Ukukhanya Kokuphuza Okulinganiselwe Kungase Kukuzuze Ubunjani Bakho
Iziphuzo zokuphuza utshwala zivame ukushiwo ezindabeni zezokwelapha, zombili izinzuzo zabo kanye nokulimala kokusebenzisa kabi utshwala nokubhebhetheka umlutha. Ngakho-ke, le mibiko ithi ngani ngengqondo yakho ekuphuzeni utshwala? Ingabe utshwala luthinta ukusebenza komqondo wakho? Ingabe kuthinta ingozi yakho yokuthola isifo se-Alzheimer?
Ngamagama: yebo. Kodwa kanjani?
Ingabe Utshwala Buhle Noma Bubi Kubuchopho Bakho?
Impendulo ixhomeke ezintweni eziningana, kodwa izici ezimbili ezicwaningiwe zihlanganisa inani lotshwala oludliwe nokuthi ngabe umuntu ungumphathi we-APOE e4.
Inani Lotshwala
Ama-Amounts amaningi ngokweqile e-Alcohol
Ukucwaninga okuphindaphindiwe kanye nokuhlola okubonayo kubonise ukuthi abantu abaphuza kakhulu utshwala basengozini enkulu yokwenza u- dementia . Ukulimala kobuchopho obuhlobene nohlobo lwe-alcohol kungabika cishe ama-10% kuwo wonke amacala e-dementia.
Ukucabangela ukuhlolwa kobuchopho abaphuza kakhulu utshwala kubonisa i- atrophy (ukuchoboza ubuchopho) , ukulahlekelwa yendaba emhlophe, ukwehla kwe-neurons nezinye izinguquko ezifana nobuchopho babantu abane- Alzheimer's disease .
Ukukhubazeka kwengqondo phakathi kwabaphuza utshwala ngokweqile kuhlanganisa:
- I-Wernicke-Korsakoff Syndrome
- I-Dementia
- Ukukhubazeka Okucabangelayo Okuncane
- Ukusebenza Kokukhubazeka Okuphezulu
- I-Episodic Memory Yehla
- Ukukhubazeka kwe-Visuospatial
Ngokusho kocwaningo olwenziwe ngezingozi zobungozi bokuqala be-dementia, ukuphuza utshwala njengomfana osemncane kunomunye wababikezeli abakhulu kakhulu besilisa abazokwakha ukuhlushwa kwengqondo encane .
Ukukhanya Kumali Elinganiselwe Yotshwala
Ukuphuza ngokweqile kotshwala kubhekwa njengokuphuza utshwala esisodwa ngosuku ngabesifazane nabesilisa ngosuku . Ukuphuza ukukhanya okuchazayo kuchaza labo abaphuza abangaphansi kokuphuza ngokweqile kodwa abangaphezu kwalabo abaqeda ngokuphelele utshwala.
Esicwaningweni esabandakanya abantu abangaphezu kuka-3000 abangaphezu kweminyaka engama-75, ukuphuza okulula ukulinganisela kwakuhambisana nengozi engaphansi kuka-42% yesifo se-Alzheimer kanye ne-29% engozini engezansi yazo zonke izinhlobo ze-dementia.
Ucwaningo olulodwa lwathola ukuthi phakathi kwabesifazane abaneminyaka engaphezu kwengu-90, ukwehla kokusetshenziswa kotshwala kwakuhambisana nokwanda ekuthuthukiseni ukukhubazeka okungacabangi nokucindezeleka komqondo.
Olunye ucwaningo lwabheka ukuthi ukuphuza utshwala kwabathinta kanjani abantu abanesifo sokukhubazeka okungenangqondo . (I-MCI ngezinye izikhathi, kodwa hhayi njalo, iyathuthuka ekudemeni kwengqondo.) Lolu cwaningo lubonise ukuthi ukukhanya ukulinganisela ukuphuza utshwala kuhlobene nokunciphisa amathuba okukhubazeka okungenangqondo okuqhubekayo ekudemeni kwengqondo ephelele. Abahlanganyeli abangazange baphuze utshwala banethuba elihle lokuthuthukisa u-dementia kunalabo ababengabonakali ukuphuza abaphuzayo, kuyilapho abaphuza kakhulu bekungenzeka ukuthi baqhubekele ekudemeni kwengqondo.
Ama-APOE-4 Abathwali
Ngesithakazelo, abacwaningi ocwaningweni olulodwa babone abahlanganyeli ababengabaphathi be- APOE-4 nalabo abangazange baphathe leli gesi. (I-APOE-4 isisindo esithinta ingozi yokugula kwesifo se-Alzheimer.) Abafundi abafundela ukukhanya ukulinganisela abaphuza utshwala futhi abaphethe i-APOE-4 gciwane babe engozini enkulu yokuncipha kwengqondo nokulahleka kwememori , kuyilapho kukhanya ukulinganisela abaphuza abazange baphathe isakhi se-APOE-4 babonise ikhono lokufunda elithuthukisiwe nokukhumbula.
Ingabe Uhlobo Lwezolimo Zomuthi?
Kuxhomeke kubani oyicelayo. Ucwaningo lufinyelele eziphethweni ezihlukene ngalombuzo. Ucwaningo oluningi lucacise iwayini njengemiphumela evikelayo ememori yabantu kanye nekhono lokuqonda. Ezinye izifundo, kodwa-ke, ziye zaphetha ngokuthi iwayini, ubhiya nophuzo oludakayo bonke banezimo ezifanayo ekuqondeni.
Abanye Abantu Akufanele Baphuze Utshwala
Kunabantu abathile abangeke baphuze utshwala. Leli qembu lifaka kodwa alinganiselwe ezidakwa, abantu abane-Wernicke-Korakoff syndrome, labo abaphuza imithi ethile engasebenzisa kabi utshwala, abantu abanezifo ezithile zezokwelapha ezifana nesifo sebindi nesifo se-pancreatitis, labo abangaphansi kweminyaka engokomthetho yokuphuza , abesifazane (noma bazama ukuba) abakhulelwe nalabo abasebenzisa imoto noma benze imisebenzi eminingana.
Ezinye izifundo zithole ukuthi ukuphuza utshwala kunezinye izingozi zempilo; Ngakho-ke, isinqumo sakho sokuphuza utshwala kufanele sikhulume nodokotela wakho.
Izwi kusuka
Kubantu abaningi, ucwaningo lubonisa ukuthi ukukhanya ukulinganisela ukuphuza utshwala kubonakala kunomhlomulo wokuzivikela ekungeneni kwengqondo. Noma kunjalo, kubalulekile ukukhumbula ukuthi ukusetshenziswa kotshwala kungaholela ekuthembekeni nasekuhlukumezweni ngakho-ke ukuqapha kuyadingeka.
Imithombo:
Ukuguga nokuguga. 2011 Jul; 40 (4): 456-63. Ukusetshenziswa kotshwala okwamanje kanye nokuhlobana kwayo nesifo sengqondo somphumela: imiphumela evela ekutadisheni okulandela iminyaka engu-3 phakathi kwabafundi bokuqala ukunakekelwa kwezikhungo ezineminyaka engama-75 nangaphezulu. http://ageing.oxfordjournals.org/content/early/2011/02/23/ageing.afr007.full
Utshwala nokuNxila. 2014 Jan-Feb; 49 (1): 17-22. Ubuhlobo phakathi kwe-midlife nokuphuza kokudla utshwala, i-APOE e4 nokuncipha kokufunda nokukhumbula phakathi kwabantu abadala. http://alcalc.oxfordjournals.org/content/49/1/17.abstract
I-American Journal of Geriatric Psychiatry. 2014 Apr 26. pii: S1064-7481 (14) 00136-5. Utshwala Ukusebenzisa Amaphethini Nokukhubazeka Okucatshangelwayo Kwabesifazane Abadala. http://www.ncbi.nlm.nih.gov/pubmed/24862680
Isikhungo Socwaningo Sokubambisana se-Dementia. Izinkinga zakho zobuningi. Utshwala- Ubufakazi. http://www.yourbrainmatters.org.au/brain_health/evidence/cool
I-JAMA Imithi Yangaphakathi. 2013 Sep 23; 173 (17): 1612-8. Izingozi ezincane ekupheleni kwesikhathi sokukhula kwentsha-i-dementia emadodeni: isifundo seqembu lonke. http://www.ncbi.nlm.nih.gov/pubmed/23939347
I-Psychiatry ne-Neuroscience Clinic. 2009 Feb; 63 (1): 43-9. Ukusetshenziswa kotshwala nokuguqulwa kokukhubazeka okungacabangi komqondo. http://www.ncbi.nlm.nih.gov/pubmed/19154211