Te Pānga o te Whakaora Tinana ki ngā Tūroro e pāngia ana e te Mate a Parkinson
He mate neurodegenerative ahu whakamua te mate a Parkinson e pā ana ki te roro, ka puta he ngoikore nui o te nekehanga, te wiri, te pakari o te uaua, te bradykinesia, me te kore pumau o te tū. He mea nui te tautuhi i ngā maimoatanga whai hua mō te mate a Parkinson hei whakapai ake i te kounga o te oranga o ngā tūroro. Kua whakamātauhia te whakaora tinana hei tikanga whakahaere whai hua mō ngā tohu nekehanga e pā ana ki te mate a Parkinson. Ka whakamāramahia e tēnei tuhinga te whai huatanga o te whakaora tinana ki ngā tūroro e pāngia ana e te mate a Parkinson.
Ngā Tikanga me ngā Painga o te Whakaora Tinana mō te Mate a Parkinson
Ko te whakaora tinana he huarahi whakaora e uru ana ki ngā momo tikanga tinana me ngā mahi whakakori tinana motuhake kua hangaia hei whakapai ake i te mahi tinana o te tūroro, te nekenekehanga, te taurite, me te kounga o te oranga . Ko ngā whāinga matua o te whakaora tinana i roto i ngā tūroro a Parkinson he whakapai ake i ngā pūkenga nekeneke, te whakaiti i ngā tohu, me te whakaroa i te haere whakamua o te mate.
1. Te Whakapai Ake i te Kaha me te Ngāwari o te Uaua
Ko te arotahi a te whakaora tinana ko te whakapai ake i te kaha me te ngāwari o te uaua mā te whakangungu ātete me te totoro. He maha ngā wā ka pāngia ngā tūroro a Parkinson e te ngoikore me te pakari o te uaua, ka taea te whakapai ake mā te whakakori tinana tonu. Mā te whakanui ake i te kaha o te uaua ka āwhina i ngā tūroro ki te mahi i ngā mahi o ia rā kia māmā ake, ā, mā te whakanui ake i te ngāwari ka whakaiti i te tūponotanga o te whara me te whakanui ake i te whānuitanga o te nekehanga.
2. Te Whakapai Ake i te Taurite me te Whakaritenga
Ko te ngoikore o te taurite me te taunga o ngā hononga he tohu noa o te mate a Parkinson, ka piki ake te tūponotanga o te hinga me te whara. Ka whakamahia e ngā kaiwhakaora tinana ngā mahi whakapakari matua, me te whakangungu taurite , tae atu ki ngā mahi tūmau me ngā mahi hihiri, hei whakapai ake i te pumau o te tū o ngā tūroro. Ka taea te whakamahi i ngā taputapu āwhina pēnei i ngā pōro taurite me ngā papaaho hei whakaoho i ngā pūnaha vestibular me te proprioceptive, hei whakapakari i ngā pūkenga taurite.
3. Ngā Mahi Whakangungu mō te Hīkoi me te Nekenekehanga
He maha ngā wā ka pāngia ngā tūroro o Parkinson e ngā uauatanga ki te hikoi, tae atu ki ngā takahanga poto, puhoi me te tūnga ohorere (te tūnga ohorere). Ka whakaakona e ngā kaiwhakaora tinana ngā tūroro ki te tikanga hikoi tika, te whakangungu tere haere, me te hikoi i runga i ngā mata rerekē hei whakapai ake i te nekenekehanga . Mā te whakamahi i ngā wawaotanga pēnei i ngā mīhini oma me ngā pereti mīhini ka taea te whakarerekē me ngā mahi hikoi wai ka āwhina i te whakapai ake i ngā tauira hikoi me te manawanui.
4. Te Whakapai ake i te Mahi Manawa o te Ngākau
He wāhanga nui o te whakaora tinana mō ngā tūroro mate a Parkinson te whakakori tinana ā-hauora nā te mea ka taea te whakapai ake i te mahi a te pūnaha manawa me te pūnaha ngākau. Ka taea e ngā whakakori tinana, tae atu ki te hikoi tere, te eke pahikara, me te kaukau, te tautoko i te manawanui o te ngākau me te pukahukahu , me te whakanui ake i te kaha ki te tuku hāora ki ngā kiko. Ka āwhina hoki ēnei whakakori tinana ki te whakaiti i te ngenge me te whakanui ake i te kaha.
5. Whakangungu Neuromotor me te Hinengaro
Ko ngā mahi whakakori tinana me ngā mahi hinengaro e mōhiotia ana ko te whakangungu mahi-rua, e tonoa ai ngā tūroro ki te mahi i ngā mahi e hiahia ana kia nui ake te aro i te wā kotahi. Hei tauira, te hikoi me te whakaoti rapanga pāngarau māmā. Ka āwhina tēnei i ngā tūroro ki te whakapai ake i te ngāwari o te roro me ngā āheinga urutau, he mea nui ēnei mō te hunga e pāngia ana e ngā wero hinengaro nā te mate a Parkinson.
6. Tautoko Hinengaro-pāpori
Ehara i te mea ko ngā painga tinana anake te mea e tukuna ana e te whakaora tinana, engari e tautoko ana hoki i te oranga hinengaro me te oranga pāpori o ngā tūroro. Mā te whakaora rōpū ka taea e ngā tūroro te taunekeneke me ētahi atu e pāngia ana e ngā āhuatanga rite, ka taea te whakaiti i ngā kare ā-roto o te mokemoke me te pouri. Ka whakaratohia hoki e te whakaora tinana te mātauranga ki ngā tūroro me ō rātou whānau, hei āwhina i a rātou ki te mārama ki te mate me te whakahaere i ngā tohumate kia pai ake te whai hua.
Ngā Rangahau me ngā Taunakitanga Pūtaiao
He maha ngā rangahau kua tautoko i te whai huatanga o te whakaora tinana i roto i te whakahaere i te mate a Parkinson. I whakatauhia e te tātaritanga whānui a Tomlinson et al. (2012) he nui ngā whakapainga i puta mai i te whakaora tinana i roto i te nekehanga, te taurite, me ngā mahi o ia rā, ki te whakatauritea ki te tiaki o ia rā. I kitea anō hoki e te rangahau a Goodwin et al. (2008) he pai ngā hua o ngā kaupapa whakakori tinana takitahi, hanganga hoki, ki te mahi nekeneke me te oranga tinana o ngā tūroro mate a Parkinson.
E whakaatu ana hoki ngā rangahau mā te whai wāhi atu ki tētahi kaupapa whakaora tinana auau ka taea te whakaroa i te haere whakamua o ngā tohumate nekehanga. Hei tauira, i kitea i roto i tētahi rangahau nā Dibble et al. (2009) i hua ake i te 6 marama o te whakangungu kaha te whakapai ake i te kaha me te taurite o ngā uaua.
Ngā Wero i roto i te Whakatinanatanga o te Whakaora Tinana
Ahakoa ngā painga kua whakamātauhia o te whakaora tinana, kei te mau tonu ngā wero i roto i tōna whakatinanatanga. Ko tētahi wero nui ko te kore e taea te uru atu ki ngā ratonga whakaora tinana e tika ana i ētahi rohe, inā koa i ngā whenua whakawhanake. He maha hoki ngā tūroro mate a Parkinson e pāngia ana e te raruraru pūtea, e whakawhāiti ana i tō rātou kaha ki te uru atu ki te whakaora tinana tonu.
Hei tāpiri atu ki tēnā, he raruraru pea te mahi tahi me te piri ki tētahi kaupapa whakaora tinana, inā koa mēnā ka pāngia te tūroro e te hekenga o te hinengaro, te hekenga rānei o te hihiri. Nō reira, he mea nui te taunekeneke i waenga i te kaiwhakaora tinana, te tūroro, me te whānau kia angitu ai te whakaora.
Whakamutunga
He mea nui te mahi whakaora tinana i roto i te whakahaere i te mate a Parkinson. He maha ngā painga e tukuna ana, tae atu ki te whakapakari i te kaha o te uaua, te taurite, te nekenekehanga, te mahi o te ngākau me te ngākau, me te tautoko hinengaro-pāpori. He nui ngā taunakitanga pūtaiao e tautoko ana i te whai huatanga o te whakaora tinana ki te whakapai ake i te kounga o te oranga mō ngā tūroro a Parkinson. Ahakoa he wero kei te whakatinanahia, me te tautoko tika, ka taea e te whakaora tinana te waiho hei whiringa maimoatanga tino whai hua mō ngā tūroro a Parkinson.
I te mea kei te piki haere ngā rangahau me ngā whanaketanga i roto i te ao o te whakaora tinana, e tūmanakohia ana ka haere tonu te whakawhanake i ngā tikanga me ngā tikanga hou hei whakarato i te tautoko pai ake mō ngā tūroro a Parkinson a muri ake nei.
