Anthu omwe ali ndi zaka zoyambirira mpaka kumapeto angathe kuchita masewera olimbitsa thupi pazomwe amapanga
Ziri bwino kuti zochitika zolimbitsa thupi zimathandiza anthu omwe ali ndi matenda a Parkinson oyambirira komanso apakati. Chimene sichiri chowonekera ndi mtundu wa masewera olimbitsa thupi omwe amathandiza anthu omwe ali ndi matendawa. Sizidziwikiratu kuti mphamvu ya masewera olimbitsa thupi imathandiza bwanji.
Posachedwapa, ofufuza achita chidwi ndi masewera olimbitsa thupi ngati mankhwala a Parkinson. Mwachikhalidwe, matenda a Parkinson amachiritsidwa pogwiritsa ntchito mankhwala ndi opaleshoni; Komabe, masewera olimbitsa thupi ndi otsika mtengo, osagonjetsedwa ndi zotsatira zochepa zochepa kupatulapo zowawa zazing'ono.
Komanso, kugwiritsa ntchito mankhwala osokoneza bongo omwe amagwiritsidwa ntchito pochiza matenda a Parkinson kumachepetsanso pakapita nthawi, ndipo njira zothandizira matenda osagwiritsa ntchito mankhwala ndizofunikira kwambiri polimbana ndi matenda.
Tisanayambe kufufuza kafukufuku angapo pofufuza zochitika za matenda a Parkinson, ndikofunika kufotokoza mfundo imodzi. Zingawoneke ngati zopanda phindu kwa munthu yemwe ali ndi matenda a Parkinson kuti apange masewera olimbitsa thupi pamtunda. Ndipotu, matenda a Parkinson ndi matenda omwe amachititsa kuti thupi likhale lolimba, liwopsye, likhale losasinthika, ndi zina zotero. Koma kumbukirani kuti odwala m'maphunzirowa analipo kale mu matenda awo. Mwa kuyankhula kwina, kuchita masewera olimbitsa thupi sikunayesedwe kwa anthu omwe ali ndi sitepe ya Parkinson ya msana.
Matenda a Parkinson: Background Info
Matenda a Parkinson kawirikawiri amapezeka mwadzidzidzi ndipo ndi osadziwika. Pafupifupi anthu miliyoni a ku America amakhala ndi matenda a Parkinson.
Padziko lonse pali anthu 10 miliyoni okhala ndi matenda a Parkinson. Akuluakulu omwe amadziwa kuti ali ndi matenda a Parkinson ali ndi zaka 60, ndipo matendawa amakula pang'onopang'ono zaka 10 kapena 25 zotsatira.
Mu ubongo, maselo a mitsempha amagwiritsira ntchito dopamine kuti athetse minofu ya minofu. Kwa anthu okhala ndi matenda a Parkinson, maselo a ubongo opanga dopamine pang'onopang'ono amafa.
Pakapita nthawi, zimakhala zovuta kuti anthu omwe ali ndi matenda a Parkinson asunthe minofu yawo.
Zotsatirazi ndi zizindikiro za matenda a Parkinson:
- Kuwombera kwa mapiritsi a manja pa mpumulo
- "Cogwheel" rigidity
- Kutsika pang'ono kwa minofu (ie, bradykinesia)
- Kudzetsa
- Kusokoneza
- Nkhawa
- Mawu a monotone
- Kuwonekera "nkhope"
- Kutsekedwa kwachitukuko
- Kutsekedwa
- Kusokonezeka maganizo
- Kusokoneza tulo
- Kupuma
Matendawa a matenda a Parkinson amachokera ku mbiri yakale komanso zofufuza za thupi. Chofunika kwambiri, kuwonetsa khunyu, EEG, ndi maphunziro a madzi a msana nthawi zambiri zimakhala zochepa kwa zaka za anthu omwe ali ndi matenda a Parkinson.
Mwatsoka, palibe mankhwala a matenda a Parkinson. Mankhwala ena monga carbidopa-levodopa (Sinemet) ndi MAO-B omwe amawagwiritsa ntchito angagwiritsidwe ntchito polowera kapena kuwonjezera ma dopamine mu ubongo. Mankhwalawa amatha kutaya nthawi komanso amakhala ndi zotsatira zoipa.
Matenda a Parkinson amathandizidwanso ndi mankhwala osokoneza bongo omwe amathandiza kuti asokonezeke maganizo, azidandaula, ndi mavuto ogona.
Kuzama-kukakamiza ubongo ndi mtundu wa opaleshoni yomwe imagwiritsidwa ntchito pochiza matenda a Parkinson. Njirayi ingathandize polepheretsa zizindikiro zokhudzana ndi ubongo, monga kunjenjemera, kukhwima, kuuma, ndi mavuto ndi kuyenda.
Mu 2001, zotsatira za Cochrane Review zinanena kuti panalibe umboni wokhutira kuti zithandizira kapena kutsutsa ubwino uliwonse wa zochitika zochizira matenda a Parkinson. Komanso, panthawiyi, kuwonetsa zotsatira za masewera olimbitsa thupi pa matenda a Parkinson kunali kwa kanthawi kochepa, osakhala ndi nthawi yotsatira. Komabe, kwa zaka zambiri akhala akuganiza kuti kuchita masewera olimbitsa thupi kwa omwe ali ndi matenda a Parkinson kunali kofunikira kuti achepetse kuchepa, kusinthasintha, ndi kuchepetsa.
Kuchita khama kwawonetsedwa kuti kulimbikitsa kukula ndi kukula kwa mitsempha ndi kuteteza maselo a mitsempha mu zinyama.
Komabe, zinyama sizili zofanana ndi anthu.
Pomalizira, kafukufuku wambiri akuwonetsa kuti kuchita masewera olimbitsa thupi m'kati mwa midlife kungateteze ku matenda a Parkinson m'moyo wamtsogolo.
Kuyankha Kwambiri Kwambiri Kuchita Zochita
Mu November 2012, Schenkman ndi anzake ankapindula phindu laling'ono komanso lalitali la mitundu iwiri yochita masewera olimbitsa thupi omwe amaphunzira nawo ndi matenda a Parkinson. Mlandu wochita nawo masewera olimbitsa thupi mwadzidzidzi unachitikira m'kati mwa miyezi 16 ndipo unachitikitsidwa kuchipatala chapakati.
Mu phunziroli, 121 ophunzira omwe ali ndi matenda oyambirira kapena pakati pa Parkinson adatumizidwa ku magulu atatu. Gulu loyambalo linkachita zinthu zolimbitsa thupi / zolimbitsa thupi / ntchito. Gulu lachiwiri likuchita masewera olimbitsa thupi pogwiritsira ntchito treadmill, bike, kapena elliptical trainer. Gulu lachitatu, kapena gulu lolamulira, limagwiritsidwa ntchito panyumba-monga momwe tafotokozera pulogalamu yowonongeka yotchedwa Fitness Counts , yomwe inakhazikitsidwa ndi National Parkinson Foundation.
Magulu awiri oyambirira anayang'aniridwa ndikugwiritsa ntchito katatu pa sabata kwa miyezi inayi. Pambuyo pake, kuyang'aniridwa kunkapangidwira kamodzi pa mwezi kwa nthawi ya phunziro la miyezi 16. Gulu lolamulira linayang'aniridwa kamodzi pa mwezi kwa miyezi 16.
Ophunzira adayesedwa pogwiritsa ntchito mayesero osiyanasiyana pa 4, 10, ndi miyezi 16. Nazi zotsatira za ofufuza:
- Pa miyezi inayi, ntchito yonse ikuyenda bwino mu kagulu ka kayendedwe ka ntchito / kayendedwe / kagwiridwe ka ntchito poyerekeza ndi kachitidwe ka aerobic ndi magulu olamulira.
- Pa miyezi 4, 10, ndi 16, kuyenda bwino kwa chuma (mwachitsanzo, kuyendetsa bwino kayendetsedwe kake) kumapangika bwino pakagulu lochita masewera olimbitsa thupi poyerekeza ndi gulu la kusinthasintha / kuchepetsa / ntchito.
- Kusamvana kunali kofanana pakati pa magulu onse.
- Pakati pa miyezi 4 ndi 16, ntchito za moyo wa tsiku ndi tsiku zimakhala zosavuta kumagwirizana ndi gulu lolamulira.
Zotsatira za phunziroli zikusonyeza kuti mitundu yosiyanasiyana ya machitidwe amapindulitsa kwambiri kwa omwe ali ndi matenda a Parkinson. Mapulogalamu a kupirira akuwoneka kuti akuthandizira phindu lalikulu kwambiri.
Malingana ndi Schenkman ndi alembi ena:
Malipoti oyenerera ochokera kwa omaliza maphunziro a miyezi 16 akutsindika kuti anthu amafunika kuthandizidwa kuti azichita masewera olimbitsa thupi nthawi zonse. Timalimbikitsa kuti madokotala azitha kupeza njira zothandizira anthu okhala ndi PD [Parkinson's disease] kuti apange ndi kusunga zizoloŵezi zolimbitsa thupi nthawi yaitali, kuphatikizapo mapulogalamu olimbitsa thupi komanso kupitiliza kuwunika ndi kuthandizira.
Zindikirani, phunziro ili linali ndi malire ake.
Choyamba, gulu lolamulira limagwira ntchito yochita masewera olimbitsa thupi chifukwa zingakhale zosayenera kuti ophunzirawa asaphunzirepo kalikonse. Mwa kuyankhula kwina, ngakhale gulu "loona" likanakhala lopanda kuchita masewera olimbitsa thupi mu miyezi 16, potsata kuti njirayi idzawononge thanzi. Malingana ndi ochita kafukufuku, kafukufuku wa bungwe la National Parkinson Foundation unapangitsa kuti phindu lina likhale lopindulitsa, koma osati phindu lalikulu monga momwe ophunzira adakhalira pulogalamu yochita zolimbitsa thupi zomwe zimakhudzana ndi kusinthasintha / kuchita masewera olimbitsa thupi kapena kuchita masewera olimbitsa thupi.
Chachiwiri, phunziroli lidachitidwa ku Colorado, lomwe liri limodzi mwa mayiko ovuta kwambiri mu Union. Zikuoneka kuti ophunzira mu phunziroli akuchita zambiri pazowonjezereka kuposa momwe anthu ena amachitira ndikupanga zotsatira zosapindulitsa.
Chachitatu, otsogolera m'magulu atatuwa adalandira ndalama zosiyana, zomwe zingasokoneze zotsatira.
Potsiriza, zinali zovuta kuyesa kutsatila ku masewera olimbitsa thupi, ndipo ochita kafukufuku amadalira zolemba zochitika-osati zowonetsera ntchito-kuti achite zoterozo.
Matenda Ochita Zovuta Kwambiri ndi Matenda a Parkinson
Phunziro mu Matenda a Parkinson a Kuchita Zophunzitsa (SPARX) anali chigawo chachiwiri, kuyesedwa kosawerengeka komwe kunachitika ndi Schenkman ndi anzake pakati pa May 2012 ndi November 2015. Otsatira pa mayeserowa anayesedwa patapita miyezi isanu ndi umodzi.
Mu trial SPARX, anthu 128 omwe ali ndi matenda a Parkinson omwe anali a zaka za pakati pa 40 ndi 80 anali ogawidwa m'magulu atatu.
Gulu loyesa kuyesera lidachita masewera olimbitsa thupi, gulu lachiwiri loyesera linayamba kuchita masewero olimbitsa thupi, ndipo mamembala a gulu lolamulira analembedwera kuti athe kuchita nawo masewera olimbitsa thupi. (Ndiponso, sikungakhale kwanzeru kukana gulu lolamulira mwayi wochita masewero olimbitsa thupi).
Ndipotu, ophunzirawo anapeza kuti ali ndi matenda a parnos Parkinson (ie, omwe anapezeka m'zaka zisanu zapitazi) ndipo sanayembekezere kumwa mankhwala a dopaminergic (antiparkinson) pa nthawi ya miyezi isanu ndi umodzi yomwe atenga mbali. Kuwonjezera apo, palibe aliyense mwa omwe adagwira nawo ntchitoyi pochita zinthu zolimbitsa thupi.
Kuchita masewera olimbitsa thupi kunali ndi masiku anai pa sabata pa tsamba lopukutira pamtunda. Zochita masewera olimbitsa thupi zinayambikanso kanayi pa sabata koma pakati pa 60 peresenti ndi 65 peresenti yapamtima kwambiri.
Cholinga cha mayesero 2 a SPARX chinali kudziwa ngati odwala omwe ali ndi matenda a Parkinson angathe kuchita bwino kwambiri. Ofufuzawo sanadziwe ngati kuchita masewera olimbitsa thupi pakati pa 80 peresenti ndi 85 peresenti yapangitsa kuti anthu omwe ali ndi matenda a novo Parkinson apindule. Pamapeto pake, ochita kafukufukuyu anafuna kudziwa ngati ntchito yowonjezereka ingayesedwe mu mayesero atatu. Mayesero atatuwa adzalingalira phindu lothandizira.
Malingana ndi Schenkman ndi alembi ena:
Chimodzi mwa zifukwa zolepheretsa kusamukira kumayesero atatu ndikuti mlingo woyenerera wa masewera olimbitsa thupi suyenera kukhazikitsidwa pazochita zolimbitsa thupi. Kuchita masewera olimbitsa thupi kumafuna kudzipereka kwakukulu kwa nthawi ndi khama poyerekeza ndi njira zothandizira mankhwala. Kupanga zopanda phindu kunagwiritsidwa ntchito pofuna kutsimikizira kuti kupitiliza kuphunziranso mlingo woyenera kuchita, kumatsimikizira njira yodziwira bwino mlingo woyenerera musanapitirire kuyesedwa koyambako katatu ku Parkinson matenda. Zomwe zimachitika kuti anthu asapitirize kuchita zinthu zolimbitsa thupi ziyenera kuyendetsa patsogolo.
Kufufuza kwa SPARX kunali ndi malire.
Choyamba, kuchita masewero olimbitsa thupi kunkachitika pokhapokha pamtunda wopalamula komanso osagwiritsa ntchito zipangizo zina zolimbitsa thupi.
Chachiwiri, kuthamanga kwa masitimu ndi kuthamanga kwakukulu kunasinthidwa kuti apereke kuchita masewera olimbitsa thupi; Komabe, sizikudziwika bwino kuti kaya zonse kapena zonsezi zikhoza kusintha zizindikiro zamagalimoto ku Parkinson's disease.
Chachitatu, sizikudziwika bwino momwe zingagwiritsire ntchito zovuta zolimbitsa thupi ndi zochitika zina za thupi zomwe zimapindulitsa kwa anthu omwe ali ndi matenda a Parkinson, monga Tai Chi kapena kuphunzitsa mphamvu, angapindule kwambiri ndi chipatala.
Mawu Ochokera
Tikudziwa kuti zochitikazo zimathandiza anthu omwe ali ndi matenda a Parkinson. Kafukufuku watsopano akusonyeza kuti ntchito yopanga mapepala apamwamba kwambiri imatha kuperekedwa mwachangu kwa odwala matenda a Parkinson komanso kuti anthu omwe ali ndi matenda a parkinson oyambirira mpaka kumapeto amapindula ndi mitundu yosiyanasiyana ya masewera olimbitsa thupi, kuphatikizapo kusinthasintha, kusinthanitsa, ndi kuthamanga.
Kafufuzidwe kafukufuku amafunika kuchitidwa kuti azindikire phindu lenileni la masewero olimba kwambiri. Ngati inu kapena wokondedwa wanu mumapezeka kuti muli ndi matenda a Parkinson, chonde funsani dokotala wanu za mtundu uliwonse wa masewero olimbitsa thupi omwe mungachite bwino.
> Zotsatira:
> Matenda a Parkinson. Mu: Kasper DL, Fauci AS, Hauser SL, Longo DL, Jameson J, Loscalzo J. eds. Buku la Harrison la Harrison la 19, New York, NY: McGraw-Hill.
> Matenda a Parkinson. Medline Plus. https://medlineplus.gov/parkinsonsdisease.html.
> Schenkman M, et al. Mmene Mphamvu Yopangira Maphunziro Amagwiritsira Ntchito Zizindikiro za Magalimoto Kwa Odwala Ndi De Novo Parkinson Matenda A Phase 2 Yowonongeka Kwambiri. JAMA Neurology. December 11, 2017. do: 10.1001 / jamaneurol.2017.3517.
> Schenkman M, et al. Kuchita Zochita kwa Anthu Kumayambiriro Akumayambiriro Kapena Kumadzulo a Parkinson Matenda: Mwezi wa Mwezi 16 Wosinthidwa Wowonongeka. Thandizo la Thupi. 2012; 92 (11): 1395-1410. lembani: 10.2522 / ptj.20110472.