Mutanen da suke da wuri- zuwa tsakiyar mataki na iya yin motsa jiki mai karfi a kan takaddama
A bayyane yake cewa motsa jiki yana taimaka wa mutane da cutar da kwayar cutar Parkinson ta farko da kuma tsakiyar. Abin da ba a fili ba ne ainihin irin nauyin motsa jiki na taimaka wa mutane da wannan rashin lafiya. Har ila yau, ba abin da yafi ƙarfin motsa jiki ba.
Kwanan nan, masu bincike sun dauki matukar sha'awar motsa jiki don maganin cutar ta Parkinson. A al'adance, cutar ta Parkinson ta bi ta hanyar shan magunguna da tiyata; Duk da haka, aikin motsa jiki ne mai saurin kudi, ba tare da ɓarna ba tare da ƙananan cututtuka masu illa banda ƙananan matsaloli da baƙin ciki.
Bugu da ƙari, ingancin kwayoyi da ake amfani dasu don magance cututtukan Parkinson na rage lokaci, da kuma maganin cututtuka da ba a maganin cututtuka ba suna da muhimmanci don magance rashin lafiya.
Kafin mu dubi wasu nazarin nazarin kwayoyin cutar ta Parkinson, yana da mahimmanci don bayyana wani abu. Zai iya zama abin ƙyama ga mutumin da ke fama da cutar Parkinson don shiga aikin motsa jiki mai tsanani a kan takaddama. Bayan haka, cututtukan Parkinson shine yanayin neurodegenerative wanda zai haifar da rigidity, rawar jiki, rashin daidaito, da sauransu. Amma ka tuna cewa marasa lafiya a cikin wannan binciken sun kasance a baya a yanayin cutar su. A wasu kalmomi, ba a gwada gwajin mai tsanani ba ga mutanen da ke fama da cutar Parkinson.
Kwayoyin Parkinson: Bayaniyar Bayanan
Kwayar cutar Parkinson yana faruwa ne sau da yawa kuma ba a san shi ba. Kimanin mutane miliyan daya suna zaune tare da cutar Parkinson.
A dukan duniya akwai mutane miliyan 10 da ke fama da cutar Parkinson. Yawan shekarun ganewar asali daga wadanda ke fama da cutar Parkinson shine shekaru 60, kuma cutar ta cigaba da sauri a cikin shekaru 10 zuwa 25 na gaba bayan ganewar asali.
A cikin kwakwalwa, ƙwayoyi kwayoyin suna amfani da kwayar kwayar halitta don sarrafa ƙwayoyin muscle. A cikin mutanen da ke fama da cutar Parkinson, kwakwalwar kwayoyin halittar dopamine ta mutu a hankali.
Yawancin lokaci, ya zama da wuya ga mutanen da ke fama da cutar Parkinson don motsa tsokoki.
Wadannan suna da alamun cututtuka na cutar Parkinson:
- "Giragge-nutsewa" a cikin hannayensu a hutawa
- "Cogwheel" rigidity
- Sassaukar motsi na muscle (watau bradykinesia)
- Drooling
- Ƙarfin ƙwaƙwalwa
- Raguwa
- Muryar Monotone
- "Masked" facial fatar
- Tsayar da matsayi
- Tabbatarwa
- Rashin hankali na rashin fahimta
- Barci na damuwa
- Ƙaruwa
Sakamakon ganewar cututtukan kwayar cutar Parkinson ya dogara ne akan binciken tarihi da binciken binciken jiki. Mafi mahimmanci, neuroimaging, EEG, da kuma nazarin ruwa na ƙwararriyya suna yawanci a cikin iyakokin al'ada da yawa a cikin wadanda ke fama da cutar Parkinson.
Abin takaici, babu magani ga cutar ta Parkinson. Ana iya amfani da wasu kwayoyi irin su carbidopa-levodopa (Sinemet) da masu hanawa MAO-B don maye gurbin ko ƙara yawan matakan dopamine cikin kwakwalwa. Wadannan magungunan kwayoyi, duk da haka, sun rasa aiki a cikin lokaci kuma suna da mummunar tasiri.
Haka kuma cututtukan Parkinson ne tare da maganin kwayoyi wanda ke taimakawa wajen damuwa da yanayi, maganganun zafi, da matsalolin barci.
Jin ƙwaƙwalwar kwakwalwa shine irin tiyata da ake amfani da su don magance cutar ta Parkinson. Wannan hanya zata iya taimakawa wajen magance cututtuka na jiki, irin su rudani, damuwa, damuwa, da matsala tare da tafiya.
A shekara ta 2001, sakamakon binciken na Cochrane yayi nuni da cewa akwai rashin shaidar da za ta taimakawa ko ta dakatar da amfani da duk wani aikin musamman a maganin cutar ta Parkinson. Bugu da ƙari, a wannan lokacin, a cikin saitunan gwaji, illolin motsa jiki a kan cututtukan Parkinson sun kasance gajere, ba tare da bin lokaci ba. Duk da haka, shekaru da yawa ana zaton cewa ci gaba da motsa jiki a cikin wadanda ke fama da cutar Parkinson ya zama dole don jinkirta raguwa da ƙarfin hali, sassauci, da daidaituwa.
An nuna gwajin haƙuri don inganta ci gaba da ci gaba da jijiyoyi da kare kwayoyin jiki a cikin dabbobin dabba.
Duk da haka, samfurin dabba ba daidai ba ne da mutane.
A ƙarshe, yawan binciken da aka bincikar da su sun nuna cewa matsakaici don yin gwagwarmayar motsa jiki a lokacin yaduwar kwayar halitta zai iya kare lafiyar Parkinson a rayuwa mai zuwa.
Amsa mai tsawo ga aikin motsa jiki
A cikin watan Nuwamba 2012, Schenkman da abokan aiki sun binciki amfanin gajerun hanyoyi daban-daban na tsawon nau'o'i daban-daban na masu aikin nazarin kwayar cutar Parkinson. An gabatar da gwajin gwajin aikin gwagwarmaya a cikin watanni 16 kuma ana gudanar da shi a asibitin kulawa.
A cikin binciken, 121 masu halartar tare da ko wane lokacin farkon- ko tsakiyar mataki kwayar cutar Parkinson aka sanya zuwa daya daga cikin uku kungiyoyi. Ƙungiyar ta farko da ke aiki a cikin sassauci / daidaitawa / aiki. Ƙungiyar ta biyu ta shiga aikin motsa jiki ta hanyar amfani da kayan motsa jiki, bike, ko mai ba da izini. Na uku, ko ƙungiya mai kulawa, an yi a gida-kamar yadda aka tsara a cikin tsarin dacewa da ake kira Fitness Counts , wadda Cibiyar Kasa ta Kasa ta Cibiyar ta gina.
Kungiyoyi biyu na farko sun kula da su yayin da suke yin amfani da sau uku a mako don wata hudu. Bayan haka, ana dubawa sau ɗaya a wata don tsawon lokacin nazarin watanni 16. Kungiyar ta kula da shi sau ɗaya kowace wata don watanni 16.
An yi nazari ga masu halartar yin amfani da wasu gwaje-gwaje a 4, 10, da 16. A nan ne binciken masu bincike:
- A watanni hu] u, aiki na gaba ya inganta a cikin sassauci / daidaitaccen tsarin aiki idan aka kwatanta da irin abubuwan da ake gudanarwa na wasan motsa jiki da kungiyoyi.
- A 4, 10, da watanni 16, yanayin tattalin arziki (watau, tafiyar motsi) ya inganta a cikin ƙungiyar wasan kwaikwayo ta aerobic idan aka kwatanta da na sassauci / daidaitawa / aiki.
- Balance yana daya daga cikin dukan kungiyoyi.
- A watanni 4 da 16, ayyuka na rayuwar yau da kullum sun inganta a cikin sassauci / daidaitawa / aiki ƙungiya idan aka kwatanta da na ƙungiyar kulawa.
Sakamakon wannan binciken ya nuna cewa samfurori daban-daban suna ba da amfani mai mahimmanci ga wadanda ke fama da cutar Parkinson. Shirye-shiryen haɗama suna nuna damuwa mafi girma.
A cewar Schenkman da masu marubuta:
Rahotanni masu dacewa daga masu karatun digiri na watanni 16 sun jaddada cewa mutane suna buƙatar goyon baya don ci gaba da motsa jiki na yau da kullum. Mun bayar da shawarar sosai cewa likitoci sun gano hanyoyin da za su taimaka wa mutane tare da cutar PD [Parkinson] don ingantawa da kuma kula da halayen motsa jiki na tsawon lokaci, ciki har da shirye-shiryen motsa jiki da kuma ci gaba da sake dubawa da tallafi.
Na bayanin kula, wannan binciken yana da iyakokinta.
Na farko, ƙungiyar kulawa ta shiga wani motsa jiki domin ba zai yiwu ba ga waɗannan mahalarta ba su karbi duk wani aikin ba. A wasu kalmomi, kodayake kungiyar "gaskiya" ba za ta shiga motsa jiki ba a cikin watanni 16, suna nuna cewa wannan zaɓi zai ciwo lafiyar jiki. Bisa ga masu bincike, cikakkiyar jagorancin Gudanar da Harkokin Kasuwancin da Foundation Foundation Foundation ta haifar da wasu amfana, amma ba ta da amfani sosai kamar yadda masu halartar taron ke kulawa wajen gudanar da aikin motsa jiki wanda ya shafi koyo mai sauƙi / daidaitawa ko aikin aiki ko aikin motsa jiki.
Na biyu, an gudanar da wannan binciken a Colorado, wanda shine daya daga cikin jihohi mafi girma a cikin Union. Wata ila mahalarta a cikin wannan binciken sun kasance mafi mahimmanci fiye da yadda mutane a wasu jihohi ke haifar da sakamako ba tare da cikakke ba.
Na uku, mahalarta a kowane ɗayan kungiyoyi uku sun karbi nau'i daban-daban, wanda zai iya rikita sakamakon.
A ƙarshe, ya kasance da wuya a tantance daidaituwa ga tsarin aikin, kuma masu bincike sun dogara ga jerin ayyukan-ba masu saka idanu ba-don yin irin wannan ƙaddarar.
Harkokin Hanyoyin Intanit da Cututtukan Parkinson
Binciken da aka yi a Cibiyar Kwalejin Ciniki ta Parkinson (SPARX) wani lokaci ne na 2, gwajin gwaji na asibiti da Schenkman da abokan aiki suka gudanar tsakanin Mayu 2012 da Nuwamba 2015. An kiyasta masu halartar gwaji bayan watanni shida.
A cikin gwajin SPARX, mahalarta 128 da suka kamu da kwayar cutar Parkinson da suka kasance shekarun shekaru 40 zuwa 80 sun raba zuwa kungiyoyi uku.
Ƙungiyar gwaji na farko da ke yin gwaji mai tsanani, ƙungiyar gwaji ta biyu ta yi aiki da tsaka-tsaka, kuma mambobi ne na rukunin kulawa sun kasance masu jiran aiki don yin aiki na gaba. (Har ila yau, zai zama maras tabbas don ƙaryatãwa ga ƙungiyar kula da damar yin aikin.)
A cikin bayanin kula, masu halartar binciken sun bincikar da cutar ta Novo Parkinson (watau, bincikar lafiya a cikin shekaru biyar da suka gabata) kuma ba a tsammanin suna bukatar magungunan dopaminergic (antiparkinson) a cikin watanni shida na haɗin kai. Bugu da ƙari kuma, babu wani daga cikin masu halartar da suka shiga aikin motsa jiki ko tsayi.
Ayyukan ƙananan ƙarfi sun ƙunshi kwanaki hudu a kowace mako a kan takaddama a kashi 80 zuwa kashi 85 cikin dari na zuciya. Ayyuka na tsaka-tsakin ma ya faru sau hudu a mako amma a tsakanin kashi 60 da kashi 65 cikin dari na yawan zuciya.
Manufar gwaji na 2 na SPARX ita ce ta gano ko marasa lafiya da kwayar cutar Parkinson za su iya shiga aikin motsa jiki. Masu binciken bai yanke shawara ko yin amfani da kashi 80 cikin 100 da kuma kashi 85 cikin 100 na zuciya ba sosai ya haifar da amfanar asibiti ga wadanda ke fama da cutar novo Parkinson. Daga ƙarshe, masu bincike sun kasance masu sha'awar sanin ko za a iya gwada motsa jiki mai tsanani a gwaji 3. Wadannan gwaje-gwaje na uku zasu bincika yiwuwar amfani da hakan.
A cewar Schenkman da masu marubuta:
Ɗaya daga cikin abubuwan da ke iyakancewa don motsawa zuwa gwaji 3 shine gwajin motsa jiki mai dacewa bai riga an kafa shi ba don kowane ka'ida. Harkokin motsa jiki yana ba da gudummawa ga dan takarar lokaci da ƙoƙari idan aka kwatanta da maganin maganin likitancin. An yi amfani da zane maras amfani don tabbatar da hankali ko nazari mai zurfi akan takaddama na motsa jiki, yana tabbatar da hanyar da zata dace da ƙayyadadden ƙwayar da take dace kafin cigaba zuwa gwajin gwajin farko na farko 3 na cutar Parkinson. Sakamakon rashin amfani da aikin motsa jiki mai tsanani ya kamata ya motsa filin gaba.
Nazarin na SPARX yana da iyakokin.
Na farko, an yi aikin motsa jiki mai tsanani ne kawai a kan takarda kuma ba ta amfani da wasu kayan aikin motsa jiki ba.
Abu na biyu, an sauya gudunmawar motsa jiki da kuma tsanani don samar da motsa jiki mai tsanani; Duk da haka, ba daidai ba ne ko ko dai dukansu ko waɗannan biyu na iya inganta halayen motar a cikin cutar Parkinson.
Abu na uku, ba shi da tabbacin yadda hada aikin motsa jiki mai tsanani da wasu maganin aikin likitanci tare da amfanin da aka sani ga wadanda ke fama da cutar Parkinson, irin su Tai Chi ko ƙarfin horo, zai iya haifar da mahimmancin amfani da asibiti.
Kalma Daga
Mun san wannan aikin yana taimaka wa mutane da cutar ta Parkinson. Sabuwar bincike ya nuna cewa za a iya tsara kayan aikin motsa jiki mai tsanani ga marasa lafiya da cutar rashin lafiyar Parkinson da kuma cewa mutane da wuri-zuwa tsakiyar matakin cutar Parkinson na amfani da nau'o'i daban-daban, ciki har da sassauci, daidaituwa, da kuma aerobic.
Dole ne a gudanar da bincike da yawa don gano ainihin amfanin irin wannan motsa jiki mai girma. Idan kai ko wanda kake ƙaunata an gano shi tare da cutar Parkinson, don Allah tuntuɓi likitanka game da irin nauyin motsa jiki sun fi kyau a gare ka.
> Sources:
> Cutar Parkinson. A: Kasper DL, Fauci AS, Hauser SL, Longo DL, Jameson J, Loscalzo J. eds. Harrison's Manual na Medicine, 19th New York, NY: McGraw-Hill.
> Cutar Parkinson. Medline Plus. https://medlineplus.gov/parkinsonsdisease.html.
> Schenkman M, et al. Hanyoyin Kwayar Mutuwar Kwayoyin cuta a Ƙwararren Marasa lafiya Da Novo Parkinson Cutar cuta A Hanya na 2 Binciken Clinical Random. JAMA Neurology. 11 ga watan Disamba, 2017. Dalilan: 10.1001 / jamaneurol.2017.3517.
> Schenkman M, et al. Ƙarawa ga Mutane a Farko-ko Mid-Stage Parkinson Cututtuka: Gwargwadon ƙwaƙwalwar da aka ƙaddara a cikin watanni 16 da suka wuce. Jiki na jiki. 2012; 92 (11): 1395-1410. Doi: 10.2522 / ptj.20110472.