Ingabe nawe unakho ukuthuthumela nokunyakaza okuhamba kancane? Ake sixoxe nge-Parkinsonism!

Ingabe wena noma othile omaziyo unezimpawu ezifana nokuhamba kancane, ukuxhawulana, noma umzimba oqinile? Kungenzeka ukuthi uke wezwa igama elithi "Parkinsonism" lapho ukhuluma nodokotela ngalokhu. Ngakho-ke, kuyini iParkinsonism? Ake sixoxe ngakho kalula, ngendlela ongayiqonda. Ungesabi, kubaluleke kakhulu ukwazi konke lokhu.

Kuyini i-Parkinsonism? Kalula nje...

Cabanga ngakho, i-Parkinsonism akuyona isifo esisodwa, kodwa igama elijwayelekile lezifo eziningana. Kuzo zonke lezi zifo, ezinye izingxenye zobuchopho bethu ziyathinteka. Izinto eziyinhloko ezenzekayo ukunyakaza okuhamba kancane, ukuqina (ukuqina) emzimbeni, kanye nokuthuthumela. Kungaba nezizathu ezahlukahlukene zalezi zimo. Ezinye zazo ukuguqulwa kwezakhi zofuzo, ukusabela emithini ethile, noma ngisho nokutheleleka okuthile.

Uyini umehluko phakathi kwesifo sikaParkinson nesifo sikaParkinson?

Lokhu kuyinto edida abantu abaningi. Isifo sikaParkinson singesinye sezifo ezikulesi sigaba esibanzi esibizwa ngokuthi i-Parkinsonism. Eqinisweni, cishe abantu abangu-80% abane-Parkinsonism banesifo sikaParkinson. Lokho kusho ukuthi yisona sifo esivame kakhulu kulesi sigaba.

Ngaphandle kwalokhu, kunezinye izifo eziwela ngaphansi kwesambulela se-Parkinsonism. Izibonelo zifaka phakathi izimo ezifana ne-"Multiple System Atrophy" noma i-"Corticobasal Degeneration".

Into ebalulekile ukuthi ezinye izimo ze-Parkinsonism zibangelwa yizimbangela ezingelapheka, futhi ngezinye izikhathi ezingelapheka. Futhi, ezinye izimbangela zingazixazulula zodwa, futhi izimpawu kuphela ezidinga ukwelashwa.

Ubani othinteka kakhulu yilesi simo?

I-Parkinsonism ngokuvamile iyisifo esihlotshaniswa nokuguga. Okusho ukuthi, sivame kakhulu ngemva kweminyaka engama-60. Amadoda anamathuba amancane okuthola lesi simo kunabesifazane.

Kodwa-ke, ngezinye izikhathi lezi zimo zingase zenzeke ebancane kakhulu. Isibonelo, kukhona isimo esibizwa ngokuthi "i-Juvenile Parkinsonism" . Ngokuvamile siqala cishe eminyakeni eyi-17. Lolu hlobo lwe-Parkinsonism luvame kakhulu ngokuphindwe kane kubafana kunamantombazane. Cabanga ukuthi kunzima kangakanani kwabanye abantwana ukuthola lesi simo.

Sivame kangakanani lesi simo?

Isifo sikaParkinson, uhlobo oluvame kakhulu lwe-Parkinsonism, yisifo sesibili esivame kakhulu esibangelwa ukuguga (ngemuva kwesifo sika-Alzheimer). Futhi yisifo sobuchopho esivame kakhulu esibangelwa ukunyakaza. Ochwepheshe balinganisela ukuthi okungenani u-1% wabantu abangaphezu kweminyaka engu-60 emhlabeni wonke banalesi sifo.

Lesi simo sithinta kanjani umzimba wakho?

Imiphumela ye-Parkinsonism emzimbeni incike embangela. Izimo eziningi ze-Parkinsonism zithinta izingxenye zobuchopho ezilawula ukunyakaza. Lokhu kusho ukuthi ukunyakaza kwakho kuyahamba kancane . Ungase futhi uzwe ukuthuthumela kwemisipha , okungakwenza uthuthumele.

Yiziphi izimpawu eziyinhloko ze-Parkinsonism?

Kunezimpawu ezintathu eziyinhloko ze-Parkinsonism:

• Ukuhamba kancane (`Bradykinesia`) : Lesi isici esibonakala kuzo zonke izimo ze-Parkinsonism. Kalula nje, umuzwa wokuhamba kancane nobunzima lapho uqala ukwenza okuthile, ukuhamba, noma ukwenza imisebenzi yansuku zonke.
• Ukuthuthumela : Ukuthuthumela izandla, imilenze, futhi ngezinye izikhathi ngisho nomhlathi, ngisho nalapho umile. Lokhu kuthuthumela kuvame ukuba kubi kakhulu uma uphumule futhi kungase kwehle kancane uma wenza okuthile.
• Ukuqina : Imisipha emilenzeni, entanyeni nakwezinye izindawo iba lukhuni futhi kube nzima ukuyigoba noma ukuyiqondisa. Ukunyakaza kungaba lukhuni, njengerobhothi.

Ngaphezu kwalezi zimpawu eziyinhloko, ezinye izimpawu zingase zihlanganise:

• Ukuma okungazinzile noma indlela yokuhamba : Ukuzizwa sengathi ulahlekelwa ibhalansi yakho ngenkathi uhamba, uwe kalula.
• Ukuma okugobile nokuthambekele phambili : Uma umi noma uhamba, kunomkhuba wokugobileka phambili nokugobile emuva.
• "Ukuqandisa" : Uma uqala ukuhamba, zama ukungena endaweni encane njengomnyango, noma uzama ukujika, imilenze yakho iyabhajwa ngokuzumayo bese uzizwa sengathi awukwazi ukuthatha isinyathelo esisodwa phambili.

Izimpawu ezihambisana nezimo ezithile ze-Parkinsonism

Ezinye izinhlobo ze-Parkinsonism zinezimpawu ezithile. Ake sibheke ukuthi ziyini:

• Isifo sikaParkinson : Ngaphezu kwezimpawu zokunyakaza okukhulunywe ngazo ngenhla, ezinye izimpawu ezihlobene nezinqubo ezenzeka emzimbeni ngaphandle kokuqaphela kwethu (izimpawu ezingezona ezokunyakaza) nazo zingase zivele. Isibonelo:
• Ukuqunjelwa
• Ukulahlekelwa noma ukuncipha kwemizwa yokuhogela
• Izinkinga zokulala (njengokuklabalasa ulele, ukushaywa izingalo nemilenze)
• Ukucindezeleka
• Ukukhathazeka
• I-Vascular parkinsonism : Lesi simo sibangelwa ukwehla kokugeleza kwegazi kuya ebuchosheni. Sibangela izinkinga ngokuhamba kanye nokulinganisela kusukela ebuntwaneni . Singabangela nobunzima bokukhuluma (i-dysarthria) kanye nobunzima bokugwinya (i-dysphagia). Abanye abantu bangase babe nokusabela okungavamile kokukhuphuka (uphawu lukaBabinski) lapho izinzwane zelulwa khona lapho kuthintwa iphansi lonyawo ngendlela ethile.
• I-Parkinsonism ebangelwa izidakamizwa: Lesi simo singabangelwa imithi ethile (ikakhulukazi eminye imithi yokugula ngengqondo). Kulesi simo , izimpawu zingathinta izinhlangothi zombili zomzimba ngokulinganayo . Esifweni sikaParkinson, izimpawu zivame ukuthinta uhlangothi olulodwa kakhulu kunolunye.
• I-parkinsonism ebangelwa ubuthi : Lesi simo singabangelwa ukuchayeka ezintweni ezithile ezinobuthi (isb., izibulala-zinambuzane, amakhemikhali ezimboni). Abantu abanalesi simo banokuqina okukhulu ekunyakazeni kwabo (`(cogwheel rigidity)`) . Okusho ukuthi, banyakaza ngokunyakaza okuguquguqukayo, okuguquguqukayo, njengokwesandla sesibili sewashi. Imisipha iyaqina, ukunyakaza kuyahamba kancane, futhi ukuhamba emuva kunzima.
• I-Parkinsonism yentsha : Uma umuntu ongaphansi kweminyaka engu-45 eba nezimpawu ze-Parkinsonism, lokhu kucatshangelwa kuphela ngemva kokuba ezinye izimbangela sezisusiwe, njengoba lokhu kuyinto engavamile.

Yiziphi izizathu zalesi simo?

Imbangela ye-Parkinsonism iyahlukahluka kuye ngohlobo lwayo.

Isifo sikaParkinson

Uma ubuchopho bethu busebenza kahle, amangqamuzana obuchopho (ama-neurons) asebenzisa amakhemikhali abizwa ngokuthi ama-neurotransmitter ukuze axhumane. I-Dopamine ingenye ye-neurotransmitter ebaluleke kangaka.

Abantu abanesifo sikaParkinson banenani elincane le-dopamine ebuchosheni babo. Lapho ubuchopho buthumela izimpawu emisipheni yethu ukuze inyakaze, i-dopamine ibalulekile ekulawuleni kahle lokho kunyakaza. Uma i-dopamine ilahlekile, lawo maseli awakwazi ukusebenza kahle. Yingakho isifo sikaParkinson sibangela ukunyakaza okuhamba kancane nokuthuthumela.

Njengoba amazinga e-dopamine ehla, indawo ebalulekile yobuchopho ebizwa ngokuthi i-basal ganglia iyancipha kancane kancane. Ngemuva kwalokho, amakhono alawulwa yileyo ndawo ayalahleka. Njengoba isifo sikaParkinson siqhubeka, izimpawu ziba zimbi kakhulu futhi ziqine kakhulu. Ezigabeni zakamuva zalesi sifo, singathinta ukusebenza kobuchopho, okuholela ezimpawini ezifana ne-dementia kanye nokucindezeleka.

• Isifo sikaParkinson : Imbangela eyodwa kuphela eqinisekisiwe yesifo sikaParkinson ukuguquka kwezakhi zofuzo okuzuzwe kubazali. Cishe u-10% wabo bonke abaguli bakaParkinson banalesi sizathu sezakhi zofuzo.
• Isifo sikaParkinson esingaqondakali : Uma kungekho mbangela yofuzo, ochwepheshe basibeka "njengesingavamile." Lokhu kusho ukuthi imbangela eqondile ayaziwa. Ososayensi basola ukuthi i-alpha-synuclein (alpha-synuclein)Lokhu kungenxa yenkinga ngendlela umzimba osebenzisa ngayo iphrotheni ebizwa ngokuthi iphrotheni. Amaprotheni angama-molecule amakhemikhali anesimo esithile. Lapho amanye amaprotheni ehlukana (lokhu kubizwa ngokuthi 'ukuhlukana kwamaprotheni'), umzimba awukwazi ukuwasebenzisa noma ukuwahlukanisa. Lawa maprotheni abe eseqoqana ezindaweni ezahlukene, ikakhulukazi ngaphakathi kwamaseli asebenzisa i-dopamine, elawula ukunyakaza. Uma uwabheka ngaphansi kwe-microscope, ungabona ukuthi lawa maprotheni ahlangana kanjani.

I-Parkinsonism yesibili

Yilapho i-Parkinsonism ivela khona ngenxa yesinye isimo sezokwelapha. Izibonelo:

• I-Vascular parkinsonism : Uma ukugeleza kwegazi ezindaweni ezithile zobuchopho kuncipha, lezo zindawo ziyalimala futhi kuvela izimpawu ze-Parkinsonism.
• I-Parkinsonism yangemva kwenhlekelele : Lokhu kubangelwa ukulimala kobuchopho okuvela ekulimaleni kwekhanda okuphindaphindiwe. Le ngozi iphezulu kakhulu kubantu abadlala imidlalo efana nesibhakela, i-rugby, kanye nebhola.
• I-Parkinsonism ebangelwa izidakamizwa : Lesi simo singase senzeke uma imithi ethile (enikezwe udokotela noma izidakamizwa) iphazamisa indlela umzimba owenza noma osebenzisa ngayo i-dopamine.
• I-parkinsonism ebangelwa ubuthi : Ubuthi bungabhubhisa izinhlobo ezithile zamangqamuzana obuchopho. Uma amangqamuzana abhujiswayo angamaseli azwela i-dopamine ku-basal ganglia, izimpawu ze-Parkinsonism zingavela.
• I-hydrocephalus yokucindezela okuvamile (i-NPH) : Lokhu kwenzeka lapho uketshezi oluningi lwe-cerebrospinal (CSF) lunqwabelana ngaphakathi kogebhezi, okubeka ingcindezi ezingxenyeni zobuchopho ezihilelekile ekuhambeni nasekulawuleni umchamo. Lokhu kungabangelwa izinto ezahlukahlukene, okuhlanganisa ukulimala, ukopha ebuchosheni, kanye nezimila. Kubizwa ngokuthi i-NPH ngoba ukubhoboza kwe-lumbar (inqubo ebheka ingcindezi emgogodleni) kubonisa izindawo zoketshezi ebuchosheni, yize ingcindezi ijwayelekile.
• I-postencephalitic parkinsonism : I-Encephalitis ukuvuvukala kobuchopho okubangelwa ukutheleleka. I-Parkinsonism ingenzeka ngemva kokuba ukutheleleka okunjalo sekupholile. Lesi simo manje asivamile emazweni athuthukile.

I-parkinsonism engavamile

Lezi yizimo ezingavamile noma ezingavamile ezibangela i-Parkinsonism:

• "I-Progressive supranuclear palsy"
• `Ukuwohloka kwe-corticobasal`
• `Ukuwohloka kwesistimu eminingi`

Ezinye izinhlobo ze-dementia noma izimo zofuzo

I-Parkinsonism ingabangelwa nezinye izifo zobuchopho eziwohlokayo kanye nezimo zofuzo. Ezinye izibonelo zifaka:

• Isifo sika-Alzheimer
• Isifo sikaHuntington
• Isifo sikaWilson

Ingabe lokhu kuyathelelana?

Cha, i-Parkinsonism ayisona isifo esithathelwanayo. Kodwa-ke, ezinye zezimo zofuzo ezibangela lokhu zingazuzwa njengefa kubazali ezinganeni.

I-Parkinsonism itholakala kanjani?

Uma kutholakala ukuthi une-Parkinsonism, kubaluleke kakhulu ukuthi udokotela ahlole izimpawu zakho, akubuze imibuzo, futhi abukeze umlando wakho wezokwelapha .

Uma odokotela bengakwazi ukuthola imbangela ethile ye-Parkinsonism yakho, bazozama ukuqala ukwelashwa ngokushesha. Uma ungaphenduli ekwelashweni, odokotela bangenza ukuhlolwa okwengeziwe. Uma ungaphenduli ekwelashweni kwesifo sikaParkinson, bangase bacabange ukuthi unohlobo oluhlukile lwe-Parkinsonism.

Yiziphi izivivinyo ezenziwayo ukuze kutholakale lesi simo?

Uma odokotela besola ukuthi kukhona isifo esiwela ngaphansi kwesigaba se-Parkinsonism, bangenza ama-scan ahlukahlukene kanye nokuhlolwa kokuxilonga. Lokhu kufaka phakathi:

• Ukuhlolwa kwegazi : Lokhu kungasiza ekuboneni ezinye izinhlobo ze-Parkinsonism.
• Iskeni se-CT (`Iskeni se-CT` - Iskeni se-Computerized Tomography)
• Ukuhlolwa kofuzo
• Iskeni se-MRI (I-MRI - Ukufanekisa i-Magnetic Resonance)
• Ukuskena kwe-PET (`ukuskena kwe-PET` - Ukuskena kwe-Positron Emission Tomography)

Kuyeza ukuhlolwa okusha! Kunezivivinyo ezintsha zelebhu ezihlolwayo njengamanje, kodwa ezingakavunywa. Lokhu kungasiza ekuxilongeni izimo ezifana nesifo sikaParkinson. Lezi zivivinyo zifuna iphrotheni ebizwa ngokuthi i-alpha-synuclein ku-cerebrospinal fluid yakho noma imizwa engasebenzi kahle. Kodwa kudingeka ucwaningo olwengeziwe ngaphambi kokuba lezi zivivinyo zisetshenziswe kabanzi.

Iphathwa kanjani i-Parkinsonism?

Ukwelashwa kwe-Parkinsonism kuncike esimweni kanye nembangela yaso. Izinhlobo eziningi ze-Parkinsonism zingelashwa. Ezinye zingamiswa ngokuphelele (nakuba lokhu kungase kungabi ukwelashwa okuphelele, kodwa kunalokho "ukuxolelwa" kwalesi sifo).

Ezinye izibonelo zezimo ezingelashwa:

• I-parkinsonism ebangelwa izidakamizwa : Lolu uhlobo oluvame ukuba lula kakhulu lokwelapha i-parkinsonism. Luvela lapho eminye imithi iphazamisa indlela umzimba osebenzisa ngayo i-dopamine. Ukumisa umuthi obangele i-parkinsonism (ngokuvamile ngokushintshela komunye umuthi) kuyindlela kuphela yokuvimba lesi simo. Kodwa-ke, ngezinye izikhathi kungathatha amasonto noma izinyanga ukuthi izimpawu ziphele ngokuphelele. Akuvamile kakhulu, kungaba unomphela.
• Ingcindezi evamile-i-hydrocephalus (`NPH`): I-NPH yelashwa ngokunciphisa ingcindezi ngaphakathi kwekhanda. Uma kufakwa i-shunt (ithubhu elincane), ivumela uketshezi lwe-cerebrospinal (CSF) oluningi ukuthi luphume ekhanda. Uma nje i-shunt isebenza kahle, lokhu kunganciphisa noma kuqede izimpawu ze-Parkinsonism.
• Isifo sikaParkinson : Lesi simo asikwazi ukwelapheka, kodwa singalawulwa ngezinga elikhulu ngomuthi iLevodopa kanye neminye imithi enikezwa kanye nawo. Kodwa-ke, enye yezinto ezimbi ngeLevodopa ukuthi ukusebenza kwayo kwehla ngokuhamba kwesikhathi. Futhi, uma umthamo ukhushulwa ngaphezu komkhawulo othile, amathuba okuba nemiphumela emibi nawo aphezulu. Kodwa-ke, kunemithi eminingi engasetshenziswa esikhundleni seLevodopa noma ngaphezu kwayo engasiza ekunqobeni le nkinga.
• Isifo sikaWilson : Lesi yisimo esizuzwe njengefa esibangela ukuba ithusi eliningi liqongeleleke emzimbeni. Ukwelashwa kokususa ithusi eliningi emzimbeni kungavimbela umonakalo ohlala njalo obangelwa yilesi simo.

Udokotela wakho uvame ukuba ngumuntu ongcono kakhulu ukukutshela okwengeziwe ngokuthi isimo sakho singelashwa noma selapheke. Ngenxa yokuthi kunezimo eziningi ezahlukene eziwela ngaphansi kwesambulela se-Parkinsonism, zihluke kakhulu komunye nomunye. Udokotela wakho angakutshela ukuthi isimo sakho singelashwa yini nokuthi yiziphi izinketho zokwelapha ezitholakalayo kuwe, ngokusekelwe esimweni sakho kanye nezimo zakho.

Ngingazinakekela kanjani futhi ngiphathe izimpawu zami?

I-Parkinsonism ibhekisela ezifweni nasezimeni eziningi ezinemiphumela nezimpawu ezifanayo. Eziningi zalezi zifo nezimo zinzima, futhi ingozi yezinkinga iyanda uma zitholakala futhi zelashwa sekwephuzile.

Ngenxa yokuthi eziningi zalezi zimo zimbi kakhulu futhi zidinga ukuqashelwa nokwelashwa ngokushesha, ungazami ukuzixilonga noma ukuzelapha wena ngokwakho. Uma ucabanga ukuthi unesifo i-Parkinsonism, kubalulekile ukubonana nodokotela ngokushesha okukhulu. Anganquma ukuthi unesinye salezi zimo, noma akuthumele kuchwepheshe ukuze axilongwe futhi alashwe.

Ngizozizwa ngingcono ngokushesha kangakanani ngemva kokwelashwa?

Isikhathi esithathayo ukuze uzizwe ungcono futhi ululame ngemva kokwelashwa sincike ezintweni eziningana, okuhlanganisa isimo sakho kanye nokwelashwa okutholayo. Udokotela wakho ungumuntu ongcono kakhulu ukukutshela ukuthi yini ongayilindela ngesikhathi sakho sokululama nokuthi uzoqala nini ukuzizwa ungcono.

Ingabe lesi simo singavinjelwa futhi ingozi incishiswe?

I-Parkinsonism ivame ukwenzeka ngokungalindelekile, ngakho ngokuvamile ayinakuvinjelwa noma ingozi yokuyithola incishiswe.

Kodwa-ke, kunezinhlobo ezithile ze-Parkinsonism yesibili ongazinciphisa ingozi yakho yokuba nayo. Lezi yizi:

• I-parkinsonism ebangelwa ubuthi : Ingozi yokuthola lolu hlobo lwe-parkinsonism ingancishiswa ngokugwema ubuthi noma izinto ezibangela lokhu, noma ngokusebenzisa imishini yokuzivikela ukuze unciphise ukuchayeka lapho kungenakugwenywa. Cabanga ngezinto ezifana nokugqoka imaski namagilavu ​​​​lapho ufutha izibulala-zinambuzane.
• I-Parkinsonism yangemva kwenhlekelele : Ingozi yokuthola lokhu ingancishiswa ngokusebenzisa izimpahla zokuzivikela (isib. izigqoko zokuzivikela) ukuvikela ekulimaleni ekhanda.
• I-Vascular parkinsonism : Ukuze unciphise ingozi yakho yokuthola lokhu, udinga ukunakekela impilo yesistimu yakho yokujikeleza kwegazi, ikakhulukazi ukugeleza kwegazi kuya ebuchosheni. Lokhu kuhlanganisa ukugcina isisindo esinempilo, ukudla ukudla okulinganiselayo, kanye nokusebenza ngokomzimba.

Yini engingayilindela uma nginalesi simo?

Kuzo zonke izimo ze-Parkinsonism – kungakhathaliseki isimo esithile – kukhona ukuhamba kancane kanye nezinye izimpawu ezihambisanayo. Lokho ongakulindela kuzoncika esimweni esithile onaso kanye nokwelashwa okutholayo (uma kukhona). Uma une-Parkinsonism, udokotela wakho ungumuntu ongcono kakhulu ukukutshela okwengeziwe ngalokho ongakulindela.

I-Parkinsonism ihlala isikhathi esingakanani?

Ukuthi i-Parkinsonism ihlala isikhathi esingakanani kuncike esimweni esithile. Izimo eziningi eziwela ngaphansi kwe-Parkinsonism ziyizimo zokuphila konke. Esinye isimo esingeyona inkinga yokuphila konke 'i-Parkinsonism ebangelwa izidakamizwa'.

Ngenxa yokuthi i-Parkinsonism ihlanganisa izimo eziningi ezahlukene, kungcono ukukhuluma nodokotela wakho ngokuthi isimo sakho sizohlala isikhathi esingakanani. Angachaza ngqo ukuthi yini ongayilindela, okuhlanganisa nesikhathi sokuthi lesi simo sizokuthinta kanjani.

Iyini ikusasa lalesi simo?

Umbono we-Parkinsonism uncike esimweni sakho, ukuthi sibi kangakanani, nokuthi singelashwa yini. Izinhlobo eziningi ze-Parkinsonism azibulali ngokuqondile, kodwa zingaba nomthelela ezinkingeni ezingaba yingozi. Isibonelo, ubunzima bokugwinya, uphawu oluvamile lwesifo sikaParkinson kanye nezinye izinhlobo ze-Parkinsonism, kwandisa ingozi yokuthola isimo esifana ne-pneumonia.

Ngingazinakekela kanjani?

Uma unesifo sikaParkinson, kubalulekile ukulandela imiyalelo kadokotela wakho yokukunakekela nokuphatha isimo sakho. Ungumthombo ongcono kakhulu wolwazi mayelana nokuthi isimo sakho sikuthinta kanjani nokuthi yini ongayenza ukuze uzisize.

Ngokuvamile, kufanele wenze lezi zinto ezilandelayo:

• Phuza imithi yakho njengoba uyalelwe. Uma udokotela wakho ekunike imithi, ukuyiphuza njengoba uyalelwe kungenza umehluko omkhulu ezimpawini ze-Parkinsonism. Kufanele ukhulume nodokotela wakho uma uhlangabezana nemiphumela emibi noma uma uzizwa sengathi imithi yakho ayisebenzi kahle njengoba yayinjalo ngaphambili.
• Bona udokotela wakho njengoba kunconywa. Udokotela wakho uzokuhlelela ama-aphoyintimenti. La ma-aphoyintimenti abaluleke kakhulu ukusiza ekuphatheni isimo sakho, ukuthola imithi efanele kanye nomthamo, kanye nokunciphisa noma yimiphi imiphumela emibi.
• Ungazinaki noma ungazinaki izimpawu. I-Parkinsonism ingabangela izimpawu ezahlukahlukene. Eziningi zazo zingelashwa ngokwelapha isimo esiyisisekelo noma izimpawu ngokwazo. Kubalulekile ukutshela udokotela wakho nganoma yiziphi izimpawu, noma ngabe zincane. Izimo eziningi ze-Parkinsonism zingadideka kalula. Ngakho-ke ukutshela udokotela wakho ngazo zonke izimpawu zakho ngezinye izikhathi kungasiza ekugwemeni ukuhlonza okungalungile.

Kufanele ngimbone nini udokotela?

Kufanele ubonane nodokotela uma ubona ushintsho ezimpawini zakho (ikakhulukazi uma izimpawu ziqala ukuphazamisa impilo yakho nemisebenzi yansuku zonke) noma uma ubona ushintsho ekusebenzeni kahle kwemithi yakho.

Kufanele ngiye nini egumbini lezimo eziphuthumayo (ER)?

Udokotela wakho angakunikeza isiqondiso nolwazi mayelana nezimpawu zokuthi kufanele uye esibhedlela noma ufune iseluleko sezokwelapha. Ngokuvamile, kufanele ufune iseluleko sezokwelapha uma uwa, ikakhulukazi uma ulahlekelwa ingqondo, noma uma ucabanga ukuthi kungenzeka ukuthi ulimele ikhanda lakho, intamo, isifuba, umhlane, noma isisu.

Okokugcina, izinto okufanele uzikhumbule

I-Parkinsonism igama elijwayelekile elichaza izinhlobo eziningi zezimo ezithinta ikhono lakho lokuhamba nokuphila ngokuzimela. Nakuba kukhona ukufana okuthile phakathi kwazo zonke lezi zimo, zingahluka kakhulu. Uma utholakale une-Parkinsonism, kubalulekile ukukhuluma nodokotela wakho ngesimo onaso (noma lokho odokotela abakusolayo) nokuthi ukuxilongwa kuzokuthinta kanjani. Akuzona zonke i-Parkinsonism ezifanayo. Ngakho-ke ukuqonda isimo sakho esithile kungenza umehluko omkhulu ekusilawuleni nokuthi sithinta kanjani impilo yakho.

` I-Parkinsonism, isifo sikaParkinson, ukuthuthumela, ukuhamba kancane, izifo zobuchopho, izifo zemizwa, i-dopamine