Alzheimer chirwere
Dementia kurasikirwa kwehuropi basa kunoitika nezvimwe zvirwere. Chirwere cheAlzheimer (AD) ndiyo yakajairika fomu ye dementia. Inokanganisa ndangariro, kufunga, uye maitiro.
Chikonzero chaicho chechirwere cheAlzheimer hachizivikanwe. Kutsvagurudza kunoratidza kuti zvimwe shanduko muhuropi zvinotungamira kuchirwere cheAlzheimer.
Iwe uri mukana wekuvandudza chirwere cheAlzheimer kana iwe:
- Vakwegura - Kuvandudza chirwere cheAlzheimer hachisi chikamu chekweguru kukwegura.
- Iva nehama yepedyo, senge mukoma, hanzvadzi, kana mubereki ane chirwere cheAlzheimer.
- Iva nemamwe majini akabatanidzwa nechirwere cheAlzheimer.
Izvi zvinotevera zvinogona zvakare kuwedzera njodzi:
- Kuva mukadzi
- Kuva nezvinetso zvemwoyo neropa nekuda kwecholesterol yakawanda
- Nhoroondo yekutambudzika kwemusoro
Kune marudzi maviri echirwere cheAlzheimer:
- Kutanga kutanga kweAlzheimer chirwere -- Zviratidzo zvinoonekwa pamberi pemakore makumi matanhatu. Rudzi urwu rwunonyanya kushoma pane kunonoka kutanga. Inowanzoita kukurumidza kukurumidza. Chirwere chekutanga chinotanga kumhanya mumhuri. Magene akati wandei akaonekwa.
- Kunonoka kutanga chirwere cheAlzheimer -- Iyi ndiyo mhando yakajairika. Inoitika muvanhu vane makore makumi matanhatu zvichikwira. Inogona kumhanya mune dzimwe mhuri, asi basa remajini harinyatso kujeka.
Alzheimer chirwere zviratidzo zvinosanganisira kunetseka nenzvimbo zhinji dzepfungwa basa, kusanganisira:
- Hunhu hwepamoyo kana hunhu
- Mutauro
- Ndangariro
- Maonero
- Kufunga uye kutonga (kugona kuziva)
Chirwere cheAlzheimer chinowanzoonekwa sekukanganwa.
Hunyoro hwekuziva kusagadzikana (MCI) idanho pakati pekukanganwa chaiko nekuda kwekukwegura, uye kukura kwechirwere cheAlzheimer. Vanhu vane MCI vane zvishoma zvinyoronyoro nekufunga uye ndangariro izvo zvisingakanganise zviitiko zvezuva nezuva. Ivo kazhinji vanoziva nezve kukanganwa. Haasi munhu wese ane MCI anoita chirwere cheAlzheimer.
Zviratidzo zveMCI zvinosanganisira:
- Zvakaoma kuita zvinopfuura rimwe basa panguva
- Kuoma kugadzirisa matambudziko
- Kukanganwa zviitiko zvenguva ichangopfuura kana hurukuro
- Kutora nguva yakareba kuti tiite zvinonetsa zvakanyanya
Zviratidzo zvekutanga zvechirwere cheAlzheimer zvinogona kusanganisira:
- Zvakaoma kuita mabasa anotora kufunga, asi aigara achiuya zviri nyore, senge kuenzanisa bhuku rekutarisa, kutamba mitambo yakaoma (zambuko), uye kudzidza ruzivo rutsva kana maitiro
- Kurasika munzira dzinozivikanwa
- Zvinetso zvemutauro, senge dambudziko rekurangarira mazita ezvakajairika zvinhu
- Kupererwa nechido muzvinhu zvaimbonakirwa nekuve mune zvakatsiga mamiriro
- Kuisa zvisirizvo zvinhu
- Hunhu hunoshanduka uye kurasikirwa kwehunyanzvi hwemagariro
Sezvo chirwere cheAlzheimer chichiwedzera kuipa, zviratidzo zviri pachena uye zvinokanganisa kugona kuzvitarisira. Zviratidzo zvinogona kusanganisira:
- Chinja maitiro ekurara, kazhinji kumuka husiku
- Kufungidzira, kushushikana, uye kusagadzikana
- Kuoma kuita mabasa akakosha, akadai sekugadzira chikafu, kusarudza mbatya dzakakodzera, uye kutyaira
- Kuoma kuverenga kana kunyora
- Kukanganwa ruzivo nezve zviitiko zvazvino
- Kukanganwa zviitiko muhupenyu hwehupenyu uye kurasikirwa nekuzviziva
- Hallucinations, nharo, kurova kunze, uye hutsinye hunhu
- Kutadza kutonga uye kurasikirwa kwesimba rekuziva njodzi
- Kushandisa izwi risiri iro, kusadudzira zvakanaka mazwi, kana kutaura mune mitsara inokanganisa
- Kurega kushamwaridzana nevanhu
Vanhu vane chirwere chakakomba cheAlzheimer havachagone:
- Ziva nhengo dzemhuri
- Ita zviitiko zvekurarama kwezuva nezuva, sekudya, kupfeka, uye kugeza
- Nzwisisa mutauro
Zvimwe zviratidzo zvinogona kuitika nechirwere cheAlzheimer:
- Matambudziko ekudzora ura kana weti
- Kumedza matambudziko
Anopa hunyanzvi anopa hutano anogona kuongorora chirwere cheAlzheimer nematanho anotevera:
- Kuita bvunzo yakakwana yemuviri, kusanganisira bvunzo dzetsinga
- Kubvunza nezve nhoroondo yemunhu yekurapa uye zviratidzo
- Zvepfungwa basa bvunzo (wepfungwa mamiriro bvunzo)
Kuongororwa kwechirwere cheAlzheimer kunoitwa kana zvimwe zviratidzo zviripo, uye nekuita chokwadi chekuti zvimwe zvikonzero zvekushushikana hazvipo.
Miedzo inogona kuitwa kutonga zvimwe zvinokonzeresa kuora mwoyo, kusanganisira:
- Anemia
- Bundu rebongo
- Yenguva refu (isingaperi) hutachiona
- Kudhakwa kubva kumishonga
- Kushungurudzika kwakanyanya
- Kuwedzera kwemvura pauropi (zvakajairika kumanikidza hydrocephalus)
- Kurohwa
- Utachiona chirwere
- Vitamin kushomeka
CT kana MRI yeuropi inogona kuitwa kutsvaga zvimwe zvikonzero zvekushushikana, senge bundu rehuropi kana sitiroko. Dzimwe nguva, PET scan inogona kushandiswa kutonga kunze kweAlzheimer chirwere.
Nzira chete yekuziva zvechokwadi kuti mumwe munhu ane chirwere cheAlzheimer kuongorora muyedzo wenyama yavo yehuropi mushure mekufa.
Iko hakuna mushonga weAlzheimer chirwere. Zvinangwa zvekurapa ndezvi:
- Zvishoma nezvishoma kufambira mberi kwechirwere (kunyangwe izvi zvichinetsa kuita)
- Manage zviratidzo, senge matambudziko ehunhu, kuvhiringidzika, uye matambudziko ekurara
- Chinja mamiriro epamba kuti zviite nyore zviitwa zvezuva nezuva
- Tsigira nhengo dzemhuri nevamwe vanochengeta
Mishonga inoshandiswa ku:
- Dzora mwero unowedzera zviratidzo, kunyangwe kubatsirwa nekushandisa mishonga iyi kungave kudiki
- Chengetedza matambudziko nemaitiro, senge kurasikirwa kwekutonga kana nyonganiso
Usati washandisa iyi mishonga, bvunza mupi:
- Ndeipi mhedzisiro? Mushonga wakakodzera njodzi here?
- Ndeipi nguva yakanakisa, kana iripo, yekushandisa mishonga iyi?
- Mishonga yemamwe matambudziko ehutano inoda kuchinjwa kana kumiswa?
Mumwe munhu ane chirwere cheAlzheimer anoda rutsigiro mumba sezvo chirwere ichi chiri kuwedzera. Nhengo dzemhuri kana vamwe vachengeti vanogona kubatsira nekubatsira munhu kuti akunde kurasika ndangariro uye maitiro uye matambudziko ekurara. Izvo zvakakosha kuti uve nechokwadi chekuti imba yemunhu ane chirwere cheAlzheimer yakachengeteka kwavari.
Kuva nechirwere cheAlzheimer kana kutarisira munhu ane chirwere ichi kungave kwakaoma. Iwe unogona kurerutsa kunetseka kwehurwere nekutsvaga rutsigiro kuburikidza neAlzheimer chirwere zviwanikwa.Kugovana nevamwe vane zvakajairika zviitiko uye matambudziko zvinogona kukubatsira kuti usazonzwa kusurukirwa.
Kukurumidza kukura kwechirwere cheAlzheimer kwakasiyana pamunhu wega wega. Kana chirwere cheAlzheimer chikakura nekukasira, zvinonyanya kukurumidza kukurumidza.
Vanhu vane chirwere cheAlzheimer vanowanzofa nekukurumidza kupfuura zvakajairwa, kunyangwe munhu anogona kurarama chero makore matatu kusvika makumi maviri mushure mekuongororwa.
Mhuri dzingangoda kuronga zvekuchengetwa kwemudiwa wavo mune ramangwana.
Chikamu chekupedzisira chechirwere chinogona kutora kubva pamwedzi mishoma kusvika kumakore akati wandei. Munguva iyoyo, munhu wacho anobva aremara zvachose. Rufu runowanzoitika kubva kune hutachiona kana kutadza kwemuviri.
Fonera mupiki kana:
- Alzheimer chirwere zviratidzo zvinokura kana munhu achangoerekana achinja muhutano hwepfungwa
- Mamiriro emunhu ane chirwere cheAlzheimer anotowedzera
- Iwe haugone kuchengeta munhu ane chirwere cheAlzheimer kumba
Kunyangwe pasina nzira yakatsigirwa yekudzivirira chirwere cheAlzheimer, pane mamwe matanho anogona kubatsira kudzivirira kana kunonoka kutanga kwechirwere cheAlzheimer:
- Gara pane yakaderera-mafuta kudya uye idya zvekudya zvakakwirira mu omega-3 fatty acids.
- Wana maekisesaizi akawanda.
- Gara mupfungwa uye mumagariro kushingaira.
- Pfeka ngowani panguva dzekuita zvine njodzi kudzivirira kukuvara kwehuropi.
Senile dementia - Alzheimer mhando (SDAT); SDAT; Dementia - Alzheimer
- Kutaurirana nemumwe munhu ane aphasia
- Kutaurirana nemumwe munhu ane dysarthria
- Dementia uye kutyaira
- Dementia - maitiro uye matambudziko ekurara
- Dementia - kuchengetwa kwemazuva ese
- Dementia - kuchengetedza zvakachengeteka mumba
- Dementia - chii chekubvunza chiremba wako
- Kudya mamwe macalorie kana uchirwara - vakuru
- Kudzivirira kudonha
- Alzheimer chirwere
Alzheimer's Association webhusaiti. Press kuburitswa: Chekutanga tsika nhungamiro yekiriniki yekuongorora chirwere cheAlzheimer uye mamwe madhenda ekutanga uye ehunyanzvi kuchengetedza. www.alz.org/aaic/releases_2018/AAIC18-Sun-clinical-practice-guidelines.asp. Yakagadziridzwa Chikunguru 22, 2018. Yakasvika muna Kubvumbi 16, 2020.
Knopman DS. Kukanganiswa kwekuziva uye kuora mwoyo. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 374.
Martínez G, Vernooij RW, Fuentes Padilla P, Zamora J, Bonfill Cosp X, Flicker L. 18F PET ine florbetapir yekutanga kuongororwa kweAlzheimer's disease dementia uye mamwe madhenda muvanhu vane hurema husina simba hwekuziva (MCI). Cochrane Database Syst Zvak. 2017; 11 (11): CD012216. PMID: 29164603 www.ncbi.nlm.nih.gov/pubmed/29164603/.
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.
Sloane PD, Kaufer DI. Chirwere cheAlzheimer. Mune: Kellerman RD, Rakel DP, eds. Conn Yazvino Therapy 2020. Philadelphia, PA: Elsevier 2020: 681-686.