Matambudziko emagumisiro ezvirwere zvePasinson

Ongororo inoratidza kuti pakati pe20% ne40% yevanhu vane chirwere chePasinson (PD) vanotambura nekudzivirirwa kwakakomba (vashoma kupfuura katatu kufamba kwemahombekiti kwevhiki). Nhamba huru dzevanhu vane PD dzakagadzirisa nyaya dzemakumbo zvakadai sokubvisa, kunzwa kwekuzara nekunyunyuta. Sezvo chirwere ichi chichipfuurira, zvose izvi zvinetso zveGI zvinowanzova zvakajairika. Muzviitiko zvisingawanzoitiki, zvinetso zvakakomba - zvakadai se megacolon (kuwedzera kwekoloni) uye kuputika kana kuputika kwekolon - inogona kubva kune matambudziko aya eGI.

Kuwirirana pakati pezviviri kunogona kuonekwa kusinganzwisisiki pamusoro, asi kutsvakurudza kunojekesa chimwe chimiro pamigumisiro iyi isingafadzi yechirwere.

Kuongorora kukuru kwevanhu vane hutano hwakatevedzwa kwemakore akawanda (sechikamu cheHoyolulu Heart Study Program) kwakaratidza kuti varume avo vakaratidza kuva nechepasi peboka rimwe rehodzi zuva rimwe nerimwe vaine ngozi mbiri kana yepamusoro pane dzimwe nguva dzekushanduka kwePD kupfuura yevarume aiva nehupenyu hwemazuva ose; mungozi yavo yaiva yakapetwa kaviri kupfuura yevarume vaiva nemakore maviri kana kupfuura mafudzi ezuva.

Dare iri re data rakatungamirira vamwe kuti varatidze kuti kuvimbiswa uku chiratidzo chekutanga chechirwere chacho pachavo uye inogona kutotangira zviratidzo zvePD nemakore. Chinokonzera uye hukama hukama pakati pekudzivirirwa uye PD inenge ichinyatsotsvakurudzwa. Imwe nyanzvi inoratidzira basa rinokonzera kugadziriswa mukugadzirwa kwePasinson ndeyokuti kana zvinhu zvichinyanya kuderera kuburikidza nekoloni, chero chinhu chipi zvacho chinotyisa chine chirongedzo chine nguva yakareba yekupinda mukati mehurongwa.

Kana imwe nguva yakawanda yakawanda, iyo inotyisa inogona kukuvadza dopamine- inokonzera masero, achiisa munhu pangozi yakakura yePasinson. Zvisinei, kune vanhu vagara vaongororwa vane chirwere ichi, kuratidza kusawirirana kwezvikwereti zvakakwana zve dopamine kunogona kukanganisa zvakananga matumbo (GI) mabasa, kuderedza kutama kwezvinhu kuburikidza nekoloni.

Chii Chingaitwa Nezvezvipingamupinyi Zvisingabatsiri zveGI?

Zvinosuruvarisa, zvidzidzo zvekuongorora nezveGI zvinetso zvine chokuita nePP zvaive zvishomanana uye zvakaparadzana, saka vanachiremba havana chero nzira dzakaedza uye dzechokwadi dzekutarisana navo. Mimwe yemishonga yekurapa zvirwere zveGI kune vanhu vasina PD haigoni kushandiswa kune avo vane PD nokuti madhiragi aya (Metoclopramide hydrochloride) anokanganisa zvakanyanya dopamine masangano muuropi.

Kana uri nePP uye uchiziva kubatwa, zvinonzwisisika kuedza kushandisa nzira dzakachengeteka uye dzakajeka kugadzirisa nyaya iyi usati wawedzera mishonga mitsva kuurongwa hwezuva nezuva. Kuwedzera kwekudya fiber uye kunwa mvura yakawanda nemamwe mvura inonaya ndiyo danho rekutanga rinonzwisisika mukurapa. Kana chiremba wako achibvuma, iwe unogona kufungawo kutora fiber zvinowedzera, zvakadai sepilllium kana methylcellulose . Kana nzira idzi dzisiri nyore dzisingashande, chiremba wako angangokufunga kukupa chigadziro chechigaro kana chekudya.

Kunobva:

Pfeiffer, RF (2005) Nyuchi Dysfunction. Mune: Matambudziko ePacinsinsons uye asingasviki maitiro. RF Pfeiffer neni I. Bodis-Wollmer, Eds Humana Press: Totowa, New Jersey, Pps 115-126.