Akwụkwọ Ọnọdụ MDS
Nchọpụta nke Ọrịa Parkinson

March 1, 2023

Kọmitii Okwu Sayensị n'aha International Parkinson and Movement Disorder Society (MDS) na-enye nkwupụta a gbasara nchọpụta ọrịa Parkinson (PD). Okwu a dabere na ihe akaebe kacha mma dị ugbu a.

MDS na 2015 bipụtara Onye ọrụ MDS Clinical Diagnostic Criteria maka ọrịa Parkinson (MDS-PD Criteria)¹. Ihe njirisi ndị a sitere na ọrụ nke Ndị ọrụ MDS maka nkọwa nke PD, otu ndị ọkachamara mba ụwa ama ama na PD².

Ọ bụ ezie na e mere MDS-PD Criteria maka iji mee nyocha, MDS na-akwado iji ha mee ihe dị ka ntụziaka izugbe maka nchọpụta PD na ntọala ụlọ ọgwụ, na njirisi na-anọchi anya ugbu a ọkọlọtọ zuru ụwa ọnụ maka nchọpụta PD. Ọzọkwa, ndị a akwadola njirisi megide ọkọlọtọ ọla edo nke nyocha ụlọ ọgwụ ọkachamara (ndị ọkà mmụta akwara nwere> ahụmịhe afọ 10 na nyocha PD)³.

Ihe dị mkpa iji tinye ụkpụrụ MDS-PD bụ nyocha nke parkinsonism, nke dabere na njirimara moto ụlọ ọgwụ atọ (bradykinesia, tremor rest, rigidity). Mkpebi nke PD dị ka ihe kpatara parkinsonism na-adabere n'ụdị atọ nke njirimara nchọpụta: njirisi mwepu zuru oke, ọkọlọtọ uhie, na njirisi nkwado. A na-ekpebi njirimara moto na ọtụtụ n'ime njirimara nchoputa site na iwere akụkọ ihe mere eme kwesịrị ekwesị yana nyocha akwara ozi nwere nkà. Ya mere, nchoputa nke PD chọrọ ọzụzụ zuru oke na neurology. Usoro nkwado na-abawanye obi ike nke nchoputa, ma enweghị ike ime nchọpụta ahụ n'onwe ha. Naanị nchọpụta ụlọ nyocha gụnyere dị ka ihe nkwado maka nchoputa nke PD bụ mmetụta ọmịiko obi na MIBG scintigraphy.. Neuroimaging arụ ọrụ nkịtị nke sistemu dopaminergic presynaptic na-ewepu nchoputa nke PD. Ọganihu dị n'ọhịa ga-eduga na mmelite na-aga n'ihu na njirisi diagnostic ka oge na-aga. Otú ọ dị, e nwere enweghị akaebe sayensị a pụrụ ịdabere na ya iji kwado iji nyocha ọbara ma ọ bụ EEG dị ka nyocha nyocha maka PD ya mere etinyeghị ha na njirisi MDS-PD.
 

Nchọpụta isi Nchọpụta nyocha Clinical MDS gọọmentị maka PD Ugbu a ọkọlọtọ zuru ụwa ọnụ maka nchọpụta ọrịa ọrịa Parkinson ma maka nyocha na ojiji ụlọ ọgwụ.  Nyochaa ụkpụrụ »   Nkwupụta Task Force Site na ndị ọkachamara nke mba ụwa niile na-ede akwụkwọ maka njirisi.  Gụọ akwụkwọ   Nkwado ụkpụrụ Ndị ọkachamara n'ọrịa akwara na-eme ihe karịrị afọ iri na nchọpụta PD. Gụọ akwụkwọ

References

1. Postuma RB, Berg D, Stern M, et al. Usoro nyocha ụlọ ọgwụ nke MDS maka ọrịa Parkinson. Nsogbu Mov 2015; 30 (12): 1591-1601.
2. Berg D, Postuma RB, Bloem B, et al. Oge iji kọwaa PD? Nkwupụta mmalite nke MDS Task Force na nkọwa nke ọrịa Parkinson. Nsogbu Mov 2014; 29 (4): 454-462 .
3. Postuma RB, Poewe W, Litvan I, et al. Nkwenye nke njirisi nyocha ụlọ ọgwụ MDS maka ọrịa Parkinson. Nsogbu Mov 2018; 33 (10): 1601-1608.