Nā ʻōuli o Parkinson: Kāne vs. Wahine

Anter

• Nā hōʻailona hōʻike
• Nā noʻonoʻo noʻonoʻo a me ka neʻe ʻana o nā mākala
• Hōʻike a me ka wehewehe ʻana i ka manaʻo
• ʻOkoʻa ʻokoʻa o ka hiamoe
• Pale palekana Estrogen
• Nā pilikia mālama
• Hoʻopili me PD

ʻO ka maʻi ʻo Parkinson i nā kāne a me nā wahine

ʻOi aku ka nui o nā kāne ma mua o nā wahine i ʻike ʻia me ka maʻi ʻo Parkinson (PD) e kahi kokoke i 2 a 1 palena. Kākoʻo kekahi mau noiʻi i kēia helu, me kahi noiʻi nui i ka American Journal of Epidemiology.

ʻO ka maʻamau aia kekahi kumu physiological no ka ʻokoʻa o ka maʻi ma waena o nā kāne a me nā wahine. Pehea e pale aku ai ka wahine i ka PD? A ʻike ʻokoʻa nā wahine a me nā kāne i nā ʻōuli PD?

Nā hōʻailona hōʻike

Hoʻolālā pinepine nā wahine i ka PD ma mua o ka hana a nā kāne. Ke hoʻomohala lākou iā PD, ʻo ka makahiki o ka hoʻomaka ʻana he ʻelua mau makahiki ma hope o nā kāne.

Ke ʻike mua ʻia nā wahine, ʻo ka haʻalulu ka hōʻailona maʻamau. ʻO ka hōʻailona mua i nā kāne he lohi a neʻe ʻoʻoleʻa (bradykinesia).

Pili ka ʻano tremor-domant o PD me kahi holomua o ka maʻi a me ke kiʻekiʻe o ke ola.

Eia nō naʻe, hōʻike pinepine nā wahine i ka hōʻoluʻolu ʻole me ko lākou ola maikaʻi, ʻoiai me kahi pae o nā hōʻailona like.

Nā noʻonoʻo noʻonoʻo a me ka neʻe ʻana o nā mākala

Hiki i ka PD ke hoʻopili i nā manaʻo noʻonoʻo a me nā ʻike a me ka kaohi musele.

Aia kekahi mau hōʻike e pili ana nā kāne a me nā wahine i ka like ʻole. No ka laʻana, ʻike ʻia nā kāne e mālama i ka hiki ke hoʻomaopopo i ke ʻano o ka spatial. ʻO nā wahine, ma ka ʻaoʻao ʻē, e hoʻomau i ka mākaukau waha.

Hoʻohuli ʻia kēia ʻano mākau ʻaʻole wale e ka moekolohe, akā e ka ʻaoʻao "o nā ʻōuli PD. ʻO ka ʻaoʻao hema a ma ka ʻaoʻao ʻākau paha ka hōʻailona ʻōuli e hōʻike i ka ʻaoʻao o ka lolo i loaʻa ka hemahema nui o ka dopamine.

ʻO kahi laʻana, ʻoi aku paha kou paʻakikī me ka kaohi muscle ma ka ʻaoʻao hema o kou kino inā loaʻa iā ʻoe kahi hemahema dopamine ma ka ʻaoʻao ʻākau o kou lolo.

ʻO nā mākau ʻokoʻa, e like me ka hiki i ka spatial, ʻoi aku ka nui ma kekahi ʻaoʻao kikoʻī o ka lolo.

Hōʻike a me ka wehewehe ʻana i ka manaʻo

Hiki i ka paʻa ʻana o PD ke hoʻonāukiuki i nā mākala o ka maka. Ke alakaʻi nei kēia i kahi ʻano like me ka mask. A ʻo kahi hopena, paʻakikī ka poʻe maʻi me PD i ka hōʻike ʻana i ka naʻau me ko lākou alo. Hiki iā lākou ke hoʻomaka i ka paʻakikī e wehewehe i ka helehelena o nā maka o haʻi.

Hōʻike kahi noiʻi e hiki i nā kāne a me nā wahine me PD ke paʻakikī i ka wehewehe ʻana i ka huhū a me ke kahaha, a ua lilo paha nā kāne i ka hiki ke wehewehe i ka makaʻu.

Eia nō naʻe, huhū paha nā wahine i ko lākou hiki ʻole ke unuhi i ka manaʻo. Pōmaikaʻi paha nā mea maʻi PD āpau mai ka haʻiʻōlelo a me ke olakino hoʻoikaika kino e kōkua me kēia ʻōuli.

ʻOkoʻa ʻokoʻa o ka hiamoe

ʻO ka maʻi o ka neʻe ʻana o ka maka wikiwiki (RBD) kahi maʻi hiamoe e kū i ka wā o ka hiamoe hiamoe.

ʻO ka maʻamau, ʻaʻohe leo o ke kanaka e hiamoe ana a ʻaʻole neʻe i ka wā hiamoe. I RBD, hiki i kahi kanaka ke neʻe i nā lālā a me he mea lā e hana i kā lākou mau moemoeā.

ʻAʻole loaʻa iki ka RBD, akā pinepine pinepine i ka poʻe me nā maʻi neurodegenerative. Ma kahi o 15 pākēneka o ka poʻe me PD kekahi RBD, e like me ka Loiloi Kūloko o ka Psychiatry. Loaʻa paha i nā kāne kēia ʻano ma mua o nā wahine.

Pale palekana Estrogen

No ke aha he mau ʻokoʻa ma nā ʻōuli PD ma waena o nā kāne a me nā wahine? Me he mea lā pale ʻia ka estrogen i nā wahine mai ka holomua PD.

ʻO kahi noiʻi i paʻi ʻia i loko o ka mea i ʻike ʻia ʻo ka wahine i ʻike i ka menopause ma hope, a ʻoi aku paha nā keiki, ʻoi aku paha ka lohi o ka hoʻomaka ʻana o nā ʻōuli PD. ʻO kēia nā māka ʻelua o ka hōʻike ʻana o ka estrogen i kona wā e ola ana.

ʻO ka mea ʻaʻole i wehewehe piha ʻia ke kumu o ka hopena o ka estrogen. Ua hōʻike ʻia kahi noiʻi i ka American Journal of Psychiatry e hōʻike ana i ka loaʻa ʻana o ka wahine i ka dopamine ma nā wahi nui o ka lolo. Hiki i ka Estrogen ke lawelawe ma ke ʻano he neuroprotectant no ka hana dopamine.

Nā pilikia mālama

Hiki i nā wahine me PD ke kū i nā pilikia i ka wā o ka mālama ʻana i kā lākou hōʻailona PD ma mua o nā kāne.

Loaʻa i nā wahine ke ʻoki liʻiliʻi ma mua o ka hana a nā kāne, a ʻoi aku ka nui o ko lākou mau ʻōuli i ka manawa a lākou e ʻoki ai. Eia kekahi, ʻaʻole maikaʻi loa nā hoʻomaikaʻi i loaʻa mai ke kahakaha ʻana.

ʻO nā lāʻau e mālama ai i nā ʻōuli PD hiki ke hoʻololi i nā wahine i ka ʻokoʻa. Ma muli o ke kaumaha o ke kino o lalo, ʻike pinepine ʻia nā wahine i nā lāʻau kiʻekiʻe. He pilikia kēia me ka levodopa, kekahi o nā lāʻau maʻamau no PD.

Hiki i ke kū kiʻekiʻe ke alakaʻi i ka hoʻonui i ka hopena o nā hopena maikaʻi ʻole, e like me ka dyskinesia. He paʻakikī ʻo Dyskinesia i ka hana manawaleʻa ʻana.

Hoʻopili me PD

Loaʻa nā kāne a me nā wahine i nā pane ʻokoʻa i ka ʻike o ka noho ʻana me PD.

Hoʻomaopopo nā wahine me PD i kahi kiʻekiʻe o ke kaumaha ma mua o nā kāne me PD. No laila loaʻa pinepine lākou i ka lāʻau antidepressant.

Loaʻa paha i nā kāne nā pilikia o ka lawena a me ka huhū, e like me ka nui o ka makaʻu o ka ʻauana a kūpono ʻole a kolohe paha. Loaʻa paha i nā kāne nā lāʻau antipsychotic e mālama ai i kēia ʻano.