Kugwedezeka kapena Dyskinesia? Kuphunzira Kuwona Zosiyanasiyana

Zamkati

• Kodi kunjenjemera ndi chiyani?
• Kodi dyskinesia ndi chiyani?
• Momwe mungawonere kusiyana
• Kugwedezeka
• Dyskinesia
• Kuthetsa kunjenjemera
• Kuchiza dyskinesia

Kutekeseka ndi dyskinesia ndi mitundu iwiri yosunthika yomwe imakhudza anthu ena omwe ali ndi matenda a Parkinson. Zonsezi zimapangitsa thupi lanu kuyenda m'njira zomwe simukuzifuna, koma zonsezi zimakhala ndi zifukwa zosiyana ndikupanga mitundu yosiyanasiyana ya mayendedwe.

Nayi njira yodziwira ngati kusuntha komwe mukukumana nako ndikunjenjemera kapena dyskinesia.

Kodi kunjenjemera ndi chiyani?

Kunjenjemera ndikumanjenjemera mwangozi mwendo kapena nkhope yanu.Ndi chizindikiro chofala cha matenda a Parkinson omwe amayamba chifukwa chosowa mankhwala a dopamine muubongo. Dopamine imathandiza kuti kusuntha kwa thupi lanu kusasunthike komanso kulumikizana.

Pafupifupi 80 peresenti ya anthu omwe ali ndi matenda a Parkinson amakumana ndi zivomezi. Nthawi zina zimakhala chizindikiro choyamba kuti muli ndi matendawa. Ngati kunjenjemera ndi chizindikiro chanu chachikulu, mwina muli ndi mawonekedwe ofatsa komanso opita pang'onopang'ono.

Kunjenjemera kumakhudza zala, manja, nsagwada, ndi mapazi. Milomo yanu ndi nkhope yanu zingathenso kugwedezeka. Ikhozanso kuwoneka mosiyana, kutengera gawo lakuthupi lomwe lakhudzidwa. Mwachitsanzo:

Kugwedezeka kwa chala zikuwoneka ngati kuyenda kwa "mapiritsi". Chala chachikulu ndi chala china chimadziphatika pamodzi mozungulira mozungulira chomwe chimakupangitsani kuti muwoneke ngati mukugubuduza piritsi pakati pa zala zanu.

Chibwano cha nsagwada zikuwoneka ngati chibwano chako chikunjenjemera, kupatula kuti kusunthaku kukuchepera. Kutetemerako kumatha kukhala kwamphamvu kwambiri kuti mano anu azidina palimodzi. Nthawi zambiri zimatha mukamatafuna, ndipo mutha kudya popanda vuto.

Phazi kunjenjemerazimachitika mukamagona pansi kapena ngati phazi lanu likulendewera (mwachitsanzo, pamphepete mwa kama wanu). Kusunthaku kumangokhala kumapazi anu, kapena mwendo wanu wonse. Kugwedezeka nthawi zambiri kumaima mukaimirira, ndipo sikuyenera kusokoneza kuyenda.

Kutetemera kwamutu imakhudza pafupifupi 1 peresenti ya anthu omwe ali ndi matenda a Parkinson. Nthawi zina lilime limanjenjemera.

Kugwedezeka kwa Parkinson kumachitika thupi lanu likapuma. Izi ndizomwe zimasiyanitsa ndi mitundu ina yakunjenjemera. Kusuntha chiwalo chomwe chakhudzidwa nthawi zambiri kumasiya kunjenjemera.

Kutetemera kumatha kuyamba ndi gawo limodzi kapena mbali imodzi ya thupi lanu. Kenako imatha kufalikira mkati mwendowo - mwachitsanzo, kuyambira mdzanja lanu mpaka mkono wanu. Mbali inanso ya thupi lanu imatha kugwedezeka, kapena kugwedeza kumatha kukhala mbali imodzi yokha.

Kugwedezeka sikulepheretsa kuposa zizindikiro zina za Parkinson, koma zimawoneka bwino. Anthu akhoza kuyang'anitsitsa akakuonani mukugwedezeka. Komanso, kunjenjemera kumatha kukulirakulira matenda anu a Parkinson akamakula.

Kodi dyskinesia ndi chiyani?

Dyskinesia ndi kayendedwe kosalamulirika kamene kali mthupi lanu, monga mkono, mwendo, kapena mutu. Zitha kuwoneka ngati:

• kugwedezeka
• kupotoza
• kuseka
• kupindika
• kugwedezeka
• kusakhazikika

Dyskinesia amayamba chifukwa chogwiritsa ntchito levodopa kwa nthawi yayitali - mankhwala oyambira omwe amagwiritsidwa ntchito pochizira a Parkinson. Kuchuluka kwa levodopa komwe mumatenga, ndipo mukakhala pamenepo, ndiye kuti mutha kukumana ndi zotsatirazi. Kusunthaku kumatha kuyamba pomwe mankhwala anu amalowa ndipo milingo ya dopamine imakwera muubongo wanu.

Momwe mungawonere kusiyana

Nawa maupangiri angapo okuthandizani kudziwa ngati mukugwedezeka kapena dyskinesia:

Kugwedezeka

• kugwedeza kuyenda
• zimachitika mukamapuma
• imayima mukamayenda
• zimakhudza manja anu, mapazi, nsagwada, ndi mutu
• atha kukhala mbali imodzi ya thupi lanu, koma amatha kufalikira mbali zonse ziwiri
• zimaipiraipira mukapanikizika kapena mukumva kukhudzidwa kwambiri

Dyskinesia

• kuphimba, kudula, kapena kuyenda
• zimakhudza mbali yomweyo ya thupi lanu monga zizindikiro zina za Parkinson
• nthawi zambiri amayamba ndi miyendo
• chifukwa chogwiritsa ntchito levodopa kwa nthawi yayitali
• zitha kuwoneka pamene matenda anu ena a Parkinson asintha
• zimaipiraipira mukakhala ndi nkhawa kapena kusangalala

Kuthetsa kunjenjemera

Kugwedeza kungakhale kovuta kuchiza. Nthawi zina imayankha levodopa kapena mankhwala ena a Parkinson. Komabe, sizikhala bwino nthawi zonse ndi mankhwalawa.

Ngati kunjenjemera kwanu kuli kwakukulu kapena mankhwala anu a Parkinson sakukuthandizani kuti muwongolere, adokotala angakupatseni imodzi mwa mankhwalawa:

• Mankhwala a anticholinergic monga amantadine (Symmetrel), benztropine (Cogentin), kapena trihexiphenidyl (Artane)
• clozapine (Clozaril)
• propranolol (Inderal, ena)

Ngati mankhwala sakuthandizani kunjenjemera kwanu, opaleshoni yakuya ya ubongo (DBS) ingathandize. Pa DBS, dokotala wochita opaleshoni amaika maelekitirodi muubongo wanu. Maelekitirodi amenewa amatumiza magetsi ang'onoang'ono m'maselo aubongo omwe amayang'anira kuyenda. Pafupifupi 90 peresenti ya anthu omwe ali ndi matenda a Parkinson omwe ali ndi DBS adzapeza mpumulo pang'ono kapena kwathunthu kuntchito yawo.

Kuchiza dyskinesia

DBS imathandizanso pochiza matenda a dyskinesia mwa anthu omwe akhala ndi Parkinson kwa zaka zingapo. Kuchepetsa mlingo wa levodopa womwe mumatenga kapena kusinthana ndi njira yotulutsira kwina kungathandizenso kuwongolera dyskinesia. Amantadine anawonjezera kumasulidwa (Gocovri) amathandizanso chizindikirochi.