Ngaba wena okanye umntu ohlala nawe unesifo sikaParkinson? Ukuba kunjalo, ugqirha wakho usenokuba ukunike ipilisi eyenziwe ngokudibanisa la mayeza mathathu. Nangona igama lale mayeza lisenokubonakala liyinkimbinkimbi, wakuba uyiqonda indlela esebenza ngayo, kulula kakhulu. Namhlanje, masithethe ngale mayeza, into ayenzayo, kunye nento ekufuneka uyilumkele, ngendlela enobuhlobo nelula.
Kwenzeka ntoni xa la mayeza mathathu edityanisiwe?
Ngamafutshane, le yindibaniselwano yamayeza amathathu: iCarbidopa, iLevodopa, kunye neEntacapone . Iqhawe eliphambili lale pilisi yiLevodopa. Isifo sikaParkinson sibangelwa kukuncipha kwekhemikhali ethi 'Dopamine' engqondweni yethu. Iyeza elibizwa ngokuba yiLevodopa lisebenza ngokuya engqondweni kwaye lincede ekwakheni kwakhona le dopamine inciphileyo.
Ngoko ke kwenzeka ntoni kwezinye iziyobisi ezimbini? Khawuthelekelele ukuba iLevodopa ngumntu ophethe umyalezo obalulekileyo.
- I-Carbidopa ifana nomlindi okhusela umntu kwiingxaki endleleni (ekuqhekekeni kweziyobisi kwezinye iindawo zomzimba ngaphambi kokuba zifike engqondweni).
- I-Entacapone ifana nomnye umncedisi oqinisa umsebenzi womlindi kwaye ivumela iLevodopa ukuba isebenze ixesha elide kwaye ngokufanelekileyo.
Xa ezi zintathu zidibene, zinokuba luncedo kakhulu ekulawuleni iimpawu zikaParkinson (ezifana nokungcangcazela, ukungcangcazela, nokuhamba kancinci).
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba usebenzise eli yeza
Kubaluleke kakhulu ukuba ugqirha wakho ayazi imbali yakho epheleleyo yezonyango ngaphambi kokuba akunike eli yeza. Oku kungenxa yokuba kufuneka silumke kakhulu xa sisebenzisa eli yeza kwiimeko ezithile zempilo. Ukuba unezinye zezi meko zidweliswe ngezantsi, qiniseka ukuba uxelela ugqirha wakho ngalo.
| Isifo okanye imeko | Kutheni ufanele uxelele? |
|---|---|
| Ukudakumba okanye ezinye izifo zengqondo | Eli yeza ngamanye amaxesha linokuchaphazela imeko yengqondo. |
| Isifo seswekile | Eli yeza linokuchaphazela amanqanaba eswekile egazini. |
| Imeko yeGlaucoma | Kuba inokuchaphazela uxinzelelo lwamehlo. |
| Isifo sentliziyo, imbali yokuhlaselwa yintliziyo, ukubetha kwentliziyo okungaqhelekanga | Isantya sentliziyo kunye noxinzelelo lwegazi zinokuchaphazeleka. |
| Isifo sezintso okanye sesibindi | Kuba ichaphazela inkqubo yokususa iyeza emzimbeni. |
| Izifo zemiphunga ezifana ne-asthma | Ngamanye amaxesha inkqubo yokuphefumla inokuchaphazeleka. |
| I-sleep apnea okanye i-narcolepsy | Kuba eli yeza linokubangela ukozela. |
| Izilonda zesisu okanye izifo zamathumbu | Umngcipheko weziphumo ebezingalindelekanga ezithile unokwanda. |
| Ukuba ukhulelwe, uzama ukukhulelwa, okanye uncancisa | Ufanele uthethe nogqirha wakho malunga nemiphumo enokubakho kumntwana wakho. |
| Ukunganyamezelani kwamanye amayeza, ukutya okanye izinto | Qaphela ukuba kunokwenzeka ukuba eli yeza libe ne-allergy. |
Ulisebenzisa njani eli yeza?
- Ginya ipilisi ngeglasi yamanzi. Yisele kanye njengoko ugqirha wakho ekuyalele, ngexesha elifanelekileyo.
- Eyona nto ibalulekileyo: Musa ukuphula, ukutyumza, okanye ukuhlafuna ipilisi. Yiginye yonke.
- Lumka ngokutya: Eli yeza lingasetyenziswa kunye nokutya okanye ngaphandle kokutya. Nangona kunjalo, lumka xa usebenzisa iyeza.Kuphephe ukutya ukutya okunamafutha amaninzi, iikhalori kunye neeproteni (ezifana nenyama, intlanzi, amaqanda, kunye neemveliso zobisi) , njengoko oku kutya kunokunciphisa ukufunxwa kweLevodopa. Thetha nogqirha wakho malunga nokutya kwakho.
- Ungaphoswa yidosi: Sela amayeza akho ngexesha. Musa ukuthatha ngaphezu kwedosi emiselweyo okanye uyeke ukuwasebenzisa ngequbuliso ngaphandle kwengcebiso kagqirha wakho. Ukwenza njalo kunokuba nemiphumo emibi kakhulu.
- Ukuba uphoswe yidosi: Thatha idosi ongayithathanga ngokukhawuleza xa ukhumbula. Nangona kunjalo, ukuba sele kuza kufuneka uthathe idosi elandelayo, yitsibe idosi ongayithathanga uze uthathe ipilisi elandelayo ngexesha elicwangcisiweyo. Ungaze uthathe iidosi ezimbini ngexesha elinye.
Kubalulekile: Ukuba ucinga ukuba usele kakhulu eli yeza, fowunela iZiko loLwazi lweePoison kwiSibhedlele sikaZwelonke saseColombo ngoko nangoko, okanye uye kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele esikufutshane.
Ezinye izinto ezinokusebenzisana nale mithi
Kubaluleke kakhulu ukuxelela ugqirha wakho malunga nawo onke amayeza owasebenzisayo (kuquka iivithamini, imifuno, kunye nezongezo), njengoko amanye amayeza anokuchaphazela eli.
Ngokukodwa, amayeza e -MAOI (iMonoamine Oxidase Inhibitors) esifo sengqondo (umz. iMarplan, iNardil, iParnate) akufuneki asetyenziswe kunye nala mayeza.
Ukongeza, eli yeza linokunxibelelana nezi zinto zilandelayo:
- Utywala
- Izongezo zesinyithi - Ukuba uthatha izongezo zesinyithi, zithathe iiyure ezi-2 ngaphambi okanye emva kokuthatha eli yeza.
- Amanye amayeza oxinzelelo lwegazi oluphezulu
- Amayeza okugula ngengqondo, ixhala, kunye nokulala
- Amanye amayeza okubulala iintsholongwane (umz. i-ampicillin, i-erythromycin, i-rifampin)
- Amayeza eentlungu ezibangela i-narcotic
- I-Warfarin (iyeza elisetyenziselwa ukuthintela ukujiya kwegazi)
Olu luhlu aluphelelanga, ngoko xelela ugqirha wakho ngayo yonke into oyithathayo.
Amanqaku akhethekileyo ekufuneka aqwalaselwe xa usebenzisa amayeza
Ukozela kunye nokulala ngequbuliso
Eli yeza linokukwenza uzive ulele okanye unesizungu. Ngamanye amaxesha, ngaphandle kwesilumkiso , ungalala ngelixa uqhuba okanye uthetha. Ngoko ke, musa ukuqhuba okanye ukusebenzisa oomatshini ude wazi ukuba eli yeza likuchaphazela njani. Ingakumbi ukuba umdala, musa ukuvuka ngokukhawuleza kwindawo ohleli kuyo okanye omi kuyo. Oku kunokunciphisa umngcipheko wokuba nesizungu kunye nokuwa.
Iminqweno engaqhelekanga kunye nokuziphatha
Amaxesha amaninzi, abanye abantu abasebenzisa eli yeza baye baxelwa ukuba baneminqweno engaqhelekanga. Umzekelo, banokuba nomnqweno onamandla wokungcakaza, ukulala nomntu, ukuchitha imali ngokungeyomfuneko, okanye ukutya kakhulu. Ukuba wena okanye usapho lwakho nibona naluphi na utshintsho kwezi zinto, xelela ugqirha wakho ngoko nangoko.
Isiphumo 'sokudinwa' kunye 'nokuvala'
Ngamanye amaxesha, njengoko idosi elandelayo yeyeza isondela, kunokuvakala ngathi iyeza liphelelwa ngamandla alo kwaye iimpawu zeParkinson yakho ziyabuya. Oku kubizwa ngokuba yi-'wearing-off' effect. Ngamanye amaxesha, kunokuvakala ngathi iyeza alisebenzi konke konke (ixesha 'lokungasebenzi'), uze uqalise ukusebenza kwakhona emva kwexesha elithile (ixesha 'lokungasebenzi'). Ukuba oku kuyenzeka kuwe, xelela ugqirha wakho. Usenokukwazi ukulungisa idosi yakho.
Utshintsho kumbala womchamo nokubila
Eli yeza lisenokuguqula umchamo wakho, amathe, okanye ukubila kube mdaka, kube bomvu, okanye kube mnyama. Asinto ibalulekileyo ukuba ukhathazeke ngayo. Nangona kunjalo, lumka kuba linokungcolisa impahla.
Lumka ulusu lwakho.
Ngelixa usela eli yeza, jonga ulusu lwakho rhoqo ukuze ubone utshintsho kwiinduli zakho ezikhoyo okanye ukubonakala kweenduli ezintsha. Xelela ugqirha wakho ukuba ubona naluphi na utshintsho.
Zeziphi iziphumo ebezingalindelekanga endinokuzifumana?
Njengalo naliphi na iyeza, eli linokuba nemiphumo emibi. Uninzi lwalo alubi yingozi. Kodwa kukho izinto ekufuneka siziqaphele.
| Iziphumo ebezingalindelekanga ekufuneka zixelwe kugqirha wakho ngoko nangoko | |
|---|---|
| • Iimpendulo ze-allergy ezifana nokurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe okanye ulwimi | • Iintshukumo ezingalawulekiyo zezandla, ubuso, umlomo, intamo, okanye umzimba ongasentla |
| • Ukulala ngequbuliso | • Utshintsho kwisimo sengqondo okanye kwindlela yokuziphatha, ukubona izinto ezingekhoyo |
| • Ukubetha kwentliziyo okukhawulezayo nokungaqhelekanga | • Intlungu yesisu, umkhuhlane, iintlungu zemisipha |
| • Ukudinwa, ukuquleka | • Ubunzima bokuchama okanye utshintsho kubungakanani bomchamo |
| Ngokwesiqhelo ayisiyongxaki inzulu (kodwa xelela ugqirha wakho ukuba iyaqhubeka) | |
| • Ukuqhinwa kwesisu | • Intloko ebuhlungu |
| • Ukulahlekelwa yintliziyo | • Ukuphazamiseka kwesisu, isicaphucaphu |
| • Ubunzima bokulala | • Umlomo owomileyo |
Umyalezo Wokuya Ekhaya
- Sela eli yeza kanye njengoko ugqirha eliyalele, ngexesha elifanelekileyo, nangedosi efanelekileyo. Musa ukuphula okanye ukutyumza ipilisi.
- Musa ukuyeka ukuthatha eli yeza ngequbuliso nangasiphi na isizathu ngaphandle kwengcebiso kagqirha wakho.
- Yazisa ugqirha wakho malunga nazo zonke ezinye iziyobisi, iivithamini, kunye nazo naziphi na ezinye iimeko zempilo onokuba nazo.
- Ukuba ufumana ukozela ngequbuliso okanye ukuphazamiseka kwengqondo okungaqhelekanga ngelixa usebenzisa amayeza, xelela ugqirha wakho ngoko nangoko.
- Kuphephe ukutya ukutya okuneproteni eninzi kunye ne-iron ngexesha lokusela amayeza. Thetha nogqirha wakho ngale nto.
- Ukuba unemibuzo okanye iinkxalabo malunga nempilo yakho, ungoyiki ukuthetha nogqirha wakho.
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