Ichi Chiitiko Chinonziwo Vascular Cognitive Impairment
Overview
Vascular dementia inokonzerwa nekushaya simba kweropa kunopinda kuuropi. Mushure mechirwere cheAlzheimer , ndiyo imwe yenhengo dzakawanda dzinowanzoita zvekushaya utano , pamwe neLeyy body dementia . Kudzidza pamusoro pevascular dementia-kusanganisira zvinokonzera, zviratidzo uye tarisiro yehupenyu-zvinogona kukubatsira kuziva kuti ungaderedza sei njodzi yako, uye kuti chii chaunotarisira kana wakamboonekwa kuti une dambudziko iri rekushaya pfungwa.
Vascular dementia yaimbova inonzi multi-infarct dementia nokuti yaifungidzirwa kuti inongokonzerwa nemavaro maduku. Zvisinei, zita racho rakachinjwa kuva denda rekudzivirira hutano kuti riratidze zvinhu zvakawanda zvinogona kukanganisa kukwanisa kweropa kupararira kuuropi. Munguva pfupi yapfuura, vamwe vanachiremba vanoshandisa izwi rokuti vascular cognitive dispairment , zvichida nokuti rinoratidzika kuti rinotakura zvakakura, kubva pane zvishoma kusvika kune yakaoma, yekuderera kwepfungwa kuti vascular dementia inogona kukonzera.
Vascular dementia inowanzoitika pamwe chete nechirwere cheAlzheimer, chinoita kuti uwedzere kuora mwoyo . Pakati pe1% kusvika 4% yevanhu vanopfuura makore makumi matanhatu nemashanu vane chirwere chemaitiro chepfungwa, uye njodzi yekukukura inowedzera zvinoshamisa nezera. Vascular dementia inofungidzirwa kuenzanisa pakati pe10 kusvika ku20 muzana yematambudziko ose e dementia.
Zvinokonzera
Vascular dementia inogona kuitika kana kuvhara kana kuvhara kwemitsetse yeropa muuropi, iyo inoderedza masero europi kubva mune zvinovaka uye oksijeni inoda kushanda zvakanaka.
Vascular dementia kazhinji inoguma kubva pamakumbo madiki mashoma anowanikwa kwenguva. Inogonawo kuitika mushure mekurohwa kukuru kwechirwere , iyo dzimwe nguva inonzi inonzi post-stroke dementia . Haasi maitiro ose anokonzera kuora mwoyo, asi kusvika kune chetatu chevaya vane chirwere chinokonzera chirwere chemaitiro mukati memwedzi mitanhatu.
Mamiriro ezvinhu akadai ehovha yepamusoro yeropa uye chirwere cheshuga chisingaregi mitsipa yeropa, asi kungovaderedza, zvinogonawo kutungamirira kumavetementi.
Risk Factors
Vanhu vanokura kuora mwoyo kwemaitiro akawanda vanowanzova nenhoroondo yeimwechete kana yakawanda pane zvinotevera: kushaya mwoyo, kurohwa , kukwirira kweropa , shuga , kana cholesterol yakakwirira . Kunyanya, kana munhu ane nhoroondo yekurohwa, huwandu hwekudzivirira hutachiona hwemtema hunowedzera nehuwandu hwehupenyu hunosangana nenguva.
Zvimwe zvinhu zvinogona kuwedzera mungozi yako zvinosanganisira kusvuta, kushandiswa kwepanyama, kuva murume, kuva nemhuri yehutachiona hwemasimba uye kuva Africa American.
Zviratidzo
Vanhu vane chirwere chemaitiro chepfungwa chinowanzoratidza zvinetso zvakasiyana-siyana zvekunzwisisa, kusanganisira kuchemara kwepfungwa, aphasia , apraxia , agnosia , kana matambudziko anehutano hwekushanda .
Muzviitiko zvizhinji, zviratidzo zvinoita kuti zvive zvakaoma kubata basa, kuita mabasa epamba, kana kuchengetedza ukama hwevanhu. Vanhu vane chirwere chinetseka chepfungwa chinowanzoona zviratidzo zvehupfungwa zvakadai sekunyanyisa kunetseka, matambudziko nekufamba uye kuenzanisa, uye / kana kushaya simba mumakumbo, maoko, uye tsoka. Zvichienderana nemunhu mumwechete uye pachikonzero chekuora mwoyo, kukanganisa , kuvhiringidzika , kushungurudzika , zvinetso zvekuvhota , uye / kana kuora mwoyo kunogonawo kuenderera mberi nemavetementi.
Zvinofadza kuti kurasikirwa kwepfungwa kunowanzoitika gare gare muutachiona hwemhetamende kuenzaniswa nechirwere cheAlzheimer . Mukuderedza mwoyo, zviratidzo zvekutanga zvinowanzova neurological, zvakadai sezvinetso zvine mafungiro, kufamba, uye kushaya simba kwepfungwa. Kune rumwe rutivi, zvinetso zveuchiyeuchidzo uye zviratidzo zvekuita zvinowanzotanga nyaya dzekutanga dzakaonekwa muAlzheimer's. Uyezve, chirwere chemaitiro chemaitiro chinowanzofambira mberi mune imwe nzira yekuchenjera. Semuenzaniso, munhu wacho acharatidzika akachengetedza kwekanguva, saka kamwe-kamwe kuwedzera zvakanyanya, ipapo ramba uchienderera mberi pakati penguva dzakasimba uye kudonha kwechimbichimbi mukushanda. Chirwere cheAlzheimer chinowanzobudirira mune zvishoma nezvishoma, pasi.
Kuziva
Sezvo nechirwere cheAlzheimer, chirwere chakakwana chekuongorora chinofanira kuitirwa kuitira kutonga zvimwe zvinokonzera zviratidzo zvemunhu. Vascular dementia inowanzozivikanwa kuburikidza nemafungiro ekufungidzira , izvo zvinogona kuratidzira zvirwere uye mitsetse yakaoma kana yakavharwa. Miedzo yeurouropsychological inogonawo kuitirwa kuti ione maitiro uye chiyero chekushaya njere.
Mishonga
Kwete madhiragi akabvumirwa neDDA zvakananga kubata chirwere chemaitiro chemaitiro, asi mishonga inogamuchirwa kutarisa Alzheimer dzimwe nguva inobatsira. Vanachiremba vanowanzotaurira zvose cholinesterase inhibitor ( Aricept , Exelon, kana Razadyne ) naNamenda kuti vabate chirwere chemtementia.
Kugadzirisa zvinetso zvepfungwa kuburikidza nemishonga uye / kana mararamiro emararamiro angabatsira kuderedza kuwedzera kwemavhinga edamenti. Zvakakosha kuongorora ropa, kupisa, cholesterol, shuga yeropa, uye kuyerwa, zvose zvinokonzera hutano hwehurosi uye nyore nyore kweropa kuderera kuuropi.
Maitiro ekugadzirisa maitiro anoshandawo pakubata maitiro akaoma anowanzosangana nevhudzi hwemwoyo.
Prognosis uye Upenyu Husingatarisiri
Parizvino, hapana mushonga wevascular dementia. Kana kuora mwoyo kwechokuita kwakakonzerwa nemarwadzo akawanda, munhu wacho anganyanya kuwedzera mukufambira mberi kweuchenjeri, apo nguva dzakagadzikana dzinovhiringidzika nepamusoro-soro kwezvikamu zvishoma. Hupenyu hwekutarisira kune mumwe munhu ane chirwere chemaitiro chepfungwa chinonyanya kukwana uye chinoenderana nemhando yematambudziko emwoyo anokonzera kuora mwoyo, pamwe nemakore evanhu uye mamwe marapirwo.
Sources:
> Alzheimer's Association. Vascular Dementia. http://www.alz.org/dementia/vascular-dementia-symptoms.asp
American Psychiatric Association (2013). Kuongororwa uye nhamba yekunyora yehutano hwepfungwa (DSM-5). Washington, DC:.
Plassman, BL, Langa, KM, Fisher, GG, Heeringa, SG, Weir, DR, Ofstedal, MB, et al. (2007). Kuwanda kwehutano hwemangara muUnited States: Kukwegura, kuwanda kwevanhu, nekuyeuka chidzidzo. Neuroepidemiology, 29, 125-132.
UC Memory Disorders Center. Vascular Cognitive Impairment. > http://memory.ucgardnerneuroscienceinstitute.com/understanding-memory-disorders/vascular-cognitive-impairment/