Dementia nekuda kwezvikonzero zvemagetsi

Dementia kurasikirwa kwehuropi basa kunoitika nezvimwe zvirwere.

Dementia inokonzeresa metabolic zvikonzero kurasikirwa kwehuropi basa iro rinogona kuitika nemaitiro asina kujairika emakemikari mumuviri. Nedzimwe dzezvinetso izvi, kana zvikarapwa nekukurumidza, kusagadzikana kwehuropi kunogona kudzoserwa. Kuruboshwe kusarapwa, kukuvara kwehuropi zvachose, senge dementia, kunogona kuitika.

Zvinogona kuitika metabolic zvikonzero zvekuora mwoyo zvinosanganisira:

• Hormonal kusagadzikana, senge Addison chirwere, Cushing chirwere
• Kurema kwesimbi kwakasimba, senge kutungamira, arsenic, mercury, kana manganese
• Dzokorora zvikamu zve shuga yakaderera muropa (hypoglycemia), inowanzoonekwa kune vanhu vane chirwere cheshuga vanoshandisa insulin
• Yakakwira mwero wecalcium muropa, senge nekuda kweiyo hyperparathyroidism
• Iyo yakaderera mwero wehormone hormone (hypothyroidism) kana yakakwira mwero wehormone hormone (thyrotoxicosis) mumuviri
• Chiropa cirrhosis
• Itsvo kutadza
• Matambudziko ezvehutano, senge kushomeka kwevhitamini B1, kushomeka kwevhitamini B12, pellagra, kana protein-calorie kushaya zvinovaka muviri
• Porphyria
• Chepfu, senge methanol
• Kunwa doro zvakanyanya
• Chirwere cheWilson
• Kukanganiswa kwemitochondria (zvikamu zvinogadzira simba-maseru)
• Kukurumidza shanduko mune sodium level

Matambudziko emetabolism anogona kukonzera kuvhiringidzika uye shanduko mukufunga kana kufunga. Shanduko idzi dzinogona kunge dziri diki-diki kana dzinogara. Dementia inoitika kana zviratidzo zvisingadzokere shure. Zviratidzo zvinogona kuve zvakasiyana kune wese munhu. Ivo vanoenderana nehutano mamiriro anokonzeresa kuora mwoyo.

Zviratidzo zvekutanga zvehungwaru zvinogona kusanganisira:

• Kunetsekana nemabasa anotora kufunga asi aigara achiuya zviri nyore, senge kuenzanisa bhuku rekutarisa, kutamba mitambo (senge zambuko), uye kudzidza ruzivo rutsva kana maitiro
• Kurasika munzira dzinozivikanwa
• Matambudziko emitauro, senge dambudziko nemazita ezvinhu zvinozivikanwa
• Kurasikirwa nechido muzvinhu zvakambonakidzwa, zvakadzikama mamiriro
• Kuisa zvisirizvo zvinhu
• Hunhu hunoshanduka uye kurasikirwa kwehunyanzvi hwemagariro, izvo zvinogona kutungamira kune zvisina kufanira maitiro
• Maitiro ekuchinja anogona kukonzera nguva yechisimba uye kushushikana
  
• Kusashanda zvakanaka pabasa zvichikonzera kudzikiswa kana kurasikirwa nebasa
  

Sezvo kuora mwoyo kuri kuramba kuchikura, zviratidzo zviri kuoneka uye zvichikanganisa kugona kuzvitarisira.

• Kuchinja maitiro ekurara, kazhinji kumuka husiku
• Kukanganwa ruzivo nezve zviitiko zvazvino, kukanganwa zviitiko muhupenyu hwehupenyu hweumwe
• Kuomerwa nekuita zvakakosha, sekugadzira chikafu, kusarudza mbatya dzakakodzera, kana kutyaira
• Kuva nekufungidzira, kupokana, kurova, uye kuita zvechisimba
• Kuwedzera kuoma kuverenga kana kunyora
• Kutadza kutonga uye kurasikirwa nekwaniso yekuziva njodzi
• Kushandisa izwi risiri iro, kusadudza mazwi nemazvo, kutaura nemitsara inokanganisa
• Kurega kushamwaridzana nevanhu

Munhu wacho anogona zvakare kuve nezviratidzo kubva padambudziko rakakonzera kuora mwoyo.

Zvichienderana nechakakonzera, tsinga (neurologic bvunzo) inoitwa kuti uone matambudziko.

Kuyedza kuongorora chirwere chinokonzera kushushikana kunogona kusanganisira:

• Amoniya mwero muropa
• Ropa kemisitiri, electrolyte
• Ropa glucose level
• BUN, creatinine kutarisa itsvo kushanda
• Chiropa basa bvunzo
• Lumbar puncture (musana tap)
• Kuongorora kwehutano
• Utachiona hwebasa
• Kuongorora urinal
• Vitamin B12 chikamu

Kutonga kusagadzikana kwehuropi, iyo EEG (electroencephalogram), musoro CT scan, kana musoro MRI scan inowanzoitwa.

Chinangwa chekurapa ndechekugadzirisa kusagadzikana uye kudzora zviratidzo. Nehumwe hutachiona hwe metabolic, kurapwa kunogona kumira kana kutodzosera kumashure zviratidzo zve dementia.

Mishonga inoshandiswa kurapa chirwere cheAlzheimer haina kuratidzwa kuti inoshandira aya marudzi ezvinetso. Dzimwe nguva, iyi mishonga inoshandiswa chero zvakadaro, apo kumwe kurapwa kuchikundikana kudzora izvo zvinokonzeresa matambudziko.

Zvirongwa zvinofanirwa kuitwawo zvekuchengetwa kwemusha kune vanhu vane dementia.

Mhedzisiro inosiyana, zvinoenderana nechikonzero cheye dementia uye huwandu hwekukuvara kwehuropi.

Zvinetso zvinogona kusanganisira zvinotevera:

• Kurasikirwa kwekugona kuita kana kuzvitarisira
• Kurasikirwa kwekugona kudyidzana
• Pneumonia, urinary turakiti hutachiona, uye hutachiona hutachiona
• Pressure maronda
• Zviratidzo zvechinetso chiri pasi (senge kurasikirwa kwekunzwa nekuda kwekukuvara kwetsinga kubva mukushomeka kwevhitamini B12)

Shevedza musangano kuti uwane musangano nemupi wako wezvehutano kana zviratidzo zvikawedzera kana kuramba. Enda kuimba yekukurumidzira kana kufonera iyo yemuno emergency emergency (yakadai se911) kana paine kamwe kamwe shanduko muchimiro chepfungwa kana njodzi inotyisidzira hupenyu.

Kurapa icho chinokonzeresa kunogona kudzora njodzi ye metabolic dementia.

Uropi husingaperi - metabolic; Hunyoro hwekuziva - metabolic; MCI - metabolic

• Ubongo
• Ubongo uye huta hurongwa

Budson AE, Soromoni PR. Zvimwe zvinokonzeresa zvinokonzeresa kurangarira kana kuora mwoyo. Mune: Budson AE, Solomon PR, eds. Kurasikirwa Ndangariro, Chirwere cheAlzheimer, uye Dementia. 2nd ed. Philadelphia, PA: Elsevier; 2016: chitsiko 14.

Knopman DS. Kukanganiswa kwekuziva uye kuora mwoyo. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 374.

Peterson R, Graff-Radford J. Chirwere cheAlzheimer uye mamwe madhenda. Mune: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology muClinical Dzidzira. 7th ed. Philadelphia, PA: Elsevier; 2016: chits. 95.