He ngaronga mahara te take o te mate a Parkinson? Me kōrero tātou mō te Mate a Parkinson, te Mate wareware!

Kei te pāngia tō whānau, tō whaea, tō pāpā, tētahi atu rānei e tata ana ki a koe e te mate a Parkinson? Kua wareware haeretia e tēnei tangata ngā mea, kua uaua ki te mahi i ngā mea ngāwari i mua, kua kite rānei koe i tētahi panoni i roto i tā rātou whakaaro? Inaa, he āhuatanga o te mahara me te mātauranga ka puta mai i te mate a Parkinson. I tēnei rā ka kōrero tātou mō tēnei āhuatanga e kiia nei ko te `(Parkinson's Disease Dementia)`. Kaua e mataku, kia mārama noa tātou ki tēnei.

He aha te Mate Pāwera o Parkinson?

Ki te kī māmā noa, ko te Mate Pāwera o te Mate a Parkinson (PDD) he hekenga o te whakaaro me te whakaaro whaitake e puta ana i roto i te tangata e pangia ana e te mate a Parkinson, i te iti rawa i te tau i muri i te tautuhi i te mate (he roa ake te wā).

Ka mataku ētahi tāngata ina rongo rātou i te kupu "Dementia." Engari kia mārama tātou he aha te tikanga. Ko te Dementia he āhuatanga e ngoikore ai te mahi hinengaro o te tangata i tōna āhua o mua, e uaua ai te mahi i ngā mahi o ia rā. Kia ngoikore ai tēnei mahi hinengaro, me rua pea o ēnei e whai ake nei:

• Mahara
• Te whakaaro arorau
• Reo (kōrero, māramatanga)
• Te whakarite i ngā mea
• Whanoke

I mua i te puta o tēnei warewaretanga nui, ka puta pea tētahi āhuatanga e kiia nei ko te "Mald Cognitive Impairment (MCI)", e tohuhia ana e ngā raruraru mahara iti, e te hekenga paku rānei o te tere o te whakaaro. Ko te tikanga o tēnei he paku ngoikore te mahara, ahakoa kāore e tino whakararuraru i ngā mahi o ia rā. Heoi, kāore ngā take "MCI" katoa e ahu whakamua ki te "Dementia". I waenga i te 10% me te 20% o te hunga whai mate a Parkinson ka pāngia pea e te "MCI" anake puta noa i ō rātou oranga katoa.

E mōhio ana koe, he mate neurodegenerative te mate a Parkinson, he mate roro rānei e ngoikore haere ana ngā pūtau io. Ka pā te nuinga ki ngā nekehanga o te tinana. Ko ngā tohu pēnei i te wiri o ngā ringa me te puhoi o te hikoi (bradykinesia) ngā mea tuatahi ka puta. Heoi, i roto i te wā, ka pā pea tēnei mate ki ngā wāhanga o te roro e whakahaere ana i te whakaaro me ngā mahi. Koinā te wā ka puta ai te mate wareware.

He pēhea te noa o tēnei āhuatanga?

Ka rerekē te mōrearea o te whakawhanake i te mate wareware a Parkinson i runga i te pakeketanga me te roa o te wā kua pāngia koe e te mate a Parkinson. Hei tauira:

• I waenganui i te 16% me te 20% o te hunga i waenga i te 60 me te 75 tau te pakeke kua pāngia e te mate a Parkinson mō te 5 me te 10 tau.
• I waenganui i te 20% me te 30% o te hunga i waenga i te 60 me te 75 tau te pakeke kua pāngia e te mate a Parkinson mō ngā tau 10 ki te 15.
• Ka pā tēnei āhuatanga ki te 50% ki te 60% o te hunga neke atu i te 75 tau te pakeke kua pāngia e te mate a Parkinson mō ngā tau neke atu i te 15.

He aha ngā tohu o te mate wareware a Parkinson?

Ka rerekē te pānga o tēnei mate ki ia tangata, ki ia tangata, engari he maha ngā tohu e kitea whānuitia ana:

• Te uaua ki te arotahi: Te uaua ki te arotahi ki tētahi mea, te ngāwari ki te tahuri ke.
• Ngaronga o te mahara: He uaua ki te maumahara ki ngā mea hou, ā, i ētahi wā ka wareware noa ki ngā mea tawhito.
• Ngā raruraru ki te mārama ki ngā mōhiohio tirohanga: Hei tauira, he uaua ki te kimi i tētahi mea i tētahi wāhi kī tonu i te tangata.
• Ahakoa he mahi māmā noa iho, he uaua tonu te whakamahere, te tīmata, me te whakaoti.
• Ngā uauatanga reo: Ka ranea ngā kupu, ka warewarehia ngā ingoa o ngā mea, ā, ka uaua te mārama ki ngā rerenga kōrero uaua.
• Ka kore e mārama te kōrero, pērā i te kīkī.

Hei tāpiri, ka puta pea ngā huringa whanonga:

• Ngā panonitanga o te āhua hinengaro: te nui haere o te pouri (pouri), te riri pinepine (riri), me te manukanuka.
• Te kore aro: Te kore hiahia ki te mahi i tetahi mea, te hoha ki ngā mea katoa.
• Hinengaro: Te kitenga i ngā mea ehara i te mea tūturu (ina koa ko ngā moemoeā tirohanga), te whakapono rānei ki ngā mea ehara i te mea tūturu (ina koa ko te whakaaro mataku).

Mena kei a koe, kei tētahi rānei o tō whānau ēnei tohu, he mea nui kia toro atu koe ki tētahi tākuta mō ētahi tohutohu. Ka taea e koe te mārama ki te āhuatanga me te mahi i ngā mahi e tika ana me te kore e mataku.

He aha te take e whanake ai te mate wareware a Parkinson?

Ko te take matua mō tēnei ko te kohikohinga o ngā pūmua rerekē e kiia nei ko ngā "tinana Lewy" i roto i te roro. Ko ēnei "tinana Lewy" he puranga iti i hangaia mai i te pūmua e kiia nei ko te "alpha-synuclein" i roto i ngā pūtau io o te roro, ka pakaru aua pūtau, ka mate.

I roto i te mate a Parkinson, ka putunga tuatahi ēnei "tinana Lewy" ki ngā wāhanga o te roro e whakahaere ana i te nekehanga, inā koa i te rohe "ganglia basal" (basal ganglia). Koia te take ka puta tuatahi ai ngā mate nekehanga pēnei i te wiri me te hikoi puhoi. I roto i te wā, ka horapa ēnei "tinana Lewy" ki ngā wāhanga taumata teitei ake o te roro e whakahaere ana i ngā mea pēnei i te whakaaro, te mahara, me te reo. Koinei te wā ka puta ai te "Dementia" (Mate a Parkinson).

He tino rite tēnei āhua ki tētahi atu momo mate wareware e kiia nei ko te mate wareware tinana o Lewy (LBD). Inaa, e whakapono ana ētahi kaipūtaiao ko ngā mate e rua i puta mai i te momo huringa roro kotahi e uru ana ki te pūmua alpha-synuclein. Ko te rerekētanga nui ko te raupapa o te putanga mai o ngā tohu. Ka kōrerohia e tātou tēnei ā mua tata nei.

Ko wai kei te nui ake te mōrearea ki te whakawhanake i tēnei mate?

Ko ngā āhuatanga matua e rua mō te whakawhanaketanga o te mate wareware a Parkinson ko:

1. Te pakeketanga: Ka piki ake tēnei mōrearea i te pakeketanga.

2. Te roanga o te mate a Parkinson: Ka roa te mate, ka nui ake te tūponotanga o te whakawhanake i te mate wareware.

Hei tāpiritanga, kua kitea e ngā rangahau he nui ake te tūponotanga ka pāngia te hunga whai tohumate o te mate a Parkinson e te mate wareware. Ko ēnei tohumate ko:

• He nui ngā tohumate nekehanga: Mena he nui ngā tohumate pēnei i te wiri me te uaua ki te hikoi.
• I te tīmatanga o te mate a Parkinson , ka puta pea ngā raruraru ki te pūnaha io motuhake (hei tauira, te ngoikore o te mimi, te kore e taea te pupuri i te mimi).
• Ka pāngia ngā taha e rua o te tinana e ngā mate nekehanga (ngā tohu nekehanga ōrite).
• Kāore ngā rongoā kei roto he dopamine mō te mate a Parkinson i te whai hua e ai ki ngā tumanakohanga.
• Kei a koe tētahi āhuatanga e kiia nei ko te "mate whanonga moe REM" (e mahi ana koe i tāu moemoeā).

Me pēhea koe e tino mōhio ai ki tēnei?

Engari, kāore he whakamātautau motuhake hei whakaū tonu i te aroaro o te mate wareware o Parkinson. Ka whakatauhia e te tākuta te mate mā te whai whakaaro ki ētahi āhuatanga:

• Ka pātai rātou nōnahea i tīmata ai ō tohumate, me pēhea hoki te rerekētanga.
• Pātai atu mō tō hītori hauora katoa.
• Ka tirohia e au ngā rongoā e tangohia ana e koe i tēnei wā.
• Pātai atu mēnā kei roto i tō whānau tētahi o ēnei mate.

Hei tāpiritanga, ka taea te whakahaere i ētahi whakamātautau hei āwhina i te tautuhi mate. Hei tauira, ko ngā whakamātautau toto, ko ngā whakamātautau whakaahua roro (pēnei i ngā matawai CT, ngā matawai MRI), me ngā whakamātautau hinengaro-pūnaha e whakamātautau ana i ngā pūkenga whakaaro.

E ai ki taku kōrero i mua, he tino ōrite ngā tohu me ngā take o te Mate wareware o te Mate a Parkinson (PDD) me te Mate wareware o te Tinana o Lewy (LBD). Nō reira, he tikanga iti tēnei e whakamahia ana e ngā tākuta hei wehewehe i waenganui i ngā mea e rua:

• Mena ka puta ngā tohumate o te mate wareware (pērā i te ngaronga o te mahara) i te iti rawa i te tau (he maha ngā tau te nuinga) i muri i te tīmatanga o ngā mate nekehanga o te mate a Parkinson (pērā i te wiri, te haere puhoi), ka kiia ko te Mate a Parkinson (PDD).
• Mena ka puta ngā tohumate o te mate wareware i mua atu, i te wā, i roto rānei i te tau kotahi o te tīmatanga o ngā mate nekehanga o Parkinson, ka kiia ko te `(Lewy body dementia - LBD)`. Tērā pea kāore ētahi tūroro `(LBD)` e pāngia e ngā mate nekehanga o Parkinson.

He aha ngā maimoatanga mō tēnei?

He pātai e pātaihia ana e te tini tāngata, mehemea rānei he rongoā mō tēnei, mehemea rānei ka taea te whakaora. Ki te pono, kāore anō kia kitea he rongoā hei aukati, hei whakakore rānei i te whanaketanga o te mate wareware o te mate a Parkinson. He mea pouri tēnei.

Kaua e mutu te tumanako! He rongoā me ngā maimoatanga kei reira hei āwhina i te whakahaere, i te whakaiti rānei i ētahi o ngā tohu. Hei tauira:

• `(Ngā aukati Cholinesterase)`:Ka taea e ngā rongoā o tēnei akomanga, pērā i te donepezil (Aricept®), te rivastigmine (Exelon®), me te galantamine (Razadyne®), te whakaora i ētahi tohu, inā koa ko ngā kitenga pōhewa, ngā huringa whakaaro, me ngā huringa whanonga.
• Ngā rongoā whiriwhiri mō te serotonin reuptake (SSRI) me ngā serotonin me te norepinephrine reuptake inhibitors (SNRI): He rongoā ēnei e tohua ana mō te pouri. Ka taea e rātou te āwhina ki te whakahaere i ngā huringa kare ā-roto pērā i te pouri, te riri, me te mataku.
• Whakaora whanonga hinengaro (CBT): He momo whakaora hinengaro tēnei, he momo whakaora kōrero. Ka taea e ia te āwhina ki te whakahaere i ngā mea pēnei i ngā raruraru whanonga me te ahotea.

Mā tō rōpū hauora koe e kōrero, ā, mā rātou anō e whakatau ko tēhea te maimoatanga pai mōu. Engari kia maumahara ki tētahi mea. Ka taea e ētahi rongoā te whakararu i ngā tohu o te mate wareware. Hei tauira, ko te carbidopa-levodopa, he rongoā e whakamahia whānuitia ana hei rongoā i ngā mate nekehanga o te mate a Parkinson, ka taea te whakanui ake i ngā moemoeā me te pōhēhē i roto i ētahi tāngata e pangia ana e te mate wareware o Parkinson. Nō reira, kaua e tīmata, e mutu rānei te tango i tētahi rongoā me te kore he tohutohu a tō tākuta.

Tērā pea kei te haere tonu ngā whakamātautau haumanu mō ngā maimoatanga hou mō te Mate wareware o Parkinson. Ka taea e koe te pātai atu ki tō tākuta mō tēnā.

Kei te pēhea te haere whakamua o tēnei āhuatanga? (Te matapae)

Ko te matapae mō te tangata e pāngia ana e tēnei mate e whakawhirinaki ana ki ētahi āhuatanga. Heoi, pērā i te mate a Parkinson, ka kino haere te mate wareware o te Mate a Parkinson i te roanga o te wā. Ahakoa ka taea e te maimoatanga te whakaora i ngā tohu, he maha ngā wā ka taea te whakaiti i te kounga o te oranga.

Kia pēhea te tere o te pikinga o tēnei?

He rerekē te tere o te kino haere o te mate wareware o te mate a Parkinson i ia tangata, i ia tangata, i te haere tonu o te mate a Parkinson. Ka taea e tō rōpū hauora te hoatu ki a koe me tō whānau ētahi whakaaro mō ngā mea ka tumanakohia i runga i tō āhua motuhake.

Kāore e taea te ārai i tēnei mea?

Engari, kāore he mea e taea te mahi i tēnei wā hei ārai i te whanaketanga o te Mate Pākisoni. Kāore hoki he huarahi hei whakaiti i te mōrearea o te whanaketanga.

Me pēhea tātou e āwhina ai i tētahi e pāngia ana e te mate wareware a Parkinson?

Mena kei te pāngia tō hoa aroha e tēnei mate, me te mahi tahi me te tīma hauora ki te whakarato i te tiaki pai rawa atu ki a rātou, he maha atu anō ngā mea ka taea e koe te mahi:

• Akohia ngā mea katoa e taea ana e koe mō te Mate Pāwera o Parkinson: Mā te nui ake o tō mōhiotanga mō tēnei mea, ka māmā ake te aro atu ki ngā mea kei te heke mai. Ā, ka taea e koe te tautoko i tō hoa aroha.
• Whakangawaritia tōna taiao:Tangohia ngā taonga kāore e hiahiatia ana i te whare, ā, kia tika te whakarite. Mā tēnei ka whakaiti i te pōhēhētanga hinengaro e pāngia ana e rātou. Mā te whakamārama i tētahi rama iti i te pō ka āwhina i te whakaiti i ngā tirohanga hē.
• Whakatūria he mahinga auau: Mā te whai mahinga auau, pērā i te kai, te kaukau, me te moe i te wā kotahi i ia rā, ka āwhina i te hunga whai mate wareware o te mate a Parkinson kia noho humarie, kia noho haumaru hoki.
• Hono atu ki tētahi rōpū tautoko: Whakauruhia tō hoa aroha me koe anō ki ngā rōpū tautoko mō ngā tūroro a Parkinson me ō rātou whānau. Ka taea e ēnei rōpū te whakarato i ngā mōhiotanga, ngā tohutohu, me ngā wheako whai hua. He kaha nui tēnei i roto i tēnei haerenga.

He rerekē te mate wareware a Parkinson i ētahi atu mate wareware noa?

He maha ngā take o te mate wareware, ā, he rerekē ngā tohu. Ko te mate a Alzheimer te momo mate wareware tino noa. E ai ki ngā kaipūtaiao, he rerekē ngā tohu o te mate wareware o Parkinson i ērā o te mate wareware o Alzheimer. Hei tauira:

• Ko te hunga e pangia ana e te mate a Parkinson he nui ake te tūponotanga ka pāngia e te mangere me te uaua ki te arotahi atu i te hunga e pangia ana e te mate a Alzheimer.
• Tērā pea ka tere ake te uaua o te reo o te hunga e pangia ana e te mate wareware o Alzheimer i ērā e pangia ana e te mate wareware o Parkinson. Waihoki, he nui ake te uaua o te hunga e pangia ana e te mate wareware o Alzheimer ki te maumahara ki ngā mea hou i ērā e pangia ana e te mate wareware o Parkinson.

He rerekē ngā wāhanga o te mate wareware a Parkinson?

Kua whakaaetia e ngā tākuta ngā tikanga mō te whakarōpū i te mate a Parkinson ki ngā wāhanga rerekē. Heoi, kāore he huarahi motuhake hei whakarōpū i te Mate a Parkinson i roto i te Mate wareware. Nā te mea he rerekē te āhua o tōna pānga ki te katoa me te tere o tōna kino haere. Nō reira, he uaua ki ngā kaipūtaiao me ngā tākuta te whakarōpū i tēnei ki ngā wāhanga motuhake.

Hei whakamutunga, ngā mea hei maumahara

Ehara i te mea ngāwari te mōhio kei a koe te mate a Parkinson, he mate e pā ana ki tō mahara, ā, ka pā kino ki tō kaha ki te mahi. He mea noa te pouri, te pouri, me te mataku ki ngā mea kei te heke mai. Kia maumahara kāore koe i te mokemoke i tēnei wā. Tikina te tautoko e hiahiatia ana e koe mai i ō whanaunga, i tō whānau, i ō hoa, me tō tīma hauora.

Kia maumahara, ahakoa kāore e taea e te maimoatanga te whakaora katoa i tēnei mate, ka taea e ia te āwhina i te whakahaere i ngā tohu me te whakapai ake i te kounga o te oranga ki tētahi taumata. Nō reira, kaua e mutu te tumanako, me haere tonu tēnei haerenga me te tautoko e riro ana i a koe.

Te mate a Parkinson, te mate wareware, te ngaronga o te mahara, ngā mate roro, ngā tinana Lewy, ngā mate pūnaha io, te tiaki kaumātua