Parkinson's and Depression: Ndi Mgwirizano Wotani?

Zamkati

• Nchifukwa chiyani anthu omwe ali ndi matenda a Parkinson amakhalanso ndi nkhawa?
• Kodi kukhumudwa kumakhudza bwanji anthu omwe ali ndi matenda a Parkinson?
• Kodi matenda amisala amathandizidwa bwanji mwa anthu omwe ali ndi matenda a Parkinson?
• Njira zina zochiritsira
• Kodi malingaliro a kukhumudwa kwa anthu omwe ali ndi matenda a Parkinson ndi otani?

Parkinson ndi kukhumudwa

Anthu ambiri omwe ali ndi matenda a Parkinson amakumananso ndi kukhumudwa.Akuti pafupifupi 50 peresenti ya iwo omwe ali ndi Parkinson adzakhalanso ndi vuto linalake lachisoni panthawi yakudwala kwawo.

Matenda okhumudwa atha kukhala chifukwa cha zovuta zam'maganizo zomwe zimabwera chifukwa chokhala ndi matenda a Parkinson. Wina amathanso kukhala ndi nkhawa chifukwa cha kusintha kwa mankhwala muubongo wokhudzana ndi matenda omwewo.

Nchifukwa chiyani anthu omwe ali ndi matenda a Parkinson amakhalanso ndi nkhawa?

Anthu omwe ali ndi magawo onse a Parkinson ali ndi mwayi wambiri kuposa anthu ambiri omwe amada nkhawa. Izi zikuphatikiza omwe adayamba koyambirira komanso kumapeto kwa nthawi ya Parkinson.

Kafukufuku wasonyeza kuti 20 mpaka 45 peresenti ya anthu omwe ali ndi Parkinson atha kukhala ndi nkhawa. Matenda okhumudwa amatha kusanachitike zizindikiro zina za Parkinson - ngakhale zina mwazizindikiro zamagalimoto. Ofufuza ambiri amakhulupirira kuti omwe ali ndi matenda osachiritsika amatha kupsinjika. Koma pali kulumikizana kwakuthupi kwambiri mwa iwo omwe ali ndi Parkinson.

Kukhumudwa kumeneku kumayambitsidwa chifukwa cha kusintha kwamankhwala komwe kumachitika muubongo chifukwa cha matenda a Parkinson.

Kodi kukhumudwa kumakhudza bwanji anthu omwe ali ndi matenda a Parkinson?

Matenda okhumudwa nthawi zina amasowa kwa iwo omwe ali ndi Parkinson chifukwa zizindikiro zambiri zimafanana. Zonsezi zingayambitse:

• mphamvu zochepa
• kuonda
• kusowa tulo kapena kugona kwambiri
• galimoto ikuchedwa
• kuchepetsa kugonana

Matenda okhumudwa amatha kunyalanyazidwa ngati zizindikiritso zikukula pambuyo poti matenda a Parkinson apangidwa.

Zizindikiro zomwe zingawonetse kukhumudwa ndi monga:

• Kusakhazikika pamalingaliro komwe kumatenga masiku ambiri kwa milungu iwiri
• Maganizo ofuna kudzipha
• malingaliro osataya chiyembekezo chamtsogolo, dziko lapansi, kapena iwo eni
• kudzuka m'mawa kwambiri, ngati izi sizachilendo

Matenda okhumudwa akuti amachititsa kuti zizindikilo zina za Parkinson zikuwoneka zosagwirizana. Chifukwa cha izi, madotolo ayenera kuganizira ngati kukhumudwa kukuyambitsa kukulira kwadzidzidzi kwa zizindikiro za Parkinson. Izi zitha kuchitika masiku angapo kapena milungu ingapo.

Kodi matenda amisala amathandizidwa bwanji mwa anthu omwe ali ndi matenda a Parkinson?

Matenda okhumudwa ayenera kuthandizidwa mosiyanasiyana mwa anthu omwe ali ndi matenda a Parkinson. Anthu ambiri amatha kuchiritsidwa ndi mtundu wa antidepressant wotchedwa serotonin reuptake inhibitors (SSRIs). Komabe, zizindikiro zina za Parkinson zitha kukulirakulira mwa anthu ochepa kwambiri.

Ma SSRI sayenera kutengedwa ngati mukugwiritsa ntchito selegiline (Zelapar). Awa ndimankhwala omwe amaperekedwa kawirikawiri kuti athetse zovuta zina za Parkinson. Ngati zonsezi zitengedwa nthawi imodzi, zimatha kuyambitsa matenda a serotonin. Matenda a Serotonin amapezeka ngati pali zochitika zambiri zama cell, ndipo amatha kupha.

Mankhwala ena omwe amagwiritsidwa ntchito pochiza zisonyezo zina za Parkinson atha kukhala ndi vuto la kupsinjika. Izi zimaphatikizapo agonists a dopamine. Izi zimawoneka ngati zothandiza makamaka kwa iwo omwe amakumana ndi nthawi yomwe mankhwala awo sagwira ntchito. Izi zimadziwikanso kuti kusinthasintha kwamagalimoto "on-off".

Njira zina zochiritsira

Zosankha zosagwiritsira ntchito mankhwalawa ndi njira yoyamba yodzitetezera. Upangiri wama psychological - monga chithandizo chazidziwitso - ndi wothandizira wotsimikizika akhoza kukhala wopindulitsa. Kuchita masewera olimbitsa thupi kumatha kulimbikitsa ma endorphin omwe amadzimva kuti ndi abwino. Kuchulukitsa kugona (ndikutsatira ndandanda yabwino yogona) kungakuthandizeni kukulitsa milingo ya serotonin mwachilengedwe.

Mankhwalawa nthawi zambiri amakhala othandiza. Amatha kuthetsa zizolowezi mwa anthu ena omwe ali ndi Parkinson. Ena atha kuwona kuti ndiwothandiza komabe amafunikira chithandizo chowonjezera.

Njira zina zothandizila kukhumudwa ndi izi:

• njira zopumulira
• kutikita
• kutema mphini
• aromachi
• mankhwala
• kusinkhasinkha
• mankhwala opepuka

Palinso magulu owonjezeka a magulu othandizira a Parkinson omwe mutha kupitako. Dokotala wanu kapena wothandizira atha kulangiza ena. Muthanso kuwasanthula, kapena onani mndandandawu kuti muwone ngati pali ena omwe mumawakonda. Ngati simukutha kupeza gulu lothandizira, palinso magulu abwino othandizira pa intaneti. Mutha kupeza ena mwa maguluwa Pano.

Ngakhale adotolo atakupatsani mankhwala ochepetsa kupsinjika, atha kukhala othandiza kwambiri akagwiritsidwa ntchito ndi chithandizo chamankhwala ndikusintha kwamachitidwe ena.

Kafukufuku wasonyeza kuti mankhwala a electroconvulsive therapy (ECT) akhala mankhwala otetezeka kwakanthawi kochepa kwa anthu omwe ali ndi Parkinson. Chithandizo cha ECT chingathenso kuchepetsa zizindikilo zamagalimoto za Parkinson, ngakhale izi zimangokhala kwakanthawi kochepa. Koma ECT imagwiritsidwa ntchito nthawi zambiri ngati mankhwala ena opsinjika mtima sagwira ntchito.

Kodi malingaliro a kukhumudwa kwa anthu omwe ali ndi matenda a Parkinson ndi otani?

Matenda okhumudwa mwa iwo omwe ali ndi matenda a Parkinson ndizofala. Kuchiza ndikuyika patsogolo kukhumudwa ngati chizindikiro cha Parkinson kumathandizira kwambiri kuti munthu akhale ndi moyo wabwino komanso akhale wosangalala komanso wosangalala.

Ngati mukukumana ndi zofooka, lankhulani ndi adokotala kuti muwone zomwe angakupatseni.