Kodi Dokotala Wanu Akufuna Chiyani Pamene Akukufunsani za Parkinson?
Palibe "mayeso a golidi" omwe angayang'ane matenda a Parkinson - mmalo mwake, madokotala amadalira okha zomwe akuziwona ndi chiweruzo pamodzi ndi momwe wodwalayo akufotokozera zizindikiro zomwe zingatheke kuti athe kupeza matendawa. Izi, ndithudi, zimaonetsetsa kuti thupi ndi lofunika kwambiri pa njira ya matenda.
Ulendo wopita ku ofesi ya a neurologist nthawi zambiri umaphatikizapo zomwe zikuwoneka ngati mafunso ambiri, pamodzi ndi mayesero ambiri.
Koma kodi madokotala akuyembekezera chiani pamatenda omwe amathandiza kutsimikizira kuti matenda a Parkinson ndi omwe amapezeka?
Ndipotu, kuchuluka kwa dokotala wanu kudzafufuza kuti mudziwe ngati muli ndi zotchedwa cardinal signs of Parkinson's: kupuma, bradykinesia (kuchepa kwa kayendedwe) ndi kusakhazikika kwachangu (kusayenerera bwino). Apa ndi momwe madokotala nthawi zambiri amayang'ana zizindikiro izi.
Parkinson's Physical: Kufuna Mitengo
Kutonthoza nthawi zambiri ndi chizindikiro choyamba cha matenda a Parkinson. Dokotala wanu mwachiwonekere adzayang'anirani izo mmanja mwanu mukakhala pansi ndi manja anu momasuka ndi manja anu pamphuno lanu - m'mawu ena, pamene mukupuma. Nthawi zina, makamaka kumayambiriro kwa matendawa, odwala ayenera kusokonezedwa (mwachitsanzo, powerengera kumbuyo kuchokera ku 10) kuti atuluke.
Kuphatikiza pa kupuma kwa dokotala, dokotala wanu adzayang'ana chivomezi cha postural, chimene chimachitika pamene manja anu ali pamalo otambasulidwa.
Angathenso kuyang'ana kuthamanga kwa kanyonga, komwe kumachitika mwadzidzidzi ndipo nthawi zambiri amayesedwa ndi mayesero a pakhomo (pamene wodwalayo amakhudza mphuno zawo ndi chala chake ndiyeno amamukhudza chala cha woyesera chomwe chimasintha malo ndi kuyesa).
Ngakhale kuti kutentha kwapansi kumayembekezeredwa mu matenda a Parkinson, anthu ambiri omwe ali ndi vutoli ali ndi mitundu yosiyanasiyana ya zivomezi.
Kulowera Pang'onopang'ono ku Parkinson
Chizindikiro cha matenda a Parkinson ichi, chotchedwa " bradykinesia " ndi madokotala, chimapezeka mwa anthu ambiri omwe ali ndi vutoli. Zingayambitse kusowa kwa maonekedwe a nkhope komanso kuchepa kwa maso pamphindi pafupipafupi, ndipo dokotala wanu ayang'ana zizindikiro izi pamayeso anu.
Dokotala wanu nayenso akhoza kuyesa mwamsanga kuyenda mwa kukupempha kuti mutsegule ndi kutseka dzanja lirilonse kapena kugwiritsira ntchito chala chanu chachindunji pamapazi anu mobwerezabwereza, ndikupanga kayendedwe kofulumira mwamsanga. Kwa anthu omwe ali ndi matenda a Parkinson , kayendetsedwe kake kamangoyamba mofulumira komanso kosavuta, komabe kadzawonongeka mofulumira, nkukhala pang'onopang'ono komanso moperewera.
Gawo ndi njira ina yoyesera izi. Kuwona wodwala akuyenda, pozindikira kutalika kwake kwa msinkhu wawo komanso msinkhu umene amasuntha, akhoza kuuza madokotala pang'ono. Kupanda mkono kwachitsulo ndi chinthu chomwe chikuwonekera mwachiyambi kwa iwo omwe ali ndi Parkinson.
Madokotala amayang'anitsanso kugwedezeka (chizindikiro china cha Parkinson) mwa kusuntha ziwalo zanu pamakutu anu, mawondo, mawondo ndi mabotolo kuti muwone ngati pali kukana. Kukanika kungakhale kosalala kapena kungawoneke ngati kusakayika pang'ono mu kayendetsedwe kake, kotchedwa cogwheeling. Izi nthawi zina zimapangidwa momveka bwino ndi wodwalayo akusunthira mbali yina.
Kulimbitsa Thupi Kumayambira Kumapeto kwa Parkinson
Kusayenerera kwabwino (zomwe madokotala amachitcha kuti "kusakhazikika") nthawi zambiri zimapezeka m'tsogolo mwa matendawa ndipo ndizofunika kwambiri kwa odwala.
Poyezetsa izi, dokotala wanu adzakweza msanga pamapewa anu atayima kumbuyo kwanu. Kutenga njira imodzi kapena ziwiri kumbuyo kuti muthe kuyendanso bwino ndi njira yachizolowezi, pamene china chirichonse chingasonyeze kukhalapo kwa chiwonongeko ichi chofooketsa.
Izi sizikutanthauza mndandandanda wa mayesero omwe katswiri wodwala matenda amachitidwe odwala amayendera kuti adziŵe wodwalayo, koma izi ndizo mayesero omwe mumawapeza panthawi yofufuza kuti mudziwe matenda a Parkinson.
Kudziwa zomwe dokotala akukufuna mu mayeserowa kungathandize kuti njira yoyezetsa matenda ikhale yosavuta.
Zotsatira:
Berardelli A et al. Mmene thupi limapangidwira matenda a Parkinson. Ubongo. 2001 Nov 124 (Pt 11): 2131-46.
National Institute of Neurological Disorders ndi Stroke. Zosangalatsa zimabwereza. Idafika pa Feb. 17, 2016.
National Parkinson Foundation. Postural Instability ndondomeko yolemba. Idafika pa Feb. 17, 2016.