Khetha Izifo Zobuchopho: Izimbangela, Izimpawu, Nokuxilongwa

-Delile

• Siyini isifo sikaPick?
• Ziyini izimpawu zesifo sikaPick?
• Yini ebangela isifo sikaPick?
• Sitholakala kanjani isifo sikaPick?
• Selashwa kanjani isifo sikaPick?
• Ukuphila nesifo sikaPick

Siyini isifo sikaPick?

Isifo sikaPick yisimo esingajwayelekile esidala ukuwohloka komqondo okuqhubekayo nokungalungiseki. Lesi sifo singenye yezinhlobo eziningi zomqondo owaziwa ngokuthi yi-frontotemporal dementia (FTD). Ukuwohloka komqondo kwangaphambilini kungumphumela wesimo sobuchopho esaziwa njenge-frontotemporal lobar degeneration (FTLD). Uma une-dementia, ubuchopho bakho abusebenzi ngokujwayelekile. Ngenxa yalokhu, ungaba nobunzima ngolimi, indlela oziphatha ngayo, ukucabanga kwakho, ukwahlulela, nokukhumbula kwakho. Njengeziguli ezinezinye izinhlobo zokuwohloka komqondo, ungahle uhlangabezane nezinguquko ezinqala zobuntu.

Ezinye izimo eziningi zingadala ukuwohloka komqondo, kufaka phakathi isifo i-Alzheimer's. Ngenkathi isifo se-Alzheimer singathinta izingxenye eziningi ezahlukene zobuchopho bakho, isifo sikaPick sithinta kuphela izindawo ezithile. Isifo sikaPick siwuhlobo lwe-FTD ngoba sithinta ama-lobes angaphambili nawesikhashana obuchopho bakho. I-lobe yangaphambili yobuchopho bakho ilawula izici ezibalulekile zokuphila kwansuku zonke. Lokhu kufaka phakathi ukuhlela, ukwahlulela, ukulawula imizwa, indlela yokuziphatha, ukuvimbela, ukusebenza okuphezulu nokwenza imisebenzi eminingi. I-lobe yakho yesikhashana ithinta kakhulu ulimi, kanye nokuphendula okungokomzwelo nokuziphatha.

Ziyini izimpawu zesifo sikaPick?

Uma unesifo sikaPick, izimpawu zakho zizoya ngokuya ziba zimbi ngokuhamba kwesikhathi.Izimpawu eziningi zingenza ukuxhumana nomphakathi kube nzima. Isibonelo, izinguquko zokuziphatha zingenza kube nzima ukuziphatha ngendlela eyamukelekile emphakathini. Izinguquko zokuziphatha nezobuntu yizimpawu zokuqala ezibaluleke kakhulu kwisifo sikaPick.

Ungase ube nezimpawu zokuziphatha nezingokomzwelo, njenge:

• ukushintsha kwemizwelo okungazelelwe
• impoqo noma ukungaziphathi kahle
• izimpawu ezifana nokudana, njengokungathandi imisebenzi yansuku zonke
• ukuhoxa ekuxhumaneni nomphakathi
• ubunzima bokugcina umsebenzi
• amakhono ampofu omphakathi
• inhlanzeko yomuntu siqu engeyinhle
• ukuziphatha okuphindaphindwayo

Ungase futhi uhlangabezane nezinguquko zolimi nezinzwa, njenge:

• kunciphise amakhono okubhala noma okufunda
• ukunanela, noma ukuphinda lokho obekushiwo kuwe
• ukungakwazi ukukhuluma, ubunzima bokukhuluma, noma ubunzima bokuqonda inkulumo
• ukuncipha kwesilulumagama
• ukushesha kwenkumbulo
• ubuthakathaka bomzimba

Ukuqala kokuqala kokushintsha kobuntu esifo sikaPick kungasiza udokotela wakho ukusihlukanisa nesifo i-Alzheimer's. Isifo sikaPick singenzeka futhi esemncane kune-Alzheimer's. Amacala abikiwe kubantu abaneminyaka esukela kwengama-20 ubudala. Ngokuvamile, izimpawu ziqala kubantu abaphakathi kweminyaka engama-40 nengama-60. Cishe amaphesenti angama-60 abantu abanokuwohloka komqondo kwangaphambili kuneminyaka engama-45 nengama-64 ubudala.

Yini ebangela isifo sikaPick?

Isifo sikaPick, kanye namanye ama-FTD, sibangelwa amanani angajwayelekile noma izinhlobo zamaphrotheni ezinzwa zeseli, okuthiwa i-tau. Lawa maprotheni atholakala kuwo wonke amaseli akho ezinzwa. Uma une-Pick's disease, zivame ukuqoqana zibe ama-clumps ayindilinga, aziwa ngokuthi yimizimba ye-Pick noma ama-Pick cell. Lapho zinqwabelana kumaseli emizwa yobuchopho bakho bangaphambili nobesikhashana, zibangela ukuba amangqamuzana afe. Lokhu kubangela ukuba izicubu zakho zobuchopho zinciphe, okuholele ezimpawu zokuwohloka komqondo.

Ososayensi abakazi okwamanje ukuthi yini ebanga la maprotheni angajwayelekile. Kodwa ososayensi bezakhi zofuzo bathole izakhi zofuzo ezingajwayelekile ezixhunyaniswe nesifo sikaPick namanye ama-FTD. Baye babhala nokuvela kwalesi sifo emalungwini omndeni ahlobene.

Sitholakala kanjani isifo sikaPick?

Asikho isivivinyo esisodwa sokuxilonga udokotela wakho angasisebenzisa ukuze afunde uma unesifo sikaPick. Bazosebenzisa umlando wakho wezokwelapha, ukuhlolwa okukhethekile kwe-imaging, namanye amathuluzi ukuthuthukisa ukuxilongwa.

Isibonelo, udokotela wakho anga:

• thatha umlando ophelele wezokwelapha
• cela ukuthi uqedele izivivinyo zokukhuluma nokubhala
• yenza izingxoxo namalungu omndeni wakho ukuze ufunde ngokuziphatha kwakho
• yenza ukuhlolwa komzimba nokuhlolwa okuningiliziwe kwe-neurologic
• sebenzisa ukuskena kwe-MRI, CT, noma kwe-PET ukuhlola izicubu zakho zobuchopho

Ukuhlola ukuhlolwa kungasiza udokotela wakho ukuthi abone ukuma kobuchopho bakho nezinguquko ezingase zenzeke. Lezi zivivinyo zingasiza nodokotela wakho ukukhipha ezinye izimo ezingadala izimpawu zokuwohloka komqondo, njengezicubu zobuchopho noma isifo sohlangothi.

Udokotela wakho angalawula ukuhlolwa kwegazi ukukhipha ezinye izimbangela zokuwohloka komqondo. Isibonelo, ukushoda kwehomoni ye-thyroid (hypothyroidism), ukuntula uvithamini B-12, nogcunsula yizimbangela ezivamile zokuwohloka komqondo kubantu abadala asebekhulile.

Selashwa kanjani isifo sikaPick?

Azikho izindlela zokwelapha ezithiya ngempumelelo ukuqhubeka kwesifo sikaPick. Udokotela wakho angakunikeza imishanguzo yokusiza ukunciphisa ezinye zezimpawu zakho. Isibonelo, bangahle banikeze imishanguzo yokudambisa ukucindezelwa kanye ne-antipsychotic ukusiza ukuphatha izinguquko ezingokomzwelo nezokuziphatha.

Udokotela wakho angahlola futhi aphathe ezinye izinkinga ezingazenza zibe zimbi izimpawu zakho. Isibonelo, bangahlola futhi bakuphathe ngoku:

• ukudangala nezinye izifo zemizwa
• i-anemia, engadala ukukhathala, ikhanda, imood, nobunzima bokugxila
• ukuphazamiseka kokudla okunempilo
• iziyaluyalu
• kwehle amazinga e-oxygen
• ukwehluleka kwezinso noma kwesibindi
• ukuhluleka kwenhliziyo

Ukuphila nesifo sikaPick

Umbono wabantu abanesifo sikaPick ubi. Ngokuya nge-University of California, izimpawu zivame ukuqhubekela phambili eminyakeni eyi-8-10. Ngemuva kokuqala kwezimpawu zakho, kungathatha iminyaka embalwa ukuthola ukuxilongwa. Ngenxa yalokhu, isilinganiso sesikhathi esiphakathi kokuxilongwa nokufa sicishe sibe yiminyaka emihlanu.

Ezigabeni ezithuthukile zesifo, uzodinga ukunakekelwa kwamahora angama-24. Ungaba nenkinga yokuqedela imisebenzi eyisisekelo, njengokuhambisa, ukulawula isinye sakho, nokugwinya. Ukufa kuvame ukuvela ezinkingeni zesifo sikaPick kanye nezinguquko zokuziphatha esizibangelayo. Isibonelo, izimbangela ezivamile zokufa zihlanganisa amaphaphu, umgudu wokuchama, kanye nezifo zesikhumba.

Buza udokotela wakho ukuthola eminye imininingwane ngesimo sakho esithile nombono wesikhathi eside.