Yu fil lɛk se yu de mɛmba smɔl smɔl? Lɛ wi tɔk bɔt MCI (Mild Cognitive Impairment)!

Wi ɔl kin fɔgɛt tin dɛn sɔntɛnde, nɔto so? Imajin, afta yu kɔmɔt na di os ɛn waka fɔ shɔt tɛm, yu tink wantɛm wantɛm se, "O mi Gɔd, a lɔk di domɔt?" Ɔ yu fɔgɛt wantɛm wantɛm wetin yu bin de go tɔk we yu de tɔk fayn to yu padi. Dɛn tin ya kin rili kɔmɔn, ɛn natin nɔ de fɔ wɔri bɔt. Bɔt, yu, yu mama, papa, ɔ pɔsin we yu lɛk, fil lɛk se dɛn fɔgɛt ya de bɔku smɔl smɔl, ɛn dɛn de mek smɔl smɔl tin dɛn bak we de ambɔg yu ɛvride? Dɔn dis atikul go rili impɔtant to yu. Tide wi de tɔk bɔt MCI, we tinap fɔ Mild Cognitive Impairment.

Wetin na MCI rili?

Fɔ tɔk am simpul wan, MCI (Mild Cognitive Impairment) na wan sik wae pɔrsin in mɛmori ɛn tinkin skil kin pwɛl smɔl . Dis na smɔl mɔ pas di nɔmal fɔgɛt we kin kam wit ol pipul dɛn. Bɔt e nɔr kin tranga lɛk de kayn sik wae de mɛk pɔrsin nɔr de mɛmba fayn wae dɛn kɔl dis maynia sik.

Tink bɔt am dis we. Yu kin gɛt prɔblɛm fɔ no se dɛn kɔl yu fɔ ful pɔsin, ɔ yu kin fɔgɛt tin dɛn lɛk di de we yu go to dɔktɔ. Yu ɛn yu famili go notis dɛn chenj ya. Bɔt di tin we impɔtant pas ɔl na dat pɔsin we gɛt MCI kin stil du in wok dɛn ɛvride we ɔda pipul dɛn nɔ ɛp am. Dat min se dɛn kin du tin dɛn lɛk fɔ kuk, drɛs, ɛn du os wok dɛn fɔ dɛnsɛf.

Di gud nyus na dat MCI nɔ kin de ɔltɛm. Sɔntɛnde, di sayn dɛm kin bɛtɛ wans dɛn dɔn trit di ɔndalayn kɔz. Bɔt if yu gɛt MCI, dat kin mek yu gɛt dis maynia sik lɛk Alzaima, tumara bambay.

Tu men kayn MCI de:

Wi sheb di MCI sityueshɔn to tu men pat. Fɔ mek i izi fɔ ɔndastand, a go ɛksplen am dis we.

Yu gɛt dɛn kwaliti dɛn ya bak?

Di men kwaliti fɔ MCI na di dɛklin pan di abiliti dɛm we wi de tɔk bɔt naw. Si if dɛn tin ya tan lɛk se yu sabi yu.

• Atɛnshɔn: I nɔ kin izi fɔ mek yu pe atɛnshɔn pan wan tin, ɛn i kin izi fɔ mek yu maynd pul yu maynd pan sɔntin.
• Jɔjmɛnt: I at fɔ pik wetin rayt frɔm wetin rɔŋ, fɔ disayd fɔ du gud.
• Langwej: I nɔ kin izi fɔ fɛn di rayt wɔd dɛn we yu de tɔk.
• Mɛmori: Fɔ fɔgɛt tin dɛn bɔku tɛm pas aw i bin de bifo.
• Fɔ plan: I nɔ kin izi fɔ plan ɛn du wan wok di rayt we.
• Rizin: I nɔ kin izi fɔ ɔndastand wan prɔblɛm ɛn fɛn we fɔ sɔlv am.

Aw dɛn tin ya kin apin na ɛvride layf?

• Bɔku tɛm a kin fɔgɛt usay a kin put mi ki, glas, ɛn fon ɛn luk fɔ dɛn.
• A kin fɔgɛt fɔ pe tin dɛn lɛk ilɛktrishɔn ɛn wata bil.
• Dɛn kin fɔgɛt impɔtant mitin dɛn, sɛlibreshɔn dɛn, ɛn famili spɛshal de dɛn.
• We yu de tɔk, yu fɔgɛt wantɛm wantɛm wetin yu bin fɔ tɔk ɛn stɔp.

Sɔm pipul dɛm wae gɛt MCI kin gɛt sɔm sayn dɛm bak lɛk wae dɛn nɔr kin ebul fɔ waka ɛn nɔr kin ebul fɔ smɛl.

Wetin mek dis kin apin? Wetin na di tin dɛn we kin mek pɔsin gɛt MCI?

Sɔm pat dɛn de na wi bren we de ɛp fɔ mɛmba ɛn tink. fכ egzampl, εria dεm lεk di hipokampus εn di tεmporal lכb dεm. Insay MCI, damej ɔ strɔkchɔ chenj de pan dɛn eria ya. Na dɛn bren chenj ya kin mek i nɔ izi fɔ mɛmba tin dɛn lɛk aw i bin de bifo, tink gud wan, ɛn pe atɛnshɔn.

sכmtεm MCI kin bi di vεri εli stej fכ wan siriכs nyurodijεnεraytiv kכndishכn we di bren sεl dεm de dכn sכmtεm sכmtεm. Sɔm pan dɛn tin ya na:

• Dis sik we dɛn kɔl Alzaima
• Frɔntotemporal dimɛnshɔn
• Lewy bɔdi dimɛnshɔn
• Dis sik we dɛn kɔl Parkinson
• Vaskul dimɛnshɔn

Udat de pan ay risk fɔ gɛt MCI?

Ɛnibɔdi kin gɛt MCI, bɔt sɔm pipul dɛn kin gɛt mɔ risk.

Di tin dɛn we kin mek pɔsin nɔ ebul fɔ kɔntrol am:

• Ɔva 65 ia: Di risk kin bɔku wit di ej.
• Famili istri:If pɔsin na di famili dɔn gɛt dis maynia sik.
• Jɛnɛtik tin dɛm: Fɔ gɛt wan jin we dɛn kɔl APOE-e4 (wan jin we de mek di risk fɔ gɛt Alzaima sik bɔku).

Risk factor dɛm wae dɛn kin kɔntrol ɔr trit:

• Prɔblɛm wit di at ɛn blɔd vesel: Kɔndishɔn lɛk ay blɔd prɛshɔn, ay kɔlɔstrel, ɛn strok.
• Sik dɛn we nɔ de mɛn: Dayabitis, COPD, ɔstiɔ-arayt.
• Mental hεlth prכblεm: pwεl hat εn wɔri.
• Prɔblɛm fɔ slip: snor ɛn ɔbstrɔktiv slip apnea.
• Di vaytamɛn we nɔ de: mɔ we di vaytamɛn B12 nɔ de.
• Prɔblɛm dɛn we gɛt fɔ du wit tayroyd: Hypothyroidism.
• Infεkshכn: Tin dεm lεk urinary tract infεkshכn (UTI) kin mek dεn nכ de bכku, spεshal wan fכ ol pipul dεm.
• Injuri na di ed: (Traumatik bren injuri).
• Sɔm mɛrɛsin dɛm: Sɔm mɛrɛsin dɛm lɛk antihistamine, antidipreshan, opiate, ɛn benzodiazepines kin mek bak yu nɔ mɛmba fayn as sayd ɛfɛkt.

Aw dɔktɔ kin fɛn dis?

No wan tɛst nɔ de we go tɛl yu fɔ tru if yu gɛt MCI. We yu go to dɔktɔ, i go chɛk yu gud gud wan.

1. Aks yu ɛn yu fambul bɔt de chenj: Ustɛm yu sik bigin, us kayn tin yu kin fɔgɛt, ɛn if i kin afɛkt di tin dɛn we yu de du ɛvride? Yu kin aks pɔsin bak we de wit yu bɔt dɛn chenj ya.

2. Fyzikal ɛn nyurolɔjik ɛgzam: Dɛn go chɛk yu balans, riflɛks, ɛn yu nervɔs sistɛm fɔ wok.

3. Tɛst dɛn we de sho aw yu de mɛmba ɛn aw yu de tink: Dɛn kin aks yu sɔm shɔt kwɛstyɔn dɛn, aks yu fɔ drɔ pikchɔ, ɔ mɛmba wɔd dɛn fɔ no aw yu maynd de wok. Wi kɔl dis Nyurosaykolojik tɛst.

4. Ɔda tɛst dɛn:

• Blɔd ɛn urine tɛst: Chɛk fɔ ɔda tin dɛn we kin mek yu gɛt vaytamɛn, yu gɛt prɔblɛm wit yu tayroyd, ɛn yu gɛt infɛkshɔn.
• Bren skan: CT skan ɔ MRI skan kin luk fɔ bren tumor, sayn dɛn fɔ strok, ɔ ɔda chenj dɛn we de na di strɔkchɔ.
• Lumbar pankshכn:Sɔm spɛshal kes dɛm, dɛn kin du dis tɛst fɔ chɛk fɔ di prɔtin dɛm we gɛt fɔ du wit di sik we dɛn kɔl Alzaima.

Wetin na di tritmɛnt dɛm fɔ MCI?

Di tritmɛnt fɔ MCI dipen pan di kɔz. No wan saiz tritmɛnt nɔ de fɔ ɔlman. Yu dɔktɔ kin tɛl yu fɔ du tin dɛn lɛk:

• Fɔ trit di ɔndalayn kɔndishɔn dɛn: If di tin we kin mek pɔsin gɛt MCI na sɔntin lɛk dayabitis, ay blɔd prɛshɔn, prɔblɛm wit slip (slip apnea), ɔ we pɔsin nɔ gɛt bɛtɛ vaytamɛn, di rayt tritmɛnt fɔ da sik de kin mek i nɔ ebul fɔ mɛmba fayn.
• Chenj di mɛrɛsin dɛn: If sɔm mɛrɛsin dɛn we yu de tek de afɛkt yu mɛmori, yu dɔktɔ kin chenj dɛn ɔ ridyus di doz.
• Aktiviti dεm we de mek di bren wok: Fכ sכlv pazl, lan nyu tin (lεk wan langwej, wan myuzik instrכmεnt), fכ rid buk, εn fכ de wit כda pipul dεm na gud εksεsayz fכ di bren.
• Di chenj dɛn we pɔsin kin chenj di we aw pɔsin de liv in layf:
• Stɔp ɔ ridyus fɔ smok ɛn drink rɔm.
• Fɔ it balans it (mɔ vɛjitebul, frut, fish).
• Fɔ du ɛksasaiz ɔltɛm.
• Fɔ mek shɔ se yu sef: Yu kin nid fɔ tink bɔt tin dɛn lɛk fɔ fiks tin dɛn we kin mek yu slip ɛn fɔdɔm na yu os (e.g. kap) ɛn sɔntɛm fɔ tink bak bɔt aw fɔ drayv.

Wetin na di fiuja fɔ pɔsin we gɛt MCI?

Dis na di kwɛstyɔn we bɔku pipul dɛn kin fred. Di kɔndishɔn we dɛn kɔl MCI nɔto di sem fɔ ɔlman.

• Fɔ sɔm pipul dɛm: Afta tritmɛnt, de sik kin bɛtɛ ɛn kam bak to nɔrmal fɔ dɛn ej.
• Fɔ sɔm pipul dɛm: De sik kin stil de di sem, ɛn nɔr kin wɔs.
• Fɔ ɔda pipul dɛm: As tɛm de go, MCI kin go bifo to dis maynia sik. Risach sho se bitwin 10% ɛn 20% pan pipul dɛm wae dɔn pas 65 ia wae gɛt MCI go gɛt dis maynia sik insay wan ia.

Bɔt nɔto ɔlman wae gɛt MCI go gɛt dis maynia sik. Bɔku pipul dɛn kin ebul fɔ kɔntinyu fɔ du dɛn yon wok ɛn liv fɔ dɛnsɛf. Di tin we impɔtant pas ɔl na fɔ kɔntinyu fɔ gɛt padi biznɛs wit yu dɔktɔ ɔltɛm . E fayn fɔ si am ɛvri 6 to 12 mɔnt fɔ chɛk aw yu sik.