Ukuthuthumela noma iDyskinesia? Ukufunda Ukubona Umehluko

-Delile

• Kuyini ukuthuthumela?
• Yini i-dyskinesia?
• Ungawubona kanjani umehluko
• Ukuthuthumela
• I-Dyskinesia
• Ukwelapha ukuthuthumela
• Ukwelapha i-dyskinesia

Ukuthuthumela kanye ne-dyskinesia yizinhlobo ezimbili zokunyakaza okungalawuleki okuthinta abanye abantu abanesifo sikaParkinson. Kokubili kubangela ukuthi umzimba wakho uhambe ngezindlela ongafuni, kepha ngayinye inezimbangela ezihlukile futhi ikhiqiza izinhlobo ezahlukene zokunyakaza.

Nakhu ukuthi ungasho kanjani ukuthi ukunyakaza okungazibandakanyi obhekene nakho kungukuthuthumela noma i-dyskinesia.

Kuyini ukuthuthumela?

Ukudlidlizelisa ukuzamazama kokuzikhethela kwezitho zakho noma ubuso bakho. Kuyisibonakaliso esivamile sesifo sikaParkinson esidalwa ukuntuleka kwe-dopamine yamakhemikhali ebuchosheni. I-Dopamine isiza ukugcina ukunyakaza komzimba wakho kubushelelezi futhi kuhambisane.

Cishe amaphesenti angama-80 abantu abanesifo sikaParkinson babhekana nokuthuthumela. Kwesinye isikhathi kuba yisibonakaliso sokuqala sokuthi unesifo. Uma ukuvevezela kuyisibonakaliso sakho esiyinhloko, mhlawumbe unesimo sesifo esiqhubeka kancane futhi siqhubeka kancane.

Ukuzamazama kuthinta iminwe, izandla, umhlathi nezinyawo. Izindebe zakho nobuso bakho nakho kungathuthumela. Kungabukeka futhi kwehlukile, kuya ngokuthi iyiphi ingxenye yomzimba ethintekile. Ngokwesibonelo:

Ukuthuthumela komunwe kubukeka njengokunyakaza kwe- “pilling rolling”. Isithupha nomunye umunwe hlikihla ndawonye ngokunyakaza okuyindilinga okwenza ubukeke sengathi ugoqa iphilisi phakathi kweminwe yakho.

Ukudlidliza imihlathi kubukeka sengathi isilevu sakho siyaqhaqhazela, ngaphandle kokuthi ukunyakaza kuhamba kancane. Ukuzamazama kungaba namandla ngokwanele ukwenza amazinyo akho achofoze ndawonye. Imvamisa izophela lapho uhlafuna, futhi ungadla ngaphandle kwenkinga.

Kuthuthumela konyawokwenzeka lapho ulele phansi noma uma unyawo lwakho lilenga (ngokwesibonelo, ngaphezu komphetho wombhede wakho). Ukunyakaza kungahle kube sezinyaweni zakho, noma kuwo wonke umlenze wakho. Ukuzamazama kuvame ukuma lapho usukuma, futhi akufanele kuphazamise ukuhamba.

Ukuzamazama kwekhanda kuthinta cishe iphesenti elilodwa labantu abanesifo sika-Parkinson. Kwesinye isikhathi nolimi luyazamazama.

Ukuzamazama komhlaba kukaParkinson kwenzeka lapho umzimba wakho usuphumule. Lokhu yilokho okukuhlukanisa nezinye izinhlobo zokuzamazama. Ukuhambisa isitho esithintekile kuvame ukumisa ukuzamazama.

Ukuzamazama kungahle kuqale engxenyeni eyodwa yomzimba noma ohlangothini lomzimba wakho. Ngemuva kwalokho ingasakazeka ngaphakathi kwaleyo mlenze - ngokwesibonelo, kusuka esandleni sakho kuye engalweni. Olunye uhlangothi lomzimba wakho nalo lungagcina seluzamazama, noma ukuzamazama kungahlala ohlangothini olulodwa.

Ukuzamazama akukhubazi kakhulu kunezinye izimpawu zikaParkinson, kodwa kubonakala kakhulu. Abantu bangabuka lapho bekubona uthuthumela. Futhi, ukundindizela kungaba kubi kakhulu njengoba isifo sakho sikaParkinson siqhubeka.

Yini i-dyskinesia?

IDyskinesia ukunyakaza okungalawuleki engxenyeni yomzimba wakho, njengengalo, umlenze, noma ikhanda. Kungabukeka kanjena:

• ukudikiza
• ukujija
• ukugembula
• ukusonteka
• ejeqeza
• ukungahlaliseki

I-Dyskinesia ibangelwa ukusetshenziswa kwesikhathi eside kwe-levodopa - umuthi oyinhloko osetshenziselwa ukwelapha iParkinson's. Ukuphakama komthamo we-levodopa owuthathayo, futhi uma ukuyo isikhathi eside, maningi amathuba okuthi ube nalo mphumela wecala. Ukunyakaza kungaqala lapho umuthi wakho ungena futhi amazinga e-dopamine enyuka ebuchosheni bakho.

Ungawubona kanjani umehluko

Nawa amathiphu ambalwa wokukusiza wazi ukuthi unethuthumbo noma i-dyskinesia:

Ukuthuthumela

• ukunyakazisa ukunyakaza
• kwenzeka lapho uphumule
• iyama lapho unyakaza
• kuthinta izandla zakho, izinyawo, umhlathi, nekhanda
• kungaba ohlangothini olulodwa lomzimba wakho, kepha kungasakazeka kuzo zombili izinhlangothi
• kuba kubi kakhulu lapho unengcindezi noma uzwa imizwa enamandla

I-Dyskinesia

• ukujija, ukubhoboza, noma ukunyakaza okunyakazayo
• kuthinta uhlangothi olufanayo lomzimba wakho njengezinye izimpawu zikaParkinson
• imvamisa iqala emilenzeni
• kubangelwa ukusetshenziswa kwesikhathi eside kwe-levodopa
• ingavela lapho ezinye izimpawu zakho ze-Parkinson zithuthuka
• kuba kubi kakhulu lapho unengcindezi noma uthokozile

Ukwelapha ukuthuthumela

Ukuthuthumela kungaba nzima ukuselapha. Kwesinye isikhathi iphendula i-levodopa noma ezinye izidakamizwa ze-Parkinson. Kodwa-ke, akubi ngcono njalo ngalezi zindlela zokwelapha.

Uma ukuthuthumela kwakho kunzima noma umuthi wakho wamanje kaParkinson ungakusizi ukukulawula, udokotela wakho angakunika enye yalezi zidakamizwa:

• izidakamizwa ze-anticholinergic njenge-amantadine (Symmetrel), i-benztropine (Cogentin), noma i-trihexiphenidyl (Artane)
• i-clozapine (Clozaril)
• i-propranolol (Inderal, abanye)

Uma umuthi ungakusizi ekuthuthumeleni kwakho, ukuhlinzekwa kobuchopho obujulile (DBS) kungasiza. Ngesikhathi se-DBS, udokotela ohlinzayo ufaka ama-electrode ebuchosheni bakho. La ma-electrode athumela izigaxa ezincane zikagesi kumaseli obuchopho alawula ukunyakaza. Cishe amaphesenti angama-90 abantu abanesifo sikaParkinson abane-DBS bazothola ukukhululeka okuyingxenye noma okuphelele ekuthuthumeleni kwabo.

Ukwelapha i-dyskinesia

I-DBS iyasebenza futhi ekwelapheni i-dyskinesia kubantu asebeke baba ne-Parkinson iminyaka eminingana. Ukwehlisa umthamo we-levodopa owuthathayo noma ukushintshela kwifomula ekhishwe isikhathi eside kungasiza nasekulawuleni i-dyskinesia. I-Amantadine enwetshiwe ukukhishwa (Gocovri) iyayiphatha le mpawu futhi.