Vascular dementia

Dementia kurasikirwa zvishoma nezvishoma uye zvachose kwehuropi basa. Izvi zvinoitika nezvimwe zvirwere. Inobata ndangariro, kufunga, mutauro, kutonga, uye maitiro.

Vascular dementia inokonzerwa neakateedzana ezvidhoma zvidiki kwenguva yakareba.

Vascular dementia ndiyo yechipiri inonyanya kukonzeresa kuora mwoyo mushure meAlzheimer chirwere mune vanhu vanopfuura makore makumi matanhatu nemashanu.

Vascular dementia inokonzerwa neakateedzana ezvidhoma zvidiki.

• Sitiroko kukanganisa mukati kana kuvhara kweropa kupi kune chero chikamu chehuropi. Sitiroko inonziwo infarct. Multi-infarct zvinoreva kuti nzvimbo dzinopfuura imwe muuropi dzakakuvara nekuda kwekushayikwa kweropa.
• Kana kuyerera kweropa kukamiswa kwenguva yakareba kupfuura masekondi mashoma, uropi haugone kuwana oxygen. Maseru ehuropi anogona kufa, achikonzera kukuvara kusingaperi.
• Kana sitiroko ikabata nzvimbo diki, panogona kunge pasina zviratidzo. Izvi zvinonzi kurohwa chinyararire. Nekufamba kwenguva, sekuwanda kwenzvimbo dzehuropi dzakakuvara, zviratidzo zvekuora mwoyo zvinoonekwa.
• Hakasi kurohwa kwese kwakanyarara. Kurohwa kukuru kunokanganisa simba, kunzwa, kana humwe huropi uye huta hurongwa (neurologic) basa kunogona zvakare kukonzera kuora mwoyo.

Njodzi zvinhu zvevascular dementia zvinosanganisira:

• Chirwere cheshuga
• Kuomarara kwetsinga (atherosclerosis), chirwere chemwoyo
• Kuwedzera kweropa (hypertension)
• Kusvuta
• Kurohwa

Zviratidzo zveundangariro zvinogonawo kukonzerwa nemamwe marudzi ehutano hwehuropi. Chimwe chakadai chirwere cheAlzheimer. Zviratidzo zvechirwere cheAlzheimer zvinogona kufanana neizvo zvevascular dementia. Vascular dementia uye Alzheimer chirwere ndizvo zvinonyanya kukonzera kushushikana, uye zvinogona kuitika pamwechete.

Zviratidzo zvevascular dementia zvinogona kukura zvishoma nezvishoma kana kufambira mberi mushure mekurohwa kudiki kudiki.

Zviratidzo zvinogona kutanga kamwe kamwe mushure mekurohwa kwega kwega. Vamwe vanhu vane chirwere chevascular dementia vanogona kusimukira kwenguva pfupi, asi vachidzikira mushure mekuita kurohwa kwakanyanya. Zviratidzo zvevascular dementia zvinoenderana nenzvimbo dzehuropi dzakakuvara nekuda kwesitiroko.

Zviratidzo zvekutanga zvehungwaru zvinogona kusanganisira:

• Zvakaoma kuita mabasa aimbouya zviri nyore, senge kuenzanisa bhuku rekutarisa, kutamba mitambo (senge bhiriji), uye kudzidza ruzivo rutsva kana maitiro
• Kurasika munzira dzinozivikanwa
• Matambudziko emitauro, senge kunetseka kuwana zita rezvinhu zvinozivikanwa
• Kurasikirwa nechido muzvinhu zvawaimbofarira, kugadzikana kwemamiriro
• Kuisa zvisirizvo zvinhu
• Hunhu hunoshanduka uye kurasikirwa kwehunyanzvi hwemagariro pamwe nekuchinja kwemaitiro

Sezvo kuora mwoyo kunowedzera, zviratidzo zviri pachena uye kugona kuzvitarisira kunodzikira. Zviratidzo zvinogona kusanganisira:

• Chinja maitiro ekurara, kazhinji kumuka husiku
• Zvakaoma kuita zvinhu zvakakosha, zvakadai sekugadzira chikafu, kusarudza mbatya dzakakodzera, kana kutyaira
• Kukanganwa ruzivo nezve zviitiko zvazvino
• Kukanganwa zviitiko muhupenyu hwako nhoroondo, kurasikirwa nekuziva zvauri
• Kuva nekunyengera, kushushikana, kana kusagadzikana
• Kuva nekufungidzira, kupokana, kurova, kana kuita zvechisimba
• Kuve nekuwedzera kuoma kuverenga kana kunyora
• Kuva nekutonga kwakashata uye kurasikirwa kwekugona kuziva njodzi
• Kushandisa izwi risiri iro, kusadudza mazwi nemazvo, kana kutaura mune mitsara inokanganisa
• Kurega kushamwaridzana nevanhu

Nervous system (neurologic) matambudziko anowanikwa nesitiroko anogona kunge aripo.

Bvunzo dzinogona kurairwa kuti dzibatsire kuona kana mamwe matambudziko ekurapa angave achikonzera kuora mwoyo kana kuita kuti zviwedzere, senge:

• Anemia
• Bundu rebongo
• Chirwere chisingaperi
• Zvinodhaka uye mushonga kudhakwa (ovhadhozi)
• Kushungurudzika kwakanyanya
• Utachiona chirwere
• Vitamin kushomeka

Mimwe miedzo inogona kuitwa kuti uone kuti ndeapi mativi ekufunga akanganiswa uye kutungamira mimwe bvunzo.

Kuyedza kunogona kuratidza humbowo hwekurohwa kwakapfuura muuropi kunogona kusanganisira:

• Musoro CT scan
• MRI yeuropi

Iko hakuna kurapwa kwekudzosera kumashure kukuvara kuhuropi kunokonzerwa netiroko diki.

Chinangwa chakakosha kudzora zviratidzo uye kugadzirisa zvinhu zvine njodzi. Kuchengetedza maronda emangwana:

• Dzivisa chikafu chine mafuta. Tevera chikafu chine hutano, chakaderera-mafuta.
• Usanwa zvinopfuura 1 kana zviviri zvinwiwa zvinodhaka pazuva.
• Chengetedza BP yakadzika kupfuura 130/80 mm / Hg. Kumbira chiremba wako kuti yako yeropa inofanirwa kunge iri.
• Chengeta LDL "yakaipa" cholesterol yakaderera pane 70 mg / dL.
• USASVIRA.
• Chiremba anogona kupa zano rekuonda ropa, senge aspirin, kubatsira kudzivirira kuora kweropa kubva mukuumba mutsinga. Usatange kutora aspirin kana kurega kuinwa usati wataura nachiremba wako kutanga.

Zvinangwa zvekubatsira mumwe munhu ane dhementia mumba ndezvekuti:

• Chengetedza maitiro ekuzvibata, kuvhiringidzika, matambudziko ekurara, uye kushungurudzika
• Bvisa njodzi dzekuchengetedza mumba
• Tsigira nhengo dzemhuri nevamwe vanochengeta

Mishonga inogona kudiwa kudzora hutsinye, kushungurudzika, kana hunhu hunhu.

Mishonga inoshandiswa kurapa chirwere cheAlzheimer haina kuratidzwa kuti inoshanda kune vascular dementia.

Kumwe kuvandudzwa kunogona kuitika kwenguva pfupi, asi kusagadzikana kunowanzozoipa nekufamba kwenguva.

Matambudziko anosanganisira anotevera:

• Kurohwa kweramangwana
• Chirwere chemoyo
• Kurasikirwa kwekugona kuita kana kuzvitarisira
• Kurasikirwa kwekugona kudyidzana
• Pneumonia, urinary turakiti hutachiona, hutachiona hutachiona
• Pressure maronda

Bata chiremba wako kana zviratidzo zvevascular dementia zvikaitika. Enda kuimba yekukurumidzira kana kufonera iyo yemuno emergency emergency (se911) kana paine kamwe kamwe shanduko mune hwepfungwa chinzvimbo, kunzwa, kana kufamba. Izvi zviratidzo zvekukurumidzira zvekurohwa.

Kudzora mamiriro anowedzera mukana wekuomesa kweiyo arteri (atherosclerosis) na:

• Kudzora kukwira kweropa
• Kudzora uremu
• Kumisa kushandiswa kwezvinhu zvinogadzirwa nefodya
• Kuderedza mafuta akazara uye munyu mukudya
• Kurapa zvinetso zvakabatana

MID; Dementia - yakawanda-infarct; Dementia - post-sitiroko; Kuora mwoyo kwakawanda-kwakawanda; Cortical vascular dementia; VaD; Chisingaperi uropi chirwere - vascular; Hunyoro hwekuziva kusanzwisisika - vascular; MCI - tsinga; Binswanger chirwere

• Dementia - chii chekubvunza chiremba wako

• Central nervous system uye yekumusoro tsinga system
• Ubongo
• Ubongo uye huta hurongwa
• Zvimiro zvehuropi

Budson AE, Soromoni PR. Vascular dementia uye vascular kugona kukanganisika. Mune: Budson AE, Solomon PR, eds. Kurasikirwa Ndangariro, Chirwere cheAlzheimer, uye Dementia. 2nd ed. Philadelphia, PA: Elsevier; 2016: chits.

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.

Seshadri S, Economos A, Wright C. Vascular dementia uye kukanganisika kwekuziva. Mune: Grotta JC, Albers GW, Broderick JP et al, eds. Stroke: Pathophysiology, Kuongorora, uye Management. 6th ed. Philadelphia, PA: Elsevier; 2016: chits. 17.