Ingabe ngezinye izikhathi uzizwa sengathi ukunyakaza komzimba wakho kuhamba kancane kunakuqala? Ingabe uzizwa sengathi kuthatha isikhathi eside ukuvuka esihlalweni, ukuqhobosha ihembe, noma ngisho nokuhamba nje? Nakuba ngezinye izikhathi singakunaki kakhulu lokhu, kungase kube nesizathu sezokwelapha ngemuva kwakho. Yilokho engicabange ukuthi ngizokhuluma ngakho namuhla.
Kuyini iBradykinesia?
Kalula nje, i-bradykinesia iwukunciphisa ukunyakaza kwemizimba yethu. Akusona isifo. Kodwa-ke, kungaba uphawu olukhulu lwesimo esihlobene nokunyakaza, njengesifo sikaParkinson.
Kulokhu, ukunyakaza kwezingxenye zombili zomzimba wethu kuhamba kancane.
1. Izinyathelo zokuzithandela: Isibonelo, ukwelula isandla ukuze uphuze ingilazi yamanzi.
2. Ukunyakaza okuzenzakalelayo: Cabanga ngakho, asicabangi ngokuphakamisa izingalo zethu lapho sihamba, kuyinto eyenzeka ngokuzenzakalelayo. Izinto ezinjalo zingancishiswa noma zincishiswe ijubane kulokhu.
Lesi simo singenza kube nzima ukwenza imisebenzi yethu yansuku zonke, futhi singandisa isikhathi esisithathayo ukuze sifike emsebenzini esivame ukuwenza.
Yiziphi izici zalesi simo?
Izimpawu ze-bradykinesia zingahluka kumuntu nomuntu, kodwa kunezinye izimpawu ezivamile. Ake sibheke lezi kuthebula.
| Isibonakaliso | Incazelo Elula |
|---|---|
| Ukwehla kokubonakaliswa kobuso (i-Hypomimia) | Ukuba nobuso obufana nemaski, obungenakho ukubonakaliswa okucacile kwemizwa ebusweni, njengalapho umomotheka noma uzizwa udangele. |
| Izinguquko zendlela yokuhamba | Ukunyakazisa izinyawo zakho ngenkathi uhamba, uhamba ngaphandle kokunyakazisa izingalo zakho. |
| Ubunzima ngemisebenzi emihle yezimoto | Ubunzima bokwenza imisebenzi ebucayi njengokubhala ngepeni, ukunamathisela izinkinobho zehembe, noma ukushefa. Ukubhala ngesandla nakho kungase kube yinto engasho lutho. |
| Ukuqandisa kokunyakaza | Uma wenza okuthile, uyama ngokuzumayo uzizwe ubambekile, njengokungathi izinyawo zakho zinamathele phansi. |
| Ukunyakaza okuvamile kuthatha isikhathi eside ukuqeda | Ngisho nezinto ezilula njengokuvuka esihlalweni noma ukugingqika ngakolunye uhlangothi lombhede kuthatha isikhathi eside kunokujwayelekile. |
| Ukuncipha kokunyakaza okuzenzakalelayo | Ukuncipha kokucwayiza kwamehlo kanye nokwehla kokusetshenziswa kwezandla nezinyawo lapho ukhuluma. |
I-bradykinesia izwakala kanjani?
Abantu abaningi babhekana nokuqina noma ubuthakathaka emisipheni yabo, kodwa okwenzekayo ngempela lapha akukhona ukulahlekelwa amandla emisipha.
Into ebalulekile ukuthi lokhu kuyinkinga yokuxhumana phakathi kobuchopho nemisipha kunokuba yinkinga yemisipha.
Into exakile ukuthi, isikhathi esiningi umuntu onalesi simo akaqapheli ngisho nokuqaphela. Ngokuvamile yilungu lomndeni, umngane, noma udokotela oqala ukubona umehluko.
Yini ebangela lokhu?
Isizathu esiyinhloko salokhu ukwehla kwezinga lekhemikhali ebizwa ngokuthi i-dopamine ebuchosheni bethu. I-Dopamine iyi-hormone kanye ne-neurotransmitter. Kalula nje, umsebenzi wayo ukudlulisa imiyalezo phakathi kwamangqamuzana ezinzwa ebuchosheni bethu. Njengomuntu othumelayo.
Uma le dopamine incipha, ukuxhumana phakathi kwamangqamuzana ezinzwa kuyehla. Ngenxa yalokho, ukunyakaza kwethu kuyahamba kancane.
Ezinye zezimbangela eziyinhloko ze-bradykinesia yilezi:
- Isifo sikaParkinson kanye neParkinsonism
- I-Lewy body dementia
- Ukukhubazeka kwe-supranuclear okuqhubekayo
- Eminye imithi yokwelapha isifo sengqondo (isibonelo, i-haloperidol, i-metoclopramide)
Ingabe i-bradykinesia ingenzeka ngaphandle kwesifo sikaParkinson?
Yebo, impela. Nakuba imbangela eyinhloko ye-bradykinesia kuyisifo sikaParkinson, lesi sibonakaliso singavela kubantu abangenaso lesi sifo. Njengoba ngishilo ngenhla, ezinye izimo zokunyakaza kanye nemithi ethile nazo zingayibangela.
Iphathwa kanjani?
Ukwelashwa kwalokhu kuyahlukahluka kumuntu nomuntu, kuye ngokuthi imbangela yesifo ikuphi. Udokotela wakho uzokwakha uhlelo lokwelashwa olukulungele kangcono.
Lokhu okulandelayo kuvame ukusetshenziswa njengokwelashwa:
- Ukuhlinzeka ngemithi.
- Ukuvivinya umzimba njalo nokuhlala usebenza.
- Ukushintsha umthamo womuthi osuwuthatha kakade noma ukushintshela komunye umuthi (lokhu kufanele kwenziwe kuphela ngeseluleko sikadokotela wakho!).
Eminye yemithi esetshenziswa kakhulu yile:
- I-Levodopa - ngezinye izikhathi inikezwa ne-carbidopa.
- I-Tolcapone ne-Entacapone
- I-MAOI (i-monoamine oxidase inhibitors) - isibonelo i-selegiline
- I-Amantadine
Le mithi ithuthukisa ukuhanjiswa kwe-dopamine ebuchosheni. Kodwa khumbula, le mithi ingaba nemiphumela emibi. Futhi, ngokuhamba kwesikhathi, ukusebenza kahle kweminye imithi (isib. i-Levodopa) kungancipha. Khona-ke lokhu kuhamba kancane kungabuya. Ungesabi ngezikhathi ezinjalo. Ungakhuluma nodokotela wakho bese ushintsha umthamo womuthi noma ushintshele komunye umuthi.
Kwenzekani uma ingelashwa?
Uma ingelashwa, kancane kancane ingaba yinselele ukwenza imisebenzi yansuku zonke. Lokhu kusho ukuthi kuthatha isikhathi eside ukwenza imisebenzi evamile, noma kuba nzima ukuyenza leyo misebenzi.
Cabanga ukuthi kuyinkinga engakanani lapho ngisho nezinto ezilula njengokunamathisela izinkinobho zehembe, ukuxubha amazinyo akho, ukusika ukudla ngommese, ukuhamba, nokuvuka kuba yinselele.
Uma unenkinga yokwenza imisebenzi yansuku zonke efana nale, khuluma nodokotela wakho. Angakunikeza izinsiza ezizokusiza ugweme izingozi futhi akusize uhambe endlini uma uzidinga.
Umlayezo Wokuya Nawe Ekhaya
- I-Bradykinesia akuyona isifo, kodwa uphawu lwesinye isimo, njengesifo sikaParkinson.
- Yilapho ukunyakaza komzimba wakho kunciphisa khona ijubane. Isizathu esiyinhloko salokhu ukwehla kwamazinga e-dopamine ebuchosheni.
- Uma ubona ukuthi ukuhamba kwakho noma komuntu womndeni wakho kuye kwehla, ungakushayi indiva.Bonana nodokotela ngokushesha.
- Kunezindlela zokwelapha eziphumelela kakhulu zokuphatha lesi simo, ngakho-ke asikho isizathu sokwesaba.
- Ungalokothi uyeke ukuthatha imithi oyinikezwe udokotela wakho noma ushintshe umthamo ngaphandle kweseluleko sakhe.
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