Maʻi ʻo Parkinson

Loaʻa nā maʻi Parkinson mai kekahi mau lolo lolo e make ana. Kōkua kēia mau pūnaewele i ke kaohi ʻana i ka neʻe a me ka hoʻohui ʻana. Alakaʻi ka maʻi i ka haʻalulu (haʻalulu) a me ka pilikia e hele a neʻe.

Hoʻohana nā pūnaewele nerve i kahi kemika lolo i kapa ʻia ʻo dopamine e kōkua i ke kaohi ʻana i ka neʻe ʻana o nā mākala. Me ka maʻi Parkinson, make a make ʻole nā ​​hunaola lolo e hana mālie i ka dopamine. Me ka ʻole o ka dopamine, ʻaʻole hiki i nā hunaola ke kaohi i ka neʻe ke hoʻouna i nā leka kūpono i nā mākala. He mea paʻakikī kēia e kaohi i nā mākala. Lohi, i ka hala ʻana o ka manawa, hele a māhuahua kēia ʻino. ʻAʻohe mea e ʻike pololei i ke kumu e neoneo ai kēia mau hunaola lolo.

Hoʻonui pinepine ka maʻi Parkinson ma hope o ka makahiki 50. ʻO ia kekahi o nā pilikia ʻōnaehana maʻamau i nā mākua makua.

• Hoʻolālā ka maʻi i nā kāne ma mua o nā wahine, ʻoiai ʻo nā wahine e hoʻomohala i ka maʻi. ʻO ka maʻi Parkinson i kekahi manawa e holo i loko o nā ʻohana.
• Hiki ke hana i ka maʻi i nā ʻōpio ʻōpio. I kēlā mau hihia, pili pinepine ia i nā gen a ke kanaka.
• Kākaʻikahi ka maʻi ʻo Parkinson i nā keiki.

Malimali paha nā ʻōuli ma ka mua. ʻO kahi laʻana, loaʻa paha iā ʻoe kahi haʻalulu haʻalulu a i ʻole ʻano iki o kou manaʻo e paʻa ana kekahi wāwae a huki hoʻi. ʻO ka haʻalulu ʻo Jaw ka hōʻailona mua o ka maʻi Parkinson. Hoʻopili paha nā ʻōuli i hoʻokahi a i ʻole ʻelua ʻaoʻao o ke kino.

Pili pū nā ʻōuli laulā:

• Nā pilikia me ke kaulike a me ka hele wāwae
• ʻO nā mākala ʻoʻoleʻa a paʻakikī paha
• ʻEha nā ʻeha a me nā ʻeha
• Ke koko haʻahaʻa ke kū ʻoe i luna
• Kū ke poʻo
• Konipōpō
• ʻO ka hou a ʻaʻole hiki ke kaohi i ka mahana o kou kino
• ʻĀlohilohi mālie
• Pilikia i ka ale ʻana
• Drooling
• Lohi, ʻōlelo mālie a me ka leo monotone
• ʻAʻohe hiʻohiʻona i kou alo (e like me ka uhi ʻana i ka pale maka)
• ʻAʻole hiki ke kākau akāka a kākau lima paha he liʻiliʻi loa (micrographia)

Hiki paha i nā pilikia o ka neʻe ke:

• ʻO ka paʻakikī e hoʻomaka nei i ka neʻe, e like me ka hoʻomaka ʻana e hele wāwae a i waho paha o kahi noho
• Ke hoʻomau nei i ka neʻe ʻana o ka paʻakikī
• Nā neʻe lohi
• Ka nalowale ʻana o nā neʻe lima maikaʻi (hiki i ka palapala ke liʻiliʻi a paʻakikī e heluhelu)
• ʻAi paʻakikī

Nā ʻōuli o ka haʻalulu (haʻalulu):

• Kū pinepine i ka neʻe ʻole o kou mau lālā. Kapa ʻia kēia he haʻalulu maha.
• Hana ʻia ke paʻa kou lima a wāwae paha.
• Hele aku ke neʻe ʻoe.
• Eʻoi aku paha ka maikaʻi o ka luhi, pīhoihoi, a kaumaha paha.
• Hiki iā ʻoe ke ʻānai i kou manamana lima a me kou manamana lima me ka ʻole o ka manaʻo (i kapa ʻia ka haʻalulu pill-pill).
• Hiki paha i loko o kou poʻo, lehelehe, alelo, a me kou mau wāwae.

Hiki i nā ʻōuli ʻē aʻe ke:

• Ka pīhoihoi, ke koʻikoʻi, a me nā haunaele
• Huikau
• Dementia
• Kaumaha
• Mauleʻa
• Poho hoʻomanaʻo

Hiki paha i kāu kauka olakino ke kuhikuhi i ka maʻi ʻo Parkinson ma muli o kāu mau hōʻailona a me kahi hoʻokolohua kino. Akā paʻakikī paha nā ʻōuli e paʻi i lalo, keu hoʻi i nā mākua makua. Maʻalahi ke ʻike ʻia nā ʻōuli ma ke ʻano e māhuahua ana ka maʻi.

Hōʻike paha ka ninaninau:

• Hoʻomaka ka hana paʻakikī a hoʻopau paha i kahi neʻe
• ʻO Jerky, neʻe ʻoʻoleʻa
• Lilo ka ʻiʻo
• Lulu (haʻalulu)
• Nā loli i ka helu o kou puʻuwai
• Hoʻoikaika i nā mākala maʻamau

Hana paha kāu mea hāʻawi i kekahi mau hoʻokolohua e kāpae i nā kūlana ʻē aʻe i hiki ke kumu i nā ʻōuli like.

ʻAʻohe lāʻau lapaʻau no ka maʻi ʻo Parkinson, akā hiki i ka mālama ʻana ke kōkua i ke kaohi ʻana i kāu mau ʻōuli.

LAAU LAPAAU

E kauoha ana kāu mea hāʻawi i nā lāʻau e kōkua i ke kaohi ʻana i kāu haʻalulu a me nā ʻōuli neʻe.

I kekahi mau manawa i ke ao, pau paha ka lāʻau a hoʻi i nā ʻōuli. Inā kū kēia, pono paha kāu mea lawelawe e hoʻololi i kekahi o kēia mau mea:

• ʻAno lāʻau
• Hana
• Ka nui o ka manawa ma waena o nā kau
• Ke ala āu e lawe ai i ka lāʻau

Pono paha ʻoe e lawe i nā lāʻau e kōkua me:

• Nā pilikia a me nā pilikia noʻonoʻo
• Hoʻomaha ʻeha
• Pilikia hiamoe
• ʻO Drooling (hoʻohana pinepine ʻia ka toxin botulinum)

Hiki i nā lāʻau lāʻau Parkinson ke kumu i nā hopena ʻino, e like me:

• Huikau
• Ke ʻike a lohe nei paha i nā mea ʻaʻole ma laila (hallucination)
• Nausea, ka luaʻi, a i ʻole ka palahī
• Mālamalama a maule paha
• ʻO nā hana paʻakikī e kāohi, e like me ka pili kālā
• Delirium

E haʻi koke i kāu mea hāʻawi inā loaʻa iā ʻoe kēia mau hopena ʻaoʻao. Mai hoʻololi a hoʻopau paha i ka lawe ʻana i nā lāʻau me ke kamaʻilio ʻole ʻana me kāu mea hāʻawi. Ke kū nei i kekahi mau lāʻau no ka maʻi Parkinson e alakaʻi i kahi hopena koʻikoʻi. Hana pū me kāu mea hāʻawi e ʻike i kahi papa hana e kūpono iā ʻoe.

Ke piʻi a ʻino ka maʻi, ʻaʻole hiki i nā ʻōuli e like me ke kūlana stooped, ke neʻe o ka hau, a me nā pilikia ʻōlelo ke pane i nā lāʻau.

NA MEA HANA

ʻO ke ʻoki kino he koho na kekahi poʻe. ʻAʻole hiki i ke kīpoki ke hoola i ka maʻi ʻo Parkinson, akā kōkua paha ia e hōʻoluʻolu i nā ʻōuli. Nā ʻano o ke ʻoki pū:

• Hoʻonāukiuki i ka lolo hohonu - pili kēia i ke kau ʻana i nā stimulator uila ma nā wahi o ka lolo e kaohi ana i ka neʻe.
• ʻO ke ʻoki kino e hōʻino ai i ka ʻili o ka lolo e kū ai i nā ʻōuli Parkinson.
• Ke aʻo ʻia nei ka lāʻau trans cell a me nā kaʻina hana ʻē aʻe.

OLA OLA

Hiki i nā loli nohona ke kōkua iā ʻoe e kūpale me ka maʻi Parkinson:

• E noho olakino ma ka ʻai ʻana i nā meaʻai momona a ʻaʻole puhipaka.
• E hoʻololi i nā mea āu e ʻai ai a inu ai inā loaʻa iā ʻoe nā pilikia ale.
• E hoʻohana i ka haʻiʻōlelo e kōkua iā ʻoe e hoʻomaʻa i nā loli i kou ale ʻana a me kāu walaʻau.
• E noho i ka hana i ka wā hiki ke maikaʻi ʻoe. Mai hoʻonui i ka hana ke haʻahaʻa kāu ikehu.
• Hoʻomaha e like me ka mea e pono ai i ka lā a pale i ke koʻikoʻi.
• E hoʻohana i ka hoʻomaʻamaʻa kino a me ka hoʻomaʻamaʻa hana e kōkua iā ʻoe e noho kūʻokoʻa a hoʻemi i ka hopena o ka hāʻule.
• E kau i nā lima lima ma loko o kou hale e pale i ka hāʻule. E kau iā lākou i loko o nā lua a me nā alapiʻi.
• E hoʻohana i nā hāmeʻa kōkua, ke pono, e maʻalahi ai ka neʻe ʻana. Pili pū paha kēia mau hāmeʻa i nā pono hana ʻai kūikawā, nā noho huila, nā hāpai moe, nā noho ʻauʻau, a me nā mea hele wāwae.
• E kamaʻilio me kahi limahana kaiaulu a i ʻole nā ​​lawelawe aʻoaʻo ʻē aʻe e kōkua iā ʻoe a me kou ʻohana e kū i ka maʻi. Hiki i kēia mau lawelawe ke kōkua iā ʻoe e kōkua i waho, e like me Meals on Wheels.

Hiki i nā hui kākoʻo maʻi maʻi Parkinson ke kōkua iā ʻoe e kūpale i nā loli i hopena ʻia e ka maʻi. ʻO ke kaʻana ʻana me nā poʻe ʻē aʻe i loaʻa nā ʻike maʻamau hiki ke kōkua iā ʻoe e hōʻemi i ka noho kaʻawale.

Hiki i nā lāʻau lapaʻau ke kōkua i ka hapanui o ka poʻe me ka mai Parkinson. Pehea ka maikaʻi o nā lāʻau e hōʻoluʻolu ai i nā hōʻailona a me ka lōʻihi o lākou e hōʻoluʻolu ai i nā ʻōuli i hiki ke ʻokoʻa i kēlā me kēia kanaka.

Lilo ka maʻi a hiki i ke kīnā ʻole o ke kanaka, ʻoiai i kekahi poʻe, hiki i kēia ke hala i mau makahiki. Hiki i ka maʻi Parkinson ke alakaʻi i kahi emi o ka hana o ka lolo a me ka make mua. Lōʻihi paha nā lāʻau i ka hana a me ke kūʻokoʻa.

Hoʻokumu paha ka maʻi ʻo Parkinson i nā pilikia e like me:

• Ka paʻakikī e hana nei i nā hana o kēlā me kēia lā
• Pilikia i ka ale ʻana a i ʻole ka ʻai ʻana
• Ka maʻi kīnā (ʻokoʻa i kēlā me kēia kanaka)
• Nā ʻeha mai ka hāʻule
• ʻO ka niumonia mai ka hanu ʻana i ka lawā a mai ka ʻānai ʻana i ka meaʻai
• Nā hopena o nā lāʻau

Kāhea i kāu mea hāʻawi inā:

• Loaʻa iā ʻoe nā ʻōuli o ka maʻi Parkinson
• ʻOi aku ka maikaʻi o nā ʻōuli
• Kū nā hōʻailona hou

Inā ʻoe e lawe i nā lāʻau no ka maʻi ʻo Parkinson, e haʻi i kāu mea hoʻolako e pili ana i nā hopena ʻē aʻe, e pili pū paha me:

• Hoʻololi i ka makaʻala, hana, a me ke ʻano
• Hana hoʻopunipuni
• Puʻupuʻu
• Nā Haleluʻa
• Nā neʻe manawaleʻa
• Lilo i nā hana noʻonoʻo
• ʻO Nusea a me ka luaʻi
• Huikau nui a disorientation paha

Kāhea pū i kāu mea hāʻawi inā hele a maikaʻi ke ʻano a ʻaʻole hiki i ka mālama home ʻana ke hiki.

Nā mea hoʻoulu palu; Palsy haʻalulu

• Keʻai nei i nā calorie keu ke maʻi - nā mākua
• Pilikia i nā pilikia

• Substantia nigra a me ka maʻi ʻo Parkinson
• ʻŌnaehana ʻōnaehana waena a me ka ʻōnaehana ʻōnaehana peripheral

Armstrong MJ, Okun MS. Kuhi a me ka mālama ʻana i ka maʻi parkinson: he loiloi. JAMA. 2020 Feb 11; 323 (6): 548-560. PMID: 32044947 www.ncbi.nlm.nih.gov/pubmed/32044947/.

Fox SH, Katuschlager R, Lim SY, et al; ʻO ke Kōmike Kālā Hoʻolaha Hōʻikeʻike Hōʻikeʻike ʻImi. ʻO ka loiloi lāʻau lapaʻau e pili ana i ka hōʻike hōʻike lāʻau e pili ana i ka International Parkinson a me ka Movement Disorder Society: hōʻano hou i nā mālama ʻana no nā ʻōuli moto o ka maʻi ʻo Parkinson. ʻO Mov Disord. 2018; 33 (8): 1248-1266. PMID: 29570866 www.ncbi.nlm.nih.gov/pubmed/29570866/.

ʻO Jankovic J. Parkinson maʻi a me nā ʻano neʻe ʻē aʻe. I: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. ʻO Bradley's Neurology i ka hana lapaʻau. ʻEpekema 7 Piladelapia, PA: Elsevier; 2016: chap 96.

Okun MS, Lang AE. Pākaʻa. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 381.

Radder DLM, Sturkenboom IH, van Nimwegen M, et al. ʻO ka hoʻōla kino a me ka hoʻomaʻamaʻa hana i ka maʻi o Parkinson. Int J Neurosci. 2017; 127 (10): 930-943. PMID: 28007002 www.ncbi.nlm.nih.gov/pubmed/28007002/.