Izinkinga ezihlobene ne-Parkinson zingathinta Ukusinda
I-Parkinson iyisifo esivamile se-neurodegenerative ("ukufa ngamaseli wesisindo") izifo, futhi nakuba zingabhubhi, ucwaningo lubonisa ukuthi lungathinta isikhathi sokuphila.
Ucwaningo olwenziwe ku- Archives of Neurology luhlolisise ukusinda kweminyaka engamashumi ayisithupha yama-Medicare abahlomula ngesifo sika-Parkinson e-United States. Ngenkathi yeminyaka eyisithupha, amaphesenti angama-64 abahlanganyeli abanesifo sikaParkinson badlula.
Ingozi yokufa kwalabo abaneParkinson yabe isiqhathaniswa nabahlomuli be-Medicare abangenayo i-Parkinson noma ezinye izifo ezivamile, kubandakanya:
- isifo senhliziyo noma ukwehluleka kwenhliziyo ukugubha
- isifo se-chronic obstructive pulmonary
- ikholoni, imaphaphu, noma umdlavuza webele
- isifo sikashukela
- ukushaya
- isifo esingenasifo sezinso
- i-hip fracture
- Ukuwohloka komqondo kwe-Alzheimer
Lapho ukulawula iziguquguquko ezinjengobudala, ubuhlanga, nobulili, ingozi engamashumi ayisithupha yokufa phakathi kwabantu abaneParkinson yabonakala ibe mkhulu ngokuphindwe kabili kunelabo abahlomulayo ngaphandle kwezifo noma ezinye izifo ezivamile.
Ngesikhathi esifanayo, isilinganiso sokufa phakathi kwalabo abanesifo sikaPasinson sasifana nalabo abane-hip fracture, ukuwohloka komqondo kwe-Alzheimer, noma ukuhlasela kwenhliziyo okwakamuva-nakuba bekuphakeme kunabo ababekutholwe ukuthi banomdlavuza we-colorectal, isifo sohlangothi, ischemicic isifo senhliziyo, noma isifo se-pulmonary chronic obstructive.
Kusho ukuthini lokhu? Kusho ukuthi ukugula kukaParkinson kuthinta isikhathi eside somuntu.
Kodwa khumbula, akusona isifo sikaParkinson ngokwayo esibulalayo. Kunalokho, yizinkinga ezifana nokutheleleka noma ukuwa okuvela ngenxa yokuba ne-Parkinson okuvame ukuholela esikhathini esifushane sokuphila.
Indima Ye-Dementia ne Age
I-Dementia nayo idlala indima ebalulekile ekusindeni kukaParkinson.
Ekupheleni kwesifundo esingenhla, cishe amaphesenti angama-70 abantu abanoParkinson ayebonwa ukuthi une-dementia, futhi labo abane-dementia banesilinganiso esincane sokusinda uma kuqhathaniswa nalabo abangenalo.
Lokhu kusho ukuthi labo abane-dementia bebengase babe nokufa esikhathini seminyaka eyisithupha kunelabo abangenayo i-dementia. Ngaphezu kwalokho, ucwaningo lwesayensi luye lwabonisa ukuthi ukukhula kweminyaka kuhlanganiswe nengozi yokufa.
Kubalulekile ukukhumbula ukuthi isifo se-Parkinson somuntu sibonakala kanjani futhi siyaqhubeka, futhi isazi sezinzwa somuntu asikwazi ukubikezela ngokunembile isikhathi sokuphila komuntu ngamunye.
Ngamanye amazwi, azikho nje izimpawu eziyisihluthulelo noma izimpawu ezivumela udokotela ukuba abikezele ngokuphelele impilo ende. Ukuguga kanye nokuba khona komfutho we-dementia kuhlotshaniswa nengozi eyengeziwe yokufa.
Unyaka Wokugcina Wokuphila Emzimbeni KaPasinson
Lolu cwaningo lubuye lwahlola abantu abangaba ngu-45 000 esibhedlela kubantu abaphethe i-terminal ye-Parkinson, okusho isikhathi sokuphela kokuphila. Kulabo abane-PD esibulalayo, izizathu ezivame kakhulu zokuba esibhedlela yizi:
- Ukutheleleka (cishe amaphesenti angu-21 wezokwelapha)
- Isifo senhliziyo (amaphesenti angu-18.5)
- Isifo se-Lung esasingenaso isifo (cishe amaphesenti angu-13)
Izimbangela ezingavamile zokubhedlela ziyizinkinga ezihlobene nesisu noma amathumbu, imisipha, isimiso sezinzwa, noma isimiso se-endocrine (isibonelo, isifo sikashukela).
Akumangazi ukuthi ukutheleleka kwakuyisifo esibhedlela kakhulu ngaphambi kokufa, njengoba abantu abanePasinson besengozini yokuthuthukisa izifo eziningi ngenxa yesifo sabo. Isibonelo, ukungasebenzi kwesibindi kuma-Parkinson okwandisa ingozi yomuntu yokuthuthukisa ukutheleleka kwamagciwane, okungaba impilo engozini uma kungatholakali futhi kuphathwa ngokushesha.
Ngaphezu kwalokho, ucwaningo lubonisa ukuthi i-aspiration pneumonia ingama-3.8 izikhathi ezivame kakhulu kubantu abaneParkinson uma kuqhathaniswa nomphakathi jikelele.
Kuye kwabikwa njalo ukuthi iyimbangela enkulu yokufa kubantu abaneParkinson.
Ukuphefumula kwe- pneumonia kubangelwa ukugxilisa ingcindezi ngaphansi kwesisekelo, okuholela ekutheni okuqukethwe kwesisu kuhanjiswe emaphashini. Ukwehlisa imfucuza nokuqina, okungabangela ukukhishwa kwe-phlegm, futhi kubambe iqhaza ekwakhiweni kwe-pneumonia kubantu abane-Parkinson.
Yiqiniso, isifo senhliziyo yisisusa esiyinhloko sokufa e-United States, ngakho akumangalisi ukuthi abantu abaneParkinson babhedlela ngenxa yalokhu ngaphambi kokufa. Kuyathakazelisa ukuthi abalobi besifundo baveza ukuthi odokotela abathile abaphatha abantu ngeParkinson bangase babonise ngokungalungile izibonakaliso zesifo senhliziyo noma yamaphaphu (isibonelo, ukukhathala, ubuthakathaka nokucindezeleka ukuzivivinya) njengezimpawu zikaParkinson.
Izwi elivela
Ngaphezu kokunakekela impilo yakho ye-Parkinson, kubalulekile nokunakekela impilo yakho yonke. Lokhu kusho ukuthi uvakashele udokotela wakho oyinhloko ngezikhathi ezithile ukuze uthole ukunakekelwa kokuvimbela njengendlela yokuguqula umkhuhlane wonyaka kanye nokuhlolwa komdlavuza-isibonelo, i-mammogram for screening screening kanye ne colonoscopy for screening cancer.
Udokotela wokunakekelwa okuyinhloko angabuye ahlole izinkinga ezihlobene nokuhlaselwa kwenhliziyo nokushaya, nokunikeza ukwelulekwa kokuzivocavoca, ukubhema, ukusetshenziswa kotshwala, ukucindezeleka, noma ezinye izinto eziphathelene nokugula kwengqondo. Ukuvakashelwa kudokotela wakho oyinhloko noma udokotela wezinzwa kuyomvumela ukuba abambe ukutheleleka kwebhaktheriya njengokutheleleka kwamagciwane ngaphambi kokuba ahlasele.
Ngamanye amazwi, ngenkathi isifo sikaPasinson singathinta isikhathi sakho sokuphila noma somthandi wakho, izindaba ezinhle ukuthi izinga lokuphila (futhi kungenzeka ukuthi lide isikhathi eside) lungathuthukiswa ngokunakekelwa okufanele. Qinisekisa ukuthi uhlela ukulandelwa okuvamile nodokotela wakho, futhi uhlanganyele emitholampilo eyeluleka njengokwelashwa ngokomzimba nangokwenyama, ikakhulukazi ekuqaleni kwesifo.
> Imithombo:
> Macleod AD, Taylor KS, Counsell CE. Ukufa kwesifo sikaParkinson: ukubuyekezwa okuhlelekile nokuhlaziywa kwemeta. I-Disv Disord . 2014 Nov; 29 (13): 1615-22.
> Martinez-Ramirez D. et al. Isilinganiso se-aspiration pneumonia ezigulini zesifo se-Parkinson zezifo: ukutadisha ngezigaba. BMC Neurol . 2015; 15: 104.
> National Parkinson Foundation. Yini i-Parkinson?
> Pinter B, et al. Ukufa kwesifo sikaParkinson: isifundo sokulandela ukulandela ukulandela iminyaka engu-38. I-Disv Disord . 2015 Feb; 30 (2): 266-9.
> Willis AW, Schootman M, Kung N, Evanoff BA, Perlmutter JS, Racette BA. Izibikezelo zokusinda ePalinsons > izifo. Arch Neurol. 2012 Meyi; 69 (5): 601-07.