Mikhalidwe Yodziwika Kwambiri ya Uchire ndi Chithandizo Chakudwala ndi Parkinson's Disease
Ngati muli ndi matenda a Parkinson , mungafunikire kuthana ndi mavuto a ubongo-kafukufuku amasonyeza kuti vuto la ukodzo ndilofala kuwonjezera pa zizindikiro zina za Parkinson. Popeza zizindikiro zamakono zingayambitse mavuto ena, monga kugona tulo komanso kusokonezeka ndi zosangalatsa, nkofunika kudziwa zomwe zikudetsa nkhaŵa ndikuphunzira zomwe zingatheke kuthandizira.
Kukula
Pamene parkinson yanu ikuipiraipira, vuto lanu lokhala ndi mavuto a ubodzo lidzakula. Pafupifupi, 39 peresenti ya anthu omwe ali ndi matenda a Parkinson amakumana ndi mavuto ena ndi ntchito yawo yamakono. Mwamwayi, chiopsezo chanu chokhala ndi ubweya wosakanikirana ndi chochepa-pafupifupi 15 peresenti.
Usiku Usiku Usiku (Nocturia)
Ndichizindikiro chochuluka kwambiri cha mkodzo kwa anthu omwe ali ndi matenda a Parkinson, omwe amachititsa anthu 60 peresenti (pamodzi ndi anthu ena omwe ali ndi zaka zofanana) ndizofunika kukodza usiku, wotchedwanso nocturia . Chizindikiro ichi, chitero, chingakhale ndi zifukwa zosiyanasiyana zosiyana siyana ndi matenda a Parkinson.
Limbikitsani Kudziletsa
Chinthu chotsatira chovuta kwambiri chakodzo ndi chikhumbo chopita nthawi zambiri-kwa anthu ena, kawirikawiri. Izi zimachitika chifukwa zizindikiro za mitsempha pakati pa chikhodzodzo ndi ubongo wanu sizikuyenda bwinobwino.
Izi zimafunika kukodza nthawi zambiri zimayambitsa mavuto osiyanasiyana.
Chimodzi mwa zovuta kwambiri ndi kusadziletsa, zomwe zingachitike pamene iwe umangokhala ngati sungakhoze kuyembekezera kuti ufike ku bafa ndipo mwadzidzidzi kukakamizidwa kukodza kumatsatiridwa ndi kutaya mwadzidzidzi kwa chikhodzodzo. Mwachiwonekere, izi zingakhale zochititsa manyazi.
Pemphani kuti munthu asamasunthike mosavuta masana masana, kapena atha kudzuka usiku kapena kutsuka.
Zikhoza kuchepetsedwa ndi madzi akumwa, makamaka, madzi akumva akuthamanga mu bafa kapena khitchini.
Pali mankhwala osiyana osiyanasiyana omwe angathandize kuthana ndi vutoli loyenera kupita mobwerezabwereza. Ngati muli ndi vutoli, lankhulani ndi dokotala wanu za izo kuti athe kukuthandizani kuthetsa vutoli.
Mavuto Ogona
Vuto lina la kukodza kawirikawiri mu matenda a Parkinson ndikuti zimasokoneza tulo. Zosafunika kunena, anthu omwe ali ndi Parkinson ali ndi mavuto okwanira ogona popanda kuwuka ndikupita kuchimbudzi maola angapo!
Ndiye kodi mungachite chiyani pokhuza mtima wanu kuti mupite kawirikawiri usiku? Madokotala ambiri amalimbikitsa kuchepetsa madzimadzi anu madzulo kudya ndi kutaya chikhodzodzo chanu nthawi yomweyo musanagone. Kukhazikitsa chovala cha pamphepete mwa bedi kotero kuti pamene mukufunikira kupita usiku zomwe muyenera kuchita ndi kukhala kapena kuima pafupi ndi bedi kungathandizenso. Pomaliza, mungaganizire pogwiritsa ntchito zovala zapansi monga zotengera usiku kuti mupewe maulendo angapo kupita ku bafa.
Kuchotsa Chikhodzodzo chosakwanira
Matenda a Parkinson angapangitsenso kukhala kovuta kwambiri kuti muchotse chikhodzodzo chanu kwathunthu. Izi zimachitika mobwerezabwereza kusiyana ndi kufunikira kokodza nthawi zambiri, koma zimakhudza anthu ambiri omwe ali ndi Parkinson.
Minofu yanu ndiyo yomwe imayambitsa vutoli. Mukamayambitsa, mumatulutsa minofu yambiri, ndipo Parkinson ingachititse kuti zikhale zovuta kuti muthetse minofu imeneyi. Nthawi zina, zimatengera nthawi yaitali kuti mupumule mokwanira, anthu sangakhale mu bafa nthawi yaitali kuti athetse zovala zawo.
Mwamwayi, mankhwala siwothandiza nthawizonse ndi chikhodzodzo chosakwanira mu matenda a Parkinson, ngakhale kuti mankhwala a Urecholine (dzina lachibadwa: bethanechol) kapena mankhwala ena okhudzana ndi kusungidwa kwa mkodzo angapangitse kusiyana.
Anthu ena omwe amasungidwa mkodzo amafunika kugwiritsa ntchito katheta yamakina kuti asataya zovala zawo.
Ngati ndi choncho kwa inu, dokotala wanu angakuphunzitseni momwe mungagwiritsire ntchito kathete.
Njira Zothandizira
Mankhwala omwe amapezeka m'thupi mwa Parkinson akudalira njira zamakono. Zosankha zina (malinga ndi chifukwa ndi njira) zikuphatikizapo:
- Mankhwala - Mankhwala osokoneza bongo, makamaka mankhwala a antitimuscarinic monga mankhwala achikulire a Ditropan (oxybutyrin) angakhale othandiza kwa anthu ena, koma zovuta kugwiritsa ntchito mankhwala ochiritsa matenda a Parkinson ndikuti mankhwala ambiriwa akhoza kuwononga zizindikiro zina.
- Kuphunzitsa chikhodzodzo
- Thupi la botulinum linalowetsedwa m'chikhodzodzo
- Catheters
- Njira zotetezera monga ngati zabwino pambali pa bedi ndi Zimadalira.
Pansi pa Zizindikiro za Urinary Ndi Matenda a Parkinson
Zizindikiro za m'midzi ndizofunika kwambiri kuti muwunike anthu omwe ali ndi matenda a Parkinson. Mwa kuyankhula kwina, iwo sali chabe chokhumudwitsa. Kuphatikizidwa ndi mavuto oyendayenda chifukwa cha matendawa, usiku kumakoka ndi kulimbikitsa kusadziletsa kumabweretsa chiopsezo cha kugwa, ndipo zonse zomwe zikuyenda zikugwa. Mankhwala omwe timakhala nawo pa zizindikiro zimakhala zothandiza kwa anthu ena, komanso amatha kuwononga zizindikiro zina za matenda a Parkinson. Ngati mukukhala ndi matendawa, ganizirani kupempha kuti mufunsane ndi katswiri wa urologist yemwe amapanga chithandizo cha kuyamwitsa kwa omwe akukumana ndi matenda a Parkinson.
Zotsatira:
McDonald, C., Winge, K., ndi D. Burn. Zizindikiro Zochepa Zogwiritsa Ntchito Uchigawo M'maganizo a Parkinson: Kukula, Aetiology, ndi Management. Parkinsonism ndi Matenda Ogwirizana . 2016 Nov 1. (Epub patsogolo pa kusindikiza).
Sakakibara, R., Panicker, J., Finazzi-Agro, E. et al. Chitsogozo Chotsogolera Chakusowa kwa Chikhodzodzo mu Matenda a Parkinson ndi Matenda Ena Opatsirana. Neurourology ndi Urodynamics . 2016. 35 (5): 551-63.
Yeo, L., Singh, R., Gundeti, M., Barua, J., ndi J. Masood. Kusokonezeka kwa Matenda a Urinary mu Matenda a Parkinson: Kubwereza. Urology International ndi Nephrology . 2012. 44 (2): 415-24.