Vuto lalikulu mu Parkinson's (PD) ndikutaya mwamsanga mu ubongo wa mankhwala messenger dopamine. Pokhapokha maselo a ubongo a ubongo omwe amagwiritsa ntchito dopamine sangathe kulankhulana bwino. Kusokonezeka kwa kulankhulana kumeneku kumabweretsa kuwonongeka kwa ntchito mu ubongo uliwonse umene umagwiritsa ntchito dopamine. Mapulogalamuwa ndi otchuka kwambiri komanso olepheretsa ntchitozi, kotero amatha kuziganizira.
Koma palinso machitidwe ena ofunika kwambiri omwe amadalira dopamine yomwe imakhudzanso PD-monga ndikudziwa kuti mukudziwa ngati inu kapena wokondedwa wanu muli PD. Ntchito zina za ubongo ndizogona, kumverera, kulankhula, ndi kuganiza.
Kugona ndi Kusagona
- Pa odwala 90 mwa PD% amakhala ndi vuto la kugona nthawi ina pa matenda awo.
- Pakati pa 40 ndi 90% a odwala PD amakhala ndi kusowa tulo kapena kuvutika kugwa ndikugona. Ambiri mwa anthuwa samamva kuti amatsitsimutsidwa atadzuka kuchokera ku tulo.
- Kugonjetsedwa kwa PD kumagwirizana ndi misampha, kusayima, nthawi zambiri amafunika kudzuka ndi kukodza, nkhawa ndi zotsatira za mankhwala.
Kutaya Kwambiri kwa Tsiku la Mdima
- Ambiri a PD akumana ndi kutopa kwa tsiku ndi tsiku komanso kugona. Sitikukhala ndi nambala yeniyeni yokhudza odwala angati akugona usana.
- Kugona masana kungakhale koopsa ngati wodwala akufunika kuyendetsa galimoto zambiri.
- Kugonana kwapakati pa tsiku ndi tsiku ku PD kungakhale chifukwa cha zinthu zosiyanasiyana kuphatikizapo kusowa tulo, kugona tulo (onani m'munsimu), kupsinjika maganizo ndi mankhwala opatsirana (makamaka dopamine agonists).
Kugonana ndi Apnea
Ambiri oposa makumi awiri ndi awiri (100%) a PD amakhala ndi mphuno yakugona .
Kugonana kofiira kumatanthauza vuto lalikulu ndi kupuma pa nthawi ya tulo.
Kugonana ndi vuto la kugona ndilo lalikulu chifukwa cha kugona tulo usiku ndi usana. Amachepetsanso mpweya wabwino kuti ubweretse ubongo womwe umapangitsa kuti asamangoganizira komanso kuganiza masana.
REM Behavior Disorder
- Pakati pa 15 ndi 48 peresenti ya odwala PD ali ndi REM Behavior Disorder (RBD).
- Kugona kwa REM, kapena kubwerera kwa Rapid Eye, kumakhala kugona tulo tofa nato komwe ife timakhala ndi maloto omveka bwino. Matupi athu ali olumala pa nthawi yogona tulo chifukwa cha kupweteka kwa minofu komwe kumachitika pa REM kuti tisamachite maloto athu atagona.
- Kuthana ndi vuto la REM kumachitika pamene kupweteka kwabwino kwa thupi kumene kumachitika m'tulo la REM kumathetsedwa.
- Odwala omwe ali ndi RBD nthawi zambiri amachita maloto achiwawa kapena owopsya pamene wolota kapena wokondedwa wawo akugonjetsedwa ndipo wolotayo ayenera kuteteza otsutsawo.
Chikhalidwe
Pafupifupi odwala onse omwe ali ndi PD amakumana ndi vuto linalake panthawi ya matendawa. Izi sizosadabwitsa. Mofanana ndi vuto lina lililonse, PD imayambitsa mavuto ambiri tsiku ndi tsiku ndipo izi zingathe kukhumudwitsa odwala komanso banja lake. Zimakhala zachilendo kupirira nthawi ndi chisoni. Ndizowonongeka kuti mukhale ndi nkhawa komanso nkhawa za momwe inu ndi banja lanu mukulimbana ndi mipira yonse ya mpiru PD ikuponya. Choncho chisoni ndi nkhawa ndizochitika kwa PD. Chomwe chimadetsa nkhaŵa ndikufunika kusamala ndi pamene chisoni chimasanduka kupsinjika maganizo kapena pamene nkhaŵa imakhala yosalekeza ndikusokoneza kugwira ntchito tsiku ndi tsiku.
Nazi zina zomwe zingakhale zothandiza:
- Pa odwala makumi asanu ndi awiri (50%) amavutika kwambiri ndi matendawa.
- Kusokonezeka maganizo kungapangidwe bwino mu PD ndi kuphatikiza kwa psychotherapy ndi mankhwala otsutsa-depressant.
- Pakati pa 30 ndi 40 peresenti ya odwala PD amakhala ndi matenda aakulu kwambiri pakadwala. Matendawa amatha kuwonekera ngati mantha, phobic (zochitika zina zimayambitsa nkhawa), kapena nkhawa yaikulu.
Mavuto Akulankhula
Mavuto a kulankhula a PD akuphatikizapo zovuta ndi kuwonetsera mawu, kulankhula mawu, ndi kulankhula mawu kapena nyimbo.
Izi zingawoneke ngati zing'onozing'ono koma zingakhudze kwambiri machitidwe anu a tsiku ndi tsiku kotero kuti nkofunika kuthana ndi mavutowa mwamsanga.
Mavuto Oganiza
Dopamine amapereka madera amenewa a ubongo omwe ndi ofunikira kwambiri kuti aganizire, kulingalira, kusinkhasinkha ndi kukonzekera. Izi zimadziwika kuti ndi "ntchito yoganizira zapamwamba" chifukwa zimathandiza kuthetsa njira zina zoganizira za ubongo. Ndikofunika kuzindikira kuti ntchito izi zoganiza sizitayika mu PD-zimangochepetsanso pang'ono. Koma kuchepa kwazing'onoko kungakhale ndi zotsatirapo zogwira ntchito ngati sichikutsatiridwa.
Mfundo Yofunika Kwambiri
- PD imagwirizanitsidwa ndi mavuto angapo osakhala ndi magalimoto kuphatikizapo mavuto ogona, mavuto a maganizo, mavuto a kulankhula ndi mavuto.
- Nkhani yabwino ndi yakuti mavuto onsewa angathe kuchiritsidwa bwino ndipo pamene akuwathandiza bwino moyo wanu udzasintha kwambiri.
- Palibe chifukwa chovutikira mopanda pake. Izi ndi malo omwe mungachite kuti musinthe. Chitani!
- Lankhulani ndi dokotala wanu za mavuto awa ngati muli nawo.
- N'zosapeŵeka kuti simukugona mokwanira kapena kuyankhula molakwika kapena kuvutika mtima. Mungathe kuchita zina pazovutazi.
- Kumbukirani, simuli matenda anu. Musalole kuti izi zikulamulireni. Pali mankhwala ambiri othandiza omwe alipo. Mukhoza kuphunzira zambiri za mankhwalawa kuchokera kwa dokotala komanso pa webusaitiyi.
Zotsatira
> Huber SJ, Cummings JL, olemba. Matenda a Parkinson: Matenda a Edzi. New York: Oxford University Press; 1992.
> R. Pahwa ndi KE Lyons (Okonza), Buku la Matenda a Parkinson ; Magazini ya 4, New York, Informa Healthcare Publishers, 2007.
> RF Pfeiffer ndi ine Bodis-Wollner (Eds). Matenda a Parkinson ndi osagwiritsa ntchito magalimoto, Humana Press; Totowa, New Jersey, 2005.