Kukanganwa zvinhu kunokonzerwa nechirwere cheParkinson here? Ngatitaurei nezvechirwere cheParkinson's Dementia!

Mhuri yako, pamwe amai vako, baba vako, kana mumwe munhu wepedyo newe ane chirwere cheParkinson here? Munhu akadaro akakanganwa zvinhu zvishoma nezvishoma here, akaona zvichimuomera kuita zvinhu zvaimbove nyore, kana kuti wakaona shanduko mukufunga kwavo? Kutaura zvazviri, pane mamiriro ekurangarira nekuchenjera anogona kuuya nechirwere cheParkinson. Nhasi tichataura nezvechirwere ichi chinonzi `(Parkinson's Disease Dementia)`. Usatya, ngatinzwisise izvi zviri nyore.

Chii chinonzi Parkinson's Disease Dementia?

Zvichitaurwa zviri nyore, chirwere cheParkinson's Disease Dementia (PDD) kudzikira kwekufunga nepfungwa kunoitika mumunhu ane chirwere cheParkinson, gore rimwe chete mushure mekuonekwa kwechirwere ichi (kazhinji kwenguva yakareba).

Vamwe vanhu vanotya pavanonzwa izwi rekuti "Dementia." Asi ngatinzwisisei kuti chii. Dementia chirwere chinoita kuti kushanda kwepfungwa dzemunhu kusashande zvakanaka sezvazvaive kare, zvichiita kuti zviome kuita mabasa ezuva nezuva. Kuti kushanda kwepfungwa uku kusashande zvakanaka, zvinhu zviviri zvinotevera zvinofanira kunge zvakakanganisika:

• Ndangariro
• Kufunga zvine musoro
• Mutauro (kutaura, kunzwisisa)
• Kuronga zvinhu
• Maitiro

Kazhinji, kukanganwa uku kukuru kusati kwaitika, chirwere chinonzi ``Mild Cognitive Impairment (MCI)`` chinogona kuitika, icho chinoratidzwa nematambudziko madiki ekurangarira kana kudzikira zvishoma kwekumhanya kwekufunga. Izvi zvinoreva kuti ndangariro inokanganisika zvishoma, kunyangwe isingakanganisi zvakanyanya mabasa ezuva nezuva. Zvisinei, havasi vese vane ``MCI`` vanoenderera mberi vachiita ``Dementia```. Pakati pe10% ne20% yevanhu vane chirwere cheParkinson vanogona kunge vaine ``MCI`` chete muhupenyu hwavo hwese.

Sezvamunoziva, chirwere cheParkinson chirwere chinokanganisa mashandiro etsinga, kana kuti chirwere cheuropi chinopedza simba masero etsinga zvishoma nezvishoma. Chinonyanya kukanganisa kufamba kwemuviri. Zviratidzo zvakaita sekuzunza maoko uye kunonoka kufamba (bradykinesia) ndizvo zvinotanga kuoneka. Zvisinei, nekufamba kwenguva, chirwere ichi chinogonawo kukanganisa zvikamu zveuropi zvinodzora kufunga nezviito. Ndipo panoitika dementia.

Dambudziko iri rakajairika zvakadii?

Njodzi yekubatwa nechirwere cheParkinson's dementia inosiyana zvichienderana nezera uye nguva yawakagara uine chirwere cheParkinson's. Semuenzaniso:

• Pakati pe16% ne20% yevanhu vane makore ari pakati pe60 ne75 vanga vaine chirwere cheParkinson kwemakore ari pakati pe5 ne10.
• Vanhu vari pakati pe20% ne30% vane makore ari pakati pe60 ne75 vane chirwere cheParkinson kwemakore gumi kusvika gumi nemashanu.
• Dambudziko iri rinogona kuitika muvanhu vane makore anopfuura 75 kusvika ku50% vane chirwere cheParkinson kwemakore anopfuura 15.

Ndezvipi zviratidzo zveParkinson's Dementia?

Maitiro echirwere ichi anokanganisa munhu wese anogona kusiyana, asi pane zvimwe zviratidzo zvakajairika:

• Kuoma kwekutarisa: Kuoma kwekutarisa pane chimwe chinhu, nyore nyore kukanganiswa.
• Kurasikirwa nendangariro: Kuomerwa nekurangarira zvinhu zvitsva, uye dzimwe nguva kutokanganwa zvinhu zvekare.
• Matambudziko ekunzwisisa ruzivo rwekuona: Semuenzaniso, kunetseka kuwana chimwe chinhu panzvimbo yakazara vanhu.
• Kunyangwe basa riri nyore rinogona kuoma kuronga, kutanga, uye kupedzisa.
• Matambudziko emutauro: Mashoko anokanganiswa, mazita ezvinhu anokanganikwa, uye mitsara yakaoma inova yakaoma kunzwisisa.
• Kutaura kunopedzisira kwava kusinganzwisisike, sekunge kutaura kwacho kwakaomarara.

Uye zvakare, kuchinja kwemaitiro kunogona kuitika:

• Kuchinja kwepfungwa: kuwedzera kusuruvara (kuora mwoyo), kushatirwa nguva nenguva (kushatirwa), uye kuzvidya mwoyo.
• Kusava nehanya: Kusada kuita chero chinhu, kunzwa kufinhwa nezvose.
• Kufunga nezvepfungwa: Kuona zvinhu zvisiri zvechokwadi (kunyanya kuona zvinhu zvisipo), kana kutenda zvinhu zvisiri zvechokwadi (kunyanya kufunga zvisina musoro).

Kana iwe kana mumwe munhu waunoda aine zviratidzo izvi, zvakakosha kuti muone chiremba kuti akupei mazano. Munogona kunzwisisa mamiriro acho ezvinhu motora matanho anodiwa musingatyi.

Sei chirwere cheParkinson's dementia chichikura?

Chikonzero chikuru cheizvi kuunganidzwa kwemapuroteni asina kujairika anonzi `(Lewy bodies)` muuropi. Aya `(Lewy bodies)` masumbu madiki akagadzirwa nepuroteni inonzi `(alpha-synuclein)`. Kana aya akaungana mukati memasero etsinga `(neurons)` europi, masero iwayo anokuvadzwa uye anofa.

Muchirwere chaParkinson, aya `(miviri yeLewy)` anotanga kuiswa muzvikamu zveuropi zvinodzora kufamba, kunyanya munzvimbo ye`(basal ganglia)`. Ndosaka matambudziko ekufamba akadai sekubvunda nekufamba zvishoma nezvishoma achitanga kuitika. Nekufamba kwenguva, aya `(miviri yeLewy)` anogona kupararira kuzvikamu zvepamusoro zveuropi zvinodzora zvinhu zvakaita sekufunga, kurangarira, uye mutauro. Ndipo panoitika `(Parkinson's Disease Dementia)`.

Dambudziko iri rakafanana zvikuru nerimwe rudzi rwechirwere chepfungwa chinonzi Lewy body dementia (LBD). Kutaura zvazviri, vamwe masayendisiti vanotenda kuti zvirwere zvose izvi zvinokonzerwa nekuchinja kweuropi kunosanganisira puroteni alpha-synuclein. Musiyano mukuru uri mukurongeka kwezviratidzo. Tichataura nezvazvo munguva pfupi iri kutevera.

Ndiani ari panjodzi huru yekuva nechirwere ichi?

Zvinhu zviviri zvikuru zvinokonzera chirwere cheParkinson's dementia ndeizvi:

1. Kukura kuri kuwedzera: Njodzi iyi inowedzera nekukura.

2. Kureba kwenguva yechirwere cheParkinson: Kana chirwere ichi chikaramba chiripo, mikana yekubatwa nechirwere chepfungwa inowedzera.

Pamusoro pezvo, zvidzidzo zvakawana kuti vanhu vane zvimwe zviratidzo zvechirwere cheParkinson vane mukana wakakura wekuwana chirwere chepfungwa. Zviratidzo zvakadaro zvinosanganisira:

• Kuva nezviratidzo zvakakomba zvekufamba kwemuviri: Kana uine zviratidzo zvakakomba zvakaita sekubvunda uye kunetseka kufamba.
• Pakutanga kwechirwere cheParkinson , matambudziko nehurongwa hwetsinga dzinozvitonga (semuenzaniso, hypotension ye orthostatic, kusagadzikana kweweti) anogona kuitika.
• Matambudziko ekufamba anokanganisa mativi ese emuviri zvakaenzana (zviratidzo zvekufamba kwemuviri zvakaenzana).
• Mishonga ine dopamine yechirwere cheParkinson haisi kushanda sezvaitarisirwa.
• Kuva nechirwere chinonzi "REM sleep behavior disorder" (umo unoita zvekufungidzira zvaunorota).

Unozviziva sei izvi chaizvo?

Zvinosuwisa kuti hapana bvunzo chaiyo inogona kusimbisa ipapo ipapo kuvapo kweParkinson's Disease Dementia. Chiremba anoita chirwere ichi nekufunga nezvezvinhu zvakati wandei:

• Vanobvunza kuti zviratidzo zvako zvakatanga riini uye kuti zvakachinja sei.
• Bvunza nezvenhoroondo yako yese yezvekurapa.
• Ndichatarisa mishonga yauri kutora parizvino.
• Bvunza kana paine munhu mumhuri mako ane zvirwere izvi.

Pamusoro pezvo, mimwe miedzo inogona kuitwa kuti ibatsire pakuongorora chirwere. Semuenzaniso, bvunzo dzeropa, bvunzo dzekufungidzira uropi (dzakadai seCT scans, MRI scans), uye bvunzo dzepfungwa dzinoedza hunyanzvi hwekufunga.

Sezvandambotaura, zviratidzo nezvikonzero zveParkinson's Disease Dementia (PDD) neLewy Body Dementia (LBD) zvakafanana zvikuru. Saka, pane nzira diki inoshandiswa navanachiremba kusiyanisa pakati pezviviri izvi:

• Kana zviratidzo zvechirwere chepfungwa (zvakadai sekukanganwa zvinhu) zvikaonekwa kanenge gore (kazhinji makore akati wandei) mushure mekutanga kwezvirwere zveParkinson's disease movement disorders (zvakadai sekubvunda, kufamba zvishoma nezvishoma), zvinonzi Parkinson's Disease Dementia (PDD).
• Kana zviratidzo zvechirwere chepfungwa zvikaonekwa gore risati rasvika, mukati, kana mukati megore rekutanga kwechirwere chepfungwa cheParkinson, chinonzi `(Lewy body dementia - LBD)`. Vamwe varwere `(LBD)` vangasave nechirwere chepfungwa cheParkinson.

Ndezvipi zvinorapwa izvi?

Mubvunzo unobvunzwa nevanhu vazhinji ndewekuti pane mushonga weizvi here, kana kuti unogona kurapwa here. Kutaura chokwadi, hapana mushonga unogona kumisa kana kudzora kufambira mberi kweParkinson's Disease Dementia. Ichocho ichokwadi chinosuwisa.

Asi musarasa tariro! Kune mishonga nemishonga inogona kubatsira kudzora kana kuderedza zvimwe zvezviratidzo. Semuenzaniso:

• `(Mishonga inodzivirira Cholinesterase)`:Mishonga iri mukirasi iyi, yakaita sedonepezil (Aricept®), rivastigmine (Exelon®), uye galantamine (Razadyne®), inogona kubatsira kubva pane zvimwe zviratidzo, kunyanya kuona zvisipo, kuchinja kwekufunga, uye kuchinja kwemaitiro.
• Mishonga inoderedza kubatwa kweserotonin (SSRIs) uye mishonga inoderedza kubatwa kweserotonin nenorepinephrine (SNRIs): Iyi mishonga inowanzo nyorerwa vanhu vanoshungurudzika. Inogona kubatsira kudzora kuchinja-chinja kwemafungiro akadai sekusuruvara, hasha, uye kutya.
• Kurapa kwemaitiro ekufunga (CBT): Iyi imhando yekurapa kwepfungwa, inova nzira yekurapa nekutaura. Inogona kubatsira kugadzirisa zvinhu zvakaita sematambudziko emaitiro uye kushushikana.

Chikwata chenyu chezvekurapa chichataura nemi uye chosarudza kuti ndeipi mishonga yakakunakirai. Asi yeukai chinhu chimwe chete. Mimwe mishonga inogona kuwedzera zviratidzo zve dementia. Semuenzaniso, carbidopa-levodopa, mushonga unoshandiswa kurapa matambudziko ekufamba kwechirwere cheParkinson, unogona kuwedzera kufungidzira uye kuvhiringidzika mune vamwe vanhu vane dementia yeParkinson. Saka, musatanga kana kurega kutora chero mushonga musina kurairwa nachiremba wenyu.

Panogona kunge paine miedzo yekiriniki iri kuitwa yekurapa kutsva kweParkinson's Disease Dementia. Unogona kubvunza chiremba wako nezvazvo futi.

Mamiriro ezvinhu aya ari kuenderera mberi sei? (Kufungidzira)

Kufanotaura kwemunhu ane chirwere ichi kunoenderana nezvinhu zvakawanda. Zvisinei, kufanana nechirwere chaParkinson, chirwere cheParkinson's Disease Dementia chinowanzowedzera kuipa nekufamba kwenguva. Kunyange zvazvo kurapwa kuchigona kupa zororo kubva kuzviratidzo, hupenyu hwemunhu hunogona kuderedzwa.

Izvi zvinogona kukurumidza sei kuwedzera?

Kuwanda kwechirwere cheParkinson's Disease Dementia kunosiyana zvikuru kubva pamunhu kusvika pamunhu, kungofanana nekuwanda kwechirwere cheParkinson. Chikwata chenyu chekurapa chinogona kukupai pfungwa yezvamunotarisira zvichienderana nemamiriro enyu chaiwo ezvinhu.

Izvi hazvigone kudzivirirwa kuti zvisaitike here?

Zvinosuwisa kuti pari zvino hapana chingaitwe kudzivirira chirwere cheParkinson's Disease Dementia kuti chisatange. Zvakare, hapana nzira yekuderedza njodzi yekubatwa nacho.

Tingabatsira sei munhu ane chirwere cheParkinson's dementia?

Kana mudiwa wako aine chirwere ichi, pamusoro pekushanda nechikwata chekurapa kuti umupe rubatsiro rwakanakisisa, kune zvimwe zvinhu zvakawanda zvaunogona kuita:

• Dzidza zvakawanda sezvaunokwanisa nezveParkinson 's Disease Dementia: Kana ukanyanya kuziva nezvazvo, zvichava nyore kuti ukwanise kurarama nezviri mberi. Uye, uchakwanisa kutsigira zviri nani mudiwa wako.
• Rerutsa nharaunda yake:Bvisa zvinhu zvisina basa mumba uye chengeta zvinhu zvakanaka. Izvi zvinogona kuderedza kuvhiringidzika kwepfungwa kwavanosangana nako. Kuva nechiedza chidiki chakabatidzwa husiku kunogona kubatsira kuderedza kusanzwisisa zvakanaka.
• Gadzira purogiramu yenguva dzose: Kuva nepurogiramu yenguva dzose, yakadai sekudya, kugeza, uye kurara panguva imwe chete zuva nezuva, kunogona kubatsira vanhu vane chirwere cheParkinson's Disease Dementia kuti vanzwe vakasununguka uye vakachengeteka.
• Joyina boka rekutsigira: Ita kuti mudikanwi wako newewo mubatanidzwe mumapoka ekutsigira varwere vane Parkinson nemhuri dzavo. Mapoka aya anogona kupa ruzivo rwakakosha, mazano, uye zviitiko. Izvi zvinogona kuva simba guru panguva yerwendo urwu.

Ko chirwere cheParkinson's dementia chakasiyana here nezvimwe zvirwere zvepfungwa zvinowanzoonekwa?

Kune zvikonzero zvakawanda zvinokonzera dementia, uye zviratidzo zvakasiyana-siyana. Chirwere cheAlzheimer ndicho chinonyanya kupararira chedementia. Sekureva kwevasayendisiti, zviratidzo zveParkinson's disease dementia zvakasiyana zvishoma nezviya zveAlzheimer's disease dementia. Semuenzaniso:

• Vanhu vane chirwere cheParkinson's Disease Dementia vanowanzo sangana nekushaya hanya uye kuoma kwekuisa pfungwa pane avo vane chirwere cheAlzheimer's.
• Vanhu vane chirwere cheAlzheimer's dementia vanogona kunge vaine matambudziko emutauro kare kupfuura avo vane chirwere cheParkinson's dementia. Uyewo, vanhu vane Alzheimer's vanoomerwa nekurangarira zvinhu zvitsva kupfuura avo vane chirwere cheParkinson's dementia.

Pane matanho akasiyana here eParkinson's dementia?

Vanachiremba vakagamuchira nzira dzekuisa chirwere cheParkinson muzvikamu zvakasiyana. Zvisinei, hapana nzira chaiyo yekuisa chirwere cheParkinson's Disease Dementia muzvikamu. Izvi zvinodaro nekuti nzira yachinobata nayo munhu wese uye mwero wachinokura nawo unosiyana zvikuru. Nokudaro, zvinonetsa kuti masayendisiti nevanachiremba vachiise muzvikamu zvakasiyana.

Pakupedzisira, zvinhu zvekurangarira

Hazvisi nyore kuziva kuti une chirwere cheParkinson, chirwere chinokanganisa ndangariro dzako uye chinogona kukanganisa kugona kwako kushanda. Zvakajairika kunzwa kusuruvara, kusuruvara, uye kutya zvichaitika mune ramangwana. Yeuka kuti hausi wega panguva ino. Wana rutsigiro rwaunoda kubva kune vadikanwi vako, mhuri, shamwari, uye kunyanya timu yako yezvekurapa.

Yeuka, kunyange hazvo kurapwa kusingakwanise kurapa chirwere ichi zvachose, kunogona kubatsira kudzora zviratidzo uye kuvandudza hupenyu kusvika pamwero wakati. Saka, usarasa tariro uye ramba uchiita rwendo urwu nerutsigiro rwaunowana.

Parkinson's , dementia, kurasikirwa nendangariro, zvirwere zveuropi, Lewy bodies, zvirwere zvetsinga, kutarisirwa kwevanhu vakwegura