Kunyara muchirwere chaParkinson: Mutoro usingaonekwe

Nhasi tichataura nezvekunyara, kwete rusarura kana kunyara, asi kunyara sechiitiko chepfungwa chinorarama. Kuti tikurukure mutoro uyu usingaonekwe. Nhasi ndakabatana naDr. Vanessa Fleury wekuYunivhesiti yeGeneva, Switzerland, ane chinyorwa chakaburitswa munguva pfupi yapfuura muMovement Disorders Clinical Practice Journal.

Mauya Dr. Fleury, uye tinokutendai nekuuya kwenyu pano.

Dr. Vanessa Fleury: Ndinokutendai zvikuru nekukoka.

Dr. Divyani Garg: Ngatitangei nepfungwa huru. Saka kunyara kunowanzotaurwa pamwe chete nekunyadziswa kana kunyara, asi hazviwanzo dzidziwiswa zvega. Sei zvaive zvakakosha kuti iwe unyatsotarisa [00:01:00] pakunyara muchirwere cheParkinson?

Dr. Vanessa Fleury: Nguva nenguva mukurapa kwangu uye pamwe nekukurukurirana naDr. Angelo, uyo ariwo munhu anorarama neParkinson's Disease uye kuburikidza nehurukuro dzakawanda dzisina kurongeka naye uye nevarwere, kunyara kunobuda sechiratidzo chakakosha chinokanganisa hupenyu uye chakabatana nekuparadzaniswa. 

Dr. Divyani Garg: Zvakanaka. Saka kubva pane zvandinonzwisisa panyaya yekusiyanisa kunyara nekunyadziswa kana kunyadziswa. Saka kunyadziswa kunonyanya kureva mafungiro evanhu, nepo kunyara kune chekuita nepfungwa dzemukati, kuti murwere kana munhu wacho anonzwa sei kuti chirwere chacho chinoziva kuti ndiani.

Ndizvozvo here?

Dr. Vanessa Fleury: Ehe, zvechokwadi. Takanyanya kutarisa, kunyara kunokonzerwa nechirwere cheParkinson nekuti ipfungwa inorwadza yakabatana nekuzivikanwa. [00:02:00] ine chekuita nekusarura, asi yakasiyana. Inonyanya kuoneka mukati uye inogona kurapa.

Dr. Divyani Garg: Ndakaonawo kuti makashandisa chishandiso chaicho muchidzidzo ichi kuyera kunyara icho chiri chishandiso cheSpark. Mungatsanangura muchidimbu kuti Spark inoyera chii uye nei zvaive zvakakosha kuva nechishandiso chaicho cheParkinson chekuratidza kunyara?

Dr. Vanessa Fleury: Ehe. Patakaona kuti kunyara kwaikosha, takatsvaga zviyero kuti tikwanise kuyedza manzwiro aya asi hatina kuwana chero chinhu. Saka takasarudza kugadzira zviyero zvakabatanidzwa pamwe chete nachiremba nevaongorori vevarwere. Zvinotenderwa kuziva kuti ndezvipi zvinokonzera kunyara muvarwere vane chirwere cheParkinson.

Uye takawana zvinhu zvikuru zvitatu. Chekutanga, zviratidzo, kufamba kwemuviri uye kusafamba kwemuviri, pamwe nekuwedzera kwekuvimba nechirwere cheParkinson se [00:03:00] kurasikirwa nehunhu nekuda kwechirwere cheParkinson nekuti, hongu. Chandaida kutaurawo ndechekuti kunyara muParkinson kwakaita sekunge pane chakaipa.

Vanhu vanofunga kuti pane chakaipa pavari nekuda kwechirwere ichi uye ndizvo zvavanozviti ndivo chirwere chacho. 

Dr. Divyani Garg: Ehe. Icho chinhu chakakosha zvikuru. Ndaidawo kutaura nemi nezvezvamakawana uye pamakatarira vanhu vakasiyana-siyana vanogona kukonzera kunyara, ndezvipi zvinhu zvakanyanya kuoneka?

Dr. Vanessa Fleury: Ehe, saka takatarisa zvinhu zvakasiyana. Chinangwa chedu chaive chekuona kuti chii chaibatanidzwa mukunyara, uye takatarisa zvinhu zvemunhu zvakaita sezera, murume kana mukadzi, dzidzo, kuoma kwechirwere uye hunhu hwepfungwa pamwe nezvinhu zvine chekuita nechirwere. Uye zvatakawana uye zvatakashamisika nazvo ndezvekuti kunyara hakuna chekuita nekuoma kwekufamba kwemuviri kwechirwere [00:04:00].

Kana kuti nguva yekurwara. Inonyanya kusanganiswa nezvinhu zvepfungwa zvakaita sehumwe hunhu, zvakaita sekunzwa kunyara, kunzwa uine mhosva, uye kunetseka. Zviratidzo zvemuviri chete zvaibatanidzwa nekunyara zvaive dyskinesia apo vanhu vaive vasina chokwadi chekuti Mwari haazivikanwi, pavaiziva nezve dyskinesia yavo uye zviratidzo zvisiri zvemuviri ndizvo zvakanyanya kusanganiswa nenyadzi.

Kwaiva kuzvidya mwoyo, kuora mwoyo, kusava nehanya, uye takasimbisa kuti hupenyu hwakanaka hwakabatana zvakanyanya nekunyara.

Dr. Divyani Garg: Ehe. Ndakafungawo kuti zvakawanikwa izvi zvakakosha nekuti vazhinji vevaya vawataura vanogona kuchinjwa, kusanganisira kuora mwoyo, kushaya hanya, uye dyskinesias, izvo zvandinofunga kuti ndezvekuti zvinoonekwa [00:05:00]. Saka vanogona kuve vanobatsira, asi vanogona kuchinjwawo.

Saka zvinofadza kuziva kuti zvinhu izvi zviripo ndizvo zvinhu zvinogona kuchinjwa. Saka chimwe chinhu chinonakidza muchidzidzo ichi kwaive kuongorora mapoka evanhu. Makaona mapoka matatu akasiyana evanhu vane chirwere cheParkinson. Munogona here kutiratidza maboka iwayo?

Dr. Vanessa Fleury: Ehe. Saka takaona ma profiles matatu akasiyana ekunyara. Vamwe varwere vanonyara nekuti zvikurukuru nekuda kwezviratidzo zvemitsipa yemuviri, zvakare, kunyanya nekuda kwezviratidzo zvisiri zvemitsipa yemuviri. Uye boka rechitatu rakanyara zvikuru kubva kune vese. Uye boka rakanyanya kushanda raive risiri iro raiva nezviratidzo zvakanyanya zvemitsipa yemuviri, asi iro raiva nemutoro wepfungwa wakanyanya.

Dr. Divyani Garg: Zvakanaka, ngatiuyei neizvi kukiriniki. Saka zvichibva pane zvamakawana, chii chimwe chinofanira kuitwa nevanachiremba? Vangabatsira sei kugadzirisa mutoro uyu usingaonekwe wevarwere vavo? Chii chatingaita kuti [00:06:00] tibatsire zvechokwadi?

Dr. Vanessa Fleury: Kutanga tinofanira kuona kunyara, ndiyo danho rekutanga, tobva tataura nezvazvo uye tinogona kupindira. Saka chekutanga, tinofanira kunzwisisa kwazvinobva. Kana iri dyskinesia zviri nyore. Tinogona kuderedza kurapwa kana kupa imwe nzira yekurapa. Asi kana zvakabatana nekushaya hanya kana kuora mwoyo kana kuzvidya mwoyo, tinogonawo kurapa nemishonga kana zvichidikanwa. Asi manejimendi yepfungwa ndiyo inonyanya kukosha. Tinogona kupa mazano ekurapa maitiro ekufunga kana kudzidzisa psychotherapy kune varwere ava. 

Dr. Divyani Garg: Uye kana muchiti tinofanira kudzidza kuziva izvi muvarwere vedu, munofunga kuti ndeipi nzira yakanakisisa yekuita izvozvo? Munofunga kuti tinogona kuvabvunza zvakananga here? Kana kuti zviri nani here kuvaongorora tichishandisa maturusi chaiwo? Chii chingave chinobatsira [00:07:00].

Dr. Vanessa Fleury: Ndinofunga zvakakosha kutanga waziva nezvechikamu ichi nekuti varwere havatangi vauya nechichemo ichi. Kutaura zvazviri, havazokuudze kuti ndinonyara. Kutaura zvazviri, vanouya voti, hongu, hazvina kunaka, asi unoona kuti mamiriro emota haana kuipa zvakanyanya.

Asi kutaura chokwadi, unofanira kuwedzera kubvunzurudzwa kwako uye kutsvaga kuti chii chiri kukonzera dambudziko. Uye kazhinji chiremba wepfungwa ndiye achaona kuzvidya mwoyo kwavo, kuora mwoyo, uye kunyara kunowanzobatanidzwa. Saka kune vanachiremba, ndinofunga kutanga nekuziva, wozotaura nevarwere wozoedza kuona kuti ndezvipi zvinhu zvine chekuita nazvo uye kuti tingagadzirisa sei chiratidzo ichi.

Dr. Divyani Garg: Saka tisati tapedzisa, ndaida kungobvunzai kana paine meseji imwe chete kubva muchidzidzo ichi yamunoda kugovana nevateereri vedu, meseji iyoyo ingave yei?

Dr. Vanessa Fleury: Kunyara kwakabatana nechirwere cheParkinson [00:08:00] kwakakamurwa. Hakuoneki, asi kunokanganisa zviratidzo zvemuviri zvisina kusimba muchirwere cheParkinson. Uye hazvisi zvekuoma kwemuviri, asi zvine chekuita nehunhu, kuzvidya mwoyo, kuora mwoyo, uye hupenyu hwakanaka. Varwere vaviri vane zviratidzo zvemuviri zvakafanana vanogona kunzwa kunyara kwakasiyana zvachose.

Uye hazvirapiki. Zvinogona kugadziriswa kuburikidza nezvirongwa zvakasiyana-siyana uye zvakagadzirirwa vanhu vakawanda.

Dr. Divyani Garg: Ndatenda zvikuru nekubatana neni nhasi, Dr. Fleury, uye nekutaura nezvenyaya iyi, uye chinonyanya kukosha, kushanda panhau iyi inokosha. Ndatenda.

Dr. Vanessa Fleury: Ndatenda zvikuru. [00:09:00]