I-parkinsonism yesibili

I-parkinsonism yesibili yilapho izimpawu ezifana nesifo se-Parkinson zibangelwa yimithi ethile, ukuphazamiseka kwesistimu ehlukile, noma esinye isifo.

I-Parkinsonism ibhekisa kunoma yisiphi isimo esifaka izinhlobo zezinkinga zokuhamba ezibonwa yisifo sikaParkinson. Lezi zinkinga zifaka ukundindizela, ukuhamba kancane, nokuqina kwezingalo nemilenze.

I-parkinsonism yesibili ingabangelwa izinkinga zempilo, kufaka phakathi:

• Ukulimala kobuchopho
• Ukwelashwa kwesifo somzimba seLeyy (uhlobo lokuwohloka komqondo)
• I-Encephalitis
• I-HIV / AIDS
• I-Meningitis
• Multiple uhlelo yoma
• Ukukhubazeka okuqhubekayo kwe-supranuclear
• Unhlangothi
• Isifo sikaWilson

Ezinye izimbangela zeparkinsonism yesibili zifaka:

• Ukulimala kobuchopho okubangelwa yimithi yokubulala izinzwa (njengesikhathi sokuhlinzwa)
• Ubuthi be-Carbon monoxide
• Imithi ethile esetshenziselwa ukwelapha ukuphazamiseka kwengqondo noma isicanucanu (metoclopramide ne-prochlorperazine)
• Ubuthi beMercury nobunye ubuthi bamakhemikhali
• Ukudlula ngokweqile kwezidakamizwa
• I-MPTP (engcolisayo kwezinye izidakamizwa zomgwaqo)

Kube khona amacala angavamile we-parkinsonism yesibili phakathi kwabasebenzisi bezidakamizwa ze-IV abajova into ebizwa nge-MPTP, engakhiqizwa lapho kwenziwa uhlobo lwe-heroin.

Izimpawu ezivamile zifaka:

• Nciphisa isimo sobuso
• Kunzima ukuqala nokulawula ukunyakaza
• Ukulahleka noma ubuthakathaka bokuhamba (ukukhubazeka)
• Izwi elithambile
• Ukuqina kwesiqu, izingalo, noma imilenze
• Ukuthuthumela

Ukudideka nokulahleka kwememori kungenzeka ku-parkinsonism yesibili. Lokhu kungenxa yokuthi izifo eziningi ezibanga i-parkinsonism yesibili nazo ziholela ekuwohlokeni komqondo.

Umhlinzeki wezokunakekelwa kwempilo uzokwenza ukuhlolwa komzimba futhi abuze imibuzo ngomlando wezokwelapha womuntu kanye nezimpawu zakhe. Yazi ukuthi izimpawu kungaba nzima ukuzihlola, ikakhulukazi kubantu abadala asebekhulile.

Ukuhlolwa kungakhombisa:

• Kunzima ukuqala noma ukumisa ukunyakaza ngokuzithandela
• Imisipha eshubile
• Izinkinga ngokuma komzimba
• Ukuhamba kancane, ukushova
• Ukuthuthumela (ukuthuthumela)

I-reflexes ivame ukujwayelekile.

Ukuhlolwa kungayalelwa ukuthi kuqinisekiswe noma kukhishwe ezinye izinkinga ezingadala izimpawu ezifanayo.

Uma isimo sidalwa umuthi, umhlinzeki angancoma ukushintsha noma ukumisa umuthi.

Ukwelapha izimo ezingaphansi, njengokushaywa unhlangothi noma izifo, kunganciphisa izimpawu noma kuvimbele isimo ukuba sibi kakhulu.

Uma izimpawu zenza kube nzima ukwenza imisebenzi yansuku zonke, umhlinzeki angancoma umuthi. Imithi esetshenziselwa ukwelapha lesi simo ingadala imiphumela emibi kakhulu. Kubalulekile ukubona umhlinzeki ngokuhlolwa. I-parkinsonism yesibili ijwayele ukungaphenduli kangako ekwelashweni kunesifo sikaParkinson.

Ngokungafani nesifo sikaParkinson, ezinye izinhlobo zeparkinsonism yesibili zingasimamisa noma zithuthuke uma imbangela eyisisekelo iphathwa. Ezinye izinkinga zobuchopho, ezinjengesifo somzimba seLeyy, azibuyiseki.

Lesi simo singaholela kulezi zinkinga:

• Kunzima ukwenza imisebenzi yansuku zonke
• Kunzima ukugwinya (ukudla)
• Ukukhubazeka (okungafani)
• Ukulimala kokuwa
• Imiphumela engemihle yemithi esetshenziselwa ukwelapha lesi simo

Imiphumela emibi yokuphelelwa amandla (ukwehla kwamandla emandla):

• Ukuphefumula ukudla, uketshezi, noma amafinyila emaphashini (isifiso)
• Ukuqina kwegazi emthanjeni ojulile (i-vein thrombosis ejulile)
• Ukungondleki

Shayela umhlinzeki uma:

• Izimpawu zeparkinsonism yesibili ziyakhula, zibuye, noma ziba zimbi kakhulu.
• Izimpawu ezintsha ziyavela, kufaka phakathi ukudideka nokunyakaza okungalawulwa.
• Awukwazi ukunakekela umuntu ekhaya ngemuva kokuqala ukwelashwa.

Ukwelapha izimo ezibanga i-parkinsonism yesibili kunganciphisa ubungozi.

Abantu abathatha imithi engadala i-parkinsonism yesibili kufanele ihlolwe ngokucophelela ngumhlinzeki ukuvimbela isimo ukuthi singakhuli.

Parkinsonism - yesibili; Isifo se-Atypical Parkinson

• Isistimu yezinzwa emaphakathi nesistimu yezinzwa ezungezayo

UFox SH, uKatzenschlager R, uLim SY, et al; IKomidi Lezokwelapha Elisekelwe Ebufakazini Obususelwe Ebusweni. Ukubuyekezwa komuthi osuselwa ebufakazini i-International Parkinson neMovement Disorder Society: buyekeza ekwelashweni kwezimpawu zezimoto zesifo sikaParkinson. Ukuphazamiseka kweMov. I-2018; 33 (8): 1248-1266. I-PMID: 29570866 www.ncbi.nlm.nih.gov/pubmed/29570866/.

Isifo sikaJankovic J. Parkinson nezinye izinkinga zokuhamba. Ku: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, ama-eds. I-Neurology kaBradley ekwenziweni kwemitholampilo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2016: isahluko 96.

Okun MS, Lang AE. I-Parkinsonism. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 381.

Isifo sikaTate J. Parkinson. Ku: Kellerman RD, Rakel DP, ama-eds. Ukwelashwa Kwamanje kukaConn 2020. IPhiladelphia, PA: Elsevier 2020: 721-725.