'Dementia ea' mele

'Dementia' ke tahlehelo ea boko butle butle butle. Sena se etsahala ka mafu a itseng. E ama mohopolo, monahano, puo, kahlolo le boits'oaro.

'Dementia' ea methapo e bakoa ke letoto la lichapo tse nyane ka nako e telele.

'Dementia' ea vascular ke sesosa sa bobeli se tloaelehileng sa 'dementia' kamora lefu la Alzheimer ho batho ba ka holimo ho lilemo tse 65.

'Dementia' ea vascular e bakoa ke letoto la lichapo tse nyane.

• Leqeba ke tšitiso kapa thibelo ea phepelo ea mali karolong efe kapa efe ea boko. Leqeba le boetse le bitsoa infarct. Multi-infarct e bolela hore libaka tse fetang bonngoe bokong li lemetse ka lebaka la khaello ea mali.
• Haeba phallo ea mali e emisoa nako e telele ho feta metsotsoana e seng mekae, boko bo ke ke ba fumana oksijene. Lisele tsa boko li ka shoa, tsa baka tšenyo e sa feleng.
• Ha stroke se ama sebaka se senyane, ho kanna ha ba le matšoao. Tsena li bitsoa lichapo tse khutsitseng. Ha nako e ntse e feta, ha likarolo tse ngata tsa boko li senyehile, matšoao a 'dementia' a bonahala.
• Ha se liropo tsohle tse khutsitseng. Likotlo tse kholo tse amang matla, maikutlo, kapa ts'ebetso e 'ngoe ea boko le methapo (neurologic) le tsona li ka baka' dementia '.

Lisosa tse kotsi tsa 'dementia' ea methapo li kenyelletsa:

• Lefu la tsoekere
• Ho thatafala ha methapo (atherosclerosis), lefu la pelo
• Khatello ea mali e phahameng (hypertension)
• Ho tsuba
• Leqeba

Matšoao a 'dementia' le ona a ka bakoa ke mefuta e meng ea mathata a boko. Boloetse bo bong bo joalo ke lefu la Alzheimer. Matšoao a lefu la Alzheimer a ka tšoana le a 'dementia' ea methapo. Vasement dementia le lefu la Alzheimer ke lisosa tse atileng haholo tsa 'dementia' mme li ka hlaha hammoho.

Matšoao a 'dementia' ea methapo a ka hlaha butle kapa a ka tsoela pele kamora ho otloa hanyane ka hanyane.

Matšoao a ka 'na a qala ka tšohanyetso kamora' stroke ka seng. Batho ba bang ba nang le 'dementia' ea methapo ba ka ntlafala ha nakoana, empa ba fokotsehe kamora ho ba le stroke se khutsitseng. Matšoao a 'dementia' ea methapo e tla itšetleha ka libaka tsa boko tse lemetseng ka lebaka la setorouku.

Matšoao a pele a 'dementia' a ka kenyelletsa:

• Ho thatafalloa ho etsa mesebetsi e neng e tla habonolo, joalo ka ho lekanya buka ea cheke, ho bapala lipapali (joalo ka borokho), le ho ithuta tlhaiso-leseling e ncha kapa litloaelo
• Ho lahleha litseleng tse tloaelehileng
• Mathata a puo, joalo ka bothata ba ho fumana lebitso la lintho tse tloaelehileng
• Ho felloa ke thahasello linthong tseo u neng u li thabela nakong e fetileng, ho ba le maikutlo a bataletseng
• Ho beha lintho tse fosahetseng
• Liphetoho tsa botho le tahlehelo ea tsebo ea sechaba hammoho le liphetoho tsa boits'oaro

Ha 'dementia' e ntse e mpefala, matšoao a totobala haholoanyane 'me bokhoni ba ho itlhokomela boa fokotseha. Matšoao a ka kenyelletsa:

• Fetola mekhoa ea boroko, hangata a tsoha bosiu
• Ho ba thata ho etsa mesebetsi ea mantlha, e kang ho pheha lijo, ho khetha liaparo tse nepahetseng, kapa ho khanna
• Ho lebala lintlha ka liketsahalo tsa morao-rao
• Ho lebala liketsahalo tse etsahetseng nalaneng ea bophelo ba hau, u sa tsebe hore na u mang
• Ho ba le thetso, khatello ea maikutlo, kapa ho ferekana
• Ho ba le lipono, likhang, ho hlasela kapa boitšoaro bo mabifi
• Ho ba le bothata bo boholo ba ho bala kapa ho ngola
• Ho ba le kahlolo e fosahetseng le ho felloa ke matla a ho lemoha kotsi
• Ho sebelisa lentsoe le fosahetseng, ho se bitse mantsoe hantle, kapa ho bua lipolelo tse ferekanyang
• Ho tlohela ho kopana le sechaba

Mathata a tsamaiso ea methapo (neurologic) a hlahang ka stroke a ka ba teng hape.

Liteko li ka laeloa ho thusa ho fumana hore na mathata a mang a bongaka a ka baka 'dementia' kapa a mpefatsa, joalo ka:

• Khaello ea mali
• Hlahala ea boko
• Tšoaetso e sa foleng
• Botahoa ba lithethefatsi le meriana (ho feta tekano)
• Ho tepella maikutlo ho matla
• Boloetse ba qoqotho
• Khaello ea vithamine

Liteko tse ling li ka etsoa ho fumana hore na ke likarolo life tsa monahano tse amehileng le ho tataisa liteko tse ling.

Liteko tse ka bonts'ang bopaki ba lipolao tse fetileng bokong li ka kenyelletsa:

• Hlooho ea CT scan
• MRI ea boko

Ha ho na kalafo ea ho khutlisa tšenyo bokong e bakiloeng ke liropo tse nyane.

Morero oa bohlokoa ke ho laola matšoao le ho lokisa likotsi. Ho thibela lichapo tse tlang:

• Qoba lijo tse mafura. Latela lijo tse nang le mafura a phetseng hantle.
• U SE KE ua noa lino tse tahang tse fetang 1 ho isa ho tse 2 ka letsatsi.
• Boloka khatello ea mali e le tlase ho 130/80 mm / Hg. Botsa ngaka ea hau hore na khatello ea mali ea hau e lokela ho ba eng.
• Boloka cholesterol ea LDL "e mpe" e le tlase ho feta 70 mg / dL.
• U SE KE UA tsuba.
• Ngaka e kanna ea fana ka tlhahiso ea litšila tsa mali, tse kang aspirin, ho thusa ho thibela lisele tsa mali ho theha methapong. U SE KE ua qala ho noa aspirin kapa ua emisa ho e noa u sa bua le ngaka pele.

Lipheo tsa ho thusa motho ea nang le 'dementia' ka lapeng ke ho:

• Laola mathata a boits'oaro, pherekano, mathata a ho robala le ho ferekana
• Tlosa likotsi tsa polokeho ka lapeng
• Ts'ehetsa litho tsa lelapa le bahlokomeli ba bang

Ho ka hlokahala meriana ho laola boitšoaro bo mabifi, bo ferekaneng kapa bo kotsi.

Meriana e sebelisetsoang ho alafa lefu la Alzheimer ha e so bontšoe hore e sebeletsa 'dementia' ea methapo.

Lintlafatso tse ling li ka hlaha ka nako e khuts'oane, empa bothata bona bo tla mpefala ha nako e ntse e tsamaea.

Mathata a kenyeletsa tse latelang:

• Likotlo tse tlang
• Lefu la pelo
• Ho lahleheloa ke bokhoni ba ho sebetsa kapa ho itlhokomela
• Ho lahleheloa ke matla a ho sebelisana
• Pneumonia, tšoaetso ea tšoaetso ea moroto, tšoaetso ea letlalo
• Liso tsa khatello

Ikopanye le ngaka ea hau haeba matšoao a 'dementia' ea methapo a hlaha. E-ea kamoreng ea maemo a tšohanyetso kapa u letsetse nomoro ea ts'ohanyetso ea lehae (joalo ka 911) haeba ho ka ba le phetoho ea tšohanyetso maemong a kelello, maikutlo kapa motsamao. Tsena ke matšoao a tšohanyetso a stroke.

Laola maemo a eketsang kotsi ea ho thatafala ha methapo ea methapo (atherosclerosis) ka:

• Ho laola khatello e phahameng ea mali
• Ho laola boima
• Ho emisa ts'ebeliso ea lihlahisoa tsa koae
• Ho fokotsa mafura a mangata le letsoai lijong
• Ho phekola mathata a amanang le ona

MID; 'Dementia' - li-infarct tse ngata; 'Dementia' - ka mor'a ho otloa ke lefu; 'Dementia' ea mefuta e mengata; 'Dementia' ea Cortical VaD; Lefu le sa foleng la boko - vascular; Bofokoli bo bonolo ba kutloisiso - vascular; MCI - methapo; Binswanger lefu

• Dementia - seo u lokelang ho se botsa ngaka ea hau

• Sisteme ea methapo e bohareng le methapo ea methapo
• Boko
• Boko le tsamaiso ea methapo
• Mehaho ea boko

Budson AE, Solomone PR. 'Dementia' ea 'mele le ho senyeha ha mohopolo. Ka: Budson AE, Solomon PR, bahlophisi. Tahlehelo ea Memori, Lefu la Alzheimer, le Dementia. Lekhetlo la bobeli. Philadelphia, PA: Elsevier; 2016: khaolo ea 6.

Knopman DS. Bofokoli ba kelello le 'dementia'. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 26th. Philadelphia, PA: Elsevier; 2020: khaolo ea 374.

Peterson R, Graff-Radford J. Alzheimer le mafu a mang a 'dementia'. Ka: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, bahlophisi. Neurology ea Bradley ho Tloaelo ea Bongaka. La 7th. Philadelphia, PA: Elsevier; 2016: khaolo ea 95.

Seshadri S, Economos A, Wright C. 'Dementia ea' metso le ts'oaetso ea kelello. Ka: Grotta JC, Albers GW, Broderick JP le al, eds. Leqeba: Pathophysiology, Diagnosis le Management. La 6th. Philadelphia, PA: Elsevier; 2016: khaolo ea 17.