Izimpawu, Ukuxilongwa, Nokunakekelwa
I-dementia exubile iyigama elisetshenziswe lapho umuntu enenhlobo engaphezu kweyodwa yomqondo wokugula komqondo . Ngokuvamile, ukuwohloka komqondo okuxubile kuqukethe isifo se-Alzheimer's and dementia , kodwa futhi kubhekisela enhlanganisweni ye-Alzheimer kanye nanoma yiluphi olunye uhlobo lokuwohloka komqondo.
Ukuqhathaniswa kwe-Mixed Dementia
Kunzima ukunquma ukusabalalisa kwengqondo yokuxubana komzimba. Ngokwesiko, odokotela baye bahlonipha uhlobo olulodwa oluyinhloko lomqondo wokugula komqondo lapho benquma ukuxilongwa kwesiguli, njengesifo se-Alzheimer noma ukuwohloka komqondo kwegazi.
Nokho, abacwaningi baye bathola ukuthi abantu abaningi abaye batholakala ukuthi banesifo sengqondo sohlobo lwe-dementia bangase babe nomunye uhlobo. Ama-autopsies, lapho ubuchopho buhlolwa khona ngemva kokufa, bevame ukubonisa izimpawu ze-Alzheimer's, ze-vascular, ne- Lewy umzimba we-dementia ezixutshwe ndawonye.
Ucwaningo olulodwa lwabika ukuthi abangu-94% wabathintekayo abane- dementia bathole ukuthi bane-Alzheimer's. Ngemuva kokufa, ukuzithoba kwabantu kulabo bantu kubonise ukuthi u-54% wabo wabonisa ubufakazi benye uhlobo lokudemeka kwengqondo ngaphezu kwe-Alzheimer's ezifana ne-blood clots (ukucindezeleka kwe-vascular) noma izidumbu ze-Lewy (i-Lewy body dementia).
Ngokusho kwe-Alzheimer's Association, ukuxilongwa kwe-dementia exubekile kungase kube nomthelela wokuthuthukisa njengoba abantu abaneminyaka yobudala kusukela ekudala kuyinto engozini yezinhlobo eziningana zokucindezeleka komqondo.
Izimpawu Ze-Mixed Dementia
Ukudangala komqondo okuxubile kungase kube khona ngezimpawu ezifana nesifo se-Alzheimer's . Izimpawu zokuxilongwa kwe-dementia ehlanganisiwe zingathuthuka ngokushesha noma ziboniswe ngaphambili ngoba ubuchopho buyathinteka yizinhlobo ezingaphezu kweyodwa zenkinga noma ezilimele endaweni engaphezu kweyodwa.
Ukuxilongwa
Ukuxilongwa kwesifo sengqondo sokuxubana komqondo okuxubile kwenziwa ngokucacile ngemva kokufa lapho kuqhutshwa i-autopsy. Uma ubuchopho bubonisa izinhlobo ezingaphezu kweyodwa zokungajwayelekile ezifana ne-buildup of tau amaprotheni nama-blockages emithonjeni yobuchopho, ukuxilongwa kwe-dementia exubile kutholakala.
Abanye odokotela bahlinzeka ukuxilongwa komqondo oxubile wokuxoshwa komqondo lapho umuntu ebonisa izimpawu ze-Alzheimer kodwa unenkinga yempilo yengqondo njengesihlungu esingafakazela ukuthi ukushaya komfutho komzimba kwangomzimba kuthinta nomuntu.
Njengoba amasu okucabanga athuthukisa futhi ucwaningo luyaqhubeka lukhula, kungenzeka ukuthi ukuxilongwa komqondo okuxubile kuyokwandiswa isikhathi eside ngaphambi kokuba i-autopsy iqhutshwe.
Ukwelashwa kwe-Mixed Dementia
Nakuba kungekho mithi evunyiwe ngokukhethekile yi-US Food and Drug Administration (FDA) ukuphatha ukucindezeleka kwengqondo exutshwe, kubonakala sengathi iphendula kahle eminye imithi efanayo evunyelwe ukuphatha isifo se-Alzheimer . Imiphumela yocwaningo ihluke kubahlanganyeli abane-dementia exutshweyo abaphathwa nge-cholinesterase imithi ye-inhibitor. Eminye imiphumela ithola ukuthi ukwehla kwengqondo okulindeleke ekudemeni kwengqondo okuxubekile kuye kwancipha, kanti abanye babonisa nokuthuthukiswa okulinganiselwe ememori nasekucabangeni.
Okunye ukwelashwa okuxubile ngokweqile ukuhlanganiswa kwe-Alzheimer's and dementia-dementia kugxila ezintweni ezifana nokuphathwa kwegazi nokucindezeleka kwe-cholesterol, ngenhloso yokunciphisa amathuba okunye ukushaywa komzimba (futhi kungenzeka ukuqhuma kwesifo senhliziyo).
Imithombo:
I-Alzheimer's Association. I-Dementia Mixed. Kufinyelelwe ngo-Ephreli 9, 2013. http://www.alz.org/professionals_and_researchers_13516.asp
I-Alzheimer's Association. I-Dementia Mixed. Kufinyelelwe ngo-Ephreli 26, 2013. http://www.alz.org/dementia/mixed-dementia-symptoms.asp
Umagazini we-American Medical Association. 2004 Dec 15; 292 (23): 2901-8. Ukudumala komqondo okuxubile: imiqondo evelayo kanye nemiphumela yokwelapha. http://www.ncbi.nlm.nih.gov/pubmed/15598922
I-Neurology. 2007 Dec 11; 69 (24): 2197-204. Epub 2007 Jun 13. Ukuxilongwa kwe-brain pathologies okuxubile kumacala amaningi e-dementia kubantu abadala asebehlala emphakathini. http://www.ncbi.nlm.nih.gov/pubmed/17568013