Izimpawu, Ukuxilongwa Nokunakekelwa
I-Parkinson's mental dementia (PDD) uhlobo lwe- Lewy lokugula komzimba okwenzeka lapho isiguli esinesifo se- Parkinson senza ukucindezeleka okuqhubekayo okungenani iminyaka emibili ngemuva kokuxilongwa kwesifo sikaParkinson, kanti nezinye izimbangela zokudangala komqondo ziye zaphela. Cishe 25-30% yazo zonke iziguli ezinezifo zika-Parkinson nazo zine-dementia, kodwa ngemuva kokuba nesifo se-Parkinson iminyaka engu-15, ukusabalala kwe-PDD kwanda kuma-68%.
I-PDD ivame kakhulu ukuthi ivela kanjani esivela ku- Alzheimer's disease : Ngokwesibonelo, ku-PDD, abantu banenkinga enkulu yokunakekelwa , ukusebenza okuphezulu , nokubuyisa imemori . E-Alzheimer's disease, inkinga yememori ngokuvamile iyingxenye yezinkumbulo zokugcina. Abantu abane-PDD bangase bazi ukuthi banenkinga yememori kunabantu abane-Alzheimer's disease.
Ukubona i-Parkinson's Disease Dementia
Isihluthulelo sokuhlonza i-PDD ukuthuthukisa izinkinga zokucatshangelwayo ezinzima ngokwanele ukuba zithinte ukusebenza kwansuku zonke. I- Mini-Mental State Examination (MMSE) ukuhlolwa kokuhlola okuvame ukusetshenziselwa ukuxilonga isifo so-Alzheimer kanye ne-PDD.
I-dementia ivame kubantu abanesifo sikaPasinson, ikakhulukazi kusukela eminyakeni yobudala bokuqala kwesifo sikaParkinson singama-60 futhi isikhathi eside umuntu esinawo, cishe kungenzeka ukuthi bahlakulele ukucindezeleka kwe-dementia. Ukuba yindoda kanye nokubona izinto ezibukwayo kuyizici eziqinile zokuthuthukisa u-dementia kubantu abane-Parkinson's disease.
Olunye uhlobo lokuwohloka komqondo lapho i-hallucinations ebonakalayo ejwayelekile khona, futhi lokho kuhlobene nezifo ze-Parkinson no-Alzheimer kubizwa ngokuthi i- Lewy yomqondo wegazi . Eqinisweni, izidumbu zaseLeby zitholakala ebuchosheni babantu abane-PDD, i-Lewy yomqondo wokugula komzimba, kanye nabanye abantu abane-Alzheimer's disease.
Ukwelapha i-Parkinson's Disease Dementia
Okwamanje, kukhona ukwelashwa okuvunyelwe kwe-FDA eyodwa kuphela ye-PDD.
I-Exelon patch (i-rivastigmine system transdermal) kanye nama-capelules e-Exelon (rivastigmine tartrate) aboniswa ekwelapheni ukungazinzi kahle komqondo wohlobo lwe-Alzheimer kanye nokucindezeleka okunomqondo okulinganiselwe okuhambisana nesifo sika-Parkinson.
> Imithombo:
> Aarsland D, Zaccai J, Brayne C. Ukubuyekezwa okuhlelekile kwezifundo zokuqwashisa komqondo esifozweni sikaParkinson. I-Disv Disord . 2005; 20: 1255-1263
> Dubois B, Burn D, Goetz C, et al. Izinqubo zokuthola ukugula komqondo kaChinsinson: izincomo ezivela ku-Movement Disorder Society Task Force. I-Disv Disord . 2007; 22: 2314- 2324.
-Uhlelwe ngu-Esther Heerema, MSW