Akinesia ndi chiyani?

Zamkati

• Makina a fetal
• Akinesia ndi dyskinesia: Kodi pali kusiyana kotani?
• Zizindikiro
• Chithandizo
• Mankhwala
• Zolimbikitsa zokhazikika
• Pa kauntala
• Njira zina zochiritsira kunyumba
• Zomwe zimayambitsa komanso zoopsa
• Chiwonetsero

Akinesia

Akinesia ndi nthawi yoti kutaya mphamvu yosuntha minofu yanu mwakufuna kwanu. Amatchulidwa kawirikawiri ngati chizindikiro cha matenda a Parkinson (PD). Zitha kuwoneka ngati chizindikiro cha zikhalidwe zina, nazonso.

Chizindikiro chimodzi chodziwika bwino cha akinesia ndi "kuzizira." Izi zikutanthauza kuti gawo limodzi kapena angapo mthupi lanu sangathenso kuyenda chifukwa cha matenda amitsempha, monga PD. Izi zimayambitsa ma cell a mitsempha (ma neuron) m'malo oyenda aubongo wanu kufooka ndikufa. Kenako ma neuron sangathenso kutumiza zizindikiritso zamitsempha ndi minofu. Izi zitha kukupangitsani kuti musakwanitse kuwongolera minofu yanu. Izi zitha kuphatikizira minofu pankhope panu, manja, miyendo, kapena minofu ina yomwe mumagwiritsa ntchito tsiku lililonse.

Akinesia ndi zina mwazinthu zomwe zimayambitsa izi zikuyenda bwino. Zinthu zambiri ndizopita patsogolo komanso zosachiritsika, koma sizinthu zonse. Kuchuluka kwa hypothyroidism kumatha kuyambitsa matenda osinthika a akinetic. Mankhwala osokoneza bongo a parkinsonism amathanso kusinthidwa.

Mankhwala ndi mankhwala ochepetsa kusintha kwa akinesia ndi minyewa monga PD ilipo. Amatha kuthandizira kuchepetsa zomwe akinesia ali nazo pamoyo wanu watsiku ndi tsiku.

Makina a fetal

Akinesia amatha kuchitika m'mimba mwa mayi m'mimba. Vutoli limatchedwa fetal akinesia. Zikatero, fetus sizimayenda monga momwe zimayenera kukhalira. Matendawa amathanso kuchitika ndi zizindikilo zina. Mapapu a mwana wosabadwa sangakule bwino kapena mwana akhoza kubadwa ndi nkhope zosazolowereka. Zizindikirozi zimadziwika kuti fetal akinesia deformation sequence sequence (FADS). Zikuwoneka kuti zimachokera ku majini awo.

Akinesia ndi dyskinesia: Kodi pali kusiyana kotani?

Akinesia ndi osiyana ndi dyskinesia. Dyskinesia imatha kuchitika ndi momwe minofu yanu imagwedezeka kapena kusunthira mosafunikira. Mu akinesia, simungathe kuwongolera minofu yanu kuti isunthire (nthawi zina kwathunthu). Koma minofu sataya kuthekera kwawo. Ndi dongosolo la extrapyramidal kapena malo osunthira omwe ali olakwika.

Mu dyskinesia, minofu yanu imatha kuyenda mosayembekezereka kapena mosalekeza osatha kuima. Monga akinesia, dyskinesia ikhozanso kuchitika ngati PD.

Zizindikiro

Chizindikiro chodziwika bwino cha akinesia ndi "kuzizira." Izi zitha kukupangitsani kuti mukhale olimba mgulu limodzi kapena angapo amisempha. Ikhoza kupangitsa nkhope yanu kuti iwoneke ngati yakhala yozizira pamaso. Ikhozanso kukupangitsani kuyenda ndi gulu lolimba lotchedwa "kuzizira kwambiri."

Chizindikirochi chimachitikanso chifukwa cha vuto lomwe limatchedwa progressive supranuclear palsy (PSP), lomwe limakhudza kuyenda ndikuyenda bwino kuposa PD. Zizindikiro zina zomwe zitha kuwoneka limodzi ndi akinesia ngati muli ndi PD ndi monga:

• kugwedeza minofu (kunjenjemera) m'manja ndi zala zanu, makamaka mukamapuma kapena kusokonezedwa
• kufewetsa mawu kapena kuyankhula pang'onopang'ono
• osakhoza kuyimirira molunjika kapena kukhala ndi mawonekedwe enaake
• kuyenda pang'onopang'ono komanso kutenga nthawi yayitali kuti amalize ntchito zathupi (bradykinesia)

Zizindikiro za PSP zomwe zitha kuwoneka limodzi ndi akinesia (makamaka pamaso) ndi monga:

• kutaya masomphenya kapena kusawona bwino
• osakhoza kusuntha maso mwachangu kwambiri
• osakhoza kuyang'ana mmwamba ndi pansi mosavuta
• osatha kuyang'anitsitsa maso kwa nthawi yayitali
• kukhala ndi vuto kumeza
• kukhala ndi zizindikilo zakukhumudwa, kuphatikiza kusintha kwamaganizidwe

Chithandizo

Mankhwala

Imodzi mwazithandizo zodziwika bwino za akinesia chifukwa cha PD ndikuphatikiza kwa levodopa, wothandizira mitsempha yapakati, ndi carbidopa. Carbidopa amathandiza kuti zotsatira za levodopa, monga nseru, zisakhale zovuta kwambiri.

Akinesia mu PD amatha kuchitika chifukwa chosowa kwa dopamine. Ubongo wanu umatulutsa dopamine ndipo umadutsa kulowa mthupi lanu ndi ma neuron. Levodopa imathandizira kuchiza akinesia ndi zina za PD chifukwa ubongo wanu umasandutsa dopamine. Itha kunyamulidwa mthupi lanu kuti muchepetse kuuma kwa akinesia ndi ma tics ndi kunjenjemera kwa zizindikiro zina za PD.

Levodopa ndi carbidopa amatha kulumikizana ndi mankhwala ena ndipo amakhala ndi zovuta zina. Lankhulani ndi dokotala wanu za momwe mankhwalawa angakukhudzireni musanayambe kumwa mankhwalawa.

Zoletsa za MAO-B zimathandizanso kuti dopamine isawonongeke mwachilengedwe ndi michere ya thupi lanu. Izi zikuwonjezeranso kuchuluka kwa dopamine yomwe ilipo yolimbana ndi akinesia ndikuchepetsa kupita patsogolo kwa PD.

Mankhwala nthawi zambiri sagwira ntchito pochiza akinesia yomwe imachokera ku PSP. Odwala matenda opatsirana amatha kuthandizira kuthetsa akinesia komanso kukhumudwa komwe kumabwera chifukwa cha PSP. Majekeseni a botulinum amathanso kuthandizira kuthana ndi zizindikilo monga kutsekeka kwa khungu la magazi (blepharospasm).

Zolimbikitsa zokhazikika

Ngati mankhwala wamba akutha msanga kapena sakukhudzidwa ndi akinesia, madotolo atha kukambirana za kuthekera kwa kuyika maelekitironi opangira ma opangira makina kuti azitha kuyendetsa malo. Mankhwalawa amathandiza ndi zizindikilo pazinthu zapamwamba kwambiri. Izi zimatchedwa kukondoweza kwa ubongo. Ndi njira yomwe imagwiritsidwa ntchito kwambiri mu PD.

Pali zabwino ndi zolephera. Lankhulani ndi dokotala wanu kuti muwone ngati angakulimbikitseni mankhwalawa.

Pa kauntala

Akinesia imatha kupweteketsa komanso kuuma, ndipo kumwa mankhwala a PD kapena PSP kumatha kupweteka komanso kusapeza bwino. Kutenga mankhwala ochepetsa ululu, monga nonsteroidal anti-inflammatory drugs (NSAIDs) monga ibuprofen ndi acetaminophen kungathandize kuchepetsa mavuto ena omwe PD, PSP, kapena mankhwala ena omwe angayambitse.

Njira zina zochiritsira kunyumba

Kuchita masewera olimbitsa thupi pafupipafupi kumatha kukuthandizani kuti muchepetse zowawa komanso zovuta zomwe zingachitike ndi akinesia ndi zina zomwe zingachitike chifukwa cha PD kapena PSP. Lankhulani ndi dokotala wanu kapena wothandizira zakuthupi pakupanga dongosolo lochita masewera olimbitsa thupi lomwe limakhala labwino komanso lotetezeka kwa inu kutengera zizindikilo zanu komanso kukula kwa akinesia. Kuonetsetsa kuti musadzilimbikitse kapena kugwa panthawi yochita masewera olimbitsa thupi ndikofunikira. Kuchita yoga kapena tai chi, komwe kumathandiza kutambasula minofu yanu, kumatha kuchepetsa kuchepa kwa akinesia. Kuchita masewera olimbitsa thupi kwawonetsedwa kuti kumachedwetsa kuchepa kwa ntchito kwa PD.

Kutenga coenzyme Q10 kwa miyezi ingapo kungakuthandizeni ngati mukuyamba kwa PD kapena PSP. Kudya zakudya ndi ma fiber ambiri komanso kumwa madzi ambiri (osachepera ma ola 64 patsiku) kungathandize kuti zizindikilo zanu zizikhala zochepa.

Mankhwala omwe amathandiza kumasula minofu yanu, monga kusisita ndi kutema mphini, amathanso kutulutsa zizindikiritso za PD ndi PSP. Kusinkhasinkha kapena kuchita zinthu zomwe zimakupumulitsani, monga kumvera nyimbo kapena kupenta, kumatha kuchepetsa zotsatira za akinesia ndikuthandizani kuti muzitha kuwongolera minofu yanu.

Zomwe zimayambitsa komanso zoopsa

Akinesia yomwe imachokera ku PD ndi PSP sikuti nthawi zonse imakhala ndi chifukwa chodziwika chifukwa izi zimatha kuyambitsidwa ndi kuphatikiza kwa majini anu komanso chilengedwe chanu. Zimaganiziridwanso kuti magulu a minofu muubongo wanu wotchedwa matupi a Lewy atha kuthandizira PD. Puloteni m'matupi a Lewy, otchedwa alpha-synuclein, amathanso kutenga nawo gawo poyambitsa PD.

Chiwonetsero

Akinesia ndi zikhalidwe zambiri zomwe zimayambitsa matendawa zilibe mankhwala. Koma mankhwala ambiri, othandizira, komanso kusintha kwa moyo kumatha kukuthandizani kuti mukhale otakataka komanso okhoza kuchita ntchito za tsiku ndi tsiku.

Kafukufuku watsopano wokhudza PD, PSP, ndi zina zotere zimachitika chaka chilichonse, makamaka pamatupi a Lewy ndi zinthu zina zomwe zingayambitse izi. Kafukufukuyu atha kubweretsa madotolo ndi asayansi kuti amvetsetse momwe angachiritse akinesia ndi zomwe zimayambitsa.