Ese wowe cyangwa umuntu uzi ufite ibimenyetso nko kugenda buhoro, gusuhuza amaboko, cyangwa umubiri ukomeye? Ushobora kuba warumvise ijambo "Parkinsonism" igihe waganiraga na muganga kuri ibi. None se, Parkinsonism ni iki? Reka tubiganireho mu buryo bworoshye, mu buryo ushobora kumva. Ntutinye, ni ngombwa cyane kumenya ibi byose.

Uburwayi bwa Parkinsonism ni iki? Mu magambo make...

Tekereza kuri ibi, indwara ya Parkinson si indwara imwe, ahubwo ni izina rusange ry’indwara nyinshi. Muri izi ndwara zose, hari ibice bimwe na bimwe by’ubwonko bwacu bigerwaho n’ingaruka. Ibintu by’ingenzi bibaho ni ukwihuta buhoro, gukomera (gukomera) mu mubiri, no gutigita. Hari impamvu zitandukanye zitera izi ndwara. Zimwe muri zo ni impinduka mu miterere y’uturemangingo, ingaruka ku miti imwe n’imwe, cyangwa ndetse n’izindi ndwara zimwe na zimwe.

Ni irihe tandukaniro riri hagati y'indwara ya Parkinson n'indwara ya Parkinson?

Ibi ni ibintu bitera urujijo abantu benshi. Indwara ya Parkinson ni imwe mu ndwara ziri mu cyiciro kinini cyitwa Parkinsonism. Mu by'ukuri, abantu bagera kuri 80% bafite Parkinsonism mu by'ukuri bafite indwara ya Parkinson. Ibyo bivuze ko ari yo ndwara ikunze kugaragara muri iki cyiciro.

Uretse ibi, hari izindi ndwara zigwa mu mutwe wa Parkinsonism. Ingero zirimo indwara nka "Multiple System Atrophy" cyangwa "Corticobasal Degeneration".

Igikuru ni uko zimwe mu ndwara za Parkinsonism ziterwa n’impamvu zishobora kuvurwa, ndetse rimwe na rimwe zigakira. Nanone, zimwe mu mpamvu zishobora kwikemurira ubwazo, kandi ibimenyetso ni byo byonyine bigomba kuvurwa.

Ni nde ugerwaho n'iki kibazo cyane?

Ubusanzwe indwara ya Parkinsonism iterwa no gusaza. Ni ukuvuga ko ikunze kugaragara nyuma y'imyaka 60. Abagabo bafite amahirwe make yo kurwara iyi ndwara kurusha abagore.

Ariko, rimwe na rimwe izi ndwara zishobora kubaho umuntu akiri muto cyane. Urugero, hari indwara yitwa "Juvenile Parkinsonism" . Akenshi itangira ahagana ku myaka 17. Ubu bwoko bwa Parkinsonism bukunze kugaragara ku bahungu inshuro enye kurusha ku bakobwa. Tekereza ukuntu bigoye ku bana bamwe kurwara iyi ndwara.

Iyi ndwara ikunze kugaragara gute?

Indwara ya Parkinson, ubwoko bukunze kugaragara bwa Parkinsonism, ni indwara ya kabiri ikunze kugaragara cyane iterwa no gusaza (nyuma ya Alzheimer). Ni nayo ndwara ikunze kugaragara cyane mu bwonko iterwa no kugenda n'imigendere. Impuguke zivuga ko nibura 1% by'abantu barengeje imyaka 60 ku isi bafite iyi ndwara.

Iyi ndwara igira ingaruka zite ku mubiri wawe?

Ingaruka za Parkinsonism ku mubiri ziterwa n'impamvu. Indwara nyinshi za Parkinsonism zigira ingaruka ku bice by'ubwonko bigenzura ingendo. Ibi bivuze ko ingendo zawe zigenda buhoro . Ushobora kandi kugira imitsi ihinda umushyitsi , ishobora gutuma unyeganyega.

Ni ibihe bimenyetso by'ingenzi by'indwara ya Parkinsonism?

Hariho ibimenyetso bitatu by'ingenzi bya Parkinsonism:

• Gutinda kw'ingendo (`Bradykinesia`) : Iki ni ikimenyetso kigaragara mu ndwara zose za Parkinsonism. Muri make, ni ukumva gutinda no kugorwa no gutangira gukora ikintu, kugenda, cyangwa gukora imirimo ya buri munsi.
• Gutitira : Gutitira amaboko, amaguru, ndetse rimwe na rimwe n'umusaya, ndetse no mu gihe uhagaze. Uku gutitira akenshi kuba kubi iyo uri kuruhuka kandi bishobora kugabanuka gato iyo uri gukora ikintu runaka.
• Ubukonje : Imitsi yo mu maguru, mu ijosi, no mu tundi duce irakomera kandi ikagorana kunama cyangwa kugorora. Ingendo zishobora gukomera, nk'imashini ya robo.

Uretse ibi bimenyetso by'ingenzi, ibindi bimenyetso bishobora kuba birimo:

• Imiterere idahamye cyangwa uburyo bwo kugenda : Kumva urimo gutakaza uburinganire bwawe mu gihe ugenda, kugwa byoroshye.
• Guhagarara ugororotse imbere : Iyo uhagaze cyangwa ugenda, hari akamenyero ko kunama imbere no guhagarara inyuma.
• "Gukonja" : Iyo utangiye kugenda, gerageza kunyura ahantu hafunganye nk'umuryango, cyangwa ugerageze guhindukira, amaguru yawe arafatwa bucece maze ukumva udashobora gutera intambwe n'imwe imbere.

Ibimenyetso bifitanye isano n'indwara zihariye za Parkinsonism

Hari ubwoko bumwe na bumwe bwa Parkinsonism bufite ibimenyetso byihariye. Reka turebe ibyo ari byo:

• Indwara ya Parkinson : Uretse ibimenyetso byavuzwe haruguru by’imitsi, hari n’ibindi bimenyetso bifitanye isano n’imikorere y’umubiri tutabizi (ibimenyetso bitari ibyo mu mitsi). Urugero:
• Impatwe
• Kubura cyangwa kugabanya impumuro
• Ibibazo byo gusinzira (nko gutaka mu bitotsi, gukubita amaboko n'amaguru)
• Ihungabana
• Guhangayika
• Indwara yo mu mitsi itera imitsi : Iyi ndwara iterwa no kugabanuka kw'amaraso ajya mu bwonko. Itera ibibazo byo kugenda no kuringaniza kuva bakiri bato . Ishobora kandi gutera ingorane zo kuvuga (dysarthria) no kugorwa no kumira (dysphagia). Hari abantu bashobora kandi kugira ikibazo cyo kuzamuka kidasanzwe (ikimenyetso cya Babinski) aho amano arushaho kwaguka iyo igice cy'ikirenge gikozweho mu buryo runaka.
• Indwara yo gucika intege iterwa n'ibiyobyabwenge: Iyi ndwara ishobora guterwa n'imiti imwe n'imwe (cyane cyane imiti imwe n'imwe ivura indwara zo mu mutwe). Muri iki gihe , ibimenyetso bishobora kugira ingaruka ku mpande zombi z'umubiri kimwe . Mu ndwara ya Parkinson, ibimenyetso akenshi bigira ingaruka ku mpande imwe kurusha urundi.
• Uburozi buterwa n'uburozi : Iyi ndwara ishobora guterwa no guhura n'uburozi bumwe na bumwe (urugero: imiti yica udukoko, imiti ikoreshwa mu nganda). Abantu bafite iyi ndwara bagira ubukana bwinshi mu ngendo zabo (`(cogwheel rigidity)`) . Ni ukuvuga ko bagenda mu ngendo zihuta, zihuta, nk'uko umuntu abigenza ku isaha. Imitsi irakomera, ingendo zigenda buhoro, kandi kugenda inyuma biragoye.
• Indwara yo kurwara indwara ya Parkinson mu bana : Iyo umuntu uri munsi y'imyaka 45 agaragaje ibimenyetso bya Parkinson, ibi bisuzumwa gusa nyuma y'uko izindi mpamvu zigaragaye, kuko ibi biba ari gake cyane.

Ni izihe mpamvu zitera iki kibazo?

Impamvu ya Parkinsonism iratandukanye bitewe n'ubwoko bwayo.

Indwara ya Parkinson

Iyo ubwonko bwacu bukora neza, uturemangingo tw’ubwonko (neurons) dukoresha imiti yitwa neurotransmitters kugira ngo dushobore kuvugana. Dopamine ni imwe muri izo neurotransmitters z’ingenzi.

Abantu barwaye indwara ya Parkinson baba bafite dopamine nke mu bwonko bwabo. Iyo ubwonko bwohereje ibimenyetso ku mitsi yacu kugira ngo ikore, dopamine ni ingenzi kugira ngo igenzure neza iyo ngendo. Iyo dopamine ibuze, utwo turemangingo ntidushobora gukora neza. Niyo mpamvu indwara ya Parkinson itera ingendo nke no gutigita.

Uko urugero rwa dopamine rugabanuka, agace k'ingenzi k'ubwonko kitwa basal ganglia kagenda gacika intege buhoro buhoro. Hanyuma, ubushobozi bugenzurwa n'ako gace buragabanuka. Uko indwara ya Parkinson ikomeza kwiyongera, ibimenyetso birakomera cyane. Mu ntambwe za nyuma z'iyi ndwara, ishobora kugira ingaruka ku mikorere y'ubwonko, bigatera ibimenyetso nk'iby'indwara yo kwiheba no kwiheba.

• Indwara ya Parkinson mu buryo bw'ingirabuzimafatizo : Impamvu imwe rukumbi yemejwe itera indwara ya Parkinson ni ihinduka ry'uturemangingo ry'ababyeyi. Hafi 10% by'abarwayi bose ba Parkinson bafite iyi ndwara.
• Indwara ya Parkinson ya Idiopathic : Iyo nta mpamvu ihari mu ngirabuzimafatizo, abahanga bayishyira mu cyiciro cya "idiopathike". Ibi bivuze ko impamvu nyayo itazwi. Abahanga mu bya siyansi bakeka ko alpha-synuclein (alpha-synuclein)Ibi biterwa n'ikibazo cy'uburyo umubiri ukoresha poroteyine yitwa poroteyine. Poroteyine ni molekile za shimi zifite imiterere yihariye. Iyo poroteyine zimwe na zimwe zigonganye (ibi byitwa 'poroteyine misfolding'), umubiri ntushobora kuzikoresha cyangwa kuzicamo ibice. Izi poroteyine zikirundanya ahantu hatandukanye, cyane cyane imbere mu turemangingo dukoresha dopamine, igenzura ingendo. Iyo uzirebye ukoresheje mikorosikopi, urabona uburyo izi poroteyine zigonganye.

Indwara ya pankinsonism ya kabiri

Iki ni cyo gihe indwara ya Parkinson iterwa n'indi ndwara. Ingero:

• Indwara yo mu mitsi itera imitsi : Iyo amaraso atembera mu bice bimwe na bimwe by'ubwonko yagabanutse, ibyo bice birangirika kandi ibimenyetso bya Parkinsonism bikagaragara.
• Indwara yo gucika intege nke nyuma y’ihungabana : Ibi biterwa no kwangirika k’ubwonko bitewe n’imvune zo mu mutwe zigaruka kenshi. Ibi byago biri hejuru cyane cyane ku bantu bakina siporo nka box, rugby, na football.
• Indwara yo gucika intege iterwa n'ibiyobyabwenge : Iyi ndwara ishobora kubaho iyo imiti imwe n'imwe (yanditswe na muganga cyangwa ibiyobyabwenge) ibangamiye uburyo umubiri ukora cyangwa ukoresha dopamine.
• Uburozi buterwa n'uburozi : Uburozi bushobora kwangiza ubwoko bwihariye bw'uturemangingo tw'ubwonko. Iyo uturemangingo twangiritse ari uturemangingo twitaweho na dopamine mu gace k'imbere k'umubiri, ibimenyetso bya Parkinsonism bishobora kubaho.
• Hydrocephalus y'umuvuduko usanzwe (NPH) : Ibi bibaho iyo amazi menshi yo mu bwonko (CSF) yiyongera mu gahanga, bigashyira igitutu ku bice by'ubwonko bigira uruhare mu kugenda no kugenzura inkari. Ibi bishobora guterwa n'ibintu bitandukanye, birimo imvune, kuva amaraso mu bwonko, n'ibibyimba. Byitwa NPH kuko gupfunyika mu ruti rw'umugongo (uburyo bureba igitutu mu ruti rw'umugongo) bigaragaza ibice by'amazi mu bwonko, nubwo igitutu ari gisanzwe.
• Indwara ya "postencephalitic parkinsonism" : Indwara ya "encephalitis" ni ukubyimba k'ubwonko guterwa n'ubwandu. Indwara ya "Parkinsonism" ishobora kubaho nyuma y'uko ubwandu nk'ubwo bukize. Ubu iyi ndwara irakunze kugaragara cyane mu bihugu byateye imbere.

Indwara ya parkinsonism idasanzwe

Izi ni indwara zidasanzwe cyangwa zidasanzwe zitera Parkinsonism:

• "Indwara y'indwara ya "progressive supranuclear palsy"
• `Igabanuka rya kortikobasi`
• `Kugabanuka kwa sisitemu nyinshi`

Ubundi bwoko bw'indwara yo kwibagirwa cyangwa indwara z'uruhererekane

Indwara ya Parkinson ishobora kandi guterwa n'izindi ndwara zo mu bwonko zigenda zigabanuka ndetse n'indwara zikomoka ku ngirabuzimafatizo. Ingero zimwe zirimo:

• Indwara ya Alzheimer
• Indwara ya Huntington
• Indwara ya Wilson

Ese ibi byandura?

Oya, indwara ya Parkinson si indwara yandura. Ariko, zimwe mu ndwara ziterwa n’uturemangingo zishobora kuragwa n’ababyeyi ku bana.

Ni gute indwara ya Parkinsonism ipimwa?

Mu gusuzuma indwara ya Parkinsonism, ni ngombwa cyane ko umuganga asuzuma ibimenyetso byawe, akakubaza ibibazo, kandi agasuzuma amateka y'ubuzima bwawe .

Niba abaganga badashobora kubona impamvu yihariye itera indwara ya Parkinson, bazagerageza guhita batangira kuvurwa. Niba utitabiriye kuvurwa, abaganga bashobora gukora ibizamini byinshi. Niba utitabiriye kuvurwa indwara ya Parkinson, bashobora gutekereza ko ufite ubundi bwoko bwa Parkinson.

Ni ibihe bipimo bikorwa kugira ngo hamenyekane iyi ndwara?

Iyo abaganga bakeka ko hari indwara iri mu cyiciro cya Parkinsonism, bashobora gukora ibizamini bitandukanye byo gusuzuma no gusuzuma indwara. Ibi birimo:

• Gupima amaraso : Ibi bishobora gufasha kumenya ubundi bwoko bwa Parkinsonism.
• Isuzuma rya CT (`Isuzuma rya CT` - Isuzuma rya Tomography ryakoreshejwe kuri mudasobwa)
• Gupima imiterere y'uturemangingo
• MRI Scan (MRI - Ishusho ya Magnetic Resonance)
• Gupima PET (`PET scan` - Gupima Positron Emission Tomography)

Ibipimo bishya biri kuza! Hari ibizamini bishya byo muri laboratwari birimo gupimwa ubu, ariko ntibirakemezwa. Ibi bishobora gufasha gusuzuma indwara nka Parkinson. Ibi bizamini bishakisha poroteyine yitwa alpha-synuclein mu mazi yo mu bwonko cyangwa imitsi idakora neza. Ariko hakenewe ubushakashatsi bwinshi mbere yuko ibi bizamini bikoreshwa cyane.

Indwara ya Parkinsonism ivurwa ite?

Uburyo bwo kuvura indwara ya Parkinson buterwa n'indwara n'icyayiteye. Ubwoko bwinshi bwa Parkinson burashobora kuvurwa. Bumwe bushobora no guhagarikwa burundu (nubwo ibi bishobora kuba atari umuti wuzuye, ahubwo ari "ugukurwaho" kw'iyi ndwara).

Ingero zimwe na zimwe z'indwara zishobora kuvurwa:

• Indwara yo kurwara indwara ya parkinsonism iterwa n'imiti : Ubusanzwe ni bwo bwoko bworoshye bwo kuvura bwa parkinsonism. Ibaho iyo indi miti ibangamiye uburyo umubiri ukoresha dopamine. Guhagarika umuti wateye parkinsonism (akenshi uhindukirira undi muti) ni bwo buryo bwonyine bwo guhagarika iyo ndwara. Ariko, rimwe na rimwe bishobora gufata ibyumweru cyangwa amezi kugira ngo ibimenyetso bishire burundu. Ni gake cyane, bishobora kubaho burundu.
• Umuvuduko usanzwe-hydrocephalus (`NPH`): NPH ivurwa no kugabanya umuvuduko uri mu gahanga. Iyo shunt (umuyoboro muto) ishyizwemo, ituma amazi menshi yo mu bwonko (CSF) ava mu gahanga. Igihe cyose shunt ikora neza, ibi bishobora kugabanya cyangwa gukuraho ibimenyetso bya Parkinsonism.
• Indwara ya Parkinson : Iyi ndwara ntishobora gukira, ariko ishobora kugenzurwa cyane hifashishijwe umuti wa Levodopa n'indi miti itangwa hamwe na wo. Ariko, kimwe mu bibi bya Levodopa ni uko ubushobozi bwayo bugabanuka uko igihe kigenda gihita. Nanone, iyo ingano yiyongereye ku rugero runaka, amahirwe yo kugira ingaruka mbi nayo aba menshi. Ariko, hari imiti myinshi ishobora gukoreshwa aho gukoresha cyangwa kongeramo Levodopa ishobora gufasha gukemura iki kibazo.
• Indwara ya Wilson : Iyi ni indwara umuntu avukana ituma umuringa mwinshi wiyongera mu mubiri. Kuvura gukura umuringa mwinshi mu mubiri bishobora gukumira kwangirika burundu kw'iyi ndwara.

Ubusanzwe umuganga wawe ni we muntu mwiza wo kukubwira byinshi ku bijyanye n'uko indwara yawe ishobora kuvurwa cyangwa igakira. Kubera ko hari indwara nyinshi zitandukanye ziterwa n'indwara ya Parkinsonism, ziratandukanye cyane. Umuganga wawe ashobora kukubwira niba indwara yawe ishobora kuvurwa n'uburyo bwo kuyivura bushoboka, hashingiwe ku mimerere yawe n'imimerere urimo.

Ni gute nakwitaho no kwihanganira ibimenyetso byanjye?

Indwara ya Parkinson yerekeza ku ndwara zitandukanye n'indwara zigira ingaruka n'ibimenyetso bisa. Inyinshi muri izi ndwara n'indwara ziba zikomeye, kandi ibyago byo kugira ingorane biriyongera iyo zisuzumwe kandi zigavurwa vuba.

Kubera ko indwara nyinshi muri izi ziba zikomeye kandi zigomba kumenyekana no kuvurwa vuba, ntugerageze kwisuzuma cyangwa ngo wivure ubwawe. Niba ubona ko ushobora kuba ufite Parkinsonism, ni ngombwa kujya kwa muganga vuba bishoboka. Ashobora kumenya niba ufite imwe muri izi ndwara, cyangwa akakohereza kwa muganga w’inzobere kugira ngo agusuzume kandi agufashe kuvurwa.

Nzumva meze neza vuba gute nyuma yo kuvurwa?

Igihe bifata kugira ngo wumve umeze neza kandi ukire nyuma yo kuvurwa giterwa n'ibintu byinshi, harimo n'uko umerewe n'uburyo uvurwa. Muganga wawe ni we muntu mwiza wo kukubwira icyo ukwiye kwitega mu gihe cyo gukira n'igihe uzatangira kumva umeze neza.

Ese iki kibazo gishobora kwirindwa kandi ibyago bikagabanuka?

Indwara ya Parkinson ikunze kubaho mu buryo butunguranye, bityo ubusanzwe ntishobora kwirindwa cyangwa ngo ibyago byo kuyirwara bigabanuke.

Ariko, hari ubwoko bumwe na bumwe bwa Parkinsonism bushobora kugabanya ibyago byo kurwara. Ubu ni ubu:

• Indwara yo kwibasira iterwa n’uburozi : Ingaruka zo kurwara ubu bwoko bwa Parkinsonism zishobora kugabanuka wirinze uburozi cyangwa ibintu bibitera, cyangwa hakoreshejwe ibikoresho birinda indwara kugira ngo ugabanye kwandura iyo udashobora kwirinda. Tekereza ibintu nko kwambara agapfukamunwa n’uturindantoki mu gihe utera imiti yica udukoko.
• Indwara yo gucika intege nke nyuma y’ihungabana : Ingaruka zo kurwara ibi zishobora kugabanuka hakoreshejwe ibikoresho byo kwirinda (urugero: ingofero) kugira ngo birinde imvune zo mu mutwe.
• Guhangana n'imitsi n'amaraso : Kugira ngo ugabanye ibyago byo kurwara iyi ndwara, ugomba kwita ku buzima bw'imitsi n'amaraso, cyane cyane amaraso anyura mu bwonko. Ibi birimo kugira ibiro byiza, kurya indyo yuzuye, no gukora imyitozo ngororamubiri.

Ni iki nakwitega mu gihe mfite iyi ndwara?

Mu bihe byose bya Parkinsonism - hatitawe ku ndwara runaka - hari kugenda buhoro buhoro n'ibindi bimenyetso bijyana nayo. Icyo ushobora kwitega kizaterwa n'indwara runaka ufite n'ubuvuzi uhabwa (niba buhari). Niba ufite Parkinsonism, muganga wawe ni we muntu mwiza wo kukubwira byinshi ku byo ushobora kwitega.

Indwara ya Parkinsonism imara igihe kingana iki?

Igihe indwara ya Parkinsonism imara giterwa n'indwara runaka. Indwara nyinshi ziterwa n'indwara ya Parkinsonism ni indwara z'ubuzima bwose. Imwe mu ndwara zidahora ari ikibazo cy'ubuzima bwose ni "parkinsonism iterwa n'ibiyobyabwenge".

Kubera ko indwara ya Parkinson ikubiyemo indwara nyinshi zitandukanye, ni byiza kuganira na muganga wawe ku gihe indwara yawe izamara. Ashobora gusobanura neza icyo ushobora kwitega, harimo n'igihe cy'uko iyo ndwara izakugiraho ingaruka.

Ni iki giteganyijwe kuri iki kibazo?

Uko indwara ya Parkinson ihagaze biterwa n'uko indwara yawe imeze, ubukana bwayo, ndetse niba ishobora kuvurwa. Ubwoko bwinshi bwa Parkinson ntabwo bwica mu buryo butaziguye, ariko bushobora gutera ingorane zishobora kwica. Urugero, kugorwa no kumira, ikimenyetso gisanzwe cy'indwara ya Parkinson n'ubundi bwoko bwa Parkinson, byongera ibyago byo kurwara indwara nka pneumonia.

Ni gute nakwiyitaho?

Niba urwaye indwara ya Parkinson, ni ngombwa gukurikiza amabwiriza ya muganga wawe yo kukwitaho no kugufasha gucunga indwara yawe. Ni we soko ryiza ry’amakuru ajyanye n’uko indwara yawe ikugiraho ingaruka n’icyo wakora kugira ngo wifashe.

Ubusanzwe, ugomba gukora ibi bikurikira:

• Fata imiti yawe neza uko wabitegetswe. Niba muganga wawe yagundikiye imiti, kuyifata neza uko wabitegetswe bishobora kugira itandukaniro rikomeye mu bimenyetso bya Parkinsonism. Ugomba kuvugana na muganga wawe niba ugize ingaruka mbi cyangwa niba wumva ko imiti yawe idakora neza nkuko byari bimeze mbere.
• Shaka muganga wawe nk'uko byagusabye. Muganga wawe azagutegurira gahunda. Izi gahunda ni ingenzi cyane kugira ngo zigufashe gucunga indwara yawe, kubona imiti ikwiye n'ingano yayo, no kugabanya ingaruka mbi zose.
• Ntukirengagize cyangwa ngo wirengagize ibimenyetso. Indwara ya Parkinson ishobora gutera ibimenyetso bitandukanye. Byinshi muri byo bishobora kuvurwa binyuze mu kuvura indwara cyangwa ibimenyetso ubwabyo. Ni ngombwa kubwira muganga wawe ibimenyetso ibyo ari byo byose, nubwo byaba ari bito. Indwara nyinshi za Parkinson zishobora kwitiranywa byoroshye. Kubwira muganga wawe ibimenyetso byose bishobora gufasha kwirinda kwibeshya.

Ni ryari ngomba kujya kwa muganga?

Ugomba kujya kwa muganga mu gihe ubonye impinduka mu bimenyetso byawe (cyane cyane iyo ibimenyetso bitangiye kubangamira ubuzima bwawe n'imirimo yawe ya buri munsi) cyangwa mu gihe ubonye impinduka mu mikorere y'imiti yawe.

Ni ryari nkwiye kujya mu cyumba cy’ubutabazi bw’ibanze (ER)?

Muganga wawe ashobora kuguha ubuyobozi n'amakuru ajyanye n'ibimenyetso n'ibimenyetso by'uko wagombye kujya kwa muganga cyangwa gushaka inama. Muri rusange, ugomba gushaka inama kwa muganga mu gihe uguye, cyane cyane iyo watakaje ubwenge, cyangwa niba utekereza ko wakomeretse umutwe, ijosi, igituza, umugongo, cyangwa inda.

Amaherezo, ibintu byo kwibuka

Indwara ya Parkinsonism ni ijambo rusange risobanura indwara zitandukanye zigira ingaruka ku bushobozi bwawe bwo kwimuka no kubaho wigenga. Nubwo hari aho izi ndwara zose zisa, zishobora no kuba zitandukanye cyane. Niba urwaye indwara ya Parkinsonism, ni ngombwa kuvugana na muganga wawe ku ndwara ufite (cyangwa icyo abaganga bakeka) n'uburyo indwara izakugiraho ingaruka. Indwara ya Parkinsonism yose si imwe. Bityo rero gusobanukirwa indwara yawe bwite bishobora kugira ingaruka zikomeye mu kuyirwanya no ku buryo igira ingaruka ku buzima bwawe.

` Parkinsonism, indwara ya Parkinson, gutitira, kugenda buhoro, indwara zo mu bwonko, indwara zo mu bwonko, dopamine