Incazelo kanye nemingcipheko yokulimala okungaqondakali okungaqondakali
Ukukhubazeka okungenangqondo okucatshangelwayo (SCI) ukunciphisa okubonakalayo ekucubungulweni kwakho, okuvame ukuphawula ekusebenzeni kwememori . I-subjective ngoba abanye kungenzeka ukuthi abazange babone noma yikuphi ubunzima futhi ungaphumelela kakhulu ekuhlolweni kokucubungula okuhloswe ukuba kuhlolwe ukucindezeleka komqondo ; Kodwa-ke, uzizwa ukuthi kuncipha. Isibonelo, ungase ubone ukuthi imemori yakho ayikho kahle njengayikhona, noma ukuthi kunzima ukukhumbula igama elifanele ofuna ukuyisebenzisa ukuchaza into.
Ukukhubazeka okucatshangelwayo okucatshangelwayo kubizwa nangokuthi ukulahleka kwenkumbulo, ukuhlukunyezwa kwememori, ukukhumbula ukulahlekelwa kwememori, nokunciphisa ukuqondana kwengqondo.
Ingabe Kufanele Ukhathazeke Uma Unayo I-SCI?
Yebo no cha. Ngakolunye uhlangothi, kuye kwaba nezibalo eziningana zokucwaninga ezibonisa ukuthi i-SCI ingaba enye yezimpawu zokuqala zesifo se-Alzheimer kanye nesifo sengqondo se-dementia.
Isibonelo, isifundo esisodwa sasihilele abantu abangaphezu kuka-500 abahlolwa ukuhlolwa kwengqondo ngonyaka. Abacwaningi bathola ukuthi ababambiqhaza ababika i-SCI kuma-aphoyintimenti abo abajwayele ukulandelela babe cishe kathathu amathuba okuthola ukuthi babhekene nokukhubazeka okuncane okungaqondakali noma ukuwohloka komqondo . Ngokuthakazelisayo, izikhalazo zokuqala zenkumbulo zenqaba kwenzeka cishe eminyakeni eyisithupha ngaphambi kokukhubazeka okunengqondo (isimo esithile, kodwa hhayi ngaso sonke isikhathi, sithuthuka ekudemeni kwengqondo) satholakala, futhi cishe eminyakeni eyisishiyagalolunye ngaphambi kokuba kutholakale ukugula komqondo.
Kwesinye isifundo, labo ababika i-SCI nabo banamathuba amaningi okukhombisa izinguquko ebuchosheni babo emibonweni ye-imaging, ikakhulukazi ebonisa amazinga aphakeme weprotheni ye- beta-amyloid . Ukukhathazeka okuboniswe ngabanikazi babo ababonise ubuchopho obuningi beprotein beta-amyloid bahlanganisa ukuzwa ukuthi izinkumbulo zabo zazibi kakhulu kunakhumbula izintanga zabo nokuthi ukuhlela nokubeka phambili imisebenzi (okusebenzisa ukusebenza okuphezulu ) kwakunzima kunalokho okwakunjalo.
Ucwaningo lwesithathu luhlolisise abantu abangaphezu kuka-2000 abaneminyaka engama-80 ubudala futhi babuza ukuthi bazizwa bekhunjulwa yini. Babuye babuzwa ukuthi ngabe bakhathazeke yini ngalokhu kuncika kwenkumbulo. Labo abaphendule ngeyebo emibili yombuzo babenamathuba amaningi okukhombisa ukukhubazeka kwimemori ye-episodic (inkumbulo yomcimbi othize) ekuhlolweni okulandelwayo eminyakeni eyisishiyagalombili kamuva kulabo abangazange bakhulume ngokukhathazeka ngememori yabo.
I-SCI nayo ihlotshaniswa nezinguquko zobuchopho ezifana ne- hippocampal atrophy (i-shrinkage ngenxa yokufa kweseli kule ndawo yobuchopho).
Ngakolunye uhlangothi, olunye ucwaningo luphikisa umbono we-SCI oqhubekela phambili ku-MCI nokudemeka kwengqondo, ngokucwaninga okulodwa okuphetha ngokuthi i-SCI "inesimo esimnandi kakhulu." Kulesi sifundo, abacwaningi balandela abanye abantu abane-SCI nabanye ngokuqokwa okujwayelekile iminyaka eyisithupha. Babona umehluko omkhulu kakhulu ekusebenziseni ukuqonda kokubili kwamaqembu ekupheleni kwesifundo.
Esinye isifundo sathola ukuthi i-SCI yayihlotshaniswa kakhulu nomzwelo, ikakhulukazi ukucindezeleka nokukhathazeka. Abalobi basikisela ukuthi i-SCI ingabe ingacatshangwa ukuthi ibonisa ukuthi kunoma yikuphi ukunqunywa kokuqonda kwengqondo kodwa kunalokho bezwa ukuthi ibhekise ngokubhekisele kwenkinga yesimo sengqondo.
Ukwengeza, abantu abaye batholakala ukuthi banesifo se-Alzheimer kungenzeka ukuthi abaqapheli ukulahlekelwa inkumbulo yabo. Iqiniso lokuthi uyakwazi ukubona imemori yakho esebenzayo njengokukhathazeka kubonisa ukusebenza komqondo okungaqondakali kahle, naphezu kokubona kwakho inkinga.
Yikuphi okunye okungenzeka ukuthi i-SCI ibonise?
Ngenkathi i-SCI ingaba yisandulela sokulahlekelwa kwememori okuphawulekayo ngokuhamba kwesikhathi, ibuye ixhunywe kwezinye izimo ezingenza ukuqonda okusebenza kanzima kunalokho kodwa akuzona ukukhubazeka kwangempela ekuqondeni. Lezi zimo zihlanganisa ukucindezeleka nokukhathazeka, kanye nezinye izinkinga zempilo nezifo ezingapheliyo.
Kungani ukugxila kwi-SCI?
I-SCI, ngenkathi ngezinye izikhathi ingabandakanyeki nokuwohloka komqondo, kwezinye izimo ibhekwa njengenkomba yokuqala ye-Alzheimer's noma enye uhlobo lomqondo owohloka komqondo. Abacwaningi banomuzwa wokuthi kungase kuthuthuke kuqala, bese uthuthukela ekulimalekeni okuncane okungqondweni, futhi ekugcineni ku-Alzheimer noma ukuwohloka komqondo okuhlobene.
Isizathu esiyinhloko sokutadisha i-SCI ukusiza ekukwazi ukubona noma yikuphi ushintsho lokucatshangelwa ekuqaleni kwenkinga yesifo. Ukutholwa kokuqala kwe- Alzheimer's nezinye dementias kubalulekile ekunakekeleni okuhle ngoba ezinye zezokwelapha ziphumelela kakhulu ngaphambi kokuba amakhono okuqonda ahlahle kakhulu. Ukutholakala kokuqala futhi kukuvumela ukuba uhlanganyele ekuvivinyweni okuningi kwemitholampilo.
Yini Okufanele Uyenze Uma Unayo SCI?
Okokuqala, ungesabi. Nakuba kuyaqondakala ukuthi ungase ukhathazeke mayelana nokulahlekelwa kwememori yakho, ikakhulukazi ngemva kokufunda ukuthi kungase kube isibonakaliso sokuthi ukugula komqondo kungase kuthuthuke, khumbula ukuthi amacala amaningi e-SCI awaba yi-dementia.
Kubalulekile ukuqonda ukuthi njengoba uneminyaka yobudala, ijubane lakho lonke lokucubungula ulwazi lingase lihambe kancane, nokuthi lokhu kuyinguquko ejwayelekile engahlobene nokuthuthukiswa komqondo wokugula komqondo.
Ukwengeza, ucwaningo oluthile lubonisa ukuthi abantu abane-SCI abanengqinamba encane yezinkinga zenhliziyo futhi babonise ubuncane be-atrophy ebuchosheni babengekho amathuba okuthuthukisa isikhathi esiphezulu se-Alzheimer. Ngakho-ke, ukuhlala ngendlela enempilo ukunciphisa izinkinga zempilo yengculazi kungase kube nokwazi ukunciphisa ingozi ye-SCI eya phambili ekukhungeni okukhulu kwengqondo.
Okokugcina, khumbula engxenyeni exoxwe ngaphambilini ekuqaleni kwe-SCI nomoya. Uma uzizwa unayo i-SCI, cabanga ukuthi uhlolwe ukucindezeleka nokukhathazeka. Ukukhuluma ngalezi zinkinga zempilo yengqondo kungase kunciphise izimpawu zakho ze-SCI futhi uthuthukise izinga lakho lokuphila.
Ukuqeqeshwa kwengqondo kwe-SCI
Ucwaningo olwenziwe kwi-Journal of Alzheimer's Illness lwagxila kulo mbuzo: "Ingabe kukhona okungahle kwenziwe?" Lolu cwaningo luhilele abantu abanezinkumbulo ezikhunjulwayo ababambe iqhaza ezinyangeni ezimbili zokuqeqeshwa okucatshangelwe okuhloswe ukukhomba ukusebenza kwabo kwememori ye-episodic. Ukulandela lokhu kuqeqeshwa, ukusebenza komemori kwababambiqhaza kwaba ngcono futhi ivolumu yabo yomsindo grey ikhuphuke ngesilinganiso esifana nezihloko zokulawula (abanye abahlanganyeli ngaphandle kokukhathazeka kwememori nalabo abathola ukuqeqeshwa kwengqondo). Inothi, ivolumu enkulu kakhulu yobuchopho iye yaboniswa ukuthi ihambisana nokusebenza okuphakeme kwengqondo.
Olunye ucwaningo luye lwabona indlela ye-MEND njengendlela ephumelelayo ekusizeni ukushintsha izimpawu ze-SCI ne-MCI. Inqubo ye- MEND iyindlela yokuphatha yokwelapha eminingi eyenza ukubhekana nezindawo eziningana ezingathinta ukuqonda, njengokudla, i-vitamin supplementation, umsebenzi womzimba, ukulala ngokwanele nokuningi.
Izwi elivela
Kulula nje ngoba ubona ukwehla kwekhono lokuthola amagama noma imemori akusho ukuthi unesifo se-Alzheimer, noma ukuthi uzokuthuthukisa lesi sifo. Abanye abantu banamathuba amaningi okuqaphela lezi zinguquko noma bakhathazeke ngabo ngenxa yokungafani komuntu oyisisekelo. Kunezimbangela eziningi ezihlukene zokulahlekelwa kwememori, kanti abanye banesibindi njengokuthi banomatasa kakhulu noma bengatholi ngokwanele ukulala. Ezinye, ezifana nokuntula kwe-vitamin B12 , zingabuyekezwa.
Nokho, ukulahlekelwa kwememori kungenye into okufanele uyilalele bese ubika kudokotela wakho. Ungenza futhi ingxenye yakho ukuze ugcine ingqondo esebenzayo ngokudla ukudla okunempilo , ukuzivocavoca umzimba, nokuhlala usebenza ngokwengqondo, konke okuye kwahlotshaniswa nokucutshungulwa okuthuthukisiwe.
Imithombo:
I-Alzheimer's Association. Ngomfushane kubasebenzi bezeMpilo. Amaphuzu Okucwaninga Okucwaninga: Ukukhathazeka Okungaqondakali Okungaqondakali Kungase kube Isibonakaliso Sokuqala Kwezifo Ze-Alzheimer .. http://www.alz.org/documents_custom/inbrief_issue4_final.pdf
I-Alzheimer's Association International Conference (AAIC) 2013. > Iziqephu F5-01-04, P4-178, ne-P4-206.
> Cheng, Y., Chen, T. noChiu, M. (2017). Ukusuka kokukhubazeka okuncane okungaqondakali kokunciphisa ukuqonda kwengqondo: ukuziphendukela kwemicabango nokuziphendukela kwemvelo. I-Neuropsychiatric Disease and Treatment , Umqulu 13, iphe.491-498. i-doi: 10.2147 / NDT.S123428.
> Hessen, E., Eckerström, M., Nordlund, et al. (2017). Ukukhubazeka okucatshangelwayo okucatshangelwayo kuyisimo esinamandla kakhulu emitholampilo yokukhumbula iMatilo Yalandelwa Iminyaka Engu-6: I-Gothenburg-Oslo MCI Study. I-Dementia ne-Geriatric Disorders Disorders Extra , 7 (1), pp.1-14.
I-Journal yezifo ze-Alzheimer. 2014 Jan 1; 41 (3): 779-91. Imiphumela yokuqeqeshwa kwengqondo emithonjeni yemigqa emitholampilo yemitholampilo ekhumbule ukukhubazeka kwememori. http://www.ncbi.nlm.nih.gov/pubmed/24685630
> Yates, J., Clare, L. no Woods, R. (2015). Izikhalazo zokukhumbula imemori, imizwelo kanye ne-MCI: isifundo sokulandela. Ukuguga nempilo yengqondo , 21 (3), i-pp.313-321.