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Ke ʻike nei kekahi kanaka kokoke iā ʻoe i ka nalowale o ka hoʻomanaʻo? Hiki paha iā Lewy Body Dementia (LBD)?

Ke ʻike nei kekahi kanaka kokoke iā ʻoe i ka nalowale o ka hoʻomanaʻo? Hiki paha iā Lewy Body Dementia (LBD)?

Ua ʻike anei ʻoe i kahi ʻelemakule i loko o kou home, malia paha kou makuahine, makuakāne, kupuna wahine a ʻanakē paha, e loli mālie ana? Ke emi nei ko lākou hoʻomanaʻo, ke loli nei ko lākou ʻano, a i ʻole ke paʻakikī nei lākou i ka hele wāwae? ʻOiai ua manaʻo ʻia kēia mau mea he mea maʻamau i ko kākou ʻelemakule ʻana, i kekahi manawa hiki iā lākou ke ʻoi aku ma mua o kēlā. I kēia lā e kamaʻilio mākou e pili ana i kekahi o ia ʻano maʻi, ʻo Lewy Body Dementia (LBD) .

He aha ka Lewy Body Dementia (LBD)?

I ka ʻōlelo maʻalahi, ʻo Lewy Body Dementia (LBD) kahi ʻano dementia. ʻO Dementia kahi kūlana e emi mālie ai nā mea e like me ka hoʻomanaʻo, ka hiki ke noʻonoʻo, a me ka noʻonoʻo. ʻO ka mea kūikawā e pili ana i kēia LBD ʻo ia ka hoʻokumu ʻia ʻana o nā puʻupuʻu protein i kapa ʻia ʻo Lewy bodies i loko o ka lolo. ʻO kēia mau kino Lewy he ʻano protein maʻamau ʻole ia e hōʻiliʻili ana i loko o nā cell nerve (neurons) i loko o ko kākou lolo. Hoʻopōʻino kēia i nā cell nerve i kekahi mau ʻāpana koʻikoʻi o ka lolo. Ma ke ʻano kūikawā, ʻike pinepine ʻia kēia pōʻino ma nā ʻāpana o ka lolo e kaohi ana i ko kākou mau hiki noʻonoʻo, ke ʻano, ka neʻe ʻana, a me ka hiamoe.

E like me ka wā e paʻa ai ka lepo i loko o kahi paipu wai i loko o ko mākou hale, lohi ke kahe ʻana o ka wai, pale kēia mau kino Lewy i nā hunaola nerve i loko o ka lolo mai ka hana pono ʻana.

He maʻi holomua kēia. ʻO ke ʻano kēia e hoʻomaka mālie nā hōʻailona a piʻi mālie i ka hala ʻana o ka manawa. ʻAʻole paha ʻoe e ʻike koke i kahi ʻokoʻa nui, akā i ka hala ʻana o ka manawa e ʻike ai ʻoe he pilikia.

ʻO LBD kekahi o nā kumu nui o ka dementia i nā poʻe ma luna o 65 mau makahiki. I kekahi manawa ua like loa kona mau hōʻailona me nā maʻi neurological ʻē aʻe, e like me ka maʻi Alzheimer a i ʻole ka maʻi Parkinson , no laila hiki ke paʻakikī ke hoʻokaʻawale i ka wā mua.

ʻAʻohe lāʻau lapaʻau no LBD i kēia manawa. Eia nō naʻe, hiki i ka lāʻau lapaʻau kūpono a me nā lawelawe kākoʻo (hoʻōla kino, hoʻōla ʻōlelo) ke kōkua i ka kaohi ʻana i nā hōʻailona a hāʻawi i ka hōʻoluʻolu i ka mea maʻi.

He aha ka pilina ma waena o LBD, ka maʻi o Alzheimer, a me ka maʻi o Parkinson?

ʻO ka Dementia me nā kino Lewy a me ka maʻi Parkinson dementia (PDD) ʻelua mau kūlana pili e hāʻule ana i loko o ka māhele nui o LBD. I kekahi manawa, hiki i nā kauka ke kuhi hewa i kahi mea me LBD me ka maʻi Parkinson a i ʻole ka maʻi Alzheimer ma muli o nā hōʻailona.

  • ʻO ka maʻi dementia o Parkinson (PDD):Hoʻomaka mua kekahi poʻe i nā maʻi neʻe e pili ana i ka maʻi Parkinson (e laʻa, haʻalulu, paʻakikī i ka hele wāwae). No laila ua ʻike mua ʻia lākou me ka maʻi Parkinson. Eia nō naʻe, inā, i loko o nā makahiki, ʻike ʻia nā hōʻailona o ka nalowale o ka hoʻomanaʻo a me ka emi ʻana o ka noʻonoʻo (nā hōʻailona dementia), a laila ua hoʻololi ʻia ka hōʻailona i PDD.
  • ʻO ka maʻi Alzheimer (AD): ʻIke mua kekahi poʻe i nā pilikia hoʻomanaʻo a i ʻole ka noʻonoʻo. Hiki ke ʻike ʻia lākou me ka maʻi Alzheimer. Eia nō naʻe, inā loaʻa iā lākou nā hōʻailona e pili ana i ka LBD, e like me ka hoʻonui ʻia a i ʻole ka emi ʻana o ka manawa nānā, nā loli i ka ʻike, ka paʻakikī me ka neʻe ʻana, a me nā hallucinations ʻike maka, a laila hiki ke ʻike ʻia lākou me LBD.

ʻO wai ka mea i hoʻopilikia nui ʻia e kēia kūlana?

ʻO ka maʻamau, hoʻopilikia ka Lewy Body Dementia (LBD) i nā kānaka ma luna o 50 mau makahiki. Piʻi ka pilikia o ka loaʻa ʻana o ka maʻi me ka ʻelemakule. Ua ʻike ʻia hoʻi he ʻoi aku ka nui o ka loaʻa ʻana o ka LBD i nā kāne ma mua o nā wahine.

Eia kekahi, inā ua loaʻa i kekahi o kou ʻohana ka maʻi LBD a i ʻole ka maʻi Parkinson, hiki paha iā ʻoe ke hoʻonui iki i ka pilikia o ka hoʻomohala ʻana i kēia maʻi.

Pehea ka maʻamau o ka Lewy Body Dementia (LBD)?

ʻO LBD kekahi o nā ʻano maʻamau o ka dementia, a ua manaʻo nā kānaka noiʻi he 1.4 miliona mau kānaka ma ʻAmelika Hui Pū ʻIa wale nō e ʻeha nei. He mea nui e makaʻala i kēia ʻano ma Sri Lanka pū kekahi.

He aha nā hōʻailona o ka Lewy body dementia (LBD)?

Hiki ke paʻakikī ke hoʻokaʻawale i nā hōʻailona LBD i kekahi manawa no ka mea hiki ke like me nā maʻi neurological ʻē aʻe, e like me ka maʻi Alzheimer a me ka maʻi Parkinson. Hiki ke ʻokoʻa nā hōʻailona mai kēlā kanaka a i kēia kanaka a mai kēlā manawa a i kēia manawa .

Hiki ke puʻunaue ʻia nā hōʻailona nui o LBD i kekahi mau ʻano:

  • Nā pilikia me ka neʻe ʻana
  • Nā hōʻailona noʻonoʻo
  • Nā pilikia hiamoe
  • Dysautonomia
  • Nā loli i ke ʻano a me ke ʻano

I kēia manawa, e nānā kākou i kēlā me kēia mahele me nā kikoʻī hou aku.

Nā pilikia me ka neʻe ʻana

ʻO kekahi o nā hiʻohiʻona nui o LBD ʻo ia ka loaʻa ʻana o ka parkinsonism . ʻO Parkinsonism kahi hōʻiliʻili o nā pilikia neʻe. ʻO kēia mau mea:

  • Neʻe lohi (bradykinesia): Me he mea lā ua make ke kino, e hana ana i nā mea āpau me ka lohi loa.
  • Paʻakikī a ʻoʻoleʻa paha: Paʻakikī i ke kulou ʻana a i ʻole ka hoʻopololei ʻana i nā lālā, e like me kahi ʻāpana lāʻau.
  • Nā haʻalulu: Ka haʻalulu ʻana, ʻoiai hoʻi o nā lima, nā wāwae, a i ʻole ke poʻo.

ʻAʻole paha e loaʻa i kekahi poʻe me LBD nā pilikia neʻe koʻikoʻi no nā makahiki. Hiki i kekahi ke loaʻa i kēia mau hōʻailona i ka wā mua o ka maʻi. He maalea loa kēia mau pilikia neʻe i ka wā mua a hiki ke maʻalahi ke nalo.

Nā pilikia neʻe ʻē aʻe:

  • Nā pilikia kaulike
  • Hele wāwae
  • Ka paʻakikī i ka moni ʻana (dysphagia)
  • Hoʻemi ʻia nā hiʻohiʻona helehelena: Me he mea lā ua make ke alo.
  • Hāʻule pinepine
  • Ka nalowale o ka hoʻonohonoho ʻana
  • Ke kākau ʻana i nā leka liʻiliʻi ma mua o ka maʻamau

E noʻonoʻo, ʻaʻole minoʻaka kou kupuna wahine e like me ka wā ma mua, ʻaʻole like me ka loli o kona helehelena ke kamaʻilio ʻo ia. A i ʻole, hāʻule pinepine ʻo ia i ka honua. He mau hōʻailona paha kēia o LBD.

Nā hōʻailona noʻonoʻo

ʻO kahi hiʻohiʻona hiʻona o LBD ka ʻokoʻa o ka hana noʻonoʻo . ʻO ia hoʻi, hiki i ke kanaka me LBD ke makaʻala i kekahi manawa a ʻōlelo maopopo, akā i nā manawa ʻē aʻe hiki iā lākou ke huikau loa a hiki ʻole ke pane i nā nīnau. Hiki ke loli kēia mai kēlā lā a kēia lā, a i loko o ka lā hoʻokahi .

Nā pilikia ʻē aʻe e pili ana i ka noʻonoʻo pono:

  • Ua emi iho nā hiki ke hoʻolālā
  • Ua emi iho nā mākau hoʻoponopono pilikia
  • Ua emi ka hiki ke hoʻoholo
  • Poho ka hoʻomanaʻo: ʻAʻole e like me ka maʻi Alzheimer, ʻaʻole paha e loaʻa nā pilikia hoʻomanaʻo i ka hoʻomaka ʻana o LBD. Eia nō naʻe, i ka holomua ʻana o ka maʻi, hoʻomaka ka pohō o ka hoʻomanaʻo.
  • Ka emi ʻana o ka hiki ke kālele
  • Hoʻemi ʻia ka hiki ke hoʻomaopopo i ka ʻike maka (Ke hoʻomaopopo ʻana i ka ʻike ma ke ʻano ʻike maka)

Ma kahi o 80% o ka poʻe me LBD e ʻike i nā hallucinations ʻike maka . Hiki ke hana i kēia i ka wā mua o ka maʻi. No ka laʻana, ʻike paha ka poʻe i kekahi i loko o ka lumi a i ʻole nā ​​​​holoholona liʻiliʻi e hele ana ma nā paia. ʻO ka lohe ʻana i nā leo i ʻole ma laila a i ʻole ka honi ʻana i nā ʻala i ʻole ma laila ʻaʻole i maʻamau ma mua o nā hallucinations ʻike maka, akā hiki nō hoʻi ke hana.

ʻO nā pilikia visuospatial , e like me ka paʻakikī o ka ʻike ʻana i ka hohonu, ka paʻakikī o ka ʻike ʻana i nā mea maʻa, a me ka hoʻonohonoho pono ʻole o ka lima-maka, he mea maʻamau nō hoʻi i waena o nā poʻe maʻi LBD.

Nā pilikia hiamoe

Loaʻa pinepine i ka poʻe me LBD nā pilikia hiamoe, ʻoiai ka rapid eye movement (REM) sleep behavior disorder (RBD) . ʻO kēia ka manawa āu e hana ai i kāu moeʻuhane i ka wā hiamoe REM. No ka laʻana, inā moeʻuhane ʻoe e kuʻi ana i kekahi, hiki iā ʻoe ke kuʻi iā lākou, e hoʻolei i kou mau lima, a e ʻuwā. Hiki i ka poʻe me RBD ke ala aʻe me ka huikau inā he ʻoiaʻiʻo ka moeʻuhane a ʻaʻole paha.

Nā pilikia hiamoe ʻē aʻe e pili ana me LBD:

  • Ka hiamoe nui i ke ao
  • Nā loli i nā ʻano hiamoe
  • ʻAʻole hiki ke hiamoe

He aha ka Dysautonomia?

ʻO Dysautonomia kahi inoa maʻamau no kahi hui o nā kūlana e kū mai ana ke hana pono ʻole kā mākou ʻōnaehana nerve autonomic (ANS) .

ʻO ka ʻōnaehana nerve autonomic (ANS) ka ʻāpana o ko kākou kino e kaohi ana i nā hana a kākou i ʻike ʻole ai. Eia kekahi laʻana, ka helu o ka puʻuwai, ke koko, ka hanu ʻana, ka ʻai ʻana, a me nā mea ʻē aʻe he nui.

Hiki i nā poʻe me LBD ke loaʻa nā pilikia me kēia ʻōnaehana nerve autonomic, hiki ke hana i nā hōʻailona e like me:

  • Nā loli i ka mahana o ke kino
  • Nā loli i ke koko
  • Pōʻino
  • Ka mae ʻana
  • Hypersensitivity i ka wela a me ke anu
  • Hana ʻino i ka moekolohe
  • Ka hoʻōki ʻana o ka mimi
  • ʻO ka hoʻōki ʻana o ka ʻōpū (fecal)
  • Ka paʻa ʻana o ka ʻōpū

Nā loli i ke ʻano a me ke ʻano

Hiki i ka poʻe me LBD ke ʻike i nā loli i ko lākou ʻano a me ko lākou naʻau . Hiki i kēia mau mea ke lilo i mea koʻikoʻi i ka wā e emi ai ko lākou hiki ke noʻonoʻo. Hiki iā ʻoe ke ʻike i nā hōʻailona e like me:

  • Kaumaha
  • Hopohopo
  • Ka huhū, ka hoʻomaha ʻole a i ʻole ka huhū
  • Nā Manaʻo Hoʻopunipuni : Eia kekahi laʻana, ka manaʻoʻiʻo e hoʻāʻo malū ana kekahi e hoʻomake iā ʻoe.
  • He hilinaʻi ʻole i nā poʻe ʻē aʻe a me ka noʻonoʻo ʻole (Paranoia)

He aha ke kumu o ka dementia kino Lewy (LBD)?

ʻO ka LBD a me ka maʻi Parkinson dementia i hoʻokumu ʻia e ka hōʻiliʻili ʻana o kahi protein i kapa ʻia ʻo alpha-synuclein , i kapa ʻia ʻo Lewy bodies, i loko o nā nerve cell o ka lolo. Ke hōʻiliʻili kēia mau Lewy bodies i loko o nā nerve cell, hōʻino lākou i kēlā mau cell a hoʻopilikia i ka hana o kekahi mau ʻāpana o ka lolo.

Eia nō naʻe, ʻaʻole maopopo i nā kānaka noiʻi ke kumu e loaʻa ai i kekahi poʻe nā kino Lewy a ʻaʻole kekahi. Ua manaʻo ʻia he hui pū ʻana o nā loli genetic, nā kumu kaiapuni, a me ka ʻelemakule ke kumu o ke kūlana. Ke hoʻomau nei ka noiʻi ʻana e ʻike i nā kumu.

Hōʻike nā ʻike hou i kēia manawa he kuleana ko nā kumu hoʻoilina i ka ulu ʻana o LBD. ʻO ka gene `APOE` a me ka gene `GBA`Ua ʻike ʻia kekahi mau ʻano like ʻole o nā ʻano gene ʻelua e hoʻonui i ka pilikia o LBD. Ua ʻike mua ʻia ka gene APOE e hoʻonui i ka pilikia o ka loaʻa ʻana o ka maʻi Alzheimer. Aia kekahi mau hōʻike e hoʻonui ana i kēia gene i ka pilikia o LBD. Hoʻonui pū ka gene GBA i ka pilikia o ka maʻi Parkinson a me LBD.

Eia nō naʻe, ʻaʻole i manaʻo ka poʻe ʻepekema i kēia mau loli genetic ke kumu nui o LBD. Ua manaʻoʻiʻo ʻia ʻaʻole i hoʻoilina ʻia ke ʻano i ka hapa nui o nā maʻi LBD .

Pehea e ʻike ʻia ai ka Lewy Body Dementia (LBD)?

Hiki ke paʻakikī iki ka ʻike ʻana i ka LBD no ka mea ua like loa nā hōʻailona mua o ka LBD me nā maʻi lolo ʻē aʻe a i ʻole nā ​​​​maʻi noʻonoʻo.

ʻAʻohe hoʻokolohua lapaʻau kikoʻī i kēia manawa e hiki ai ke ʻike i ka LBD me ka pololei 100%. Pono paha kahi hui o nā loea e hana i kahi hōʻailona. Hiki i kēia mau mea ke komo pū me:

  • Nā kauka lolo
  • Nā kauka lapaʻau geriatric
  • Nā kānaka lapaʻau lolo
  • Nā Kauka Geriatric

Hiki ke hoʻokomo ʻia nā kānaka e like me kēia. Ma ka hoʻohui ʻana i nā hoʻokolohua a me nā hōʻailona o kēia mau mea a pau e hiki ai ke loaʻa kahi hōʻoia o "probable LBD".

Me ka emi mālie ʻana o ka ʻike a hiki i kahi e hoʻopilikia ai i nā hana o kēlā me kēia lā, ʻoi aku ka nui o ka loaʻa ʻana o LBD inā loaʻa ma ka liʻiliʻi ʻelua o nā hiʻohiʻona koʻikoʻi ʻehā. Inā hoʻokahi wale nō hiʻohiʻona, ua manaʻo ʻia he hiki ke loaʻa ʻo LBD:

  • Nā loli i ka ʻike a me ke ʻano
  • Nā hallucinations ʻike hou
  • Ka maʻi hiamoe wikiwiki o ka neʻe ʻana o ka maka (REM)
  • ʻO ka maʻi Parkinson

Hiki ke ʻike ʻia kekahi kanaka me ka maʻi Parkinson me LBD inā loaʻa iā lākou nā pilikia noʻonoʻo i loko o hoʻokahi makahiki o ka hoʻomaka ʻana o nā pilikia neʻe.

Hoʻohana nā kauka i kēia mau ʻano hana e ʻike ai i ka LBD a hoʻopau i nā maʻi ʻē aʻe me nā hōʻailona like:

  • Ka mōʻaukala lapaʻau kikoʻī a me ka hoʻokolokolo kino: E nīnau kāu kauka e pili ana i kou mōʻaukala o nā hōʻailona. E haʻi iā lākou e pili ana i kekahi kino, noʻonoʻo, hoʻomanaʻo, naʻau, ʻano, neʻe ʻana, hiamoe, a i ʻole nā ​​​​loli ʻē aʻe āu i loaʻa ai. Hiki iā lākou ke nīnau i kou ʻohana a me nā hoaaloha e pili ana i kāu mau hōʻailona. E haʻi pū i kāu kauka e pili ana i nā lāʻau lapaʻau, nā mea hoʻohui, nā huaora, nā huahana lāʻau lapaʻau, a me nā lāʻau lapaʻau ma luna o ke kūʻai aku āu e lawe nei.
  • Nā hoʻokolohua kiʻi: MRI scan a me CT scanʻAʻole hiki i kēia mau hoʻokolohua ke ʻike i ka LBD no ka mea ua like nā loli o ka lolo i loko o ke kanaka me LBD me nā mea i loko o ke kanaka me ka dementia vascular. Eia nō naʻe, hiki iā lākou ke kōkua i ka kāpae ʻana i nā kumu ʻē aʻe, e like me ke kahe koko o ka lolo a i ʻole ka puʻupuʻu.
  • Hoʻokolohua neurological: Hoʻāʻo kēia i kāu hana noʻonoʻo. Hoʻāʻo ia i nā mākau noʻonoʻo e like me ka hoʻomanaʻo, ka hiki ke loaʻa huaʻōlelo, ka nānā ʻana, a me nā mākau ʻike maka-wahi.
  • Nā hoʻāʻo koko: Hiki i kāu kauka ke kauoha i nā hoʻāʻo koko thyroid , nā hoʻāʻo e nānā i kāu mau pae huaora B12 , a me nā hoʻāʻo e nānā i nā maʻi e like me ka syphilis a me ka HIV . Hiki i kēia mau hoʻāʻo ke kōkua i ka kāpae ʻana i nā kumu ʻē aʻe o ka dementia.
  • Nā haʻawina hiamoe: Hiki i kāu kauka ke ʻōlelo aku i kahi haʻawina hiamoe e nānā i ka maʻi ʻano hiamoe REM. Pili kēia i ka noho ʻana i hoʻokahi pō ma kahi keʻena hoʻokolohua. I loko o kēia hoʻāʻo, nānā nā mea ʻike i kou helu puʻuwai, ka hana o ka lolo, nā ʻano hanu, nā neʻe ʻana o ka lima a me nā wāwae, a me ka ʻōlelo. Hiki ke hoʻopaʻa ʻia kāu ʻano i ka wā hiamoe REM e ke wikiō.

Pehea e mālama ʻia ai ʻo Lewy Body Dementia (LBD)?

ʻAʻohe lāʻau lapaʻau no LBD i kēia manawa . Eia nō naʻe, hiki i nā lāʻau lapaʻau a me nā lāʻau lapaʻau ʻole, e like me ka physiotherapy, ka hana lapaʻau, a me ka ʻōlelo lapaʻau, ke kōkua i ka kaohi ʻana i nā hōʻailona e like me ka hiki.

Nā lāʻau lapaʻau e kōkua ai i ka mālama ʻana i nā hōʻailona LBD:

  • Nā mea hoʻopaʻa Cholinesterase: No kēia hui nā lāʻau lapaʻau e like me rivastigmine , galantamine, a me donepezil . Kōkua lākou i ka kaohi ʻana i nā pilikia noʻonoʻo o LBD.
  • Carbidopa-levodopa: ʻO Levodopa, kahi lāʻau i hoʻohana pinepine ʻia e mālama i ka maʻi o Parkinson, hoʻohana ʻia e mālama i nā hōʻailona o ka maʻi o Parkinson, e like me ka haʻalulu. Eia nō naʻe, hiki iā ia ke hana i nā hopena ʻaoʻao koʻikoʻi. No ka laʻana, hiki ke hoʻonui ʻia nā hallucinations a me ka huikau.
  • Pimavanserin: Hiki ke hoʻohana ʻia kēia lāʻau lapaʻau e mālama i ka psychosis, ʻo ia ke ʻano e ʻike ai ka poʻe me ka dementia ma muli o ka maʻi Parkinson i nā hallucinations a me nā manaʻoʻiʻo wahaheʻe.
  • ʻO Clonazepam a me melatonin: Hiki i kēia mau lāʻau lapaʻau ke kōkua i nā maʻi hiamoe REM.
  • Nā Lāʻau Hoʻēmi i ka Manaʻo: He mea maʻamau ke kaumaha i nā poʻe me LBD. Pono paha kēia i nā lāʻau hoʻēmi i ka manaʻo e like me SSRIs (selective serotonin reuptake inhibitors) .
  • Memantine:Hoʻokomo pinepine ʻia kēia lāʻau lapaʻau e mālama i ka dementia i hoʻokumu ʻia e ka maʻi Alzheimer, akā ua ʻike ʻia nā hoʻokolohua lapaʻau he mea pono paha ia no ka poʻe me LBD i nā wā mua o ka maʻi.

Hiki i nā poʻe me LBD ke komo i nā ʻano lapaʻau like ʻole e hoʻomaikaʻi i ko lākou ola, e like me:

  • Hoʻōla kino
  • Hoʻōla hana
  • Hoʻōla ʻōlelo
  • Nā hui kākoʻo
  • Nā psychotherapy pilikino a me ka ʻohana (nā therapy kamaʻilio)
  • Hoʻoikaika kino

I nā hihia koʻikoʻi o LBD, ʻoi aku ka kūpono o ka mālama palliative - ʻo ia hoʻi, ka mālama e hōʻoluʻolu i nā hōʻailona, ​​​​hāʻawi i ka hōʻoluʻolu, a me ke kākoʻo - ma mua o nā hana lapaʻau koʻikoʻi a i ʻole ka mālama ʻana i ka haukapila.

Hiki ke pale ʻia ka Lewy Body Dementia (LBD)?

I kēia manawa, ʻaʻohe ala i ʻike ʻia e pale aku ai i ka Lewy body dementia (LBD).

He aha ka wānana o kēia maʻi?

Ma muli o ka holomua mālie o ka LBD i ka hala ʻana o ka manawa, hiki ke ʻano like ka nānā ʻana no ka maʻi mai ka maikaʻi a i ka maikaʻi ʻole .

Hiki i nā kānaka me LBD ke make mai nā ʻano pilikia like ʻole. Eia kekahi laʻana:

  • Nā hāʻule
  • Ka neʻe ʻole ʻana
  • Nā pilikia o ka puʻuwai
  • Nā hopena ʻaoʻao o ka lāʻau lapaʻau
  • Pneumonia
  • Nā pilikia ale ʻana
  • Kaumaha e alakaʻi ana i ka pepehi kanaka
  • Nā hopena i nā lāʻau antipsychotic hanauna kahiko i hoʻohana ʻia no kekahi mau maʻi noʻonoʻo, e.g. neuroleptic malignant syndrome .

Inā ua ʻike ʻia ʻoe a i ʻole kekahi mea kokoke iā ʻoe me LBD, he mea nui e aʻo e pili ana i ke kūlana a me nā lāʻau lapaʻau a me nā lāʻau lapaʻau e hiki ke kōkua iā ʻoe e noho ʻoluʻolu a palekana hoʻi.

He aha kaʻu e manaʻo ai inā loaʻa iaʻu a i ʻole kekahi mea kokoke iaʻu ʻo LBD?

He ʻokoʻa ka ʻike o kēlā me kēia kanaka me LBD. ʻAʻole hiki ke ʻōlelo pololei i ka lōʻihi a i ʻole ka wikiwiki o ka holomua ʻana o ka maʻi. Eia nō naʻe, hiki i kou olakino laulā a me nā kūlana olakino ʻē aʻe āu e loaʻa ai ke hoʻopilikia i kēia.

No ka mea, he maʻi holomua ka LBD, piʻi aʻe nā pilikia i ka hana noʻonoʻo a me ke kino i ka hala ʻana o ka manawa. ʻAʻohe ala e hoʻōki ai i ka holomua o kēia maʻi i kēia manawa.

Akā, aia mau ka manaʻolana . Ke hoʻomau nei ka noiʻi ʻana i ka dementia i hoʻokumu ʻia e nā kino Lewy, ka maʻi Alzheimer, a me ka maʻi Parkinson. Ke ʻike ʻia nei nā lāʻau lapaʻau hou, a ke hoʻāʻo ʻia nei nā lāʻau lapaʻau hou.

He aha ka awelika o ke ola o kekahi me LBD?

ʻO ka awelika o ke ola ma hope o ka ʻike mua ʻia ʻana o LBD ma kahi o ʻelima a ʻewalu mau makahiki.Eia nō naʻe, aia kekahi mau hihia kahi e ola ai kekahi mau maʻi LBD no kahi o 20 mau makahiki ma hope o ka hōʻoia ʻia ʻana.

ʻO kēia haʻahaʻa o ke ola ma muli paha o ka nele o ka ʻike i waena o nā kauka a me ka lehulehu e pili ana i ka LBD a me ka paʻakikī i ka hoʻokaʻawale ʻana iā ia mai nā kūlana like ʻē aʻe. ʻO ka hopena, ua lohi ka ʻike ʻana a me ka hoʻomaka ʻana o ka lāʻau lapaʻau kikoʻī.

Pehea ʻoe e mālama ai i kekahi me LBD?

Inā ʻoe e mālama ana i kahi mea i ʻike ʻia me LBD, he mea nui e aʻo e pili ana i ke kūlana a e ʻimi i ka ʻōlelo aʻoaʻo loea no ka mālama ʻana iā lākou ma ka home. ʻO ka hoʻomaopopo ʻana iā LBD e kōkua iā ʻoe e hoʻoponopono i nā pilikia o kēlā me kēia lā.

Pono paha ʻoe e hana i kekahi mau hoʻololi i kou home e maʻalahi ai nā hana o kēlā me kēia lā no lākou. Eia kekahi laʻana, hiki i ka loaʻa ʻana o kahi ʻano mālamalama, hauʻoli, a kamaʻāina ke kōkua. He mea nui hoʻi e hōʻoia i ka palekana o ka home a ʻaʻohe mea e hiki ai ke hoʻopilikia iā lākou. Hiki i ka hui lapaʻau o kāu mea aloha ke alakaʻi iā ʻoe ma o kēia mau hoʻololi.

I ka nalowale ʻana o ka hiki i ka poʻe me LBD ke noʻonoʻo a me ke kumu, pono paha ʻoe e koho i kekahi e mālama i kā lākou kālā. He mea nui hoʻi e hoʻomaopopo pono i kā lākou makemake e pili ana i ka mālama ʻana, ke kālā, a me nā mea kānāwai ma mua o ka lilo ʻana o kā lākou hana noʻonoʻo i mea ʻino loa.

Āhea wau e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe a i ʻole kekahi mea kokoke iā ʻoe nā hōʻailona o LBD, e kamaʻilio me kāu kauka .

Inā ua ʻike ʻia ʻoe me LBD, pono ʻoe e ʻike pinepine i kāu hui lapaʻau e nānā i kou olakino a me nā hōʻailona, ​​​​a e hōʻoia i ka hana pono ʻana o kāu mau lāʻau lapaʻau.

ʻO ka ʻike mua ʻana i ka LBD hiki ke kōkua iā ʻoe a me kou ʻohana e hoʻolālā no kahi ola koʻikoʻi pū, a kōkua iā ʻoe e hoʻonohonoho i kāu mau hoʻolālā kānāwai, kālā, a me ka mālama ola kino a me nā makemake. E mākaukau kāu hui lapaʻau e hāʻawi i ka hoʻonaʻauao, ke kākoʻo, a me ka mālama ʻana iā ʻoe a i ʻole kāu mea aloha. E nīnau i kāu hui lapaʻau e pili ana i nā hui kākoʻo LBD ma kou wahi. Hiki i kēia mau hui ke lilo i ala maikaʻi loa e kaʻana like i nā ʻōlelo aʻoaʻo mālama a manaʻo hōʻoia ʻaʻole ʻoe hoʻokahi.

Leka Lawe-Home

  • ʻO Lewy body dementia (LBD) kahi ʻano dementia i hoʻokumu ʻia e ka waiho ʻana o nā protein i kapa ʻia ʻo Lewy bodies i loko o ka lolo, e hoʻopilikia ana i ka hoʻomanaʻo, ka neʻe ʻana, ke ʻano, a me ka hiamoe.
  • Hiki i kona mau hōʻailona ke like me nā maʻi o Alzheimer a me Parkinson, a hiki ke komo pū me nā loli i ka ʻike, nā hallucinations, nā hōʻailona o Parkinson, a me nā pilikia hiamoe.
  • He mea paʻakikī ka ʻike ʻana i ka LBD a pono paha ke kōkua o kahi hui o nā kauka loea.
  • ʻOiai ʻaʻohe lāʻau lapaʻau piha, hiki i nā lāʻau lapaʻau a me nā ʻano lāʻau like ʻole ke kāohi i nā hōʻailona a hoʻomaikaʻi i ka maikaʻi o ke ola.
  • Inā loaʻa iā ʻoe a i ʻole kekahi mea kokoke iā ʻoe nā hōʻailona o LBD, he mea nui e ʻimi koke i ke aʻo lapaʻau. Hiki i ka ʻike mua ʻana a me ka mālama ʻana ke pōmaikaʻi nui i ka mea maʻi a me ka ʻohana.
  • He mea nui hoʻi e kākoʻo i ka mea maʻi, hana i kahi wahi palekana, a e ʻimi i ke kōkua mai nā hui kākoʻo.

Manaʻolana wau he kōkua kēia ʻike iā ʻoe. Inā he mau nīnau hou aku kāu, mai kānalua e kamaʻilio me ke kauka.


ʻO ka dementia kino Lewy, LBD, dementia, maʻi Parkinson, maʻi Alzheimer, nalowale hoʻomanaʻo, emi ʻana o ka noʻonoʻo, nā maʻi neurological

Frequently Asked Questions (FAQ)

He aha ka pilina ma waena o LBD, ka maʻi o Alzheimer, a me ka maʻi o Parkinson?

ʻO ka Dementia me nā kino Lewy a me ka maʻi Parkinson dementia (PDD) ʻelua mau kūlana pili e hāʻule ana i loko o ka māhele nui o LBD. I kekahi manawa, hiki i nā kauka ke kuhi hewa i kahi mea me LBD me ka maʻi Parkinson a i ʻole ka maʻi Alzheimer ma muli o nā hōʻailona.

⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

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Ke ʻike nei kekahi kanaka kokoke iā ʻoe i ka nalowale o ka hoʻomanaʻo? Hiki paha iā Lewy Body Dementia (LBD)?

Ke ʻike nei kekahi kanaka kokoke iā ʻoe i ka nalowale o ka hoʻomanaʻo? Hiki paha iā Lewy Body Dementia (LBD)?

Ua ʻike anei ʻoe i kahi ʻelemakule i loko o kou home, malia paha kou makuahine, makuakāne, kupuna wahine a ʻanakē paha, e loli mālie ana? Ke emi nei ko lākou hoʻomanaʻo, ke loli nei ko lākou ʻano, a i ʻole ke paʻakikī nei lākou i ka hele wāwae? ʻOiai ua manaʻo ʻia kēia mau mea he mea maʻamau i ko kākou ʻelemakule ʻana, i kekahi manawa hiki iā lākou ke ʻoi aku ma mua o kēlā. I kēia lā e kamaʻilio mākou e pili ana i kekahi o ia ʻano maʻi, ʻo Lewy Body Dementia (LBD) .

He aha ka Lewy Body Dementia (LBD)?

I ka ʻōlelo maʻalahi, ʻo Lewy Body Dementia (LBD) kahi ʻano dementia. ʻO Dementia kahi kūlana e emi mālie ai nā mea e like me ka hoʻomanaʻo, ka hiki ke noʻonoʻo, a me ka noʻonoʻo. ʻO ka mea kūikawā e pili ana i kēia LBD ʻo ia ka hoʻokumu ʻia ʻana o nā puʻupuʻu protein i kapa ʻia ʻo Lewy bodies i loko o ka lolo. ʻO kēia mau kino Lewy he ʻano protein maʻamau ʻole ia e hōʻiliʻili ana i loko o nā cell nerve (neurons) i loko o ko kākou lolo. Hoʻopōʻino kēia i nā cell nerve i kekahi mau ʻāpana koʻikoʻi o ka lolo. Ma ke ʻano kūikawā, ʻike pinepine ʻia kēia pōʻino ma nā ʻāpana o ka lolo e kaohi ana i ko kākou mau hiki noʻonoʻo, ke ʻano, ka neʻe ʻana, a me ka hiamoe.

E like me ka wā e paʻa ai ka lepo i loko o kahi paipu wai i loko o ko mākou hale, lohi ke kahe ʻana o ka wai, pale kēia mau kino Lewy i nā hunaola nerve i loko o ka lolo mai ka hana pono ʻana.

He maʻi holomua kēia. ʻO ke ʻano kēia e hoʻomaka mālie nā hōʻailona a piʻi mālie i ka hala ʻana o ka manawa. ʻAʻole paha ʻoe e ʻike koke i kahi ʻokoʻa nui, akā i ka hala ʻana o ka manawa e ʻike ai ʻoe he pilikia.

ʻO LBD kekahi o nā kumu nui o ka dementia i nā poʻe ma luna o 65 mau makahiki. I kekahi manawa ua like loa kona mau hōʻailona me nā maʻi neurological ʻē aʻe, e like me ka maʻi Alzheimer a i ʻole ka maʻi Parkinson , no laila hiki ke paʻakikī ke hoʻokaʻawale i ka wā mua.

ʻAʻohe lāʻau lapaʻau no LBD i kēia manawa. Eia nō naʻe, hiki i ka lāʻau lapaʻau kūpono a me nā lawelawe kākoʻo (hoʻōla kino, hoʻōla ʻōlelo) ke kōkua i ka kaohi ʻana i nā hōʻailona a hāʻawi i ka hōʻoluʻolu i ka mea maʻi.

He aha ka pilina ma waena o LBD, ka maʻi o Alzheimer, a me ka maʻi o Parkinson?

ʻO ka Dementia me nā kino Lewy a me ka maʻi Parkinson dementia (PDD) ʻelua mau kūlana pili e hāʻule ana i loko o ka māhele nui o LBD. I kekahi manawa, hiki i nā kauka ke kuhi hewa i kahi mea me LBD me ka maʻi Parkinson a i ʻole ka maʻi Alzheimer ma muli o nā hōʻailona.

  • ʻO ka maʻi dementia o Parkinson (PDD):Hoʻomaka mua kekahi poʻe i nā maʻi neʻe e pili ana i ka maʻi Parkinson (e laʻa, haʻalulu, paʻakikī i ka hele wāwae). No laila ua ʻike mua ʻia lākou me ka maʻi Parkinson. Eia nō naʻe, inā, i loko o nā makahiki, ʻike ʻia nā hōʻailona o ka nalowale o ka hoʻomanaʻo a me ka emi ʻana o ka noʻonoʻo (nā hōʻailona dementia), a laila ua hoʻololi ʻia ka hōʻailona i PDD.
  • ʻO ka maʻi Alzheimer (AD): ʻIke mua kekahi poʻe i nā pilikia hoʻomanaʻo a i ʻole ka noʻonoʻo. Hiki ke ʻike ʻia lākou me ka maʻi Alzheimer. Eia nō naʻe, inā loaʻa iā lākou nā hōʻailona e pili ana i ka LBD, e like me ka hoʻonui ʻia a i ʻole ka emi ʻana o ka manawa nānā, nā loli i ka ʻike, ka paʻakikī me ka neʻe ʻana, a me nā hallucinations ʻike maka, a laila hiki ke ʻike ʻia lākou me LBD.

ʻO wai ka mea i hoʻopilikia nui ʻia e kēia kūlana?

ʻO ka maʻamau, hoʻopilikia ka Lewy Body Dementia (LBD) i nā kānaka ma luna o 50 mau makahiki. Piʻi ka pilikia o ka loaʻa ʻana o ka maʻi me ka ʻelemakule. Ua ʻike ʻia hoʻi he ʻoi aku ka nui o ka loaʻa ʻana o ka LBD i nā kāne ma mua o nā wahine.

Eia kekahi, inā ua loaʻa i kekahi o kou ʻohana ka maʻi LBD a i ʻole ka maʻi Parkinson, hiki paha iā ʻoe ke hoʻonui iki i ka pilikia o ka hoʻomohala ʻana i kēia maʻi.

Pehea ka maʻamau o ka Lewy Body Dementia (LBD)?

ʻO LBD kekahi o nā ʻano maʻamau o ka dementia, a ua manaʻo nā kānaka noiʻi he 1.4 miliona mau kānaka ma ʻAmelika Hui Pū ʻIa wale nō e ʻeha nei. He mea nui e makaʻala i kēia ʻano ma Sri Lanka pū kekahi.

He aha nā hōʻailona o ka Lewy body dementia (LBD)?

Hiki ke paʻakikī ke hoʻokaʻawale i nā hōʻailona LBD i kekahi manawa no ka mea hiki ke like me nā maʻi neurological ʻē aʻe, e like me ka maʻi Alzheimer a me ka maʻi Parkinson. Hiki ke ʻokoʻa nā hōʻailona mai kēlā kanaka a i kēia kanaka a mai kēlā manawa a i kēia manawa .

Hiki ke puʻunaue ʻia nā hōʻailona nui o LBD i kekahi mau ʻano:

  • Nā pilikia me ka neʻe ʻana
  • Nā hōʻailona noʻonoʻo
  • Nā pilikia hiamoe
  • Dysautonomia
  • Nā loli i ke ʻano a me ke ʻano

I kēia manawa, e nānā kākou i kēlā me kēia mahele me nā kikoʻī hou aku.

Nā pilikia me ka neʻe ʻana

ʻO kekahi o nā hiʻohiʻona nui o LBD ʻo ia ka loaʻa ʻana o ka parkinsonism . ʻO Parkinsonism kahi hōʻiliʻili o nā pilikia neʻe. ʻO kēia mau mea:

  • Neʻe lohi (bradykinesia): Me he mea lā ua make ke kino, e hana ana i nā mea āpau me ka lohi loa.
  • Paʻakikī a ʻoʻoleʻa paha: Paʻakikī i ke kulou ʻana a i ʻole ka hoʻopololei ʻana i nā lālā, e like me kahi ʻāpana lāʻau.
  • Nā haʻalulu: Ka haʻalulu ʻana, ʻoiai hoʻi o nā lima, nā wāwae, a i ʻole ke poʻo.

ʻAʻole paha e loaʻa i kekahi poʻe me LBD nā pilikia neʻe koʻikoʻi no nā makahiki. Hiki i kekahi ke loaʻa i kēia mau hōʻailona i ka wā mua o ka maʻi. He maalea loa kēia mau pilikia neʻe i ka wā mua a hiki ke maʻalahi ke nalo.

Nā pilikia neʻe ʻē aʻe:

  • Nā pilikia kaulike
  • Hele wāwae
  • Ka paʻakikī i ka moni ʻana (dysphagia)
  • Hoʻemi ʻia nā hiʻohiʻona helehelena: Me he mea lā ua make ke alo.
  • Hāʻule pinepine
  • Ka nalowale o ka hoʻonohonoho ʻana
  • Ke kākau ʻana i nā leka liʻiliʻi ma mua o ka maʻamau

E noʻonoʻo, ʻaʻole minoʻaka kou kupuna wahine e like me ka wā ma mua, ʻaʻole like me ka loli o kona helehelena ke kamaʻilio ʻo ia. A i ʻole, hāʻule pinepine ʻo ia i ka honua. He mau hōʻailona paha kēia o LBD.

Nā hōʻailona noʻonoʻo

ʻO kahi hiʻohiʻona hiʻona o LBD ka ʻokoʻa o ka hana noʻonoʻo . ʻO ia hoʻi, hiki i ke kanaka me LBD ke makaʻala i kekahi manawa a ʻōlelo maopopo, akā i nā manawa ʻē aʻe hiki iā lākou ke huikau loa a hiki ʻole ke pane i nā nīnau. Hiki ke loli kēia mai kēlā lā a kēia lā, a i loko o ka lā hoʻokahi .

Nā pilikia ʻē aʻe e pili ana i ka noʻonoʻo pono:

  • Ua emi iho nā hiki ke hoʻolālā
  • Ua emi iho nā mākau hoʻoponopono pilikia
  • Ua emi ka hiki ke hoʻoholo
  • Poho ka hoʻomanaʻo: ʻAʻole e like me ka maʻi Alzheimer, ʻaʻole paha e loaʻa nā pilikia hoʻomanaʻo i ka hoʻomaka ʻana o LBD. Eia nō naʻe, i ka holomua ʻana o ka maʻi, hoʻomaka ka pohō o ka hoʻomanaʻo.
  • Ka emi ʻana o ka hiki ke kālele
  • Hoʻemi ʻia ka hiki ke hoʻomaopopo i ka ʻike maka (Ke hoʻomaopopo ʻana i ka ʻike ma ke ʻano ʻike maka)

Ma kahi o 80% o ka poʻe me LBD e ʻike i nā hallucinations ʻike maka . Hiki ke hana i kēia i ka wā mua o ka maʻi. No ka laʻana, ʻike paha ka poʻe i kekahi i loko o ka lumi a i ʻole nā ​​​​holoholona liʻiliʻi e hele ana ma nā paia. ʻO ka lohe ʻana i nā leo i ʻole ma laila a i ʻole ka honi ʻana i nā ʻala i ʻole ma laila ʻaʻole i maʻamau ma mua o nā hallucinations ʻike maka, akā hiki nō hoʻi ke hana.

ʻO nā pilikia visuospatial , e like me ka paʻakikī o ka ʻike ʻana i ka hohonu, ka paʻakikī o ka ʻike ʻana i nā mea maʻa, a me ka hoʻonohonoho pono ʻole o ka lima-maka, he mea maʻamau nō hoʻi i waena o nā poʻe maʻi LBD.

Nā pilikia hiamoe

Loaʻa pinepine i ka poʻe me LBD nā pilikia hiamoe, ʻoiai ka rapid eye movement (REM) sleep behavior disorder (RBD) . ʻO kēia ka manawa āu e hana ai i kāu moeʻuhane i ka wā hiamoe REM. No ka laʻana, inā moeʻuhane ʻoe e kuʻi ana i kekahi, hiki iā ʻoe ke kuʻi iā lākou, e hoʻolei i kou mau lima, a e ʻuwā. Hiki i ka poʻe me RBD ke ala aʻe me ka huikau inā he ʻoiaʻiʻo ka moeʻuhane a ʻaʻole paha.

Nā pilikia hiamoe ʻē aʻe e pili ana me LBD:

  • Ka hiamoe nui i ke ao
  • Nā loli i nā ʻano hiamoe
  • ʻAʻole hiki ke hiamoe

He aha ka Dysautonomia?

ʻO Dysautonomia kahi inoa maʻamau no kahi hui o nā kūlana e kū mai ana ke hana pono ʻole kā mākou ʻōnaehana nerve autonomic (ANS) .

ʻO ka ʻōnaehana nerve autonomic (ANS) ka ʻāpana o ko kākou kino e kaohi ana i nā hana a kākou i ʻike ʻole ai. Eia kekahi laʻana, ka helu o ka puʻuwai, ke koko, ka hanu ʻana, ka ʻai ʻana, a me nā mea ʻē aʻe he nui.

Hiki i nā poʻe me LBD ke loaʻa nā pilikia me kēia ʻōnaehana nerve autonomic, hiki ke hana i nā hōʻailona e like me:

  • Nā loli i ka mahana o ke kino
  • Nā loli i ke koko
  • Pōʻino
  • Ka mae ʻana
  • Hypersensitivity i ka wela a me ke anu
  • Hana ʻino i ka moekolohe
  • Ka hoʻōki ʻana o ka mimi
  • ʻO ka hoʻōki ʻana o ka ʻōpū (fecal)
  • Ka paʻa ʻana o ka ʻōpū

Nā loli i ke ʻano a me ke ʻano

Hiki i ka poʻe me LBD ke ʻike i nā loli i ko lākou ʻano a me ko lākou naʻau . Hiki i kēia mau mea ke lilo i mea koʻikoʻi i ka wā e emi ai ko lākou hiki ke noʻonoʻo. Hiki iā ʻoe ke ʻike i nā hōʻailona e like me:

  • Kaumaha
  • Hopohopo
  • Ka huhū, ka hoʻomaha ʻole a i ʻole ka huhū
  • Nā Manaʻo Hoʻopunipuni : Eia kekahi laʻana, ka manaʻoʻiʻo e hoʻāʻo malū ana kekahi e hoʻomake iā ʻoe.
  • He hilinaʻi ʻole i nā poʻe ʻē aʻe a me ka noʻonoʻo ʻole (Paranoia)

He aha ke kumu o ka dementia kino Lewy (LBD)?

ʻO ka LBD a me ka maʻi Parkinson dementia i hoʻokumu ʻia e ka hōʻiliʻili ʻana o kahi protein i kapa ʻia ʻo alpha-synuclein , i kapa ʻia ʻo Lewy bodies, i loko o nā nerve cell o ka lolo. Ke hōʻiliʻili kēia mau Lewy bodies i loko o nā nerve cell, hōʻino lākou i kēlā mau cell a hoʻopilikia i ka hana o kekahi mau ʻāpana o ka lolo.

Eia nō naʻe, ʻaʻole maopopo i nā kānaka noiʻi ke kumu e loaʻa ai i kekahi poʻe nā kino Lewy a ʻaʻole kekahi. Ua manaʻo ʻia he hui pū ʻana o nā loli genetic, nā kumu kaiapuni, a me ka ʻelemakule ke kumu o ke kūlana. Ke hoʻomau nei ka noiʻi ʻana e ʻike i nā kumu.

Hōʻike nā ʻike hou i kēia manawa he kuleana ko nā kumu hoʻoilina i ka ulu ʻana o LBD. ʻO ka gene `APOE` a me ka gene `GBA`Ua ʻike ʻia kekahi mau ʻano like ʻole o nā ʻano gene ʻelua e hoʻonui i ka pilikia o LBD. Ua ʻike mua ʻia ka gene APOE e hoʻonui i ka pilikia o ka loaʻa ʻana o ka maʻi Alzheimer. Aia kekahi mau hōʻike e hoʻonui ana i kēia gene i ka pilikia o LBD. Hoʻonui pū ka gene GBA i ka pilikia o ka maʻi Parkinson a me LBD.

Eia nō naʻe, ʻaʻole i manaʻo ka poʻe ʻepekema i kēia mau loli genetic ke kumu nui o LBD. Ua manaʻoʻiʻo ʻia ʻaʻole i hoʻoilina ʻia ke ʻano i ka hapa nui o nā maʻi LBD .

Pehea e ʻike ʻia ai ka Lewy Body Dementia (LBD)?

Hiki ke paʻakikī iki ka ʻike ʻana i ka LBD no ka mea ua like loa nā hōʻailona mua o ka LBD me nā maʻi lolo ʻē aʻe a i ʻole nā ​​​​maʻi noʻonoʻo.

ʻAʻohe hoʻokolohua lapaʻau kikoʻī i kēia manawa e hiki ai ke ʻike i ka LBD me ka pololei 100%. Pono paha kahi hui o nā loea e hana i kahi hōʻailona. Hiki i kēia mau mea ke komo pū me:

  • Nā kauka lolo
  • Nā kauka lapaʻau geriatric
  • Nā kānaka lapaʻau lolo
  • Nā Kauka Geriatric

Hiki ke hoʻokomo ʻia nā kānaka e like me kēia. Ma ka hoʻohui ʻana i nā hoʻokolohua a me nā hōʻailona o kēia mau mea a pau e hiki ai ke loaʻa kahi hōʻoia o "probable LBD".

Me ka emi mālie ʻana o ka ʻike a hiki i kahi e hoʻopilikia ai i nā hana o kēlā me kēia lā, ʻoi aku ka nui o ka loaʻa ʻana o LBD inā loaʻa ma ka liʻiliʻi ʻelua o nā hiʻohiʻona koʻikoʻi ʻehā. Inā hoʻokahi wale nō hiʻohiʻona, ua manaʻo ʻia he hiki ke loaʻa ʻo LBD:

  • Nā loli i ka ʻike a me ke ʻano
  • Nā hallucinations ʻike hou
  • Ka maʻi hiamoe wikiwiki o ka neʻe ʻana o ka maka (REM)
  • ʻO ka maʻi Parkinson

Hiki ke ʻike ʻia kekahi kanaka me ka maʻi Parkinson me LBD inā loaʻa iā lākou nā pilikia noʻonoʻo i loko o hoʻokahi makahiki o ka hoʻomaka ʻana o nā pilikia neʻe.

Hoʻohana nā kauka i kēia mau ʻano hana e ʻike ai i ka LBD a hoʻopau i nā maʻi ʻē aʻe me nā hōʻailona like:

  • Ka mōʻaukala lapaʻau kikoʻī a me ka hoʻokolokolo kino: E nīnau kāu kauka e pili ana i kou mōʻaukala o nā hōʻailona. E haʻi iā lākou e pili ana i kekahi kino, noʻonoʻo, hoʻomanaʻo, naʻau, ʻano, neʻe ʻana, hiamoe, a i ʻole nā ​​​​loli ʻē aʻe āu i loaʻa ai. Hiki iā lākou ke nīnau i kou ʻohana a me nā hoaaloha e pili ana i kāu mau hōʻailona. E haʻi pū i kāu kauka e pili ana i nā lāʻau lapaʻau, nā mea hoʻohui, nā huaora, nā huahana lāʻau lapaʻau, a me nā lāʻau lapaʻau ma luna o ke kūʻai aku āu e lawe nei.
  • Nā hoʻokolohua kiʻi: MRI scan a me CT scanʻAʻole hiki i kēia mau hoʻokolohua ke ʻike i ka LBD no ka mea ua like nā loli o ka lolo i loko o ke kanaka me LBD me nā mea i loko o ke kanaka me ka dementia vascular. Eia nō naʻe, hiki iā lākou ke kōkua i ka kāpae ʻana i nā kumu ʻē aʻe, e like me ke kahe koko o ka lolo a i ʻole ka puʻupuʻu.
  • Hoʻokolohua neurological: Hoʻāʻo kēia i kāu hana noʻonoʻo. Hoʻāʻo ia i nā mākau noʻonoʻo e like me ka hoʻomanaʻo, ka hiki ke loaʻa huaʻōlelo, ka nānā ʻana, a me nā mākau ʻike maka-wahi.
  • Nā hoʻāʻo koko: Hiki i kāu kauka ke kauoha i nā hoʻāʻo koko thyroid , nā hoʻāʻo e nānā i kāu mau pae huaora B12 , a me nā hoʻāʻo e nānā i nā maʻi e like me ka syphilis a me ka HIV . Hiki i kēia mau hoʻāʻo ke kōkua i ka kāpae ʻana i nā kumu ʻē aʻe o ka dementia.
  • Nā haʻawina hiamoe: Hiki i kāu kauka ke ʻōlelo aku i kahi haʻawina hiamoe e nānā i ka maʻi ʻano hiamoe REM. Pili kēia i ka noho ʻana i hoʻokahi pō ma kahi keʻena hoʻokolohua. I loko o kēia hoʻāʻo, nānā nā mea ʻike i kou helu puʻuwai, ka hana o ka lolo, nā ʻano hanu, nā neʻe ʻana o ka lima a me nā wāwae, a me ka ʻōlelo. Hiki ke hoʻopaʻa ʻia kāu ʻano i ka wā hiamoe REM e ke wikiō.

Pehea e mālama ʻia ai ʻo Lewy Body Dementia (LBD)?

ʻAʻohe lāʻau lapaʻau no LBD i kēia manawa . Eia nō naʻe, hiki i nā lāʻau lapaʻau a me nā lāʻau lapaʻau ʻole, e like me ka physiotherapy, ka hana lapaʻau, a me ka ʻōlelo lapaʻau, ke kōkua i ka kaohi ʻana i nā hōʻailona e like me ka hiki.

Nā lāʻau lapaʻau e kōkua ai i ka mālama ʻana i nā hōʻailona LBD:

  • Nā mea hoʻopaʻa Cholinesterase: No kēia hui nā lāʻau lapaʻau e like me rivastigmine , galantamine, a me donepezil . Kōkua lākou i ka kaohi ʻana i nā pilikia noʻonoʻo o LBD.
  • Carbidopa-levodopa: ʻO Levodopa, kahi lāʻau i hoʻohana pinepine ʻia e mālama i ka maʻi o Parkinson, hoʻohana ʻia e mālama i nā hōʻailona o ka maʻi o Parkinson, e like me ka haʻalulu. Eia nō naʻe, hiki iā ia ke hana i nā hopena ʻaoʻao koʻikoʻi. No ka laʻana, hiki ke hoʻonui ʻia nā hallucinations a me ka huikau.
  • Pimavanserin: Hiki ke hoʻohana ʻia kēia lāʻau lapaʻau e mālama i ka psychosis, ʻo ia ke ʻano e ʻike ai ka poʻe me ka dementia ma muli o ka maʻi Parkinson i nā hallucinations a me nā manaʻoʻiʻo wahaheʻe.
  • ʻO Clonazepam a me melatonin: Hiki i kēia mau lāʻau lapaʻau ke kōkua i nā maʻi hiamoe REM.
  • Nā Lāʻau Hoʻēmi i ka Manaʻo: He mea maʻamau ke kaumaha i nā poʻe me LBD. Pono paha kēia i nā lāʻau hoʻēmi i ka manaʻo e like me SSRIs (selective serotonin reuptake inhibitors) .
  • Memantine:Hoʻokomo pinepine ʻia kēia lāʻau lapaʻau e mālama i ka dementia i hoʻokumu ʻia e ka maʻi Alzheimer, akā ua ʻike ʻia nā hoʻokolohua lapaʻau he mea pono paha ia no ka poʻe me LBD i nā wā mua o ka maʻi.

Hiki i nā poʻe me LBD ke komo i nā ʻano lapaʻau like ʻole e hoʻomaikaʻi i ko lākou ola, e like me:

  • Hoʻōla kino
  • Hoʻōla hana
  • Hoʻōla ʻōlelo
  • Nā hui kākoʻo
  • Nā psychotherapy pilikino a me ka ʻohana (nā therapy kamaʻilio)
  • Hoʻoikaika kino

I nā hihia koʻikoʻi o LBD, ʻoi aku ka kūpono o ka mālama palliative - ʻo ia hoʻi, ka mālama e hōʻoluʻolu i nā hōʻailona, ​​​​hāʻawi i ka hōʻoluʻolu, a me ke kākoʻo - ma mua o nā hana lapaʻau koʻikoʻi a i ʻole ka mālama ʻana i ka haukapila.

Hiki ke pale ʻia ka Lewy Body Dementia (LBD)?

I kēia manawa, ʻaʻohe ala i ʻike ʻia e pale aku ai i ka Lewy body dementia (LBD).

He aha ka wānana o kēia maʻi?

Ma muli o ka holomua mālie o ka LBD i ka hala ʻana o ka manawa, hiki ke ʻano like ka nānā ʻana no ka maʻi mai ka maikaʻi a i ka maikaʻi ʻole .

Hiki i nā kānaka me LBD ke make mai nā ʻano pilikia like ʻole. Eia kekahi laʻana:

  • Nā hāʻule
  • Ka neʻe ʻole ʻana
  • Nā pilikia o ka puʻuwai
  • Nā hopena ʻaoʻao o ka lāʻau lapaʻau
  • Pneumonia
  • Nā pilikia ale ʻana
  • Kaumaha e alakaʻi ana i ka pepehi kanaka
  • Nā hopena i nā lāʻau antipsychotic hanauna kahiko i hoʻohana ʻia no kekahi mau maʻi noʻonoʻo, e.g. neuroleptic malignant syndrome .

Inā ua ʻike ʻia ʻoe a i ʻole kekahi mea kokoke iā ʻoe me LBD, he mea nui e aʻo e pili ana i ke kūlana a me nā lāʻau lapaʻau a me nā lāʻau lapaʻau e hiki ke kōkua iā ʻoe e noho ʻoluʻolu a palekana hoʻi.

He aha kaʻu e manaʻo ai inā loaʻa iaʻu a i ʻole kekahi mea kokoke iaʻu ʻo LBD?

He ʻokoʻa ka ʻike o kēlā me kēia kanaka me LBD. ʻAʻole hiki ke ʻōlelo pololei i ka lōʻihi a i ʻole ka wikiwiki o ka holomua ʻana o ka maʻi. Eia nō naʻe, hiki i kou olakino laulā a me nā kūlana olakino ʻē aʻe āu e loaʻa ai ke hoʻopilikia i kēia.

No ka mea, he maʻi holomua ka LBD, piʻi aʻe nā pilikia i ka hana noʻonoʻo a me ke kino i ka hala ʻana o ka manawa. ʻAʻohe ala e hoʻōki ai i ka holomua o kēia maʻi i kēia manawa.

Akā, aia mau ka manaʻolana . Ke hoʻomau nei ka noiʻi ʻana i ka dementia i hoʻokumu ʻia e nā kino Lewy, ka maʻi Alzheimer, a me ka maʻi Parkinson. Ke ʻike ʻia nei nā lāʻau lapaʻau hou, a ke hoʻāʻo ʻia nei nā lāʻau lapaʻau hou.

He aha ka awelika o ke ola o kekahi me LBD?

ʻO ka awelika o ke ola ma hope o ka ʻike mua ʻia ʻana o LBD ma kahi o ʻelima a ʻewalu mau makahiki.Eia nō naʻe, aia kekahi mau hihia kahi e ola ai kekahi mau maʻi LBD no kahi o 20 mau makahiki ma hope o ka hōʻoia ʻia ʻana.

ʻO kēia haʻahaʻa o ke ola ma muli paha o ka nele o ka ʻike i waena o nā kauka a me ka lehulehu e pili ana i ka LBD a me ka paʻakikī i ka hoʻokaʻawale ʻana iā ia mai nā kūlana like ʻē aʻe. ʻO ka hopena, ua lohi ka ʻike ʻana a me ka hoʻomaka ʻana o ka lāʻau lapaʻau kikoʻī.

Pehea ʻoe e mālama ai i kekahi me LBD?

Inā ʻoe e mālama ana i kahi mea i ʻike ʻia me LBD, he mea nui e aʻo e pili ana i ke kūlana a e ʻimi i ka ʻōlelo aʻoaʻo loea no ka mālama ʻana iā lākou ma ka home. ʻO ka hoʻomaopopo ʻana iā LBD e kōkua iā ʻoe e hoʻoponopono i nā pilikia o kēlā me kēia lā.

Pono paha ʻoe e hana i kekahi mau hoʻololi i kou home e maʻalahi ai nā hana o kēlā me kēia lā no lākou. Eia kekahi laʻana, hiki i ka loaʻa ʻana o kahi ʻano mālamalama, hauʻoli, a kamaʻāina ke kōkua. He mea nui hoʻi e hōʻoia i ka palekana o ka home a ʻaʻohe mea e hiki ai ke hoʻopilikia iā lākou. Hiki i ka hui lapaʻau o kāu mea aloha ke alakaʻi iā ʻoe ma o kēia mau hoʻololi.

I ka nalowale ʻana o ka hiki i ka poʻe me LBD ke noʻonoʻo a me ke kumu, pono paha ʻoe e koho i kekahi e mālama i kā lākou kālā. He mea nui hoʻi e hoʻomaopopo pono i kā lākou makemake e pili ana i ka mālama ʻana, ke kālā, a me nā mea kānāwai ma mua o ka lilo ʻana o kā lākou hana noʻonoʻo i mea ʻino loa.

Āhea wau e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe a i ʻole kekahi mea kokoke iā ʻoe nā hōʻailona o LBD, e kamaʻilio me kāu kauka .

Inā ua ʻike ʻia ʻoe me LBD, pono ʻoe e ʻike pinepine i kāu hui lapaʻau e nānā i kou olakino a me nā hōʻailona, ​​​​a e hōʻoia i ka hana pono ʻana o kāu mau lāʻau lapaʻau.

ʻO ka ʻike mua ʻana i ka LBD hiki ke kōkua iā ʻoe a me kou ʻohana e hoʻolālā no kahi ola koʻikoʻi pū, a kōkua iā ʻoe e hoʻonohonoho i kāu mau hoʻolālā kānāwai, kālā, a me ka mālama ola kino a me nā makemake. E mākaukau kāu hui lapaʻau e hāʻawi i ka hoʻonaʻauao, ke kākoʻo, a me ka mālama ʻana iā ʻoe a i ʻole kāu mea aloha. E nīnau i kāu hui lapaʻau e pili ana i nā hui kākoʻo LBD ma kou wahi. Hiki i kēia mau hui ke lilo i ala maikaʻi loa e kaʻana like i nā ʻōlelo aʻoaʻo mālama a manaʻo hōʻoia ʻaʻole ʻoe hoʻokahi.

Leka Lawe-Home

  • ʻO Lewy body dementia (LBD) kahi ʻano dementia i hoʻokumu ʻia e ka waiho ʻana o nā protein i kapa ʻia ʻo Lewy bodies i loko o ka lolo, e hoʻopilikia ana i ka hoʻomanaʻo, ka neʻe ʻana, ke ʻano, a me ka hiamoe.
  • Hiki i kona mau hōʻailona ke like me nā maʻi o Alzheimer a me Parkinson, a hiki ke komo pū me nā loli i ka ʻike, nā hallucinations, nā hōʻailona o Parkinson, a me nā pilikia hiamoe.
  • He mea paʻakikī ka ʻike ʻana i ka LBD a pono paha ke kōkua o kahi hui o nā kauka loea.
  • ʻOiai ʻaʻohe lāʻau lapaʻau piha, hiki i nā lāʻau lapaʻau a me nā ʻano lāʻau like ʻole ke kāohi i nā hōʻailona a hoʻomaikaʻi i ka maikaʻi o ke ola.
  • Inā loaʻa iā ʻoe a i ʻole kekahi mea kokoke iā ʻoe nā hōʻailona o LBD, he mea nui e ʻimi koke i ke aʻo lapaʻau. Hiki i ka ʻike mua ʻana a me ka mālama ʻana ke pōmaikaʻi nui i ka mea maʻi a me ka ʻohana.
  • He mea nui hoʻi e kākoʻo i ka mea maʻi, hana i kahi wahi palekana, a e ʻimi i ke kōkua mai nā hui kākoʻo.

Manaʻolana wau he kōkua kēia ʻike iā ʻoe. Inā he mau nīnau hou aku kāu, mai kānalua e kamaʻilio me ke kauka.


ʻO ka dementia kino Lewy, LBD, dementia, maʻi Parkinson, maʻi Alzheimer, nalowale hoʻomanaʻo, emi ʻana o ka noʻonoʻo, nā maʻi neurological

Frequently Asked Questions (FAQ)

He aha ka pilina ma waena o LBD, ka maʻi o Alzheimer, a me ka maʻi o Parkinson?

ʻO ka Dementia me nā kino Lewy a me ka maʻi Parkinson dementia (PDD) ʻelua mau kūlana pili e hāʻule ana i loko o ka māhele nui o LBD. I kekahi manawa, hiki i nā kauka ke kuhi hewa i kahi mea me LBD me ka maʻi Parkinson a i ʻole ka maʻi Alzheimer ma muli o nā hōʻailona.

⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

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