Lo Mqathango Ubizwa nangokuthi i-Vascular Cognitive Impairment
Sibanzi
Iintsholongwane ze-Vascular dementia zivela kwi-flow flow blood to the brain. Emva kwesifo se-Alzheimer , yenye yezona zihlobo eziqhelekileyo zentsholongwane yengqondo , kunye ne- Lewy yokugula komzimba . Ukufunda nge-dementia ye-vascular-kubandakanya izimbangela zayo, iimpawu kunye nokulinda kwexesha-kunokukunceda ukwazi indlela yokunciphisa umngcipheko wakho, kunye noko ungalindela ukuba ufumene ukuba unolu hlobo lwesifo sengqondo.
Isifo sengqondo se-Vascular dementia esasibizwa ngokuba yi -dementia ephazamisekayo emininzi ngenxa yokuba bekucingelwa ukuba ibangelwa yimivimbo emincinci. Nangona kunjalo, igama latshintshelwe ekubeni yi -dementia ye-vascular to reflect the various conditions that can affect the ability of blood to circulate to brain. Ngoku kutshanje, abanye oogqirha basebenzisa i-term miscular cognitive impairment , mhlawumbi kuba kubonakala ngathi kubamba ulwahlulo olubanzi, ukususela kumncinci ukuya kunzima, ukuncipha kwengqondo okubangelwa yi-mental dementia.
Isifo sengqondo se-Vascular dementia sisoloko senziwa kunye nesifo se-Alzheimer, okubangelwa kukuphefumula komqondo . Phakathi kwe-1% ukuya kwi-4% yabantu abangaphezu kweminyaka engama-65 abanesifo sengqondo se-vascular dementia, kwaye ingozi yokuphuhlisa ikhula ngokukrakra kunye nobudala. I-dementia ye-dementia iqikelelwa ukuba ilandele i-10 ukuya kuma-20 ekhulwini kwiimeko zonke ze-dementia.
Izizathu
Isifo sengqondo se-Vascular dementia sinokubangelwa ngokunciphisa okanye ukupheliswa okupheleleyo kwemithambo yegazi kwingqondo, nto leyo idlala iiseli zengqondo kwizondlo kunye ne-oksijini abayifunayo ngokufanelekileyo.
Isifo sengqondo se-Vascular dementia siphumela kwiintlobo ezincinane ezenzeka ngexesha elide. Iyakwenzeka kwakhona emva kwesigxina esisodwa esisodwa , esibizwa ngezinye izihlandlo njengesifo sengqondo sokugula kwesifo . Akunjalo yonke imivimbo ekhokelela ekudemeni komzimba, kodwa ukuya kwesinye kwisithathu salabo abanesifo sokubethwa komzimba siya kuhlakulela i-dementia kwisithuba seenyanga ezintandathu.
Iimeko ezinjengexinzelelo eliphezulu legazi kunye nesifo sikashukela esingavimbeli imithana yegazi, kodwa nje sincincile, sinokukhokelela ekudemeni kwengqondo.
Izinto zobungozi
Abantu abahlakulela ukuphazamiseka kwengqondo kwe-vascular often have a history of one or more of the following: attack heart, stroke , high blood pressure , diabetes , or cholesterol high . Ngokukodwa, ukuba umntu unembali yeengxabano ezininzi, umngcipheko wokuphuhliswa kwengqondo kwe-vascular augmentes kunye nenani leemivimbo ezithatha ngokuhamba kwesikhathi.
Ezinye izinto ezinokunyusa umngcipheko zibandakanya ukutshaya, ukufabiliswa kwegazi, ukuba yindoda, inokwinkcazo yentsapho yokugula komzimba kunye ne-African American.
Iimpawu
Abantu abane-dementia ye-vascular bavame ukubonisa iingxaki ezininzi ezinengqondo, kuquka ukukhubazeka kwememori , aphasia , apraxia , agnosia , okanye iingxaki ngokusebenza okulawulayo .
Kwiimeko ezininzi, iimpawu zenza kube nzima ukugcina umsebenzi, ukufezekisa uxanduva lwekhaya, okanye ukugcina ubudlelwane boluntu. Abantu abane-dementia ye-vascular bafumana iimpawu ze-neurological ezifana neengcamango zokunyusa, iingxaki zokuhamba kunye nokulinganisela, kunye / okanye ubuthathaka kwimilenze, izandla kunye neenyawo. Ngokuxhomekeka kumntu kwaye ngenxa yesifo sengqondo, ukuphoxeka , ukudideka , ukukhathazeka , iingxaki zokuvuthwa kwe-urinary , kunye / okanye ukudandatheka kunokuhamba noxinzelelo lwentlungu.
Okuthakazelisayo, ukulahleka kwememori kudla kwenzeka kamva kwi-dementia ye-vascular ngokuthelekiswa nesifo se-Alzheimer . Kwi-dementia ye-vascular, iimpawu zokuqala zivame ukuba yi-neurological, ezinjengeengxaki ezinokuxhatshazwa, ukuhamba kunye nobuthathaka. Ngakolunye uhlangothi, iingxaki zememori kunye neempawu zokuziphatha zivame ukuqala imiba e-Alzheimer. Ukongeza, i-dementia ye-vasenti ihlala ihamba ngendlela efanelekileyo. Umzekelo, umntu uya kubonakala ezinzileyo ixesha elithile, kwaye ngokukhawuleza ahambe kakhulu, ke uqhubeke uhamba phakathi kwexesha elizinzileyo kunye nokuhla kwamanzi ngokukhawuleza ekusebenzeni. Isifo se-Alzheimer siphumelela ngokuqhubekayo, ngokuthe tye.
Ukuxilongwa
Njengokuba isifo sesifo se-Alzheimer, kufuneka kuqhutywe iipilisi zokuxilonga ngokupheleleyo ukuze kulawulwe ezinye izizathu ezibangelwa iimpawu zomntu. Isifo sengqondo se-Vascular dementia ngokuqhelekileyo sichongwa ngeenkqubo zokucinga , ezingabonisa ukubetha kunye nemithambo emine. Iimvavanyo ze-neuropsychological zinokuphinda zenziwe ukuze kuchongwe uhlobo kunye nobukhulu bokukhubazeka kwengqondo.
Unyango
Akukho ziyobisi ezivunyiweyo yi-FDA ngokukodwa ukunyanga kweengqondo ze-vascular, kodwa amayeza avunyelwe ukuphatha i- Alzheimer ngamanye amaxesha anceda. Oogqirha bavame ukunika i-inhibitor ye-cholinesterase ( Aricept , Exelon, okanye uRazadyne ) kunye no- Namenda ukuba baphathe ukugula komzimba.
Ukulawula iingxaki ze-cardiovascular ngokusebenzisa amayeza kunye / okanye utshintsho lwezinto zokuphila kunokuncedisa ukunyuka kobunzima beempawu zesifo sengqondo. Kubalulekile ukujonga uxinzelelo lwegazi, i-pulse, i-cholesterol, ushukela wegazi, kunye nobunzima, konke okuchaphazela impilo yengqondo kunye nokukhululeka kokuphuma kwegazi kwingqondo.
Isicwangciso solawulo lokuziphatha siluncedo ekujongeni iimpawu ezicelomngeni ezithi zize zihamba neengqondo ze-dementia.
Ukuxela kunye nokuLindelwa koBomi
Okwangoku, akukho naluphi unyango lwe-vascular dementia. Ukuba u-dementia ubangelwa yimivimbo emininzi, umntu unokungena embi kwiinkqubela zokuziphatha, apho ixesha elizinzileyo liphazamiseka ngokukhawuleza. Ukulindela ubomi komntu onomdemokrasi we-vascular person individually and depends on the nature of the problems of the heart of the heart, which are causing the mental state of the mind, kunye nemeko yomntu kunye nezinye izifo zonyango.
Imithombo:
> I-Alzheimer's Association. IVascular Dementia. http://www.alz.org/dementia/vascular-dementia-symptoms.asp
Umbutho we-Psychiatric Association (2013). Incwadana yokuxilonga kunye neenkcukacha zeengxaki zeengqondo (i-DSM-5). Washington, DC:.
Plassman, BL, Langa, KM, Fisher, GG, Heeringa, SG, Weir, DR, Ofstedal, MB, et al. (2007). Ubuninzi bentsholongwane yengqondo eUnited States: Ukuguga, ukuhlaliswa kwabantu kunye nokufunda imemori. I-neuroepidemiology, 29, 125-132.
I-Centre ye-Memory Memory Disorders. Ukukhubazeka kweSascular Cognitive. > http://memory.ucgardnerneuroscienceinstitute.com/understanding-memory-disorders/vascular-cognitive-impairment/