Sakandare na biyu

Parkinsonism na biyu shine lokacin da alamomin kama da cutar ta Parkinson ke haifar da wasu magunguna, wata cuta ta daban, ko wata cuta.

Parkinsonism yana nufin duk wani yanayin da ya shafi nau'ikan matsalolin motsi da ake gani a cikin cututtukan Parkinson. Wadannan matsalolin sun hada da rawar jiki, saurin motsi, da taurin hannu da kafafu.

Matsalar rashin lafiya ta sakandare na iya haifar da matsalolin lafiya, gami da:

• Raunin kwakwalwa
• Yaduwa cutar cututtukan Lewy (wani nau'in cutar hauka)
• Cutar sankarau
• HIV / AIDs
• Cutar sankarau
• Mahara tsarin atrophy
• Ci gaba mai cike da nakasa
• Buguwa
• Cutar Wilson

Sauran abubuwan da ke haifar da cutar daji ta biyu sun hada da:

• Lalacewar kwakwalwa ta hanyar magungunan sa barci (kamar lokacin aikin tiyata)
• Guba ta iskar carbon monoxide
• Wasu magunguna da ake amfani dasu don magance rikicewar hankali ko tashin zuciya (metoclopramide da prochlorperazine)
• Guba ta Mercury da sauran guba masu guba
• Dara yawan ƙwayoyi
• MPTP (gurɓataccen magani a cikin wasu magungunan titi)

Akwai lokuta da yawa da ke faruwa a cikin kwayar cutar ta kwaya ta biyu tsakanin masu amfani da kwayoyi na IV waɗanda suka yi allurar wani abu da ake kira MPTP, wanda za a iya samar da shi lokacin da ake yin wani nau'in na heroin.

Kwayar cutar ta yau da kullun sun haɗa da:

• Raguwar yanayin fuska
• Matsalar farawa da sarrafa motsi
• Asara ko raunin motsi (inna)
• Murya mai taushi
• Tiarfafawar akwati, makamai, ko ƙafa
• Tsoro

Rikicewa da asarar ƙwaƙwalwar na iya zama wataƙila a yanayin cutar shaƙuwa ta biyu. Wannan saboda yawancin cututtukan da ke haifar da cutar shaƙatawa ta biyu suma suna haifar da cutar ƙwaƙwalwa.

Mai ba da sabis na kiwon lafiya zai yi gwajin jiki kuma ya yi tambayoyi game da tarihin lafiyar mutum da alamomin sa. Yi la'akari da cewa alamun bayyanar na iya zama da wahalar tantancewa, musamman a cikin tsofaffi.

Gwaji na iya nuna:

• Matsalar farawa ko dakatar da motsi na son rai
• Tsokoki mai wahala
• Matsaloli tare da hali
• Sannu a hankali, shuffling tafiya
• Girgizar ƙasa (girgiza)

Reflexes yawanci al'ada ne.

Ana iya yin odar gwaje-gwaje don tabbatarwa ko kawar da wasu matsalolin da zasu iya haifar da alamun bayyanar.

Idan yanayin ya samo asali ne ta hanyar magani, mai ba da sabis na iya ba da shawarar canzawa ko dakatar da maganin.

Kula da yanayin da ke ƙasa, kamar bugun jini ko cututtuka, na iya rage alamun ko hana yanayin yin muni.

Idan bayyanar cututtuka ta wahalar yin ayyukan yau da kullun, mai bayarwa na iya ba da shawarar magani. Magungunan da ake amfani da su don magance wannan yanayin na iya haifar da sakamako mai tsanani. Yana da mahimmanci a ga mai samarwa don dubawa. Tsarin Parkinsonism na sakandare yana da rashin saurin karɓar magani fiye da cutar Parkinson.

Ba kamar cutar Parkinson ba, wasu nau'ikan cutar Parkinsonism na iya daidaitawa ko ma inganta idan an bi da abin da ke haifar da cutar. Wasu matsalolin ƙwaƙwalwa, kamar cutar Lewy, ba a sake juya su.

Wannan yanayin na iya haifar da waɗannan matsalolin:

• Matsalar yin ayyukan yau da kullun
• Matsalar haɗiye (cin abinci)
• Rashin lafiya (digiri daban-daban)
• Raunuka daga faɗuwa
• Sakamakon sakamako na magunguna da ake amfani dasu don magance yanayin

Hanyoyi masu illa daga asarar ƙarfi (lalacewa):

• Bakin abinci, ruwa, ko lakar cikin huhu (buri)
• Jigilar jini a cikin jijiya mai zurfin (zurfin jijiyoyin jini)
• Rashin abinci mai gina jiki

Kira mai bada idan:

• Kwayar cututtukan cututtukan Parkinsonism na ci gaba, dawowa, ko yin muni.
• Sabbin bayyanar cututtuka sun bayyana, gami da rikicewa da motsi waɗanda ba za a iya sarrafa su ba.
• Ba za ku iya kula da mutum a gida ba bayan fara farawa.

Kula da yanayin da ke haifar da cutar rashin kwazo na iya rage haɗarin.

Mutanen da suke shan magunguna waɗanda zasu iya haifar da cutar rashin kwazo ta biyu ya kamata mai kulawa ya sanya musu ido sosai don hana yanayin ci gaba.

Parkinsonism - na biyu; Atypical Parkinson cuta

• Tsarin juyayi na tsakiya da tsarin juyayi na gefe

Fox SH, Katzenschlager R, Lim SY, et al; Kwamitin Magunguna na videnceungiyar Rikicin Movementungiyar Rikicin Lafiya. International Parkinson and Movement Disorder Society shaidar-tushen magani sake dubawa: sabuntawa akan jiyya don alamun motsa jiki na cutar Parkinson. Rikicin Mov 2018; 33 (8): 1248-1266. PMID: 29570866 www.ncbi.nlm.nih.gov/pubmed/29570866/.

Jankovic J. Parkinson cuta da sauran rikicewar motsi. A cikin: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology a cikin Clinical Practice. 7th ed. Philadelphia, PA: Elsevier; 2016: babi na 96.

Okun MS, Lang AE. Parkinsonism. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 26th ed. Philadelphia, PA: Elsevier; 2020: babi na 381.

Tate J. Parkinson cuta. A cikin: Kellerman RD, Rakel DP, eds. Conn's Far Far na yanzu 2020. Philadelphia, PA: Elsevier 2020: 721-725.