Ukuqonda Ukuwohloka Kwezifo zikaParkinson

-Delile

• Yiziphi izigaba zesifo sokuwohloka komqondo sikaParkinson?
• Ukuziphatha okubonwa ukuwohloka komqondo kwesifo sikaParkinson
• Ziyini izimpawu zesifo sokuwohloka komqondo sikaParkinson?
• Ukuwohloka komqondo komzimba kaLewy kuqhathaniswa nesifo sengqondo sikaParkinson
• Ukuwohloka komqondo kwesifo sokugcina se-Parkinson
• Isikhathi sokuphila ngokugula komqondo kwesifo sikaParkinson
• Sitholakala kanjani isifo sokuwohloka komqondo sikaParkinson?
• Yini ebangela ukuwohloka komqondo kwesifo sikaParkinson?
• Yiziphi izinto ezinobungozi zokuthuthukisa ukuwohloka komqondo kwesifo sikaParkinson?
• Silashwa kanjani isifo sengqondo esiyingozi sikaParkinson?
• Ukudla okudlela endlini

Isifo sikaParkinson yisifo se-neurological esiqhubekayo esilimaza isimiso sezinzwa esiyinhloko. Lesi simo sithinta ikakhulukazi abantu abadala abangaphezu kweminyaka engama-65.

AbakwaParkinson’s Foundation balinganisela ukuthi bazobe sebephila nalesi sifo ngo-2020.

I-Parkinson ingadala isimo esibizwa ngokuthi yi-Parkinson's disease dementia. Lesi simo simakwe ukwehla kokucabanga, ukubonisana nokuxazulula izinkinga.

Abantu abalinganiselwa kumaphesenti angama-50 kuya kwangama-80 abantu abaneParkinson ekugcineni bazobhekana nokuwohloka komqondo kwesifo sikaParkinson.

Yiziphi izigaba zesifo sokuwohloka komqondo sikaParkinson?

Yize isifo sikaParkinson uqobo sihlukaniswe ngezigaba ezinhlanu, isifo sengqondo esiyingozi sikaParkinson asiqondakali kahle.

Ucwaningo lukhombisile ukuthi ukuwohloka komqondo kukhona kumaphesenti angama-83 alabo abasaphila nalesi sifo ngemuva kweminyaka engama-20.

I-Weill Institute for Neurosciences ilinganisela ukuthi isikhathi esimaphakathi kusuka ekuqaleni kwezinkinga zokunyakaza eParkinson kuya ekuthuthukiseni ukuwohloka komqondo cishe kuyiminyaka eyi-10.

Ukuziphatha okubonwa ukuwohloka komqondo kwesifo sikaParkinson

Njengoba ukuwohloka komqondo kuqhubeka, ukulawula ukudideka, ukudideka, ukuyaluza, nokungafisi kungaba yinto esemqoka kwezokunakekelwa.

Ezinye iziguli ziba nemibono noma ukudideka njengenkinga yesifo sikaParkinson. Lokhu kungasabisa futhi kuthena amandla. Cishe labo abanesifo bangazithola.

Into engcono kakhulu ongayenza lapho unakekela umuntu ohlangabezana nemibono noma ukukhohlisa ngenxa yokuwohloka komqondo kwesifo sikaParkinson ukubenza bazole futhi banciphise ukucindezeleka kwabo.

Qaphela izimpawu zabo nokuthi babenzani ngaphambi kokuba bakhombise izimpawu zokubona izinto ezingekhoyo bese batshela udokotela wabo.

Lesi sici sesifo singaba yinselele ikakhulukazi kubanakekeli. Iziguli zingase zingakwazi ukuzinakekela noma zishiywe zodwa.

Ezinye izindlela zokwenza ukunakekelwa kube lula zifaka:

• ukunamathela esimisweni esivamile lapho kungenzeka
• ukududuza ngokwengeziwe ngemuva kwanoma yiziphi izinqubo zokwelashwa
• kunciphisa iziphazamiso
• usebenzisa amakhethini, amalambu asebusuku, namawashi ukusiza ukunamathela esimisweni sokulala esijwayelekile
• ukukhumbula ukuthi isimilo siyimbangela yesifo hhayi umuntu

Ziyini izimpawu zesifo sokuwohloka komqondo sikaParkinson?

Izimpawu ezivame kakhulu zokuwohloka komqondo kwesifo sikaParkinson zifaka:

• izinguquko ekudleni
• izinguquko ezingeni lamandla
• ukudideka
• ukukhohlisa
• imibono ephambene
• ukusangana
• ukudana
• ubunzima bokukhumbula inkumbulo nokukhohlwa
• ukungakwazi ukugxilisa ingqondo
• ukwehluleka ukusebenzisa ukucabanga nokwahlulela
• ukukhathazeka okwengeziwe
• ukushintsha kwemizwelo
• ukulahlekelwa inzalo
• inkulumo engahambi kahle
• ukuphazamiseka kokulala

Ukuwohloka komqondo komzimba kaLewy kuqhathaniswa nesifo sengqondo sikaParkinson

Ukuxilongwa kwe-Lewy dementia yomzimba (i-LBD) kufaka phakathi ukuwohloka komqondo ngemizimba ye-Lewy (DLB) kanye nesifo sengqondo sikaParkinson. Izimpawu kuzo zombili lezi zixilongo zingafana.

Ukuwohloka komqondo komzimba kaLewy kungukuwohloka komqondo okuqhubekayo okubangelwa amadiphozithi angavamile ephrotheni okuthiwa i-alpha-synuclein ebuchosheni. Izidumbu ze-Lewy nazo ziyabonakala esifo sikaParkinson.

Ukugqagqana kwezimpawu phakathi kokuwohloka komqondo komzimba kaLeyy kanye nokuwohloka komqondo kwesifo sikaParkinson kufaka phakathi izimpawu zokuhamba, imisipha eqinile, nezinkinga zokucabanga nokucabanga.

Lokhu kubonakala kukhombisa ukuthi bangaxhunyaniswa nokungajwayelekile okufanayo, yize kudingeka olunye ucwaningo ukuqinisekisa lokho.

Ukuwohloka komqondo kwesifo sokugcina se-Parkinson

Izigaba zakamuva zesifo sikaParkinson zinezimpawu ezinzima kakhulu ezingadinga usizo lokuhambahamba, ukunakekelwa ubusuku nemini, noma isihlalo esinamasondo. Izinga lempilo lingehla ngokushesha.

Izingozi zokutheleleka, ukungakwazi ukuzibamba, inyumoniya, ukuwa, ukuqwasha nokuchofoza ziyanda.

Ukunakekelwa kwabahlengikazi, ukunakekelwa kwememori, abasizi bezempilo ekhaya, osonhlalakahle, nabeluleki bokusekela bangaba usizo ezigabeni ezilandelayo.

Isikhathi sokuphila ngokugula komqondo kwesifo sikaParkinson

Isifo sikaParkinson uqobo asibulali, kepha izinkinga zingaba khona.

Ucwaningo lukhombise izinga lokusinda eliphakathi nendawo mayelana nokuxilongwa kanti labo abane-dementia yesifo sika-Parkinson babenesikhathi esifushane sokuphila cishe.

Kukhona phakathi kokuwohloka komqondo nokwanda kwengozi yokufa, kodwa futhi kungenzeka uphile iminyaka eminingi nalesi sifo.

Sitholakala kanjani isifo sokuwohloka komqondo sikaParkinson?

Akukho sivivinyo esisodwa esingahlonza ukuwohloka komqondo kwesifo sikaParkinson. Esikhundleni salokho, odokotela bathembele ochungechungeni noma inhlanganisela yezivivinyo nezinkomba.

Udokotela wakho wezinzwa cishe uzokuxilonga ngeParkinson bese elandelela ukuqhubeka kwakho. Bangakuqapha ngezimpawu zokuwohloka komqondo. Njengoba ukhula, ingozi yakho yokuwohloka komqondo kaParkinson iyanda.

Udokotela wakho kungenzeka enze ukuhlolwa okujwayelekile ukuqapha imisebenzi yakho yokuqonda, ukukhumbula inkumbulo, kanye nempilo yengqondo.

Yini ebangela ukuwohloka komqondo kwesifo sikaParkinson?

Isithunywa samakhemikhali ebuchosheni esibizwa nge-dopamine sisiza ukulawula nokuxhumanisa ukunyakaza kwemisipha. Ngokuhamba kwesikhathi, isifo sikaParkinson sichitha amangqamuzana ezinzwa enza i-dopamine.

Ngaphandle kwalesi sithunywa samakhemikhali, amangqamuzana ezinzwa awakwazi ukudlulisela kahle imiyalelo emzimbeni. Lokhu kudala ukulahleka kwemisipha nokusebenza. Abaphenyi abazi ukuthi kungani la maseli obuchopho enyamalala.

Isifo sikaParkinson naso sidala izinguquko ezinkulu engxenyeni yobuchopho bakho elawula ukunyakaza.

Labo abanesifo sikaParkinson bavame ukuhlangabezana nezimpawu zezimoto njengophawu lokuqala lwalesi simo. Ukundindizela kungenye yezimpawu zokuqala ezivame kakhulu zesifo sikaParkinson.

Njengoba lesi sifo siqhubeka futhi sisakazeka ebuchosheni bakho, singathinta izingxenye zobuchopho bakho ezibhekele imisebenzi yengqondo, inkumbulo, nokwahlulela.

Ngokuhamba kwesikhathi, ubuchopho bakho bungase bungakwazi ukusebenzisa lezi zindawo kahle njengakuqala. Ngenxa yalokho, ungaqala ukuhlangabezana nezimpawu zokuwohloka komqondo kwesifo sikaParkinson.

Yiziphi izinto ezinobungozi zokuthuthukisa ukuwohloka komqondo kwesifo sikaParkinson?

Unobungozi obandayo bokuthola ukuwohloka komqondo kwesifo sikaParkinson uma:

• ungumuntu onepipi
• umdala
• unokukhubazeka okuncane okukhona kwengqondo
• unezimpawu ezinzima kakhulu zokukhubazeka kwezimoto, ezifana
  njengokuqina nokuphazamiseka kokuhamba
• utholwe unezimpawu zengqondo ezihlobene
  esifweni sikaParkinson, njengokucindezeleka

Silashwa kanjani isifo sengqondo esiyingozi sikaParkinson?

Asikho isidakamizwa noma ukwelashwa okukodwa okungaphilisa ukuwohloka komqondo kwesifo sikaParkinson. Njengamanje, odokotela bagxila ohlelweni lokwelashwa olusiza ukukhulula izimpawu zesifo sikaParkinson.

Eminye yemithi, noma kunjalo, ingenza ukuwohloka komqondo nezinye izimpawu zengqondo ezihlobene nazo zibe zimbi kakhulu. Khuluma nodokotela wakho ukunquma ukunakekelwa okulungile nemithi okufanele ikunikeze.

Ukudla okudlela endlini

Uma wazi izimpawu ezandayo zokuwohloka komqondo ngenxa yesifo sikaParkinson, qala idayari bese uqopha lokho obhekene nakho. Qaphela lapho kuvela izimpawu, zihlala isikhathi esingakanani, nokuthi umuthi usizile yini.

Uma unakekela othandekayo onesifo sikaParkinson, bagcinele iphephabhuku. Qopha izimpawu abazizwayo, ukuthi zenzeka kangaki, kanye neminye imininingwane efanele.

Yethula lo magazini kudokotela wakho wezinzwa lapho uqokwa ngokulandelayo ukuze ubone ukuthi izimpawu zihlobene yini nokuwohloka komqondo kwesifo sikaParkinson noma mhlawumbe esinye isimo.