Izimo Ezivamile Zama-Urinary Nokunakekelwa Ngezifo Zase-Parkinson
Uma unesifo sika-Parkinson , kungenzeka ukuthi ekugcineni kufanele ubhekane nezinkinga zamanzi-urinary kubonisa ukuthi ukukhathazeka kwe-urinary kuvamile ngaphezu kwezinye izimpawu zikaParkinson. Njengoba izimpawu ze-urinary zingabangela ezinye izinkinga, njengokulala okuphazanyiswayo nokuphazanyiswa nemisebenzi yomphakathi, kubalulekile ukuqaphela lokhu okukhathazayo futhi ufunde ukuthi yini engenziwa ukuze usize.
Ukuvama
Njengobe i-Parkinson yakho ikhula kakhulu, ingozi yokuba nezinkinga ze-urinary izokhula. Ngokuvamile, abantu abangamaphesenti angama-39 abanesifo sikaParkinson bahlangabezana nezinkinga ezithile ngokusebenza kwabo kwamanzi. Ngenhlanhla, ingozi yakho yokungaqali kahle kwamakholi iyingcosana-kuphela amaphesenti angu-15 kuphela.
Ukubhuka ebusuku (i-Nocturia)
Ngezici ezivame kakhulu zokuvuthwa kwamagciwane kulabo abanesifo sika-Parkinson, okuthinta okungenani amaphesenti angu-60 abantu (kanye nabanye abantu abaningi enkathini efanayo yobudala) kuyadingeka ukuvuthwa ebusuku, okubizwa nangokuthi i- nocturia . Lesi sibonakaliso singaba nezimbangela eziningana ezihlukahlukene kanye nesifo nesifo sikaParkinson.
Khuthaza ukungabikho
Inkinga elandelayo ejwayelekile ye-urinary iyisifiso sokuhamba njalo-kwabanye abantu, kaningi kakhulu. Lesi sikhuthazo senzeke ngoba izibonakaliso zesisindo phakathi kwesikhumba sakho nobuchopho bakho abufinyeleli kahle.
Lesi sidingo sokuvota njalo singabangela zonke izinhlobo zezinkinga.
Enye yezinkinga ezimbi kunazo zonke ukungabikho komzimba, okungenzeka uma kwenzeka ungeke ukwazi ukulinda ukuze ufike endlini yokugezela futhi isifiso sokuzulazula ngokuzumayo silandelwa ukuxoshwa komzimba wesibindi. Ngokusobala, lokhu kungase kube namahloni.
Ukukhuthaza ukungahambisani nakho kungase kwenzeke ngokuzumayo phakathi nemini, noma kubangele ukuvusa ebusuku noma ukugcoba embhedeni.
Kungaba yinkinga yamanzi okuphuza, noma ikakhulukazi, amanzi okuzwa asebenza endlini yokugezela noma ekhishini.
Kunezinhlobo ezihlukahlukene zemithi engasiza ekuxazululeni le nkinga yokudinga ukuhamba njalo. Uma unenkinga, khuluma nodokotela wakho ngakho ukuze akwazi ukukusiza.
Izinkinga Zokulala
Enye inkinga ngokuvuthwa okuvamile kwesifo sikaParkinson ukuthi iphazamisa ukulala kwakho. Akudingeki ukuthi, abantu abane-Parkinson banezinkinga ezanele zokulala ngaphandle kokuvuka futhi baye endlini yokugezela njalo amahora ambalwa!
Ngakho-ke ungenzani ngalesi sifiso sokuhamba njalo ebusuku? Odokotela abaningi bancoma ukunciphisa ukungena kwamanzi akho kusihlwa futhi ukukhipha isikhumba sakho ngokushesha ngaphambi kokulala. Ukumisa ukudayiswa kombhede ukuze kuthi uma udinga ukuhamba ubusuku konke okumele ukwenze ukuhlala noma ukuma eduze kombhede kungasiza. Okokugcina, ungacabangela ukusebenzisa izingubo zangaphansi ezilahlwayo ezifana nokuxhomeka ebusuku ukugwema ukuhamba okuphindayo endlini yokugezela.
Ukukhishwa kwesibindi esingaphelele
Isifo sika-Parkinson futhi singenza kube nzima kuwe ukuba usule ngokuphelele isisu sakho. Lokhu kwenzeka kaningi kunokudinga ukuvota kaningi, kodwa kusabathinta abantu abaningi abane-Parkinson.
Imisipha yakho ibeka icala ngale nkinga. Uma uchama, ukhulula imisipha ethile, futhi i-Parkinson ingenza kube nzima kuwe ukuphumula lezi musipha. Ngezinye izikhathi, kuthatha isikhathi eside ukuphumula ngokwanele ukuze uhambe, abantu bangase bangahlali endlini yokugezela isikhathi eside ngokwanele ukuze bachithe izibopho zabo.
Ngeshwa, imishanguzo ayiyona into ewusizo ekuphefumuleni kwesinye isisu esikhwameni sikaParkinson, nakuba urereline (imithi ejwayelekile): i-urecholine (igama elivamile: i-bethanechol) noma ezinye izidakamizwa ezihloswe ukuphatha ukugcina umchamo kungenza umehluko.
Abanye abantu abanezindawo zokugcina umchamo kumele basebenzise ama-catheter e-urinary ukuze bachithe ama-bladders abo.
Uma ngabe kunjalo kuwe, udokotela wakho angakuyala indlela yokusebenzisa ikhalatha.
Izinketho zokwelapha
Izindlela ezithile zokwelapha izimpawu zomchamo zesifo sikaParkinson zixhomeke ezinkambisweni ezisemqoka. Ezinye izinketho (kuye ngokuthi imbangela kanye nendlela) zifaka:
- Imithi - Izidakamizwa, ikakhulukazi izidakamizwa ze-antimuscarinic ezinjengezidakamizwa ezindala i-Ditropan (oxybutyrin) zingaba usizo kwabanye abantu, kodwa ubunzima bokusebenzisa imithi yezimpawu zamagciwane ngesifo sikaParkinson ukuthi eziningi zalezi zidakamizwa zingadala ezinye izimpawu.
- Ukuqeqeshwa kwesinye
- I-toxin ye-botulinum ifakwe kwisinye
- I-Catheters
- Izinyathelo zokugcinwa kwemvelo ezifana ne-commode eseceleni kombhede futhi incike.
Ngezansi Izimpawu Zase-Urinary Ngezifo Ze-Parkinson
Izimpawu zase-Urinary zibaluleke kakhulu ukuhlola labo abane-Parkinson's disease. Ngamanye amazwi, akuyona nje inkinga. Ehlanganiswe nezinkinga zokuhamba ngenxa yesifo, ukugcoba ebusuku nokukhuthaza ukungahambisani nakho kungabangela ingozi yokuwa, nakho konke okuhambisana nokuwa. Ukwelashwa esinakho ngezimpawu zokuvuthwa kungase kuphumelele kwabanye abantu, kodwa futhi kungase kube nokwehlisa ezinye izimpawu zesifo sikaParkinson. Uma uhlala nalesi sifo, cabanga ukucela ukubonisana nodokotela we-urologist onguchwepheshe ekwelapheni izimpawu zamagciwane kulabo ababhekana nesifo sikaParkinson.
Imithombo:
McDonald, C., Winge, K., noD. Burn. Izimpawu Eziphansi Zase-Urinary Eziguleni ZasePasinson: Ukuvama, i-Aetiology, nokuPhatha. I-Parkinsonism Nezifo Ezihlobeneyo . 2016 Nov 1. (Epub ngaphambi kokuphrinta).
Sakakibara, R., Panicker, J., Finazzi-Agro, E. et al. Umhlahlandlela Wokuphathwa Kokungasebenzi Kwesisindo Ezinganeni zikaParkinson nezinye Izinkinga Zokuhlukana. I-Neurourology ne-Urodynamics . 2016. 35 (5): 551-63.
Yeo, L., Singh, R., Gundeti, M., Barua, J., noJ. Masood. Ukukhubazeka Kwezindlela Zase-Urinary Emisebeni KaPasinson: Ukubuyekeza. Urology International kanye neNehrology . 2012. 44 (2): 415-24.