Kulemera kwa thupi kungasonyeze Parkinson yanu ikupita patsogolo
Ngati muli ndi matenda a Parkinson (PD), mungaganize kuti limodzi mwa mapindu pang'ono a PD ndi kulemera, koma sikuti ndi zoona. Kulemera kwa kulemera kwa anthu omwe ali ndi matenda a Parkinson sikulikonse, koma pafupifupi anthu anayi omwe ali ndi matenda a Parkinson amalema poyerekeza ndi anthu a msinkhu wofanana ndi chikhalidwe chawo omwe alibe matenda.
Nthawi zambiri, kulemera kwake kumakhala kofatsa pang'ono, komabe anthu ena ataya masentimita 40 kapena 50 ataphunzira.
Kuchepetsa kulemera kwa thupi kungakhale "mbendera yofiira" yomwe imasonyeza matenda oopsa kwambiri kuyambira iwo omwe alemera kwambiri apezeka kuti akudwala mofulumira kwambiri matenda awo. Kulemera kwa thupi kumakhala kofala kwambiri kwa amayi omwe ali ndi matenda a Parkinson kusiyana ndi amuna ndipo amakula ndi msinkhu komanso kuchuluka kwa mankhwala a levodopa.
Chifukwa Chake Anthu Amene Ali ndi Tendeni ya Parkinson Kutaya Kunenepa
Pali ziphunzitso zambiri zokhudzana ndi chiyambi cha kuchepa kwa anthu omwe ali ndi matenda a Parkinson. Ena amakhulupirira kuti kutaya kununkhira, komwe kumakhudza chilakolako cha thupi, kumayambitsa kulemera kwa thupi komanso kuwonjezeka kwa ndalama komanso mafuta owopsa chifukwa cha kutentha ndi dyskinesias. Zolingaliro zina zimalongosola mavuto a maganizo okhudzana ndi matenda a Parkinson monga kupsinjika maganizo. Komabe, palibe mwazinthu izi zomwe zatsimikiziridwa kuti ndicho chokhacho chimene chimayambitsa kulemera.
Kuganiza kuti kulemera kwa thupi kumakhala kofala kwambiri kwa anthu omwe ali ndi levodopa / carbidopa kulowetsedwa gel (LCIG) osasamala bwino dyskinesias. Ngati muli ndi matenda a Parkinson, mungakhalenso ndi kuchepa kwa m'mimba, omwe amakhulupirira kuti ndi omwe amachititsa kuti thupi liwonongeke. Matenda amtundu ngati gastroparesis ndi kuchepa kwa matumbo a peristalsis asunge chakudya kuti asadye m'mimba mwachibadwa.
Izi zinachepetsa kuthamanga kwa mitsempha yosalala m'magazi ndi kwina kulikonse ndi matendawa nthawi zambiri imatchedwa "kuwonongeka kwa mphamvu," ndipo zingayambitse kulemera.
Kuopsa kwa kusoŵa zakudya m'thupi
Kusiyana ndi kuchepa kwa thupi wokha, kuperewera kwa zakudya m'thupi ndi vuto lina limene mungakumane nalo ngati mukukhala ndi Parkinson. Kafukufuku apeza kuti kusoŵa zakudya m'thupi kwapezeka pakati pa zero ndi 24 peresenti ya anthu omwe ali ndi PD, ndipo ena 3 mpaka 60 peresenti ali pachiopsezo chosowa zakudya m'thupi. Popeza palibe maphunziro ambiri akuyang'ana pa mutu uwu, nambala yeniyeni ikhoza kukhala yayikulu kwambiri kuposa iyi.
Chifukwa Chake Kutaya Kwambiri Kumakhudza
Ochita kafukufuku apeza kuti kutayika kwa thupi, kutanthauza kuti kutayika kwa pafupifupi paundi imodzi pa mwezi, kumagwirizana ndi khalidwe lapansi kwambiri la moyo. Ngakhale kuti kuperewera sikunali kuchepetsedwa, kukula kochepa kwa maphunziro ena kumapereka chiweruzo chenichenicho cha kuwonongeka kwa kulemera kwapakati pa moyo wovuta kuwunika.
Chodetsa nkhaŵa n'chakuti anthu omwe ali ndi matenda a Parkinson akuwoneka kuti ali pachiopsezo chachikulu cha matenda a osteoporosis, ndipo matenda odwala matenda a osteoporosis ndi chifukwa chachikulu cha matenda komanso imfa mwa akuluakulu. Kupepetsetsa kwalemera kwapezeka kuti kumawonjezera chiopsezo cha matenda a m'mimba mwa anthu omwe ali ndi PD-anthu amene ali ndi chiopsezo chachikulu cha kudwala matenda odwala matenda a m'mimba.
Kulemera kwa thupi kumapanganso chiopsezo cha zilonda zam'mimba ( zilonda za m'mimba ), vuto lina lomwe lawonjezeka kwa anthu omwe ali ndi PD chifukwa cha kugawidwa kwa mafuta a thupi ndi kulepheretsa kuyenda. Kuwonjezera pa kuwonongeka kwa thupi, Cachexia ndi chinthu china chodetsa nkhaŵa ndipo amachititsidwa kuti ndi chifukwa chachikulu chofa msanga.
Kafukufuku wina anapeza kuti anthu omwe ali ndi PD omwe amatha kulemera amakhala ndi matenda ofulumira kwambiri. Komabe, ochita kafukufuku sadziwa ngati kupweteka kumapangitsa kuti Parkinson ayambe kuwonjezeka kapena ngati kulemera kwake ndi chifukwa cha matenda oopsa kwambiri.
Kusamalira Parkinson Yanu ndi Kulemera
Ngati mumakhudzidwa ndi kuchuluka kwa kulemera kumene mwatayika, lankhulani ndi dokotala wanu.
Pambuyo poyesa kufufuza kwa parkinson wanu, apa pali malangizo omwe angakuthandizeni kuchepetsa kulemera kwanu:
Pangani nthawi yodyera zosangalatsa. Onjezerani zonunkhira ndi zokonzekera ku zakudya kuti muthe kuchepetsa kulawa kwa kukoma. Yang'anirani za aesthetics ya kudya. Kupititsa patsogolo maganizo ndi tebulo lokoma, nyimbo, ngakhale makandulo nthawi zina zimakhala zofunikira monga kukonza zakudya. Onetsetsani kuti muli ndi nthawi yokwanira yoti mudye. Kumva kuthamanga kungakhale chotchinga, makamaka kwa omwe omwe amatha kupweteka kwambiri m'mimba amayamba kuyenda pang'onopang'ono kusiyana ndi nthawi zonse.
Gwirani ndi akatswiri. Funani chithandizo cha kuvutika maganizo ndi mavuto ena omwe mungakhale nawo. Muyeneranso kufunsa dokotala ngati mankhwala anu akuyenera kusintha monga ena mwa iwo angathandizire kulemera. Mukhozanso kumagwira ntchito ndi munthu wokondweretsa zakudya kapena kuyesa zowonjezera zakudya. Mukhozanso kugwira ntchito ndi wophunzitsa kapena wodwalayo kuti akulimbikitseni ntchito yanu. Kuwonjezera masewera olimbitsa thupi - ngakhale zochepa zochitidwa - zingakulimbikitseni.
Konzani chakudya chanu. Sankhani zakudya zamakono nthawi zonse ndipo musamaope kudya zakudya zomwe mumakonda. Muyeneranso kudyetsa nthawi zamasana pamene muli ndi mphamvu zambiri komanso mumamwa zakumwa ndi kumwa pambuyo pa chakudya kusiyana ndi kale kapena panthawi ya chakudya, ngati n'kotheka.
Zotsatira
Akbar, U., He, Y., Dai, Y. et al. Kuchepetsa Kulemera kwa Mtengo ndi Kukhudzidwa pa Moyo Wathu mu Matenda a Parkinson. PLoS One . 2015. 10 (5): e0124541.
Malochet-Guinamand, S., Durif, F., ndi T. Thomas. Matenda a Parkinson: Chiwopsezo Choopsa cha Kutsekula kwa Mitsempha. Zowonjezereka Fupa . 2015. 82 (6): 406-10.
Mndandanda, J., Ash, S., Mellick, G., Silburn, P., ndi G. Kerr. Zizindikiro za matenda Zovuta zimayenderana ndi kusowa zakudya m'thupi mu Matenda a Parkinson. PLoS One . 2013. 8 (3): e57986.
Wills, A., Perez, A., Wang, J. et al. Kugwirizana Pakati pa Kusintha kwa Thupi la Misa, Thupi la Unified Parkinson Mlingo Wosakanikirana, ndi Kupulumuka Kwa Anthu Amene Ali Ndi Matenda a Parkinson: Zomwe Zili Zomwe Zimafufuza Zambiri za Longitudinal Kuchokera ku NINDS Kuyesedwa kwapachilengedwe ku Parkinson Matenda Phunziro Loyamba 1. JAMA Neurology . 2016. 73 (3): 321-8.