Ukukhubazeka okunzulu kwengqondo (MCI) kukuncipha kokuqonda , kubandakanya ukuxinwa, ukuxhumana, imemori , kunye nokuqhelaniswa . Ezi zincinci zinokuchaphazela amandla omntu wokuqhuba imisebenzi yokuphila kwansuku zonke (i-ADLs) kwiindawo ezifana nokugqoka , ukuhlamba nokutya ukutya .
Sibanzi
Kulinganiselwa ukuba malunga neepesenti ezingama-20 zabantu abangaphezu kweminyaka engama-70 abanama-MCI.
Ngokuqhelekileyo, njengabantu abaneminyaka yobudala, banakho amathuba okuphucula i-MCI kunye nesifo se-Alzheimer.
I-MCI idla ngokucatshulwa njengexesha phakathi kolwazi oluqhelekileyo kwaye xa isifo se-Alzheimer siqala. Abanye bacinga ukuba yindawo yokuqala ye-Alzheimer, nangona bonke abantu abane-MCI baya kuphuhlisa i-Alzheimer's.
Inkcazo ye-MCI iye yaqhubeka iguqukile. Kwisikhokelo sokuqala sokuxilongwa kwe-MCI, yodwa indawo umntu angabonakalisa ukungaphumeleli kwimemori. Zonke ezinye iinkqubo zengqondo zimele zihlale zihambelana.
Inkcazo yabuye yahlaziywa kwaye ivumelekile kwiingxaki kwezinye iindawo ezinengqiqo, ezifana nokuqiqa nokugweba. Nangona kunjalo, umntu kufuneka aqhubeke esebenza kakuhle kwimpilo yemihla ngemihla; ukuba izinto zokuphila kwimihla ngemihla zachaphazeleka, ukuxilongwa kwakuya kuba ngumqondo wokugula , okanye ngokukodwa, izigaba zokuqala ze-Alzheimer's disease.
Iqela labaphandi lafumanisa ukuba le ngcaciso ayizange ihambelane nento abayifumene ngayo ekuvavanyweni kwabo bafunyaniswa ukuba bane-MCI, kuba abaninzi abantu abane-MCI ekufundeni kwabo babonisa ngokwenene ukukhubazeka okusebenzayo.
Ngenxa yoko, iqela elivela kwi-Alzheimer's Association kunye namaZiko ase-Aging aphakamisa enye inkcazo ehlaziyiweyo ye-MCI ngo-2012. Lo mnye wavunyelwa ukukhubazeka kancinci kwimisebenzi yokuphila kwansuku zonke ngaphezu kwemingeni echazwe ngasentla. Ngelixa linika ukuguquguquka ngakumbi kwaye mhlawumbi lichanile ngakumbi, inkcazelo ehlaziyiweyo ikwahlula umgca phakathi kwe-MCI ne-Alzheimer's.
Ngenxa yoko, abanye baye bacebisa ukuba i- MCI yekota ngenxa yesifo se-AD (i-Alzheimer's disease) isetyenziswe, ngaphandle kokuba kucaca ukuba iimpawu ze-MCI zihlobene nezinye izizathu ezinokuthi ziguquke , ezifana nokunyanzeliswa kwengcinezelo ye-hydrocephalus okanye i- vitamin B12 .
Izizathu
Isizathu se-MCI asiyazi. Kubonakala ngathi kuneengxaki ezifanayo ezibangelwa yi-Alzheimer's, ezifana nobudala, izinga lemfundo, kunye neengxaki ezithile zeengqondo / zomzimba ezinjenge- stroke , isifo sikashukela , i-cholesterol, impilo yempilo kunye noxinzelelo lwegazi .
Ukuqhubela phambili kwiDementia
Abantu abane-MCI basengozini enkulu yokuqhubela phambili kwisifo se-Alzheimer; nangona kunjalo, nangona kunjalo ingozi, kungekhona wonke umntu. Olunye uphando lwafumanisa ukuba emva kokuxilongwa kwe-MCI, ama-40 ekhulwini abantu "abuyele" (oko kukuthi, amandla abo okuqonda abuyele kwizinto eziqhelekileyo) ngexesha, nangona bekunokwenzeka kakhulu ukuphuhlisa i-Alzheimer kwiminyaka emihlanu xa kuthelekiswa nalabo abangazange i-MCI.
I-MCI ihluke njani kwi-Alzheimer's
Izibonakaliso zesifo se-Alzheimer ziqala ngo-MCI. I-MCI ibhekisela kwimpembelelo emancinci kwiinkqubo zengcinga kunye nememori, kanti i-Alzheimer isifo esithile apho imemori kunye nokusebenza kuyaqhubeka nokuhla kakhulu ngokuhamba kwexesha.
Abanye abaphandi banqwenela ukubona i-MCI nje ngeyona ndlela yokuqala ye-Alzheimer's , ngokukodwa kuba uphando lubonakalise utshintsho kwiibalo zabantu abane-MCI ezifana nezo zikhoyo kwi-Alzheimer's.
Nangona kunjalo, ekubeni abanye abantu abafumene i-MCI abaqhubeki ukuhla okanye ukubonisa ezinye iimpawu zomqondo weengqondo, le ncazelo ayinakwenzeka.
I-MCI ngokuShintsho lweMemori
Njengabantu abaneminyaka yobudala, kuyinto evamile ukuba bafumane ezinye izikhalazo zeememori, njengokuba bangakwazi ukukhumbula igama lomntu abangazange babone ixesha elide okanye apho babeka khona ipeni yabo abathandayo. Ukulibaziseka kwexesha lokukwazi ukufikelela kwimemori kuyafana nokuba sineminyaka yobudala.
Into engaqhelekanga, kwaye ishukumisela abantu kwi-diagnosis ye-MCI, ngamava okuxhalabisa okongezelelweyo kwimida yolwimi , isigwebo , nokuxazulula iingxaki, okanye xa ukulahlekelwa kwememori kungaphezu kwexesha nje.
Abantu abaneempawu eziqhelekileyo zokuguqula imemori banamathuba amaninzi okudala isifo se-Alzheimer kunezo sele zifumene i-MCI.
Unyango
Akukho ziyeza ezivunywe kunyango lwe-MCI ngeli xesha. Abanye oogqirha banqwenela ukunyusa i-factpezil (Aricept), ekubeni sele iphandwa njengonyango lwe-MCI kwaye ibonise inzuzo ethile.
Amanye amagqirha ancoma amacebo amaninzi okunciphisa umngcipheko afana neento ezicetyiswayo kwi-Alzheimer's, kubandakanya ukugcina imichilo yokutya enempilo , umsebenzi owenziwe ngokomzimba , ubuchopho obusebenzayo , kunye nentsebenziswano rhoqo yentlalo .
ILizwi
Nangona kuqhelekile ukuba uzive ukhathazekile xa ubona ezinye zeempawu ze-MCI kuwe, kubalulekile ukubona ugqirha wakho ukuvavanya ngenxa yokuba ezinye iingxaki zengqondo zibuyiselwa ngokukodwa ngonyango olufanelekileyo. Kwakhona kunokwenzeka ukuba uqeshwe ngogqirha wakho unokubonelela ngokuqinisekileyo ukuba ufumana nje ukulahleka kweememori eziqhelekileyo.
Kubalulekile ukukhumbuza ukuba, ngelixa abanye abantu abane-MCI ekugqibeleni bahlakulela i-Alzheimer's, abanye abakwenzi. Abanye abantu abane-MCI baze basebenze ngokufanelekileyo kwaye bahlale bezinzile iminyaka emininzi.
Imithombo:
I-Alzheimer & Dementia. > (2011) 1-10. Ukuxilongwa kokukhubazeka okucacileyo ngenxa yesifo se-Alzheimer: Iziphakamiso ezivela kwiSizwe soMbutho we-Aging kunye ne-Alzheimers's Association group .
Ingxelo yeZifo ze-Alzheimer's. Iimiphumo zeCandelo lokuLinga ukuThengisa ukuPhathwa koMonakalo oMnene woConongo kwiSampuli esekelwe kuluntu.
Morris, J. Ingxelo ye-Neurology. NgoFebruwari 6, 2012. Iimpawu eziCwangcisiweyo zokuKhubazeka okuKonkcenkceshe okuKonk 'ingangokuKucinga ukuHlola i-Alzheimer's Disease Dementia.
Neurology. Umzekelo wexesha elide lomthamo wengqondo lommandla uguqula ukuguga okuqhelekileyo kwi-MCI.
Neurology. Ukukhubazeka okunzulu kwengqondo kunye nokuqhubela phambili ekudemeni kwengqondo: Iziphumo ezintsha . 2014. http://www.neurology.org/content/82/4/e34.full.pdf