Isifo sikaParkinson sibonakala ngezimbonakaliso eziningana zomzimba ezingalawulwa kahle futhi zilawulwe kahle. Izinketho zokwelashwa zesifo sikaParkinson zihlanganisa imithi ehlukahlukene, izindlela zokuhlinza kanye nokwelapha ngokomzimba.
Uma unesifo sika-Parkinson, cishe uzozuza ngokunakekelwa kokudumala kwakho nezinye izimpawu zemoto, futhi ungase udinga ukwelashwa kwezinye zezifo ezingekho emotweni zesifo sikaParkinson, ezifana nezinkinga zokulala, i- pseudobulbar ethinta , nenkinga yokugwinya .
Eziningi zokwelashwa ezivame ukusetshenziselwa isifo sikaParkinson zingabuye zenze imiphumela emibi. Uma imiphumela emibi yezokwelapha zakho ze-Parkinson isifo esikukhathazayo kakhulu, khona-ke ungase uzuze ngokuthatha imithi kadokotela ehlose ukuyilawula.
Imithi Yokulawula Izimpawu Zezifo ZasePasinson
Izimpawu ezivame kakhulu zesifo sikaParkinson zibandakanya izinkathazo, ukuqina, nokulinganisela.
Esinye sezimbangela eziyinhloko zesifo sika-Parkinson yisilinganiso esinciphile se-dopamine, i-neurotransmitter ebalulekile, ebuchosheni. Iningi lemithi elalisebenzisa ukulawula izimpawu zezimpawu zika-Parkinson's isifo sokushintsha i-dopamine noma ukuthuthukisa isenzo sayo ebuchosheni:
- I-Levodopa / i-carbidopa - I-Levodopa iguqula i-dopamine emzimbeni. Uma sifinyelela ebuchosheni, sinomthelela omuhle ezimpawu zesifo sikaParkinson. I-Carbidopa igcina i-levodopa ingahlukumezeka ibe yindlela esebenzayo emzimbeni, okunciphisa imiphumela emibi ye-dopamine emzimbeni, futhi ithuthukise imiphumela ye-dopamine ebuchosheni.
- I-Tolcapone kanye ne-entacapone - Le mithi isebenza ngokukhulisa isenzo se-levodopa ngakho-ke singanezelwa njengemithi yokwelashwa yabantu abazithatha i-levodopa / carbidopa.
- I-dopamine agonists - Imithi efana ne-pramipexole ne-ropinirole ngokuqondile isilingisa imiphumela ye-dopamine ukunciphisa izimpawu zesifo sika-Parkinson.
- I-Amantadine - Le mithi ikwandisa inani le-dopamine emzimbeni nasebuchosheni futhi isetshenziselwe ukwelashwa izimpawu zikaGalinson. Kuyasiza futhi ekwelapheni i-dyskinesia, engenye yemiphumela emibi yokusetshenziswa kwe-levodopa isikhathi eside.
- Selegiline - Le mithi ivimbela ukwehla kwe-dopamine, okuyivumela ukuba isebenze isikhathi eside.
- I-Trihexyphenidyl ne-benztropine (anticholinergics) - Le mithi isebenza ngokuvimbela isithunywa samakhemikhali okuthiwa i-acetylcholine, esitholakala ebuchosheni nasemzimbeni. Le mithi iyasiza kakhulu ekwelapheni abantu abasha abanezifo zikaPasinson, noma abantu abanesifo esiyinhloko esithuthumelayo.
Izinkinga Zezokwelapha Ezihlobene Nezifo Zase-Parkinson
Ezinye izinkinga zezokwelapha zivamile kubantu abane-Parkinson's disease. Uma unesifo sika-Parkinson, ungase udinga ukwelashwa kwesinye sezimo ezilandelayo ngaphezu kokwelashwa owutholayo ekulawuleni ukuthuthumela, ukuqina kobunzima, kanye nokulinganisela kwesifo se-Parkinson:
- Ukucindezeleka
- Ukungalali
- Imilenze engapheliyo
- Umfutho wegazi ophansi
- I-Dementia
- I-Pseudobulbar ithinta
- Isikhumba esomile
- Ukwehlisa ubunzima
- Ukuqokwa
Ukwelashwa okungewona okwelashwa kweSifo sikaParkinson
Abantu abaningi abanesifo sika-Parkinson bahlangabezana nokuthuthukiswa kweminye yalezi zimpawu ngosizo lwezokwelapha ngokomzimba, emsebenzini nokukhuluma.
Izimpawu zesifo sikaParkinson ezingancishiswa ngezokwelapha zihlanganisa:
- Ukuqina kobunzima nokuqina
- Izinkinga zokulinganisela
- Inkinga yokukhuluma
- Ukuhlunga izinkinga
Ukuhlinzwa kwezifo zikaPasinson
Ukukhushulwa kobuchopho obujulile (DBS) usebenzisa idivayisi yokuhlinzekwa ebuchosheni kuye kwasetshenziselwa ukulawula ezinye zezimpawu zesifo sikaParkinson lapho zingenakulawulwa yimithi yedwa. Le ndlela inenzuzo kwabanye abantu abanesifo sikaPasinson, kodwa ngokuvamile abantu abane-DBS basadingeka ukuthi bathathe imishanguzo yezokwelapha ngisho nangemva kwenqubo. Kunenqwaba yezinzuzo nezindleko ku-DBS .
Imiphumela emibi yokwelapha kukaPilinson's Illness
Kunemiphumela emibi ejwayelekile eyenziwa yimithi yokwelapha isifo sikaParkinson. Uma imithi yakho iphumelela ekunciphiseni izimpawu zakho ze-Parkinson's, udokotela wakho angase akwazi ukunciphisa umthamo wakho noma ushintshe kwenye imithi.
Kodwa, noma ngabe uhlangabezana nemiphumela emibi, cishe ngeke ukwazi ukuyeka ngokuphelele ukuphuza imithi ye-Parkinson, noma ngabe izimpawu zakho zizobuya. Lokhu kusho ukuthi kungadingeka uthathe imithi yokwelashwa eyengeziwe ukuze ulawule imiphumela emibi oyizwayo. Imiphumela emibi kakhulu yemithi kaParkinson yilezi:
- Ama-hallucinations - ama- Hallucinations yimibono yamanga noma imisindo. Imithi eminingi esetshenziselwa ukwelapha isifo sika-Parkinson ingabangela ukungalingani kwe-dopamine, okuholela ekusebenzeni ngokweqile kwe-dopamine ebuchosheni, okuveza ukucabangela. Abanye abantu abathola ama-hallucinations njengemiphumela emibi yemithi kaParkinson bangadinga ukuthatha imishanguzo ye-antipsychotic ukunciphisa ukucubungula.
- I-Dyskinesia - I-Dyskinesias yizinyathelo zokuzithandela ezivame ukuphumela ekusetshenzisweni kwesikhathi eside kwezidakamizwa zesifo sikaParkinson. I-Dyskinesias ingenzeka njengokunyakaza okungazelelwe, futhi ingase ibonakale njengokunyakaza okunciphisa, okwenqabelayo. Ama-dyskinesias angase ahlukumeze, kodwa futhi angase angakhululekile noma abuhlungu ngokomzimba. Kukhona imithi yokwelapha enganciphisa ama-dyskinesias, futhi ngezinye izikhathi i-DBS isetshenziswa njengendlela yokunciphisa isidingo semithi kaParkinson.
- Ukugqoka - Abantu abaningi abanesifo se-Parkinson bayaqaphela ukuthi izimpawu ziba zibi kakhulu phakathi kwemithi yokwelashwa. Lokhu okuhlangenwe nakho kungachazwa ngokuthi 'ukugqoka', 'ukuvala isikhathi' noma 'ukuyeka i-syndrome,' futhi kulawulwa ngokulungiswa kwemithi yokwelapha kanye nesikhathi, ngokufaka imithi yokwandisa isenzo se-dopamine. Ukuhlinzwa kungenye yezindlela ezisetshenziselwa ukuphatha ukugqoka.
Ingabe Kukhona Imithi Yezifo ZasePasinson?
Njengamanje, alukho ukwelashwa kwesifo sikaParkinson. Imithi, ukuhlinza, nokungenelela kwezokwelapha kuhloswe ukulawula izimpawu. Isifo sikaParkinson yisimo esiyingozi, okusho ukuthi ngokwemvelo kuyanda kakhulu ngokuhamba kwesikhathi.
Uma uthola ukuthi unesifo sikaParkinson, lokhu kusho ukuthi cishe kuzodingeka ukuthi ube nenqubo yokuhlinzwa noma uthathe imithi isikhathi eside. Ngokuvamile, ngenxa yendlela indlela lesi sifo esiqhubeka ngayo ngokuhamba kwesikhathi, abantu abaningi abaphila nesifo sikaPasinson badinga ushintsho kumthamo noma uhlobo lwemigomo kanye nokwelashwa ngokuhamba kwesikhathi.
Izikhombisi Ezintsha Eziguleni ZaseParkinson
I-Stem cell therapy kanye nokwelashwa kwegciwane yizici ezimbili emisha ekucwaningweni kwesifo sikaPacinson. Kuze kube manje, lezi zindlela azifinyeleleki ezigulini, ngaphandle kokuthi mhlawumbe kusethweni lokucwaninga .
Izwi elivela
Isifo sikaParkinson yisifo esidinga ukunakekelwa okuqhubekayo, isikhathi eside. Uma uthola ukuthi unesifo sika-Parkinson, isivinini sakho nesiphuzo sakho singancipha ngokuhamba kwesikhathi, futhi kudingeka ukhokhe ngokukhethekile ukugwema izimo ezingakubeka engozini uma ulahlekelwa ibhalansi yakho.
Iningi labantu abanesifo sikaParkinson bahlangabezana nokuthuthukiswa nokulawulwa okunengqondo kwezimpawu ngemithi, ukwelapha, ukuhlinzwa, noma ukuhlanganiswa kwale ndlela. Kodwa-ke, ngokuvamile, abantu abanesifo sikaPasinson bayaqhubeka bezwa ezinye zezimpawu naphezu kokwelashwa noma ukwelashwa okuhlinzekwayo.
Ngokuyinhloko, abantu abanesifo sika-Parkinson bayakwazi ukuphila okukhiqizayo futhi ngokuvamile bangaqhubeka nokusebenza futhi bahlanganyele emisebenzini yomphakathi kanye nezokuzilibazisa.
> Umthombo
> Oertel W Schulz JB, Oertel W, et al, Ukwelashwa kwamanje kanye nokuhlolwa kwe-Parkinson isifo: Umhlahlandlela wezinzwa zezinzwa,. J Neurochem. 2016.