Iimpawu, Ukuxilongwa, kunye noTyango
I-dementia edibeneyo iyigama elisetyenziswe xa umntu enolunye uhlobo lwengqondo olulodwa . Ngokuqhelekileyo, ukudibana kwengqondo ngokuxutywa komzimba kuqukethe isifo se- Alzheimer kunye nesifo sengqondo se-vascular dementia , kodwa kubhekisela kudibaniso lwe-Alzheimer kunye naluphi na uhlobo lwesifo sengqondo.
Ubuninzi be-Mixed Dementia
Ubunzima bokuxakeka kwengqondo ngokuxutywayo kunzima ukuyiqonda. Ngokwesiko, oogqirha baye bafumanisa uhlobo oluphambili lomqondo wengqondo xa beqikelela ukuxilongwa kwesigulane, njengesifo se-Alzheimer okanye isifo sengqondo segazi.
Nangona kunjalo, abaphandi baye bafumanisa ukuba abantu abaninzi abaye bafumanisa ukuba banesifo sengqondo esisodwa banokufumana olunye uhlobo. Ukugqithisa, apho ubuchopho buvavanywa emva kokufa, bekuninzi babonisa iimpawu ze-Alzheimer's, ze-vascular, ne- Lewy zomzimba ezixutywe kunye.
Olunye uphando luchaze ukuba ama-94% yabathathi-nxaxheba abanomdla wokugula ngengqondo baye bafumanisa ukuba bane-Alzheimer's. Emva kokufa, ukuzithiba kwabo bantu babonisa ukuba ama-54% abo abonisa ubungqina benye uhlobo lomdemokhrasi ngaphezu kwe-Alzheimer's ezifana ne-blood clots (isifo sengqondo se-vascular) okanye i-Lewy izidumbu (i-Lewy's mental dementia).
Ngokombutho we-Alzheimer's, ukuxilwa kwemingcipheko edibeneyo inokuthi ikwazi ukuphuhliswa njengabantu abaneminyaka ukususela kwiminyaka yobudala bengozi yobungozi beentlobo ezininzi zeengqondo.
Iimpawu zeMixed Dementia
I-dementia exubileyo iyakubonakala ngeempawu ezifana nesifo se-Alzheimer . Iimpawu zoxinzelelo lwe-dementia ezixubekileyo zingathuthuka ngokukhawuleza okanye zibonakaliswe kwangaphambili kuba ubuchopho buchaphazeleka ngolu hlobo lwengxaki enye okanye lonakaliswe kwingingqi enye.
Ukuxilongwa
Ukuxilongwa kwe-dementia exubileyo kwenziwa ngokucacileyo emva kokufa xa kuqhutyelwa i-autopsy. Xa ubuchopho bubonisa uhlobo olungaphezu kweyodwa lwesimo esingavamile njengeprotheyini ye- tau kunye ne-blockages kwimikhumbi yengqondo, u-dementia odibeneyo ufunyaniswa.
Abanye oogqirha banikela ukuxilongwa komqondo wokuxuleka komzimba xa umntu ebonakalisa iimpawu ze-Alzheimer kodwa uye waba neengxaki zempilo yengqondo ezinjenge- stroke ebonisa ukuba ukuguga komqondo kweengcambu kuchaphazela umntu.
Njengoko izakhono zokucinga ziphucula kwaye uphando luyaqhubeka lukhula, mhlawumbi ukuxilongwa kwe-dementia kuya kukhula kwandiswe ixesha elide ngaphambi kokuba i-autopsy iqhutywe.
Unyango lwe-Mixed Dementia
Nangona kungekho zonyango ezivunyiweyo ngokuthe ngqo yi-US Food and Drug Administration (FDA) ukuphatha ingqondo yokuxutywa kwengqondo, kubonakala ngathi iyayiphendula ngokufanelekileyo kwamanye amayeza avunyelwe ukuphatha isifo se-Alzheimer . Iziphumo zophando ziye zahluka kubabathathi-nxaxheba abaneengxaki zokuxhomekeka kweengqondo ezixubileyo abaye baphathwa ngemichiza ye-cholinesterase. Ezinye iziphumo zifumene ukuba ukuncipha kwengqondo okulindelekileyo kwi-dementia exubileyo kuye kwancipha, kwaye abanye babonisa ukuphuculwa okuncinci kwimemori nokucinga.
Olunye unyango oluxutywa ngokuxhatshazwa kwengqondo ngokudibanisa ukuhlanganiswa kwe-Alzheimer kunye ne-dementia ye-vasenti igxile kwizinto ezifana nokunyanga kwengcinezelo yegazi kunye nokulawulwa kwe-cholesterol, ngenjongo yokunciphisa amathuba okuba esinye isifo (kunye nokunyuka kwesifo sengqondo somzimba).
Imithombo:
I-Alzheimer's Association. Dementia edibeneyo. Kufumaneka ngo-Ephreli 9, 2013. http://www.alz.org/professionals_and_researchers_13516.asp
I-Alzheimer's Association. Dementia edibeneyo. Kufumaneka ngo-Ephreli 26, 2013. http://www.alz.org/dementia/mixed-dementia-symptoms.asp
Umbhalo we-American Medical Association. 2004 Umhla we-15; 292 (23): 2901-8. I-dementia edibeneyo: iingcamango eziphuhlisayo kunye neempembelelo zonyango. http://www.ncbi.nlm.nih.gov/pubmed/15598922
Neurology. 2007 Dec 11; 69 (24): 2197-204. I-Epub 2007 Juni 13. I-pathologies yengqondo edibeneyo kwingxelo yamanani amaninzi e-dementia kubantu abadala. http://www.ncbi.nlm.nih.gov/pubmed/17568013