He aha ʻo Akinesia?
Anter
- Fetal akinesia
- Akinesia a me dyskinesia: He aha ka ʻokoʻa?
- Nā ʻōuli
- Lapaʻau
- Nā Lapaʻau
- Nā mea hoʻouluulu hiki ʻole ke kanu ʻia
- Over-the-counter
- Nā hoʻoponopono ʻē aʻe a me nā home
- Nā kumu a me nā kumu pilikia
- Outlook
Akinesia
ʻO Akinesia kahi manawa no ka nalowale o ka hiki ke neʻe i kou mau mākala me ka makemake. Hōʻike pinepine ʻia ma ke ʻano he hōʻailona o ka maʻi ʻo Parkinson (PD). Hiki ke hōʻike ʻia ma ke ʻano he ʻōuli o nā kūlana ʻē aʻe kekahi.
ʻO kekahi o nā hōʻailona maʻamau o ke akinesia ʻo ia ka "aniani." ʻO kēia ka hiki ʻole i kahi a ʻoi paha mau wahi o kou kino ke neʻe hou ma ke ʻano he hopena neurological, e like me PD. ʻO kēia mau kumu ke kumu e nāwaliwali a make nā neʻā nerve (neurons) i kou neʻe ʻana o kou lolo. A laila ʻaʻole hiki i nā neurons ke hoʻouna hou i nā hōʻailona i nā aʻa a me nā mākala. Hiki iā ʻoe ke lilo i kou hiki ke kaohi i kou mau mākala. Hiki i kēia ke komo i nā mākala i kou alo, nā lima, nā wāwae, a i ʻole nā mākala ʻē aʻe āu e hoʻohana ai i kēlā me kēia lā.
ʻO Akinesia a me nā ʻano kumu he nui e holomua. ʻO ka hapanui o nā kūlana he holomua a hiki ʻole ke hoʻōla, ʻaʻole naʻe nā lākou āpau. Hiki i ka hypothyroidism koʻikoʻi ke kumu i kahi Syndrome like me ka hoʻohuli ʻia. Hiki ke hoʻohuli ʻia paha ka parkinsonism i hoʻokomo ʻia i ka lāʻau lapaʻau.
Nā hana a me nā lāʻau e lohi i ka holomua o ka akinesia a me nā ʻano neurological e like me PD i loaʻa. Hiki iā lākou ke kōkua i ka palena i nā hopena i loaʻa i ka akinesia i kou ola i kēlā me kēia lā.
Fetal akinesia
Hiki i Akinesia ke hana i kahi fetus i loko o ka ʻōpū. Kapa ʻia kēia kūlana he fetines akinesia. I kēia mau hihia, ʻaʻole neʻe nā fetus e like me kā lākou i manaʻo ai. Hiki i kēia ʻano ke hana me nā ʻōuli ʻē aʻe. ʻAʻole hiki i kahi fetus 'lungs ke ulu pono a hānau ʻia paha ka pēpē me nā hiʻohiʻona helehelena maʻamau. ʻIke ʻia kēia mau ʻōuli ma ke ʻano he fetal akinesia deformation series (FADS). ʻO ka hopena ma muli o kā lākou gen.
Akinesia a me dyskinesia: He aha ka ʻokoʻa?
ʻOkoʻa ʻo Akinesia mai ka dyskinesia. Hiki i ka Dyskinesia ke hana me nā kūlana e wili ai kou mau mākala a neʻe ʻole paha. I ka akinesia, ʻaʻole hiki iā ʻoe ke kuhikuhi i kou mau mākala e neʻe (i kekahi manawa holoʻokoʻa). Akā ʻaʻole e nalo nā mākala i ko lākou hiki. ʻO ia ka ʻōnaehana extrapyramidal a i ʻole nā kikowaena neʻe hewa.
I ka dyskinesia, neʻe neʻe paha kou mau mākala me ka ʻole o ka hiki ke kū. E like me akinesia, hiki i ka dyskinesia ke hana i nā ʻano e like me PD.
Nā ʻōuli
ʻO ka hōʻailona o akinesia e ʻike ʻia ʻo ia ka "hau." Hiki iā kēia ke hoʻonāukiuki iā ʻoe i hoʻokahi a i ʻole nā pūʻulu ʻili. Hiki iā ia ke hana i kou helehelena e like me ka hau i loko o hoʻokahi helehelena. Hiki iā ia ke hoʻokele iā ʻoe e hele wāwae me kahi neʻe paʻa o ka neʻe i kapa ʻia ʻo "goit bezing."
Hana ʻia kēia ʻōuli ma muli o ke ʻano i kapa ʻia he supranuclear palsy holomua (PSP), kahi e hoʻopili ai i ka hele a me ke kaulike ma mua o ka PD. Nā ʻōuli ʻē aʻe i ʻike ʻia e hele pū me akinesia inā loaʻa iā PD me:
- ke hoʻoluliluli nei i nāʻiʻo (haʻalulu) i kou mau lima a me kou mau manamana lima, keu hoʻi ke hoʻomaha a neʻe paha ʻoe
- palupalu o ka leo a i ʻole ka lohi o ka ʻōlelo
- ʻaʻole hiki ke kū pololei a mālama i kahi kūlana
- neʻe lohi a lawe lōʻihi ʻana e hoʻopau i nā hana kino (bradykinesia)
Nā ʻōuli o PSP e ʻike ʻia me akinesia (ʻoi loa i ka maka) me:
- nalowale ʻana o ka hihiʻo a i ʻole ke pohihihi ʻike ʻana
- hiki ʻole ke hoʻoneʻe i nā maka me ka wikiwiki
- hiki ʻole ke nānā i luna a i lalo me ka maʻalahi
- hiki ʻole ke nānā maka no ka lōʻihi loa
- pilikia i ka ale ʻana
- ka loaʻa ʻana o nā ʻōuli o ke kaumaha, me ka loli o ka naʻau
Lapaʻau
Nā Lapaʻau
ʻO kekahi o nā hana maʻamau no ka akinesia ma ke ʻano he hopena o PD he hui ʻana o ka levodopa, kahi ʻaoʻao kikowaena pūnaewele hopohopo, a me carbidopa. Kōkua ʻo Carbidopa i ka mālama ʻana i nā hopena ʻaoʻao o ka levodopa, e like me ka nausea, mai ka ʻoi loa.
Hiki i ka Akinesia ma PD ke hopena ma muli o ka nele o ka dopamine. Hoʻopuka kou lolo i ka dopamine a hele i loko o kou kino e nā neurons. Kōkua ʻo Levodopa i ka mālama ʻana i ka akinesia a me nā ʻōuli PD ʻē aʻe no ka mea hoʻolilo kou lolo iā ia i dopamine. Hiki iā ia ke hāpai i kou kino e kōkua i ka hōʻoluʻolu i ka paʻakikī o ka akinesia a me nā lepe a me nā haʻalulu o nā ʻōuli PD ʻē aʻe.
Hiki i ka Levodopa a me ka carbidopa ke launa pū me nā lāʻau ʻē aʻe a loaʻa i nā hopena ʻē aʻe koʻikoʻi. E kamaʻilio me kāu kauka e pili ana i kēia ʻano lāʻau iā ʻoe ma mua o kou hoʻomaka ʻana e lawe i kēia mau lāʻau.
Kōkua pū nā mea hoʻohālua MAO-B i ka hoʻōki ʻana i ka dopamine mai ka hoʻohaʻahaʻa kūlohelohe ʻia ʻana e nā enzymes o kou kino. Hoʻonui pū kēia i ka nui o ka dopamine i loaʻa e hakakā me ka akinesia a lohi i ka holomua o PD.
ʻAʻole maikaʻi ka lāʻau i ka mālama ʻana i nā akinesia nā hopena mai PSP. Hiki i nā Antidepressants ke kōkua i ka hoʻopakele ʻana i nā akinesia a me nā hōʻailona depressive i hiki ke hopena mai PSP. Hiki i nā kuʻikuʻi o botulinum ke kōkua i ke kamaʻilio ʻana i nā ʻōuli e like me ka panina ʻana o ka eyelid eyelid (blepharospasm).
Nā mea hoʻouluulu hiki ʻole ke kanu ʻia
Inā pau koke nā lāʻau lapaʻau maʻamau a i ʻole loaʻa ka hopena i makemake ʻia ma ka akinesia, hiki i nā kauka ke kūkākūkā i ka hiki o ke hoʻoulu ʻana i nā electrode e hoʻoulu ai i nā kikowaena neʻe. Kōkua kēia lapaʻau me nā ʻōuli i nā hihia holomua. Kāhea ʻia kēia ka hoʻonāukiuki ʻana o ka lolo hohonu. ʻO kahi ʻenehana i hoʻohana nui ʻia i PD.
Aia nā mea maikaʻi a me nā palena. E kamaʻilio me kāu kauka e ʻike inā makemake lākou e ʻōlelo i kēia lapaʻau iā ʻoe.
Over-the-counter
Hiki i ke Akinesia ke hana i ka ʻeha a me ka ʻoʻoleʻa, a ʻo ka lawe ʻana i nā lāʻau no PD a i ʻole PSP hiki ke hōʻeha i ka ʻeha a me ka hōʻoluʻolu ʻole. ʻO ka lawe ʻana i nā mea hōʻoluʻolu ʻāpala, e like me nā lāʻau anti-inflammatory nonsteroidal (NSAIDs) e like me ka ibuprofen a me ka acetaminophen hiki ke kōkua i ka hōʻemi ʻana i kekahi mau ʻeha a PD, PSP, a i ʻole nā lāʻau e pili ana i hiki ke hana.
Nā hoʻoponopono ʻē aʻe a me nā home
ʻO ka loaʻa ʻana o ka hoʻoikaika kino pinepine hiki ke kōkua iā ʻoe e hōʻemi i ka ʻeha a me ka hōʻoluʻolu ʻole e hiki ke hana ʻia me akinesia a me nā ʻano hana kaʻa ʻē aʻe i hopena ʻia mai PD a PSP paha. E kamaʻilio me kāu kauka a i ʻole mea hoʻoponopono kino e pili ana i ka hoʻomohala ʻana i kahi hoʻolālā hoʻoikaika e ʻoluʻolu a palekana hoʻi iā ʻoe e kaukaʻi ʻia i kāu mau ʻōuli a me ka holomua o akinesia. Hōʻoiaʻiʻo ʻaʻole ʻoe e hoʻonui iā ʻoe iho a hāʻule i ka wā o ka hoʻoikaika he mea nui. Ke hana nei i ka yoga a i ʻole tai chi, kahi e kōkua ai i ka hoʻonui ʻana i kou mau mākala, hiki ke kōkua i ka lohi o ka holomua o ka akinesia. Ua hōʻike ʻia ka hoʻolālā e hoʻolohi i ka emi ʻana o ka hana ma PD.
Lawe i ka coenzyme Q10 no kekahi mau mahina hiki ke kōkua iā ʻoe inā ʻoe i ka wā mua o PD a i ʻole PSP. ʻO kaʻai ʻana i nā meaʻai me ka nui o ka fiber a me ka inu ʻana i ka wai he nui (ma ka liʻiliʻi he 64 auneke i kēlā me kēia lā) hiki ke kōkua i ka mālama ʻana i kāu mau hōʻailona ma kahi liʻiliʻi.
ʻO nā hana i kōkua i ka hoʻomaha ʻana i kou mau mākala, e like me ka lomilomi a me ka acupuncture, hiki ke hōʻoluʻolu i nā ʻōuli o PD a me PSP. ʻO ka noʻonoʻo ʻana a hana ʻana paha i nā hana e hoʻomaha ai iā ʻoe, e like me ka hoʻolohe ʻana i ke mele a i ʻole ke pena ʻana, hiki ke kōkua i ka hoʻolohi i nā hopena o ke akinesia a kōkua iā ʻoe e mālama i ka kaohi i kou mau mākala.
Nā kumu a me nā kumu pilikia
ʻO Akinesia nā hopena mai PD a me PSP ʻaʻohe kumu kumu maopopo no ka mea hiki ke hoʻokumu ʻia kēia mau ʻano e ka hui pū ʻana o kāu mau genes a me kou kaiapuni. Manaʻo ʻia nō hoʻi nā puʻupuʻu o nā kiko i loko o kou lolo i kapa ʻia ʻo Lewy kino e kōkua paha iā PD. ʻO kahi protein i loko o kēia mau kino Lewy, i kapa ʻia ʻo alpha-synuclein, e pāʻani pū paha i ka hana ʻana i PD.
Outlook
ʻO Akinesia a me nā ʻano kumu he nui i loaʻa ʻole i ka lāʻau. Akā nui nā lāʻau, nā hoʻoponopono, a me nā loli nohona hiki ke kōkua iā ʻoe e hana a hiki ke hana i nā hana o kēlā me kēia lā.
ʻO nā noiʻi hou e pili ana iā PD, PSP, a me nā kūlana pili ʻē aʻe e kū mai i kēlā me kēia makahiki, keu hoʻi ma nā kino Lewy a me nā hiʻohiʻona biological ʻē aʻe i kumu i kēia mau ʻano. Hiki i kēia noiʻi ke hoʻokokoke aku i nā kauka a me nā ʻepekema i ka hoʻomaopopo ʻana i ka hana a mālama ʻana i ka akinesia a me nā kumu.