Zviratidzo, Zvirwere, uye Kurarama Nezvirwere zvePacinson
Chii chinonzi chirwere chePalinson uye chii chiri zviratidzo? Kuongororwa kwakaitwa sei uye ndezvipi zvirongwa zvinowanikwa? Chii chaunofanira kuziva nezvekurarama zuva rimwe nerimwe nehosha?
Overview
Chirwere chePasinsinson chirwere chepfungwa chinonzi mushure mechiremba weBritish, James Parkinson, uyo akatanga kunyatsorondedzera zviratidzo zvaro muna 1817. Zviratidzo zvaro zvitatu zvinodengenyeka (kudedera kunowanzotanga mune rumwe rutivi), kusagadzikana muduti kana mitezo, uye kunonoka kufamba.
Iro chirwere chinopfuurira, chinoreva kuti chinowedzera kuwedzera kupfuura makore. Asi mushonga mutsva uri kubuda kune PD uyo anopikira kuderedza zviratidzo zvinodzivisa zvikuru zvechirwere.
Kuwanda
Chirwere chePalinson (PD) chinokanganisa vanhu vanenge mamiriyoni muUnited States neCanada. Varume vanowanzoita kuti PD iwane vakadzi.
Zvinokonzera
Takadzidza muma1950 kuti PD yakabatana nekushayikwa kwemakemikari messenger dopamine mumasangano ekufambisa europi, kunyange tiri kudzidza kuti chikonzero chechirwere cheParkinson chakanyanya kuoma uye chinosanganisira nzira dzisingabviri nedopamine (isina-dopaminergic) naizvo.
Kunyangwe tichiziva nezvezvipingamupinyi zvinokonzera njodzi yekuvandudza chirwere ichi, hazvizivikanwe kuti izvi zvinoshanda sei pamwe kuti zvikonzere chirwere.
Risk Factors
Kunyange zvazvo munhu anenge awana chirwere chePacinson, vamwe vanhu vari pangozi yekuwedzera chirwere ichi. Risk zvinhu hazvirevi kuti mumwe munhu achawana chirwere chePalinson, chete kuti ivo vari pangozi yakawanda.
Zvakakosha kucherechedza kuti kazhinji chirwere cheParkinson chinowanzobva kune dzimwe nyika, zvichireva kuti zvinogona kunge zvakasiyana-siyana zvinoshanda pamwechete kuti zvive nehupi hunochinja hunoita kuti PD. Njodzi dzinokonzera chirwere chePestinson dzinosanganisira:
- Zera - chirwere chePalinson chinonyanya kufanana (ne75 muzana yevanhu vanovandudza chirwere ichi mushure mezera remakore makumi matanhatu) kusvika kune makore makumi mapfumbamwe, kana zvadaro zvisinganyanyi kudarika zvakare
- Zvepabonde - Varume zvishoma zvishoma kuti vatange chirwere chePasinson kupfuura vakadzi
- Race - Caucasians inowanzoita kuti ive PD pane VaAfrica veAmerica
- Genetics - Kuva nemhuri yePD kunowedzera njodzi yako, uye imwe geni inonyanyobatanidzwa nekutanga kwepachirwere chePasinson
- Zviratidzo kune zvimwe zvinokonzera mishonga
- Kushandisa zvinodhaka zvisina kushandisa mutemo (kunyanya kushandiswa kwezvinhu zvinokurudzira zvinokonzera dopamine muuropi)
- Vanhu vakave nekukuvadzwa kwehupfungwa kunetseka
Zviratidzo
Sezvo dopamine inowanzobata masimba, chirwere chePalinson chinonyanya kukanganisa kufamba. Asi pane zvimwe zvisingaiti motokari (zvisingaenderani nehutachiona) zviratidzo zvakare, zvakadai sematambudziko nemanzwiro, kurara, kufunga uye kutaura.
Yakawanda motokari zviratidzo zvechirwere chePasinson dzinosanganisira:
- Kuderera kwekufamba - Izwi rokuti bradykinesia rinoshandiswa kurondedzera izvi zvishoma zvishoma
- Kuzorora kunodengenyeka - Izvi zvinodengenyeka zvinodanwa zvinonziwo "pill-rolling" kudengenyeka sezvavanenge vachiita somunhu ari kuisa mapiritsi mumaoko avo
- Rigidity
Mumakore achangobva kupfuura akawanikwa kuti zviratidzo zvekutanga zvechirwere chePasinson zvinowanzova zviratidzo zvisiri-motokari, uye kuti izvi zvinogona kuitika kusvika kumakore mashanu kushungurudzika kwechikwata chechipatara chaPasinson kuve pachena.
Izvi zviratidzo zvekare zvisina motokari zvechirwere chePasinson zvinosanganisira:
- Kurasikirwa kwekunzwa kwekunhuhwirira (kusagadzikana kwemaitiro)
- Constipation
- Zvinetso zvehope zvinosanganisira rudzi rumwe rwehope dzisina kukodzera dzinozivikanwa seR sleep sleep behavior disorder. Iyi dambudziko rehope inosanganisira vanhu vane PD vanoita zvavanenge vachirota; kurova kana kuzvirovera ivo pachavo kana mubhedha wevatavo mukupindura pane zviri kuitika mukurota kwavo
Mukuwedzera kumatambudziko ekurara, zvimwe zviratidzo zvisiri izvo zvepachirwere chePasinson zvinogona kusanganisira:
- Kuneta
- Matambudziko emafungiro evanhu - Kusvikira hafu yevanhu vane PD vanovandudza kuora mwoyo kukuru uye 30 kusvika ku40 muzana vanotambura nechirwere chokuzvidya mwoyo
- Kuziva kusagadzikana uye zvinetso zvepamusoro
Zvinetso zvekutaura nePalinson's disease zvakasiyana-siyana, asi zvinonyanya kukosha munzanga, nekuti kana zvichisanganiswa ne " zviso zvakasvibiswa " zvechirwere chePasinson zvinogona kuva zvakaoma kunzwisisa chii chinonzi munhu ane PD. Zvimwe zviratidzo zvinowanzobatanidza kuvhiringidzika kwekuona , zvinetso zvekuvhota , uye kusagadzikana kwepabonde.
Kuziva
Izvo hazvina zviratidzo zvisina kufanira zvekuongorora chirwere cheParkinson . Hapana kuongororwa ropa kana kuongororwa kweuropi izvo zvinogona kugadzirisa zvakananga kana munhu ane chirwere chaPacinson kana kwete, uye chinowanikwa pane zvinyorwa zvenhoroondo yezviratidzo uye mushure mekuongorora nekunyatsoongorora kwepfungwa. Kana motokari yako zviratidzo (kudengenyeka, kugadzikana uye kutama kunonoka) kuve nani kana uchitora muedzo weiyovodopa yezvinodhaka , saka zvinowanzove iwe une PD.
Mishonga
Pane, ikozvino, hapana mushonga wePP, asi pane mamwe maitiro anobatsira zvikuru. Mukuwedzera, kuongororwa kwekliniki iri kutarisa nekushingaira kurapwa mutsva uye nzira itsva dziri kuwanikwa gore rega roga.
Kurapa kwaPacinson's disease e kunowanzobatanidza kusanganiswa kwemaitiro akasiyana. Mishonga yePalinson's disease inosanganisira dopamine replacement therapy uye dopamine agonists pamwe nekumwe mishonga inoshanda nenzira yakasiyana. Ichocho chepfungwa chinokurudzira chave chichitaridzirwa pakuwedzera mumakore achangopfuura uye ine chinyorwa chazvo chezvakanaka uye zvakashata.
Zvakakosha kuongorora kurapwa kwezviratidzo zvine chokuita nehosha yaPasinson pamwe chete, sezvo zvimwe zveizvi zvinogona kuva zvinonetsa. Semuenzaniso, vanhu vazhinji vane chirwere vachada kufunga nezvekurapa kwekusarudzwa. Mukuwedzera, dzimwe nzira dzokurapa , kunyange zvazvo dzisingakwanisi kuderedza kushandiswa kwechirwere ichi, inogona kubatsira vanhu kukunda matambudziko akawanda ane chokuita nechirwere chacho.
Kutsungirira
Zvinokwanisika kurarama hupenyu hunoshingaira nePP. Kana iwe ukashandisa zvakanakisisa nzira dzakanakisisa dzokurapa iwe, ramba uine maitiro ekugadzirisa zvakanakisisa iwe unogona, uye ugadzire uye ushandise ruviriro rutsigiro iwe uchawedzera kukwanisa kwako kuramba uri kuzvimiririra uye kurarama hupenyu hunofadza. Yeuka iwe hausi chirwere chako. Dzidza zvakawanda zvaunokwanisa pamusoro pePD uye zvibvumira kubvuma rubatsiro kubva kune vamwe kana uchida.
Kana iwe uchangobva kuongororwa ane PD, tarisa matanho aya ekutanga kuvanhu vanorwara nechirwere chePasinson .
Kana Mudiwa Wako Akamboongororwa
Kana mudiwa wako achangobva kuongororwa ane chirwere chePalinson, hatifaniri kutaura kuti PD chirwere chemhuri. PD inogona kuva nehukuru hwehukama . Izvozvo zvakati, kana iwe neshamwari yako yaunoshanda pamwe nekuchengetedza kukurukurirana pachena, kufungidzirwa kwePP kunogona kuva nguva yemhuri kuswedera pedyo pamwe nekushanda seboka mukutarisana nezuva nezuva kukanganiswa kwechirwere.
Sources:
Kasper, Dennis, Anthony Fauci, Stephen Hauser, Dan Longo, naJames Jameson. Harrison's Principles of Internal Medicine. New York: McGraw-Hill Dzidzo, 2015. Print.
US National Library of Medicine. Medline Plus. Updated 10/13/16. https://medlineplus.gov/parkinsonsdisease.html