

Health Library
October 10, 2025
Question on this topic? Get an instant answer from August.
Ubuthakathaka bukaParkinson yisifo sobuchopho esikhula kancane kancane esithinta ukunyakaza, ukulinganisela, nokulungiswa komzimba. Kwenzeka lapho amaseli ezinzwa engxenyeni ethile yobuchopho bakho eqala ukungasebenzi kahle kancane kancane, okuholela ezimpawu ezithuthuka kancane kancane ngokuhamba kwesikhathi.
Lesi simo sithinta ukuphila kwabantu abangaphezu kwezigidi ezingu-10 emhlabeni jikelele, kuhlanganise nabantu abaningi ongabazi njengoMichael J. Fox noMuhammad Ali. Nakuba ukwamukela leli bika kungase kubonakale kukucindezela, ukuqonda ukuthi kwenzekani emzimbeni wakho nokwazi izinketho zakho zokwelashwa kungakusiza ukuthi uqhubeke nale ndlela ngethemba elikhulu namandla.
Ubuthakathaka bukaParkinson kwenzeka lapho amaseli ebuchopho akhiqiza i-dopamine eqala ukuwohloka futhi afe. I-Dopamine iyithunyelwe lemikhiqizo ye-kemikhali esiza ukulawula ukunyakaza kwemisipha ebushelelezi, okulungiselelwe emzimbeni wakho wonke.
Cabanga nge-dopamine njengomqondisi we-orkestra. Uma kukhona i-dopamine eyanele, ukunyakaza kwakho kuyaqhubeka ngokubushelelezi nangokwemvelo. Njengoba amazinga e-dopamine ehlala, ubuchopho bakho buyalwa ukuhlanganisa ukunyakaza kahle, okuholela ezimpawu ezivamile zikaParkinson.
Lesi sifo siqhubeka kancane kancane, ngokuvamile eminyakeni eminingi. Abantu abaningi baqaphela izinguquko ezincane ezingase zibonakale njengokuguga okuvamile. Kodwa-ke, njengoba amaseli amaningi akhiqiza i-dopamine elahlekile, izimpawu ziyaqaphela kakhulu futhi zingaqala ukuphazamisa imisebenzi yansuku zonke.
Izimpawu zikaParkinson ngokuvamile ziqala ngakolunye uhlangothi lomzimba wakho futhi zihlala zinzima kakhulu ngakolunye uhlangothi kulo lonke ubuthakathaka. Izimpawu eziyinhloko ziwela ezinhlotsheni ezimbili: izimpawu zokunyakaza ezithinta ukunyakaza, kanye nezimpawu ezingaphandle kokunyakaza ezithinta ezinye imisebenzi yomzimba.
Izimpawu ezine eziyinhloko zokunyakaza abagqirha abazifuna zihlanganisa:
Lezi zimpawu zokunyakaza zingathinta impilo yakho yansuku zonke kakhulu, kodwa ngokuvamile yilokho okuholela ekuxilongweni olunembile. Ukutholakala kwangaphambi kwesikhathi nokuphathwa kungasiza ekulawuleni lezi zimpawu ngokuphumelelayo.
Izimpawu ezingelona imoto zingabonakala eminyakeni eminingi ngaphambi kokuba izimpawu zemoto zibonakale. Lezi zimpawu ezivame ukungazinaki zihlanganisa:
Abanye abantu nabo baye baba nezimpawu ezingavamile njengokunqamula ukugwinya, izinkinga zesikhumba, noma ukushintsha kwengqondo. Lezi zimpawu zingaba inselele njengezimpawu zemoto, kodwa ngokuvamile ziphendula kahle ekuphenyeni okuqondiswe.
Izigameko eziningi zesifo se-Parkinson zibhekwa njenge-“idiopathic,” okusho ukuthi imbangela eqondile ayaziwa. Noma kunjalo, odokotela bayabona izinhlobo eziningi ezahlukene ngokusekelwe ezahlukweni zazo eziyisisekelo nezici.
I-Parkinson's disease eyinhloko yiyona uhlobo oluvamile, olumelela cishe u-85% wazo zonke izigameko. Lolu hlobo luthuthuka ngaphandle kwesizathu esicacile se-genetic noma isithintelo somkhathi esingabonakala ngodokotela.
I-Parkinson's yomdaka ivela kwezinye izinto ezonakalisa amaseli ebuchosheni akhiqiza i-dopamine. Lezi zizimbangela zihlanganisa imithi ethile (ikakhulukazi ethile esetshenziswa ekwelapheni ukugula kwesisu noma izimo zengqondo), ukulimala kwekhanda, ukutheleleka, noma ukukhombisa izinto ezinobuthi.
I-Parkinson's yofuzo ithonya cishe ama-10-15% abantu abanesimo. Kutholwe ama-jini amaningana angandisa ingozi yakho, nakuba ukuba nalezi zinjini akusho ukuthi uzophulaphula lesi sifo.
Kukhona nezinhlobo ezingavamile njengokwehluleka kwesistimu eminingi nokuhlupheka okukhulu okungapheli. Lezi zimo zingabonakala zifana ne-Parkinson's kodwa zihilela izindawo ezahlukene zobuchopho futhi zingathuthuka ngokuhlukile.
Imbangela eqondile yesifo se-Parkinson's isalokhu iyimfihlakalo eqhubekayo yemithi. Noma kunjalo, abacwaningi bakholelwa ukuthi cishe ivela ekuhlanganiseni kwezinto zofuzo, ezokuzungezile, nezinto ezihlobene nobudala ezisebenza ndawonye ngokuhamba kwesikhathi.
Ubudala yingxenyekazi enkulu yengozi esiyaziyo. Abantu abaningi bathuthukisa izimpawu ngemuva kweminyaka engama-60, futhi ingozi yakho iyaqhubeka ikhula njengoba ukhula. Lokhu kusikisela ukuthi izinqubo zokuguga okujwayelekile zingase zinikeze ekukhuleni kwesifo.
Izinto zofuzo zidlala indima kwezinye izimo. Uma unembeletho noma umfowenu onesi-Parkinson's, ingozi yakho iphakeme kancane kunesilinganiso. Noma kunjalo, abantu abaningi abane-Parkinson's abanalo umlando womndeni wesifo.
Izinto ezokuzungezile zingase futhi zinikeze, nakuba ubufakazi busathuthuka. Ezinye izifundo zikhomba ukuthi ukukhombisa izidakamizwa ezithile, izidakamizwa zokubulala ukhula, noma amakhemikhali emisebenzi kungase kukhulise ingozi. Ukulimala kwekhanda, ikakhulukazi ukuxokozela okuphindaphindayo, kungase futhi kudlale indima.
Ngokuthakazelisayo, ezinye izinto zokuphila zibonakala zivikela. Ukusetshenziswa njalo kwekhofi, ukuzivocavoca komzimba, kanye nezindlela ezithile zokudla kungasiza ekunciphiseni ingozi yakho, nakuba asinaqondo lokho okubangela lokho.
Kufanele ucabange ukuya kudokotela uma ubona ukushintsha okuqhubekayo ekuhambeni kwakho, ekutholeni umqondo, noma ekuhlanganiseni okuhlanganiswe okuhlanganiswe okungabonakali ukuthi kuyahamba ngokwalo. Izimpawu zokuqala zingaba zimuncu, ngakho themba izinzwa zakho uma kukhona okubonakala kuhlukile.
Izimpawu ezithile ezidinga ukuhlolwa yi-dokotela zihlanganisa ukuzamazama esandleni sakho noma eminweni yakho uma ukhulu, ubunzima bemisipha obuenza ukuhamba kube nzima, noma ukwanda okubonakalayo kokunyakaza kwakho. Ukushintsha kokubhala kwakho, izwi, noma ukubonakala kobuso kungaba izibonakaliso zokuqala.
Ungalindi uma ubhekene nezinkinga zokulinganisela noma ukuwa okuvamile. Nakuba lezi zimpawu zingaba nezizathu eziningi, kubalulekile ukuzixazulula ngokushesha ngenxa yokuphepha kwakho.
Izimpawu ezingelona imoto njengokuvalelwa kwamathumbu okuqhubekayo, ukulahleka konukuli, noma ukuphazamiseka kokulala kuhlangene nokushintsha kokunyakaza kufanele futhi kukhuthaze ukuvakashela umhlinzeki wakho wezinsizakalo zezempilo. Lezi zimpawu ezingabonakali ukuthi zihlangene empeleni zingaba izibonakaliso zokuqala ze-Parkinson's.
Ukuqonda izingozi kungakusiza ukuba ube nezingxoxo ezilwemi nodokotela wakho, nakuba kubalulekile ukukhumbula ukuthi ukuba nezingozi akusho ukuthi uzophuthuma leyo gciwane. Abantu abaningi abanezingozi eziningi abazange baqale i-Parkinson's.
Izingozi ezinkulu kakhulu zihlanganisa:
Ezinye izinto zingasiza ekulweni ne-Parkinson's disease. Ukuzivocavoca okuvamile, ukusebenzisa i-caffeine ngokulinganisela, nokudla ukudla okufana nokudla kwe-Mediterranean okucebile nge-antioxidants kunganciphisa ingozi yakho.
Kubalulekile ukuqaphela ukuthi abantu abaningi abane-Parkinson abanazo izimbangela ezicacile zengozi. Lesi sifo singathinta noma ubani, kungakhathaliseki ukuthi indlela yokuphila noma umlando womndeni.
Njengoba i-Parkinson's disease iqala ukukhula, izinkinga ezahlukene zingase zivele, zithinte izici ezahlukene zempilo yakho nempilo yakho yansuku zonke. Ukuqonda lezi zinselele ezingenzeka kungakusiza wena neqembu lakho lokunakekelwa kwezempilo ukuhlela kusengaphambili futhi nilungise izinkinga njengoba zivele.
Izingozi ezihlobene nokuhamba zivame ukuvela njengoba lesi sifo siqhubeka:
Izinkinga ezingahambisani nomoya zingaba inselele efanayo futhi zingafaka ukuguquka kwengqondo, ukucindezeleka, ukukhathazeka, noma izinkinga zokulala. Ubunzima bokuginya bungase bukhule ezinyathelweni zakamuva, okungenzeka kube yimbangela yezinkinga zokudla noma i-pneumonia yokufunxa.
Abanye abantu baye baba nokungasebenzi kahle kwesistimu yezinzwa, lapho uhlelo lwezinzwa lukulwa nokulawula imisebenzi yomzimba ezenzakalelayo. Lokhu kungabangela izinkinga ekulawuleni kwegazi, ukugaya, noma ukulawula kokushisa.
Izindaba ezinhle ukuthi izinhlanganisela eziningi zingaphathwa kahle ngokunakekelwa komtholampilo okufanele nokuguqulwa kwendlela yokuphila. Iqembu lakho lokunakekelwa kwezempilo lingakusiza ukuba uthuthukise amasu okuvimbela noma ukunciphisa lezi zinkinga.
Okwamanje, ayikho indlela ebonakaliswe yokuvimbela ngokuphelele i-Parkinson's disease. Noma kunjalo, ucwaningo lubonisa ukuthi izinqumo ezithile zokuphila zingasiza ekuqedeni ingozi yakho noma ukulibazisa ukuqala kwezimpawu.
Ukuzivocavoca komzimba njalo kubonakala sengathi ingenye yezinhlangothi ezivikelayo ezithembisayo. Izifundo zibonisa ukuthi abantu abazivocavoca njalo ekuphileni kwabo banengozi encane yokuthuthukisa i-Parkinson's. Ukuzivocavoca kungasiza ekuvikeleni amangqamuzana ebuchosheni nokukhuthaza ukukhula kwezinxephezelo ezintsha zezinzwa.
Izici zokudla zingase futhi zidlale indima. Ukulandela ukudla okunjenge-Mediterranean okucebile ngezithelo, imifino, ukudla okugcwele, namafutha ampilo kungase kunikeze isivikelo ethile. Ezinye izifundo ziyabonisa ukuthi ukusetshenziswa kwekhofi okulinganiselwe nokusela itiye oluhlaza kungase futhi kube usizo.
Ukugwema ukubhekana nezinto ezithile ezizungezile uma kungenzeka kunengqondo, nakuba lokhu kungabi njalo. Uma usebenza ngezidakamizwa zezitshalo noma amakhemikhali emishini, ukulandela izindlela ezifanele zokuphepha nokusebenzisa imishini eyivikelo kubalulekile.
Ukuvikela ikhanda lakho ekulimala, ikakhulukazi ukulimala kokuxubha okuphindaphindayo, kungase futhi kusize ekuqedeni ingozi. Lokhu kubaluleke kakhulu kubadlali bezemidlalo nabantu abasebenza emisebenzini engozi enkulu.
Ukuxilongwa kwesifo se-Parkinson kudinga ukuhlolwa ngokucophelela yi-clinic yisisebenzi sezokunakekelwa kwezempilo, ngokuvamile udokotela wezinzwa oqeqeshwe ezinkingeni zokunyakaza. Ayikho i-test eyodwa engabonisa ngokuqinisekile lesi simo.
Udokotela wakho uzoqala ngomlando wezokwelapha onemininingwane kanye nokuhlolwa komzimba. Uzokubuzisa ngezimpawu zakho, ukuthi zaqala nini, indlela eziye zakhula ngayo, nokuthi zikuphazamisa yini emisebenzini yakho yansuku zonke.
Ukuhlolwa komzimba kugxila ekubukeni ukunyakaza kwakho, ukuhlola ukuzamazama, ukuhlola umthamo wemisipha yakho, nokuhlola ibhalansi yakho kanye nokuhlanganiswa kwakho. Udokotela wakho angase akucele ukuba wenze imisebenzi ethile njengokuhamba, ukubhala, noma ukushaya ngeminwe yakho.
Ngezinye izikhathi, udokotela wakho angase akukhuthaze i-DaTscan, i-test yokuhlola ubuchopho eyingqayizivele engabonisa ukuthi amaseli akhiqiza i-dopamine asebenza kahle yini. Le test ingasiza ekuhlukaniseni i-Parkinson kwezinye izimo ezinezimpawu ezifanayo.
Izivivinyo zegazi nezinye izifundo zokuhlola izithombe zivame ukwenziwa ukuze kuqothulwe ezinye izimo ezingase zibangele izimpawu ezifanayo. Ukuxilongwa kuvame ukuqinisekiswa lapho izimpawu ziqhubeka zithuthuka ngemithi ye-Parkinson.
Nakuba akukho ukwelashwa kwesifo se-Parkinson okwamanje, kukhona izindlela eziningi zokwelapha ezisebenzayo ezingasiza ekulawuleni izimpawu nasekugcineni ikhwalithi yempilo yakho. Izinhlelo zokwelapha zihluke kakhulu ngokusekelwe ezimpawu zakho ezithile, iminyaka, impilo yakho yonke, kanye nezifiso zakho siqu.
Imithi yiyona ndawo ebalulekile yokwelapha i-Parkinson. Imithi evamile futhi esebenza kahle yi-levodopa (L-DOPA), ubuchopho bakho buyiguqula ibe yi-dopamine. Le mithi ingathuthukisa kakhulu izimpawu zokunyakaza kubantu abaningi.
Ezinye izidakamizwa zisebenza ngokulingisa imiphumela ye-dopamine noma ukuvimbela ukwehla kwayo ebuchosheni. Lezi zihlanganisa i-dopamine agonists, i-MAO-B inhibitors, ne-COMT inhibitors. Udokotela wakho uzosebenza nawe ukuze uthole ukuxuba okulungile kanye nesimiso sokulinganisela.
Ukuphathwa komzimba, ukwelashwa komsebenzi, nokuphathwa kokukhuluma kudlala indima ebalulekile ekulawuleni izimpawu ze-Parkinson. Lezi zindlela zokwelapha zingakusiza ukuba ugcine ukuhamba, uthuthukise ibhalansi, futhi uqale ukukhuluma noma ukunqamula izinselele.
Kwabanye abantu abane-Parkinson ephambili, izinketho zokucutshungulwa njengokukhuthaza ubuchopho obujulile (DBS) kungase kunconywe. Lokhu kuhilela ukufaka idivayisi ethumela izigxobo zamandla ezindaweni ezithile zobuchopho ukuze kusize ekulawuleni izimpawu.
Ukushintsha indlela yokuphila, kufaka phakathi ukuzivocavoca njalo, ukudla okuhle, nokulawula ukucindezeleka, kuyizinto ezibalulekile zokunakekelwa okuhle kwe-Parkinson. Abantu abaningi bathola ukuthi ukuhlala usebenzayo futhi uhileleke kubasiza ukuthi bazizwe bekhulu.
Ukulawula isifo se-Parkinson ekhaya kuhilela ukudala indawo yokusekela nokuthuthukisa izindlela zansuku zonke ezikusiza ukuba usebenze kangcono. Izinguquko ezincane zingenza umehluko omkhulu ekududuzeni nasekuphepheni kwakho.
Ukuqalisa isimiso sokudla imithi okuqhubekayo kubalulekile ekulawuleni izimpawu. Thatha imithi yakho ngezikhathi ezifanayo nsuku zonke, futhi ungayeki ukuthatha imithi. Gcina irekhodi lemithi ukuze kusize wena nodokotela wakho ukulandelela ukuthi ukwelashwa kusebenza kangcono kangakanani.
Ukudala indawo ekhaya ephephile kungavimbela ukuwa nokulimala. Susa ama-rugs ahlangene, thuthukisa ukukhanya, faka ama-grab bars ezihlanzini, futhi cabanga ngokusebenzisa amadivayisi okusiza njengezihlalo zeshawa noma izihlalo zokuhlala eziphakanyisiwe uma kudingeka.
Ukuzivocavoca njalo kufanele kube yingxenye yomkhuba wakho wansuku zonke. Imisebenzi efana nokuhamba, ukubhukuda, i-tai chi, noma izinhlelo zokuzivocavoca ezikhethekile ze-Parkinson zingasiza ekuqondiseni amandla, ukuguquguquka, nebhalansi.
Ukudla ukudla okulinganiselayo okunefayibha eningi kungasiza ekulawuleni i-constipation, i-symptom ejwayelekile ye-Parkinson. Hlala uthambile futhi cabanga ngokusebenzisana nodokotela wezondlo ukuze uthuthukise ukudla kwakho.
Ukugcina ubuhlobo bomphakathi nokuhileleka emisebenzini oyithandayo kungakusiza ukusekela impilo yakho yengqondo kanye nempilo yakho jikelele. Unganqikazi ukucela usizo emndenini nabangane uma uyakudinga.
Ukulungiselela ukuvakashela kwakho udokotela kungakusiza ukwenza okuningi ngesikhathi sakho ndawonye futhi kuqinisekise ukuthi uthola ukunakekelwa okudingayo. Ukuzilungiselela kancane kungabangela ingxoxo ephumelelayo kakhulu nemiphumela emihle yokwelashwa.
Gcina idayari yezimpawu amasonto ambalwa ngaphambi kokubonisana kwakho. Qaphela ukuthi izimpawu zivela nini, zingakanani, kanye nemisebenzi eziyenza zibe zimbi noma eziyithuthukisa. Ulwazi lolu lusiza udokotela wakho ukuthi aqonde kangcono isimo sakho.
Yenza uhlu lwemithi yonke oyithathayo, kufaka phakathi imithi yezokwelapha, imithi yokuthengwa ngaphandle kwesikripthi, kanye nezinye izinto ezengeziwe. Letha amabhodlela ngokwabo uma kungenzeka, njengoba lokhu kusiza ukugwema ukungabaza ngezinga lemithi.
Lungiselela uhlu lwemibuzo ofuna ukuyixoxa. Zibhale phansi kusengaphambili ukuze ungakhohlwa izindaba ezibalulekile ngesikhathi sokubonisana. Cabanga ukubuza ngezinketho zokwelashwa, imiphumela emibi, noma ukuguqulwa kwesitayela sokuphila.
Cabanga ukuletha ilungu lomndeni noma umngane ekubonisaneni kwakho. Bangakusiza ukukhumbula ulwazi olubalulekile futhi banikeze ukuqaphela okwengeziwe ngezimpawu zakho.
Letha amarekhodi ezempilo afanele, imiphumela yokuhlola, noma imibiko evela kwabanye abahlinzeki bezempilo. Lokhu kusiza udokotela wakho ukuthi athole isithombe esiphelele sesimo sempilo yakho.
I-Parkinson's yisimo esilawuleka esithinta wonke umuntu ngendlela ehlukile. Nakuba ukuthola leli gciwane kungase kuzwakale kukhulu, khumbula ukuthi abantu abaningi abane-Parkinson baqhubeka bephila impilo egcwele, esebenzayo iminyaka eminingi ngemuva kokuxilongwa kwabo.
Ukuxilongwa kwasekuqaleni nokwelashwa kungenza umehluko omkhulu ekulawuleni izimpawu nasekugcineni ikhwalithi yokuphila kwakho. Isihloko esiyinhloko ukusebenzisana eduze neqembu lakho lokunakekelwa kwezempilo ukuze lenze uhlelo oluphelele lokwelapha oluqondene nezidingo zakho nemigomo yakho.
Ukugcina ulwazi ngesimo sakho, ukugcina indlela yokuphila esebenzayo, nokukwakha inethiwekhi eqinile yokusekela zonke izinyathelo ezibalulekile ekulawuleni kahle isifo se-Parkinson. Khumbula ukuthi awuwedwa kule ndlela, futhi kunezinto eziningi ezitholakalayo ezingakusiza.
Ucwaningo mayelana nokwelashwa okusha luyaqhubeka luthuthuka, lunikeza ithemba lezinketho ezinhle kakhulu zokulawula esikhathini esizayo. Gxila kulokho ongakulawula namuhla ngenkathi uhlala unethemba ngekusasa.
Imikhakha eminingi yesifo se-Parkinson ayidluliselwa ngqo. Kuphela cishe i-10-15% yabantu abanesifo se-Parkinson abanefomu lesifo elivela egazini. Ukuba nomzali noma umfowenu onesifo se-Parkinson kukwandisa kancane ingozi yakho, kodwa abantu abaningi abane-family history abazitholi le simo.
Isifo se-Parkinson siqhubeka ngokuhlukile kubantu bonke. Abanye abantu bahlangabezana nokuqhubeka okuhamba kancane iminyaka eminingi, kanti abanye bangase baphawule izinguquko ezihamba ngokushesha. Ngokuvamile, isifo siqhubeka kancane kancane, futhi abantu abaningi bagcina umsebenzi omuhle iminyaka eminingi ngemuva kokuxilongwa ngokwelashwa okuhle.
Isifo se-Parkinson ngokwaso ngokuvamile asibi, kodwa izinkinga ezivela esifweni esithuthukile zingaba nzima. Abantu abaningi abanesifo se-Parkinson banokulindela ukuphila okuvamile noma okuqhele kangako, ikakhulukazi ngokunakekelwa okuhle kwezokwelapha nokuphathwa kwendlela yokuphila. Isihloko esiyinhloko ukuphatha izimpawu nokuvimbela izinkinga.
Awekho ukudla okuqondile okumele ukugweme ngokuphelele, kodwa amaprotheni angaphazamisa ukumathwa kwe-levodopa. Udokotela wakho angase akukhuthaze ukuba uthathe imithi imizuzu engama-30-60 ngaphambi kokudla. Abanye abantu bathola ukuthi ukulinganisela ukudla okuqediwe nokulala imifino nemithi yemithi kubasiza ukuthi bazizwe kangcono ngokujwayelekile.
Yebo, umzimba ungenye yezindlela zokwelapha ezinhle kakhulu zesifo se-Parkinson. Ukuzivocavoca okuvamile kungathuthukisa ibhalansi, ukuqina, amandla, kanye nengqondo. Ezinye izifundo zikhomba ukuthi ukuzivocavoca okunamandla kungase kucolise ukukhula kwesifo. Imisebenzi efana nokuhamba, ukubhukuda, ukudansa, ne-tai chi iwusizo ngokukhethekile.
6Mpeople
Get clear medical guidance
on symptoms, medications, and lab reports.