Mea Kākau: Lewis Jackson
Lā O Ka Hana: 12 Mei 2021
HōʻAno Hou I Ka Lā: 17 Nowemapa 2024
Anonim
Primitive Stone Saw for Cutting Branches (episode 24)
Wikiō: Primitive Stone Saw for Cutting Branches (episode 24)

Anter

ʻO nā hallucination a me nā kuhihewa nā pilikia kūpono o ka maʻi o Parkinson (PD). Ua lawa paha lākou e hiki ke hoʻokaʻawale ʻia e like me PD psychosis.

Hallucination nā kuanaʻike ʻaʻole ma laila maoli. ʻO nā kuhihewa nā manaʻoʻiʻo ʻole i hoʻokumu ʻia i ka ʻoiaʻiʻo. ʻO kahi laʻana he paranoia e mau ana ke hōʻike ʻia kahi kanaka me nā hōʻike kūʻē.

Hiki ke hoʻoweliweli a hoʻonāwaliwali hoʻi nā hallucination i ka manawa o PD.

Nui a hewahewa nā kumu i hiki ke kōkua i nā hallucination i ka poʻe me PD. Akā ʻo ka hapanui o nā hihia e like me nā hopena o nā lāʻau PD.

ʻO ka pilina ma waena o ka maʻi o Parkinson a me nā ʻōlelo ʻano nui

ʻO nā hallucination a me nā kuhihewa i ka poʻe me PD kahi hapa o PD psychosis.

Kūleʻa maʻamau ʻo Psychosis i ka poʻe me PD, ʻo ia hoʻi ka poʻe ma hope o ka maʻi. Kuhi nā kānaka noiʻi hiki i nā poʻe me PD.

Hōʻike i nā hōʻailona o ka psychosis e pili ana i ka hana kiʻekiʻe o kahi kemika lolo i kapa ʻia ʻo dopamine. Hana pinepine kēia ma muli o nā lāʻau i hoʻohana ʻia e mālama iā PD.


Eia nō naʻe, ke kumu e ʻike ai kekahi poʻe me PD i ka psychosis ʻoiai ʻaʻole maopopo iki kekahi.

Nā ʻano o nā kāhiko

ʻO ka hapa nui o nā hallucination me PD he wā pōkole ia a ʻaʻole hōʻeha pinepine. Hiki iā lākou ke lilo i makaʻu a i ʻole hoʻopilikia paha, akā, keu hoʻi inā pinepine lākou.

Hiki i nā hoʻohanohano:

  • ʻike ʻia (ʻike maka)
  • lohe (auditory)
  • honi (olfactory)
  • hahaʻi (tactile)
  • ʻono (gustatory)

Nā Delusions mai ka maʻi ʻo Parkinson

Hoʻopili ka Delusions ma kahi o 8 pākēneka wale nō o ka poʻe e noho nei me PD. Hiki i nā Delusions ke ʻoi aku ka paʻakikī ma mua o nā hallucination. ʻOi aku paha ka paʻakikī o ka mālama ʻana.

Hoʻomaka pinepine nā kuhihewa ma ke ʻano huikau e hoʻomohala i nā manaʻo maopopo ʻaʻole hoʻokumu ʻia i ka ʻoiaʻiʻo. ʻO nā laʻana o nā ʻano kuhihewa o ka poʻe me ka ʻike PD me:

  • Lili a waiwai ʻona paha. Manaʻo ke kanaka he kolohe a kolohe ʻole paha kekahi i ko lākou ola.
  • Ka hoʻomaʻau. Manaʻoʻiʻo lākou aia kekahi e kiʻi iā lākou e hōʻino iā lākou ma kekahi ʻano.
  • Somatic. Manaʻoʻiʻo lākou he ʻeha a i ʻole nā ​​pilikia olakino ʻē aʻe.
  • Hewa. Loaʻa ka manaʻo o ka mea me PD i ka lawehala i hoʻokumu ʻole ʻia i nā ʻano maoli a i ʻole nā ​​hana.
  • Kuhi hewa hoʻohui. ʻIke lākou i nā ʻano kuhihewa he nui.

ʻO Paranoia, ka lili, a me ka hoʻomāinoino nā kuhi hewa nui i hōʻike pinepine ʻia. Hiki iā lākou ke hoʻokau i kahi palekana i ka poʻe mālama a i ke kanaka me PD iā lākou iho.


Manaʻo ola

ʻAʻole make ʻo PD, ʻoiai nā pilikia mai ka maʻi e hiki ke kōkua i kahi pōkole o ke ola i manaʻo ʻia.

ʻO Dementia a me nā ʻōuli psychosis ʻē aʻe e like me nā hallucination a me nā kuhi hewa e kōkua i ka hoʻonui ʻana i nā haukapila a.

Hoʻokahi noiʻi mai 2010 i ʻike ʻo ka poʻe me PD i ʻike i nā kuhi hewa, nā hallucination, a i ʻole nā ​​hōʻailona psychosis e pili ana i ka make ma mua o ka poʻe me ka ʻole o kēia mau ʻōuli.

Akā ʻo ka pale mua ʻana i ka hoʻomohala ʻana o nā hōʻailona psychosis hiki ke kōkua i ka hoʻonui ʻana i ke ola i ka poʻe me PD.

He aha nā lapaʻau e loaʻa ana no ka Parkosis's psychosis?

Hiki i kāu kauka ke hōʻemi a hoʻololi paha i ka lāʻau PD āu e lawe nei e ʻike inā e hoʻemi ana i nā hōʻailona psychosis. ʻO kēia e pili ana i ka loaʻa ʻana o kahi kaulike.

Pono paha ka poʻe me PD i nā koina kiʻekiʻe o ka lāʻau dopamine e kōkua i ka mālama ʻana i nā ʻōuli o ke kaʻa. Akā ʻaʻole pono e hoʻonui ʻia ka hana dopamine a nui nā hopena a me nā kuhihewa. E hana pū kāu kauka me ʻoe e ʻike i kēlā kaulike.


Nā lāʻau e kōkua ai e mālama i ka maʻi maʻi maʻi ʻo Parkinson

E noʻonoʻo paha kāu kauka i ke kau ʻana i kahi lāʻau antipsychotic inā ʻaʻole e kōkua ka hōʻemi ʻana i kāu lāʻau PD i ka mālama ʻana i kēia hopena ʻaoʻao.

Pono e hoʻohana ʻia nā lāʻau Antipsychotic me ke akahele loa i ka poʻe me PD. Hoʻokumu paha lākou i nā hopena koʻikoʻi a hiki ke hana i nā hallucination a me nā kuhi hewa i ʻoi aku ka hewa.

ʻO nā lāʻau antipsychotic maʻamau e like me olanzapine (Zyprexa) hiki ke hoʻomaikaʻi i nā hallucination, akā hopena pinepine lākou i ka hōʻino ʻana i nā ʻōuli PD.

ʻO Clozapine (Clozaril) a me quetiapine (Seroquel) kekahi mau lāʻau antipsychotic ʻē aʻe a nā kauka i kau pinepine ai i nā kaona haʻahaʻa e mālama ai i ka psychosis PD. Eia nō naʻe, aia nā hopohopo e pili ana i ko lākou palekana a me ka pono.

I ka 2016, ua ʻae ʻia ka lāʻau mua loa no ka hoʻohana ma PD psychosis: pimavanserin (NuPlazid).

I, pimavanserin hōʻike ʻia e hoʻemi i ke alapine a me ke koʻikoʻi o nā hallucination a me nā kuhi hewa me ka ʻole o ka hōʻeha ʻana i nā ʻōuli o ka motuka mua o PD.

ʻAʻole pono e hoʻohana ʻia ka lāʻau i ka poʻe me ka psychosis pili i ka dementia ma muli o ka hoʻonui ʻana i ka make.

Hiki ke hoʻomaikaʻi i nā hōʻailona psychosis i hoʻokumu ʻia e ka delirium ke mālama ʻia ke ʻano o ke kumu.

He aha ke kumu o nā hallucination a me nā kuhihewa?

Nui nā kumu i hiki i kekahi me PD ke ʻike i nā kuhihewa a i ʻole nā ​​hallucination.

Nā Lapaʻau

ʻO ka poʻe me PD pinepine lākou i ka lāʻau. Kōkua kēia mau lāʻau i ka mālama ʻana i ka PD a me nā kūlana ʻē aʻe e pili ana i ka ʻelemakule. Eia nō naʻe, hiki i kēia mau lāʻau lapaʻau ke loaʻa i nā hopena ʻaoʻao he nui.

ʻO ka lawe ʻana i nā lāʻau e hoʻopili i nā mea loaʻa i ka dopamine kahi mea nui weliweli. ʻO kēia no ka mea hoʻonui kekahi mau lāʻau PD i ka hana dopamine. Hiki i ka hana kiʻekiʻe o ka dopamine ke alakaʻi i nā hallucination a me nā ʻōuli o ka naʻau i ka poʻe me PD.

Nā lāʻau i hiki ke kōkua i nā hallucination a kuhihewa paha i ka poʻe me PD e komo pū ana:

  • amantadine (Symmetrel)
  • lāʻau lapaʻau kūpale
  • anticholinergics, e like me trihexyphenidyl (Artane) a me benztropine
    mesylate (Cogentin)
  • carbidopa / levodopa (Sinemet)
  • Nā mea kāohi COMT, e like me entacapone (Comtan) a me tolcapone (Tasmar)
  • nā agonists dopamine, me rotigotine (NeuPro), pramipexole
    (Mirapex), ropinirole (Requip), pergolide (Permax), a me bromocriptine
    (Parlodel)
  • Nā mea hoʻopuka MAO-B, e like me selegiline (Eldepryl, Carbex) a me rasagiline (Azilect)
  • narcotics i loaʻa ka codeine a morphine paha
  • Nā NSAID, e like me ka ibuprofen (Motrin IB, Advil)
  • nā mea hoʻonanea
  • steroid

Dementia

Hiki i nā loli kemikal a me ke kino i ka lolo ke kōkua i nā hallucination a me nā kuhi hewa. ʻIke pinepine kēia i nā hihia o ka dementia me nā kino Lewy. ʻO nā kino Lewy nā waihona kūpono ʻole o kahi protein i kapa ʻia alpha-synuclein.

Kūkulu kēia protein i nā wahi o ka lolo e kaohi ana:

  • hana
  • ʻikeʻike
  • neʻe

ʻO kahi ʻōuli o ke kūlana ka loaʻa ʻana o nā hallucination ʻike paʻakikī a kikoʻī hoʻi.

Delirium

ʻO kahi hoʻololi i ka manaʻo o ke kanaka a i ʻole ka ʻike e hoʻomaka ai i ka delirium. Nui a hewahewa nā hanana i hiki ke hoʻoulu i kahi hanana wā o ka delirium.

Hoʻomaopopo ka poʻe me PD i kēia mau loli. Hiki iā lākou ke hoʻopili:

  • kahi hoʻololi i kahi a i ʻole kahi wahi kamaʻāina ʻole
  • nā maʻi maʻi
  • uila kaulike ʻole
  • fiva
  • deficiencies wikamina
  • kahi hāʻule a poʻo poʻo paha
  • ʻeha
  • hoʻomake wai
  • hoʻolohe hoʻolohe

Kaumaha

ʻO ke kaumaha i waena o nā poʻe me PD ka mea maʻamau. Kuhi ka poʻe noiʻi ma kahi o 50 pākēneka o ka poʻe me PD e ʻike i ke kaumaha. Hiki i ke kuʻina o ke kuhi PD ke lawe i ka olakino noʻonoʻo a me ka noʻonoʻo o ke kanaka.

Hiki i nā poʻe me ke kaumaha nui ke loaʻa nā ʻōuli o psychosis, me nā hallucination. Kapa ʻia kēia he psychotic depression.

ʻO ka poʻe me PD i loaʻa i ke kaumaha e hoʻohana hewa paha i ka wai ʻona a i ʻole nā ​​mea ʻē aʻe. Hiki i kēia ke hoʻomaka i nā ʻāpana o ka psychosis.

Hiki ke hoʻohana ʻia nā Antidepressants e mālama i ke kaumaha i ka poʻe me PD. ʻO nā antidepressants i hoʻohana pinepine ʻia i PD he mau mea hōʻoki hou i nā serotonin reuptake (SSRIs), e like me fluoxetine (Prozac).

He aha e hana ai inā loaʻa kekahi i nā hallucination a kuhihewa paha

ʻAʻole kōkua iki ka hoʻopaʻapaʻa ʻana me kekahi mea e ʻike nei i nā hallucination a i ʻole nā ​​kuhi hewa. ʻO ka mea ʻoi loa i hiki iā ʻoe ke hoʻāʻo e noho mālie a hoʻomaopopo i ka manaʻo o ke kanaka.

ʻO ka pahuhopu e hōʻemi i ko lākou koʻikoʻi a mālama iā lākou mai ka makaʻu.

ʻO Psychosis kahi kūlana koʻikoʻi. Hiki iā ia ke alakaʻi i kahi kanaka e hōʻeha iā lākou iho a i kekahi poʻe ʻē aʻe paha. ʻO ka hapa nui o nā hallucination i ka poʻe me PD he ʻike maka. ʻAʻole maʻamau ka hoʻoweliweli o ke ola.

ʻO kekahi ala e kōkua ai, ʻo ke kākau ʻana i nā kahakaha o ke kanaka, e like me ka mea a lākou e hana nei ma mua o ka hoʻomaka ʻana o nā hallucination a i ʻole nā ​​kuhi hewa, a me nā ʻano kuanaʻike a lākou i koi ai. A laila hiki iā ʻoe ke kaʻana like i kēia ʻike me lākou a me kā lākou kauka.

ʻO ka poʻe me ka psychosis PD e noho hāmau e pili ana i nā ʻike e like me kēia, akā he mea nui e maopopo i kā lākou hui lapaʻau i ka laulā o kā lākou mau hōʻailona.

Lawe aku

He mea nui ia e ʻike i ka ʻike ʻana i nā hallucination a i ʻole nā ​​kuhihewa i hoʻokumu ʻia e PD ʻaʻole ia he manaʻo he maʻi psychiatric kekahi kanaka.

ʻO ka hapanui o ka manawa, he hopena ka PD psychosis o kekahi mau lāʻau PD.

E kamaʻilio i kāu kauka inā ʻo ʻoe a i ʻole kekahi mea āu e mālama nei e ʻike nei i nā moemoeā.

Inā hoʻomaikaʻi ʻole nā ​​ʻōuli psychosis me ka loli o ka lāʻau, hiki i kāu kauka ke kuhikuhi i kahi lāʻau antipsychotic.

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