Apo vanhu vanofunga nezvechirwere chePasinson , yekutanga zviratidzo zvinowanzouya mupfungwa ndeyezvipimo zvemotokari sekudengenyeka kwekuzorora, kusagadzikana, kana kuderera kwekufamba.
Asi zviratidzo zvekusaziva , kufanana nemafungiro evhu uye matambudziko ekurara, zvinowanzoonekwawo muPasinson. Chimwe chisingaenzaniswi iyo nyanzvi dzinonyanya kufunga nezvekurasikirwa kwekunhuwa, izvo zvinowanikwa munenge 90 kubva muzana yevanhu vane chirwere chePasinson chekutanga.
Kurasikirwa kwekunhuhwirira (kunonzi hyposmia kana kusagadzikana kwemaitiro) hakusi kungoparadza hupenyu hwomunhu, asi ndicho chimwe chezviratidzo zvepakutanga zvePasinson.
Saka kutora pfungwa iyi nhanho iri mberi, nyanzvi dzinofunga kuti kana kunhuhwa kwemunhu kunowanikwa nokukurumidza, kunogona kupa ruzivo kune chirwere chepfungwa chepfungwa-uye kune ikozvino kutsvakurudza kwakashandura pfungwa iyi kuva yechokwadi.
Kutsvakurudza Kunopesana Nekunhuhwa Muedzo wekufanotaura nezveHIV yaPasinson
Mune chidzidzo muNeurology, pfungwa yekunhuwa kwevanhu vanopfuura 2500 vane hutano yakaongororwa muna 1999-2000. Ava vatori vechikamu vaiva vevhareji yezera remakore makumi manomwe uye vose vaigara mumaguta ePittsburgh, Pennsylvania uye Memphis, Tennessee.
Mhedziso yavo yekunhuhwira yakaongororwa uchishandisa Brief Smell Identification Test (BSIT). Muchiitiko ichi, vatori vechikamu vakatanga kutema uye vakanhuwa 12 zvinonhuwira zvakasiyana. Vaizofanira kuziva hunhu hwakasiyana-siyana seminamoni, mandimu, petrooline, sese, uye anyezi kubva kumhinduro ina dzakasiyana-siyana.
Zvishandiso zvakasiyana-siyana zvekushandisa zvakashandiswa kuzivisa vanhu vakagadzira chirwere chePasinson kuburikidza naAugust 31st, 2012.
Mhinduro yakaratidza kuti panguva yekutevedza nguva yekutsvaga kwemakore 9.8, zviitiko makumi maviri nezviviri zvechiitiko chePalinson's disease zvakawanikwa, uye nezvo, kubatana kwakawanikwa pakati pehurombo husina kunaka hwekunhuhwirira uye pangozi yakanyanya yePasinson.
Izvi zvinoreva kuti vanhu vaiva nekunzwa kwakanyanya kunhuwirira (zvinoreva kuti vakawana mumatunhu akakadzika pasi rose rezvikamu zveBIST) vakanga vane njodzi yakanyanya yekugadzira chirwere chePasinson.
Zvinofadza, apo chidzidzo chacho chakanga chaputsika muhutano uye chikadzi, chibvumirano chakanga chine simba kune vashandi veCaucasian, zvichienzaniswa nevatori vechiAfrica-America, uye nevarume, zvichienzaniswa nevakadzi.
Zvii Zvinoguma Zvichitaura?
Mharidzo yekutora pamba apa ndeyekuti "kuongorora maitiro" kunogona kukwanisa kufungidzira dambudziko remunhu wekuvandudza chirwere chePasinson. Izvozvo zvakati, kune zvishoma zviduku zvekuchengeta mupfungwa.
Chimwe ndechokuti kurasikirwa kwehupfumi kunogona kuve nekuda kwemamwe matambudziko ehutano kunze kwePasinson. Zvimwe zvirwere zvehupfungwa zvakadai seAlzheimer zvinogona kukonzera kunhuhwirira kunhu, sezvingave zvisingagoneki mamiriro ezvinhu seasingaperi rhinosinusitis . Ichi ndicho chikonzero kuronga kunhuhwira kunzwisisika kune zvakananga kune PD kunokosha, uye vatsvakurudzi vasati vasarudza izvi zvose.
Chechipiri, "kunhuhwira miedzo" inofanira kuedza kunzwisisika kunhuhwirira kunhu. Kungotaura chete kuti munhu ane kurasikirwa kwekunhuwa kunenge kusina kujeka. Zvichida munhu mumwechete ane nguva yakaoma kusarura pakati pekunhuhwirira apo mumwe asingakwanisi kuzivisa zvinonhuwira. Kana munhu angave ane chikumbaridzo chepamusoro chekuona zvinonhuwira.
Nezvo, kutsvakurudza kunoratidza kuti muPasinson, kune kumira kwakanaka mukuzivikanwa kwekunhuhwirira, pane kunhuhwira kuonekwa, zvinoreva kuti vanogona "kunhuhwirira," asi kwete kutaura kuti chii.
Pakupedzisira, zvakakosha kukurangarira kuti kubatana kana kushamwaridzana kunongova kuwirirana kana kuwanikwa kunobva pane zvidzidzo-haisi 100 muzana inofanirwa kune mumwe munhu mumwe. Mune mamwe mazwi, munhu anogona kurasikirwa nemanzwiro ekunhuhwirira uye kusamboita chirwere cheParkinson. Saizvozvowo, pane vanhu vane chirwere chePasinson vanochengetedza pfungwa yavo yekunhuwa.
Chikonzero Chekurasikirwa Kwekunhuwa Mumuviri wePacinson
Hazvinyatsozivikanwi kuti nei kusvibiswa kunokonzerwa nehosha yaPasinson.
Nyanzvi dzakawana kuti kunhuhwa kurasikirwa kunobatanidza nenhamba shoma yecholinergic neurons (masero emasero anokonzera uropi chemakemikari, acetylcholine) mu nucleus basalis yaMeynart-nzvimbo yeuropi inoshandura kune imwe nyanzvi yekortex uko iwe unonzwa kunhuwa.
Nezivo izvi, kunhuwa miedzo inotarisa pakuona cholinergic kudzvinyirira inogona kuva yakanaka. Icho chichiri kare kare kuti ataure, zvakadaro, saka kunyanya kuongorora kunoda kuitwa.
Uyezve, vamwe vanotsvakurudza vakaratidza kuti chirwere chePasinson chinogona kutanga kutora chirongwa chekudya uye bhuru rinoshandiswa (nzvimbo yeuropi inodzora pfungwa yekunhuhwirira), uye kwete iyo substantia nigra (apo inoguma inotungamirira ku dopamine-producing nerve cell rufu). Izvi zvingava kuti nei zviratidzo zvepakutanga, sekuvhara uye kurasikirwa kwekunhuhwira, kutanga kwemakore zvisati zvaitika kumotokari zviratidzo sekuzorora kwekudengenyeka uye kuomesera kwemisimba.
Shoko Rinobva
Zvichida kana kwete vasayendisiti vanozopedzisira vachikuvadza kunhuwa kunotsvaga njodzi ye (kana kuti kunyange kuongororwa ) chirwere chePacinson hachina kujeka. Asi, zvisinei, kufarira uku mukurasikirwa kwekunhuwa kunogona kuita kuti vanachiremba vatarise Parkinson apo varwere vavo vanozviunza. Ita zvakasiyana, zvinogona kudzivirira chiratidzo ichi kusaregererwa, izvo zvinowanzove.
Zvichida munzira mune ramangwana, masayendisiti anogona kusimudza chirwere cheParkinson mumakwara ayo, kana ichiraira mubhuru rinosati rasvika risati rasvika ku-substantia nigra.
> Sources:
> Bohnen NI, Albin RL. Cholinergic system uye chirwere che parkinson. Behav Brain Res. 2011 Aug 10; 221 (2): 564-73.
> Bowman GL. Biomarkers nekukurumidza kuziva Parkinson chirwere: Kunhuhwirira kwekusagadzikana nehupactory dysfunction. Neurology . 2017 Oct 3; 89 (14): 1432-34. doi: 10.1212 / WNL.0000000000004383.
> Chen H et al. Kuvhiringidzika uye chiitiko chePasinson chirwere muU.S. white uye vanhu vakuru vakura. Neurology. 2017 Oct 3; 89 (14): 1441-47. doi: 10.1212 / WNL.0000000000004382.
> Doty RL. Izvo zvisina kukodzera kuPasinson chirwere. Nat Rev Neurol . 2012 May 15; 8 (6): 329-39.
> The Michael J. Fox Foundation. Nekutsvakurudza kwePasinsinson. Kunhuwa Kunorwara uye Parkinson's Disease.