Ngaba kukho umntu kusapho lwakho, mhlawumbi umama wakho, utata, umakhulu okanye utatomkhulu, onesifo sikaParkinson? Kubuhlungu kakhulu ukubabona benesifo sokungcangcazela, ukuqina, nokuhamba kancinci, akunjalo? Ngoko ke, namhlanje sicinge ukuba siza kuthetha ngeCarbidopa kunye neLevodopa, amayeza abaluleke kakhulu anokunceda ukulawula ezi mpawu nokwenza ubomi bube lula kancinci.
Lisebenza njani eli yeza?
Ngamafutshane, ubuchopho bethu bune-chemical messenger ekhethekileyo ebizwa ngokuba yi-dopamine. Le dopamine ibalulekile ekuququzeleleni nasekulawuleni iintshukumo zomzimba wethu. Okwenzekayo kumntu onesifo sikaParkinson kukuba iiseli ezikwingqondo ezivelisa le dopamine zitshatyalaliswa kancinci kancinci. Emva koko inqanaba le-dopamine liyehla, kwaye iimpawu esithethe ngazo, ezinje ngokungcangcazela nokuqina, ziyavela.
Ngoko ke, le carbidopa; levodopa, iyeza elisebenza ngokunyusa amanqanaba e-dopamine engqondweni kwakhona. Nangona oku kungenakunyanga ngokupheleleyo isifo, kunokulawula kakhulu iimpawu kwaye kuncede isigulana ukuba senze imisebenzi yemihla ngemihla ngokulula.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba usebenzise eli yeza
Ngaphambi kokuba unike eli yeza, kubaluleke kakhulu ukuba ugqirha wakho ayazi imbali yakho epheleleyo yempilo. Qiniseka ukuba umxelele ngayo nayiphi na kwezi meko zidweliswe ngezantsi.
| Imeko yakho yempilo | Kutheni ufanele uxelele? |
|---|---|
| Ukudakumba okanye ezinye izifo zengqondo | Eli yeza lisenokutshintsha ezinye iimeko zengqondo. |
| Isifo seswekile | Iswekile emchameni inokuchaphazela iziphumo zovavanyo. |
| Imeko yeGlaucoma | Uxinzelelo lwamehlo lunokuchaphazeleka. |
| Isifo sentliziyo, imbali yokuhlaselwa yintliziyo, okanye ukubetha kwentliziyo okungaqhelekanga | Isantya sentliziyo kunye noxinzelelo lwegazi zinokuchaphazeleka. |
| Isifo sezintso okanye sesibindi | Indlela elikhutshwa ngayo iyeza emzimbeni inokuba nemiphumo. |
| Izifo zemiphunga (umz. i-asthma) | Kunokubakho ubunzima bokuphefumla. |
| Iingxaki zesisu okanye zamathumbu | Ukufunxwa kwamayeza kunye nemiphumo emibi kunokuchaphazeleka. |
| Ukuba ukhulelwe, uzama ukukhulelwa, okanye uncancisa | Ufanele uxoxe nogqirha wakho ngemiphumo enokubakho emntwaneni. |
| Ukuba une-allergy kuyo nayiphi na enye imithi, ukutya okanye into ethile | Ukuvavanya umngcipheko wokuba ne-aleji kwiyeza. |
Ndingayisebenzisa njani le yeza?
Eli yeza kufuneka lithathwe ngomlomo kunye neglasi yamanzi . Kubaluleke kakhulu ukuthatha idosi echanekileyo, ngexesha elifanelekileyo, njengoko ugqirha wakho emyalele. Musa ukwandisa okanye ukunciphisa idosi yeyeza okanye uyeke ngequbuliso njengoko uziva ufuna. Ukwenza njalo kunokubangela iimpendulo ezinzulu. Ukuba uyeka ukusela iyeza, yenza njalo kancinci kancinci, ngokwemiyalelo kagqirha wakho.
Kubalulekile: Ukuba uphoswe yidosi, yithathe ngokukhawuleza xa ukhumbula. Nangona kunjalo, ukuba sele kusondele ixesha lomthamo wakho olandelayo, yitsibe idosi oyiphosileyo uze uthathe idosi yakho elandelayo ngexesha elicwangcisiweyo. Ungaze uthathe iidosi ezimbini ngaxeshanye ukuze ubuyisele idosi oyilibeleyo.
Ungenza ntoni ukuba uthatha amayeza amaninzi kakhulu?
Ukuba ucinga ukuba uthathe amayeza amaninzi kakhulu, yiya kwiSebe leeNgxamiseko (i-ETU) elikufutshane ngoko nangoko. Okanye utsalele umnxeba iZiko loLwazi lweeTyhefu leSizwe kwiSibhedlele sikaZwelonke saseColombo ukuze ufumane ingcebiso.
Ezinye izinto ezinokusebenzisana nale mithi
Amanye amayeza, iivithamini, amayeza emifuno, kunye notywala obuselayo bunokuchaphazela eli yeza. Ngoko ke, xelela ugqirha wakho ngayo yonke into oyiselayo.
Musa ukuthatha eli yeza kunye:
- Ii-MAOI, udidi lwamayeza asetyenziselwa ukunyanga izifo zengqondo (umz. uMarplan, uNardil, uParnate)
- I-Reserpine
- I-Tetrabenazine
Ungaphendula ngezi zinto zilandelayo:
- Utywala
- Izongezo zesinyithi okanye iivithamini
- Ii-antibiotics ezifana neLinezolid, i-Isoniazid (INH), iProcarbazine, iTedizolid
- Amayeza okudakumba, ixhala, okanye ezinye izifo zengqondo
- Amayeza oxinzelelo lwegazi oluphezulu
- Iipilisi zokulala
- I-Metoclopramide, iDroperidol, iPapaverine
- I-Rasagiline, i-Selegiline, i-Entacapone, i-Tolcapone (ezi zikwamanye amayeza asetyenziselwa isifo sikaParkinson)
Izinto ekufuneka uzilumkele xa usebenzisa amayeza
Ngaba isiphumo seyeza siza kuphela? (Isiphumo sokudinwa)
Ngamanye amaxesha, njengoko kufuneka idosi elandelayo, isiphumo seyeza sinokuphela kwaye iimpawu zinokubuya. Kwakhona, ngamanye amaxesha iyeza linokuyeka ukusebenza umzuzu okanye iyure lize liphinde lisebenze. Oku kubizwa ngokuba yi-'on-off effect'. Ukuba oku kuyenzeka kuwe, ungabi nantloni kwaye uxelele ugqirha wakho. Usenokukwazi ukulungisa idosi okanye ixesha leyeza lakho ukulawula le meko.
Lumka ngokutya nokusela.
Ukutya okuneproteni eninzi (umz. inyama, intlanzi, amaqanda, ubisi, amantongomane) kunokunciphisa ukufunxwa kweli yeza. Ngoko ke, kuphephe ukutya ukutya okuneproteni eninzi kufutshane nexesha olithatha ngalo iyeza. Kungcono ukulithatha imizuzu engama-30 ngaphambi okanye iyure enye emva kokutya. Kungcono ukuthetha nogqirha wakho malunga nokutya kwakho kwaye ufumane ingcebiso.
Ukozela, isiyezi, kunye nokulala ngequbuliso
Eli yeza linokukwenza uzive ulele okanye unesiyezi. Ngoko ke, ziphephe izinto ezifuna ulumke, njengokuqhuba okanye ukusebenzisa oomatshini, ude wazi ukuba eli yeza likuchaphazela njani. Ingakumbi ukuba umdala, musa ukuphakama kwindawo ohleli kuyo ngequbuliso. Linda imizuzwana embalwa ngaphambi kokuba uvuke kancinci.
Abanye abantu banokulala ngequbuliso ngaphandle kwesilumkiso xa besebenzisa eli yeza. Oku kunokwenzeka nokuba uqhuba okanye uthetha. Ukuba oku kuyenzeka kuwe, xelela ugqirha wakho ngoko nangoko.
Lumka kwizilingo ezingaqhelekanga.
Kunqabile kakhulu, abanye abantu banokufumana iminqweno engaqhelekanga yokungcakaza, ukuzibandakanya kwisondo, ukutya kakhulu, okanye ukuchitha imali ngokungeyomfuneko ngelixa besebenzisa eli yeza. Esi sisiphumo esibi seyeza. Ukuba wena okanye umntu kusapho lwakho ubona naluphi na utshintsho, kufuneka uxelele ugqirha wakho ngoko nangoko.
Amanye amanqaku
- Umchamo okanye ukubila kwakho kusenokutshintsha umbala ube mnyama (mnyama okanye ubomvu) . Oku kuqhelekile kwaye akukho nto ixhalabisayo. Nangona kunjalo, kunokungcolisa impahla yakho.
- Ukuba unesifo seswekile, eli yeza lisenokuchaphazela uvavanyo lweswekile yomchamo (alichaphazeli uvavanyo lwegazi).
- Eli yeza linokubangela ukunqongophala kwevithamini B6. Ngoko ke, thetha nogqirha wakho malunga nokutya ukutya okunevithamini B6 eninzi (njengekale, ispinatshi, iitapile).
Iziphumo ebezingalindelekanga zeyeza
| Iziphumo ebezingalindelekanga ekufuneka uzixele kugqirha wakho ngoko nangoko | |
|---|---|
| Iimpendulo ze-allergy | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi okanye umqala. |
| Utshintsho kwisantya sentliziyo | Ukubetha kwentliziyo ngokukhawuleza, ukubetha kwentliziyo okungahambelaniyo, iintlungu zesifuba, ubunzima bokuphefumla. |
| Uxinzelelo lwegazi oluphantsi | Ukudinwa, ukuquleka, ukubona izinto ezingaqondakaliyo. |
| Utshintsho lwengqondo kunye nokuziphatha | Ixhala, ukuphazamiseka, ukubona izinto ezingekhoyo, iingcinga zokuzibulala, uxinzelelo olongezelelekileyo. |
| Iintshukumo ezingalawulekiyo | Iintshukumo ezintsha okanye ezikhulayo ezingalawulekiyo zobuso, umlomo, okanye umzimba ongasentla. |
| Ukopha kwesisu | Indle emnyama okanye eyomileyo, ukuhlanza okufana nekofu. |
| Iziphumo ebezingalindelekanga ezingaqhelekanga, kodwa kufuneka zixelwe kugqirha ukuba ziyaqhubeka | |
| Ukuba mnyama kwamathe, ukubila, kunye nomchamo | Oku kudla ngokuba yingozi. |
| Ukudinwa kunye nokozela | Oku kuqhelekile. |
| Intloko ebuhlungu kunye nesicaphucaphu | Xelela ugqirha wakho ukuba ezi mpawu ziyaqhubeka. |
Umyalezo Wokuya Ekhaya
- I-Carbidopa; I-Levodopa ayilonyango lwesifo sikaParkinson, kodwa liyeza elilawula iimpawu kwaye lenze ubomi bube lula.
- Musa ukuyeka ukuthatha eli yeza ngequbuliso nangasiphi na isizathu ngaphandle kwengcebiso kagqirha wakho.
- Xelela ugqirha wakho ngazo zonke ezinye iziyobisi ozisebenzisayo kunye nazo naziphi na ezinye izifo onazo.
- Lumka ngemiphumo emibi efana nokulala ngequbuliso, ukutshintsha kweemvakalelo, kunye neminqweno engaqhelekanga. Ukuba ubona naluphi na utshintsho, xelela ugqirha wakho ngoko nangoko.
- Ukutya okuneproteni eninzi kunokunciphisa ukusebenza kakuhle kwamayeza. Ngoko ke, thetha nogqirha wakho malunga nokutya kwakho.
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