Ukulimala kobuchopho nge-Strokes Kungavimbela ikhwalithi yokulala
Kukhona ukubaluleka okubalulekile phakathi kokulahlekelwa kwememori kanye nezici zobungozi zesifo esithile esingase siphakamise isimo esibizwa ngokuthi yi-vascular dementia. Kuyini ukuwohloka komqondo kwegazi? Funda mayelana nezimpawu nokuphathwa kwalesi simo nokuthi kungathinta kanjani ukulala phakathi kwalabo abahluphekile.
Kuyini Ukunciphisa Inhliziyo?
I-Dementia ibhekisela kusiyaluyalu esibonakala ukukhubazeka okungapheli nokuqhubekayo kwememori, ukulahlekelwa kokucabanga, kanye nezinguquko zobuntu ezibangelwa izimbangela ezihlukahlukene.
Esinye sezimbangela ezingabangela lokhu kulahlekelwa kwememori ukuqoqwa kwezinqwaba ezincane ngaphakathi kwengqondo. I-stroke ilahlekelwa ngokungazelelwe kokugeleza kwegazi endaweni yengqondo engase ibangele izimpawu zobuthakathaka, ukunganaki, ukulahleka kombono, nobunzima bokukhuluma. Izigubhu zingase zithinte nokusebenza kwengqondo, ezithinta ulimi, inkumbulo, nenhlangano. I-dementia ingenzeka kumaphesenti angama-25 kuya ku-33 abantu ngemva kwesifo.
I-dementia ye-ventium ibonakala ngenkumbulo ekhohlisayo futhi eqhubekayo eqhubekayo eyenzeka ngendlela ehamba ngezinyawo ngenxa yokushaywa okwenzeka ngaphakathi kobuchopho. Ukungahleleki kungase kuqale ngokuzumayo bese uhlala uzinzile phakathi nenkathi yamapulazi ngaphambi kokuthuka okungaphezu kobuchopho. Kungaba nzima ukuhlukanisa ngesifo se-Alzheimer's clinically, okwenzeka izikhathi ezinhlanu kaningi futhi ngenxa yezinqubo ezahlukene zesifo. Izimo zingase zenzeke kwabanye abantu.
Izingozi ze-dementia ye-vascular zifana nalokho okwe-stroke. Lokhu kufaka:
- I-hypertension
- I-cholesterol ephezulu (i-hyperlipidemia)
- Isifo senhliziyo
- Isifo sikashukela
- Ubulili besilisa
- Ukubhema
- Utshwala usebenzisa
- I-apnea yokulala yokuvimbela
Lezi zinkinga zingaholela ekunciphiseni imithwalo yegazi ehlinzeka ubuchopho, inqubo ebizwa nge-atherosclerosis.
Ukunciphisa ukugeleza kwegazi kungabangela ukungena ngokungazelelwe nokulimaza endaweni yengqondo eyake isinikezwa ngaphambili. Lesi simo singatholakala ngokucophelela nge- imaging magnetic resonance (MRI) eyoveza lezi zindawo zomonakalo.
Izimpawu kanye nokwelashwa kwe-Vascular Dementia
Abantu abane-dementia ye-vascular experience abanezinkinga ezinkulu zememori ezidambisa amandla abo okuphila ngokuzimela. Izinkinga ezinezinhlangano nezinkinga zokuxazulula izinkinga zivamile. Izinguquko zemizwelo enjengokucindezeleka, ukucasula, nokunganakwa (ukungabi nentshisekelo) kuvame ukuvela. Ukukhumbula iZwi kuvame ukukhubazeka. Ama-hallucinations noma ama-delusion enza okungavamile kakhulu, kodwa lokhu kungadabukisa kakhulu. Uma ukushaywa komzimba kuthinta izindawo zobuchopho obangela ukuzwa, ukunyakaza, ukulinganisela, noma umbono, izimpawu ezengeziwe zingase zibe khona.
Ukuhlolwa yi-neurologist kubalulekile ukubhala ukulahlekelwa nokuhlela ukuhlolwa okungeziwe, njenge-MRI, njengoba kufanelekile. Ukuhlolwa kwegazi ukuhlola i-B12, umsebenzi we -roid, ama-cholesterol amazinga, nokulawula kwe-glucose kuvame ukwenza. Ngaphandle kokulawula izimo ezingozini zokunciphisa ukutholakala kwemivimbo eyengeziwe, akukho ukwelashwa okuqhubekayo okutholakala ukuwohloka komqondo kwegazi.
I-Vascular Dementia nokulala
Kukhona ubufakazi bokuthi ukucindezeleka kwe-vascular can lead to disruption of the normal sleeping and wake up.
Lokhu kungabangela izinga elibi lokulala. Akukho kubonakala sengathi kukhona ukulungiswa phakathi kwesilinganiso sokuphazamiseka kokulala nokuqina kokwehla kwengqondo. Ngamanye amazwi, ukulala ngeke kube kubi nakakhulu phakathi kwalabo abane-dementia enamandla kakhulu.
Kubalulekile ukuthi uqaphele ukuthi ukucindezeleka komzimba kwamathambo kuhlotshaniswa kakhulu ne-obstructive sleep apnea. Lesi simo singaba nomthelela ekuziphatheni komzwelo kanye nezikhalo zokucabangela, kanye nokulala ngokweqile kwamalanga. Ngenhlanhla, uma i-apnea yokulala ikhona, ukwelashwa okusebenzayo nokucindezela okuqhubekayo okuhamba phambili kwe-airplane (CPAP) kunganciphisa ingozi yokushaya okunye.
Ngokuya ngesilinganiso sokukhubazeka, abanye abantu abane-dementia bangase bangakwazi ukuthobela ukwelashwa.
Uma ukhathazekile ngokuthi wena noma othandekayo kungenzeka ukuthi unesifo somqondo oshaya isifo senhliziyo, khuluma nodokotela wakho kanye nesazi sokulala mayelana nokuhlolwa okudingekayo nezindlela ezingenzeka zokunciphisa ingozi yokulimala okwengeziwe.
Imithombo:
Aharaon-Peretz, J et al . "Ukulala-ukuvuka kwe-cycling in dementia eminingi-infact no-dementia wohlobo lwe-Alzheimer." I- Neurology . 1991; 41: 1616-1619.
Erkinjuntti, T et al . "Ukulala ne-apnea ekudemeni kwe-multi-infarct ne-Alzheimer's disease". 1987; 10: 419-425.
Kryger, MH et al . "Izimiso Nemikhuba Yokulala Imithi." I- ExpertConsult , edition 5, 2011, iphe. 1041.
"I-Vascular Dementia." I- Alzheimer's Association . Kugcine ukufinyeleleka: February 28, 2015.
"I-Vascular Dementia." I- UCSF Imemori Nezikhungo Zokuguga . Kugcine ukufinyeleleka: February 28, 2015.
"Kuyini ukushaya isisu? "I- National Stroke Association . Kugcine ukufinyeleleka: February 28, 2015.