I-Complete Guide eya ku-Lewy Body Dementia
Nakuba ungase ungajwayelene nesifo somqondo we-Lewy njengoba unesifo se-Alzheimer , kucatshangwa kakhulu uhlobo lwesibili oluvame kakhulu lomqondo wokugula komqondo . Ukufunda ngezimpawu zalo, ukuxilongwa, ukubikezela kanye nokwelapha kungasisiza ukuba siqonde kangcono ukuzwa ukugula komzimba kaLeyy.
Sibutsetelo
I-Lewy ye-dementia yomzimba, noma i-LBD, ibhekisela kuhlobo lomqondo owohloka komqondo ohlotshaniswa namaphrotheni angavamile engobuchopho okuthiwa izidumbu zaseLeby , ezithinta indlela ubuchopho obusebenza ngayo.
Izimpawu
Abantu abanesifo sengqondo somzimba kaLeyy bavame ukuzwa lezi zimpawu:
- Ukushintshashintsha kwemicabango ekucabangeni, ikhono lokubona i-visuospatial , ukucubungula ulwazi, ukuqonda, ukukhuluma, ukuthola amagama nokuqaphela izinto.
- Izinkinga zokuhamba, njengezinyosi zokuhlala kanye nokuntuleka kwesibonakaliso sobuso - iningi linezimpawu ze-parkinsonism, okusho ukuthi kufana nesifo sesifo sikaParkinson .
Ukuphazamiseka kokushintshashintsha-ngokwesibonelo, umuntu angase agule kakhulu, bese ngokungazelelwe abe namandla amakhulu, okwenze kube nzima kumalungu omndeni ukuhlola ukuthi isihlobo sabo senzani.
- I- hallucinations ebonakalayo ebonakalayo, ikakhulukazi yabantu nezilwane. Lezi zivame ukuvusa ukusabela ngokomzwelo, nakuba umuntu engase azi ukuthi azikho ngempela.
- REM Sleep Behavior Disorder , lapho umuntu angenza khona amaphupho abo acacile.
- Izimpawu zokuziphatha nezomzwelo , kufaka phakathi ukuwa , ukucindezeleka nokukhohlisa njalo.
- Izinkinga ngememori , okuvame ukuba khona kamuva kule sifo.
- Izinguquko emisebenzini yomzimba yokuzimela, njengokulawulwa kwegazi, umshini wokushisa, nesisindo nesibilini.
Ukuxilongwa
Ayikho ivivinyo eliyingqayizivele lingathola ukuthi i-Lewy isifo sengqondo somzimba, njengoba izidumbu zaseLeby zingabonakala kuphela ngokuzenzekelayo kobuchopho.
Njengesifo so-Alzheimer's , kufanele kube khona ukubhekwa okuphelele ukuze kutholakale ezinye izimbangela zezimpawu zomuntu.
Lokhu kungabandakanya ukucabanga kwe-resonance magnetic (MRI) noma ukuskena kombhalo we-tomography (CT) we-brain.
I-Lewy yokugula komzimba ngokuvamile ihlolwe ngemuva kokuba ezinye izimo zikhishwe futhi izimpawu zomuntu zihambisana kahle ne-diagnosis criteria ye-LBD.
Isibikezelo
Ukuchazwa komuntu onomqondo we-Lewy we-mental dementia kuncike ezintweni eziningi, kuhlanganise nobudala bokuqala kanye nempilo yonke. Ngokwesilinganiso, ukulindela impilo neLBD kuyiminyaka emihlanu kuya kweyisikhombisa, nakuba ububanzi buyaziwa phakathi kweminyaka emibili nengama-20.
I-Lewy ye-dementia yomzimba ayiqhubeki ngokujwayelekile njengoba i-Alzheimer yenza. Kunalokho, ngoba esinye sezici zalo ukuthi izimpawu zayo zingashintshashintsha, ukuqhubekela phambili kwe-Lewy komqondo womzimba kungashintsha ngokuphawulekayo kusuka komunye umuntu kuya komunye.
Ukwelapha
Okwamanje akakho ukwelashwa komzimba we-Lewy, kodwa kukhona imithi engasiza ekulawuleni izibonakaliso. I-Rivastigmine (i-Exelon) ingumuthi owodwa oye wamukelwa yi-FDA ukuwuphatha ngokuqondile, ezinye izifo zokwelapha ze-Alzheimer nazo ziboniswe ukuthi ziyasiza.
Kuyathakazelisa ukuphawula ukuthi abanye abacwaningi bathole ukuthi labo abanesifo sengqondo somzimba we-Lewy basabela kangcono ekuvimbeleni i-inhibitors , njenge- Aricept (e-factpezil), i-Exelon (rivastigmine) ne- Razadyne (galantamine), kunelabo abane-Alzheimer's disease.
Ngenxa yokuthi abantu abanesifo sengqondo se-Lewy sokugula komzimba ngokuvamile banenkinga yokunyakaza kwe-Parkinson's-like, imithi yesifo sikaParkinson ngezinye izikhathi ingaphatha izimpawu ezihlobene. Kodwa-ke, zingakwandisa ukudideka, ukukhohliswa , nokucubungula , ngakho-ke zisetshenziselwa ngokucophelela futhi ziqashwe ngokucophelela udokotela womuntu.
Amasu angewona amakhemikhali angasiza futhi ekulawuleni izimpawu ezinzima zokuziphatha kweLeyy yokugula komzimba. Isibonelo, ukwelashwa ngokomzimba kanye nokwelashwa kwenkulumo kungasiza. Amasu alula, njengokunciphisa ukudla kwe-caffeine nokuhlinzeka imisebenzi yokuphumula kusihlwa, angathuthukisa amaphethini okulala futhi anciphise ukuqhuma okudlova phakathi nobusuku.
Ngaphezu kwalokho, izidakamizwa zokucindezeleka, njenge-serotonin reuptake inhibitors, noma i-SSRIs, zingasetshenziswa ukuphatha ukucindezeleka okuhlobene ne-Lewy yomzimba wengqondo.
Okokugcina, kubalulekile ukwazi ukuthi imishanguzo ye-antipsychotic , ejwayele ukusetshenziselwa ukuphatha imilingo kanye nokukhohliswa, ingase ibe nemiphumela emibi engaba yingozi kubantu abangenawo ukugula komzimba kaLeyy. Ukuqapha okujulile kuyadingeka uma le mithi isetshenziselwa abantu abanesifo sengqondo somzimba weLeyy.
Izwi kusuka
Uma wena noma othandekayo uye wathola ukuthi unesifo somqondo se-Lewy, qiniseka ukulungisa konke okukhathazayo nemibuzo yakho nodokotela wakho . Kungumqondo omuhle wokucabangela ukuba nomhlangano womndeni uma usulungile futhi ukhululekile. Ngale ndlela ungaxoxa ngezinkinga, njengezinhloso zokunakekelwa nokulindela ukwelashwa.
Imithombo
I-Alzheimer's Association. I-Dementia nge-Lewy Bodies. > http://www.alz.org/dementia/dementia-with-lewy-bodies-symptoms.asp
I-Lewy Body Dementia Association. Ukuxilongwa. > https://www.lbda.org/content/lbd-booklet/lbd-diagnosis
I-Lewy Body Dementia Association. Ukwelapha. >> https://www.lbda.org/node/1316
I-Zupancic M, i-Mahajan A & Handa K. Dementia enemizimba enhle: ukuxilongwa nokuphathwa kwabahlinzeki bokunakekela abayinhloko. I-Prim Care Companion CND Disord. 2011; 13 (5).