Lewy dhementia yemuviri: chii icho, zviratidzo uye maitiro ekurapa

Zvemukati

• Zviratidzo zvikuru
• Maitiro ekusimbisa kuongororwa
• Kurapwa kunoitwa sei

Lewy muviri dementia, inozivikanwawo seyakakura kana yakapfava neuro-yekufungisisa kusagadzikana nemitezo yeLeyy, chirwere chinodzikira chehuropi chinokanganisa matunhu anoitisa mabasa akadai sekurangarira, kufunga uye kufamba, uye zvinokonzerwa nekuunganidzwa kwemapuroteni, anozivikanwa semiviri yeLeby, munyama dzehuropi.

Chirwere ichi chinoonekwa nezera rekukura, chichiwanzoonekwa pamusoro pemakore makumi matanhatu, uye chinokonzeresa zviratidzo zvakaita sekuona zvinhu zvisipo, kurasikirwa mundangariro uye kunetsekana kwekusimbisa pfungwa, pamwe nekudedera kwemhasuru uye kuomarara, zvichitorwa senzira yechipiri yakajairika yekushomeka kwekuora mwoyo. Alzheimer's.

Kunyangwe pasina mushonga weLeby miviri yekuora mwoyo, zvinokwanisika kuita kurapwa uye kudzora zviratidzo, uchishandisa mishonga inotungamirwa nachiremba, senge Quetiapine kana Donepezila, semuenzaniso, iyo inoderedza zvimwe zviratidzo, kuwedzera kune mari kurapa kwepanyama uye kurapa kwebasa. Nenzira iyi, munhu anogona kurarama kwemakore mazhinji aine yakanyanya kuzvimirira uye hupenyu hwehunhu.

Zviratidzo zvikuru

Lewy dementia yemuviri ine zviratidzo zvinoonekwa zvishoma nezvishoma, uye zvishoma nezvishoma zvichitowedzera. Iwo makuru ndeaya:

• Kurasikirwa nemano epfungwa, inonzi mabasa ekuziva, senge ndangariro, kuisa pfungwa, kutarisisa, kutaurirana uye mutauro;
• Kuvhiringidzika kwepfungwa uye kusagadzikana, iyo oscillate pakati penguva dzekunyongana kwakanyanya uye nguva dzakadzikama;
• Kudengenyeka kwemhasuru uye kuomarara, inozivikanwa se parkinsonism, nekuti ivo vanotevedzera mafambiro aPasinson;
• Kuona zvisirizvo, umo munhu anoona zvinhu zvisipo, semhuka kana vana, semuenzaniso;
• Zvakaoma pakuongorora madaro, inonzi visospatial changes, iyo inogona kukonzera kuwira kakawanda;
• Shanduko muREM kurara, iyo inogona kuzviratidza nekufamba, kutaura kana kupopota panguva yekurara.

Kazhinji, shanduko muhunyanzvi hwepfungwa dzinoonekwa pekutanga, uye chirwere chichienderera mberi, shanduko mukufamba kunoonekwa, uye kuvhiringidzika kwepfungwa kunova kwakanyanya. Zvakajairika kuona zviratidzo zvekuchinja kwemamiriro, sekushushikana uye kusava nehanya.

Nekuda kwezviratidzo zvakafanana, chirwere ichi chinogona kukanganiswa neAlzheimer's kana Parkinson. Pachine hapana chikonzero chinozivikanwa cheLeby Muviri Dementia, saka chero munhu anogona kukura chirwere ichi, kunyangwe chichiita kunge chinowanzoitika kune varume vanopfuura makumi matanhatu.

Maitiro ekusimbisa kuongororwa

Kuongororwa kwekutadza kuora mwoyo nemitumbi yeLeby kunoitwa nachiremba wezveuropi, chiremba wezvechiremba kana chiremba wepfungwa, mushure mekuongororwa kwakazara kwezviratidzo, nhoroondo yemhuri uye kuongororwa kwemuviri.

Kunyangwe imwe bvunzo dzekufungidzira, senge computed tomography kana magnetic resonance imaging, inogona kubatsira kuona kuora kwezvimwe zvikamu zvehuropi, vanokundikana kuziva miviri yeLeby, iyo inogona kungoonekwa chete mushure mekufa. Izvo zvakakoshawo kushandisa zviyero zveyero kuti uone kushanduka kwekugona kwekuziva.

Nenzira iyi, chiremba achasiyanisa chirwere ichi kubva kune vamwe vane zviratidzo zvakafanana, senge Alzheimer's naParkinson, uye anoratidza kurapwa kwakanyanya.

Kurapwa kunoitwa sei

Sezvo pasina mushonga we dementia ine miviri yeLeby, kurapwa kunofanirwa kutungamirirwa nachiremba wezveuropi, chiremba wezvechiremba kana chiremba wepfungwa kuti abvise zviratidzo zvemunhu wega uye nekuvandudza hupenyu hweanotakura.

Saka mhando dzekurapa dzinosanganisira:

• Antipsychotic mishonga, senge Quetiapine kana Olanzapine: vanobvumidza kudzikamisa kuwanda kwehunyengeri, zvisinei, zvinogona kukonzeresa mhedzisiro yakawanda kana kukuvadza mamiriro ezvinhu emunhu uye, nekudaro, kana ichishandiswa, vanofanirwa kuongororwa nguva dzese nachiremba;
• Mishonga yekurangarira, senge Donepezila kana Rivastigmine: kuwedzera kugadzirwa kwemaurotransmitter muuropi, ayo anogona kuvandudza kusangana, ndangariro uye kudzikisa kutaridzika kwekufungidzira uye mamwe matambudziko ehunhu;
• Mishonga yekuvandudza mota hunyanzvi, senge Carbidopa naLevodopa, anoshandiswa zvakanyanya muParkinson's: anoderedza zviratidzo zvemota senge kudedera, kuomarara kwemhasuru kana kunonoka kufamba. Zvisinei, kufungidzira uye kuvhiringidzika kunogona kuwedzera, uye nekudaro zvinogona kusanganiswa nemishonga yekurangarira;
• Mishonga yekudzvinyirira, senge Sertraline kana Citalopam: inoshandiswa kugadzirisa zviratidzo zvekuora mwoyo, mukuwedzera pakubatsira kudzora maitiro uye kugadzirisa kurara;
• Physiotherapy: inobatsira kuchengetedza simba remhasuru uye kushanduka, mukuwedzera kunatsiridza kugona kwemoyo nemhando dzakasiyana dzekurovedza muviri;
• Kurapa pabasa: zvakakosha kuti ubatsire kuchengetedza rusununguko, kudzidzisa munhu kuita mabasa ezuva nezuva nekukanganisa kwavo kutsva.

Uye zvakare, kubatsira kurwisa zviratidzo zvekusuwa kazhinji, kushushikana kana kusagadzikana, muchengeti anogona kushandisa dzimwe nzira dzokurapa dzakadai searomatherapy, mimhanzi kurapa kana kukwiza muviri, semuenzaniso.

Izvo zvinokurudzirwa zvakare kurovedza muviri kuti uropi hurambe huchiita, kudzivirira kuputa uye kutora chikafu chine hutano uye chakaringana, uchipa kufarira michero nemiriwo. Tarisa uone mamwe maekisesaizi ayo anotendera iwe kuti uchengetedze uropi hwako huchishanda.