Makaʻu iki mākou a pau ke ʻike mākou i ko mākou mau mākua a me nā kūpuna e nalowale mālie ana ko lākou hoʻomanaʻo i ko lākou wā ʻelemakule. "ʻO kēia anei ka hoʻomaka ʻana o ka maʻi Alzheimer?" Aia ka nīnau ma hope o ko mākou manaʻo. A hiki i kēia manawa, ua ʻike pinepine ʻia ka maʻi Alzheimer ma ka nānā ʻana i ka hoʻomanaʻo o ke kanaka a me ka ʻimi ʻana i nā hōʻailona e like me nā loli o ke ʻano. Akā i kēia manawa, ua hāpai mai kahi hui o nā loea lapaʻau kaulana o ka honua i kahi manaʻo nui e hoʻololi i kēia ʻōnaehana. Ke ʻōlelo nei lākou ma kahi o ke kali ʻana i nā hōʻailona e ʻike ʻia, pono mākou e hoʻohana i nā hōʻike olaola i loko o ke kino e ʻike i kēia maʻi ma mua o ka hiki ʻana mai.
No ke aha e pono ai ia ʻōnaehana hou?
Ke noʻonoʻo nei paha ʻoe, "No ke aha e hoʻololi ai i kēia ʻōnaehana? Aia kekahi hewa me ka ʻōnaehana o kēia manawa?" ʻOiaʻiʻo, ʻike wale ka ʻōnaehana o kēia manawa i ka maʻi ma hope o ka loaʻa ʻana o kekahi pōʻino i ka lolo a ua hoʻomaka kona hopena e hōʻike ʻia ma ke ʻano he mau hōʻailona. ʻO ia hoʻi, ua lohi iki ka loaʻa ʻana o kahi hōʻailona.
Akā ʻo kēia ka manaʻo nui o kēia noi hou.
Pono e wehewehe ʻia ka maʻi o Alzheimer ma ke ʻano biologically, ʻaʻole ma muli o nā hōʻailona.
I ka ʻōlelo maʻalahi, e like me ka mākaʻi e ʻimi nei i nā hōʻailona ma mua o ka hana ʻia ʻana o kahi hewa, ʻo ka pahuhopu ka ʻike ʻana i nā loli i ke kino ma mua o ka puka ʻana o nā hōʻailona a me ka ʻike ʻana i ka maʻi. ʻO ke kumu o kēia, me nā holomua hou o ka ʻepekema lapaʻau, ua hoʻomohala ʻia nā ʻano hoʻāʻo hou e hiki ke ʻike i kēlā mau hōʻailona olaola. ʻAe kēia i nā mea maʻi e ʻike e pili ana i ko lākou kūlana ma mua, e hoʻoholo e pili ana i ko lākou ola e like me ia, a e ʻimi koke i ka lāʻau lapaʻau e pono ai. Eia kekahi, i kekahi manawa aia paha nā maʻi ʻē aʻe e hōʻike ana i nā hōʻailona like me ka maʻi Alzheimer. Mahalo i kēia ʻano hana hou, ʻoi aku ka maʻalahi o nā kauka e ʻike pololei a wikiwiki inā he Alzheimer maoli a i ʻole kekahi maʻi ʻē aʻe.
He aha kēia mau biomarkers?
Ke lohe ʻoe i ka huaʻōlelo " bimarkers ," manaʻo paha ʻoe he huaʻōlelo nui a paʻakikī. Akā, he mea maʻalahi loa ia. E noʻonoʻo i ko kākou kino e like me nā kaʻa. Ke hoʻomaka kekahi mea e hewa me ka ʻenekini o ke kaʻa, i kekahi manawa e ʻā ana ke kukui hōʻike ma ka dashboard, ʻeā? Pēlā nō, ke hoʻomaka kekahi mea e hewa i loko o ko kākou kino, ʻike kākou i nā hōʻailona o ia mea i loko o ko kākou koko, ka wai cerebrospinal, a i ʻole nā ʻiʻo ʻē aʻe. ʻO ia ka mea a kākou e kapa nei he biomarkers.
I ka wā e pili ana i ka maʻi o Alzheimer, ʻelua mau biomarkers nui.
1. Nā protein Beta-amyloid: Hōʻiliʻili kēia mau mea i loko o ka lolo a hana i nā puʻupuʻu liʻiliʻi (nā plaques).
2. Nā protein Tau: Hōʻiliʻili kēia i loko o nā hunaola nerve i loko o ka lolo a hana i nā hiʻohiʻona.
A hiki i kēia manawa, ʻo ke ala wale nō e ʻike pololei ai i ke alo o kēia mau protein ma o nā scan lolo kūikawā (a pipiʻi hoʻi). Akā i kēia manawa, ua hoʻomohala ʻia nā hoʻokolohua koko hou e hiki ke ana maʻalahi i nā pae o kēia mau protein. ʻO kēia ka holomua nui loa i kēia manaʻo.
ʻO kahi ʻōnaehana hoʻonohonoho e like me ke kanesa
Ua lohe paha ʻoe i ke kanesa. Ma hope o ka ʻike ʻia ʻana o kahi kanesa, hoʻokaʻawale nā kauka iā ia i nā pae e like me "Stage 1" a me "Stage 2." Hāʻawi kēia i ka mea maʻi a me ka poʻe e mālama nei iā lākou i kahi ʻike maopopo i ke koʻikoʻi o ka maʻi a me ka mamao o kona laha ʻana.
I kēia manawa, ke manaʻo nei kēia poʻe loea e hoʻolauna i kahi ʻōnaehana hoʻonohonoho like no ka maʻi Alzheimer. Wahi a kēia ʻōnaehana, ua hoʻokaʻawale ʻia kahi mea maʻi i nā pae 0 a 6. Hoʻokumu ʻia kēia hoʻokaʻawale ʻana ma ke alo o nā biomarkers i ʻōlelo ʻia ma luna, a me nā loli noʻonoʻo maalea i ka hoʻomanaʻo a me ke ʻano. E ʻae kēia i ka mea maʻi a me ka ʻohana e hoʻomaopopo pono i ke pae o ka maʻi.
Pehea ka hana ʻana o kēia ʻōnaehana pae hou?
Ke kūkākūkā ʻia nei kēia ʻōnaehana i manaʻo ʻia, akā e like me ke kūlana i kēia manawa, penei ka hoʻokaʻawale ʻana o nā pae.
| Kahua | Manaʻo a me ka wehewehe ʻana |
|---|---|
| Pae 0 | ʻAʻohe hōʻailona o kēia poʻe, ʻaʻohe biomarkers, akā he mau genes ko lākou e hoʻonui ai i ka pilikia o ka loaʻa ʻana o Alzheimer's i ka wā e hiki mai ana (e laʻa, nā poʻe me Down syndrome). |
| Pae 1 | ʻAʻohe hōʻailona o kēia poʻe. Maikaʻi ko lākou hoʻomanaʻo. Akā ʻike lākou he mau biomarkers ko lākou e pili ana i ka maʻi Alzheimer i ka wā o kahi hoʻāʻo koko a i ʻole scan. |
| Pae 2 | Aia kekahi mau biomarkers, a me ka hoʻomanaʻo, ke ʻano, a me ka noʻonoʻo.Ke hoʻomaka nei nā loli maalea loa. ʻAʻole paha he hopena nui kēia i nā hana o kēlā me kēia lā. |
| Pae 3 | Ua like kēia me ka mea a mākou e kapa nei ʻo "Mild Cognitive Impairment." ʻOi aku ka maopopo o nā hōʻailona e like me ka nalowale o ka hoʻomanaʻo. |
| Nā Pae 4, 5, 6 | Ua like kēia mau pae ʻekolu me ka mea a mākou e kapa nei i kēia manawa he dementia ʻoluʻolu, waena, a koʻikoʻi. Ua maopopo nā hōʻailona, a lilo ia i mea paʻakikī ke hana i nā hana o kēlā me kēia lā. |
Aia nā pono a me nā pilikia i kēia ʻano hana.
ʻO ka pōmaikaʻi nui o kēia ʻano hana hou, ʻo ia ka hiki ke ʻike i ka maʻi i ka wā mua loa . No laila, hiki i ka poʻe i kēia pae mua ke pōmaikaʻi nui mai nā lāʻau lapaʻau hou.
Akā, aia kahi pilikia nui a me ka nui o nā hoʻopaʻapaʻa. E noʻonoʻo inā ʻoe e haʻi aku i kahi kanaka olakino, me ka ʻole o ka poina a i ʻole nā hōʻailona, ma ka nānā wale ʻana i ka hopena o ka hoʻāʻo koko a me ka ʻōlelo ʻana, "He maʻi Alzheimer kou i ka wā mua," he aha ka mea e hana ʻia? Pehea lā e pili ai kēlā i ke olakino noʻonoʻo o kēlā kanaka, kā lākou mau kulekele ʻinikua, a me kā lākou hana? He mea kēia a kekahi mau loea lapaʻau e nīnau nei. No laila, inā hāʻawi ʻia kēlā ʻano hōʻailona, he mea nui loa ia e hāʻawi i ka mea maʻi i ka ʻōlelo aʻo kūpono i ka manawa like. Ke hoʻopaʻapaʻa mau nei kēia i waena o nā loea.
Eia nō naʻe, ke hōʻike nei kēia manaʻo e kokoke ana mākou e lele nui i mua i ka ʻike ʻana a me ka mālama ʻana i ka maʻi o Alzheimer.
Leka Lawe-Home
- Manaʻo nā loea e pono ke kau ʻia ke ʻano o ka ʻike ʻana i ka maʻi o Alzheimer ma nā biomarkers i loaʻa i ke koko a me nā scan, ma mua o ke kau ʻana ma nā hōʻailona.
- ʻO ka pahuhopu nui o kēia, ʻo ia ka ʻike ʻana i ka maʻi ma mua o ka puka ʻana o nā hōʻailona a hāʻawi i ka manawa kūpono no ka mālama mua ʻana.
- E like me ke kanesa, ua manaʻo ʻia e hoʻolauna i kahi ʻōnaehana hoʻonohonoho no ka maʻi o Alzheimer mai nā pae 0 a hiki i ka 6.
- Aia nō nā manaʻo like ʻole ma waena o nā loea e pili ana i ka hiki ke ʻike i ka "Alzheimer's Stage 1" inā ʻaʻohe hōʻailona o ke kanaka, akā he mau biomarkers.
- ʻOiai aia kēia mau mea a pau i ke kahua o ka manaʻo, inā e hoʻokō ʻia i ka wā e hiki mai ana, hiki iā lākou ke hana i kahi ʻokoʻa nui i ka mālama ʻana iā Alzheimer. Inā ʻoe a i ʻole kekahi mea kokoke iā ʻoe e loaʻa ana i nā pilikia hoʻomanaʻo, he mea nui e kamaʻilio me kāu kauka e pili ana i ia mea.











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