Isihloko Esishushu: I-tango yaseArgentina ekubuyiseleni abantu abanesifo sikaParkinson
Nksz. Nicole Duff: [00:00:00] Molo kwaye wamkelekile kwi-MDS Podcast, i-podcast esemthethweni ye-International Parkinson and Movement Disorder Society. Ndingumsingathi wenu, uNicole Duff ovela kwiWits Donald Gordon Medical Center eGoli, eMzantsi Afrika. Kwaye namhlanje siza kwenza udliwanondlebe lokuqala kuthotho lwethu lwezihloko ezishushu, sijonge unyango lokubuyisela kwimeko yesiqhelo olusekelwe kubungqina ngamanye amaxesha.
Jonga umbhalo opheleleyo
Ndinombulelo kakhulu ukuba ndijoyinwe nguNjingalwazi oNcedisayo uHae-Young Hawong, ingcali yezifo zengqondo kwiYale School of Medicine, uGqirha we-Osteopathic Medicine, kwaye ndikholelwa ukuba nawe uqeqeshwe kwi-neuro-ophthalmology kwaye uthetha isiKorea kakuhle.
Ngaba ichanekile loo nto?
UNjingalwazi Hae-Young Hawong: Ewe.
Nksz. Nicole Duff: Kuyamangalisa. Njengoko bendifunda ibali lakho, bendisithi, "Wow, ngaba kukho okunye endinokongeza koko?" Kuyamangalisa.
[00:01:00] Ngoko ke xa ungena kweli nqaku lishushu, umdaniso unobunye bobungqina obunamandla njengonyango lokubuyisela kwimeko yesiqhelo kunye ne-aquatherapy kunye ne-Tai Chi njengomzekelo.
Kwaye phakathi kwazo zonke iindlela zokudanisa, i-tango yase-Argentina inobungqina obuphezulu malunga nokusebenza kakuhle, kwaye oko kusikhokelele kuwe. Ngoko ke ndiyazi ukuba unemvelaphi ye-ballet, kodwa yintoni eyakukhokelela kwi-tango yase-Argentina?
UNjingalwazi Hae-Young Hawong: Enkosi kakhulu ngentshayelelo yakho yobubele kwaye enkosi ngeli thuba. Ewe. Ingcali yam kukuvuselela ingqondo nzulu. Nangona sisebenza kakuhle ekunyangeni ukungcangcazela, ukuqina, i-bradykinesia nge-DBS kunye ne-levodopa pharmacotherapy, kodwa ukuhamba kunye nokulinganisela kunokuba nzima kakhulu.
Kwaye sihlala sigxila kakhulu kwizifo kunye neempawu zomzimba, [00:02:00] size silibale izigulane zizonke, umgangatho wobomi bazo, iimvakalelo, ukuqonda, kunye nonxibelelwano lwazo noluntu. Oko kwandenza ndabuza umbuzo olula, yintoni enye endinokuyinika izigulane zam? Kwaye ndinemvelaphi kwi-tango yase-Argentina, ngoko ke kwakungokwemvelo ukuba ndicinge ngaphaya kweendlela zonyango zesintu ndize ndijonge i-tango yase-Argentina.
Kodwa kutheni i-tango yase-Argentina? Kukho izifundo ezininzi, iimvavanyo zeklinikhi, uphononongo lwenkqubo, uhlalutyo lwe-meta sele lubonisa i-UPDRS, i-Time Up Go, kwaye kulungile, kuyabonakala, ukunciphisa umngcipheko wokuwa. Kodwa kutheni? I-tango yase-Argentina idibanisa iindawo ezininzi ngaxeshanye. Intshukumo yomzimba ehleliweyo, ukuvuselela ukuva ngesingqi ngomculo, kunye nokusebenzisana okutyebileyo koluntu ngomdaniso wamaqabane.
Olu ngxubelwano alujongani nje kuphela nokukhubazeka kwemisipha [00:03:00], kodwa lukwaphucula imeko yeemvakalelo neyentlalo yesi sifo. Kwaye nge-tango, izigulane aziqhelisi nje kuphela intshukumo, zibandakanyeka kwimisebenzi enentsingiselo, eyonwabisayo ekhuthaza ukuzithemba, unxibelelwano, kunye nokuziva ngathi ungubani ngaphaya kwesi sifo.
Kodwa kwakhona, kutheni i-tango? Ngoko ke i-tango luphawu olukhethekileyo esilubiza ngokuba ngumdaniso wokuhamba. Luquka ukuhamba ngesingqi, ukunyathela ngabom, iipatheni zokuhamba ezinceda izigulane ukuba ziphinde zifunde ukuhamba kwaye ziphucule ibhalansi, ngakumbi ingcamango yokusuka esithendeni ukuya ezinzwaneni, olo tshintsho sihlala siluxelela izigulane zethu, eneneni yindlela yokudanisa esisiseko kwi-tango yase-Argentina.
Kwaye ngokuziqhelanisa rhoqo, ingqondo inokwenza iindlela ezintsha ze-neural, ixhase ukufunda okungakumbi, iphucule intshukumo ngokusebenzisa i-neuroplasticity. Kwaye i-tango ngumdaniso osebenzisanayo, [00:04:00] onika inkxaso yomzimba kunye nokubonisa ngaphandle. Le ntshukumo edibeneyo ivumela isigulana ukuba siziqhelise ukuhamba ngendlela ekhuselekileyo, ekhokelwa ngakumbi, iphucula ukuzithemba kunye nokuzinza.
Olunye uphawu olukhethekileyo lwe-tango yase-Argentina yingcamango yokuba, le yeyona nxalenye ndiyithandayo, lunxibelelwano. Oku kufezekiswa ngokuwolana, oko kuthetha indlela enibambana ngayo. Olu nxibelelwano lolwenyama, lweemvakalelo, nolungathethiyo, incoko eguquguqukayo phakathi kwamaqabane ebavumela ukuba bahambe njengenkqubo enye. Olu phawu lwe-tango ludlulela ngaphaya kwentshukumo kwaye ludlala indima ebalulekileyo yonyango.
Izigulane ezinesifo sikaParkinson zithi ziziva zodwa, i-38% yoxinzelelo, i-37% ixela ukuba azinamdla. Unyango lwe-tango oluhambelanayo lubonakalise ukuphucuka kweemvakalelo, ukudakumba, kunye nokungakhathali. Kwaye xa siqala ukufundisa i-tango ukwanga ngokusondeleyo, siqala ngokugona. Ukugona okuhle, okukhulu, okufudumeleyo, ukudanisa ngelixa nigona.
Ngoko ke ukwamkeleka kunye nonxibelelwano oluhlanganyelweyo kukhulisa imvakalelo yokuba ngumntu kunye noluntu. Oku kunefuthe elihle kwinkuthazo, ukuzisebenzela, kunye nokuphila kakuhle ngokweemvakalelo. Kulungile, masithethe ngesayensi. Ukuba ndichaza ngombono we-neurobiological, umculo kunye nomdaniso kuvuselela iindlela ezininzi ze-dopaminergic. Siyazi ukuba iParkinson ichaphazeleka ziindlela ze-dopaminergic ze-nigrostriatal kwaye sonke siyayazi loo nto.
Kodwa kukwakho nenkqubo yomvuzo we-mesolimbic, i-mesolimbic dopaminergic neurons. Ukuzibandakanya nesingqisho nomculo kunokuphucula umsebenzi kwi-nucleus accumbens, kwaye oku kwandisa ukukhululwa kwe-dopamine [00:06:00] kwaye kuqinise inkuthazo kunye nolonwabo. Uvakalelo lweemvakalelo ngexesha lomdaniso lunokukhuthaza ukukhululwa kwe-prolactin, kwaye i-prolactin inegalelo ekuziveni ukhululekile, umanyano, kunye novuyo.
Oku kufana nengcamango yonxibelelwano kwi-tango yase-Argentina. Kuthekani ngokuhamba ngesingqi? Olunye uphawu olukhethekileyo lwe-tango yase-Argentina kukuhamba ngesingqi. Isingqi sibaluleke kakhulu njengoko ukuhamba ngokwako kuyinkqubo ye-neural eyinkimbinkimbi kakhulu. Ukuhamba kulawulwa yinethiwekhi ye-striatal thalamocortical edibanisa izakhiwo ze-cortical, subcortical, kunye ne-brainstem.
Icandelo eliphambili le-prefrontal cortex, sikwa-- PFC, ixhasa ulawulo oluphezulu kunye nengqalelo. Indawo eyongezelelweyo ye-motor, i-SMA, enoxanduva lokucwangcisa i-motor kunye nokuqaliswa kwayo. I-primary motor cortex m1, [00:07:00] evelisa iintshukumo zokuzithandela yi-corticospinal tract. Le ndawo ye-cortical isebenzisana ngokusondeleyo ne-basal ganglia, edlala indima ephambili ekuhlengahlengisweni kwe-motor, intshukumo ezenzekelayo, kunye ne-internal cueing, echaphazela isifo sikaParkinson.
Kwaye izifundo zibonisa ukuba kubantu abadala abasempilweni, banokwanda kokusebenza kwe-PFC ngexesha lokuhamba, nto leyo ebonisa indlela yokuhlawula kunye nokuxhomekeka okukhulu kulawulo lokuqonda xa iindlela zemoto ezizenzekelayo ziwohloka. Ngoko ke kulapho i-tango ifika khona. Kwisifo sikaParkinson, ukungasebenzi kakuhle kwe-basal ganglia kuphazamisa ukulungiswa kwemoto, ukukhetha isenzo, ukuqalisa, kunye neentshukumo ezizenzekelayo.
Unyango lwe-tango oluhambelanayo lunceda ukudlula le mijikelezo ingasebenzi kakuhle ngokubonelela ngesixhobo esinamandla sangaphandle. Iimpawu zokuva ezivela kumculo, isigqi [00:08:00], kunye neentsimbi. Iimpawu ezibonakalayo ezivela kumanyathelo kunye nokujonga indawo. Izinto ezifakwayo ze-Somatosensory, ukutshintsha ubunzima, ukuqonda okubonakalayo, kunye neemvakalelo ezivela kumaqabane. Ingxelo yeqabane ngokuwamkela kunye neentshukumo ezabelwana ngazo.
Ezi zinto zigalelayo zisebenzisa iindlela ezahlukeneyo ze-neural kwaye ziququzelela intshukumo ngokusebenzisa ulwalathiso lwangaphandle endaweni yokuphazamisa i-inner cueing kwisifo sikaParkinson. Kwaye ezi ndlela zokuqinisa iipatheni zentshukumo kwaye zivumela ukwakheka konxibelelwano olutsha lwe-neural, le nkqubo ibonisa i-neuroplasticity, amandla engqondo okucwangcisa kwakhona nokwenza iisekethe ezintsha ezisebenzayo.
Nksz. Nicole Duff: Ndiyawuva umdla wakho ngeprojekthi oyidalileyo, kwaye uyibeke kakuhle kakhulu. Enkosi. Ndikhankanya nje iinkalo ezahlukeneyo zeTango kunye ne-neuro [00:09:00] izinto zebhayoloji apho ichaphazela khona. Kwaye kum, xa ndicinga ngeTango, ndihlala ndicinga ngaloo nto, esibona abantu benayo.
Kwaye kum, oko kufuneka kudale uluvo lobuchule ngaphakathi komntu owenza iTango, nokuba akanakukwazi ngokwasemzimbeni ukwenza loo ntshukumo. Ndingacinga ngaphakathi kwengqondo, mhlawumbi bacinga ngohlobo lweentshukumo abangathanda ukuzenza. Kwaye ngaba oko kuya kwenza into ethile ngaphakathi kwesakhiwo sobuchopho?
UNjingalwazi Hae-Young Hawong: Ewe. Ewe. Yiyo loo nto xa ndinesakhiwo senkqubo yonyango lwe-tango oluhambelanayo lweParkinson, ndingathetha ngendlela endisenza ngayo esi sakhiwo. Yinkqubo yonyango lwe-tango oluhambelanayo oluqhutywa yi-LED equlathe iseshoni yeveki ezili-12. Yonke ithatha imizuzu engama-90. Inkqubo inikezelwa njengongenelelo lweqela kunye nabafundisi ababini.
Abathathi-nxaxheba badanisa namavolontiya aqeqeshiweyo [00:10:00] okanye amaqabane abo, bedala imeko-bume yokuxhasana neyokusebenzisana. Ngoko ke ndiqala ngokufudumeza umzimba, iingoma ezimbini ezithintela... Ndenza ukufudumeza umzimba kakhulu kuba oko kuthintela ukwenzakala kwaye kwandisa uluhlu lwentshukumo, kwaye kulapho ndisebenza khona ekuqineni nasekuqondeni umzimba kunye nokukhumbula.
Emva koko ndenza umthambo womculo. Ukuze ndikwazi ukuyila, ndisebenza ngomculo. Ngoko ke ndizisa isigqi, ixesha ndisebenzisa izalathiso zokuva, ndifundise ukuqaphela izingqisho, ukuqhwaba izandla, ukucofa iinzwane, ukutshintsha ubunzima, ukuhamba. Sifundisa ukuqaphela izingqisho size sisebenzise isingqisho size ngoku siqhwaba ngesingqisho, ukucofa iinzwane ngesingqisho, ukutshintsha ubunzima ngesingqisho, ukuhamba nomculo.
Emva koko ndenza umthambo wokwenza imisebenzi emibini ngokwengqondo. Hamba neqabane, funda ukuhamba neqabane ngokwe-synchrony, udibanisa intshukumo nemingeni yengqondo [00:11:00], upelo olubuyela umva ngelixa uhamba neqabane. Ngoko ke sebenza kwimisebenzi yokuqwalasela, ukulandelelana, kunye nemisebenzi yenkumbulo ukuphucula umsebenzi wokulawula kunye nokulungelelaniswa kwemisipha.
Ndiza kuphendula umbuzo wakho kungekudala. Ndifika apho. Ndize ndisebenze kwinyathelo le-tango elihambelanayo kunye nolandelelwano. Ulandelelwano lweentshukumo zeTango lwenzelwe ukuphucula ukusebenza kwe-motor, ibhalansi kunye nokuhamba, ngelixa kunciphisa umngcipheko wokuwa. Ndize ndenze imidlalo yokuzilolonga esebenzisana. Senza umdlalo wokunxibelelana, umthambo wokulinganisela, ngoko ke ngamehlo avaliweyo kodwa ngomculo kuphela, baziva intshukumo yamaqabane ngabantu abahlukeneyo abanxibelelana nabo.
Kwaye ngamanye amaxesha sidlala isibane esibomvu nesiluhlaza kwi "Squid Game." Ngaba ukhe wayibona "Squid Game"? Ewe. Kwaye sisebenza kulawulo lwe-motor kunye nexesha kulo mdlalo. Ngoko ke lo msebenzi wenzelwe ukuphucula unxibelelwano lwamaqabane, ibhalansi, kunye nokuphendula [00:12:00] ngendlela eguquguqukayo nenomdla. Emva koko senza ulwakhiwo lolandelelwano kunye nokuqhubela phambili.
Siphonononga size siphinde ulandelelwano esilufundayo, size songeze utshintsho apho banokuba nobuchule khona. Siphonononga izinto ezifundiweyo ngobunzima obukhokelwayo, obuhamba kancinci kancinci, singenisa utshintsho kwaye sakhe ukuzithemba kwiindlela zokuhamba. Emva koko senza uqheliso oluncinci. Abathathi-nxaxheba baqhelisela ngokukhululekileyo, bekhuthaza ubuchule kunye nokuzimela kwintshukumo.
Uchanekile. I-Tanda kwi-tango yase-Argentina yiseti yeengoma ezimbini ukuya kwezine. Sidanisa nomlingane omnye ngeseti enye yengoma, size sitshintshe, kwaye yingakho oku kungumdaniso wentlalo. Kwaye kwi-tango yokuziphatha yase-Argentina, i-tanda yokugqibela idla ngokudaniswa nomnakekeli kunye namaqabane [00:13:00] ukuqinisa unxibelelwano lweemvakalelo nokuqinisa izakhono ezifundiweyo, kwaye banokuba nobuchule ngomculo, ngeemvakalelo.
Emva koko siyaphola, nto leyo ethetha ukolula umzimba kancinci nokuphumla ukuze kugqitywe iseshoni. Ngoko ke ewe, ubuchule kwintshukumo bubaluleke kakhulu, kwaye yiloo nto ndiyigxininisayo nakwinkqubo yam yetango.
Nksz. Nicole Duff: Inkqubo yakho yenzelwe ukugxila kwiindawo ezininzi ezahlukeneyo kwisifo sikaParkinson. Kwaye, uyazi, bendinemibuzo apha malunga nokuba iza kuyichaphazela njani i-non-motor kunye ne-motor, kodwa uye wadlula kakhulu kuloo nto wacinga ngomgangatho wobomi kunye nonxibelelwano nabanakekeli, kwaye kuyamangaza ngokwenene indlela oye wachaza ngayo iinkcukacha kule nkqubo.
Kwaye ngaba ukhe waphinda kwezinye iindawo, okanye yinto ocinga ukuba ingaphinda iphindwe? Kuba ukubona uthando lwakho, ndicinga ukuba [00:14:00] ingaba yinto enokuba nzima ukuyiphinda ngaphandle kokuba ufumane umntu onothando olufanayo. Kodwa ngaba yinto ocinga ukuba inokwenziwa kwixesha elizayo?
UNjingalwazi Hae-Young Hawong: Ewe, ngokuqinisekileyo. Oku kungenziwa. Kukho umbutho weprojekthi yonyango lwetango obizwa ngokuba yiTango Therapy Project ePhiladelphia. Bakwaqhuba le nkqubo yonyango lwetango. Kwaye ndinxibelelana nabo-- ndiqala iprojekthi yonyango lwetango eNew York City nomntu endisebenzisana naye ongumdanisi wetango oqeqeshiweyo.
Oku kwenziwe kakuhle kwiindawo ezininzi eArgentina. Ngoko ke ewe, oku kunokwenzeka. Nditsalele umnxeba, unxibelelane nam. Ndiza kukuqeqesha. Singaqeqeshwa kunye. Ndingakubonisa indlela yokwenza oku, kwaye kukho uqeqesho olwenziwe nguGqr. Hackney, kwaye kulapho ndaqeqeshwa khona.
Nksz. Nicole Duff: Oko kukuthi, amathuba anomdla kangaka, amathuba ophando [00:15:00] ukuya phambili. Ngenxa yomdla, ngaba izigulane kufuneka zihlangabezane neemfuno ezithile ukuze zibe yinxalenye yeqela?
UNjingalwazi Hae-Young Hawong: Ewe. Ngokwesiqhelo sifuna inqanaba likaHoehn noYahr ukusuka kwisigaba sokuqala ukuya kwesesithathu, kodwa mna ndinesigaba sesine sesigulana. Ndicebisa inqanaba lokuqala ukuya kwelesithathu le-HY, kodwa ndiyayamkela inqanaba lesine, kwaye ndilungiselela umthambo ngamnye naye ngexesha leseshoni yeqela ukuze ndikhuseleke. Kuba ndinamavolontiya onke aqeqeshiwe.
Ndenza uqheliso kwangaphambili kwaye ndibaqeqeshe ngokhuseleko. Kwaye ndinomnye umqeqeshi we-tango, kwaye eneneni uninzi lwabavolontiya bangabadanisi be-tango. Ngoko ke ndinabantu abaneleyo. Ngoko ke ndiyayamkela inqanaba lesine kwaye ndenza umthambo ngamnye. Kodwa ingcebiso ingaba kwinqanaba lokuqala ukuya kwelesithathu.
Nksz. Nicole Duff: Enkosi. Kwaye loluphi uhlobo lwempendulo obulufumana kwizigulane? Hayi nje ukubona uphuculo, ngokwembono okanye ngokwembono yakho, kodwa [00:16:00] xa uziva kubo. Bathini?
UNjingalwazi Hae-Young Hawong: Ndifumene ubungqina komnye wabaguli bam, ukuba ndingabelana nabo. Ubhale ileta yonke, kwaye ndifuna ukwabelana ngale nxalenye. Indenze ndaziva... yachukumisa umphefumlo wam. "Amava am nge-tango andikhumbuza isifundo endasifunda kudala malunga nesigulana se-PD, isigulana seParkinson, esineempawu ezibonakala ngathi ziyanyamalala xa besikhwele ibhayisekile."
Ngokufanayo, ndifumanise ukuba ukuziqhelisa inyathelo lebhokisi yetango kuyayiphucula kakhulu indlela endihamba ngayo. Nanini na xa ndifumana iingxaki zokuhamba okanye ukuqina, ukwenza inyathelo lebhokisi kuzisa isiqabu esibonakalayo. Okukhona ndiziqhelisa ngakumbi eli nyathelo imihla ngemihla, kokukhona ezi mpawu zikaParkinson zibonakala zingabikho rhoqo. Eli libali lam lomntu lokuba ummangaliso wetango uwuphucule njani umgangatho wobomi bam.
Kwabanye abantu endibaphetheyo abaneParkinson, ndinethemba lokuba ningacinga ngokuzama i-tango kwaye nifumane iziphumo ezifanayo ezilungileyo." Ngoko ke yile nto ayibhalileyo, kwaye ndiyakhumbula ukuba ndipake imoto yam ukuze ndiye kwinkqubo yonyango lwe-tango. Ndambona ecaleni kwendawo yokupaka iimoto eqhelisela ibhokisi ye-tango, ndaza ndabona obu bungqina.
Ewe.
Nksz. Nicole Duff: Yiloo nto eyenza yonke into ibe luncedo, Hae. Konke ukucinga nokucwangcisa nokuhlanganisa yonke into kunye nokubona nje indlela ubomi bezigulane obutshintsha ngayo. Into endicinga ukuba icacile kum kakhulu kobo bungqina kukuhamba phakathi kweeseshoni, ngamanye amaxesha ngaphakathi kweeseshoni sibona uphuculo olukhulu kwaye emva koko zibuya kwiveki elandelayo kwaye ngelishwa zibuyele kwinqanaba lazo langaphambili lesiseko.
Kodwa uthetha ngendlela aqhubeka ngayo eqhubeka phakathi evekini, ngendlela asayibona ngayo, kwaye yile nto uthetha ngayo [00:18:00], loo neuroplasticity yokuba kukho iinkalo ezininzi ezondla ingqondo kwiindlela zedopaminergic ezizaliswe zizo zonke iinkalo ezahlukeneyo ozifakileyo kwaye ndicinga ukuba yiloo nto imangalisayo kuba uninzi lwezinye iindlela zonyango azihlali zinjalo kwaye ndicinga ukuba yinto eyahlukileyo kwezinye iindlela zonyango ezininzi.
UNjingalwazi Hae-Young Hawong: Ewe. Kwaye nje-- ayincedi nje kuphela izigulane. Lo msebenzi ukwayila indima yam njengogqirha. Ndifumana ithuba lokujonga izigulane zam kwindawo yokudanisa nokuvavanya iintshukumo zazo, ukusebenza kwazo ngexesha leseshoni yemizuzu engama-90 kuneetyelelo eziqhelekileyo zeklinikhi zemizuzu engama-30. Umzekelo, ndiqaphele esinye isigulane, ngelixa sidanisa, sasinokunyakaza okuvulekileyo nokusondeleyo ngexesha leseshoni, kwaye oko kwandenza ndahlengahlengisa umthamo wamayeza ukuze ndiphucule i-dyskinesia yakhe.
Kwelinye icala, bendinesigulana [00:19:00] esiphume sirhuqa unyawo. Ingxaki kukuba, isigulana asiqondi loo nto. Abakwazi ukusinika ezi mbali. Kwaye ndikwazile ukutshintsha ixesha lokusetyenziswa kwamayeza ukuphucula iimpawu zakhe. Kwaye ndidanisa neqela lezigulana ngeveki, oko kukhuthaza ingqiqo yoluntu kwaye kuqinisa ubudlelwane phakathi kogqirha nesigulana.
Kwaye la mava ahlanganyelweyo adala iqela lenkxaso elingacwangciswanga, elinceda izigulane kunye nam. Njengogqirha, ndifumana lo msebenzi unomvuzo kakhulu. Unika ingqiqo yokuba ndikwazi ukunceda izigulane zam, uqinisa inkuthazo yobubele, undikhumbuza umsebenzi wam, kwaye usebenza njengendlela enentsingiselo yokunciphisa ukudinwa.
Nksz. Nicole Duff: Wena, uchanekile. Njengoko ubutshilo, inceda isigulana njengathi, kwaye ndicinga ukuba yindlela entle kakhulu [00:20:00] yokuyibeka. Isenza iindlela zethu zedopaminergic zisebenze njengabo. Ngoko ke ngenxa yomdla, uthe usebenza kakhulu kwi-DBS, kwaye ngaloo nto ubone ukuba ukungazinzi kwendlela yokusebenza kunye nokuhamba kunye nokulinganisela akuzuzi kangako nge-DBS.
Ngaba uninzi lwezigulane zakho zikwiqela le-tango lase-Argentina i-DBS, okanye ngumxube opheleleyo?
UNjingalwazi Hae-Young Hawong: Hlanganisa.
Nksz. Nicole Duff: Xuba. Kulungile. Ngaba ubona ukuba iqela elinye okanye elinye - isigulana esine-DBS okanye i-DBS engekhoyo iphucuka ngaphezu kwelinye?
UNjingalwazi Hae-Young Hawong: Ngumbuzo omhle kakhulu lowo. Lowo ingaba ngumbono wophando olungileyo kakhulu.
Nksz. Nicole Duff: Nantso ke. Iingcinga zekamva. Iingcinga zekamva. Enkosi kakhulu ngexesha lakho. Ndiyithandile into oyithanda kakhulu. Ndiyithandile into yokuba yonke into oyifakileyo kule nkqubo iyinkimbinkimbi kwaye ingena njani kuyo yonke into enxulumene neParkinson's, kwaye ndinethemba lokuba abantu [00:21:00] baqala ukukunceda, kwaye singaqalisa iinkqubo.
Ukusuka apha eMzantsi Afrika, ngokuqinisekileyo ndonwabile ukubona ukuba sinokufumana into enokunceda izigulane zethu kangaka. Kwaye enkosi kakhulu ngexesha lakho. Ndiyayixabisa kakhulu loo nto.
UNjingalwazi Hae-Young Hawong: Enkosi kakhulu. Kwaye ngaphambi kokuba sigqibe, ndifuna ukubulela uGqr. Hackney ngophando lwakhe kweli candelo, kwaye wayenza yonke le ndlela yonyango lwe-tango ibe semthethweni. Ngoko ke enkosi kakhulu.
Nksz. Nicole Duff: Enkosi nakuwe.
UNjingalwazi Hae-Young Hawong: Ukuba kukho umntu onemibuzo, nceda ukhululeke ukundifowunela.
Nksz. Nicole Duff: Siza kubeka iinkcukacha zakho phantsi kwe-podcast kwiwebhusayithi.
UNjingalwazi Hae-Young Hawong: Ndiyabonga
Nksz. Nicole Duff: Enkosi.
Sala kakuhle [00:22:00]

Hae-Young Hawong, DO, PhD
Yunivesithi yaseYale
New Haven, CT, USA






