Sekondari parkinsonism

Sekondari parkinsonism ndipo apo zviratidzo zvakafanana nechirwere chePasinson zvinokonzerwa nemimwe mishonga, yakasarudzika system yetsinga kusagadzikana, kana chimwe chirwere.

Parkinsonism inoreva chero mamiriro ezvinhu anosanganisira mhando dzematambudziko ekufambisa anoonekwa muParkinson chirwere. Aya matambudziko anosanganisira kudedera, kufamba zvishoma, uye kuomarara kwemaoko nemakumbo.

Sekondari parkinsonism inogona kukonzerwa nematambudziko ehutano, kusanganisira:

• Kukuvara kwehuropi
• Kuparadzanisa chirwere cheLeby chemuviri (rudzi rwekuora mwoyo)
• Encephalitis
• HIV / AIDS
• Meningitis
• Akawanda system atrophy
• Kufambira mberi supranuclear palsy
• Kurohwa
• Chirwere cheWilson

Zvimwe zvikonzero zvechipiri parkinsonism zvinosanganisira:

• Kukanganiswa kwehuropi kunokonzerwa neanesthesia zvinodhaka (senge panguva yekuvhiyiwa)
• Carbon monoxide chepfu
• Mimwe mishonga inoshandiswa kurapa kusagadzikana kwepfungwa kana kusvotwa (metoclopramide uye prochlorperazine)
• Mercury chepfu uye mamwe makemikari chepfu
• Kuwedzeredza kwea narcotic
• MPTP (inosvibisa mune mimwe mishonga yemumugwagwa)

Pakave nezviitiko zvisingawanzoitika zvechipiri parkinsonism pakati pevashandisi veVI zvinodhaka vakabaya chinhu chinonzi MPTP, icho chinogona kugadzirwa paunenge uchigadzira fomu yeheroin.

Zviratidzo zvakajairika zvinosanganisira:

• Kuderera muchitarisiko chechiso
• Zvakaoma kutanga uye kudzora kufamba
• Kurasikirwa kana kushaya simba kwekufamba (kuora mitezo)
• Izwi rakapfava
• Kuomarara kwetangi, maoko, kana makumbo
• Kudedera

Kuvhiringidzika uye kurasikirwa ndangariro kunogona kunge kuri muchipiri parkinsonism. Izvi zvinodaro nekuti hosha dzakawanda dzinokonzeresa parkinsonism yechipiri zvakare dzinotungamira mukushushikana.

Anopa hutano anoita bvunzo dzepanyama uye obvunza mibvunzo nezve nhoroondo yemunhu yekurapa nezviratidzo. Ziva kuti zviratidzo zvinogona kunge zvakaoma kuongorora, kunyanya kune vakuru vakuru.

Kuongorora kunogona kuratidza:

• Zvakaoma kutanga kana kumira mafambiro ekuzvidira
• Minyama yakaoma
• Matambudziko nekumira
• Kunonoka, kufamba-famba
• Kudengenyeka (kudedera)

Reflexes dzinowanzoitika.

Bvunzo dzinogona kurairwa kuti dzisimbise kana kutonga kunze mamwe matambudziko anogona kukonzera zviratidzo zvakafanana.

Kana mamiriro akakonzerwa nemushonga, mupi anogona kukurudzira kushandura kana kumisa mushonga.

Kurapa mamiriro ezvinhu, senge sitiroko kana hutachiona, kunogona kudzikisa zviratidzo kana kudzivirira mamiriro kubva pakuwedzera.

Kana zviratidzo zvikaita kuti zviome kuita zviitiko zvezuva nezuva, mupi anogona kukurudzira mushonga. Mishonga inoshandiswa kurapa iyi mamiriro inogona kukonzera zvakakomba mhedzisiro. Izvo zvakakosha kuti uone mupi wekutarisa-kumusoro. Sekondari parkinsonism inowanzo kuve isinganyanye kuteerera kurapa kurapa kupfuura Parkinson chirwere.

Kusiyana nechirwere chePasinson, dzimwe mhando dzechipiri parkinsonism dzinogona kudzikamisa kana kutovandudza kana chikonzero chiri kurapwa chikarapwa. Mamwe matambudziko ehuropi, senge Lewy chirwere chemuviri, haadzoreke.

Aya mamiriro anogona kutungamira kumatambudziko aya:

• Zvakaoma kuita zviitiko zvezuva nezuva
• Dambudziko kumedza (kudya)
• Kuremara (akasiyana madhigirii)
• Kukuvara kubva pakuwa
• Zvimwe zvinokanganisa mishonga inoshandiswa kurapa mamiriro acho

Zvikanganiso kubva pakurasikirwa kwesimba (kupera simba):

• Kufema chikafu, fluid, kana mamasi mumapapu (kuda)
• Ropa rakavhara mune yakadzika mutsinga (yakadzika vein thrombosis)
• Kushaya zvokudya zvinovaka muviri

Fonera mupiki kana:

• Zviratidzo zvechipiri parkinsonism zvinokura, zvinodzoka, kana kuwedzera kuipa.
• Zviratidzo zvitsva zvinoonekwa, kusanganisira kuvhiringidzika uye kufamba kusingagoni kudzorwa.
• Iwe haugone kutarisira munhu ari pamba mushure mekutanga kurapwa.

Kurapa mamiriro anokonzera sekondari parkinsonism kunogona kudzikisa njodzi.

Vanhu vari kutora mishonga inogona kukonzera yechipiri parkinsonism inofanirwa kuongororwa zvakaringana nemupi anopa kudzivirira mamiriro kubva mukukura.

Parkinsonism - yechipiri; Atypical Parkinson chirwere

• Central nervous system uye yekumusoro tsinga system

Fox SH, Katzenschlager R, Lim SY, et al; Movement Disorder Society Evidence-Yakavakirwa Mushonga Komiti. International Parkinson neMovement Disorder Society humbowo-hwakavakirwa pakurapa mishonga: kugadzirisa marapirwo ezviratidzo zvemota zvehosha yaPasinson. Mov Kusagadzikana. 2018; 33 (8): 1248-1266. PMID: 29570866 www.ncbi.nlm.nih.gov/pubmed/29570866/.

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Okun MS, Lang AE. Parkinsonism. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 381.

Tate J. Parkinson chirwere. Mune: Kellerman RD, Rakel DP, eds. Conn Yazvino Therapy 2020. Philadelphia, PA: Elsevier 2020: 721-725.