Kuburitsa Chiedza: Kuziva kweChirwere cheParkinson
Sezvo zuva remangwanani rinopinda mumaketeni, rimwe zuva rinotanga. Zvisinei, kune avo vanorarama nechirwere cheParkinson, mabasa akareruka anogona kuva matambudziko anotyisa, sezvo kufamba kwega kwega kunoda kushanda nesimba uye kutsunga kusingazununguki. Kumuka kune chokwadi chekufamba kwakaderera chiyeuchidzo chinosuruvarisa chehondo dzezuva nezuva dziri mberi. Chiito chaimbova chisingashande chekusimuka kubva pamubhedha zvino chinoda kubata pazvinhu zviri pedyo kuti utsigirwe, chiratidzo chinyararire chekufamba kwechirwere cheParkinson.
Nemaoko anodedera uye kusagadzikana, kunyange tsika yemangwanani yekubika kofi inoshanduka kuita basa chairo. Kunhuwirira kunonyaradza kwekofi ichangobva kubikwa kunofukidzwa nekushungurudzika kwekudira mvura yakawanda pakaunda pane kupinda mukapu yakamirira. Kugara pasi kuti unzwe kunwa kwekutanga, tembiricha inodziya inotadza kugutsa, zvokonzera kudzokera kukicheni kunopisa kofi mumicrowave. Nhanho imwe neimwe inonzwa sebasa, asi chido chechinguva chekudziya uye nyaradzo chinopfuurira mberi, pasinei nezvipingamupinyi. Chido chekufambisa nyore kune kofi kunotungamirira kuchisarudzo chekucheka chidimbu chechingwa. Chii chaimbove chiitiko chenguva dzose zvino chinoitika sezvipingamupinyi zvakatevedzana, kubva mukunetseka kuisa chingwa mutotaster kusvika pakubata nebanga kuparadzira bota pachimedu chakagochwa. Kufamba kwega kwega kunoedza kushivirira uye kutsungirira, sezvo kudedera kunotyisidzira kukanganisa kunyange mabasa anokosha.
Mangwanani ano tsika inowanzoitika kune vanhu vazhinji vanorarama nechirwere cheParkinson, sezvakaita sekuru vangu vakashaya, Carl Siberski, avo vakasangana nehutsinye hwemamiriro ezvinhu aya. Kwemakore, akafamba nematambudziko akaunzwa nechirwere cheParkinson, achijekesa matambudziko ezuva nezuva eavo vanobatwa nechirwere ichi chakaoma chetsinga. Pasinei nekuwanda kwayo, kuchine kushaikwa kwekunzwisisa kwakapoteredza chirwere cheParkinson. Mukukudza rwendo rwaCarl nevamwe vasingaverengeki vakabatwa nechirwere cheParkinson, Kubvumbi akasarudzwa seMwedzi weParkinson's Disease Awareness. Mwedzi uno une kukosha sezvo uchicherechedza mwedzi wekuzvarwa kwaJames Parkinson, uyo akatanga kuona zviratidzo zvechirwere cheParkinson makore mazana maviri apfuura.
Kunzwisisa Chirwere cheParkinson
Saka, chii chaizvo chinonzi chirwere cheParkinson? Chirwere cheParkinson chirwere chetsinga chinokanganisa zvakanyanya chikamu chose chehupenyu hwemunhu. Pakati payo, inzvimbo inofambira mberi inoratidzwa nekuderera zvishoma nezvishoma kwemasero etsinga muuropi, kunyanya avo vane basa rekugadzira dopamine. Iyi neurotransmitter inoita basa rakakosha mukufambisa mafambiro akatsetseka, akarongeka emhasuru. Zvisinei, apo mazinga e dopamine anoderera nekuda kwekukanganiswa kwesero kana kufa, zviratidzo zvehosha yeParkinson inofambira mberi, kubva pakudengenyeka, kuoma, uye kukanganisa mukuenzanisa nekubatana.
Zviratidzo zveParkinson's Disease
Zviratidzo zvinosiyana pamunhu nemunhu uye zvinogona kuoneka zvishoma nezvishoma nekufamba kwenguva. Zvichienderana nemunhu, zvinogona kunetsa kusiyanisa kana zviratidzo zvine chekuita nechirwere cheParkinson kana kungochembera. Kuna Carl, kurwisana kwake nechirwere cheParkinson kwakatanga kutaurwa mumakore ake ekukura, zvichiita kuti avo vaisawanzova pedyo naye vafunge kuti kwaingova kutadza kwake kufambirana nehupenyu. Zvisinei, kune vakawanda, kusanganisira mhuri yake, zvaiodza mwoyo kuona mararamiro ake achiderera zvishoma nezvishoma.
Carl akazvitsaurira hupenyu hwake hwekufamba uye kuita zvemuviri. Mukurega basa, akatanga nzendo dzakasiyana siyana dzepasirese uye akave anofarira rwendo rwekushanya, anakidzwa nerwendo rwunosvika makumi mana muhupenyu hwake. Asati atanga kufamba, akapedza makumi emakore achidzidzisa giredhi rechina achirera vana vatanhatu nemukadzi wake, Norita. Achizivikanwa nemararamiro ake ekushingaira, Carl akatora chikamu mumakwikwi akawanda, aimhanya zuva nezuva, akatora mukana wese kuti akwire, aitarisira kubindu rakakura kwazvo munharaunda, uye akaita kuti mabasa ekuvandudza pamba aite seasina basa. Aimbozivikanwa nekuchovha bhasikoro rake, aifanira kusiya basa iroro sezvo hosha yeParkinson yakatanga kukanganisa kufamba kwake. Mabasa aimbomuunzira mufaro chaiwo—zvakadai sokurima gadheni, kupenda, kukwira makomo, kumhanya, uye kutamba bhora—zvakava ndangariro panzvimbo pezvirondwa zvezuva nezuva.
Pasinei nehupenyu hwaCarl hwakashata, chirwere cheParkinson hachina rusaruro. Zvinosuruvarisa, hazvigone kurapwa kana kudzivirirwa. Kunyange zvazvo mararamiro aCarl aishingaira aizivikanwa, hazvina kumuita kuti asabatwa nechirwere. Chirwere cheParkinson chinogona kubata chero munhu, zvisinei nedanho ravo rekuita.
Zvimwe zviratidzo zvinowanzoonekwa zvechirwere cheParkinson zvinosanganisira:
- Kudedera: Kudedera kusingaite, kazhinji kunotanga mumaoko kana zvigunwe.
- Bradykinesia: Kufamba zvishoma nezvishoma uye kuoma kutanga kufamba kwekuzvidira.
- Muscle rigidity: Kuoma mumakumbo kana trunk kunogona kukonzera marwadzo uye kukanganisa kwekufamba.
- Kusagadzikana kwePostural: Kuoma kuchengetedza kuenzanisa, zvichiita kuti ugare uchidonha.
- Bradyphrenia: Kukanganisika kwepfungwa sekurasikirwa nendangariro, kuomerwa kuisa pfungwa, uye kuchinja kwemafungiro.
- Matauriro nekumedza matambudziko: Shanduko dzematauriro uye kunetseka kumedza.
Matambudziko ekutaura uye ekumedza ndiwo akanyanya kunetsa zviratidzo, zvakanyanya kukanganisa Carl. Kudya, mumwe wemifarwa mikurusa youpenyu, kunova manyuko okusuwa kana munhu asingagoni kuzvigutsa zvizere. Kutaura uye kumedza matambudziko zvinounza matambudziko muhondo yekurwisa chirwere cheParkinson, zvichigadzira zvipingamupinyi pakutaurirana uye kudya kwakakodzera. Carl akaramba akasvinura uye achiita hurukuro mumakore ake ekupedzisira asi achinetseka kutaura pfungwa dzake. PaKutenda kwake kwekupedzisira, mhuri yedu yakagara yakatenderedza tafura, uye tarisiro yakamuka mumaziso aCarl apo airatidzira nechido kuhors d'oeuvres—chikumbiro chinyararire chokuti tinakirwe namafaro ezvokudya zvaakanga asisakwanisi kunyatsonaka.
Kurarama nechirwere cheParkinson
Nepo chirwere cheParkinson pasina mubvunzo chinokanganisa hupenyu hwehupenyu, haimboratidzi kuguma kwehupenyu pachahwo. Pane kudaro, zvinoda kugadziriswa kuti urambe uchirarama zvizere. Kuna Carl, kutsamira parutsigiro rwake kwakave kwakakosha, uye akaita rombo rakanaka kuva nenzvimbo yepamusoro munharaunda yake kwaaigara achifambidzana nevezera rake. Hunhu hwemagariro hwaive hwakakosha kuti afambire mberi, kunyanya achifunga kuti vazhinji veshamwari dzake vaive vachitarisanawo nekuomerwa neutano hwavo, vachivabvumira kutsigirana kuburikidza nezvakaitika.
Mukuwedzera kune yake social network, Carl akawana nyaradzo mukutenda kwake. SomuKaturike akazvipira, kupinda misa zuva nezuva pachechi yeSt. Rita kwakamupa simba romudzimu. Kunyange zvazvo zvinhu zvokuzvivaraidza nazvo zvomuviri zvaifanira kusendeka parutivi, kuenda kuchechi kwakaramba kuri chikamu chemuitiro wake. Chisungo chake nemupristi wechechi chakawedzera kusimba, kunyanya mumakore ake ekupedzisira, sezvo muprista aipa nhungamiro yemweya, achipa Sakaramendi reKuzodzwa kweVarwere uye achitungamirira misa yemariro aCarl. Simba remunamato nechinamato rakashanda senzira yakakosha yekugadzirisa Carl uye yaigona kubatsirawo vamwe vanotarisana nematambudziko akafanana.
Kupfuura kutenda, rutsigiro rwemhuri rwakaita basa rakakosha murwendo rwaCarl. Sababa vevatanhatu uye sekuru vane gumi nevasere, Carl aivimba nemhuri yake kuti abatsirwe, kunyanya nenyaya dzekufamba. Nepo hushamwari hwaive hwakakosha, rutsigiro rwemhuri rwaive rwakakosha zvakaenzana, kunyanya pakuronga zvekuchengeta nesarudzo.
Kuwanikwa kwevashandi vehutano kwakakoshawo. Hunyanzvi hwavo hwakatungamira Carl kuburikidza nekuoma kwechirwere cheParkinson. Izvi zvinosimbisa kukosha kwekuchengetwa kwehutano hwehutano, hwakadai seMedare, iyo inobatsira kuderedza mutoro wezvemari unobatanidza nehutano hwehutano. Izvi zvinonyanya kukosha kune nhengo dzeColorado Access, dzinogona kunge dzichitarisana nemamiriro ezvinhu akafanana, uye dzinoisa mukuona kuti nei zvakakosha kuti isu tirambe tichipa Medicaid.
Mukuwedzera kune idzi mbiru dzekutsigira, mamwe maitiro ekugadzirisa anogona kubatsira vanhu vanorarama nechirwere cheParkinson, kusanganisira:
- Dzidzo: Kunzwisisa chirwere uye zviratidzo zvayo kunopa vanhu simba rekuita sarudzo dzine ruzivo nezvekurapa kwavo uye kugadzirisa mararamiro.
- Ramba uchishanda (kana zvichibvira): Ita basa remuviri rinoenderana nezvinogona uye zvaunofarira, sezvo kurovedza muviri kunogona kubatsira kuvandudza mafambiro, mafungiro, uye hupenyu hwese hwehupenyu hwevanhu vane chirwere cheParkinson.
- Gamuchira matekinoroji anochinjika: Zvishandiso zvekubatsira uye matekinoroji zvinogona kusimudzira rusununguko uye kufambisa mabasa ezuva nezuva kune vanhu vane chirwere cheParkinson.
Nechokunopera kwerwendo rwaCarl nechirwere cheParkinson, akapinda mukurapa kwehospice uye gare gare akafa murugare musi waJune 18, 2017, pazera remakore 88. Mukurwisana kwake kwose, Carl akatanga kusimba kubva muhondo yake yezuva nezuva yekurwisa chirwere cheParkinson. Kukunda kudiki kwega kwega, kungave kubudirira kugadzira kapu yekofi kana kuparadzira bota patositi, kwaimiririra kukunda pamusoro penhamo.
Apo patinofunga nezverwendo rwaCarl uye matambudziko aakatarisana nawo, ngatizvipirei kuzivisa uye kukurudzira tsitsi kune avo vanorarama nechirwere cheParkinson. Dai nyaya yake ichishanda sechiyeuchidzo chekusimba uye simba, kunyangwe pakatarisana nematambudziko anotyisa. Ngatimirei takabatana mukuedza kwedu kutsigira nekusimudzira avo vakabatwa nechirwere cheParkinson.
Sources
mayoclinic.org/diseases-conditions/parkinsons-disease/symptoms-causes/syc-20376055