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Mokhoa oa ho laola mathata a kelello lefung la Parkinson nakong ea tsosoloso 


Mathata a kelello lefung la Parkinson (PD) a qala ha le fumanoa 'me a mpefala butle-butle, qetellong a ama batho ba fihlang ho 83% ba phelang lilemo tse 20 (1). Liphetoho e ka ba tse tsoelang pele (tsoelo-pele ea lefu butle-butle) kapa tse potlakileng (ho qala ka tšohanyetso ka lebaka la liphetoho tsa meriana, tšoaetso, kapa liketsahalo tse sithabetsang). Ho mpefala ka tšohanyetso kamehla ho hloka tlhahlobo e potlakileng ea bongaka. Tletlebo efe kapa efe e ncha kapa e mpefalitsoeng ea kelello e lokela ho susumetsa tlhahlobo e hlokolosi ea mabaka a bakang, ho kenyeletsoa le litlamorao tsa meriana, boroko, matšoenyeho, khatello ea maikutlo, ho se sebetse, le tšitiso ea mesebetsi e 'meli, hammoho le ho tsebahatsa se etsang hore matšoao ao a be betere kapa a mpefala (2). Mekhoa ea phekolo e seng ea meriana e ka nahanoa hang ha mekhoa ea physiotherapy le boikoetliso li ntlafalitse haholo ts'ebetso ea lefats'e ea kelello (3, 4). 

Malebela a sebetsang mabapi le mokhoa oa ho sebetsana le mathata a kelello ts'ebetsong ea bongaka ea tsosoloso:

  • Sesosa sa motheo le meriana li lokela ho hlahlojoa le ho fetoloa ke ngaka e phekolang.

  • Ho tsosolosoa ha kelello (mabapi le phekolo ea mosebetsi, phekolo ea puo, physiotherapy le kelello) ho ntse ho etsoa lipatlisiso empa ho khothaletsoa haholo. 

  • Boikoetliso ke sesebelisoa se matla ka ho fetisisa seo e seng sa meriana. Mananeo a kopantsoeng/a mangata (aerobic + matla + ho leka-lekana + ho hokahanya) a bontša molemo o hlakileng ka ho fetisisa bakeng sa kutloisiso ea lefats'e le ts'ebetso ea phethahatso, haholo-holo ka matla a bobebe ho isa ho a itekanetseng bonyane metsotso e 60 ka thuto, letsatsi le letsatsi, haholo-holo. 

  • Koetliso e ikhethileng mosebetsing e na le monyetla oa ho fumana liphetho tse ntle. Ha likhaello tsa tlhokomelo li sitisa ho tsamaea, mohlala, ho kenya mesebetsi ea ho tsamaea butle-butle ka liphephetso tse thehiloeng tlhokomelong ka nako e le 'ngoe ho hlahisa maemo a koetliso a etsisang litlhoko tsa mosebetsi o reriloeng haufi-ufi. Netefatso ena ea tikoloho e nkoa e le mokhoa oa bohlokoa o susumetsang phetisetso ea ts'ebetso le ho fetisetsoa hoa bohlokoa mesebetsing ea bophelo ba letsatsi le letsatsi. 

  • Maano a puseletso (ho qosa, ho hopotsa, ho koetlisa molekane oa tlhokomelo) le liphetoho tsa mokhoa oa bophelo (bohloeki ba boroko, lijo, ho kopanela sechabeng) li phethela morero.  


Setšoantšo sa 1: Mohlala oa moralo oa ho laola litletlebo tsa kelello nakong ea tsosoloso.

Ka bokhutšoanyane, mathata a kelello ho PD a qala ha ho fumanoa lefu lena 'me a mpefala butle-butle, a totobatsa bohlokoa ba ho lekola khafetsa ha kelello ho pholletsa le tsoelo-pele ea lefu lena. Le hoja tsosoloso ea kelello e ntse e le ts'ebetso e hlahellang e nang le bopaki bo ntseng bo fetoha, e se e ntse e emela karolo e nang le moelelo oa moralo o felletseng oa tlhokomelo. Koetliso e ikhethileng ea mesebetsi le boikoetliso ba matla a mangata a khanya ho isa ho a itekanetseng li bontša melemo e tsitsitseng bakeng sa kutloisiso ea lefats'e le ts'ebetso ea phethahatso, ha maano a puseletso le liphetoho tse reriloeng tsa mokhoa oa bophelo li sebetsana le tšusumetso ea ts'ebetso mesebetsing ea letsatsi le letsatsi. Ha li kopanngoa, bopaki bo fumanehang bo tšehetsa ts'ebetso ea pele, e ikhethileng le e tsoelang pele ho ntlafatsa litsela tsa kelello ho baahi bana. 

 

References 

  1. Hely MA, jj. Phuputso ea Sydney ea libaka tse ngata ea lefu la Parkinson: ho ke ke ha qojoa ha dementia ha motho a le lilemo li 20. Mov Disord. 2008;23(6):837-844 
  2. Seppi K, Ray Chaudhuri K, Coelho M, Fox SH, Katzenschlager R, Perez Lloret S, Weintraub D, Sampaio C; basebetsi-'moho le Parkinson's Lefu la Ntlafatso mabapi le Sehlopha sa Thuto ea Matšoao a Seng a Motlakase molemong oa Komiti ea Bongaka e Thehiloeng Bopaking ba Mokhatlo oa Mathata a Motsamao. Ntlafatso mabapi le mekhoa ea phekolo bakeng sa matšoao a sa amaneng le motsamao a lefu la Parkinson - tlhahlobo ea meriana e thehiloeng bopaking. Mov Disord. 2019 Hlakola;34(2):180-198. doi: 10.1002/mds.27602. Epub 2019 Pherekhong 17. Erratum ho: Mov Disord. 2019 Mots'eanong;34(5):765. doi: 10.1002/mds.27684. PMID: 30653247; PMCID: PMC6916382. 
  3. Kim R, Lee TL, Lee H, Ko DK, Lee JH, Shin H, Lim D, Jun JS, Byun K, Park K, Jeon B, Kang N. Litlamorao tsa ho kenella ha boikoetliso ba 'mele mosebetsing oa kelello lefung la Parkinson: Tlhahlobo e hlophisitsoeng e ntlafalitsoeng le tlhahlobo ea meta ea liteko tse laoloang ka mokhoa o sa reroang. Parkinsonism Relat Disord. 2023 Dec;117:105908. doi: 10.1016/j.parkreldis.2023.105908. Epub 2023 Mphalane 26. PMID: 37922635. 
  4. Hu S, Lei J, You HJ. Boikoetliso bakeng sa Matšoao a sa Amaneng le Motlakase a Lefu la Parkinson: Tlhahlobo e Thehiloeng Bopaking ba Liteko tsa Bongaka, Litlhokomelo tsa Tekanyo, le Temoho ea Mechanistic. Neural Plast. 2026;2026(1):e7191029. doi: 10.1155/np/7191029. PMID: 41918452. 

 

 

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