Inkinga enkulu epilweni likaParkinson (PD) yilahlekelwa kancane kancane ebuchosheni be-chemical messenger dopamine. Ngaphandle kwalezi zingqamuzana zobuchopho ze-neurotransmitter ezisebenzisa i-dopamine azikwazi ukuxhumana kahle. Lokhu kuphazamiseka kokuxhumana kuholela ekuqhekekeni kokusebenza kuzo zonke izinhlelo zobuchopho ezisebenzisa i-dopamine. Izinyathelo zezimoto ziyizona ezivelele kakhulu futhi ezikhubaza zalemisebenzi, ngakho zithola konke.
Kodwa kunezinye izinhlelo ezibaluleke kakhulu ezixhomeke ku-dopamine ezithintekayo ku-PD-njengoba ngiyaqiniseka ukuthi uyazi ukuthi wena noma othandekayo unayo i-PD. Leminye imisebenzi yobuchopho ibuthongo, imizwa, inkulumo, nokucabanga.
Ukulala nokushona
- Iziguli ezingama-90% ze-PD zithola izinkinga zokulala ngesikhathi esithile ekuguleni kwazo.
- Phakathi kweziguli ezingama-40 no-90% ze-PD zithola ubuthongo noma ubunzima behlela nokulala. Abaningi balaba bantu abazizwa beqabulekile emva kokuvuswa kusuka ebuthongweni.
- Ukungaboni kahle ku-PD kuhlobene nemisipha ye-muscle, immobility, isidingo esiningi sokuvuka nokuvuthwa, ukukhathazeka nemiphumela emibi yemithi.
Ukulala ngokweqile kweSuku lokuSuku
- Iziguli eziningi ze-PD zithola ukukhathala okukhulu nosuku nokulala. Asinayo izinombolo eziqinile ukuthi zingaki iziguli ezithola ubuthongo bokusukuma.
- Ukulala kwansuku zonke kungaba yingozi uma isiguli sidinga ukushayela okuningi.
- Ukulala ngokweqile kwansuku zonke ku-PD kungenziwa ngenxa yezimo ezihlukahlukene ezibandakanya ukungalahleki, ukuphefumula ukulala (bheka ngezansi), ukucindezeleka kanye nokwelapha izidakamizwa (i-dopamine agonists, ikakhulukazi, ingabangela ubuthongo).
I-apnea yokulala
Abaningi abangama-20% abaguli be-PD bangase babe ne- apnea yokulala .
I-apnea yokulala ibhekisela enkingeni enkulu ngokuphefumula ngesikhathi sokulala.
I-apnea yokulala iyimbangela enkulu yokulala ubuthongo ebusuku nokulala. Liphinde linciphise umoya-mpilo ugeleza ebuchosheni obangela ukuhlushwa nokucabanga ngesikhathi semini.
REM Behavior Disorder
- Phakathi kweziguli ezingu-15 no-48% ze-PD nazo zine-REM Behavior Disorder (RBD).
- Ukulala kwe-REM, noma i-Rapid Eye Movement yokulala, yilona hlobo lokulala okujulile lapho singase sibe khona amaphupho acacile. Imizimba yethu ikhubazekile ngesikhathi sokulala kwe-REM ngenxa yokucindezelwa kwemisipha eyenzeka ngesikhathi se-REM ukuze singenzi amaphupho ethu ngenkathi silele.
- I-REM Behavior Disorder kwenzeka uma ukuhlukunyezwa okujwayelekile kwemisipha okwenzeka ku-sleep sleep kubonakala.
- Iziguli ezine-RBD ngokuvamile zenza amaphupho ezinobudlova noma ezesabekayo lapho umphuphi noma umlingani wombhede ehlaselwa khona futhi umphuphi kumele avikele abahlaseli.
Imodi
Cishe zonke iziguli ezine-PD zithola ukuphazanyiswa kwemizwa phakathi nesifo. Lokhu akumangalisi. Njenganoma yimuphi omunye isimo esingapheli, i-PD ibeka izinselelo eziningi ezinzima nsuku zonke futhi lokhu kungadumaza kokubili isiguli nomndeni wakhe. Kuyinto evamile ukuhamba ngezikhathi zokudabuka nokudangala. Kuyinto evamile kakhulu ukuzwa ukukhathazeka nokukhathazeka ngokuthi wena nomndeni wakho nizobhekana kanjani nazo zonke i-curve amabhola PD ephonsa kuwe. Ngakho ukudabuka nokukhathazeka kuyindlela evamile yokuphendula ku-PD. Okubangela ukukhathazeka futhi kudinga ukunakekelwa yilapho ukudabuka kuphenduka ukucindezeleka noma lapho ukukhathazeka kuqhubeka futhi kuphazamisa ukusebenza kwansuku zonke.
Nanka amanye amaqiniso angasiza:
- Kufika kuma-PD angu-50% abhekene nokucindezeleka okukhulu phakathi nesifo.
- Ukucindezeleka kungaphathwa ngokuphumelelayo ku-PD ngenhlanganisela ye-psychotherapy nemithi ephikisana nokucindezeleka.
- Phakathi kweziguli ezingama-30 no-40% ze-PD zithola ukukhathazeka okuphawulekayo phakathi nokugula. Lezi zinkinga zokukhathazeka zingabonakaliswa njengokwesaba, i-phobic (izimo ezithile ezibangela ukukhathazeka), noma ukukhathazeka okujwayelekile.
Izinkinga zokukhuluma
Izinkinga zokukhuluma ze-PD zifaka ubunzima ngokuchazwa kwemisindo yokukhuluma, ivolumu yenkulumo, nenkulumo ye-prosody noma ingoma.
Lezi zingase zizwakale njengezinkinga ezincane kepha zingathinta kakhulu ukuxhumana kwakho kwansukuzonke, ngakho kubalulekile ukuphatha lezi zinkinga ngokushesha.
Izinkinga Zokucabanga
I-Dopamine inikeza lezo zindawo zobuchopho ezibaluleke kakhulu ekugxileni, ukucabanga, ukucabangela nokuhlela. Lezi ziyaziwa ngokuthi "imisebenzi ephezulu yokuqonda" ngoba zisiza ukulawula zonke ezinye izinqubo zokucabanga eziyisisekelo zobuchopho. Kubalulekile ukuthi uqaphele ukuthi le misebenzi yokucabanga ayizange ilahleke ku-PD-ihamba kancane kancane. Kodwa lokho kuhamba kancane kungaba nemiphumela emikhulu ekusebenzeni uma kushiywe kungalashwa.
Okubalulekile
- I-PD ihlotshaniswa nezinkinga ezimbalwa ezingezona imoto ezihlanganisa izinkinga zokulala, izinkinga zemizwa, izinkinga zokukhuluma nezinkinga zokucabanga.
- Izindaba ezinhle ukuthi ZONKE zalezi zinkinga zingaphathwa kahle futhi uma ziphathwa ngendlela efanele izinga lakho lokuphila lizophuthumisa ngokuphawulekayo.
- Asikho isizathu sokuhlupheka ngokungadingekile. Lezi yizindawo lapho ungenza khona ukwenza umehluko. Mthetho!
- Khuluma nodokotela wakho ngalezi zinkinga uma unayo.
- Akunakugwenywa ukuthi ulala kahle noma ukhuluma kabi noma ucindezelekile. Ungenza okuthile mayelana nalezi zinkinga.
- Khumbula, awusona isifo sakho. Ungakuvumeli ukuba uqondise kuwe. Kunezinhlobo eziningi zokwelashwa eziphumelelayo ezitholakalayo. Ungafunda kabanzi mayelana nalezi zokwelashwa ezivela kudokotela wakho nakulo webhusayithi.
Imithombo
> Huber SJ, uCummings JL, abahleli. Izifo zikaPasinson: Izimo ze-Neurobehavioral. I-New York: I-Oxford University Press; 1992.
> R. Pahwa kanye no-KE Lyons (Abahleli), I- Handbook yezifo zikaPasinson ; I-4th Edition, eNew York, Abashicileli bezeMpilo e-Informa, ka-2007.
> RF Pfeiffer nami I. Bodis-Wollner (Eds). Izifo ze-Parkinson nokungasebenzi kwe-non-motor, i- Humana Press; Totowa, eNew Jersey, ngo-2005.