Loaʻa iā ʻoe a i ʻole kekahi āu i ʻike ai nā hōʻailona e like me ka hele mālie iki ʻana, ka lulu lima ʻana, a i ʻole ke kino ʻoʻoleʻa? Ua lohe paha ʻoe i ka huaʻōlelo "Parkinsonism" i kou kamaʻilio ʻana me ke kauka e pili ana i kēia. No laila, he aha ka Parkinsonism? E kamaʻilio maʻalahi kākou e pili ana i ia mea, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo. Mai makaʻu, he mea nui loa ka ʻike ʻana i kēia mau mea a pau.
He aha ka Parkinsonism? I ka ʻōlelo maʻalahi...
E noʻonoʻo, ʻaʻole ʻo Parkinsonism he maʻi hoʻokahi, akā he inoa maʻamau no kekahi mau maʻi. I loko o kēia mau maʻi a pau, ua hoʻopilikia ʻia kekahi mau ʻāpana o ko kākou lolo. ʻO nā mea nui e hana ʻia, ʻo ia ka neʻe lohi, ka paʻakikī (rigidity) i ke kino, a me nā haʻalulu. Hiki ke loaʻa nā kumu like ʻole no kēia mau kūlana. ʻO kekahi o lākou he mau hoʻololi genetic, nā hopena i kekahi mau lāʻau lapaʻau, a i ʻole kekahi mau maʻi.
He aha ka ʻokoʻa ma waena o ka maʻi o Parkinson a me ka Parkinsonism?
He mea kēia e huikau ai nā kānaka he nui. ʻO ka maʻi Parkinson kekahi o nā maʻi i loko o ka māhele ākea i kapa ʻia ʻo Parkinsonism. ʻO ka ʻoiaʻiʻo, ma kahi o 80% o ka poʻe me Parkinsonism he maʻi Parkinson ko lākou. ʻO ia hoʻi, ʻo ia ka maʻi maʻamau loa i kēia māhele.
Ma waho aʻe o kēia, aia kekahi mau maʻi ʻē aʻe e hāʻule ana ma lalo o ka malu o Parkinsonism. ʻO nā hiʻohiʻona e komo pū me nā kūlana e like me "Multiple System Atrophy" a i ʻole "Corticobasal Degeneration".
ʻO ka mea nui, ʻo kekahi mau maʻi Parkinsonism i hoʻokumu ʻia e nā kumu hiki ke mālama ʻia, a i kekahi manawa hiki ke ho'ōla ʻia. Eia kekahi, hiki i kekahi mau kumu ke hoʻopau iā lākou iho, a ʻo nā hōʻailona wale nō e pono e mālama ʻia.
ʻO wai ka mea i hoʻopilikia nui ʻia e kēia kūlana?
ʻO ka maʻamau, he maʻi ka Parkinsonism e pili ana i ka ʻelemakule. ʻO ia hoʻi, ʻoi aku ka maʻamau ma hope o 60 mau makahiki. ʻOi aku ka nui o ka loaʻa ʻana o ke ʻano i nā kāne ma mua o nā wahine.
Eia nō naʻe, i kekahi manawa hiki ke loaʻa kēia mau kūlana i ka wā ʻōpiopio loa. Eia kekahi laʻana, aia kekahi kūlana i kapa ʻia ʻo "Juvenile Parkinsonism" . Hoʻomaka pinepine ia ma kahi o 17 makahiki. ʻO kēia ʻano Parkinsonism he ʻehā manawa ka nui o ka maʻi i nā keikikāne ma mua o nā kaikamahine. E noʻonoʻo i ka paʻakikī o kekahi mau keiki e loaʻa i kēia kūlana.
Pehea ka maʻamau o kēia ʻano?
ʻO ka maʻi Parkinson, ke ʻano maʻamau o Parkinsonism, ʻo ia ka lua o ka maʻi neurodegenerative e pili ana i ka ʻelemakule (ma hope o ka maʻi Alzheimer). ʻO ia nō hoʻi ka maʻi lolo e pili ana i ka neʻe ʻana. Manaʻo nā loea aia ma ka liʻiliʻi he 1% o ka poʻe ma luna o 60 mau makahiki ma ka honua holoʻokoʻa i loaʻa i ka maʻi.
Pehea ka hopena o kēia maʻi i kou kino?
Aia nā hopena o ka Parkinsonism ma ke kino i ke kumu. Hoʻopilikia ka hapa nui o nā maʻi Parkinsonism i nā ʻāpana o ka lolo e kāohi ana i ka neʻe ʻana. ʻO ke ʻano kēia e lohi ai kāu mau neʻe ʻana . Hiki paha iā ʻoe ke ʻike i nā haʻalulu ʻiʻo , hiki ke hoʻoluliluli iā ʻoe.
He aha nā hōʻailona nui o ka Parkinsonism?
ʻEkolu mau hōʻailona nui o ka Parkinsonism:
- Ka lohi o ka neʻe ʻana (`Bradykinesia`) : He ʻano kēia i ʻike maopopo ʻia i nā hihia āpau o Parkinsonism. I ka ʻōlelo maʻalahi, he manaʻo ia o ka lohi a me ka paʻakikī i ka hoʻomaka ʻana e hana i kekahi mea, hele wāwae, a i ʻole e hana i nā hana o kēlā me kēia lā.
- Nā haʻalulu : Ka haʻalulu ʻana o nā lima, nā wāwae, a i kekahi manawa ʻo ka ʻauwae, ʻoiai ke kū mālie nei. ʻOi aku ka ʻino o kēia haʻalulu ke hoʻomaha ʻoe a hiki ke emi iki ke hana ʻoe i kekahi mea.
- Paʻakikī : Lilo nā ʻiʻo ma nā lālā, ka ʻāʻī, a me nā wahi ʻē aʻe i paʻakikī a paʻakikī ke kulou a hoʻopololei paha. Hiki ke paʻakikī nā neʻe ʻana, e like me ka robot.
Ma waho aʻe o kēia mau hōʻailona nui, hiki i nā hōʻailona ʻē aʻe ke komo pū me:
- Kūlana paʻa ʻole a i ʻole ke ʻano hele wāwae : Manaʻo e like me ʻoe e nalowale ana kou kaulike i ka wā e hele ana, hāʻule maʻalahi.
- Kūlana kūlou, hilinaʻi i mua : Ke kū a hele paha, aia ke ʻano o ke kūlou ʻana i mua a kūlou i hope.
- "Ke Paʻa Nei" : Ke hoʻomaka ʻoe e hele, e hoʻāʻo e hele ma kahi ākea haiki e like me ka puka, a i ʻole e hoʻāʻo e huli, paʻa koke kou mau wāwae a manaʻo ʻoe ʻaʻole hiki iā ʻoe ke neʻe i mua i hoʻokahi ʻanuʻu.
Nā hōʻailona e pili ana me nā kūlana Parkinsonism kikoʻī
Loaʻa i kekahi mau ʻano o Parkinsonism nā hōʻailona kikoʻī. E nānā kākou i ke ʻano o lākou:
- ʻO ka maʻi o Parkinson : Ma waho aʻe o nā hōʻailona motor i ʻōlelo ʻia ma luna, hiki ke loaʻa nā hōʻailona ʻē aʻe e pili ana i nā kaʻina hana e hana ʻia i loko o ke kino me ka ʻike ʻole ʻia e mākou (nā hōʻailona non-motor). Eia kekahi laʻana:
- Ka paʻa ʻana o ka ʻōpū
- Ka nalowale a i ʻole ka emi ʻana o ke ʻala
- Nā pilikia hiamoe (e like me ka uē ʻana i kou hiamoe ʻana, ke kuʻi ʻana i kou mau lima a me kou mau wāwae)
- Kaumaha
- Hopohopo
- ʻO ka parkinsonism vascular : Hoʻokumu ʻia kēia ʻano ma muli o ka emi ʻana o ke kahe koko i ka lolo. Hoʻopilikia ia i ka hele wāwae a me ke kaulike mai ka wā ʻōpiopio . Hiki iā ia ke pilikia i ka ʻōlelo ʻana (dysarthria) a me ka paʻakikī i ka moni ʻana (dysphagia). Hiki i kekahi poʻe ke ʻike i kahi pane i luna ʻē aʻe (ka hōʻailona o Babinski) kahi e hoʻolōʻihi ʻia ai nā manamana wāwae ke hoʻopā ʻia ka ʻaoʻao o ka wāwae ma kekahi ʻano.
- ʻO ka parkinsonism i hoʻoulu ʻia e ka lāʻau lapaʻauHiki ke hana ʻia kēia ʻano e kekahi mau lāʻau lapaʻau (ʻoi aku hoʻi kekahi mau lāʻau lapaʻau no ka maʻi noʻonoʻo). I kēia hihia , hiki i nā hōʻailona ke hoʻopili like i nā ʻaoʻao ʻelua o ke kino . I ka maʻi o Parkinson, ʻoi aku ka hoʻopili pinepine ʻana o nā hōʻailona i kekahi ʻaoʻao ma mua o kekahi.
- ʻO ka parkinsonism i hoʻoulu ʻia e ka toxin : Hiki ke hana ʻia kēia kūlana ma muli o ka ʻike ʻana i kekahi mau toxins (e.g., pesticides, nā kemika ʻoihana). Ua piʻi aʻe ka ʻoʻoleʻa o ka poʻe me kēia kūlana i kā lākou neʻe ʻana (`(cogwheel rigidity)`) . ʻO ia hoʻi, neʻe lākou i nā neʻe jerky, jerky, e like me ka lima kekona o ka uaki. Lilo nā ʻiʻo i ʻoʻoleʻa, lohi nā neʻe ʻana, a paʻakikī ka hele ʻana i hope.
- ʻO ka parkinsonism ʻōpio : Inā loaʻa i kekahi ma lalo o 45 mau makahiki nā hōʻailona o Parkinsonism, manaʻo ʻia kēia ma hope o ka hoʻopau ʻia ʻana o nā kumu ʻē aʻe, no ka mea, he mea kakaikahi kēia.
He aha nā kumu o kēia kūlana?
ʻOkoʻa ke kumu o ka Parkinsonism ma muli o kona ʻano.
ka maʻi o Parkinson
Ke hana maʻamau ko kākou lolo, hoʻohana nā pūnaewele lolo (neurons) i nā kemika i kapa ʻia he neurotransmitters e kamaʻilio pū kekahi me kekahi. ʻO Dopamine kekahi o ia mau neurotransmitter koʻikoʻi.
Ua emi ka nui o ka dopamine i loko o ka lolo o ka poʻe me ka maʻi Parkinson. Ke hoʻouna ka lolo i nā hōʻailona i ko kākou mau ʻiʻo e neʻe, he mea nui ka dopamine no ka kaohi pono ʻana i kēlā mau neʻe ʻana. Ke nalowale ka dopamine, ʻaʻole hiki i kēlā mau cell ke hana pono. ʻO ia ke kumu e hoʻoulu ai ka maʻi Parkinson i nā neʻe lohi a me nā haʻalulu.
I ka emi ʻana o nā pae dopamine, e nāwaliwali mālie ana kahi wahi koʻikoʻi o ka lolo i kapa ʻia ʻo basal ganglia. A laila, nalowale nā mana i kāohi ʻia e kēlā wahi. I ka holomua ʻana o ka maʻi Parkinson, e lilo nā hōʻailona i ʻoi aku ka koʻikoʻi a me ka ikaika. I nā pae hope o ka maʻi, hiki iā ia ke hoʻopilikia i ka hana o ka lolo, e alakaʻi ana i nā hōʻailona like me ka dementia a me ke kaumaha.
- ʻO ka maʻi Parkinson genetic : ʻO ke kumu wale nō i hōʻoia ʻia o ka maʻi Parkinson he hoʻololi genetic i hoʻoilina ʻia mai nā mākua. Ma kahi o 10% o nā maʻi āpau o Parkinson i loaʻa kēia kumu genetic.
- ʻO ka maʻi Parkinson Idiopathic : Inā ʻaʻohe kumu genetic, hoʻokaʻawale nā loea iā ia he "idiopathic." ʻO ke ʻano kēia ʻaʻole ʻike ʻia ke kumu kikoʻī. Manaʻo nā kānaka ʻepekema ʻo ka alpha-synuclein (alpha-synuclein)ʻO kēia ma muli o kahi pilikia me ke ʻano o ka hoʻohana ʻana o ke kino i kahi protein i kapa ʻia he protein. He mau molekala kemika nā protein i loaʻa kahi ʻano kikoʻī. Ke pelu hewa kekahi mau protein (ua kapa ʻia kēia ʻo 'protein misfolding'), ʻaʻole hiki i ke kino ke hoʻohana a wāwahi paha iā lākou. A laila hōʻiliʻili kēia mau protein ma nā wahi like ʻole, ʻoi aku hoʻi i loko o nā cell e hoʻohana ana i ka dopamine, ka mea e kaohi ana i ka neʻe ʻana. Inā ʻoe e nānā iā lākou ma lalo o kahi microscope, hiki iā ʻoe ke ʻike pehea e huikau ai kēia mau protein.
ʻO ka maʻi Parkinson lua
ʻO ke ʻano kēia, ua hoʻokumu ʻia ka Parkinsonism e kekahi maʻi ʻē aʻe. Nā Laʻana:
- ʻO ka parkinsonism vascular : Ke emi nei ke kahe o ke koko i kekahi mau wahi o ka lolo, ua hōʻino ʻia kēlā mau wahi a ʻike ʻia nā hōʻailona o ka Parkinsonism.
- ʻO ka parkinsonism post-traumatic : Hana ʻia kēia e ka hōʻino ʻana o ka lolo mai nā ʻeha poʻo pinepine. Kiʻekiʻe loa kēia pilikia i ka poʻe e pāʻani ana i nā haʻuki e like me ka mokomoko, ka rugby, a me ka pôpeku.
- ʻO ka parkinsonism i hoʻoulu ʻia e ka lāʻau lapaʻau : Hiki ke hana ʻia kēia ʻano inā pilikia kekahi mau lāʻau lapaʻau (i kauoha ʻia e ke kauka a i ʻole nā narcotics) i ke ʻano o ka hana ʻana a i ʻole ka hoʻohana ʻana o ke kino i ka dopamine.
- ʻO ka parkinsonism i hoʻoulu ʻia e ka toxin : Hiki i nā toxins ke luku i nā ʻano kikoʻī o nā pūnaewele lolo. Inā ʻo nā pūnaewele i luku ʻia he mau pūnaewele dopamine-sensitive i loko o ka basal ganglia, hiki ke ʻike ʻia nā hōʻailona o Parkinsonism.
- ʻO ka hydrocephalus kaomi maʻamau (NPH) : ʻO kēia ka wā e hōʻiliʻili ai ka wai cerebrospinal keu (CSF) i loko o ke poʻo, e kau ana i ke kaomi ma nā ʻāpana o ka lolo e pili ana i ka hele wāwae a me ka kaohi ʻana i ka mimi. Hiki ke hana ʻia kēia e nā ʻano mea like ʻole, me nā ʻeha, nā kahe koko o ka lolo, a me nā puʻupuʻu. Ua kapa ʻia ʻo NPH no ka mea ʻo ka lumbar puncture (kahi hana e nānā ai i ke kaomi i loko o ke kaula spinal) e hōʻike ana i nā wahi o ka wai i loko o ka lolo, ʻoiai he maʻamau ke kaomi.
- ʻO ka parkinsonism postencephalitic : ʻO ka encephalitis ka pehu ʻana o ka lolo i hoʻokumu ʻia e kahi maʻi. Hiki ke loaʻa ka Parkinsonism ma hope o ka ho'ōla ʻana o ia ʻano maʻi. He mea laha ʻole kēia ʻano ma nā ʻāina i hoʻomohala ʻia.
ʻO ka parkinsonism atypical
He mau kūlana maʻamau ʻole a laha ʻole paha kēia e hoʻoulu ai i ka Parkinsonism:
- ʻO ka maʻi palupalu supranuclear holomua
- ʻO ka degeneration corticobasal
- ʻO ka atrophy ʻōnaehana lehulehu
ʻO nā ʻano dementia ʻē aʻe a i ʻole nā kūlana hoʻoilina
Hiki ke hana ʻia ka Parkinsonism e nā maʻi lolo degenerative ʻē aʻe a me nā kūlana genetic. ʻO kekahi mau laʻana:
- ka maʻi o Alzheimer
- Ka maʻi o Huntington
- ka maʻi o Wilson
He mea laha anei kēia?
ʻAʻole, ʻaʻole he maʻi lele ka Parkinsonism. Eia nō naʻe, hiki ke hoʻoili ʻia kekahi o nā kūlana genetic e hoʻokumu ai mai nā mākua a i nā keiki.
Pehea e ʻike ʻia ai ka maʻi Parkinsonism?
I ka wā e ʻike ai i ka maʻi Parkinson, he mea nui loa i ke kauka ke nānā i kāu mau hōʻailona, e nīnau iā ʻoe i nā nīnau, a nānā hou i kāu mōʻaukala olakino .
Inā ʻaʻole hiki i nā kauka ke loaʻa kahi kumu kikoʻī no kou Parkinsonism, e hoʻāʻo lākou e hoʻomaka koke i ka lāʻau. Inā ʻaʻole ʻoe e pane i ka lāʻau, hiki i nā kauka ke hana i nā hoʻokolohua hou aku. Inā ʻaʻole ʻoe e pane i ka lāʻau no ka maʻi Parkinson, manaʻo paha lākou he ʻano ʻokoʻa kou o Parkinsonism.
He aha nā hoʻokolohua e hana ʻia e ʻike ai i kēia maʻi?
Ke kānalua nā kauka i kahi kūlana e hāʻule ana ma lalo o ka māhele o Parkinsonism, hiki iā lākou ke hana i nā scans like ʻole a me nā hoʻokolohua diagnostics. ʻO kēia mau mea:
- Nā hoʻāʻo koko : Hiki i kēia ke kōkua i ka ʻike ʻana i nā ʻano ʻē aʻe o Parkinsonism.
- CT scan (`CT scan` - Kamepiula Tomography scan)
- Hoʻāʻo ʻana i ka genetics
- MRI Scan (MRI - Magnetic Resonance Imaging)
- ʻIke PET (`ʻIke PET` - ʻIke Tomography Hoʻokuʻu Positron)
Ke hiki mai nei nā hoʻokolohua hou! Aia nā hoʻokolohua lab hou e hoʻāʻo ʻia nei, akā ʻaʻole i ʻae ʻia. Hiki i kēia ke kōkua i ka ʻike ʻana i nā maʻi e like me ka maʻi Parkinson. Ke nānā nei kēia mau hoʻokolohua i kahi protein i kapa ʻia ʻo alpha-synuclein i loko o kāu wai cerebrospinal a i ʻole nā aʻalolo i hana pono ʻole. Akā pono ka noiʻi hou aku ma mua o ka hoʻohana nui ʻia ʻana o kēia mau hoʻokolohua.
Pehea e mālama ʻia ai ka maʻi Parkinson?
ʻO ka lāʻau no ka Parkinsonism e pili ana i ke kūlana a me kona kumu. Hiki ke mālama ʻia ka hapa nui o nā ʻano Parkinsonism. Hiki ke hoʻōki loa ʻia kekahi (ʻoiai ʻaʻole paha kēia he lāʻau lapaʻau piha, akā he "kala ʻana" o ka maʻi).
ʻO kekahi mau hiʻohiʻona o nā kūlana e hiki ke mālama ʻia:
- ʻO ka parkinsonism i hoʻoulu ʻia e ka lāʻau lapaʻau : ʻO kēia ke ʻano maʻalahi loa o ka parkinsonism e mālama ai. Hana ia i ka wā e hoʻopilikia ai nā lāʻau lapaʻau ʻē aʻe i ke ʻano o ka hoʻohana ʻana o ke kino i ka dopamine. ʻO ka hoʻōki ʻana i ka lāʻau lapaʻau i hoʻokumu i ka parkinsonism (pinepine ma ka hoʻololi ʻana i kahi lāʻau lapaʻau ʻē aʻe) ke ala wale nō e hoʻōki ai i ke kūlana. Eia nō naʻe, i kekahi manawa hiki ke hala i nā pule a i ʻole nā mahina no ka nalo loa ʻana o nā hōʻailona. He mea kākaʻikahi loa, hiki ke mau loa.
- Kaomi maʻamau-hydrocephalus (`NPH`)Hoʻōla ʻia ka NPH ma ka hoʻēmi ʻana i ke kaomi i loko o ke poʻo. Ke hoʻokomo ʻia kahi shunt (kahi paipu liʻiliʻi), ʻae ia i ka wai cerebrospinal keu (CSF) e kahe i waho o ke poʻo. Inā e hana pono ana ka shunt, hiki i kēia ke hōʻemi a hoʻopau paha i nā hōʻailona o Parkinsonism.
- ʻO ka maʻi o Parkinson : ʻAʻole hiki ke ho'ōla ʻia kēia maʻi, akā hiki ke kāohi ʻia i kahi nui me ka lāʻau Levodopa a me nā lāʻau lapaʻau ʻē aʻe i hāʻawi pū ʻia me ia. Eia nō naʻe, ʻo kekahi o nā hemahema o Levodopa, ʻo ia ka emi ʻana o kona pono i ka hala ʻana o ka manawa. Eia kekahi, inā hoʻonui ʻia ka nui ma mua o kahi palena, kiʻekiʻe nō hoʻi ka manawa o nā hopena ʻaoʻao. Eia nō naʻe, he nui nā lāʻau lapaʻau e hiki ke hoʻohana ʻia ma kahi o Levodopa a i ʻole ma waho aʻe o ia mea e hiki ke kōkua i ka lanakila ʻana i kēia pilikia.
- ʻO ka maʻi Wilson : He ʻano hoʻoilina kēia e hoʻoulu ai i ka hōʻiliʻili ʻana o ke keleawe keu i loko o ke kino. ʻO ka mālama ʻana e wehe i ke keleawe keu mai ke kino hiki ke pale i ka hōʻino mau loa mai kēia ʻano.
ʻO kāu kauka ka mea maʻamau ka mea maikaʻi loa e haʻi hou aku iā ʻoe e pili ana i ka hiki ke mālama ʻia a hoʻōla ʻia paha kou maʻi. No ka mea he nui nā ʻano maʻi like ʻole e hāʻule ana ma lalo o ka malu o Parkinsonism, he ʻokoʻa loa lākou kekahi i kekahi. Hiki i kāu kauka ke haʻi iā ʻoe inā hiki ke mālama ʻia kou maʻi a me nā koho lapaʻau i loaʻa iā ʻoe, ma muli o kou kūlana a me nā kūlana.
Pehea e hiki ai iaʻu ke mālama iaʻu iho a hoʻokele i kaʻu mau hōʻailona?
ʻO Parkinsonism e pili ana i nā ʻano maʻi like ʻole a me nā kūlana i loaʻa nā hopena like a me nā hōʻailona. He nui o kēia mau maʻi a me nā kūlana he koʻikoʻi, a kiʻekiʻe ka pilikia o nā pilikia inā ʻike ʻia a mālama ʻia i ka wā lohi.
No ka mea, he nui o kēia mau kūlana he koʻikoʻi a pono e ʻike koke ʻia a mālama ʻia, mai hoʻāʻo e nānā ponoʻī a mālama paha i ke kūlana iā ʻoe iho. Inā manaʻo ʻoe he Parkinsonism kou, he mea nui e ʻike koke i ke kauka. Hiki iā ia ke hoʻoholo inā loaʻa iā ʻoe kekahi o kēia mau kūlana, a i ʻole e kuhikuhi iā ʻoe i kahi loea no ka ʻike ʻana a me ka mālama ʻana.
Pehea ka wikiwiki o koʻu ʻoluʻolu ma hope o ka lāʻau lapaʻau?
ʻO ka manawa e pono ai iā ʻoe e ʻoluʻolu a hoʻōla ma hope o ka mālama ʻana e pili ana i kekahi mau kumu, me kou kūlana a me ka mālama ʻana āu e loaʻa ai. ʻO kāu kauka ke kanaka maikaʻi loa e haʻi iā ʻoe i ka mea e manaʻo ai e pili ana i kou manawa hoʻōla a me ka wā e hoʻomaka ai ʻoe e ʻoluʻolu.
Hiki ke pale ʻia kēia kūlana a hoʻemi ʻia ka pilikia?
Hoʻoulu pinepine ʻia ka maʻi Parkinson me ka manaʻo ʻole ʻia, no laila ʻaʻole hiki ke pale ʻia a i ʻole e hoʻemi ʻia ka pilikia o ka loaʻa ʻana.
Eia nō naʻe, aia kekahi mau ʻano o ka parkinsonism lua e hiki ai iā ʻoe ke hōʻemi i kou pilikia o ka ulu ʻana. Eia nā mea:
- ʻO ka parkinsonism i hoʻoulu ʻia e ka toxin : Hiki ke hoʻemi ʻia ka pilikia o ka hoʻomohala ʻana i kēia ʻano parkinsonism ma ka pale ʻana i nā mea ʻawahia a i ʻole nā mea e hoʻoulu ai, a i ʻole ma ka hoʻohana ʻana i nā lako pale e hōʻemi i ka ʻike ʻana i ka wā hiki ʻole ke pale ʻia. E noʻonoʻo i nā mea e like me ke kau ʻana i ka pale maka a me nā mīkina lima i ka wā e pīpī ana i nā pesticides.
- ʻO ka parkinsonism post-traumatic : Hiki ke hoʻemi ʻia ka pilikia o ka hoʻomohala ʻana i kēia ma ka hoʻohana ʻana i nā mea pale (e like me nā mahiole) e pale aku i nā ʻeha poʻo.
- ʻO ka parkinsonism vascular : I mea e hōʻemi ai i kou pilikia o ka loaʻa ʻana o kēia, pono ʻoe e mālama i ke olakino o kāu ʻōnaehana hoʻopuni koko, ʻoiai ke kahe koko i ka lolo. Hoʻokomo pū kēia me ka mālama ʻana i ke kaumaha olakino, ka ʻai ʻana i ka meaʻai kaulike, a me ka hana kino.
He aha kaʻu e manaʻo ai inā loaʻa iaʻu kēia maʻi?
I nā hihia āpau o Parkinsonism - me ka nānā ʻole i ke kūlana kikoʻī - aia ka lohi o ka neʻe ʻana a me nā hōʻailona pili ʻē aʻe. ʻO ka mea hiki iā ʻoe ke manaʻo e pili ana i ke kūlana kikoʻī āu i loaʻa ai a me ka lāʻau lapaʻau āu e loaʻa ai (inā he). Inā loaʻa iā ʻoe ʻo Parkinsonism, ʻo kāu kauka ke kanaka maikaʻi loa e haʻi hou aku iā ʻoe e pili ana i ka mea hiki iā ʻoe ke manaʻo.
Pehea ka lōʻihi o ka noho ʻana o ka maʻi Parkinson?
ʻO ka lōʻihi o ke ola ʻana o Parkinsonism ma muli o ke kūlana kikoʻī. ʻO nā kūlana he nui e hāʻule ana ma lalo o Parkinsonism he mau kūlana no ke ola holoʻokoʻa. ʻO kekahi kūlana ʻaʻole ia he pilikia mau no ke ola holoʻokoʻa ʻo ia ka 'drug-induced parkinsonism'.
Ma muli o ka nui o nā ʻano maʻi like ʻole o Parkinsonism, ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me kāu kauka e pili ana i ka lōʻihi o kou maʻi. Hiki iā ia ke wehewehe pono i ka mea hiki iā ʻoe ke manaʻo, me ka papa manawa no ke ʻano o ka hopena o ke ʻano iā ʻoe.
He aha ka manaʻo no kēia kūlana?
ʻO ka nānā ʻana no ka Parkinsonism e pili ana i kou kūlana, pehea kona koʻikoʻi, a inā hiki ke mālama ʻia. ʻAʻole make pololei ka hapa nui o nā ʻano Parkinsonism, akā hiki iā lākou ke kōkua i nā pilikia e hiki ke make. No ka laʻana, ʻo ka paʻakikī i ka ale ʻana, kahi hōʻailona maʻamau o ka maʻi Parkinson a me nā ʻano Parkinsonism ʻē aʻe, e hoʻonui i ka pilikia o ka hoʻomohala ʻana i kahi kūlana e like me ka pneumonia.
Pehea e hiki ai iaʻu ke mālama iaʻu iho?
Inā loaʻa iā ʻoe ka maʻi Parkinson, he mea nui e hahai i nā ʻōlelo a kāu kauka no ka mālama ʻana iā ʻoe a me ka hoʻokele ʻana i kou kūlana. ʻO ia ke kumu maikaʻi loa o ka ʻike e pili ana i ke ʻano o kou kūlana kikoʻī e pili ana iā ʻoe a me nā mea hiki iā ʻoe ke hana e kōkua iā ʻoe iho.
ʻO ka maʻamau, pono ʻoe e hana i kēia mau mea:
- E lawe i kāu mau lāʻau lapaʻau e like me ke kuhikuhi ʻia. Inā ua kuhikuhi kāu kauka i nā lāʻau lapaʻau, ʻo ka lawe ʻana iā lākou e like me ke kuhikuhi ʻia hiki ke hana i kahi ʻokoʻa nui i nā hōʻailona o Parkinsonism. Pono ʻoe e kamaʻilio me kāu kauka inā loaʻa iā ʻoe nā hopena ʻaoʻao a i ʻole inā manaʻo ʻoe ʻaʻole i like ka maikaʻi o kāu mau lāʻau lapaʻau me ka wā ma mua.
- E ʻike i kāu kauka e like me ka mea i ʻōlelo ʻia. Na kāu kauka e hoʻonohonoho i nā manawa nou. He mea nui loa kēia mau manawa e kōkua i ka mālama ʻana i kou kūlana, e ʻike i ka lāʻau lapaʻau kūpono a me ka nui, a e hōʻemi i nā hopena ʻaoʻao.
- Mai hoʻowahāwahā a hoʻowahāwahā paha i nā hōʻailona. Hiki i ka Parkinsonism ke hana i nā ʻano hōʻailona like ʻole. Hiki ke mālama ʻia ka hapa nui o lākou ma ka mālama ʻana i ke kūlana kumu a i ʻole nā hōʻailona ponoʻī. He mea nui e haʻi i kāu kauka e pili ana i kekahi mau hōʻailona, ʻoiai inā he liʻiliʻi lākou. Hiki ke huikau maʻalahi nā kūlana Parkinsonism kekahi i kekahi. No laila, ʻo ka haʻi ʻana i kāu kauka e pili ana i kāu mau hōʻailona āpau i kekahi manawa hiki ke kōkua i ka pale ʻana i kahi kuhi hewa.
Āhea wau e ʻike ai i ke kauka?
Pono ʻoe e ʻike i ke kauka inā ʻike ʻoe i kahi loli i kāu mau hōʻailona (ʻoi aku hoʻi inā hoʻomaka nā hōʻailona e hoʻopilikia i kou ola a me nā hana o kēlā me kēia lā) a inā ʻike ʻoe i kahi loli i ka pono o kāu lāʻau lapaʻau.
Āhea wau e hele ai i ka lumi pilikia (ER)?
Hiki i kāu kauka ke hāʻawi iā ʻoe i ke alakaʻi a me ka ʻike e pili ana i nā hōʻailona a me nā ʻōuli o ka pono ʻoe e hele i ka haukapila a i ʻole e ʻimi i ke kōkua lapaʻau. Ma ke ʻano laulā, pono ʻoe e ʻimi i ke kōkua lapaʻau inā hāʻule ʻoe, ʻoiai inā nalowale kou ʻike, a inā paha ʻoe e manaʻo ua hōʻeha paha ʻoe i kou poʻo, ʻāʻī, umauma, kua, a i ʻole ka ʻōpū.
ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai
ʻO Parkinsonism kahi huaʻōlelo laulā no nā ʻano maʻi like ʻole e hoʻopilikia i kou hiki ke neʻe a noho kūʻokoʻa. ʻOiai aia kekahi mau ʻano like ma waena o kēia mau kūlana āpau, hiki ke ʻokoʻa loa lākou. Inā ua ʻike ʻia ʻoe me Parkinsonism, he mea nui e kamaʻilio me kāu kauka e pili ana i ke ʻano āu i loaʻa ai (a i ʻole nā mea a nā kauka e kānalua nei) a pehea e hoʻopilikia ai ka hōʻailona iā ʻoe. ʻAʻole like nā Parkinsonism āpau. No laila, ʻo ka hoʻomaopopo ʻana i kou kūlana kikoʻī hiki ke hana i kahi ʻokoʻa nui i ka hoʻokele ʻana a pehea e hoʻopilikia ai i kou ola.
ʻO Parkinsonism, ka maʻi o Parkinson, nā haʻalulu, ka lohi o ka neʻe ʻana, nā maʻi lolo, nā maʻi neurological, dopamine











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