Zikhona yini izivivinyo ezicacile zesifo sikaParkinson?
Kukhona okwamanje okwamanje akukho ukuhlolwa okungahlola ngokucacile izifo zikaParkinson . Ukuxilongwa kuxhomeke ekutholeni okwenziwe ngomtholampilo nodokotela wakho ngokuhambisana nombiko wakho ngezimpawu ozizwayo.
Ezimweni lapho umuntu osekhulile eveza izici ezivamile ze-Parkinson futhi aziphendulela ekwelapheni okuphindaphindiwe kwe-dopamine, akunakwenzeka ukuba kube nenzuzo yokuqhubeka nophenyo noma ukucabanga.
Ukuhlolwa Okuqhubekayo ku-Parkinson
Kwezinye izimo, lapho mhlawumbe ukuxilongwa kungabonakali khona, abantu abasha bayathinteka, noma kukhona izimpawu ezingenasidingo ezifana nokuthuthumela okuthinta zombili izandla noma mhlawumbe akukho ukuthuthumela nhlobo, ukuhlolwa okwengeziwe kungasiza. Isibonelo, ukucabangela kungadlala indima ekuhlukaniseni ukuzamazama okukhulu kanye neParkinson. Kungaba nokubaluleka kokuqinisekisa lokho okuqale ukuxilongwa ngemitholampilo kaParkinson ngaphambi kwenqubo yokwelapha engavamile njengokwenza i-DBS yokuhlinzeka (ukukhushulwa kobuchopho obujulile)
I-MRI ku-Testingon's Testing
Esinye sezivivinyo ezivame ukwenziwa ngesikhathi sokusebenza kwe-neurologic yi- scan ye-MRI futhi omunye angacabanga ukuthi ekuphenyweni kwesifo esithinta ubuchopho obufana no-Parkinson, lokhu kuvivinywa kokucabanga kuyodingeka. Esimweni sesifo sikaParkinson, noma kunjalo, i-MRI ayinakusiza kakhulu. Ibukeka ngesakhiwo sobuchopho okuzo zonke izinhloso ezijulile, kubonakala kuvamile kule sifo.
Nokho, i-MRI ingase iboniswe uma izimpawu zivela kubantu abasha (eminyakeni engaphansi kwengu-55) noma uma isithombe somtholampilo noma ukuqhubeka kwezimpawu akuvamile kuma-Parkinson. Kulezi zimo, i-MRI ingasetshenziselwa ukulawula ezinye izifo ezinjenge- stroke , izicubu , i- hydrocephalus (ukuvuvukala ebuchosheni) kanye nezifo zikaWilson (isifo esibangelwa ukuqoqwa kwethusi okungabangela ukuthuthumela kubantu abasha).
Ukufaniswa okukhethekile
Ukucabanga okukhethekile njengama- PET scans namaDaTscans kukhona "okusebenzayo" emvelweni. Ngenkathi i-MRI iqondiswa ekucabangeni ukujula kobuchopho, lezi zinkomba zisinika ulwazi ngokuthi ubuchopho busebenza kanjani. I-DaTscans isebenzisa i-agent egayiwe ebeka ngokuyisisekelo amaseli we-dopamine-producing cells. Ikhamera ekhethekile ivumela ukuhlushwa kwe-agent yokucabanga ukuthi ibonakale. I-agent eyengeziwe ithola ukubopha ezindaweni ezithile zobuchopho, ukuphakama kwesisindo se-nerve cells noma i-neurons, ngakho-ke, izinga eliphezulu le-dopamine ngokwalo. Ezifweni ezibandakanya amazinga angavamile e-dopamine njengeParkinson, kuyoba nomsebenzi omncane we-dopamine obonakalayo. Nakuba lokhu kungasiza ekuhlukaniseni phakathi kobuchopho obathintekayo yiParkinson futhi uthi, ukuzamazama okubalulekile lapho amazinga e-dopamine ejwayelekile, akusizi ukuhlukanisa iParkinson nakweminye imikhakha yezinyoni ezifana ne- multiple atrophy system noma i- infranuclear palsy eqhubekayo .
Amaphuzu we-PET ahlinzeka ngolwazi ekusebenzeni kobuchopho futhi angasiza ekutholeni izifo ezihlukahlukene zokuhlinzeka nge-neurodeergenerative njengesifo sika-Parkinson. Kodwa ngokungafani neDaTscans, benza kanjalo ngokubheka ukuthi ubuchopho busebenzisa kanjani i-glucose.
Amaphethini akhethekile wokusetshenziswa kweglucose ajwayelekile ngezifo ezihlukahlukene . I-PET ihlola, noma kunjalo, isetshenziswe kakhulu enkambeni yokucwaninga kunendawo yomtholampilo.
Okubalulekile ukuthi ngokungafani nezinye izifo ezifana nesifo esiphakeme segazi noma isifo sikashukela , asinayo ukuhlolwa okucacile kwezifo zePilinson's. Ngisho noma ukucabanga ngezithombe kungasiza abahlengikazi ukuba baqinisekise ukuxilongwa kwe-Parkinsonism uma kukhona ukusola kwesinye isizathu, asikwazi ukuhlukanisa isifo sikaParkinson kwezinye izimbangela ze-parkinsonism. Ekugcineni, lezi zindlela zokucabanga ziwusizo kuphela esimweni sokuhlolwa komtholampilo odokotela abanolwazi futhi kuphela ezimweni ezikhethiwe, kuzothinta ukuphathwa.
Sethemba ukuthi lokhu kungabi khona kobufakazi obomgomo kuzoshintsha esikhathini esizayo esiseduze, nethemba lezinto eziphilayo ezishintsha indlela esizihlolisisa ngayo nokuphatha lesi sifo.
Izinkomba:
U-Hauser, uRobert A., MD. "I-Parkinson Disease." Izifo ze-Parkinson . Medscape, 21 Jan. 2014. Iwebhu. 27 Feb. 2014.
Okun, Michael S., MD. "Ingabe Kufanele Ngithole I-DaTscan noma i-PET Scan ukuze Ngifakazele Ukuqaphela Kwami Ukugula Kwe-Parkinson?" I-National Parkinson Foundation - . I-National Parkinson Foundation, 1 Febhuwari 2011. Iwebhu. 26 Feb. 2014.
Zhang, Linyuan, MD, noJun Liu, MD. "Indima Ye-Neuro Ukucabanga NgokweSifo Sezifo ZasePasinson." I-International Journal of Integrative Medicine 1.11 (2013): 1-5. Intech . Iwebhu. 26 Feb. 2014.