Parkinson kunye nokudakumba: Luyintoni Unxibelelwano?

Umxholo

• Kutheni abantu abanesifo sikaParkinson bekwakhula nokudakumba?
• Ukudakumba kubachaphazela njani abantu abanesifo sikaParkinson?
• Unyango lunyangwa njani kubantu abanesifo sika-Parkinson?
• Ezinye iindlela zonyango
• Yintoni imbonakalo yoxinzelelo kubantu abanesifo sikaParkinson?

Parkinson kunye noxinzelelo

Abantu abaninzi abanesifo sikaParkinson nabo bafumana uxinzelelo.Kuqikelelwa ukuba ubuncinci iipesenti ezingama-50 zalabo abane-Parkinson baya kufumana uhlobo oluthile loxinzelelo ngexesha lokugula kwabo.

Uxinzelelo kunokubangelwa yimiceli mngeni enokubangelwa kukuhlala nesifo sikaParkinson. Omnye umntu unokufumana uxinzelelo ngenxa yokutshintsha kwemichiza kwingqondo enxulumene nesifo ngokwaso.

Kutheni abantu abanesifo sikaParkinson bekwakhula nokudakumba?

Abantu abanazo zonke izigaba zeParkinson banokwenzeka ngakumbi kunabantu ngokubanzi ukuba bafumane uxinzelelo. Oku kubandakanya abo banokuqala kokubini kunye nasekupheleni kwexesha likaParkinson.

Uphando lucebise ukuba iipesenti ezingama-20 ukuya kuma-45 zabantu abane-Parkinson banokufumana uxinzelelo. Ukudakumba kunokubeka kwangaphambili ezinye iimpawu kunye neempawu zeParkinson's - nokuba ezinye zeempawu zeemoto. Abaphandi abaninzi bakholelwa ukuba abo banezigulo ezinganyangekiyo kunokwenzeka ukuba badandatheke. Kodwa kukho unxibelelwano olungaphezulu komzimba kwabo baneParkinson's.

Olu xinzelelo lubangelwa kukutshintsha kwemichiza okwenzeka kwingqondo ngenxa yesifo sikaParkinson.

Ukudakumba kubachaphazela njani abantu abanesifo sikaParkinson?

Ukudakumba ngamanye amaxesha kuyaphoswa kwabo baneParkinson ngenxa yokuba iimpawu ezininzi ziyagqagqana. Zombini iimeko zinokubangela:

• amandla aphantsi
• ukuhla ukusinda
• ukuphuthelwa okanye ukulala kakhulu
• Injini iyacotha
• ukunciphisa umsebenzi wesondo

Ukudakumba kunokungahoywa ukuba iimpawu zikhula emva kokuba isifo sikaParkinson senziwe.

Iimpawu ezingabonisa ukudakumba zibandakanya:

• imeko eguqukayo ephantsi ehlala iintsuku ezininzi ubuncinci iiveki ezimbini
• Umbono wokuzibulala
• iingcinga ezingenathemba ngekamva, umhlaba, okanye iziqu zabo
• ukuvuka kwakusasa kakhulu, ukuba oku kuphume isimilo

Uxinzelelo luye lwachazwa ukuba lubangele ukwanda kwezinye iimpawu ezibonakala zingahambelani neParkinson. Ngenxa yoku, oogqirha kufuneka baqwalasele ukuba ukudakumba kubangela ukonakala ngesiquphe kweempawu zikaParkinson. Oku kunokwenzeka kwiintsuku ezimbalwa okanye ngaphezulu kweeveki ezininzi.

Unyango lunyangwa njani kubantu abanesifo sika-Parkinson?

Uxinzelelo kufuneka luphathwe ngokwahlukileyo kubantu abanesifo sikaParkinson. Abantu abaninzi banokunyangwa ngohlobo lwe-anti-depressant ebizwa ngokuba yi-serotonin reuptake inhibitors (i-SSRIs). Nangona kunjalo, ezinye iimpawu zeParkinson zinokuba mbi kwinani elincinci kakhulu labantu.

Ii-SSRI azifanele zithathwe ukuba ngoku uthatha i-selegiline (iZelapar). Eli liyeza eliqhelekileyo elimiselwe ukulawula ezinye iimpawu zeParkinson. Ukuba zombini zithathwa ngaxeshanye, kunokubangela i-serotonin syndrome. I-Serotonin syndrome yenzeka xa kukho umsebenzi ogqithisileyo weeseli zemithambo-luvo, kwaye inokubulala.

Amanye amayeza asetyenziselwa ukunyanga ezinye iimpawu zeParkinson's kunokuba nefuthe lokuthintela uxinzelelo. Oku kubandakanya i-dopamine agonists. Oku kubonakala kuluncedo ngokukodwa kwabo bafumana amaxesha xa amayeza abo engasebenzi. Oku kukwabizwa ngokuba kukutshintsha kwemoto “on-off”.

Ezinye iindlela zonyango

Iinketho zonyango ezinganyanzelekanga zikuluhlu lokuqala lokhuselo. Ingcebiso ngezengqondo-njengonyango lokuziphatha kwengqondo-kunye nonyango oluqinisekisiweyo kunokuba luncedo. Ukuzivocavoca umzimba kunokunyusa ukuziva ulungile endorphins. Ukwandisa ukulala (kunye nokunamathela kwishedyuli yokulala enempilo) kunokukunceda ukwandisa amanqanaba e-serotonin ngokwemvelo.

Olu nyango luhlala lusebenza kakhulu. Banokuzisombulula iimpawu ngokupheleleyo kwabanye abantu abaneParkinson's. Abanye banokukufumanisa kuluncedo kodwa basadinga unyango olongezelelekileyo.

Olunye unyango olunokubakho kuxinzelelo lubandakanya:

• iindlela zokuphumla
• ukuphulula
• ukutshiza
• kwiyeza
• Unyango lomculo
• ukucamngca
• unyango olukhanyayo

Kukwakho nenani elonyukayo lamaqela enkxaso kaParkinson onokuya kuwo. Ugqirha okanye ugqirha wakho unokukwazi ukucebisa ezinye. Unokuzikhangela, okanye ujonge olu luhlu ukuze ubone ukuba ngaba unomdla kuyo. Ukuba awukwazi ukufumana iqela lenkxaso lendawo, kukwakho namaqela enkxaso agqwesileyo kwi-intanethi. Ungafumana amanye ala maqela apha.

Nokuba ugqirha wakho ukumisela ukuba uthomalalisa uxinzelelo, ziya kusebenza kakhulu xa zisetyenziswa kunyango kunye nolunye utshintsho kwindlela yokuphila.

Uphando luye lwabonisa ukuba unyango lwe-electroconvulsive (ECT) lube lukhuseleko olukhuselekileyo nolusebenzayo lwexesha elifutshane lokudakumba kubantu abaneParkinson's. Unyango lwe-ECT lunokunciphisa okwethutyana ezinye iimpawu zeemoto zeParkinson's, nangona oku kuhlala kuphela ixesha elifutshane. Kodwa i-ECT isetyenziswa ngokubanzi xa olunye unyango lonyango lungasebenzi.

Yintoni imbonakalo yoxinzelelo kubantu abanesifo sikaParkinson?

Uxinzelelo kwabo banesifo sika-Parkinson yinto eqhelekileyo. Ukunyanga kunye nokubeka phambili ukudakumba njengophawu lweParkinson's kuya kuphucula kakhulu umgangatho wobomi bomntu kunye nentuthuzelo iyonke kunye nolonwabo.

Ukuba ufumana iimpawu zokudakumba, thetha nogqirha wakho kwaye ubone ukuba zeziphi iindlela zonyango abacebisa zona.