Ingqungquthela okanye iDyskinesia? Ukufunda ukubona umahluko

Umxholo

• Yintoni inyikima?
• Yintoni idyskinesia?
• Uwubona njani umahluko
• Ukungcangcazela
• IDyskinesia
• Ukunyanga ukungcangcazela
• Ukunyanga idyskinesia

Ukungcangcazela kunye nedyskinesia ziindidi ezimbini zeentshukumo ezingalawulekiyo ezichaphazela abanye abantu abanesifo sikaParkinson. Zombini zibangela ukuba umzimba wakho uhambe ngeendlela ongafuniyo, kodwa nganye inezizathu ezizodwa kwaye ivelisa iintlobo ezahlukeneyo zokuhamba.

Nantsi indlela yokuxelela ukuba iintshukumo ezingafunekiyo ohlangabezana nazo ziyangcangcazela okanye iDyskinesia.

Yintoni inyikima?

Ukungcangcazela kukungcangcazela ngokungathandabuzekiyo kwemilenze yakho okanye ubuso.Luphawu oluqhelekileyo lwesifo sikaParkinson esibangelwa kukungabikho kweekhemikhali zedopamine kwingqondo. I-Dopamine inceda ukugcina ukuhamba komzimba kuhamba kakuhle kwaye kulungelelaniswe.

Phantse iipesenti ezingama-80 zabantu abanesifo se-Parkinson bafumana ukungcangcazela. Ngamanye amaxesha luphawu lokuqala lokuba unesifo. Ukuba ukungcangcazela luphawu lwakho oluphambili, kusenokwenzeka ukuba unesifo esihamba kancinci kwaye kancinci.

Ukungcangcazela kuchaphazela iminwe, izandla, umhlathi kunye neenyawo. Umlomo wakho nobuso bakho bunokungcangcazela. Inokubonakala yahlukile, kuxhomekeke ekubeni leliphi ilungu lomzimba elichaphazelekayo. Njengokuba:

Ukungcangcazela ngomnwe ijongeka ngathi sisenzo "sokuqengqeleka kwepilisi". Ubhontsi kunye nomnye umnwe hlikihla ndawonye kwisangqa esishukumisayo esikwenza ubonakale ngathi uqengqa ipilisi phakathi kweminwe yakho.

Inyikima yomhlathi kujongeka ngathi isilevu sakho siyangcangcazela, ngaphandle kokuba intshukumo icotha. Ukungcangcazela kunokuba namandla ngokwaneleyo ukwenza amazinyo akho acofe kunye. Ihlala iphela xa uhlafuna, kwaye ungatya ngaphandle kwengxaki.

Ukungcangcazela kweenyawokwenzeka xa ulele phantsi okanye ukuba unyawo lwakho luxhomekeke (umzekelo, ngaphaya komphetho webhedi yakho). Intshukumo inokuba kuphelaonyawo lwakho, okanye kuwo wonke umlenze wakho. Ukushukuma kuhlala kuyayeka xa ume, kwaye akufuneki kuphazamise ukuhamba.

Ukungcangcazela kwentloko ichaphazela malunga neepesenti ezi-1 zabantu abanesifo sikaParkinson. Ngamanye amaxesha ulwimi luyangcangcazela.

Ukungcangcazela kukaParkinson kwenzeka xa umzimba wakho uphumle. Yiyo le eyahlulahlula kwezinye iintlobo zokugungqa. Ukuhambisa ilungu elichaphazelekayo kuhlala kumisa ukungcangcazela.

Ukungcangcazela kunokuqala kwilungu elinye okanye kwicala lomzimba wakho. Emva koko inokusasazeka ngaphakathi kwelo lungu-umzekelo, ukusuka kwisandla sakho ukuya kwingalo yakho. Elinye icala lomzimba wakho linokugqibela lishukume, okanye inyikima inokuhlala kwelinye icala.

Inyikima ayikhubazi kancinci kunezinye iimpawu zeParkinson, kodwa ibonakala kakhulu. Abantu banokujonga xa bekubona ushukuma. Kwakhona, inyikima inokuba mandundu njengoko isifo sikaParkinson siqhubeka.

Yintoni idyskinesia?

IDyskinesia yintshukumo engalawulekiyo kwinxalenye yomzimba wakho, efana nengalo, umlenze, okanye intloko. Ingakhangeleka ngathi:

• ukuxhuzula
• ukujija
• fidgeting
• ukujija
• ukuxhuzula
• ukungazinzi

I-Dyskinesia ibangelwa kukusetyenziswa kwexesha elide kwe-levodopa - ichiza eliphambili elisetyenziselwa ukunyanga iParkinson's. Iphakamileyo idosi ye-levodopa oyithathayo, kwaye okukhona ukuyo, kokukhona kunokwenzeka ukuba ube namava oku. Iintshukumo zingaqala xa iyeza lakho likhaba kunye nenqanaba le-dopamine lenyuka kwingqondo yakho.

Uwubona njani umahluko

Nazi iingcebiso ezimbalwa zokukunceda ubone ukuba uyangcangcazela okanye iDyskinesia:

Ukungcangcazela

• intshukumo engcangcazelisayo
• yenzeka xa uphumle
• iyema xa ushukuma
• ichaphazela izandla zakho, iinyawo, umhlathi nentloko
• inokuba kwicala elinye lomzimba wakho, kodwa inokusasazeka macala omabini
• iba mbi ngakumbi xa uphantsi koxinzelelo okanye uziva iimvakalelo ezinzulu

IDyskinesia

• ukujija, ukubhuqa, okanye ukuhambisa intshukumo
• ichaphazela icala elifanayo lomzimba wakho njengezinye iimpawu zeParkinson
• ihlala iqala emilenzeni
• kubangelwa kukusetyenziswa kwexesha elide kwelevodopa
• inokubonakala xa ezinye iimpawu zakho zeParkinson ziphucula
• iba mbi ngakumbi xa uphantsi koxinzelelo okanye unemincili

Ukunyanga ukungcangcazela

Ukungcangcazela kunokuba nzima ukunyanga. Ngamanye amaxesha iphendula kwi-levodopa okanye ezinye iziyobisi ze-Parkinson. Nangona kunjalo, akusoloko kulunge ngakumbi ngonyango.

Ukuba inyikima yakho inzima okanye amayeza akho eParkinson akancedi ukuwalawula, ugqirha wakho unokukunika elinye lala machiza:

• iziyobisi ezichasene ne-anticholinergic njenge-amantadine (Symmetrel), benztropine (Cogentin), okanye i-trihexiphenidyl (Artane)
• i-clozapine (iClozaril)
• ipropranolol (Inderal, abanye)

Ukuba amayeza awancedi ngongcangcazela, utyando lobuchopho olunzulu (DBS) lunokunceda. Ngexesha le-DBS, ugqirha utyala ii-electrode kwingqondo yakho. Ezi electrode zithumela umbane omncinci kwiiseli zengqondo ezilawula ukuhamba. Phantse iipesenti ezingama-90 zabantu abanesifo sika-Parkinson abane-DBS baya kufumana ukukhululeka okuthe ngqo okanye okupheleleyo kukungcangcazela kwabo.

Ukunyanga idyskinesia

I-DBS ikwasebenza ngokunyanga i-dyskinesia kubantu abane-Parkinson iminyaka eliqela. Ukwehlisa idosi ye-levodopa oyithathayo okanye ukutshintshela kwifomula yokukhupha eyandisiweyo kunokunceda ukulawula idyskinesia ngokunjalo. Ukukhutshwa okwandisiweyo kwe-Amantadine (Gocovri) kuyayiphatha le mpawu nayo.