Yini Udokotela Wakho Ofuna Ngesikhathi Ekuhlolisisa I-Parkinson?
Ayikho i-"standard standard" test ezohlola ukuthi isifo sikaParkinson - kunalokho, odokotela bancike ekuqaphelisweni kwabo kanye nokwahlulelwa kanye nencazelo yesiguli yezimpawu nezimpawu ezingenzeka ukuze kutholakale ukuthi kutholakala yini. Yilokho okwenza ukuthi ukuhlolwa ngokomzimba kubaluleke kakhulu ohlelweni lokuxilongwa.
Uhambo oluya ehhovisi lezinzwa zezinzwa ngokuvamile lubandakanya lokho okubonakala sengathi kunemibuzo eminingi, kanye nokuhlolwa okuningi.
Kodwa yini ngempela odokotela abayifuna ekuhloleni ngokomzimba okusiza ukuqinisekisa ukuxilongwa kwesifo sikaParkinson?
Eqinisweni, ukuhlolwa kukadokotela okuningi kuzohloselwe ukuhlola ukuthi unayo yini okuthiwa yiziqephu zeCalinson: okuthiwa ukuphumula, isibindi, ukuhamba kancane kanye nokusimama kokuhamba kwesikhathi (ibhalansi engalungile). Nakhu ukuthi odokotela bavame ukubheka lezi zimpawu.
I-Parkinson's Physical: Ukubheka Izinkathazo
Ukuqeda ukuthuthumela ngokuvamile kuyisibonakaliso sokuqala sesifo sikaParkinson. Udokotela wakho cishe uzolubheka ezandleni zakho uma uhlezi ngezandla zakho ekhululekile futhi izandla zakho ezandleni zakho - ngamanye amazwi, uma uphumule. Ngezinye izikhathi, ikakhulukazi ekuqaleni kwalesi sifo, iziguli zidinga ukuphazanyiswa (isibonelo, ngokubala emuva kusuka ku-10) ukuze kukhishwe lokhu kuthuthumela.
Ngaphandle kokwenza ukuthuthumela, udokotela wakho uzobukela ukuzamazama komhlaba ngemuva kwalokho, okwenzeka lapho izingalo zakho zisendaweni esuliwe.
Angase futhi afune ukuzamazama kinetic, okwenzeka ngokunyakaza okuzithandela futhi kuvame ukuhlolwa ngokuhlolwa komunwe kuya ekhaleni (lapho isiguli sithinta khona impumulo ngomunwe wabo wenkomba bese uthinta umunwe womhloli oshintsha izikhundla ngokuzama ngamunye).
Nakuba ukuzamazama ukulindela kulindeleke kulesi sifo sikaParkinson, abantu abaningi abanesimo banenhlanganisela yalezi zinhlobonhlobo zokuthuthumela.
Ukuphuza Ukuhamba Kwezimoto eParkinson
Lesi sigciwane se-Parkinson's , esibizwa ngokuthi " bradykinesia " odokotela, senziwa kubantu abaningi abanesimo. Kungabangela ukungabi khona kwesimo sokubukeka okubonakalayo futhi iso elimbalwa libuhlungu ngomzuzu kunokujwayelekile, futhi udokotela wakho uzobheka lezi zibonakaliso ekuhloleni kwakho ngokomzimba.
Udokotela wakho futhi angase ahlole isivinini sokuhamba ngokukucela ukuba uvule futhi uvale isandla ngasinye noma uthephe umunwe wakho wenkomba ngokumelene nesithupha sakho ngokuphindaphinda, okwenza ukunyakaza okukhulu ngokushesha ngangokunokwenzeka. Kubantu abanesifo sikaPasinson , ukunyakaza kungase kuqale ngokushesha futhi kunembile, kodwa kuyonakele ngokushesha, kuhambe kancane futhi kunciphise.
I-Gait nayo enye indlela yokuhlola lokhu. Ukuqaphela isiguli ngenkathi behamba, beqaphela ubude bomkhawulo wabo kanye nesivinini abahamba ngaso, bangatshela odokotela kancane. Ukungabi nalutho kwezingalo kuyisici esibonakala kahle ekuqaleni kwalabo abaneParkinson.
Odokotela futhi babheka ukuqina (esinye isibonakaliso sikaParkinson) ngokuhambisa amajoyini ezinhlangothini zakho, izigqoko, amadolo nezinyawo ukuze ubone ukuthi kukhona ukuphikiswa. Ukumelana kungase kube bushelelezi noma kungabonakala njengokungabaza okuncane ekuhambeni, okubizwa ngokuthi i-cogwheeling. Ngezinye izikhathi lokhu kwenziwa ngokusobala ukuthi isiguli siyashukumisela umlenze ohlukile.
Ukulinganisela Okungekho Emthethweni Kuvela Esikhathini Esizayo ku-Parkinson
Ibhalansi engaphelele (lokho odokotela ababiza ngokuthi "ukungazinzi kokuthunyelwe kwangasese") ngokuvamile kwenzeka esikhathini esizayo esi sifo futhi kuyimithombo ebalulekile yokukhubazeka kweziguli.
Ukuze uhlole lokhu, udokotela wakho uzobuyela ngokushesha emaqenjini akho ngenkathi emile ngemuva kwakho. Ukuthatha izinyathelo ezimbili kuya emuva ukuze uphinde uthole ibhalansi yakho impendulo evamile, kanti noma yini engaphezulu ingase ikhombise ukuba khona kwalesi sibonakaliso esilimazayo.
Lokhu akulona uhlu olubanzi lwezovivinyo ezithathwa yi-specialist disorder-disorder, ochwepheshe bokusebenzisa ukuhlolwa kwesiguli, kodwa lezi yizivivinyo ezivame kakhulu ongase uzihlole ngesikhathi uhlolwa ngokomzimba ukuze uhlolwe isifo sikaParkinson.
Ukwazi ukuthi udokotela wakho ufunani kulezi zivivinyo kungasiza ukwenza inqubo yokuxilonga ibe lula.
Imithombo:
Berardelli A et al. I-pathophysiology ye-bradykinesia esifo sikaParkinson. Ubuchopho. 2001 Nov; 124 (Pt 11): 2131-46.
I-National Institute of Neurological Disorders and Stroke. Ukuthuka okweqile. Kufinyelelwe ngoFebhuwari 17, 2016.
I-National Parkinson Foundation. I-postural Instability sheet sheet. Kufinyelelwe ngoFebhuwari 17, 2016.