Awusanda kumncane kakhulu ...
Isifo sika-Parkinson siyingxenye yezifo ezivame ukuphela kwezinsuku zokuphila eziphuthumayo, ezithinta cishe u-1.5% kuya ku-2.0% wabantu abadala kuneminyaka engama-60 ubudala. Ukusuka kwentsha kukaParkinson (ngaphambi kweminyaka engama-40) kwenzeka ngo-5-10% wabantu abathintekayo ngenkathi 20% kulabo abathintekayo bangaphansi kweminyaka engu-50.
Kungakhathaliseki ukuthi sekuyisikhathi esingakanani, sonke sihlangene ngezinga elifanayo lokuphila okufanayo uParkinson akuletha kodwa labo abane-YOPD bangase babhekane nezingqinamba ezihluke kakhulu, kusukela ekuxilongweni kuya ekukhuleni kwesifo nasekuphenduleni ukwelashwa kuze kube isikhathi sesifo - labo abane-YOPD kumele baphile isikhathi eside nezinkinga zalesi sifo.
Akufanele kuncishiswe nganoma iyiphi indlela izinselele ezibhekene nalabo abanesifo sokuqala sekwephuzile - ukuxilongwa kamuva ekuphileni kuholela ezinkingeni eziningana ezihlukile. Ngakho-ke noma ngabe ukuxilongwa kungabelana, ukuhlangenwe nakho ukuthi lesi sifo sibonisa kanjani kungahluka ngezindlela eziningi.
Izinselelo Zezifo Ezincane Ezifakiwe
Okokuqala kulabo abanezinkinga ezincane zokuqala akuvezi ngendlela efanayo nabafana babo abadala. Ucwaningo luye lwabonisa ukuthi esimweni esincane sokuqala seziguli ezigulayo cishe sikwazi ukuveza ngokuqina nokubuhlungu; ama-cramp ne-dystonic posting ezenzeka kaningi kunalabo abanezifo eziphuthumayo. Lokhu kungenzeka ukuthi ukuxilongwa kokuqala kwe-tendonitis ngokukhethekile kuhilela isilwane esingenhla kuvamile kakhulu ezinkathini zokuqala zesifo seziguli eziningi ezincane. Ngokwengxenye ngenxa yemvelo yezimpawu ezenzakalweni kanye neqiniso lokuthi odokotela basalokhu bevame ukulawula i-Parkinson ngenxa yesiguli esincane, izifundo zibonise ukuthi odokotela bathatha isikhathi eside ukuxilonga iziguli zakuqala.
Enye isifundo esithile, lokho ukungafani ngesikhathi sokuxilongwa kwangezinyanga ezingu-15 isikhathi eside iziguli ezincane.
Iziguli ze-YOPD nazo zengozi enkulu yezimpawu ezingezona izimoto ze -PD (njengokungalahlekelwa ukulala, ukucindezeleka, ukukhathazeka, ukuqothulwa, amandla aphansi, izinkinga zamanzi, ukunganaki nokunye) nakuba kunesilinganiso esincane sokuwohloka komqondo.
Iziguli eziqala ukuqala zibuye zithole izinga eliphakeme le- dystonia ekuqaleni futhi ngesikhathi sokwelashwa,
Ngokuphathelene nabaphathi, iziguli ezincane zinezinga elikhudlwana lama- dyskinesias ekuphenduleni ukwelashwa kwe-L-DOPA. Iziguli ze-YOPD ziyakwazi ukuthuthukisa izinkinga ezihlobene nokwelashwa ezifana nokushintshashintsha kwezimoto nama-dyskinesias ekuqaleni kwesikhathi sesifo sabo. Schrag et. al. bathole ukuthi izihloko ze-YOPD ezingamaphesenti angu-100 ekutadisheni kwazo zenze izinkinga zokwelashwa zingakapheli iminyaka eyishumi noma ngaphansi kokuxilongwa.
Ngokuphathelene nokugula, ubufakazi obukhona bubonisa ukuthi iziguli ze-PD ezincane kakhulu ekuqaleni zibuye zibe nesifo sokuhamba kancane. Kwesinye isifundo se-YOPD iziguli zithatha isikhathi eside kakhulu (iminyaka engu-2.9) ukuze zifinyelele ku-H & Y Stage 1 kusukela ekuqalisweni kwezibonakaliso uma kuqhathaniswa neziguli eziqala ukufika (iminyaka engu-1.7) (uJankovic et al.).
Imicabango yokuvala
Ngakho-ke kunezinselelo eziningi zezokwelapha nezokuphatha ezihlukile eqenjini le-YOPD. Akukhona kuphela ukuthi ukuphathwa kwezimpawu kunzima kepha iziguli ze-Young-allt Parkinson's (YOPD) zinezinkinga zengqondo ezenza izinselelo eziningi. Ucwaningo luye lwabonisa ukuthi intsha eqala ekuqaleni yayihlotshaniswa kakhulu nezinga elibi kakhulu lemiphumela yokuphila.
Ukuqala kwentsha kwakuyinto engozini yokuphila kahle ngokomzwelo okuzimele ngaphandle kwesimo sokucindezeleka.
Labo abane-YOPD bafundwa ngeminyaka yokukhiqiza, ikakhulukazi emisebenzini yabo, njengoba bezibekela imali ngokwezimali, bekhulisa imindeni, ngokuvamile imindeni emisha ehlala ehleliwe. Izinkinga ezingahle zingabi izithiyo ezinkulu eziphakanyisiwe - ezungeze umsebenzi, ukuphepha kwezezimali, ubudlelwane, ukubeletha kanye nezinhloso ezizayo. Lezi zinkinga zomqondo wengqondo zidinga ukunakekelwa okukhulu njengezinkinga zempilo; ziba nomthelela omubi ekusimeni ngokomzwelo kokubili kwesiguli nomndeni, ziphazamise bonke ubudlelwane.
Iziguli ze-YOPD zingahlomula ngendlela yeqembu ekwelapheni kwazo ukuze zibhekane nazo zonke izindawo zokukhathazeka futhi zenze izinga lokuphila likhuphuke.
> Imithombo:
> Rana, Abdul Qayyum, > Ishraq > Siddiqui, no Muhammad Saad Yousuf. "Izinselele Ekuqapheleni Izifo Ezincane Ezibhekene Nezifo ZasePasinson." Journal of the Sciences Neurological 323.1-2 (2012): 113-16. Phrinta.
> Schrag, A. "Izidakamizwa zeDyskinesias kanye Nezimoto ezifweni zikaPasinson: Isifundo esisekelwe emphakathini." Ubuchopho 123.11 (2000): 2297-305. Phrinta.
> Isiliva, Greg A., BBA, uKevin D. Vuong, MA, noJoseph Jankovic, MD. Izifo Ezincane Ezihlobene Nezifo Zase-Parkinson Zasekuseni: Izici zeMitholampilo kanye Nezifo Eziqhubekayo . I-Baylor College of Medicine . I-Np, i-Web.