Kutsanangura nekutsanangura mamiriro acho ezvinhu
Kushungurudzika uye kuora mwoyo kwemaviri zvinhu zviviri zvakajairika zvinokanganisa uropi. Vanowanzoitika pamwe chete nokuti vose vane chido chekukura mukwegura. Zvinogona kuvhiringidza kuziva mutsauko pakati pemhirizhonga uye kuora mwoyo, uye pane zvimwe zvakasiyana-siyana zvinosiyanisa mamiriro maviri aya.
Asi dzimwe nguva chirwere chepfungwa uye chirwere chemangara chinowanzoitika pamwe nekuti mamwe marudzi emaronda anogona kukonzera chirwere chemaitiro chinonzi vascular dementia.
Chii chinonzi Vascular Dementia?
Zviratidzo zvakajairika zvevascular dementia zvinosanganisira kukanganwa, kusavapo-pfungwa, kuvhiringidzika uye mafungiro anochinja. Chirwere chinogona kuchinja, kunyanya kuratidza se kurasikirwa kwechido. Vamwe vanhu vanofarira kurara zvakanyanya, nepo vanhu vakawanda vane chirwere chemaitiro chepfungwa vachirasikirwa nezvinhu zvinokosha kana kuti vanogona kurasikirwa, kunyange munzvimbo dzinozivikanwa. Vanhu vanorarama nehutano hwemagumisiro evanhu vanogona kurega kutora kuzvimiririra kuchengetedzwa kwehutano hwavo, vanogona kuora mwoyo uye vane zvinetso zvekuita nekuita zvisarudzo.
Kunyange zvazvo mhuri dzakawanda dzichida 'kugamuchira' dhementia sehupenyu huripo, zvinokosha kuona chiremba wehutano kuti uwane zvakajeka zvechikonzero chekushaya pfungwa kwemweya nokuti kurapa kwemavhinga chemtementi kwakasiyana nekurapa kune mamwe marudzi ehutano hwehutano hwemweya .
Mushonga wevascular dementia unongororwa nekudzivirira chirwere, apo kurapwa kwemamwe marudzi ehutano hwemangwana kunotarirwa pamishonga inodzivirira kuora kwemasero europi.
Somuenzaniso, kune mishonga inobvumirwa kurapwa kwechirwere cheAlzheimer icho chingave chisina kukodzera mishonga yemamwe marudzi ehutano hwemangara.
Munhu Mumwe Munhu Anokwanisa Kuva neAvirom Dementia uye Chimwe Chimwe Chekuita Dhementia Panguva Yakadaro?
Mamwe maitiro ehutementia akadai sechirwere cheAlzheimer, Anosarudza zvirwere kana Lewy muviri wehutano hwemararamiro inogona kuitika panguva imwechete sevascular dementia.
Mumamiriro ezvinhu akadaro, zviratidzo zvekukanganwa uye kusavhiringidzika kazhinji zvinowanzooma zvakaoma kurarama pamwe nekuti vangave vane rumwe rudzi rwemtentenima.
Sei Kutenda Kwemavascular Kunokura?
Chirwere chikuru chinowanzokonzera zviratidzo zvinoratidzika sekusava nesimba, kurasikirwa nekuona kana kutaura matambudziko . Asi dzimwe nguva vanhu vanotambura nemakumbo maduku anokwanisa kuenda asingaoneki. Izvi zvinowanzozonzi stroke yakanyarara. Apo zvizhinji zviduku zvinowanzoitika munzvimbo dzakasiyana dzeuropi munguva, izvi zvinogona kuguma mukurangarirwa kushandurwa kana kuchinja maitiro. Izvi zvinowanzozonzi vascular dementia.
Vascular dementia kazhinji inowedzera kwenguva kupfuura pane kamwe kamwe. Izvi zvinoitika nokuti vanhu vanoona zviduku zviduku zvinowanzova nekwanisi yekubhadhara zvishoma nezvishoma mukuyeuka kana kufunga. Uropi hwekodzero yekubhadhara zvirwere zvishomanana zvinogona kuita kuti murwere nemumhuri varambe vasina kuziva kuti kurohwa kwakaitika. Zvisinei, pakupedzisira, nhengo dzemhuri dzinogona kuona kuti zviratidzo zvakanyanya zvekushaya mungozi zvinokurumidza kuitika.
Kuvhiringidzika kweuropi kubva pamakumbo mashomanana zvishoma kunogona kuguma nekuguma kwechiratidzo umo zviratidzo zvekushaya mungozo zvinowedzera kuwedzera kana kuonekwa. Izvo zvinowedzera zvinokonzerwa nemakumbo akawanda akanyarara zvinogona kukurira kukwanisa kweuropi kubhadhara zvidiki zviduku zvinokanganisa uropi.
Dzimwe nguva, chirwere chinyoro kana chirwere chiduku chinogona 'kuburitsa' zvirwere zvemtambudziko. Kana izvi zvikaitika, vamwe vanhu vanovandudza kana chirwere chacho chichiderera, asi vamwe vanogona kupfuurira kuratidzira zviratidzo zvakajeka zvehutano hwepfungwa kunyange mushure mekunge chirwere chinogadzirisa.
Dhementia inokonzerwa nemakumbo maduku, masimba ekutengesa mwoyo, dzimwe nguva inonzi "chirwere chiduku chechikepe" kana kuti yakawanda-inokonzerwa nehutano hwemhetima nokuti inokonzerwa nemavaro maduku (infarcts) anokonzerwa neropa remakumbo mumidziyo midzi yeropa . Kazhinji kune chimiro chechimiro chemavhinga chinonzi dementia kana chirwere chiduku chechikepe chinogona kuonekwa nekufungidzira uchishandisa brain brain CT kana brain MRI scan.
Kazhinji nyanzvi yezvehutano yakagadzirirwa inogona kuona mishonga yekutemwa kwemavhesi kuburikidza nehutano hwezvokurapa uye kunyatsoongorora.
Kuvhiringidza kunokonzera kuvhudzika kwemumwoyo kunowanzokonzerwa nechirwere cheperebrovascular , hypertension, chirwere cheshuga, high cholesterol kana kusvuta.
Kuchengetera Vadiwa Vane Dhementi Dzementia
Kuchengeta varwere vane chirwere chemaitiro chakakosha kunoda rubatsiro rwepamusoro-soro nekuchengetedza pamwe chete nekurapa kwekurapa kuti zvidzivirire zvimwe zvirwere. Zvinetso uye kuora kwekuyeuka uye kunzwisisa zvinogona kuitika nefivha, zvirwere uye zvirwere.
> Sources
> Martin Samuels naDavid Feske, Office Practice of Neurology, 2 nd Edition, Churchill Livingston, 2003
> The Science of Vascular Contributions to Cognitive Impairment and Dementia (VCID): Chirongwa Chekutsvaga Kutsvakurudza Kunotangira muCerebrovascular Biology yeCognitive Decline, Corriveau RA, Bosetti F, Emr M, Gladman JT, Koenig JI, Moy CS, Pahigiannis K, Waddy SP, Koroshetz W, Cellular uye Molecular Neurobiology, 2016 Mar 36 (2): 281-8.