Chii chinonzi Cogwheeling?

Zvemukati

• Mhedziso
• Chii chinonzi cogwheeling chinotaridzika?
• Iwe unoedzwa sei kuti uite cogwheeling?
• Chii chinokonzera cogwheeling?
• Ko cogwheeling inobatwa sei?
• Ndeapi maonero?

Mhedziso

Cogwheel phenomenon, inozivikanwawo secogwheel kuomarara kana cogwheeling, imhando yekuomarara kunoonekwa kune vanhu vane chirwere chePasinson. Kazhinji chiratidzo chekutanga chaParkinson, uye chinogona kushandiswa kugadzirisa chirwere.

Chii chinonzi cogwheeling chinotaridzika?

Mune cogwheel kuomarara, mhasuru yako ichave yakaoma, senge mune mamwe marudzi ekuomarara. Asi iwe unogona zvakare kuve nekudengenyeka mumhasuru imwe chete kana pazorora.

Kuomarara kwecogwheel kunogona kukanganisa chero nhengo, asi kunowanzoitika mumaoko. Inogona kukanganisa rimwe kana maoko ese.

Nemhando ipi neipi yemhasuru kuomarara, mhasuru yako inogona kunzwa kunge "yakasimba." Iwe unogona kusakwanisa kutamisa mhasuru zvizere. Izvi zvinogona kurwadza uye kusagadzikana.

Rigidity yemhando ipi neipi ndeimwe yemhando nhatu dzemhando dzezviratidzo zvehosha yaPasinson. Iwo mamwe maviri kudedera uye kufamba kunononoka kunonzi bradykinesia. Naizvozvo, kuomarara kwecogwheel kunogona kubatsira vanachiremba kuongorora chirwere chePasinson.

Iwe unoedzwa sei kuti uite cogwheeling?

Kuti akuyedze iwe kuomarara kwecogwheel, chiremba wako anozoita kuti iwe uzorodze mhasuru dziri mitezo yako. Vanozochinja uye kuwedzera nhengo yako. Vari kutarisa kuti vaone kana:

• mhasuru yako yakaoma uye isingachinjiki pavanenge vachiedza kuifambisa
• nhengo yako inofamba ne diki, "jerky" mafambiro (ratcheting motions)

Ratcheting motions ndiyo chiratidzo checogwheel kuomarara. Kune iwe, izvi zvinogona kunzwa sekubaya kana kubata mumhasuru yako paunenge uchifambisa ruoko.

Chimwe chiratidzo checogwheel kuomarara ndechekuti kufamba kwakashata kunoitika kunyangwe kana chiremba achifambisa gumbo rako zvishoma nezvishoma. Izvi zvinozvisiyanisa nekuzvimbirwa, chimwe chingangove chiratidzo chechirwere chePasinson.

Chii chinokonzera cogwheeling?

Iyo basal ganglia inhengo dzehuropi dzinobatsira kudzora kufamba kwemuviri wako uye nekuzvichengeta zvakatsetseka. Kuti uite izvi, ma-neuron ari mubasal ganglia anoshandisa dopamine kubatana uye kutaurirana.

Vanhu vane chirwere cheParkinson vane dopamine shoma, mhando yemaurotransmitter (kemikari iri muuropi). Kana paine shoma dopamine, masero ari mubasal ganglia haakwanise kubatana kana kutaurirana zvakare. Izvi zvinoreva kuti havagone kuita kuti kufamba kwako kuve kwakatsetseka sezvavaizoita, izvo zvinokonzeresa kuomarara uye kumwe kufamba kwemuviri kunowanzoitika kuchirwere cheParkinson, sekudedera.

Cogwheel kuomarara inogona kuwanikwa mune mamwe maParkinsonia mamiriro. Izvi zvinosanganisira:

• inofambira mberi supranuclear palsy
• kuwanda system atrophy
• corticobasal kudzikira

Aya mamiriro ane zviratidzo zvakafanana asi zvakasiyana zvikonzero. Zvisinei, kuomarara kwecogwheel kunowanzoitika muchirwere chaPasinson.

Ko cogwheeling inobatwa sei?

Iwe unogona kubatsira kubata cogwheel kuomarara nekurapa mamiriro ari pasi.Mushonga wakajairika uye unoshanda wehosha yaPasinson ndeye levodopa (l-dopa). Inogona kubatsira zvese zviratidzo, kwete chete cogwheel kuomarara. Inowanzobatanidzwa ne carbidopa, iyo inobatsira kudzikisira mhedzisiro.

Dopamine agonists uye MAO-B inhibitors mimwe mishonga inobata chirwere chePasinson.

Kana pasina mumwe mushonga wakashanda, vamwe vanhu vane chirwere chePasinson chapamberi ndivo vanokwikwidza pakadzika kwehuropi. Mune maitiro aya, ma electrode akaiswa munzvimbo yebasal ganglia, uko kwavanotumira madiki emagetsi muuropi. Izvi zvinogona kubatsira kudzikamisa cogwheel kuomarara.

Kune zvakare zvinhu zvaunogona kuita kumba kubatsira kubata yako cogwheel kuomarara. Izvi zvinosanganisira:

• Kuramba bhora - sekudhonza basketball - kuti maoko ako arambe achifamba.
• Kudzidzira. Izvi zvinogona kubatsira kusimbisa mhasuru dzako uye kubvisa marwadzo. Kurovedza muviri kweaerobic kwaunoita mafambiro makuru (senge mamwe marudzi ekutamba) zvakanakira kudzikamisa kuomarara. Ingova nechokwadi chekuti usazvisundira iwe kupfuura zvausingakwanise panyama.
• Kutambanudza, kuchengetedza mhasuru dzako kushanduka.
• Kudzidzira tai chi kana yoga.
• Kuderedza kushungurudzika. Kunyange kushushikana kusingakonzere chirwere chePasinson, zvinogona kuita kuti zviratidzo zvako zviwedzere

Paunoita chero mhando yekurovedza muviri, ita shuwa kuti unotonhorera zvakanaka. Izvi zvinobatsira kuchengetedza mhasuru dzako kubva pakuomarara zvakare. Chiremba wepanyama anogona kukubatsira iwe kuti uwane yakanakisa kurovedza muviri uye yakatambanudza maitiro kwauri.

Ndeapi maonero?

Chirwere cheParkinson hachirapike panguva ino, asi zviratidzo zvinogona kurapwa nemushonga uye mararamire shanduko senge kurovedza muviri uye kudzikisira kushushikana.

Kutsvagisa kwekurapwa kwaParkinson uye kungangoita kurapwa kuri kufambira mberi sezvo kumhanya kwekutsvaga kwehuropi muhuwandu kuri kukurumidza. Nepo Parkinson iri chirwere chakaomesesa, vaongorori vakadzidza zvakawanda nezvezviri pasi biology uye vari kushanda pakurapa kwakanangwa.

Kuongororwa kwekutanga kunonyanya kukosha pakurapa kwakanaka. Kuomarara kweCogwheel kazhinji chiratidzo chekutanga chechirwere cheParkinson, saka taura nachiremba kana iwe uine chiratidzo ichi. Izvi zvinobatsira kuve nechokwadi chekuti iwe uwane chaiyo kuongororwa uye kurapwa.