Mavuto Okhudzana ndi Parkinson Angakhudze Moyo
Parkinson ndi chizoloŵezi chofala m'mimba ("kufa ndi maselo a mitsempha") matenda, ndipo ngakhale sichifa, kafukufuku amasonyeza kuti zingakhudze moyo wautali.
Kafukufuku mu Archives of Neurology anafufuza zaka zisanu ndi chimodzi zapakati pa 140,000 Medicare opindula ndi matenda a Parkinson ku United States. Pazaka zisanu ndi chimodzi, 64 peresenti ya anthu omwe ali ndi matenda a Parkinson adatha.
Kuopsa kwa imfa ya awo omwe ali ndi Parkinson ndiyeno kufanizidwa ndi odwala Medicare omwe alibe Parkinson kapena matenda ena onse, kuphatikizapo:
- matenda a mtima kapena congestive mtima kulephera
- matenda osokoneza bongo
- khungu, mapapo, kapena khansa ya m'mawere
- matenda a shuga
- kupwetekedwa
- matenda a impso
- chiphuphu chakuphwanyika
- Maganizo a Alzheimer's
Pamene kulamulira kwa mitundu yosiyanasiyana monga zaka, mtundu, ndi amai, ngozi yazaka zisanu ndi chimodzi ya imfa pakati pa anthu omwe ali ndi Parkinson anapezeka kuti ndi oposa 4 kuposa omwe amagwiritsidwa ntchito ndi Medicare popanda matenda kapena matenda ena.
Pa nthawi yomweyi, chiwerengero cha imfa pakati pa anthu omwe ali ndi matenda a Parkinson anali ofanana ndi omwe anali ndi chiuno cha mchiuno, matenda a maganizo a Alzheimer, kapena matenda a mtima omwe adakali pano makamaka ngakhale omwe anali atangophunzira kumene kuti ali ndi khansara yambiri, stroke, ischemic matenda a mtima, kapena matenda osokonezeka a pulmonary.
Kodi izi zikutanthauza chiyani? Zimatanthauza kuti kukhala ndi matenda a Parkinson kumakhudza moyo wa munthu.
Koma kumbukirani, si matenda a Parkinson omwe amawopsa. M'malo mwake, ndizovuta monga matenda kapena kugwa kumene kumachitika chifukwa chokhala ndi Parkinson zomwe zimawathandiza kukhala ndi moyo wautali.
Udindo wa Dementia ndi Zaka
Dementia imathandizanso kuti pakhale Parkinson.
Pamapeto pa kufufuza pamwambapa, anthu pafupifupi 70 peresenti ya anthu omwe ali ndi Parkinson anali atapezeka kuti ali ndi matenda a 'dementia', ndipo omwe ali ndi chifuwa chachikulu cha umphawi amakhala ndi moyo wochepa poyerekeza ndi omwe alibe.
Izi zikutanthauza kuti anthu omwe ali ndi matenda a 'dementia' akhoza kufa m'zaka zisanu ndi chimodzi kusiyana ndi omwe alibe dementia. Kuwonjezera apo, kufufuza kwa sayansi kwasonyeza kuti zaka zowonjezereka zikugwirizana ndi chiopsezo chowonjezeka cha imfa.
Ndikofunika kukumbukira kuti momwe matenda a Parkinson amasonyezera ndikupitirira ndikusinthasintha, ndipo katswiri wa m'magazi sangathe kulongosola molingana ndi nthawi yamoyo.
Mwa kuyankhula kwina, palibe zizindikiro zazikulu zomwe zimalola dokotala kuti adziwiratu moyo wathanzi. Ukalamba ndi kukhalapo kwa chifuwa chaumtima kumangowonjezera ndi chiopsezo chowonjezeka cha kufa.
Chaka Chotsatira cha Moyo mu Matenda a Parkinson
Kafukufukuyu adafufuzanso anthu pafupifupi 45,000 ogwira ntchito ku chipatala kwa anthu okhala ndi Parkinson, omwe amatanthauza kutha kwa moyo wawo. Kwa iwo omwe ali ndi PD, zifukwa zowonjezereka zopezeka m'chipatala zinali:
- Kutenga (pafupi 21 peresenti ya hospitalizations)
- Matenda a mtima (18.5 peresenti)
- Matenda opatsirana omwe sanali ochokera ku matenda (pafupifupi 13 peresenti)
Zopanda zochepa zomwe zimayambitsa kuchipatala zinali mavuto okhudza mimba kapena matumbo, minofu, dongosolo la mitsempha, kapena dongosolo la endocrine (mwachitsanzo, shuga).
N'zosadabwitsa kuti matendawa ndi omwe amapezeka kuchipatala asanafe, chifukwa anthu omwe ali ndi Parkinson ali pachiopsezo chotenga matenda osiyanasiyana chifukwa cha matenda awo. Mwachitsanzo, kuchepa kwa chikhodzodzo m'thupi la Parkinson kumawonjezera chiopsezo cha munthu kuti adziwe matenda opatsirana mkodzo, omwe angathe kuopseza moyo ngati sakudziwidwa ndikuchitidwa mwamsanga.
Kuonjezera apo, kafukufuku akusonyeza kuti chikoka cha chibayo ndi 3.8 nthawi zambiri kuposa anthu omwe ali ndi Parkinson poyerekeza ndi anthu ambiri.
Izo zakhala zikuwonetsedweratu kuti ndizo zimayambitsa imfa mwa anthu omwe ali ndi Parkinson.
Kupuma kwa chibayo kumabwera chifukwa choyambitsa mavuto, zomwe zimapangitsa kuti m'mimba muli mkati mwa mapapu. Kupanda malire ndi kukhwimitsa, zomwe zingayambitse kuchotsa minofu, zimathandizanso kuti pakhale chibayo mwa anthu omwe ali ndi Parkinson.
Inde, matenda a mtima ndiwo omwe amachititsa imfa ku United States, kotero n'zosadabwitsa kuti anthu omwe ali ndi Parkinson amaloledwa kuchipatala kuti asanamwalire. N'zochititsa chidwi kuti olemba mabukuwa adanena kuti madokotala ena omwe amachitira anthu ndi Parkinson amatha kuganiza kuti zizindikiro za matenda a mtima kapena mapapu (mwachitsanzo, kutopa, kufooka, ndi zovuta) monga zizindikiro za Parkinson.
Mawu Ochokera
Kuwonjezera pa kusamalira thanzi la Parkinson lanu, nkofunikanso kusamalira thanzi lanu lonse. Izi zikutanthawuza kuyendera dokotala wanu wamkulu pafupipafupi kuti asamalire ngati matenda a chiwopsezo chaka ndi chaka komanso kuyang'anitsitsa khansa. Mwachitsanzo, mamemografia a kuyang'anitsitsa khansa ya m'mawere ndi colonoscopy yowunikira khansa yamtundu.
Dokotala wamkulu wa chisamaliro angathenso kuyang'ana paziopsezo zokhudzana ndi matenda a mtima ndi zikwapu, ndi kupereka uphungu pazochita zolimbitsa thupi, kusuta fodya, kugwiritsa ntchito mowa, kupanikizika, kapena matenda ena am'maganizo. Maulendo obwereza kwa dokotala wanu wamkulu kapena dokotala wodwala matenda a ubongo amamulolanso kugwidwa ndi matenda a bakiteriya monga matenda a mkodzo asanafike poipa.
Mwa kuyankhula kwina, pamene matenda a Parkinson angakhudze moyo wanu wa wokondedwa, uthenga wabwino ndi wakuti khalidwe la moyo (komanso kukhala ndi moyo wautali) lingasinthe ndi kusamalidwa bwino. Onetsetsani kuti muzitsatira nthawi zonse ndi dokotala wanu, ndipo muzitha kulandira chithandizo chamankhwala monga mankhwala ndi thupi, makamaka kumayambiriro kwa matendawa.
> Zotsatira:
> Macleod AD, Taylor KS, Counsel CE. Kufa mu matenda a Parkinson: ndondomeko yowonongeka ndi kusanthula meta. Mov Disord . 2014 Nov; 29 (13): 1615-22.
> Martinez-Ramirez D. et al. Mlingo wa chifuwa cha chifuwa kuchipatala cha Parkinson matenda: ophunzirira pamtanda. BMC Neurol . 2015; 15: 104.
> National Parkinson Foundation. Kodi Parkinson ndi chiyani?
> Pinter B, et al. Kufa mu matenda a Parkinson: phunziro lakutsatila kwa zaka 38. Mov Disord . 2015 Feb; 30 (2): 266-9.
> Willis AW, Schootman M, Kung N, Evanoff BA, Perlmutter JS, Racette BA. Zomwe zimapangitsa kuti mukhale ndi matenda a Parkinson > matenda. Arch Neurol. 2012 May; 69 (5): 601-07.