Ke kumu nei anei nā hahau liʻiliʻi pinepine i ka nalowale o ka hoʻomanaʻo? (Multi-Infarct Dementia) E aʻo pono kākou i ke ʻano o ia mea!

Ke poina nei paha kekahi ʻelemakule i loko o kou home, malia paha kou makuahine, kou makuakāne, a kupuna wahine paha, i nā mea? Ke huikau nei lākou i nā huaʻōlelo i ka wā e hele ana? A i ʻole pilikia lākou i ka loaʻa ʻana o ko lākou ala ʻoiai ke hele nei ma ke alanui kamaʻāina? ʻOiai ke ʻano o kēia mau mea e like me nā mea maʻamau e hana ʻia i ko kākou wā ʻelemakule, i kekahi manawa hiki ke ʻoi aku ma mua o kēlā. I kēia lā e kamaʻilio mākou e pili ana i ia ʻano maʻi, ʻo ia hoʻi, kahi maʻi nalowale hoʻomanaʻo i hoʻokumu ʻia e kahi moʻo o nā hahau liʻiliʻi (nā maʻi hapa).

He aha ka Multi-Infarct Dementia?

I ka ʻōlelo maʻalahi, ʻo Multi-Infarct Dementia (MID) kahi kūlana i hōʻino ʻia ai nā ʻāpana lolo e nā poloka liʻiliʻi i loko o nā kīʻaha koko e hoʻolako ana i ke koko i ka lolo, e hoʻoulu ai i ka nalowale o ka hoʻomanaʻo. ʻO "Multi" ma ʻaneʻi ke ʻano he "nui" a i ʻole "nui." ʻO "Infarct" ke ʻano o ka nalowale ʻana o ke koko i kahi ʻāpana o ka lolo, e make ai nā ʻiʻo. Pale kēia mau hahau i nā ʻiʻo lolo mai ka loaʻa ʻana o ke koko lawa, ʻo ia hoʻi, ʻaʻole lawa ka oxygen a me nā meaʻai.

ʻO ka Dementia kahi kūlana i emi ai ka hana noʻonoʻo ma mua o ka mea maʻamau ma mua, e hoʻopilikia ana i nā hana o kēlā me kēia lā a hiki i kahi e lilo ai i mea paʻakikī ke hana i nā hana o kēlā me kēia lā. Hiki i ke kanaka me ka dementia ke loaʻa i ʻelua a ʻoi aku paha o kēia mau mea:

• Poho ka hoʻomanaʻo.
• Ka emi ʻana o ka hiki ke noʻonoʻo a me ka hoʻoholo ʻana.
• Paʻakikī i ka ʻōlelo ʻana.
• Hoʻemi ʻia ke kaulike a me ka hoʻonohonoho ʻana.
• ʻAʻole hiki ke kāohi i nā manaʻo, nā loli pinepine.
• Nā loli ʻano.

ʻO kēia dementia multi-infarct kahi maʻi e pili ana i ka māhele o ka dementia vascular . ʻO ke koko kiʻekiʻe kahi kumu pilikia nui no kēia.

Pehea ka maʻamau o kēia ʻano?

He maʻi maʻamau loa ka dementia multi-infarct. ʻO ia ke kumu maʻamau ʻelua o ka dementia ma hope o ka maʻi Alzheimer . I kekahi manawa hiki i nā maʻi ʻelua ke noho pū.

Hoʻopilikia pinepine ʻo MID i nā kānaka ma waena o 60 a me 75 mau makahiki. Ua ʻōlelo ʻia hoʻi he ʻoi aku ka maʻamau o ia i nā kāne ma mua o nā wahine.

He aha nā hōʻailona o ka dementia multi-infarct (MID)?

Hiki ke hoʻomaka koke nā hōʻailona o ka dementia multi-infarct (MID). Eia nā hōʻailona nui:

• Hopohopo koke, nā pilikia hoʻomanaʻo pōkole (e.g. poina i ka mea āu i ʻai ai no ka ʻaina kakahiaka).
• E nalowale ana, ʻaʻole hiki ke loaʻa kou ala, ʻoiai ma nā wahi maʻa mau.
• Ke hele nei me nā kapuaʻi liʻiliʻi a me kahi hele wikiwiki.
• ʻAʻole hiki ke kāohi i ka mimi a i ʻole ka ʻōpala.
• Ke ʻakaʻaka a uē paha i nā manawa kūpono ʻole.
• Ka paʻakikī i ka hoʻomaopopo ʻana a me ka hahai ʻana i nā kuhikuhi.
• Nā pilikia me ka helu ʻana i ke kālā a me ke kūʻai ʻana i nā mea me ke kālā.

ʻOiai kekahi poʻe me MID e ʻike i ka emi ʻana o nā hōʻailona no kekahi manawa a ʻoi aku ka maikaʻi,, ma hope o kekahi hahau ʻana a i ʻole kekahi mau hahau hou aʻe, e ʻoi aku ka ʻino o ke kūlana. Ua like ia me ka iho ʻana i lalo o kahi alapiʻi, e ʻoi koke ka ʻino o ke kūlana, malia paha e maikaʻi iki aʻe, a laila e ʻoi aku ka ʻino.

He aha nā hōʻailona o ka mini-stroke (TIA)?

Hoʻokumu ʻia ka dementia multi-infarct e nā hahau liʻiliʻi he nui, a i ʻole nā ​​​​​​hoʻouka ischemic transient (TIAs) . Ua like nā hōʻailona o kahi TIA me nā hōʻailona o ka hahau maʻamau, akā hiki ke ʻoluʻolu. ʻO ka maʻamau, hiki koke mai nā hōʻailona:

• Ka ʻike maka pōwehiwehi a i ʻole ka nalowale ʻana o ka ʻike ma kekahi a i ʻole nā ​​maka ʻelua.
• Ka maneʻo a nāwaliwali paha ma ka maka, nā lima, a i ʻole nā ​​wāwae, ʻoi aku hoʻi ma kekahi ʻaoʻao o ke kino.
• ʻEha poʻo nui.
• Ka paʻakikī o ka hele wāwae.
• Pōʻaiʻī.
• Ka nalowale ʻana o ke kaulike i loko o ke kino.
• Ka paʻakikī i ka ʻōlelo ʻana a i ʻole ka hoʻomaopopo ʻana i ka mea i ʻōlelo ʻia.

ʻO ka mea nui loa: Inā ʻike ʻoe i nā hōʻailona o ka hahau ʻana a i ʻole TIA e like me kēia, ʻoiai inā nalo lākou ma hope o kekahi manawa, pono ʻoe e hele i ka haukapila a ʻimi koke i ke kōkua lapaʻau! No ka mea, he hōʻailona paha ia o kahi hahau nui.

He aha ke kumu o ka dementia multi-infarct (MID)?

E like me kā mākou i ʻōlelo ai ma mua, ʻo ke kumu nui o kēia ma muli o kekahi mau hahau liʻiliʻi e hōʻino ana i ka ʻiʻo o ka lolo. Hiki mai kahi hahau ke ʻoki ʻia ke kahe koko i kahi ʻāpana o ka lolo. Hiki ke loaʻa kahi hahau ke ālai ʻia nā kīʻaha koko e hoʻolako ana i ke koko i ka lolo, a i ʻole ke ālai ʻia nā plaques, ʻo ia hoʻi nā waihona momona e hōʻiliʻili ana i loko o nā kīʻaha koko, i nā kīʻaha koko.

ʻAʻole ʻike ka nui o ka poʻe me MID ua loaʻa iā lākou kahi mini-stroke. ʻO kēia no ka mea, i kekahi manawa, i loko o kēia mau mini-stroke, hiki i ke kīʻaha koko i paʻa ke wehe hou i loko o nā minuke. A laila, ʻo nā hōʻailona o ka stroke (e like me ka numbness ma kekahi ʻaoʻao o ke kino) e hele mai a hele wale no kekahi manawa.

E noʻonoʻo, aia kou hoalauna, ʻo ʻAnakala Nimal, ma laila. I kekahi lā, ʻoiai ʻo ia e kamaʻilio ana me ia, ua ʻōhumu koke kāna mau ʻōlelo, a me he mea lā ua mae kona lima no kekahi manawa. Ua nalowale ia i loko o kekahi mau minuke. ʻAʻole ʻo ia i hoʻolohe nui i ia mea. Ua manaʻo ʻo ia, "Ua luhi paha ʻo ia." Akā i ka wā i hana ʻia ai kekahi mau hanana liʻiliʻi e like me ia i loko o kekahi manawa, ua hoʻomaka mālie lākou e hoʻopilikia i kona hoʻomanaʻo a me ke ʻano o kona noʻonoʻo ʻana. ʻO ia ke ʻano o kēia maʻi. ʻO kēia mau hahau liʻiliʻi e hōʻino i nā ʻiʻo o ka lolo. Hōʻiliʻili kēlā ʻino a alakaʻi i ka dementia.

He aha nā kumu pilikia no kēia?

ʻO nā kumu pilikia no ka dementia multi-infarct ua like ia me nā mea no ka hahau ʻana. ʻO lākou kēia:

• Ke koko kiʻekiʻe (hypertension): ʻO kēia ke kumu pilikia nui loa . ʻO ke kanaka me ka ʻole o ke koko kiʻekiʻe, ʻaʻole paha e loaʻa iā ia ka MID.
• ʻO ka maʻi diabetes `(Diabetes Mellitus)` .
• Nā kūlana e hiki ai ke hana i nā ʻūpā koko a i ʻole nā ​​​​​​mea ʻē aʻe e ālai ana: no ka laʻana , atherosclerosis (mānoanoa a me ka paʻakikī o nā paia o ke aʻa), maʻi puʻuwai coronary(maʻi ʻaʻa coronary), `maʻi valve puʻuwai` (maʻi valve puʻuwai) a me `maʻi artery carotid` (maʻi o nā aʻa nui ma nā ʻaoʻao ʻelua o ka ʻāʻī).
• Hoʻonui ʻia nā pae o ka cholesterol ʻino i loko o ke koko (hyperlipidemia) .
• Puhi paka.

Pehea e ʻike ʻia ai kēia maʻi? (Diagnosis)

ʻAʻohe hoʻokolohua hoʻokahi e hiki ke hoʻomaopopo pololei i ka dementia multi-infarct. No laila, hiki ke paʻakikī ka ʻike ʻana. I kekahi manawa hiki ke like loa nā hōʻailona me ka maʻi Alzheimer. Eia kekahi, hiki i ke kanaka ke loaʻa nā maʻi ʻelua i ka manawa like.

Inā loaʻa iā ʻoe nā hōʻailona o MID, e nīnau kāu kauka e pili ana i kou mōʻaukala olakino , hana i nā hoʻokolohua kino a me nā neurological , a loiloi i kou pilikia o ka loaʻa ʻana o ka hahau. Hiki i kēia ke kōkua i ka hoʻoholo ʻana i ka hōʻailona o MID.

Hiki i kahi MRI a i ʻole CT scan o ka lolo ke kōkua i ka ʻike ʻana i ka MID, e ʻimi ana i nā wahi i hōʻino ʻia ai ka lolo. Hiki i kāu kauka ke kuhikuhi iā ʻoe i kahi loea no ka hoʻāʻo neuropsychological e loiloi i nā pilikia me kāu hana noʻonoʻo, e like me kou hoʻomanaʻo.

He aha nā lāʻau lapaʻau no ka dementia multi-infarct (MID)?

ʻO ka ʻoiaʻiʻo, ʻaʻohe lāʻau lapaʻau paʻa no MID . No ka mea, he mau loa ka pōʻino o ka lolo i hana ʻia e ka hahau ʻana, ʻo ka pahuhopu nui o ka mālama ʻana, ʻo ia ke pale ʻana i nā hahau ʻana i ka wā e hiki mai ana . Pili kēia i ka kaohi ʻana i nā kūlana e hoʻonui ai i ka pilikia o ka hahau ʻana.

E kuhikuhi kāu kauka i nā lāʻau lapaʻau no nā mea e like me:

• E kāohi i kou koko.
• E hoʻēmi i nā pae cholesterol kiʻekiʻe.
• E kāohi i nā pae kō koko (diabetes).
• Nā lāʻau hoʻokahe koko e pale ai i nā ʻūpā koko.

Paipai pū ke kauka i nā hoʻololi ola e like me:

• Hoʻoikaika kino mau.
• Ka ʻai ʻana i kahi meaʻai olakino (e.g., ka ʻai Mediterranean a i ʻole ka ʻai Dash ).
• Ke haʻalele nei i ka puhipaka a me ka inu ʻana i ka waiʻona.

He maʻi noʻonoʻo maʻamau ke kaumaha e hiki ke loaʻa me ka MID. Hiki iā ia ke hoʻonui i ka hana o ka lolo. Inā loaʻa iā ʻoe ke kaumaha, hiki i kāu kauka ke kuhikuhi i ka lāʻau lapaʻau no kēlā.

Me nā loli o ka lolo, hiki i ke kauka ke ʻōlelo i nā lāʻau lapaʻau hou aʻe e kōkua i kahi kanaka me MID e hoʻoponopono i nā kūlana hou a lanakila i nā pilikia . Eia kekahi laʻana:

• Hoʻōla ʻōlelo
• Hoʻōla noʻonoʻo
• Hoʻōla kino

He aha kaʻu e manaʻo ai inā loaʻa iaʻu a i ʻole kahi mea aloha iā MID?

Hoʻonui mālie aʻe ka multi-infarct dementia i ka hala ʻana o ka manawa.He maʻi. ʻO ke ʻano o MID ua like ia me ka iho ʻana i lalo o kahi alapiʻi. E ʻoi aku ka ʻino (i kekahi manawa e ʻoi aku ka maikaʻi ma hope iki), a laila e ʻoi aku ka ʻino ke loaʻa hou iā ʻoe kahi hahau. He ʻokoʻa ka huakaʻi a kēlā me kēia kanaka . Hiki i kāu hui lapaʻau ke hāʻawi iā ʻoe i ka manaʻo maikaʻi loa o ka mea e manaʻo ai ma muli o kou kūlana.

Ma keʻano laulā, ʻoi aku ka pōkole o ke ola o ka poʻe me MID a me nā ʻano vascular dementia ʻē aʻe. ʻO kēia no ka mea ʻoi aku ka nui o ko lākou pilikia o ka loaʻa ʻana o ka hahau hou a i ʻole ka hōʻeha puʻuwai.

Hiki ke pale ʻia ka dementia multi-infarct (MID)?

ʻO ka lāʻau lapaʻau maikaʻi loa no MID, ʻo ia ka hoʻāʻo ʻana e pale aku iā ia i ka wā ʻōpiopio o ke ola . Eia kekahi mau ala e hiki ai iā ʻoe ke hoʻāʻo e pale aku iā MID ma ka hoʻēmi ʻana i kāu mau kumu pilikia:

• Ka mālama ʻana i ke olakino o ke koko, ka cholesterol kiʻekiʻe, a me ke kō koko.
• Ka mālama ʻana i kahi kaumaha olakino e kūpono iā ʻoe.
• Hoʻoikaika kino mau.
• Ka ʻai ʻana i kahi meaʻai olakino a kaulike (e.g. ʻai Mediterranean a i ʻole ka ʻai Dash ).
• Ke haʻalele ʻana i ka puhipaka (e noi i ke kōkua o kāu kauka).
• Ka hōʻemi ʻana i ka inu ʻona.
• Ka mālama ʻana i ke kaumaha (e hoʻāʻo i nā hoʻomaʻamaʻa hoʻomaha, ka noʻonoʻo ʻana, ka yoga, a me nā mea ʻē aʻe).
• E lawe i nā lāʻau lapaʻau a pau i kuhikuhi ʻia e kāu kauka me ka pololei a me ka manawa kūpono . Inā loli a ʻoi aku paha ka ʻino o kou mau hōʻailona, ​​e kamaʻilio me kāu kauka. Mai hoʻōki i ka lawe ʻana i kāu lāʻau lapaʻau a hoʻololi paha i ka nui me ka ʻole o ke kamaʻilio ʻana me kāu kauka.

Pehea wau e mālama ai i kekahi me MID? A i ʻole pehea wau e mālama ai iaʻu iho?

Pono ke kanaka me MID i ke kōkua me kekahi o kā lākou mau hana o kēlā me kēia lā . Eia kekahi laʻana, ka lawe ʻana i nā lāʻau lapaʻau, ka uku ʻana i nā bila, a me ka hoʻomākaukau ʻana i nā meaʻai. ʻOiai hiki i ka poʻe me MID ke hana i nā mea he nui ma o lākou iho, ma muli o ke koʻikoʻi o kā lākou mau hōʻailona, ​​ʻaʻole paha e palekana ke noho hoʻokahi . Pono paha kekahi poʻe me MID i ka mālama kūikawā mai nā hale hana i loea i ka mālama ʻana i ka dementia.

I ka manawa hea ʻoe e pono ai e ʻike i ke kauka?

Pono ʻoe a i ʻole kāu mea mālama e kāhea i kāu kauka inā:

• Inā e ʻoi aku ka ʻino o kou mau hōʻailona.
• Inā ʻike ʻia nā hōʻailona hou.
• Inā hoʻoulu ka lāʻau lapaʻau i nā hopena ʻaoʻao hoʻopilikia.

Ua like anei ka multi-infarct dementia (MID) me ka maʻi Alzheimer?

ʻAʻole. ʻOiai hiki i kēia mau kūlana ʻelua ke hoʻoulu i ka dementia, ua hana ʻia e nā mea like ʻole . ʻO ka Dementia ka emi ʻana o ka hana noʻonoʻo a hiki i kahi e hoʻopilikia ai i ke ola o kēlā me kēia lā a me nā hana a ke kanaka.

ʻO ka Dementia ma muli o MID ke kumu o nā hahau he nui e hōʻemi ana i ke kahe o ke koko i ka lolo a hōʻino i nā ʻiʻo lolo.ʻO ka maʻi Alzheimer kahi ʻano dementia i hoʻokumu ʻia e nā waihona protein ʻano ʻē i loko o ka lolo. I ka maʻi Alzheimer, ʻo kēia mau waihona o nā protein i kapa ʻia ʻo `(amyloid protein)` a me `(tau protein)` ke kumu o ka make ʻana o nā hunaola o ka lolo.

Eia kekahi, ulu mālie nā hōʻailona o Alzheimer, ma ke ʻano mau . I ka MID, hiki ke loli koke a lohi paha.

Ua like anei ka multi-infarct dementia (MID) me ka vascular dementia?

ʻO ka dementia multi-infarct hoʻokahi wale nō ʻano o ka dementia vascular . Aia kekahi mau ʻano ʻē aʻe o ka dementia vascular:

• ʻO ka dementia vascular subcortical (ka maʻi Binswanger): He kūlana kahi e hōʻino ʻia ai ka lolo ma muli o ka mānoanoa a me ka haiki ʻana o nā aʻa i nā wahi subcortical o ka lolo.
• ʻO ka dementia e pili ana i ka hahau ʻana: ʻO ka dementia i hoʻokumu ʻia e kahi hahau hoʻokahi.
• Dementia hui ʻia: ʻO ka Dementia i hoʻokumu ʻia e nā kumu he nui. ʻO ka pinepine he hui pū ʻana kēia o ka maʻi Alzheimer a me ka dementia vascular.

He mea maʻamau ka manaʻo kaumaha ke lohe ʻoe ua loaʻa i kāu mea aloha ka dementia multi-infarct. Akā e hoʻomanaʻo, e kākoʻo kā lākou hui lapaʻau iā lākou a me ʻoe ma ke kaʻina hana holoʻokoʻa, a e hāʻawi i nā koho mālama kūpono iā ʻoe. He mea nui hoʻi e mālama iā ʻoe iho. E hui pū me nā hui kākoʻo, a i ʻole e kūkulu i kāu pūnaewele kākoʻo ponoʻī e kōkua iā ʻoe.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

ʻOiai he mea e makaʻu ai ka multi-infarct dementia, ʻo ka ʻike ʻana a me ka kaohi ʻana i nā kumu pilikia i ka wā mua hiki ke hele lōʻihi i ka pale ʻana a i ʻole ka kaohi ʻana i ke ʻano.

• E kāohi pono i nā maʻi e like me ke koko kiʻekiʻe, ka maʻi diabetes, a me ka cholesterol kiʻekiʻe .
• E pale loa i ka puhipaka.
• E hahai i kahi nohona olakino .
• Inā ʻike ʻia kekahi mau hōʻailona , ​​e ʻimi koke i ke kōkua lapaʻau.
• Inā ʻoe a i ʻole kahi mea aloha e ʻeha nei i kēia maʻi, e hoʻomanaʻo ʻaʻole ʻoe hoʻokahi. He mea nui loa ke kākoʻo mai nā kauka, nā hui kākoʻo, a me ka ʻohana.

Manaʻolana wau he mea pono kēia ʻike iā ʻoe. E ola kino!

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