Yu dɔn ɛva notis se yu mama, papa, grani, ɔ granpa kin fɔgɛt tin as dɛn de ol? Sɔntɛnde, i nɔmal fɔ fɔgɛt usay yu ki dɛn de, pɔsin in nem, ɔ wetin yu bin fɔ du. Pan ɔl we wi kin tink se dis na "jɔs aw wi kin ol," sɔmtɛm if dis fɔgɛt kin so bad dat e kin mek i nɔr izi fɔ du ɛvride woke, e kin bi di biginin fɔ wan sik wae dɛn kɔl dis maynia sik. Nɔ wɔri, wi go tɔk bɔt dis simpul we tide, so dat yu go ɔndastand.
Wetin rili na Dimɛnshɔn?
Fɔ tɔk am simpul wan, dis maynia sik nɔto wan sik. Na wan kɔlekɛshɔn fɔ sɔm sayn dɛm. I kin kam bikɔs wi bren sɛl dɛn kin pwɛl, ɛn dis kin mek wi nɔ ebul fɔ tink, mɛmba, rizin, ɛn yuz langwej smɔl smɔl. Dis sik kin afɛkt wi te wi nɔ ebul fɔ du di wok dɛn we wi kin du ɛvride fɔ wisɛf igen.
Tink bɔt dis maynia sik lɛk big ɔmbrela. Bɔku difrɛn kayn sik dɛn de ɔnda da ɔmbrela de. Di wan we impɔtant pas ɔl ɛn di wan we bɔku pipul dɛn dɔn yɛri bɔt na Alzaima . 70%-80% pan di pipul dɛm wae gɛt dis maynia sik kin gɛt dis maynia sik wae kin kam wit Alzaima sik. Bɔt, lɛk 50 ɔda sik dɛn de we kin mek pɔsin gɛt dis maynia sik apat frɔm Alzaima.
Nɔ kɔnfyus dis maynia sik wit delirium.
Sɔntɛnde, yu kin si wan ol pɔsin kin vɛks wantɛm wantɛm ɛn du tin lɛk se i nɔ de tink igen. Wi kin kɔl dis delirium. Dis kin rili difrɛn frɔm dis maynia sik.
- Delirium: Dis na wan sik wae kin kam wan wan fɔ wan ɔr tu dez . I kin kam bikɔs ɔf infekshɔn, sɔm mɛrɛsin dɛn, ɔ afta dɛn dɔn du di ɔpreshɔn. Bɔku tɛm dɛn kin trit am ɛn mɛn am kpatakpata .
- Dimɛnshɔn: Dis na sik wae kin kam smɔl smɔl fɔ sɔm mɔnt ɔr ia . Bɔku tɛm, i nɔ kin izi fɔ mek dɛn chenj am.
Yu tink se dis maynia sik na jɔs nɔmal tin we kin mek pɔsin ol?
Dis na prɔblɛm we bɔku pipul dɛn gɛt. Na nɔmal tin fɔ fɔgɛt smɔl smɔl tin dɛn as wi de ol. Bɔt dis maynia sik na sɔntin we difrɛn. Lɛ wi ɔndastand dis difrɛns klia wan.
| Nɔmal Ɛj | Sayn dɛm fɔ dimɛns |
|---|---|
| Sɔntɛnde, a kin fɔgɛt pɔsin in nem, bɔt a kin mɛmba am leta. | A kin ivin fɔgɛt di nem dɛn fɔ mi fambul dɛn we de nia mi ɛn mi padi dɛn. |
| A de luk fɔ di miro kabinɛt, usay di ki bin de, bɔt a mɛmba am afta sɔm tɛm. | Dɛn kin put tin dɛn na say dɛn we nɔ kɔmɔn (e.g., dɛn kin put di ki na di shuga bɔtul) ɛn dɛn nɔ kin ebul fɔ mɛmba aw dɛn put dɛn. |
| Ilɛksɛf yu nɔ ebul fɔ mɛmba wan wɔd, yu kin stil kɔntinyu fɔ tɔk to dɛn. | Dɛn kin fɔgɛt ivin simpul wɔd dɛn, dɛn kin fɛn wɔd dɛn we dɛn de tɔk, ɔ yuz di rɔng wɔd dɛn. |
| Dɛn kin du di wok dɛn we dɛn kin du ɛvride (fɔ kuk, fɔ pe bil) nɔmal wan. | I kin tranga fɔ du wan wok we yu dɔn praktis fayn fayn wan (e.g., fɔ mek ti), ɛn di stɛp dɛn kin kɔnfyus. |
| Di ebul fɔ disayd fɔ du sɔntin na nɔmal tin. | I nɔ kin izi fɔ pik bitwin wetin rayt ɛn rɔŋ, i kin disayd fɔ du tin dɛn we nɔ kɔmɔn (e.g., fɔ wɛr klos fɔ winta insay di sɔmma). |
Mɛmba se, nɔmal we aw yu kin mɛmba tin we kin apin we yu de ol, nɔ kin gɛt bɛtɛ impak pan yu ɛvride layf. Bɔt wit dis maynia sik, de impak kin bi mɔr ɛn mɔr.
Wetin na de tin wae kin mek pɔrsin gɛt dis maynia sik?
Dimɛns kin kam bikɔs di nerve cells (nyuron) na wi bren kin pwɛl ɛn di kɔmyunikeshɔn bitwin dɛn nɔ kin ebul fɔ tɔk. Di sayn dɛm kin difrɛn difrɛn wan bay usay na di bren dis damej kin apin.
Di men rizin dɛn na:
- Alzaima sik: Insay dis sik, di protin dεm we dεn nכ want (amyloid plaques) kin kכmכt bitwin di bren sεl dεm εn כda kayn protin (tau tangles) kin tכng insay di sεl dεm. Dis kin mek di sɛl dɛn day.
- Vascular Dementia: Na wan sik wae kin kam wae di blɔd vesel dɛm wae de kɛr blɔd go na di bren dɔn pwɛl. I kin kam bikɔs ɔf tin dɛn lɛk ay blɔd prɛshɔn, dayabitis, ay kɔlɔstrel, ɛn strok.
- Lewy body dementia (LBD): Dis kכndyushכn de kכz fכ di fכmeshכn fכ abnכmal protin kכlכm dεm we dεn kכl Lewy bכdi insay di bren sεl dεm.
- Frɔntotemporal dimɛnshɔn (FTD): .i de kכz fכ di damej pan di sεl dεm na di fכnt εn tεmporal lכb dεm na di bren. Dis kin mek big chenj pan di we aw pɔsin de biev ɛn di pɔsin we i bi.
- Bɔrku ed injury: Bɔrku ed injury wae kin kam wit aksidɛnt kin mek pɔrsin gɛt dis maynia sik bak fɔ lɔng tɛm.
Apat frɔm dat , tin dɛm wae kin trit lɛk wae yu nɔr gɛt vaytamɛn B12, wae yu gɛt prɔblɛm wit yu tayroyd ɔmon, ɛn sɔm infekshɔn kin mek yu gɛt sɔm kayn sik dɛm bak wae tan lɛk dis maynia sik. So, i rili impɔtant fɔ go to dɔktɔ jɔs afta yu gɛt prɔblɛm wit mɛmori fɔ no di rayt tin we mek yu de mɛmba.
Wetin na di tin dɛn we kin mek pɔsin gɛt dis sik? - Tin dɛm we wi fɔ no bɔt
Bɔrku tin de wae kin mek pɔrsin gɛt dis maynia sik:
- Ej: Di risk kin go ɔp smɔl smɔl afta i dɔn ol 65 ia.
- Famili histri: If pɔrsin na yu famili (mama, papa, brɔda ɛn sista dɛm) dɔn gɛt dis maynia sik, yu kin gɛt smɔl risk bak.
- At sik: Nɔr kin kɔntrol tin dɛm lɛk ay blɔd prɛshɔn, dayabitis, ɛn ay kɔlɔstrel.
- Di we aw pɔsin de liv in layf: I de smok, i de drink pasmak, i de it tin dɛn we nɔ fayn, ɛn i nɔ de du ɛksɛsayz.
- Pwɛl hat: Stret wae de fɔ lɔng tɛm ɛn pwɛl hat na tin dɛm bak wae kin mek pɔrsin gɛt dis sik.
- Sɔshial ayzolayshɔn: Fɔ de yu wan wae nɔr de soshal ɛn intarakt wit ɔda pipul dɛm nɔr fayn bak fɔ yu bren wɛl bɔdi.
Aw fɔ no di sayn dɛm wae de sho se pɔrsin gɛt dis maynia sik?
Na di fɔs tɛm wae pɔrsin gɛt dis maynia sik, de sayn dɛm kin nɔr kin no bɔt, bɔt as tɛm de go, dɛn kin kam fɔ no mɔr.
- Short-term memory loss: Fɔgɛt wetin dɛn bin dɔn tɔk shɔt tɛm bifo, aks di sem kwɛstyɔn ɔltɛm.
- Prɔblɛm fɔ tɔk to pipul dɛn: I nɔ kin izi fɔ fɛn di rayt wɔd dɛn we yu de tɔk, yu kin stɔp fɔ tink bɔt wetin yu de tray fɔ tɔk.
- Fɔ lɔs: Nɔ ebul fɔ fɛn yu we na rod we pipul dɛn kin waka fayn, ivin na yu yon vilej.
- I nɔ izi fɔ du di wok dɛn we yu kin du ɔltɛm: Fɔ kɔnfyus di stɛp dɛn fɔ simpul wok dɛn lɛk fɔ mek ti, kuk it, ɔ fɔ pe bil.
- Chenj pan pɔsin ɛn bihayvya: I kin vɛks, i kin vɛks, i kin dawt, ɔ i nɔ kin bisin bɔt ɔda pipul dɛn pas aw i bin de bifo.
- Fɔ si ɔ yɛri strenj tin (Hallucinations): Fɔ se yu si ɔ yɛri tin dɛn we nɔ rili de.
- Delusions: Fɔ biliv tranga wan tin dɛn we nɔto tru (e.g. fɔ tink se pɔsin dɔn tif mɔni).
Wetin na de tritmɛnt fɔ dis maynia sik?
Pan ɔl we bɔrku kayn dis maynia sik nɔr kin wɛl ɔl, tritmɛnt dɛn de wae kin kɔntrol de sik ɛn slo fɔ mek de sik nɔr de go bifo.
1. Di mɛrɛsin dɛn we dɛn kin yuz:
- Di wan dɛn we de stɔp di kɔlinesterase(Ex: Donepezil, Rivastigmine): Dɛn tin ya de wok bay we dɛn de mek di lɛvɛl dɛn we wan kemikal de na di bren we de ɛp fɔ mɛmba ɛn tink. Bɔrku tɛm dɛn kin gi dɛn tin ya fɔ di fɔs ɛn midul stej dɛm fɔ Alzaima sik.
- Memantine: Dis kin ɛp fɔ kɔntrol di sayn dɛm na di midul ɛn siriɔs stej na di sik.
- Apat frɔm dat, di dɔktɔ kin gi ɔda mɛrɛsin fɔ kɔntrol di prɔblɛm dɛn we i kin gɛt we i de biev (wɔri, pwɛl at).
2. Di tritmɛnt dɛn we nɔ gɛt drɔgs:
- Occupational therapy: I de tich di pɔsin ɛn di wan dɛn we de kia fɔ am aw fɔ du ɛvride wok sef ɛn izi wan.
- Fɔ pripia di envayrɔmɛnt: I impɔtant fɔ ridyus di tin dɛn we nɔ nid fɔ de na di os ɛn mek wan simpul ples we nɔ gɛt bɔku tin fɔ du. Kip tin dɛn we kin denja to di pɔsin (naif, mach) usay pɔsin nɔ go si am.
- Wan tin we yu fɔ du ɔltɛm: If yu mek wan rutin lɛk fɔ it, was, ɛn slip di sem tɛm ɛvride, dat kin mek di pɔsin nɔ wɔri bɛtɛ.
Aw fɔ liv wit dis maynia sik? - Advays fɔ di wan dɛn we sik ɛn di wan dɛn we de kia fɔ dɛn
If dɛn no se yu gɛt dis maynia sik kin mek di pɔsin ɛn dɛn famili shɔk. Bɔt if wi sɔpɔt ɛn plan di rayt we, i pɔsibul fɔ liv gud layf.
To di pɔsin we sik:
- Stay aktif: Ɛnjɔy fɔ du ɛksɛsayz ɛn gem dɛn we de mek yu bren (pazl, chɛs).
- Stay soshal: Tɔk to yu padi ɛn fambul dɛn.
- It wɛl bɔdi: It fayn it.
- Tɔk bɔt aw yu de fil: Tɔk bɔt aw yu de fil to pɔsin we yu biliv.
Fɔ di wan dɛn we de kia fɔ dɛn:
- Peshɛnt: If dɛn aks di sem tin bak ɛn bak, peshɛnt lisin. Nɔ tray fɔ agyu wit dɛn.
- Tɔk simpul wan: Tɔk insay shɔt, simpul sɛntɛns dɛn. Nɔ aks bɔku kwɛstyɔn dɛn wan tɛm.
- Tek kia ɔf sef: Mek shɔ se dɛn sef insay ɛn ausayd di os.
- Tink bɔt yusɛf bak: Fɔ kia fɔ pɔrsin wae gɛt dis maynia sik kin tranga yu maynd ɛn bɔdi. So tek tɛm rilaks ɛn tink bɔt yu wɛlbɔdi. Aks fɔ ɛp if yu nid am.
Mɛsej we dɛn kin kɛr go na os
- Dimɛnshɔn nɔto wan sik, bɔt na wan kɔlekɛshɔn fɔ sɔm kayn sayn dɛm wae kin mek pɔrsin nɔr ebul fɔ mɛmba ɛn tink.
- Na klia difrɛns de bitwin nɔmal fɔgɛt wae kin apun wae pɔrsin de ol ɛn wae pɔrsin gɛt dis maynia sik.
- If yu tink se yu ɔr pɔrsin wae yu lɛk gɛt sayn dɛm wae gɛt dis maynia sik, .Di bɛst tin fɔ du na fɔ go to dɔktɔ kwik kwik wan.
- Pan ɔl we sɔm kayn dis maynia sik nɔ kin wɛl ɔl, tritmɛnt dɛn de wae kin ɛp fɔ kɔntrol de sik ɛn fɔ mek yu liv bɛtɛ layf.
- Lɔv, peshɛnt, ɛn sɔpɔt rili impɔtant insay dis joyn, fɔ di pɔsin ɛn fɔ yu, di pɔsin we de kia fɔ yu.
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