Chirwere chinonzi Parkinson, uye upenyu anotarisirwa, mangwanani zviratidzo, chikuva

Parkinson nehosha - chirwere aizivikanwa vanhu kubva kare. In chiremba XIX remakore D. Parkinson akarondedzera maitiro zviratidzo uye vakasvika pakugumisa kuti ari kuzunungusa palsy. The chirwere inonzi mushure musayendisiti - chirwere chinonzi Parkinson. Chii? Sezvo mushonga ano anoona chirwere ichi uye nzira pakurapwa?

mamiriro

Parkinson nehosha - a chinopedza CNS zvinetso, kunyanya kukanganisa mashandiro ari zvetsandanyama nemapfupa hurongwa. Kunyanya kunoitika munguva yokukwegura (pashure pemakore 70-80), asi pane zviitiko chirwere pashure pemakore 40. Statistical Data zvinoratidza kuti ose 500 vanhu munyika vanotambura nechirwere ichi.

Vanhu vazhinji vanofunga Parkinson nehosha uye cheAlzheimer-kufanana. Muzviitiko zvose sei kusvika pamwero musimboti tsinga, asi kukura mashandiro akasiyana chaizvo. For cheAlzheimer dzinoratidzwa zvishande zvirwere uye kwakakanganiswa advantageously zvetsandanyama nemapfupa Parkinson.

anatomi ane chirwere

Anodudzira kuti scoring anopindura CNS. Kana murume chete kufunga zvaanoda kuita, ari cortex uropi atova anotumira mureza hurongwa zvose zvichawanikwa munyaya chiito. Umwe mativi vaigamuchira chiratidzo - the basal ganglia. Izvi chena chakasimba chinhu muchimiro Neural nodes voita kunzwisisa uye zvakaoma kufamba. The chatingatevedzera pulses pachishandiswa navo zvinoenderana sei yakarurama, yepamusoro uye nokukurumidza kuita zvichava.

It anoita pfungwa yacho neurotransmitter dopamine. chirwere chinonzi Parkinson kunokanganisa zvimwe zvikamu basal ganglia zvinoguma kwakakanganiswa conduction tsinga nomunhu. Uyezve, varwere akacherekedza kuderera kwevari dopamine, riri basa zvachose chinovhiringidza pamusoro chepfungwa excitatory anonongedzera. Somugumisiro, chikamu kwavari vakatumira zvakananga tsandanyama uye zvinosimudzira marwadzo avo. Chii zvinokonzera hypertonicity uye kakawanda kuzungura explainable kuramba voltage kuti tsandanyama tishu.

zvinokonzera

nguva yakawanda yakapfuura kubva ipapo, ave yakatarwa zviratidzo akatanga kuonekwa sechinhu yoga chirwere. CNS zvinetso mashandiro anoita munzira dzakawanda chinenge chete hunonzi, zvikurukuru Parkinson chirwere. Chii - masayendisiti vanoziva, uye kuti chii chinowedzera zvayo inotungamirwa harizivikanwi. Zvinotarisirwa kukura maperembudzi kufurirwa:

• kuchembera - chaiwo kuderera kwenhamba masero etsinga uye zvibereko dopamine;
• nhaka chinhu - kwete nesayenzi akasimbisa kuvapo Gene kuti Parkinson, chirwere asi 10% nyaya mumhuri muti ine hama ine yakafanana zvokurwara;
• refu kudhaka (kuona simbi inorema, muchetura, mishonga yezvipembenene);
• kushandiswa neuroleptics (kuderera kuti dopamine kugadzirwa uye kungakonzera chirwere);
• kukuvara rouropi;
• Kunetseka, murombo hope uye zvokudya, kushaya mavhitaminzi;
• zvimwe zvirwere.

The zvinokonzera hosha yeParkinson uye kurapwa iri zvakananga novimba mumwe. Chiremba kuchaita zvinobva pakuti akaparirwa kukura conduction abnormalities tsinga nomunhu. Quality pakurapa zvinokonzera vachapa mhinduro dzakanaka zvinonyatsorehwa pakurapa chirwere.

zviratidzo

Kuziva zviratidzo chirwere wokutanga kunogona kubatsira pakutanga zvokuongorora uye kurapwa, iyo inowedzera mikana mushonga uye upenyu anotarisirwa. Tafura pazasi huru zviratidzo uye mhando panowanikwa dzavo:

Varwere hosha yeParkinson kuomarara muna kufamba ake. The maitiro muenzaniso womunhu kwemarudzi: maoko hwakakungwa panguva emaoko uye aimanikidzwa mumuviri, muviri zvishoma wakakokonyara uye uremu haachatauri mberi, musoro wake zvishoma rwakatambanudzwa. Zvinooneka nenguva dzirikure kokusimudzwa yayo, chiso akadzikama, asingadi kuratidza chero manzwiro.

Hosha yeParkinson uye upenyu hunotarisirwa

Imwe mibvunzo kunakidza wevarwere nehama dzavo, "? Makore akawanda sei pashure chirwere chirwere anogona kurarama" Mhinduro nenyanzvi ndechokuti: "Kana hosha yepamusoro zvikuru mukutanga zera upenyu hunotarisirwa kupfuura penga nokuda kokuchembera." zvidzidzo Recent vanoti neavhareji mufananidzo makore 7.4. Uyu nguva, riri kumusha avhareji munhu ane chirwere che "chirwere chinonzi Parkinson".

Uye upenyu anotarisirwa chaizopiwa norusaruro kuongororwa chete pahwaro zera Pazvinotanga. The rapidity kuti kunoita anoenderana zvinhu zvakawanda, izvo pamazuva iwayo, sezvinei, unogona kukanganiswa:

• kunaka kurapwa uye kutarisirwa;
• nyika dzokugara;
• nenguva chirwere uye mharuro mushonga.

Studies kuitwa UK, vanoti kuti maronda ari nechepakati tsinga, zvichiguma makore anenge 40 apfuura, avhareji upenyu anotarisirwa ndiwo makore 39. Zvakaratidza kuti, pasinei kana kwete chirwere zvikamuka, munhu ane mukana wakanaka kurarama kune akwegura. Chokwadi, ichi ndicho chete noitika zvakapa kuti mararamiro utano uye yokurapwa zvainanga tava kuderera kuchiita chirwere.

Makuriro Danho

The chirwere harimuki pasina, zvishoma nezvishoma mberi. Danho rimwe nerimwe dzinoratidzwa chaicho zviratidzo. Zvichienderana muchimiro Parkinson, chirwere kurapa nzira akatsunga. 6 musiyano zvokukura chirwere:

1. The kwokutanga (razero) - kwete zviratidzo, asi unogona kare kuonekwa vakava kakawanda kutsauswa uye kukanganwa.
2. Wokutanga - imwe kuzviitirwa kukundwa, zviratidzo simba. Panguva iyi, vanhu vashoma chaizvo kuenda kwachiremba.
3. Wechipiri - chirwere chinobata zvose maoko nemakumbo, havachanyatsogoni pakuenzanisa muviri, murwere zvakaoma kuchengeta kunyatsofunga.
4. Third - zvakaoma kufamba pasina rutsigiro, tremor inowedzera.
5. Wechina - kushaya zvakakwana nokukwanisa kuita sangano ravo uye kufamba, asi wakasara kukwanisa kumira pasina rubatsiro. Sick vanoda kunyatsotarisirwa uye rubatsiro.
6. Wechishanu - murume akavata panhovo, panoita zvakakwana kurasikirwa kudzora zvetsandanyama nemapfupa ino.

Mumwe nomumwe nzendo kukura hosha kunoda munhu kusvika. Kana muine kutanga zviratidzo hwobva kutaura chiremba. Early kunokwanisa kubatsira kukurira chirwere chinonzi Parkinson, uye upenyu anotarisirwa achawanda kakawanda.

Diagnostics

Kuona chiremba chero pavaipfuura maperembudzi itungamirirwe chiremba kuongororwa, izvo zvinobatsira kuona chaiyo zvawanikwa. Chiremba rinoshandisa zvinotevera algorithm:

• rokuongorora uye kuziva zviratidzo kusimbisa kuvapo parkinsonism;
• kutsunga yezvakaita chirwere: parkinsonism yechipiri kunokonzerwa nezvirwere mwoyo uye pfungwa maronda, kana akazvimirira;
• kusimbisa nechirwere pachishandiswa mashoko unganidzwa wezvokurapa nhoroondo uye rabhoritari nezvimwe chirwere dzokuvhiya.

Zvinowanzoshandiswa Diagnostics ano: CT, MRI, PET kana ushandiswe kuongorora kuti chepfungwa midziyo (reg, eeg).

Sezvo chaizvo zviratidzo kuonekwa zvinoratidza achisimbisa tsandanyama matauriro, refu kwechirwere chacho uye kwayo kunoita. Somuenzaniso, pusa flexion kunofanira pakarepo kutandara pamusoro tsandanyama, uye murwere, nekusiyana, pane akavezwa yavo.

Medical nzira kurapa chirwere chinonzi Parkinson

The chirwere hapasi kureva kurapwa pakarepo. Doctors kuongorora zvose zvinobvira njodzi uye matambudziko, nguva yose chirwere uye kumhanya kwayo kunoita. How kurapa chirwere chinonzi Parkinson? Kuchirapa kushanda hwakavakirwa negashiro mishonga, izvo nechinangwa rakavhara dopamine kugadzirwa uye zvayo zvinoparadza zvinhu. For zvinangwa izvi zvinoreva:

• zviri dopamine, ayo Precursors kana agonists ( "levodopa", "Lisuride", "Ropinirole" "Bromocriptine");
• ichivharira makemikari izvo zvinokonzera kuparadzwa dopamine (Mao uye COMT FIs);
• pakugonesa kusunungurwa neurotransmitter reserves ( "Bemantan", "Amantadine");
• ichivharira kunyanya excitation kuti Tutsinga tunofambisa mashoko utwu ( "Biperiden", Trihexyphenidyl, "" protsiklidina "" Memantadin ");
• neuroleptics, antihistamines, uye antidepressants uye tsandanyama relaxants.

Mukutanga zvokukura mafungiro pamusoro pokurapa mishonga Parkinson, chirwere kazhinji zvikuru nomumwe hunhu. Somuenzaniso, "L-dopa" runoonekwa zvatowedzera zvinodhaka uye vanosarudza ndinononoka ayo kushandiswa. Other mapoka zvinodhaka (agonists, Mao FIs uye COMT) manyoro uye usarega chirwere kubudirira. Zviri ngaavongwe nezvinodhaka kwakadaro kunobvira kunonoka negashiro "Levodopa".

Kunorapwa okupedzisira mumatanho

Zvisinei yezvakaita hosha, ayo kukura kunouya nguva apo infringements vari kusingarapiki, uye zvikuru dzikawedzera pauwandu. Mazhinji kushandiswa "Levodopa" chinodhaka (makore anenge 5 kana kupfuura) zvinotungamirira paumbwe kuramba zvachinokonzera. Pane chikonzero chokuwedzera chipimo chemushonga zviyero, izvo zvinosanganisira zvimwe zvinetso.

Patient Mabatirwo magumo-pechikuva kwakaderedza kuderedza kusagadzikana pfungwa, unhu zvoutano uye mudzimba. The chipimo chemushonga mishonga yaidzorwa daily zvichienderana Muviri maitiro kunyatsoshanda.

Nzira kuvhiya kurapwa

Kuvhiya haawanzopiwi kushandiswa uye chete idzodzo zviitiko apo kuchinja kurapwa kuri simba. The oparesheni rinoitwa pasi uropi: yacho thalamus uye cortex. Kuvakwa Nzira akawanda kurapa kwakadaro:

• Electrical propulsion uropi - mune murwere uropi mamiriro akasuma electrodes izvo zvakabatana kuti neurostimulator, imwe implantable pasi zamu. The nzira DZEMUNHU DZINODZORA chirwere chinonzi Parkinson. Positive inofambiswa pamusoro oparesheni: mukuru ezvinhu inovandudzika, matauriro uye kuderedzwa kuomarara, chirwere mberi zvishoma nezvishoma.
• Thalamotomy - nzira nengozi, asi dzimwe nguva kunobatsira uye anodzosa gwenya basa zvetsandanyama nemapfupa hurongwa. Ko kuparadzwa zvimwe zvivako zviri thalamus.
• Transplantation kuti dopaminergic rinenge - experimental kusvika, kwakavakirwa transplantation kuti anyatsoronga zvokunyama. Zvinokurudzira normalization kuti dopamine kugadzirwa uye kuzoita motokari chaitika.

Surgery - imwe nzira zvakanyanyisa kwokubata chirwere chinonzi Parkinson. Nyika zvedzidzo munharaunda ave achishanda ari kukura uye kuvandudzika pamusoro yaivapo nzira invasive uye kuchinja rokuchinja uropi.

Recommendations Alternative Medicine

Kuti tirambe muviri vanofanira kuongorora nzira youpenyu, kushandura zvimwe tsika. Murwere anofanira kurega kupindwa muropa, vumambo, nguva yakawanda kuti kufaranuka uye kuti vasatya buda. Dzokurapwa maekisesaizi, kutsva mhepo uye nyanzvi masaja uyewo haina kuvhiringidza bumbunuka.

Hazvirambidzwi kuedza uye National vabatwe nechirwere chinonzi Parkinson, yakavakirwa kushandisa makwenzi. Hatifaniri kukanganwa kudiwa mushonga: mishonga kuridza nokutsigira basa, asi kwete huru imwe. Nokuti kurapa kushandiswa madota, namo, oats, somuzivi, St. Johani mhanga. Vane anticonvulsant uye tsandanyama relaxant nemigumisiro.

chirwere chinonzi Parkinson, uye upenyu anotarisirwa iri zvakananga novimba kwokuomerwa pfungwa maronda, kumhanya kuchiita magetsi ezvinhu omurwere. Early chirwere uye kurapwa, sezvo mutemo, kupa mumwe makore 20-30 oupenyu.