Simunayambe kwambiri ...
Matenda a Parkinson ndi amodzi mwa matenda omwe amabwera m'mbuyo mochedwa, omwe amawononga pafupifupi 1.5% mpaka 2.0% ya anthu oposa zaka 60. Achinyamata a Parkinson (asanakwanitse zaka 40) amapezeka pakati pa 5-10% mwa anthu omwe amapezeka ndipo 20 peresenti ya anthu omwe ali ndi vutoli ali osakwana zaka 50.
Mosasamala kanthu za zaka zoyambira, tonsefe timagwirizana mogwirizana ndi zomwe moyo wa Parkinson umabweretsa koma omwe ali ndi YOPD akhoza kuthana ndi zovuta zosiyana siyana, kuchoka ku matenda ndikuyamba kudwala komanso kuchitapo kanthu pa chithandizo chamankhwala chifukwa cha matenda - omwe ali ndi YOPD ayenera kukhala ndi moyo nthawi yaitali ndi zovuta za matendawa.
Osati kuchepetsa njira iliyonse imene anthu omwe ali ndi matendawa amayamba chifukwa cha matendawa. Choncho ngakhale kuti matendawa akhoza kugawidwa, zomwe zimachitika ndi matendawa zingakhale zosiyana m'njira zosiyanasiyana.
Mavuto a Matenda Achidwi Achinyamata
Choyamba pa onse omwe ali ndi matenda oyamba kumene sakhala nawo mofanana ndi anzawo okalamba. Kafukufuku wasonyeza kuti mu mawonekedwe a achinyamata omwe ali odwala matendawa amapezeka mosavuta ndi kupweteka; ziphuphu ndi maimidwe a dystonic amapezeka mobwerezabwereza kuposa omwe ali ndi matendawa. Ichi ndi chifukwa chake matenda oyamba otchedwa tendonitis makamaka omwe amapezeka pamlingo wapamwamba ndi ofala kwambiri pamayambiriro a matendawa kwa odwala ambiri. Chifukwa cha zizindikiro zapachilomboka patsikuli komanso kuti madokotala akutha kuwonetsa Parkinson chifukwa cha msinkhu wa odwala, kafukufuku wasonyeza kuti madokotala amatenga nthawi yaitali kuti apeze odwala oyambirira.
Phunziro linalake, kusiyana kumeneku kwa nthawi yochidziwitso kunali kwa miyezi khumi ndi theka kwa odwala ochepa.
Odwala a YOPD ali ndi chiopsezo chowonjezereka chifukwa cha zizindikiro za PD (monga matenda ogona, kupsinjika maganizo, nkhawa, kudzimbidwa, mphamvu zochepa, mphamvu zamakono, kusasamala ndi zina zotero) ngakhale kuti ali ndi chiŵerengero chochepa cha dementia.
Odwala oyambirira amayamba kuchuluka kwa dystonia poyamba komanso panthawi ya mankhwala,
Ponena za oyang'anira, odwala achinyamata ali ndi kuchuluka kwa dyskinesias poyankha mankhwala a L-DOPA. Odwala a YOPD amatha kukhala ndi zovuta zokhudzana ndi chithandizo monga zamagalimoto kusinthasintha ndi dyskinesias kumayambiriro kwa matenda awo. Schrag et. al. anapeza kuti magawo 100 mwa maphunziro a YOPD mu phunziro lawo adakhala ndi zovuta zothandizira pakadutsa zaka 10 kapena zochepa za matendawa.
Ponena za matenda, umboni umene ulipo ukusonyeza kuti odwala a PD omwe ali aang'ono msinkhu amakhala ndi matenda ochepa pang'onopang'ono. Ophunzira ena a YOPD adatenga nthawi yayitali (2.9 zaka) kuti afike ku H & Y Gawo 1 kuchokera kuchizindikiro poyambira poyerekeza ndi odwala oyambirira (1.7 zaka) (Jankovic et al.).
Maganizo Otseka
Choncho pali mavuto ambiri azachipatala ndi oyang'anira omwe ali osiyana ndi gulu la YOPD. Utsogoleri wa zizindikiro zimakhala zovuta komanso odwala a Young-Allt Parkinson's (YOPD) ali ndi mavuto a maganizo omwe amachititsa mavuto ambiri. Kafukufuku wasonyeza kuti msinkhu wa msinkhu wawo unali wofanana kwambiri ndi khalidwe labwino kwambiri la moyo.
Kuyamba kochepa kwachinyamata kunayambanso kukhala pangozi yaumphawi wodalirika wokhala ndi moyo wokhazikika.
Anthu omwe ali ndi YOPD amapezeka m'zaka zabwino kwambiri za moyo wawo, pamutu wa ntchito zawo, pamene akudzipangira okha ndalama, kulera mabanja, kawirikawiri mabanja achichepere omwe amakhalanso ndi ndondomeko ya moyo wapadera. Zovuta zomwe sizingakhale zopinga zazikulu zowonjezereka - kuzungulira ntchito, kusungira ndalama, maubwenzi, kulera ana komanso zolinga zamtsogolo. Mavuto awa amaganizo amafunikira chidwi kwambiri monga mavuto a zachipatala; Zimakhudza kwambiri kuvutika maganizo kwa wodwala ndi banja, kusokoneza maubwenzi onse.
Odwala a YOPD angapindule ndi njira yogwirira ntchito kuti athetse mavuto onse omwe ali nawo.
> Zotsatira:
> Rana, Abdul Qayyum, > Ishraq > Siddiqui, ndi Muhammad Saad Yousuf. "Mavuto Pozindikira Matenda a Achinyamata a Parkinson." Journal of Sciences of Neurological 323.1-2 (2012): 113-16. Sindikizani.
> Schrag, A. "Dyskinesias ndi Mitundu ya Magalimoto ku Matenda a Parkinson: Phunziro la Pagulu." Ubongo 123.11 (2000): 2297-305. Sindikizani.
> Silver, Greg A., BBA, Kevin D. Vuong, MA, ndi Joseph Jankovic, MD. Matenda a Young-Onset versus Pains-Onset Parks: Matenda a Kachipatala ndi Matenda Owonjezeka . Baylor College of Medicine . Np, ndi Web.