I-Guide epheleleyo ye-Lewy Body Dementia
Nangona ungaziqhelani no-Lewy yokugula komzimba njengoko unesifo se-Alzheimer , kucingelwa ngokubanzi uhlobo lwesibini oluqhelekileyo lwesifo sengqondo somqondo . Ukufunda malunga neempawu zayo, ukuxilongwa, ukuxela kunye nokunyango kunokusinceda siqonde kangcono ukukhathazeka komzimba kaLeyy.
Sibanzi
I-Lewy yokugula komzimba, okanye i-LBD, ibhekisela kuhlobo lomqondo we-dementia ochaphazelekayo kunye neeprotheni ezigcinwe kwingqondo ebizwa ngokuba yi- Lewy bodies , echaphazela indlela ubuchopho busebenza ngayo.
Iimpawu
Abantu abanesifo sengqondo somzimba weLewy bavame ukufumana ezi mpawu:
- Iintlukwano ekucingeni, ikhono lokubona i-visuospatial , ukucelwa kolwazi, ukuqonda, ukuthetha, ukufumana amagama nokuqonda izinto.
- Iingxaki zeMvalo, njengokuba zinyamekile kunye nokuntuleka kwesibonakaliso sobuso-ezininzi zinempawu ze-parkinsonism, intsingiselo efana neyesi sifo sikaParkinson .
Ukuphazamisa ukuphazamiseka - umzekelo, umntu unokuba yindoda engqinileyo, kwaye ngokukhawuleza unokugqithiswa kwamandla, okwenza kube nzima ukuba amalungu omndeni ahlolisise ukuba isihlobo sabo senza ntoni.
- Imivuzo ebonakalayo ephindaphindiweyo, ngakumbi abantu kunye nezilwanyana. Ezi zinto zivame ukuphazamisa indlela abavakalelwa ngayo, nangona umntu engazi ukuba ayinyani.
- REM Sleep Sleep behavior , apho umntu angenza khona amaphupha abo acacileyo.
- Izimpawu zendlela yokuziphatha kunye nemizwelo , kuquka ukuwa rhoqo , ukudandatheka kunye nokukhohlisa.
- Iingxaki ngeememori , ezivame ukuvela emva kwesi sifo.
- Utshintsho kwimisebenzi yomzimba, efana nokulawula uxinzelelo lwegazi, ummiselo weqondo lokushisa, kunye nomsebenzi wesisu.
Ukuxilongwa
Akukho vavanyo lwangaphantsi lunokufumanisa ngokucacileyo ukuba i-Lewy ye-dementia yomzimba, njengoko imizimba yaseLeyy iyakwazi kuphela ukuchongwa ngumbono we-brain autopsy.
Njengokuba isifo sesifo se-Alzheimer , kufuneka kuqhutywe iipilisi zokuxilonga ngokupheleleyo ukuze kulawulwe ezinye izizathu ezibangelwa iimpawu zomntu.
Oku kungabandakanya ukucatshulwa kwemifanekiso yamagnetic (MRI) okanye i- computed tomography (CT) yokukhangela kwengqondo.
Isifo sengqondo somzimba weLewy sifunyenwe emva kokuba ezinye iimeko zilawulwa ngaphandle kwaye iimpawu zomntu ziyafaneleka ngokufanelekileyo kwiinkqubo zokuxilonga ze-LBD.
Prognosis
Ukugxekwa komntu onomdlavuza we-Lewy ukuxhomekeka komzimba kuxhomekeke kwimibandela emininzi, kubandakanywa nobudala bokuqala kunye nempilo yonke. Ngokomyinge, ukulindela ubomi kunye neLBD yiminyaka emihlanu ukuya kweyisixhenxe, nangona ulwahlulo lwaziwa phakathi kweminyaka emibili ukuya kwe-20.
I-Lewy ye-dementia yomzimba ayifuni ngokuqhubekayo njengoko i-Alzheimers yenza. Kunoko, kuba esinye seziganeko zalo kukuba iimpawu zayo ziyakwazi ukuguquka, ukuqhubela phambili kwe-Lewy komzimba we-dementia kungahluka ngokubanzi kumntu omnye ukuya kwenye.
Unyango
Okwangoku akukho nonyango ye-Lewy yokugula komzimba, kodwa kukho imithi enokukunceda ekulawuleni izibonakaliso. I-Rivastigmine (i-Exelon) yilinye isicatshulwa esivunywe yi-FDA ukuba siyiphathe ngokuthe ngqo, ezinye iindlela zonyango ze-Alzheimer ziye zaboniswa ukuba zincedo.
Kuyathakazelisa ukuba abanye abaphandi baye bafumanisa ukuba abo abanomdla wokugula ngengqondo kaLeby baphendule kangcono ukuchithwa kwe-inhibitors , njenge- Aricept (dopezil), i-Exelon (rivastigmine), kunye no- Razadyne (galantamine), kunabo abane-Alzheimer's disease.
Ngenxa yokuba abantu abanesifo sengqondo se-Lewy bahlala benengxaki yokunyakaza kwama-Parkinson, amayeza e-Parkinson ngezifo maxa wambi aphatha iimpawu ezinxulumene nazo. Nangona kunjalo, banokunyusa ukudideka, ukukhohliswa , kunye neengcamango , ngoko zisetyenziswe ngokucophelela kwaye zijonge ngokugqithiseleyo ngugqirha lomntu.
Izicwangciso ezingezizo iziyobisi zingasiluncedo ekulawuleni iimpawu ezinzima zokuziphatha kweLewy. Ngokomzekelo, unyango lwezonyango kunye neyeza lokuthetha lunokuba luncedo. Isicwangciso esilula, njengokunciphisa i-caffeine yokudla kunye nokubonelela ngemisebenzi yokuphumla kusihlwa, kunokuphucula indlela yokulala kunye nokunciphisa ubundlobongela obushushu ngobusuku.
Ukongeza, i-anti-depressants, njenge-seleotonin e-reuptake inhibitors, okanye i-SSRIs, isetyenziselwa ukuphatha uxinzelelo oluhambisana ne-Lewy yokugula komzimba.
Ekugqibeleni, kubalulekile ukwazi ukuba imithi yokulwa ne-antipsychotic , ezisoloko zisetyenziselwa ukuphatha i-hallucinations kunye nokukhohlisa, ingaba nemiphumo emibi engasongela ubomi abantu abanesifo sengqondo se-Lewy. Ukulumkisa ngokugqithiseleyo kubizwa ukuba le myeza isetyenziselwa abantu abanomdla wokugula ngengqondo kaLeyy.
ILizwi
Ukuba wena okanye othandekayo uye wafumanisa ukuba unesifo sengqondo se-Lewy, qiniseka ukuba ulungisa zonke iinkxalabo zakho kunye nemibuzo kunye nodokotela wakho . Kwakhona ingcinga efanelekileyo yokuqwalasela ukuba intlanganiso yeentsapho xa ulungele kwaye ukhululekile. Ngale ndlela ungaxoxa ngemiba, njengeenjongo zokunyamekela kunye nokulindela unyango.
Imithombo
I-Alzheimer's Association. Ukufuna i-Lewy Bodies. > http://www.alz.org/dementia/dementia-with-lewy-bodies-symptoms.asp
Umbutho we-Lewy Body Dementia. Ukuxilongwa. > https://www.lbda.org/content/lbd-booklet/lbd-diagnosis
Umbutho we-Lewy Body Dementia. Unyango. >> https://www.lbda.org/node/1316
I-Zupancic M, iMahajan A & Handa K. Dementia ngamagqabi ahlambulukileyo: ukuxilongwa kunye nokulawulwa kwabanikezeli bonyango. I-Companion Care Companion CND Disord. 2011; 13 (5).