Kodi mwapeza kuti mutatenga mankhwala a Parkinson anu nthawi zina mumakhala osakanizidwa, molimbika komanso mwakuya kwambiri? Kodi kukhudzika kwanu kunakulowetsani muvuto? Kodi wothandizira wanu wasonyeza kuti akudandaula ndi zina zomwe mumachita 'khalidwe' -makhalidwe omwe amayamba mutatenga mankhwala anu PD? Mankhwala ena a dopamine omwe amagwiritsidwa ntchito pochiza matenda a Parkinson amakuchititsani kukhala ndi makhalidwe atsopano kuphatikizapo kutchova njuga, kugwiritsa ntchito ndalama, kudya, kugonana komanso kugonana.
Nkhani yabwino ndi yakuti mitundu yambiri ya matenda osokoneza bongo (ICD) imatha kuchizidwa mwa kusintha mayeza a mankhwala. Koma nthawi zina kungosintha ma dose sikugwira ntchito. Kodi mumachita chiyani? Mwamwayi, zochepa zowonjezera zowonjezera ziri kunja uko pa njira zamankhwala za ICD mu PD kupitirira kusintha kwa mankhwala. Nazi malangizo ena okhudza chithandizo cha ICD mu PD omwe adachokera ku magwero omwe alipo. Kambiranani ndi dokotala nthawi zonse kuti mudziwe mankhwala omwe angakuthandizeni.
Kodi Mukuopsezedwa ndi ICD?
Choyamba, kodi muli pachiopsezo cha ICDs? Kodi mukulandira mankhwala a dopamine agonist ndi / kapena kuchuluka kwa mankhwala a levodopa? Kodi ndinu wamwamuna, muli ndi mbiri yakuvutika maganizo, mbiri yaumwini kapena banja la kudalira thupi, msinkhu wa msinkhu wa PD, kapena kutuluka kwa dyskinesia? Kambiranani ndi dokotala zizindikirozi ndikuwone ngati mungathe kukhazikitsa dongosolo loyang'anira ndi madokotala anu kuti muthe kuona ma ICD omwe akuwoneka kuti asanakuchitireni inu ndi banja lanu.
Ngati muli pachiopsezo chotere kapena panopa muli ndi ICD, ganizirani njira zina zomwe zingakuthandizireni kuchepetsa zotsatira za ICD monga kulepheretsa kupeza ndalama, kutseka ma intaneti omwe akuphatikiza njuga kapena zolaula; Kugula pokhapokha wachibale kapena mnzanu alipo, ndikuchita nawo magulu khumi ndi awiri othandizira (monga Achewu, Odala Ngongole, kapena Odyera Osadziwika).
Kusintha Mankhwala Kungakuthandizeni
Funsani dokotala wanu za kusintha mankhwala anu kuchokera ku mtundu wina wa agonist kupita ku wina (monga pramipexole kapena perdial to ropinirole kapena pramipexole to per gold),
Ngati kusintha mazira kapena kusinthiratu mankhwala anu sikugwira ntchito, funsani dokotala za kuyesa 'neuroleptic' monga haloperidol kapena pimozide. Mankhwalawa amachepetsa ma dopamine mu ubongo ndipo amathandiza kuchepetsa ICD. Vuto ndilokuti mankhwalawa ndi otchedwa antipychotic antiyypical monga olanzapine ndi risperidone angapangitse kwambiri PD motor ntchito.
Pali umboni wina wofooka wakuti Quetiapine ndi clozapine amatha kutchova njuga komanso kugonana kwa abambo ku PD. Vuto la mankhwalawa ndilokuti amawononga zizindikiro za PD motero ndipo amakhala ndi zotsatira zina zoopsa. Clozapine amakhala ndi chiopsezo chochepa cha agranulocytosis ndipo ikhoza kupha ngati sichidziwika msanga.
Kuzama kwa ubongo kumatchulidwa ngati mankhwala a ICD mu PD koma mpaka pano, umboniwo umasakanikirana ndi mphamvu zake kwa ICDs.
Zotsatira:
> Isaias IU, Siri C, Cilia R, De Gaspari D, Pezzoli G, Antonini A. Chiyanjano Pakati pa Kutengeka ndi Kugonjetsedwa kwa Magetsi ku Matenda a Parkinson. Mov Disord. 2008 Feb 15; 23 (3): 411-5.
Lim SY, Evans AH, JM Miyasaki. Ann. Kugonjetsa ndi Matenda Okhudzana ndi Matenda a Parkinson: kuwonanso. NY Acad Sci. 2008 Oct; 1142: 85-107.
Weintraub D. Ndemanga. Dopamine ndi Control Impulse Kudwala mu Matenda a Parkinson. Ann Neurol. 2008 Dec; 64 Suppl 2: S93-100.