ukwanda njengoba sikhula.
Ukuzamazama kuyanda ku-amplitude, kuba mkhulu futhi kubonakale ngokwengeziwe ngesikhathi. Kungase futhi kusakaze kwezinye izifunda zomzimba.
Yini Ebangela Ukugubha Okubalulekile?
Izingxenye zobuchopho obhekene nokuqondisa ukunyakaza kukhona into efana nezigaba ezahlukene ze-orchestra. Njalo isigaba sinesigqi sayo, ngokuvamile esivumelwaneni nezinye izingxenye. Isingeniso sokuzamazama okubalulekile sishesha ngokulingana nesigqi semvelo esakhiwe yi-thalamus kanye ne-nucleus engaphansi kwe-olistem, eyombili eyaziwa ukuthi ihilelekile ekunyameni. Lezi zindawo nazo zisebenza kakhulu ku- PET ukuhlola ngesikhathi sokuzamazama.
Akucaci ukuthi kungani lezi zindawo zingase zisebenze ngendlela engavamile. Naphezu kokuba kukhona umlando womndeni njalo wokuthuthumela kubantu abane-ET, akukho gesi eliye labonakala ngokucacile. Abanye abantu baye basikisela ukuthi ezinye izici zemvelo, njengamakhemikhali athile atholakala emzimbeni ophekwe kahle, zingabandakanyeka. Ayikho inhlangano etholakele nge-pesticides noma izixazululo eziphilayo.
Yini Eyenza Ukugubha Okubaluleke Kakhulu?
Ukwengeza ekukhuleni, ukuzamazama okubalulekile kungabhebhetheka yizinto esingase sizizwe nsuku zonke. Ukukhathala , izinguquko ekushiseni, ukucindezeleka ngokomzwelo, kanye nezinguquko ezijwayelekile lapho ulele khona kungashintsha ubukhulu bokuthuthumela.
Kukhona nezidakamizwa ezihlukahlukene ezihlukunyezwa kakhulu, njengalabo abenza isimiso sezinzwa ezisemkhatsini njengezidakamizwa, i- Reglan , i-lithium, no-alcohol, kanye nezikhuthazo ezifana ne-caffeine, i- bronchodilators noma i-cocaine. I-steroid ingadala ukuthuthumela, njengama-hormone e-thyroid. Eqinisweni, kunemithi eminingi ehlukene engasondeka kakhulu, kungcono kakhulu ukuba ulalelisise isikhathi sokuthuthumela kwakho, futhi ujwayelane nemiphumela emibi yimuphi umuthi owenzayo.
I-Neurologist Ingaba Kanjani Ukuthi Intukuthelo Yami Akuyona Isifo Se-Parkinson?
Ngokuvamile, ukukhuluma nawe kuphela futhi ukubuka ukuthuthumela kwakho kuyokwanela isazi sezinzwa ukuhlola ukuzamazama okubalulekile.
Ngezinye izikhathi kuthatha isikhathi ukuqiniseka. Ukuzamazama okubalulekile kuhlose ukushintsha kancane kancane kunesifo sika-Parkinson.
Ezimweni ezididayo, ukuhlolwa okubizwa ngokuthi i-DaTscan kungenziwa ukubuka i-substantia nigra, okuyizingxenye zobuchopho eziphethwe yisifo sikaParkinson. Lokhu ukuskena kusebenzisa i-radioisotope ukubuka umsebenzi we-basal ganglia. Ngokuzamazama okubalulekile, ukuskena kuzoba okuvamile.
Ungabhekana Kanjani Nokugubha Okubalulekile?
Kunezindlela eziningi ezahlukene zokuphatha ukuzamazama okubalulekile. Kuncike ekutheni ukwethuka okukhulu kangakanani, ukhetho oluhle lungase lungabi yindlela yokwelashwa nhlobo. Njengoba zonke izinhlobo zokwelashwa zikhona engozini yemiphumela emibi, uma ukuzamazama kungabangela ukukhathazeka, ngakho-ke akusadingeki ukuba ube nomlutha ngemithi noma kwezinye izifo.
Kodwa-ke, uma ukuzamazama kuthola indlela yokuphila kwansuku zonke, imithi, njenge-propranolol noma i-primidone, ingaba usizo. Uma lezi zingasebenzi, ezinye izidakamizwa zingase zivivinywe, kufaka phakathi izijovo zeBotox zekhanda noma ukuzamazama kwezwi. Ezimweni ezimbi kunazo zonke, izinketho zokuhlinzwa, ezifana nokuvuthwa kobuchopho obujulile, zingacatshangelwa.
Nakuba ukuzamazama okubalulekile kungaba yisisulu, akuyona impilo esongelayo. Uma izimpawu zikuvimbela ukwenza izinto ozifunayo noma okudingeka uzenze, noma kunjalo, kufanele ukhulume nodokotela ofanelekayo ngendlela engcono yokuphatha izimpawu zakho.
Imithombo
ED Louis, Zheng W, Jurewicz EC, Watner D, Chen J, Factor-Litvak P, Parides M. Ukuphakama kwegazi beta-carboline alkaloids ekudumeni okubalulekile. I-Neurology. 2002 Dec 24; 59 (12): 1940-4.
ED Louis, Agnew A, Gillman A, Gerbin M, Viner AS.Ukulinganisa izinga lokunciphisa ngonyaka: okuzokwenzeka, idatha yesikhathi eside mayelana nokuqhaqhazela kwengalo emaqenjini amabili amacala okuzamazama okukhulu.J Neurol Neurosurg Psychiatry. 2011 Jul; 82 (7): 761-5. Epub 2011 Mar 24.
U-Kathleen Poston, Uhlolojikelele lwe-Common Movement Disorders, Continuum: Izinkinga zokuhamba ngeMqulu Volume 16, Number 1, February 2010