Dambudziko guru muPalinson's (PD) ndiyo kurasikirwa zvishoma nezvishoma muuropi yeikemikari messenger dopamine. Pasina iyi masero eurotransmitter europi anoshandisa dopamine haakwanisi kukurukurirana nemumwe. Kuparadzana uku kunounza kuparara kwehutano muhutano hwehupi hunoshandisa dopamine. Iyo motokari inongova yakakurumbira uye isingagoni kudzivirira mabasa aya, saka vanoona zvose.
Asi kune dzimwe hutano hunokosha hunoenderana nedopamine iyo inobatwawo nePP-sezvo ndine chokwadi iwe unoziva kana iwe kana mudiwa ane PD. Idzi humwe humwe huropi hunoita kurara, mafungiro, kutaura, uye kufunga.
Kurara & Kunyunyuta
- Kusvika kusvika kuzana makumi mapfumbamwe nevashanu vePAD vanorwara zvinetso zvehope pane imwe nguva mukurwara kwavo.
- Pakati pe40 ne90% yevashandi vePP vanonzwa kusurukirwa kana kuoma kunowira nekugara kurara. Vakawanda vevanhu ava havanzwi vazorodzwa mushure mekumuka kubva kurara.
- Kunyunyuta muPP kunobatana nemisumbu inoputika, kusagadzikana, kazhinji kunoda kusimuka uye kunyura, kuzvidya mwoyo uye nemigumisiro yemishonga.
Kuwedzerwa kwezuva Masikati
- Vakawanda vePP vanorwara zvakanyanya zuva nezuva kuneta uye kurara. Hatisati tine nhamba dzakasimba pamusoro pokuti vangani varwere vanoona kurara kwemasikati.
- Kurara masikati kunogona kuva nengozi kana murwere achida kuita motokari yakawanda.
- Kurara kwezuva masikati muPP kunogona kuva nekuda kwezvinhu zvakasiyana-siyana kusanganisira kusuruvara, kupererwa kwepabonde (ona pasi apa), kuora mwoyo uye drug therapy (iyo dopamine agonists, kunyanya, inogona kukonzera kurara).
Kurara Apnea
Vose vanenge 20% vevashandi vePP vanogona kunge vane chirwere chokupona .
Kurara kwepabhesi kunoreva kuoma kukuru nekufema panguva yehope.
Kurara kwepabhesi ndicho chikonzero chikuru chekurara kweusiku uye kurara kwemasikati. Iyo inobatsirawo kuderedza okisijeni inoyerera kuuropi iyo iyo inokanganisa kukanganisa nekufunga masikati.
REM Kuchengetedza Matambudziko
- Pakati pe15 ne48% yevarwere vePP vanewo REM Behavior Disorder (RBD).
- Kurara kwe REM, kana Rapid Eye Movement kurara, ndiyo iyo yerara yakadzika iyo yatinogona kuva nayo zviratidzo zvakajeka. Mitumbi yedu yakaoma mutezo munguva yekubata REM nemhaka yekudzvinyirirwa kwemisumbu inoitika panguva yaR REM kuitira kuti tisaita zviroto zvedu kana tarara.
- REM Kutadza Matambudziko kunowanikwa apo hutachiona hunoderedza hunoitika huri muhope REM hunopedzwa.
- Varwere vane RBD vanowanzotora zviratidzo zvechisimba kana zvinotyisa apo uyo anorota kana mubhedha wake ari kurwiswa uye muroti anofanira kudzivirira kune vanorwisa.
Mood
Vanenge vese varwere vane PD vanonzwa kushungurudzika kwepfungwa munguva yechirwere chacho. Izvi hazvishamisi. Kufanana nedzimwe mamiriro ezvinhu asingagumi, PD inokonzera matambudziko akawanda anokonzera zuva nezuva uye izvi zvinogona kuvhiringidza kune vose murwere nemhuri yake. Izvo zvakajairika kuenda kune dzimwe nguva yekusuwa uye kuora mwoyo. Zvinowanzoitikawo kuti uwane kushushikana nekuzvidya mwoyo pamusoro pekuti iwe nevemhuri yako muchagadzirisa sei mapepa ose ekupinza PD anokanda kwamuri. Saka kushungurudzika uye kuzvidya mwoyo zvakagadzikana zvachose kune PD. Chinova chinoshungurudza uye chinoda kutarisirwa ndechekuti kusuruvara kunosvika pakuora mwoyo kana apo kushungurudzika kunoramba kuchiramba uye kunovhiringidza kushanda kwezuva nezuva.
Heano mamwe mazano angangobatsira:
- Kusvika ku50% yevashandi vePP vanoona kuora mwoyo kukuru munguva yechirwere chacho.
- Kushungurudzika kunogona kunyatsobudirira muPP pamwe nekusanganiswa kwepfungwa uye remishonga inorwisa-depressant.
- Pakati pe30 ne40% yevashandi vePP vane chirwere chikuru chekuzvidya mwoyo munguva yekurwara. Izvi zvinetso zvekuzvidya mwoyo zvinogona kuratidzirwa sekutya, phobic (kunyanya mamiriro ezvinhu anokonzera kushungurudzika), kana kufunganya kwakazara.
Matambudziko Akutaura
Zvinetso zvekutaura zvePP zvinosanganisira kuoma nekutaurirana kwekutaura kwekutaura, izwi rekutaura, uye kutaura kunotaura kana nziyo.
Izvi zvingaita sezvinetso zviduku asi zvinogona kuva nemigumisiro yakakura pamaitiro ako ezuva nezuva ehukama hwevanhu kuitira kuti zvakakosha kugadzirisa matambudziko aya nekukurumidza iwe unogona.
Zvinetso Zvokufunga
Dopamine inopa nzvimbo idzi dzeuropi dzinonyanya kukosha pakufungisisa, kufunga, kuratidza uye kuronga. Aya anozivikanwa se "masimba ekugadzirisa maitiro" nokuti anobatsira kudzora mamwe ose mamwe maitiro ekufunga ehupfungwa hwehuropi. Zvakakosha kucherechedza kuti mabasa aya ekufunga haAAA akarasika muDP-ivo vanononoka zvishoma. Asi kuderera uku kuduku kunogona kuva nemigumisiro yakawanda pakushanda kana isina kusiyiwa.
The Bottom Line
- PD inobatanidza nematambudziko akawanda asingaverengeki kusanganisira matambudziko ekurara, matambudziko emanzwiro, zvinetso zvekutaura uye zvinetso zvekufunga.
- Nhau dzakanaka ndeyokuti ZVA dzose dzezvinetso izvi zvinogona kunyatsorapwa uye kana dzichitaridzirwa zvakanaka hupenyu hwako huchavandudza zvikuru.
- Hapana chikonzero chekutambura zvisina kufanira. Iyi ndiyo nzvimbo dzaunogona kuita kuti uite mutsauko. Act!
- Taura nachiremba wako pamusoro pezvinetso izvi kana iwe uinazvo.
- Hazvidziviriki kuti iwe unorara usingaregi kana kuti uchitaura zvisina kunaka kana kuora mwoyo. Iwe unogona kuita chimwe chinhu pamusoro pezvinetso izvi.
- Yeuka, iwe hausi chirwere chako. Musarega ichi chichiteterera kwauri. Ikoko kune mishonga yakawanda inobudirira inowanikwa. Iwe unogona kudzidza zvakawanda pamusoro pezvirapa izvi kubva kuchiremba wako uye kubva pane ino webhusaiti.
Sources
> Huber SJ, Cummings JL, vaparidzi. Zvirwere zvePasinson: Neurobehavioral Aspects. New York: Oxford University Press; 1992.
> R. Pahwa uye KE Lyons (Vatungamiri), Handbook yeChirwere chePasinson ; 4th Edition, New York, Informa Healthcare Publishers, 2007.
> RF Pfeiffer neni I. Bodis-Wollner (Eds). Parkinson Zvirwere uye kusakosha kwemotokari, Humana Press; Totowa, New Jersey, 2005.