Parkinsonism yachiwiri

Secondary parkinsonism ndi pamene matenda ofanana ndi matenda a Parkinson amayamba chifukwa cha mankhwala ena, matenda amanjenje ena, kapena matenda ena.

Parkinsonism amatanthauza vuto lililonse lomwe limakhudza mitundu yamavuto amtundu wa Parkinson. Mavutowa akuphatikizapo kunjenjemera, kuyenda pang'onopang'ono, ndi kuuma kwa mikono ndi miyendo.

Secondary parkinsonism ingayambidwe ndi mavuto azaumoyo, kuphatikizapo:

• Kuvulala kwa ubongo
• Matenda amtundu wa Lewy (mtundu wamatenda)
• Encephalitis
• HIV / Edzi
• Meningitis
• Angapo dongosolo atrophy
• Kupita patsogolo kwa supranuclear palsy
• Sitiroko
• Matenda a Wilson

Zoyambitsa zina za parkinsonism yachiwiri ndi izi:

• Kuwonongeka kwaubongo komwe kumayambitsidwa ndi mankhwala osokoneza bongo (monga nthawi ya opaleshoni)
• Mpweya wa carbon monoxide
• Mankhwala ena omwe amagwiritsidwa ntchito pochiza matenda amisala kapena nseru (metoclopramide ndi prochlorperazine)
• Mercury poyizoni ndi mankhwala ena amoni
• Kuchuluka kwa mankhwala osokoneza bongo
• MPTP (zoipitsa mankhwala ena osokoneza bongo)

Pakhala pali zochitika zapadera za parkinsonism yachiwiri pakati pa ogwiritsa ntchito mankhwala osokoneza bongo a IV omwe adalowetsa mankhwala otchedwa MPTP, omwe amatha kupangidwa ndikupanga heroin.

Zizindikiro zodziwika ndizo:

• Kuchepetsa nkhope
• Zovuta zoyambira ndikuwongolera mayendedwe
• Kutaya kapena kufooka kwa kuyenda (ziwalo)
• Liwu lofewa
• Kuuma kwa thunthu, mikono, kapena miyendo
• Kugwedezeka

Kusokonezeka ndi kuiwala kukumbukira kutha kukhala ku parkinsonism yachiwiri. Izi ndichifukwa choti matenda ambiri omwe amayambitsa parkinsonism yachiwiri amayambitsanso matenda amisala.

Wothandizira zaumoyo adzayesa thupi ndikufunsa mafunso okhudza mbiri ya zamankhwala ndi zomwe munthuyo wapeza. Dziwani kuti zingakhale zovuta kuzizindikira, makamaka kwa okalamba.

Kufufuza kumatha kuwonetsa:

• Zovuta zoyambira kapena kuyimitsa kuyenda kodzifunira
• Minofu yolimba
• Mavuto ndi kaimidwe
• Kuyenda pang'onopang'ono, kuyenda mozungulira
• Kugwedezeka (kugwedezeka)

Zosintha nthawi zambiri zimakhala zachilendo.

Mayeso atha kulamulidwa kuti atsimikizire kapena kuthana ndi zovuta zina zomwe zingayambitse zofananira.

Ngati vutoli limayambitsidwa ndi mankhwala, woperekayo angakulimbikitseni kuti musinthe kapena kuimitsa mankhwalawo.

Kuchiza zomwe zimayambitsa matenda, monga sitiroko kapena matenda, kumatha kuchepetsa zizindikilo kapena kupewa kuti vutoli likuipiraipira.

Ngati zizindikiro zikukulepheretsani kuchita ntchito za tsiku ndi tsiku, woperekayo angakulimbikitseni mankhwala. Mankhwala omwe amagwiritsidwa ntchito pochiza vutoli amatha kuyambitsa mavuto ena. Ndikofunika kuwona woperekayo kuti akafufuze. Secondary parkinsonism nthawi zambiri samvera chithandizo chamankhwala kuposa matenda a Parkinson.

Mosiyana ndi matenda a Parkinson, mitundu ina ya parkinsonism yachiwiri imatha kukhazikika kapena kusintha ngati vutoli lathandizidwa. Mavuto ena aubongo, monga matenda a Lewy, samasinthidwa.

Izi zitha kubweretsa mavuto awa:

• Zovuta kuchita zochitika za tsiku ndi tsiku
• Zovuta kumeza (kudya)
• Kulemala (kusiyanasiyana)
• Zovulala zakugwa
• Zotsatira zoyipa za mankhwala omwe amagwiritsidwa ntchito pochiza vutoli

Zotsatira zoyipa zakutha mphamvu (kufooka):

• Kupuma chakudya, madzimadzi, kapena ntchofu m'mapapu (aspiration)
• Kuundana kwamagazi mumitsempha yakuya (deep vein thrombosis)
• Kusowa zakudya m'thupi

Imbani wothandizira ngati:

• Zizindikiro za parkinsonism yachiwiri imayamba, kubwerera, kapena kukulira.
• Zizindikiro zatsopano zimawoneka, kuphatikiza chisokonezo ndi mayendedwe omwe sangathe kuwongoleredwa.
• Simungathe kusamalira munthuyo pakhomo mankhwala atayamba.

Kuchiza zinthu zomwe zimayambitsa parkinsonism yachiwiri kumachepetsa chiopsezo.

Anthu omwe amamwa mankhwala omwe angayambitse parkinsonism yachiwiri ayenera kuyang'aniridwa mosamala ndi woperekayo kuti ateteze vutoli.

Parkinsonism - yachiwiri; Matenda a Parkinson a Atypical

• Central dongosolo lamanjenje ndi zotumphukira zamanjenje

Fox SH, Katzenschlager R, Lim SY, ndi al; Komiti Yoyeserera Yochokera ku Movement Disorder Society. Ndemanga ya International Parkinson and Movement Disorder Society yolemba umboni wazamankhwala: zosintha pamankhwala azizindikiro zamagalimoto zamatenda a Parkinson. Kusokonezeka Kwa Magalimoto. 2018; 33 (8): 1248-1266. (Adasankhidwa) PMID: 29570866 www.ncbi.nlm.nih.gov/pubmed/29570866/.

Matenda a Jankovic J. Parkinson ndi zovuta zina zoyenda. Mu: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, olemba. Neurology ya Bradley mu Kuchita Zachipatala. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2016: chap 96.

Okun MS, Lang AE. Parkinsonism. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 381.

Matenda a Tate J. Parkinson. Mu: Kellerman RD, Rakel DP, olemba., Eds. Therapy Yamakono ya Conn 2020. Philadelphia, PA: Elsevier 2020: 721-725.