Lesi simo sibizwa nangokuthi Ukukhubazeka Okungaqondakali kwe-Vascular
Sibutsetelo
I-dementia ye-Vascular result from blood defect flow to the brain. Ngemuva kwesifo se-Alzheimer , ingenye yezinhlobo ezivame kakhulu zokudemuka kwengqondo , kanye ne- Lewy yokugula komzimba . Ukufunda nge-dementia ye-vascular-kuhlanganise nezimbangela zayo, izimpawu nokulinda kwesikhathi-kungakusiza ukwazi ukuthi unganciphisa kanjani ingozi yakho, nokuthi yini ongayilindela uma uthola ukuthi unalolu hlobo lwengqondo.
I-dementia ye-Vascular yayibizwa ngokuthi yi -dementia eminingi-engenayo ngoba yayicatshangelwa ukuthi ibangelwa ukushaywa okuncane. Kodwa-ke, leli gama lashintshwa laba yi- dementia yezintambo ukuze kuboniswe izimo eziningi ezingaphazamisa ikhono legazi lokujikeleza ebuchosheni. Muva nje, abanye odokotela basebenzise ukukhubazeka kwe-vascular cognitive term, mhlawumbe ngoba kubonakala kuthatha ububanzi obuningi, kusukela komnene kuze kube kanzima, ukuncipha kwengqondo okubangelwa ukuwohloka komqondo kwegazi.
Ukuwohloka komqondo kwe-vascular ngokuvamile kwenzeka eduze kwesifo se-Alzheimer, okubangelwa ukuwohloka komqondo okuxubile . Phakathi kuka-1% kuya ku-4% wabantu abaneminyaka engaphezu kwengu-65 abanesifo sengqondo se-dementia, futhi ingozi yokuthuthukisa ikhula ngokuphawulekayo ngobudala. I-dementia ye-vascular is estimated ukuba ilandise amaphesenti angama-10 ukuya kwangu-20 kuwo wonke amacala e-dementia.
Izimbangela
Ukuwohloka komqondo kwe-vascular kungenziwa noma ukuvinjelwa okuphelele noma okuphelele kwemithambo yegazi ebuchosheni, okuvimbela amangqamuzana ebuchopho avela ezakhiweni kanye ne-oksijini adinga ukusebenza kahle.
Ukuwohloka komqondo kwe-vascular ngokuvamile kubangelwa imivimbo eminingana emincane eyenzeka ngokuhamba kwesikhathi. Kungenzeka futhi ngemva kwesifo esisodwa esisodwa, esibizwa ngokuthi nge -dementia post-stroke . Akuwona wonke ama-stroke aholela ekudemeni komqondo, kodwa kuze kube ingxenye eyodwa kwezintathu kwalabo abanesifo esizoshaya isifo sofuzo sizoba nomqondo owohloka komqondo phakathi kwezinyanga eziyisithupha.
Izimo ezinjengomfutho wegazi ophezulu nesifo sikashukela esingavimbeli imithwalo yegazi, kodwa ngokumane nje sinciphise, kungadala futhi kuholele ekutheni umuntu ahlaselwe yisifo senhliziyo.
Izingozi Zezingozi
Abantu abakha ukuwohloka komqondo okuyisifo senhliziyo, ngokuvamile banomlando weyodwa noma ngaphezulu kwalokhu okulandelayo: ukuhlasela kwenhliziyo, ukushaya isifo , ukucindezeleka kwegazi , isifo sikashukela , noma i- cholesterol ephakeme . Ngokuyinhloko, uma umuntu enomlando wezinhlangothi eziningi, ingozi yokuthuthukisa ukucindezeleka kwengqondo yegazi isanda ngenani lezinhlungu ezithinta ngokuhamba kwesikhathi.
Ezinye izinto ezingangandisa ingozi yakho zibandakanya ukubhema, ukufucula kwama-atrial, ukuba yindoda, nomlando womndeni we-dementia ye-vascular and African American.
Izimpawu
Abantu abane-dementia enesisindo kaningi bavame ukuveza izinkinga eziningi ezingqondweni, kuhlanganise nokukhubazeka kwememori , i- aphasia , i- apraxia , i- agnosia , noma izinkinga zokusebenza okuphezulu .
Ezimweni eziningi, izimpawu zenza kube nzima ukugcina umsebenzi, ukufeza imithwalo yemindeni, noma ukugcina ubuhlobo bomphakathi. Abantu abane-dementia enesifo somzimba nabo babhekana nezinkinga ze-neurological ezifana nezimo ezixubile, izinkinga zokuhamba nokulinganisela, kanye / noma ubuthakathaka emagcekeni, izandla nezinyawo. Kuncike kumuntu ngamunye nangenxa yalokho okubangelwa ukuwohloka komqondo, ukukhohlisa , ukudideka , ukukhathazeka , izinkinga zokungena kwamanzi , kanye / noma ukucindezeleka kungaphinde kuhambisane nokucindezeleka kwengqondo.
Ngokuthakazelisayo, ukulahlekelwa kwememori ngokuvamile kwenzeka kamuva ekudemeni kwengqondo emanzini uma kuqhathaniswa nesifo se-Alzheimer . E-dementia ye-vascular, izimpawu zokuqala ngokuvamile ziyizinzwa, njengezinkinga ezinobuthakathaka, ukuhamba nokuqina kobuthakathaka. Ngakolunye uhlangothi, izinkinga zememori kanye nezimpawu zokuziphatha ngokuvamile ziyizinkinga zokuqala ezibonwe ku-Alzheimer's. Ukwengeza, ukuwohloka komqondo ngokwemvelo ngokuvamile kuvame ukuhamba ngendlela ehlakaniphile. Isibonelo, lo muntu uzobonakala ezinzile isikhathi esithile, bese ngokuzumayo uthola okubi kakhulu, bese uqhubeka nokunye phakathi kwezinkathi ezizinzile nokuhlaselwa okungazelelwe ekusebenzeni. Isifo se-Alzheimer sithuthuka ngokuqhubekayo ngendlela ehamba kancane kancane.
Ukuxilongwa
Njengesifo so-Alzheimer's, kufanele kube khona ukubhekwa okuphelele ukuze kutholakale ezinye izimbangela zezimpawu zomuntu. I-dementia ye-vascular ngokuvamile ikhonjiswe ngokusebenzisa izinqubo zokucabanga , ezingabonisa imivimbo kanye nemithambo emincane noma evinjiwe. Izivivinyo ze-neuropsychological nazo zingase zenziwe ukuze kunqunywe isimo nesilinganiso sokukhubazeka kwengqondo.
Ukwelapha
Azikho izidakamizwa ezivunyelwe i-FDA ngokukhethekile ukuphatha ukucindezeleka komzimba, kodwa imithi evunyelwe ukuphatha usizo lwe-Alzheimer ngezinye izikhathi. Odokotela bavame ukubeka i- inhibitor ye-cholinesterase (i- Aricept , i-Exelon, noma i- Razadyne ) ne- Namenda ukuze iphathe ukucindezeleka kwegazi.
Ukuphatha izinkinga zenhliziyo ngokusebenzisa imithi kanye / noma izinguquko zokuphila kungasiza ukunciphisa ukuwohloka kwezimpawu zesifo senhliziyo. Kubalulekile ukuqapha ukucindezeleka kwegazi, ukushaywa kwegazi, i-cholesterol, ushukela wegazi, nesisindo, konke okuthinta impilo yezobuchopho nokukhululeka kwegazi ukugeleza ebuchosheni.
Izindlela zokuphatha ukuziphatha zibuye zisetshenziselwe ukubhekana nokuziphatha okuyinselele okuthi ngezinye izikhathi kuhambisana nokucindezeleka komzimba.
Isibikezelo kanye nokulindela kokuphila
Njengamanje, alukho ukwelashwa kwe-dementia ye-vascular. Uma ukuwohloka komqondo kubangelwa imivimbo eminingi, lo muntu angase ahambe kakhulu ekuthuthukeni kokuhlakanipha, lapho izinkathi ezizinzile ziphazanyiswa yiziqephu eziphuthumayo ezingezansi. Ukulinda komuntu komuntu one-dementia enesisindo kunomuntu ngamunye futhi kuxhomeke esimweni sezinkinga ze-cardiovascular ezibangela ukuwohloka komqondo, kanye nobudala bomuntu kanye nezinye izimo zezokwelapha.
Imithombo:
> I-Alzheimer's Association. I-Vascular Dementia. http://www.alz.org/dementia/vascular-dementia-symptoms.asp
I-American Psychiatric Association (2013). Incwadi yokuhlola nokubala yezifo zengqondo (DSM-5). Washington, DC:.
Plassman, BL, Langa, KM, Fisher, GG, Heeringa, SG, Weir, DR, Ofstedal, MB, et al. (2007). Ukuqwashisa kwengqondo e-United States: Ukutadisha, ukuhlaziywa kwabantu, nokufunda inkumbulo. I-neuroepidemiology, 29, 125-132.
Isikhungo se-UC Memory Disorders. Ukukhubazeka Okungaqondakali kwe-Vascular. > http://memory.ucgardnerneuroscienceinstitute.com/understanding-memory-disorders/vascular-cognitive-impairment/