Pākaukona ʻelua

ʻO ka parkinsonism lua ke kumu ʻia nā ʻōuli e like me ka maʻi Parkinson e kekahi mau lāʻau, kahi maʻi ʻōnaehana ʻokoʻa, a i ʻole kekahi maʻi.

Pili ʻo Parkinsonism i kekahi ʻano e pili ana i nā ʻano o nā pilikia neʻe i ʻike ʻia ma ka maʻi ʻo Parkinson. Hoʻopili kēia mau pilikia me ka haʻalulu, ka neʻe lohi, a me ka ʻoʻoleʻa o nā lima a me nā wāwae.

Hoʻokumu ʻia ka parkinsonism lua e nā pilikia olakino, e like me:

• ʻEha lolo
• ʻO Diffuse Lewy maʻi maʻi (kahi ʻano dementia)
• ʻO Encephalitis
• HIV / AIDS
• Meningitis
• Hoʻopiʻi ʻōnaehana lehulehu
• ʻO ka palsy supranuclear holomua
• Hahau
• Maʻi ʻo Wilson

ʻO nā kumu ʻē aʻe o ka parkinsonism lua me:

• Hana ʻia ka lolo ma muli o nā lāʻau anesthesia (e like me ke ʻano o ke ʻoki ʻana)
• Lāʻau make kalapona
• Nā lāʻau i hoʻohana ʻia e mālama i nā maʻi noʻonoʻo a i ʻole kausea (metoclopramide a me prochlorperazine)
• ʻIngkia Mercury a me nā lāʻau make ʻino ʻē aʻe
• Nā overdoses o narcotics
• MPTP (kahi haumia i loko o kekahi mau lāʻau lāʻau)

Ua loaʻa nā hihia kakaikahi o ka parkinsonism lua ma waena o nā mea hoʻohana lāʻau IV i injected i kahi mea i kapa ʻia ʻo MPTP, hiki ke hana ʻia ke hana i kahi ʻano heroin.

ʻO nā ʻōuli maʻamau ka:

• Hoʻoemi i nā hiʻohiʻona o ka helehelena
• Hoʻomaka ka paʻakikī e kaohi nei i ka neʻe
• Loss a nāwaliwali paha o ka neʻe (paralysis)
• Leo mālie
• ʻOʻoleʻa o ke kumu, nā lima, a me nā wāwae
• Haʻalulu

Hiki paha i ka huikau a me ka nalo ʻana o ka hoʻomanaʻo i ka parkinsonism lua. ʻO kēia no ka nui o nā maʻi e kumu i ka parkinsonism lua i alakaʻi ʻia i ka dementia.

E hana ka mea mālama ola i kahi hoʻokolohua kino a nīnau i nā nīnau e pili ana i ka mōʻaukala olakino a me nā ʻōuli o ke kanaka. E makaʻala e paʻakikī paha nā ʻōuli i ka loiloi, keu hoʻi i nā mākua makua.

Hōʻike paha ka hoʻokolokolo ʻana:

• Hoʻomaka ka paʻakikī ʻana a hoʻōki paha i nā neʻe manawaleʻa
• Nā mākala paʻa
• Nā pilikia me ke kū
• Hele mālie, hoʻoluliluli
• Nā haʻalulu (haʻalulu)

He maʻa mau nā reflexes.

Kauoha ʻia paha nā hoʻokolohua e hōʻoia a hōʻalo paha i nā pilikia ʻē aʻe i hiki ke kumu i nā ʻōuli like.

Inā kumu ʻia ke ʻano e kahi lāʻau, e ʻōlelo paha ka mea hāʻawi e hoʻololi a kū paha i ka lāʻau.

ʻO ka mālama ʻana i nā kūlana ma lalo, e like me ka hahau ʻana a i ʻole nā ​​maʻi, hiki ke hōʻemi i nā ʻōuli a pale paha i ke ʻano mai ka ʻino loa.

Inā paʻakikī ka hōʻailona e hana i nā hana o kēlā me kēia lā, hiki i ka mea hāʻawi ke paipai i ka lāʻau. ʻO nā lāʻau i hoʻohana ʻia e mālama i kēia ʻano hiki ke hōʻeha i nā hopena ʻino. He mea nui ia e ʻike i ka mea hāʻawi no ka nānā ʻana. ʻOi aku ka maʻalahi o ka parkinsonism kiʻekiʻe i ka lāʻau lapaʻau ma mua o ka maʻi ʻo Parkinson.

ʻAʻole like me ka maʻi Parkinson, hiki i kekahi ʻano o ka parkinsonism lua ke hoʻopaʻa a hoʻomaikaʻi paha inā mālama ʻia ke kumu kumu. ʻO kekahi pilikia o ka lolo, e like me ka maʻi maʻi Lewy, ʻaʻole hiki ke hoʻohuli ʻia.

Hiki i kēia ʻano ke alakaʻi i kēia mau pilikia:

• Hana paʻakikī i nā hana o kēlā me kēia lā
• Pilikia i ka ale ʻana (ʻai ʻana)
• Ka hemahema (nā kekelē ʻokoʻa)
• Nā ʻeha mai ka hāʻule
• Nā hopena o nā lāʻau i hoʻohana ʻia e mālama i ke ʻano

Nā hopena ʻaoʻao mai ka nalo ʻana o ka ikaika (debilitation):

• Ka hanu ʻana i ka meaʻai, wai, a i ʻole mucus i loko o nā akemāmā (aspiration)
• Koko koko i loko o kahi aa hohonu (deep vein thrombosis)
• Kaʻai pono ʻole

Kāhea i ka mea hāʻawi inā:

• Hoʻoulu ʻia nā ʻōuli o ka parkinsonism lua, hoʻi a i ʻole ʻino.
• Hōʻike ʻia nā ʻōuli hou, me ka huikau a me nā neʻe hiki ʻole ke kāohi ʻia.
• ʻAʻole hiki iā ʻoe ke mālama i ke kanaka ma ka home ma hope o ka hoʻomaka ʻana o ka mālama ʻana.

ʻO ka mālama ʻana i nā ʻano kumu e kumu ai i ka parkinsonism lua e hōʻemi paha i ka makaʻi.

ʻO ka poʻe e lawe ana i nā lāʻau i hiki ke kumu i ka parkinsonism lua e kiaʻi pono ʻia e ka mea hāʻawi e pale i ke ʻano mai ka hoʻomohala ʻana.

Parkinsonism - kekona; Maʻi maʻi maʻi Parkinson

• ʻŌnaehana ʻōnaehana waena a me ka ʻōnaehana ʻōnaehana peripheral

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.

ʻO Tate J. Parkinson maʻi. I: Kellerman RD, Rakel DP, eds. ʻO Conn's Current Therapy 2020. Piladelapia, PA: Elsevier 2020: 721-725.