I-Parkinson's ne-Depression: Kuyini ukuxhumana?

-Delile

• Kungani abantu abanesifo sikaParkinson futhi beba nengcindezi?
• Ukucindezeleka kubathinta kanjani abantu abanesifo sikaParkinson?
• Luphathwa kanjani ucindezelo kubantu abanesifo sikaParkinson?
• Ezinye izindlela zokwelapha
• Uyini umbono wokudangala kubantu abanesifo sikaParkinson?

Parkinson kanye nokudangala

Abantu abaningi abanesifo sikaParkinson nabo babhekana nokudangala. Kulinganiselwa ukuthi okungenani amaphesenti angama-50 alabo abaneParkinson nawo azobhekana nohlobo oluthile lokucindezeleka ngesikhathi sokugula kwabo.

Ukudangala kungaba ngumphumela wezinselelo ezingokomzwelo ezingabangelwa ukuhlala nesifo sikaParkinson. Omunye futhi angahle abe nokudangala ngenxa yokushintsha kwamakhemikhali ebuchosheni obuhlobene nesifo uqobo.

Kungani abantu abanesifo sikaParkinson futhi beba nengcindezi?

Abantu abanezigaba zonke zikaParkinson banamathuba amaningi okuthola ukucindezeleka kunabantu abaningi. Lokhu kufaka phakathi labo abanokuqala kokuqala kanye nesigaba sekwephuzile sikaParkinson.

Ucwaningo luye lwasikisela ukuthi amaphesenti angama-20 kuye kwangama-45 abantu abaneParkinson’s bangathola ukucindezeleka. Ukudangala kungabeka kusengaphambili ezinye izimpawu nezimpawu zeParkinson's - noma ezinye zezimpawu zezimoto. Abaphenyi abaningi bakholelwa ukuthi labo abanezifo ezingalapheki maningi amathuba okuthi bacindezeleke. Kepha kunokuhlobana okungaphezulu komzimba kulabo abaneParkinson's.

Lokhu kucindezeleka kuvame ukubangelwa izinguquko zamakhemikhali ezenzeka ebuchosheni ngenxa yesifo sikaParkinson.

Ukucindezeleka kubathinta kanjani abantu abanesifo sikaParkinson?

Ukudana kwesinye isikhathi kuyaphuthelwa kulabo abaneParkinson's ngoba izimpawu eziningi ziyagqagqana. Zombili lezi zimo zingadala:

• amandla aphansi
• ukuncipha komzimba
• ukuqwasha noma ukulala ngokweqile
• ukuhamba kwezimoto
• kunciphise umsebenzi wezocansi

Ukucindezeleka kunganakwa uma izimpawu zikhula ngemuva kokuxilongwa kwe-Parkinson.

Izimpawu ezingakhombisa ukucindezeleka zifaka:

• imizwa ephansi engaguquguquki ehlala izinsuku eziningi okungenani amasonto amabili
• Umbono wokuzibulala
• imicabango engenathemba ngekusasa, umhlaba, noma bona uqobo
• ukuvuka ekuseni kakhulu, uma lokhu kungaphandle kobuntu

Ukudangala kubikwe ukuthi kubangele ukwanda kwezinye izimpawu zeParkinson ezibonakala zingahlobene. Ngenxa yalokhu, odokotela kufanele bacabangele ukuthi ngabe ukucindezeleka kubanga ukuwohloka okungazelelwe kwezimpawu zikaParkinson. Lokhu kungenzeka ezinsukwini ezimbalwa noma ngaphezu kwamasonto ambalwa.

Luphathwa kanjani ucindezelo kubantu abanesifo sikaParkinson?

Ukucindezeleka kufanele kuphathwe ngokuhlukile kubantu abanesifo sikaParkinson. Abantu abaningi bangalashwa ngohlobo lwe-antidepressant olubizwa nge-serotonin reuptake inhibitors (SSRIs). Kodwa-ke, ezinye izimpawu zikaParkinson zingase zibe zimbi kakhulu kwinani elincane kakhulu labantu.

Ama-SSRI akufanele athathwe uma ngabe manje uthatha i-selegiline (i-Zelapar). Lo ngumuthi ovamise ukwenziwa ukulawula ezinye izimpawu zikaParkinson's. Uma zombili zithathwa ngasikhathi sinye, zingadala i-serotonin syndrome. I-Serotonin syndrome yenzeka lapho kunomsebenzi omningi we-nerve cell, futhi ingabulala.

Eminye imishanguzo esetshenziselwa ukwelapha ezinye izimpawu ze-Parkinson ingaba nomphumela wokulwa nokudangala. Lokhu kufaka ama-dopamine agonists. Lokhu kubonakala kusiza kakhulu kulabo abahlangabezana nezikhathi lapho imithi yabo ingasebenzi. Lokhu kwaziwa nangokuthi ukuguquguquka kwezimoto "on-off".

Ezinye izindlela zokwelapha

Izinketho zokwelashwa okungavumelekile zingumugqa wokuqala omuhle kakhulu wokuzivikela. Ukwelulekwa ngokwengqondo - njengokwelashwa kokuziphatha kwengqondo - nomelaphi oqinisekisiwe kungaba lusizo. Ukuvivinya umzimba kungakhulisa ama-endorphin azizwa kahle. Ukwengeza ukulala (nokunamathela esimisweni sokulala okunempilo) kungakusiza ukukhulisa amazinga e-serotonin ngokwemvelo.

Lezi zindlela zokwelapha zivame ukusebenza kahle kakhulu. Bangakwazi ukuxazulula izimpawu ngokuphelele kwabanye abantu abane-Parkinson's. Abanye bangakuthola kuwusizo kepha basadinga ukwelashwa okwengeziwe.

Amanye amakhambi wokudangala afaka:

• amasu okuphumula
• ukubhucungwa umzimba
• ukutshopa
• aromatherapy
• ukwelashwa komculo
• ukuzindla
• ukwelashwa okulula

Kukhona nenani elikhulayo lamaqembu okusekela kaParkinson ongaya kuwo. Udokotela wakho noma umelaphi wakho angakwazi ukuncoma abanye. Ungabasesha futhi, noma uhlole lolu hlu ukuze ubone ukuthi ngabe kukhona yini onentshisekelo kukho. Uma ungakwazi ukuthola iqembu lendawo losizo, kukhona namaqembu okusekela amahle kakhulu ku-inthanethi. Ungathola amanye ala maqembu lapha.

Noma ngabe udokotela wakho ekuchazela imishanguzo yokudambisa ingcindezi, izosebenza kakhulu uma isetshenziswa ngokwelashwa nezinye izinguquko ezinhle zokuphila.

Ucwaningo luye lwabonisa ukuthi i-electroconvulsive therapy (i-ECT) ibilokhu iyindlela yokwelashwa ephephile nephumelelayo yesikhashana yokucindezeleka kubantu abaneParkinson's. Ukwelashwa kwe-ECT nakho kunganciphisa okwesikhashana ezinye zezimpawu zezimoto zikaParkinson's, yize lokhu kuvame ukwenziwa isikhathi esifushane kuphela. Kodwa i-ECT ivame ukusetshenziswa uma ezinye izindlela zokwelashwa kokudangala zingasebenzi.

Uyini umbono wokudangala kubantu abanesifo sikaParkinson?

Ukudangala kulabo abanesifo sikaParkinson kuyinto ejwayelekile. Ukwelapha nokubeka phambili ukucindezeleka njengophawu lweParkinson kuzothuthukisa kakhulu izinga lomuntu lokuphila kanye nenduduzo yonke nenjabulo.

Uma uhlangabezana nezimpawu zokucindezeleka, khuluma nodokotela wakho bese ubona ukuthi yiziphi izindlela zokwelashwa abazincomela zona.