Iwe hausi muduku zvakare ...
Chirwere chePacinsinson chinowanikwa pakati pezvirwere zvinowanzoitika pakupedzisira kwehupenyu hwehutachiona hwehutachiona hwehutachiona hwehutachiona hwehutachiona hwehutachiona hwehutachiona hwehutachiona hwehutachiona hwehutachiona hwehutachiona hwehutachiona hwehutachiona hwehutachiona hwehutachiona hwehutachiona hwehutachiona hwehutachiona hwehutachiona hwehutachiona hwehutachiona hwehutachiona hwehutachiona hwehutachiona hwehutachiona hwehutachiona hwehutachiona hwehutachiona hwehutachiona hwehutachiona hwehutachiona hwehutachiona hwehutachiona hwehutachiona hwehutachiona hwehutachiona hwehutachiona hwehutachiona hwehutachiona hwehutachiona hwehutachiona hwehutachiona hwehutachiona hwehutachiona hwehutachiona hwehutachiona hwehutachiona Vechidiki vese Parkinson's (vasati vava nemakore makumi mana) vanowanikwa mu5-10% yevanhu vanoongororwa asi 20% yevaya vanobatwa vari pasi pemakore makumi mashanu.
Pasinei nemakore ekutanga, isu tose takabatanidzwa kusvika pamwero wehupenyu hwakafanana nehupenyu hwaPasinson hunounza asi avo vane YOPD vangatarisana nezvipingamupinyi zvakasiyana-siyana, kubva pakuongororwa kusvika pakuwedzera kwezvirwere uye kupindura kurapwa kwenguva yakareba yezvirwere - avo vane YOPD vanofanira kurarama kwenguva yakareba nezvinetso zveizvi.
Kwete kuti kuderedze nenzira ipi neipi matambudziko ayo avo vane chirwere chinotanga kutarisana-vanotaridzirwa gare gare muupenyu vanotungamirira kune dzimwe nharo dzakasiyana-siyana zvakare. Saka kunyange zvazvo chirwere ichi chinogona kugoverwa, ruzivo rwokuti chirwere ichi chinoratidza sei chinogona kunge chakasiyana munzira dzakawanda.
Matambudziko Evechidiki Ari Kurwara Zvirwere
Chokutanga chevaya vane chirwere chinotanga kusangana hachirevi zvakafanana nevakuru vavo. Zvidzidzo zvakaratidza kuti muhutachidiki-hutachiona hwechirwere chechirwere vanowanzouya nekunetseka uye kurwadziwa; makumbo uye dystonic kudengenyeka kunoitika kakawanda kupfuura kune avo vane nguva yekupedzisira-inotenda zvirwere. Izvi zvinokonzerwa nei kuonekwa kwokutanga kwetendonitis kunyanya kunobatanidza chikamu chepamusoro chakanyanya kufanana muzvikamu zvekutanga zvechirwere chevarwere vaduku vaduku. Chimwe chikamu pamusana pehupenyu hwechiratidzo chezviratidzo pahurukuro pamwe chete nechokwadi chokuti vanachiremba vachiri kutowedzera kutonga kunze kwePasinson nekuda kwezera remurwere, zvidzidzo zvakaratidza kuti vanachiremba vanotora nguva yakareba kuti vaongorore varwere vakangotangira.
Mune imwe chidzidzo chekudzidza, izvo zvisizvo munguva yekufungidzirwa zvakange zvakapera mwedzi gumi nemashanu kuvarwere vaduku.
Vachirwere veYOPD variwo mungozi yakawanda yekuti isiri-motokari zviratidzo zvePP (zvakadai sokurwara kwekurara, kuora mwoyo, kuzvidya mwoyo, kuvimbiswa, simba rakaoma, nyaya dzekugadzira, kusava nehanya nezvimwewo zvakadaro) kunyange zvazvo vane chikwata chepakati chekushaya pfungwa kwemazuva.
Vangangotanga kurwara varwere vanotamburawo kuwedzera kwezinga reDystonia pakutanga uye munguva yekurapa,
Nezvekutarisira, varwere vaduku vane huwandu hwemadyskinesias mukupindura kurapwa kweL-DOPA. Vatachiona veYOPD vanowanzova nehutano hwehutano hwehutano hwakadai sekugadzirisa motokari uye dyskinesias kare munguva yezvirwere zvavo. Schrag et. al. vakawana kuti 100% yezvidzidzo zveYOPD mukudzidza kwavo dzakanga dzakagadzirisa zvinetso zvehutano mukati pemakore gumi kana zvishoma zvekuongororwa.
Nezvenguva yekurwara, humwe uchapupu hunowanikwa hunoratidza kuti vatachiona vane PD vane huduku vaduku pavanotanga zvakare vane chirwere chinononoka. Mune imwe nguva vashandi veYOPD vakatora nguva yakareba (2.9 years) kuti vasvike neH & Y Stage 1 kubva pane zviratidzo zvakatanga zvichienzanisa nekuguma kwevanorwara (1.7 makore) (Jankovic et al.).
Closing Thoughts
Nokudaro kune zvakawanda zvehutano uye hutano matambudziko anosarudzwa neboka reYOPD. Hakusi chete kutungamirirwa kwezviratidzo kunonetsa asiwo vechidiki vechidiki vechidiki-Youngt-Parkson's (YOPD) vane nyaya dzepfungwa dzinoita kuti pave nematambudziko akawanda. Zvidzidzo zvakaratidza kuti ucheche pahutambo hwakanga hwakabatanidzwa nehuipi huwandu hwehupenyu hwehupenyu hwakawanda.
Kuuya kwevechidiki kwaivawo mungozi yehurombo husina hukama hwehupenyu huri kuzvirongedza nehuwandu hwekuora mwoyo.
Vaya vane YOPD vanoongororwa mumakore ekubereka akawanda muupenyu hwavo, pamwero wepamusoro pemabasa avo, sezvo vari kuzviisa mari, vachirera mhuri, kazhinji mhuri dzechidiki ivo pachavo vari kurarama mararamiro ehupenyu hukuru. Nyaya dzinogona kunge dzisati dzisiri zvipingamupinyi zvikuru zvinomutswa-zvakapoteredza basa, kuchengetedza kwemari, hukama, kuvabereki uye zvinangwa zvemuzouya. Zvinetso izvi zvepfungwa zvinoda kutarisirwa zvakanyanya sezvinetso zveutano; zvinokanganisa zvakanyanya kugadzikana mupfungwa kwevarwere nemhuri, kupindirana nehukama hwose.
Vatapi veYOPD vanogona kubatsirwa neboka reboka pakubata kwavo kuitira kuti vagadzirise nzvimbo dzose dzekutambudzika uye kuwedzera hupenyu hwehupenyu.
> Sources:
> Rana, Abdul Qayyum, > Ishraq > Siddiqui, uye Muhammad Saad Yousuf. "Zvinetso Mukuongororwa Kwezvirwere Zvitsva zvePasinson." Nhoroondo yeNeurological Sciences 323.1-2 (2012): 113-16. Dhinda.
> Schrag, A. "Dyskinesias uye Motor Fluctuations muzvirwere zvePasinson: Chidzidzo cheMunharaunda." Ubongo 123.11 (2000): 2297-305. Dhinda.
> Sirivha, Greg A., BBA, Kevin D. Vuong, MA, uye Joseph Jankovic, MD. Kurwisa-Kubatanidzwa neKutarisana Kwemazuva ePasinsinoni: Kurwara Kwezvipatara uye Kuwedzera Kwirwere . Baylor College of Medicine . Np, nd Web.