Kodi tikambirane za mavuto ogona omwe amabwera ndi matenda a Parkinson?

Ngati inu kapena munthu amene mumamudziwa ali ndi matenda a Parkinson, mwina mukudziwa kale mavuto omwe amabwera nawo. Limodzi mwa mavutowa lomwe limakhudza anthu ambiri, koma mwina silimanenedwa, ndi mavuto ogona. Ndipotu, kugona bwino n'kofunika kwambiri pa thanzi la thupi komanso la maganizo. Choncho lero, tiyeni tikambirane za izi mwatsatanetsatane , chifukwa ndikuganiza kuti izi zidzakuthandizani kwambiri.

Choyamba tiyeni tiwone chomwe matenda a Parkinson ndi.

Mwachidule, matenda a Parkinson ndi matenda omwe amapezeka pamene maselo ena amitsempha muubongo wathu, makamaka mbali yomwe imalamulira kuyenda, amafooka pang'onopang'ono, sagwira ntchito, kapena kufa pakapita nthawi. Madokotala amatcha izi kuti ndi vuto la kuyenda . Maselo amitsempha awa akawonongeka, zizindikiro zimayamba kuonekera m'thupi lathu.

Zizindikiro zimenezi zingagawidwe m'magawo awiri.

Chimodzi mwa zinthu zomwe madokotala amatcha 'zizindikiro za kayendedwe ka thupi' , zomwe ndi mavuto osuntha matupi athu ndikuwongolera mayendedwe athu. Zitsanzo za izi ndi izi:

• Minofu yolimba m'miyendo, yofanana ndi mwala .
• Kugwedezeka kosalamulirika kwa miyendo, makamaka manja kapena miyendo (kunjenjemera) . Nthawi zina mwina mwawonapo manja a munthu wokalamba akungogwedezeka. Ikhoza kukhala vuto longa ili.
• Mavuto okhudzana ndi kulinganiza bwino zinthu , kuvutika kuyenda kapena kuchita ntchito zina (mavuto okhudzana ndi kugwirizana kwa zinthu).
• Kuyenda pang'onopang'ono (bradykinesia) . Izi zikutanthauza kuti ntchito zomwe zinkachitika kale pa liwiro labwinobwino tsopano zikutenga nthawi yayitali kuti zithe.

Mbali ina ndi 'zizindikiro zosakhala za thupi' . Izi zimakhudza thupi lathu ndi malingaliro athu m'njira zosiyanasiyana, kuwonjezera pa kuyenda. Mwachitsanzo, mutha kusintha momwe mukumvera, kutaya fungo, kusintha kwa masomphenya, kudzimbidwa, komanso kuvutika kulankhula.

Kodi pali ubale wotani pakati pa matenda a Parkinson ndi kugona?

Ndipotu, ubale pakati pa matenda a Parkinson ndi kugona ndi wovuta kwambiri. Ngakhale asayansi sakumvetsa bwino nkhaniyi. Koma chinthu chimodzi n'chodziwikiratu: Matenda a Parkinson angayambitse mavuto a tulo mwachindunji.

Tangoganizirani, kafukufuku wina akusonyeza kuti mavuto ogona akhoza kukhala chimodzi mwa zizindikiro zoyambirira za matenda a Parkinson! Mwachitsanzo, kugwedeza mutu uli mtulo, kufuula, ndi zina zotero.

Si zokhazo, koma zinthu zina, monga mankhwala omwe mumamwa a matenda a Parkinson, kupsinjika maganizo ndi nkhawa zomwe zimayambitsidwa ndi matendawa, zingakhudzenso izi. Komabe, kwa anthu ambiri omwe ali ndi matenda a Parkinson , kugona tulo tokwanira komanso topumula kungakhale kovuta kwambiri .

Kodi mavuto ogona ndi ofala bwanji pakati pa odwala a Parkinson?

Ndipotu n'zofala kwambiri. Malinga ndi ofufuza, anthu omwe ali ndi matenda a ParkinsonAnthu awiri pa atatu aliwonse ali ndi vuto linalake lokhudzana ndi tulo. Izi zikutanthauza kuti ndi vuto lomwe limakhudza anthu ambiri. Mwina ndi lofala kwambiri kuposa momwe mukuganizira.

Kodi matenda a Parkinson amayambitsa bwanji mavuto ogona?

Akatswiri azachipatala akukhulupirira kuti pakhoza kukhala zifukwa zingapo zomwe zimayambitsa izi. Tiyeni tiwone zomwe zili:

• Kusintha kwa mankhwala muubongo: Kafukufuku akusonyeza kuti matenda a Parkinson amatha kusokoneza kayendedwe ka kugona ndi kudzuka muubongo wathu. Kusintha kwa mankhwala ena muubongo, monga ma neurotransmitters monga dopamine, kungayambitse kuchepa kwa tulo komanso kuchepa kwa tulo.
• Mankhwala: Mankhwala ena a matenda a Parkinson angapangitse kuti zikhale zovuta kugona kapena kukudzutsani pafupipafupi. Mankhwala ena angapangitse kuti mumve tulo masana ndikukupangitsani kukhala maso usiku. Ichi ndichifukwa chake ndikofunikira kulankhula ndi dokotala wanu za mankhwala omwe mukumwa.
• Mavuto amisala: Matenda a maganizo monga nkhawa kapena kuvutika maganizo ndi ofala pakati pa anthu omwe ali ndi matenda a Parkinson. Matenda aliwonse amisala awa angapangitse kuti mukhale maso usiku kapena muvutike kugona. Ngati simungathe kuchotsa nkhawa zomwe zili m'maganizo mwanu, simungathe kugona.
• Zizindikiro za Parkinson: Zimakhala zovuta kugona bwino chifukwa cha ululu, kuuma kwa minofu, komanso kunjenjemera komwe kumachitika chifukwa cha matendawa. Komanso, kudzuka usiku kukakodza, komanso kupuma movutikira , komwe kumachitika nthawi zambiri kumapeto kwa matenda a Parkinson, kungasokonezenso tulo.

Kodi odwala matenda a Parkinson amakumana ndi mavuto otani okhudza tulo?

Matenda a Parkinson sakhudza aliyense mofanana. Amakhudzanso tulo mosiyana. Munthu amene ali ndi matenda a Parkinson akhoza kukhala ndi mavuto otsatirawa okhudza tulo:

• Kusowa tulo: Kuvutika kugona, kugona kwa maola ambiri mutagona. Mungamvenso ngati maganizo anu akuthamanga.
• Kugona mopanda mphamvu: Kudzuka kangapo usiku. Kulephera kugona bwino kwa nthawi yayitali. Mukadzuka m'mawa, mumamva ngati simunagone bwino.
• Kugona kwambiri masana: Kugona kwambiri masana , kuvutika kukhala maso, komanso kuvutika kuchita zinthu masana. Nthawi zina, mungagone mukulankhula.
• Maloto omveka bwino: Maloto amakhala omveka bwino kwambiri kotero kuti nthawi zina akadzuka, amatha kuoneka ngati zilombo zomwe zimaoneka ngati zilombo ndipo zimayambitsa chisokonezo.
• Maloto amalingaliro kapena maloto oipa:Mukadzuka kuchokera ku maloto ngati amenewa, mungamve kutopa kwambiri, kukhumudwa, komanso mantha.

Kodi 'REM sleep behavior disorder' ndi chiyani?

Ili ndi vuto lapadera, komanso lotsutsana. REM imayimira Rapid Eye Movement, ndipo iyi ndi nthawi yomwe timagona tulo tofa nato komanso maloto. Chifukwa chake, munthu amene ali ndi 'REM sleep behavior disorder' amalota momwe thupi lake limachitira zomwe amalota. Izi zikutanthauza kuti amatha kugwedeza manja ndi miyendo yawo m'tulo tawo, kufuula, kugwa pabedi, komanso kuchita zinthu zoopsa zomwe zingadzivulaze kapena kuvulaza wina amene akugona pafupi nawo. Anthu okwana theka la anthu omwe ali ndi matenda a Parkinson amakumana ndi vutoli. Ofufuza ena amakhulupirira kuti ichi chikhoza kukhala chizindikiro choyambirira cha matenda a Parkinson.

Ndi matenda ena ati ogona omwe amapezeka mwa odwala a Parkinson?

Kuwonjezera pa vuto la kugona la REM, palinso matenda ena ambiri ogona omwe nthawi zambiri amakhudza anthu omwe ali ndi matenda a Parkinson:

• Matenda a circadian rhythm sleep disorders: Mavuto ndi kayendedwe ka thupi lathu ka kugona ndi kudzuka (nthawi ya moyo). Zinthu monga kusagona usiku komanso kuvutika kudzuka m'mawa.
• Nocturia: Kudzuka pafupipafupi (kuposa kawiri kapena katatu) usiku kukakodza. Izi zitha kusokoneza kwambiri tulo.
• Matenda a miyendo yosakhazikika: Kusamva bwino, kutentha, komanso kumva ngati mukufuna kusuntha miyendo, makamaka madzulo kapena usiku. Chilakolako chosuntha miyendo chimakulepheretsani kugona.
• Kupuma movutikira: Matenda omwe kupuma kumasiya kwakanthawi kapena kumakhala kochepa kwambiri munthu akagona. Izi zingayambitse kudzuka pafupipafupi usiku chifukwa cha kusowa kwa mpweya, kutopa m'mawa, komanso kugona masana. Kugona pang'ono kungakhalenso chizindikiro.

Kodi odwala a Parkinson amakumana ndi mavuto ogona liti?

Ndikofunikira kukumbukira kuti si aliyense amene ali ndi matenda a Parkinson amene ali ndi mavuto ogona. Komabe, ngati muli ndi mavuto amenewa, mwina anayamba musanayambe kudwala matenda a Parkinson, kapena mwina zinachitika nthawi ina iliyonse mutapezeka ndi matendawa.

Kodi mungazindikire bwanji mavuto ogona mwa odwala a Parkinson?

Ngati muli ndi vuto lililonse la kugona, musawanyalanyaze. Onetsetsani kuti mwaonana ndi dokotala wanu ndikukambirana nawo mwatsatanetsatane . Dokotala wanu adzakufunsani mafunso ndikumvetsa zizindikiro zanu.

Khalani okonzeka kuuza dokotala wanu za izi:

• Kodi mavuto ogona amayamba liti ndipo bwanji? (Kodi mumavutika kugona? Kodi mumadzuka pafupipafupi? Kodi mumatopa m'mawa?)
• Kodi zimakhudza bwanji moyo wanu watsiku ndi tsiku? (Kodi mumagona masana? Kodi n'kovuta kuyang'ana kwambiri pa ntchito?)
• Ndi mankhwala ena ati omwe mumamwa?

Kulemba buku la kugona kwa milungu ingapo kungakuthandizeni kukumbukira bwino mfundo zimenezi. Izi zikutanthauza kulemba zinthu monga nthawi imene munagona, nthawi imene munagona (pafupifupi), kangati munadzuka usiku, nthawi imene munadzuka m'mawa, komanso ngati munamva tulo masana.

Ngati dokotala wanu akuganiza kuti muli ndi vuto la kugona, angakufunseni kuti mukaphunzire za kugona, komwe kumadziwikanso kuti polysomnography , mayeso apadera ogona. Izi zimaphatikizapo kugona usiku wonse kuchipatala kapena malo ogona ndi ma electrode opanda ululu omwe amamangiriridwa ku thupi lanu ndikuyang'anira mafunde a ubongo wanu, kugunda kwa mtima, kupuma, mayendedwe a maso, ndi mayendedwe a miyendo yanu pamene mukugona.

Kodi mavuto ogona mwa odwala a Parkinson amachiritsidwa bwanji?

Dokotala wanu akangodziwa chomwe chikukuchititsani vuto la kugona, adzakulangizani chithandizo choyenera. Popeza momwe zinthu zilili kwa aliyense ndi zosiyana, chithandizo chingasiyane malinga ndi munthu. Zinthu zazikulu zomwe mungachite ndi izi:

• Kusintha mankhwala anu a Parkinson ndi nthawi yake: Ngati mukuganiza kuti mavuto anu ogona angayambitsidwe ndi mankhwala a Parkinson, dokotala wanu angasankhe kusintha dongosolo lanu la chithandizo. Izi zingaphatikizepo kuchepetsa mlingo, kusintha nthawi yomwe mumamwa mankhwalawo, kapena kusintha mankhwala ena.
• Mankhwala enieni a matenda ogona:
• Ngati muli ndi vuto la kusowa tulo, mungapatsidwe mapiritsi ogona a nthawi yochepa, koma mungatumizidwenso ku zinthu monga Cognitive Behavioral Therapy for Insomnia (CBT-I).
• Ngati muli ndi vuto la kugona la REM , mungapatsidwe mankhwala enaake (monga Clonazepam). Mungalangizidwenso kuti mupange malo ogona otetezeka (monga kuyika matiresi mozungulira bedi, kuchotsa zinthu zakuthwa).
• Ngati muli ndi vuto la kupuma movutikira , mankhwala ofala kwambiri ndi makina a CPAP (Continuous Positive Airway Pressure). Izi zimagwira ntchito popereka mpweya wofewa kumphuno kapena pakamwa panu pamene mukugona, zomwe zimapangitsa kuti mpweya wanu ukhale wotseguka. Anthu ena angagwiritsenso ntchito chipangizo chopatsira mpweya pakamwa.
• Ngati muli ndi vuto la miyendo yosakhazikika , mudzalandira chithandizo cha zomwe zimayambitsa (monga kusowa kwa chitsulo), kapena mudzapatsidwa mankhwala oletsa zizindikiro.
• Malangizo Osintha Moyo Wanu: Zizolowezi zanu za tsiku ndi tsiku komanso malo ogona zimakhudza kwambiri tulo lanu.Mukhoza kukonza tulo tanu mwa kukhala ndi chizolowezi chogona nthawi yokhazikika, kudzuka nthawi yokhazikika (kusunga izi ngakhale kumapeto kwa sabata momwe mungathere), kusunga chipinda chanu chamdima, chete, komanso kutentha koyenera, komanso kupewa kuyang'ana zikwangwani zamagetsi (mafoni, mapiritsi, TV) ola limodzi kapena awiri musanagone.

Kodi ndingachitenso chiyani kuti ndigone bwino ndi matenda a Parkinson?

Kuwonjezera pa chithandizo chamankhwala, kutsatira 'makhalidwe abwino aukhondo ogona' kungakuthandizeninso kugona bwino. Izi ndi zinthu zosavuta, koma zotsatira zake zimakhala zabwino kwambiri.

Yesani kuchita zinthu izi:

• Pezani kuwala kwa dzuwa kwachilengedwe kokwanira masana. Kuwala kowala kumathandiza thupi lanu kukhala ndi nthawi yoyenera yogona ndi kudzuka.
• Thupi lanu likhale lochita masewera olimbitsa thupi masana. Chitani masewera olimbitsa thupi malinga ndi luso lanu. Ngakhale kuyenda pang'ono kapena ntchito zina zapakhomo n'kwabwino. Komabe, pewani kuchita masewera olimbitsa thupi nthawi yogona isanafike.
• Yesani njira zopumulira. Mwachitsanzo, kusamba ndi madzi otentha, kumvetsera nyimbo zotonthoza, kusinkhasinkha, kapena kuwerenga buku (osati nkhani yolimbikitsa).
• Musamakhale ndi njala musanagone, ndipo musadye mpaka mutakhuta. Palibe vuto kudya chakudya chopepuka.
• Sungani chipinda chanu chogona chokha. Musachigwiritse ntchito ngati malo ogwirira ntchito, kuonera TV, kapena kudya.

Chepetsani kapena siyani zinthu izi momwe mungathere:

• Musagone nthawi yayitali masana. Palibe vuto kugona kwa mphindi 20-30, koma kugona mopitirira muyeso kungakhudze tulo lanu usiku.
• Pewani zinthu zotsitsimula, monga caffeine (tiyi, khofi, chokoleti, zakumwa zina zoziziritsa kukhosi) ndi nikotini (ndudu), osachepera maola anayi mpaka asanu musanagone.
• Musamwe mowa musanagone. Ngakhale kuti poyamba mowa ungakupangitseni kugona, pambuyo pake ungachepetse ubwino wa tulo lanu ndikukupangitsani kudzuka pafupipafupi.
• Siyani kuyang'ana foni kapena TV yanu mutakhala pabedi. Kuwala kumeneko kumachepetsa kupanga melatonin, mahomoni omwe amakuthandizani kugona.

Kodi mankhwala ogonetsa omwe amagulitsidwa kunja kwa ofesi ya dokotala ndi otetezeka kwa odwala a Parkinson?

Funso limene anthu ambiri amafunsa ndi ili. Tsoka ilo, si yankho labwino. Mankhwala othandizira kugona omwe amagulitsidwa ku pharmacy popanda mankhwala, angawoneke ngati njira yosavuta komanso yotetezeka yothetsera mavuto anu ogona, koma akhoza kukhala ndi zoopsa zina komanso zotsatirapo zake kwa anthu omwe ali ndi matenda a Parkinson.

Mankhwala ena operekedwa ndi dokotala komanso mapiritsi ena ogonetsa omwe dokotala amatipatsa akhoza kukulitsa zizindikiro za Parkinson (monga chisokonezo, kulephera kukhazikika).Komanso, mapiritsi ena ogonetsa amatha kusokoneza kwambiri mankhwala ndi mankhwala a Parkinson, zomwe zimayambitsa mavuto osayembekezereka. Chifukwa chake, ndikofunikira nthawi zonse kulankhula ndi dokotala wanu ndikupempha upangiri musanamwe mankhwala atsopano, makamaka mapiritsi ogonetsa.

Ndiyenera kupita liti kwa dokotala wanga?

Ngati mavuto anu ogona akukhudza moyo wanu watsiku ndi tsiku, ntchito, momwe mukumvera, kapena moyo wanu wonse , musazengereze kuuza dokotala wanu. Ngati muli ndi zizindikiro zomwe zimakudetsani nkhawa, makamaka ngati zingakhale zoopsa kwa inu kapena kwa anthu omwe ali pafupi nanu (monga vuto la kugona la REM), onetsetsani kuti mwaonana ndi dokotala.

Nthawi zina, kusokonezeka kwa tulo kungakhale chizindikiro cha kuvutika maganizo kapena nkhawa zokhudzana ndi matenda a Parkinson. Ngati simukusangalalanso ndi kuchita zinthu zomwe munkakonda, kumva chisoni, kuda nkhawa, kusungulumwa, kapena kusakhala ndi chidwi ndi zomwe zikuchitika m'moyo wanu, lankhulani ndi dokotala wanu za zinthuzi. Anthu ena amapeza kuti amamva bwino atayamba kumwa mankhwala atsopano kapena kulandira uphungu. Kumbukirani, simuyenera kuvutika chonchi, ndipo thandizo lilipo.

Pomaliza, zinthu zingapo zoti muzikumbukira

Ofufuza akuphunzirabe zambiri za ubale wovuta pakati pa matenda a Parkinson ndi tulo. Kumvetsetsa zambiri za momwe matenda a Parkinson amakhudzira tulo (ndi momwe tulo limakhudzira matenda a Parkinson) kungatithandize kuzindikira matenda a Parkinson msanga ndikupanga mankhwala atsopano omwe ndi othandiza kwambiri kuposa mankhwala omwe alipo pano .

Pali njira zambiri zomwe zingakuthandizeni kuthana ndi mavuto anu ogona. Chofunika kwambiri ndikulankhulana momasuka komanso moona mtima ndi dokotala wanu za mavuto aliwonse ogona omwe mungakhale nawo. Pamodzi, inu ndi dokotala wanu mutha kupanga dongosolo lomwe likugwirizana bwino ndi vuto lanu, kugona kwanu, komanso mavuto ena aliwonse omwe matenda a Parkinson angabweretse m'moyo wanu.

Kumbukirani kuti simuli nokha paulendowu. Mukakhala ndi chidziwitso choyenera komanso chithandizo, mudzakhala ndi mphamvu zothana ndi mavutowa. Musamaope kupempha thandizo.

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