Wakawana here kuti iwe paunotora mishonga yako yePestinson iwe dzimwe nguva uchinzwa usina kudzivirirwa, unowedzera simba uye zvechokwadi unonyanya kufunga? Ko kushuva kwako kwakamboita kuti uende mumatambudziko here? Muteereri wako akamboratidza kuti ane hanya nezvimwe zve 'mafungiro ako' matsva-maitiro anobuda mushure mokutora mishonga yako yePD? Mimwe mishonga inonzi dopamine inoshandiswa kurapa chirwere chePalinson inokuita kuti uve nekudzidzira kusava nemafungiro matsva, kusanganisira kubhejera, kushandisa mari, kudya, hupombwe, uye kuronga.
Mashoko akanaka ndeokuti maitiro akawanda ekuderedza chirwere chinokonzerwa nechisimba (ICD) inogona kurapwa nekugadzirisa maitiro ekurapa kwemishonga. Asi dzimwe nguva kungochinja mafungiro emvura hazvibatsiri. Unoitei nazvo? Zvinosuruvarisa, ruzivo rudiki rwakasimba huri kunze uko pamagadzirirwo emishonga eCIDs muDP kunze kwekugadzirisa mishonga. Heano mamwe mazano pamusoro pekurapa ICDs muP PD yakakonzerwa kubva kune mitsva inowanikwa. Nguva dzose taura nachiremba wenyu kuti musarudze kuti ndeupi mushonga wakanaka kune iwe.
Uri Kungozi kweIndaneti?
Chokutanga, iwe uri pane imwe ngozi kune ICDs here? Uri kugamuchira dopamine agonist therapy uye / kana kuwedzerwa kweevodopa? Iwe uri mukomana, ane nhoroondo yekuora mwoyo, munhu wega kana wemhuri nhoroondo yekuzvidzivirira kwezvinhu, makore mashoma paDP ose, kana kutanga kwemaDyskinesia? Kurukura zviratidzo izvi nechiremba wako uye ona kana iwe unogona kukura nzira yekuongorora navanachiremba vako kubatsira kuitira kuti iwe ugone kuona chero ICD inotanga kuitika isati yaita iwe nemhuri yako kukuvara kukuru.
Kana iwe uri mune imwe nharaunda yekutanganisa kana ikozvino uri neI ICD, funga nezvemazano akaenzana ekugadzirisa kukanganisa kweIndaneti yakadai sekudzivirira kusvikirwa kwemari, kudzivirira nzvimbo dzeInternet dzinosanganisira kubhejera kana zvinonyadzisira; kutengesa chete kana hama kana shamwari iripo, uye kugoverana mumapoka gumi nemaviri ekuzvibatsira (zvakadai sebhejeri, Vanokweretesa, kana Vanokunda Anonymous).
Kuchinja Mishonga Inogona Kubatsira
Bvunza chiremba wako nezvekuchinja mishonga yako kubva kune rumwe rudzi rweagonist kune rumwe (zvakadai kubva ku pramipexole kana perdial to ropinirole kana kubva ku pramipexole kusvika kudiridhi),
Kana kuchinja maitiro kana kushandura mishonga yako hakushandi, bvunza chiremba wako nezvekuedza 'neuroleptic' yakadai sa haloperidol kana pimozide. Iyi mishonga inoderedza dopamine mazinga muuropi uye inogona kubatsira kuderedza ICD. Dambudziko nderokuti mishonga iyi uye iyo inonzi "atypical antipsychotics" seylanzapine uye risperidone inogonawo kupisa PD motokari basa.
Kune humwe humwe humwe hune simba husina simba hwekuti Quetiapine uye clozapine vanobudirira kubata chirwere chekubhejera uye hupombwe mune PD. Dambudziko nemishonga iyi ndeyokuti zvinowedzera kuipa kwePM motor zviratidzo uye vane zvimwe zvakakomba migumisiro. Clozapine inokonzera ngozi shoma yeAgranulocytosis uye inogona kuuraya kana isingawaniki kare.
Uropi hukuru hunokurudzira hunoonekwa sechirongwa cheCII muDP asi kusvika zvino, uchapupu hunovhiringidzwa kubudirira kwayo kweIndaneti.
Sources:
> Isaias IU, Siri C, Cilia R, De Gaspari D, Pezzoli G, Antonini A. Ukama Pakati Pemusana Pakuvhiringidza uye Kurairwa Kwemagumisiro muDambudziko rePasinson. Mov Disord. 2008 Feb 15; 23 (3): 411-5.
Lim SY, Evans AH, Miyasaki JM. Ann. Kudzora Kwemhirizhonga uye Matambudziko Akasiyana-siyana muPaleston's Park: kuongorora. NY Acad Sci. 2008 Oct; 1142: 85-107.
Weintraub D. Ongororo. Dopamine uye Kudzora Kwemhepo Kusagadzikana muzvirwere zvePasinson. Ann Neurol. 2008 Dec; 64 Suppl 2: S93-100.