Ukungasebenzi kahle kwengqondo (MCI) ukwehlisa ukuqonda , kufaka phakathi ukuhlushwa, ukuxhumana, inkumbulo , nokuqondisa . Lokhu kunqanda kungathinta futhi ikhono lomuntu lokuqhuba imisebenzi yokuphila kwansukuzonke (ADLs) ezindaweni ezifana nokugqoka , ukugeza nokudla ukudla .
Sibutsetelo
Kulinganiselwa ukuthi cishe amaphesenti angu-20 abantu abangaphezu kweminyaka engu-70 banayo i-MCI.
Ngokujwayelekile, njengoba abantu bekhula, banamathuba amaningi okuthuthukisa i-MCI kanye nesifo se-Alzheimer's.
I-MCI ivame ukucatshangwa njengenkathi ephakathi kokuqashelwa okujwayelekile futhi lapho isifo se-Alzheimer siqala. Abanye bacabanga ukuthi kuyisigaba sangempela sokuqala se-Alzheimer's, nakuba kungenjalo wonke umuntu one-MCI uzokuthuthukisa i-Alzheimer's.
Incazelo ye-MCI iye yaqhubeka iguqukile. Emibhalweni yokuqala yokuxilongwa kwe-MCI, indawo kuphela umuntu angabonisa ukukhubazeka kuyo kwakuyikumbulo. Zonke ezinye izinto zokuzicabangela kufanele zihlale ziqinile.
Incazelo yabuye yabuyekezwa futhi ivunyelwe izinkinga kwezinye izindawo ezingqondweni, njengokucabangela nokwahlulela. Nokho, umuntu kwakudingeka aqhubeke esebenza kahle empilweni yansuku zonke; uma imisebenzi yokuphila kwansuku zonke yayithinteka, ukuxilongwa kungenzeka ukuthi kube ukuwohloka komqondo , noma ngokuqondile, izigaba zokuqala zesifo se-Alzheimer's.
Iqembu labacwaningi lithole ukuthi le ncazelo yayingavumelani ngaso sonke isikhathi ngalokho abayithola ekuhloleni kwabo kulabo abatholakala benesifo se-MCI, njengoba abantu abaningi abane-MCI ekutadisheni kwabo bebonisa ngempela ukukhubazeka okusebenzayo.
Ngenxa yalokhu, iqembu elivela ku-Alzheimer's Association kanye ne-National Institutes of Aging lancoma enye incazelo ebuyekeziwe ye-MCI ngo-2012. Leli livumelekile ukukhubazeka okuncane emisebenzini yokuphila kwansuku zonke ngaphezu kwezinselele ezicatshangelwayo ezichazwe ngenhla. Ngenkathi inikeza ukuguquguquka okungaphezulu futhi mhlawumbe kunembile, incazelo ebuyekeziwe iphinde ivimbe umugqa phakathi kwe-MCI ne-Alzheimer's.
Ngenxa yalokho, abanye baye batusa ukuthi igama elithi MCI ngenxa ye-AD (isifo se-Alzheimer's) sisetshenziswe, ngaphandle uma kucaca ukuthi izimpawu ze-MCI zihlobene nezinye izimbangela ezingase ziguquke , njengengcindezi evamile ye-hydrocephalus noma i- vitamin B12 .
Izimbangela
Isizathu se-MCI asiziwa. Kubonakala sengathi kunezici ezifanayo eziyingozi kwi-Alzheimer's, njengeminyaka yobudala, izinga lemfundo, kanye nezinye izici zezempilo zomzimba ezifana nesifo sofuba , isifo sikashukela , i-cholesterol, impilo yenhliziyo nokucindezelwa kwegazi .
Ukuqhubekela phambili ku-Dementia
Abantu abane-MCI basengozini enkulu yokuqhubeka nesifo se-Alzheimer's; Nokho, naphezu kwalengozi, hhayi wonke umuntu. Ucwaningo oluthile oluthola ukuthi ngemva kokuxilongwa kwe-MCI, amaphesenti angu-40 abantu "abuyele" (okungukuthi, amakhono abo okungaqondakali abuyele evamile) okwesikhashana, nakuba bekungaba amathuba amakhulu okuthuthukisa i-Alzheimer phakathi neminyaka emihlanu uma kuqhathaniswa nalabo abangazange ube ne-MCI.
Ukuthi i-MCI ihluke kanjani ku-Alzheimer's
Izimpawu zesifo se-Alzheimer zivame ukuqala nge-MCI. I-MCI ibhekisela ekukhungeni okuncane ezinkambisweni zokucabanga kanye nenkumbulo, kuyilapho i-Alzheimer isifo esithile lapho inkumbulo nokusebenza kuqhubeka nokuhla kakhulu ngokuhamba kwesikhathi.
Abanye abacwaningi bangathanda ukukhomba i-MCI njengesigaba sokuqala se-Alzheimer's , ikakhulukazi ngoba ucwaningo lubonise izinguquko ebuchosheni babantu abane-MCI abafana nalabo abakhona ku-Alzheimer's.
Kodwa-ke, njengoba abanye abantu abatholakala bephethe i-MCI abaqhubeki ukwehla noma ukukhombisa ezinye izimpawu zokudemuka komqondo, le ncazelo ayinakwenzeka.
I-MCI ngokumelene nemigomo ejwayelekile yememori
Njengoba abantu bekhulile, kuvamile ukuthi bahlangabezane nezikhala ezithile zenkumbulo ezithile, njengokungakwazi ukukhumbula igama lomunye umuntu abangazange babone okwesikhashana noma lapho bebeka ipeni labo abathandayo. Ukulibaziseka ngezikhathi ezithile ekukwazi ukufinyelela izinkumbulo nakho kujwayelekile njengoba sikhula.
Okungavamile, futhi kushukumisela abantu ukuba bahlole ukuxilongwa kwe-MCI, ukuhlangenwe nakho kokunye okukhathazayo ezindaweni zolimi , ukwahlulela , nokuxazulula izinkinga, noma uma ukulahlekelwa inkumbulo kungaphezu nje kwesinye isikhathi.
Abantu abanokuguqulwa kwememori ehambisana neminyaka ubudala abanethuba elincane lokuthuthukisa isifo se-Alzheimer kunelabo abatholakale benesifo se-MCI.
Ukwelapha
Ayikho imithi evunyelwe ukwelashwa kwe-MCI ngalesi sikhathi. Abanye odokotela bakhetha ukubeka i-actpezil (Aricept), ngoba kuye kwacwaningwa njengokwelashwa kwe-MCI futhi ibonise inzuzo ethile.
Abanye odokotela batusa amasu okunciphishela amathuba okunciphisa amathuba okungafani nalokho okunconywa ku-Alzheimer's, kuhlanganise nokugcina imikhuba yokudla enempilo , umsebenzi wokuzivocavoca , ubuchopho obusebenzayo , kanye nokuxhumana komphakathi njalo.
Izwi elivela
Yize kungokwemvelo ukuzizwa ukhathazekile uma ubona ezinye zezimpawu ze-MCI ngaphakathi kwakho, kubalulekile ukubona udokotela wakho ukuhlolwa ngoba izinkinga ezithile ezingqondweni zibuyiselwa kancane kancane ngokuphathwa ngendlela efanele. Kungenzeka nokuthi ukuqokwa kukadokotela wakho kunganikeza isiqiniseko sokuthi uvele ubhekene nokulahlekelwa kwememori ejwayelekile, ehambisana neminyaka .
Kubalulekile ukukhumbula ukuthi, ngenkathi abanye abantu abane-MCI begcina ukuthuthukisa i-Alzheimers, abanye abakwenzi. Abanye abantu abane-MCI baze basebenze kahle futhi bahlale bezinzile iminyaka eminingi.
Imithombo:
I-Alzheimer's & Dementia. > (2011) 1-10. Ukuxilongwa kokukhubazeka okuncane ngenxa yesifo se-Alzheimer: Izincomo ezivela ku-National Institute on Aging ne-Alzheimer's Association .
I-Journal yezifo ze-Alzheimer. Imiphumela yezinkinga zokuthola ukuphazamiseka okubonakalayo ngokusakazeka kokukhubazeka okucabangelayo okusesimweni esisekelwe emphakathini.
Morris, J. Archives of Neurology. Februwari 6, 2012. Imigomo ebuyekeziwe ephikisana nokukhubazeka okuncane kwengqondo ingase ihambisane nokuxilongwa kwe-Alzheimer's Disease Dementia.
I-Neurology. I-patternitud longitudinal yesiguquko sevolumu yesifunda sobuchopho ihlukanisa ukuguga okujwayelekile kusuka ku-MCI.
I-Neurology. Ukukhubazeka okuncane kwengqondo nokuqhubekela phambili ekudemeni kwengqondo: Okuthola okusha . 2014. http://www.neurology.org/content/82/4/e34.full.pdf