Yintoni iCogwheeling?

Umxholo

• Ushwankathelo
• Ijongeka kanjani i-cogwheeling?
• Uzivavanya njani ukuba icogwheeling?
• Yintoni ebangela ukuba i-cogwheeling?
• Iphathwa njani i-cogwheeling?
• Yintoni imbonakalo?

Ushwankathelo

I-Cogwheel phenomenon, ekwabizwa ngokuba yi-cogwheel rigidity okanye i-cogwheeling, luhlobo lokuqina olubonwa kubantu abanesifo sika-Parkinson. Ihlala iluphawu lokuqala lukaParkinson, kwaye inokusetyenziselwa ukwenza isifo.

Ijongeka kanjani i-cogwheeling?

Kwi-cogwheel rigidity, umsipha wakho uya kuba lukhuni, njengakwezinye iindlela zokuqina. Kodwa usenokuba nenyikima kwimisipha enye xa uphumle.

Ukuqina kwecogwheel kunokuchaphazela naliphi na ilungu, kodwa kuxhaphake kakhulu ezingalweni. Inokuchaphazela enye okanye zombini iingalo.

Ngalo naluphi na uhlobo lokuqina kwemisipha, izihlunu zakho zinokuziva ngathi "ziqinile" Ungekhe ukwazi ukuhambisa umsipha ngokupheleleyo. Oku kunokuba buhlungu kwaye kungathandeki.

Ukuqina kwalo naluphi na uhlobo yenye yeendlela ezintathu eziphambili zeempawu zesifo sikaParkinson. Ezinye ezimbini kukungcangcazela kunye nokuhamba kancinci okubizwa ngokuba yi-bradykinesia. Ke ngoko, ukuqina kwecogwheel kunokunceda oogqirha bafumane isifo sikaParkinson.

Uzivavanya njani ukuba icogwheeling?

Ukukuvavanya ukuqina kwecogwheel, ugqirha wakho uya kuthi uphumle izihlunu kwilungu lakho. Baza kuguquka kwaye bandise umlenze wakho. Bajonge ukubona ukuba:

• umsipha wakho uqinile kwaye awuguquki xa bezama ukuwushukumisa
• Ilungu lakho lihamba kancinci, "ukunyikima"

Izindululo zokulinganisa ziimpawu zecogwheel rigidity. Kokwakho, oku kunokuziva njengokucofa okanye ukubamba kwimisipha yakho njengoko uhambisa ingalo.

Olunye uphawu lokuqina kwe-cogwheel kukuba iintshukumo ezi-jerky ziyenzeka naxa ugqirha eshukumisa imilenze yakho kancinci. Oku kuyayahlula kubunkunkqele, olunye uphawu lwesifo sikaParkinson.

Yintoni ebangela ukuba i-cogwheeling?

I-basal ganglia yinxalenye yengqondo enceda ukulawula ukuhamba komzimba kunye nokuzigcina zigudile. Ukwenza oku, ii-neurons kwi-basal ganglia zisebenzisa i-dopamine ukunxibelelana nokunxibelelana nabanye.

Abantu abanesifo sika-Parkinson bane-dopamine encinci, uhlobo lwe-neurotransmitter (ikhemikhali kwingqondo). Xa kukho i-dopamine encinci, iiseli ezikwi-basal ganglia azinakho ukunxibelelana okanye ukunxibelelana ngokunjalo. Oku kuthetha ukuba abanako ukugcina intshukumo yakho igudile njengoko bebeya kuba njalo, nto leyo ebangela ukuqina kunye neminye imiba yokuhamba komzimba eqhelekileyo kwisifo sikaParkinson, njengokungcangcazela.

Ukuqina kweCogwheel kunokufumaneka kwezinye iimeko zeParkinsonia. Oku kubandakanya:

• inkqubela phambili yesifo senyukliya
• inkqubo atrophy ezininzi
• Ukonakala kwecorticobasal

Ezi meko zineempawu ezifanayo kodwa izizathu ezahlukeneyo. Nangona kunjalo, ukuqina kwecogwheel kuxhaphake kakhulu kwisifo sikaParkinson.

Iphathwa njani i-cogwheeling?

Unokunceda ukunyanga i-cogwheel rigidity ngokunyanga imeko engaphantsi.Olona nyango luxhaphakileyo nolusebenzayo kwisifo sika-Parkinson yi-levodopa (l-dopa). Inokukunceda zonke iimpawu, hayi ukuqina kwecogwheel. Ihlala idityaniswa ne-carbidopa, enceda ekunciphiseni iziphumo ebezingalindelekanga.

I-Dopamine agonists kunye ne-MAO-B inhibitors ngamanye amayeza anyanga isifo sika-Parkinson.

Ukuba alikho elinye iyeza elisebenzileyo, abanye abantu abanesifo esihamba phambili seParkinson's ngabagqatswa bokuvuselela ingqondo okunzulu. Kule nkqubo, ii-electrode zibekwe kwi-basal ganglia, apho zithumela khona iisayinali zombane ezincinci kwingqondo. Oku kunokunceda ukunciphisa ukuqina kwecogwheel.

Kukho izinto onokuzenza ekhaya ukunceda ukulawula ukuqina kwecogwheel yakho. Oku kubandakanya:

• Ukubhabha ibhola-njengokuqhuba ibhasikithi-ukugcina iingalo zakho zihamba.
• Ukuzivocavoca. Oku kunokunceda ukomeleza izihlunu kunye nokunciphisa iintlungu. Ukuzivocavoca umzimba kwearobic apho usenza khona intshukumo enkulu (njengeentlobo ezithile zomdaniso) yeyona ilungileyo yokunciphisa ukuqina. Qiniseka ukuba awuzityhaleli ngaphaya kwemida yakho yomzimba.
• Ukolula, ukugcina izihlunu zakho ziguquguquka.
• Ukuziqhelanisa ne-tai chi okanye i-yoga.
• Ukunciphisa uxinzelelo. Ngelixa uxinzelelo lungasibangeli isifo sikaParkinson, sinokwenza iimpawu zakho zibe mandundu.

Xa usenza naluphi na uhlobo lomthambo, qiniseka ukuba upholile ngokufanelekileyo. Oku kunceda ukugcina izihlunu zakho zingaphinde zomelele. Ingcali yezomzimba inokukunceda ufumane olona hlobo lomthambo kunye nokuzolula.

Yintoni imbonakalo?

Isifo sika-Parkinson asinyangeki okwangoku, kodwa iimpawu zinokunyangwa ngamayeza kunye notshintsho kwindlela yokuphila njengokuzilolonga kunye nokunciphisa uxinzelelo.

Uphando kunyango lukaParkinson kunye nokunyanga okunokwenzeka kuyaqhubeka njengoko isantya sophando lobuchopho ngokubanzi sikhawuleza. Ngelixa iParkinson sisifo esinzima, abaphandi bafunde okuninzi malunga nesiseko sebhayoloji kwaye basebenza kunyango ekujoliswe kulo.

Ukuxilongwa kwangoko kubaluleke kakhulu kunyango olusebenzayo. Ukuqina kwecogwheel kuhlala kungumqondiso wokuqala wesifo sikaParkinson, ke thetha nogqirha ukuba unale mpawu. Oku kuyakunceda ukuba ufumane uxilongo olufanelekileyo kunye nonyango.