Na wae pɔrsin nɔr de mɛmba fayn kin kam wit dis sik wae de kam wit Pakinsin sik? Lɛ wi tɔk bɔt di sik we dɛn kɔl Parkinson Disease Dementia!

Yu famili, sɔntɛm yu mama, papa, ɔ pɔsin we de nia yu gɛt dis sik we dɛn kɔl Pakinsin? Yu tink se dis kayn pɔsin kin fɔgɛt tin dɛn smɔl smɔl, i nɔ kin izi fɔ am fɔ du tin dɛn we bin izi fɔ du trade, ɔ yu dɔn notis se di we aw dɛn de tink dɔn chenj? Infakt, wan kɔndishɔn de fɔ mɛmba ɛn gɛt sɛns we kin kam wit di sik we dɛn kɔl Pakinsin. Tide wi go tɔk bɔt dis sik wae dɛn kɔl `(Parkinson's Disease Dementia)`. Nɔ fred, lɛ wi ɔndastand dis simpul wan.

Wetin na dis sik wae de mɛk pɔrsin gɛt dis maynia sik?

Fɔ tɔk am simpul wan, Pakinson Disease Dementia (PDD) na wae pɔrsin wae gɛt dis sik kin kam pan pɔrsin wae gɛt dis sik, wae kin kam pan pɔrsin wae gɛt dis sik, wae kin kam pan pɔrsin wae gɛt dis sik (bɔku tɛm i kin lɔng pasmak).

Sɔm pipul dɛn kin fred we dɛn yɛri di wɔd "Dementia." Bɔt lɛ wi ɔndastand wetin i bi. Dimɛns na wan sik wae pɔrsin in maynd nɔr de woke fayn lɛk aw i bin de woke, ɛn dis kin mek i nɔr izi fɔ du ɛvride woke. Fɔ mek dis maynd nɔ wok fayn, at le tu pan dɛn tin ya fɔ pwɛl:

• Mɛmba
• Fɔ tink di rayt we
• Langwej (fɔ tɔk, ɔndastand) .
• Fɔ kɔdinɛt tin dɛn
• Biev

Bɔku tɛm, bifo dis big fɔgɛt de apin, wan kɔndishɔn we dɛn kɔl ``Mild Cognitive Impairment (MCI)`` kin apin, we kin sho se yu gɛt smɔl smɔl mɛmori prɔblɛm ɔ di spid we yu de tink kin go dɔŋ smɔl. Dis min se di mɛmori kin pwɛl smɔl, pan ɔl we i nɔ kin rili ambɔg di tin dɛn we pɔsin kin du ɛvride. Bɔt nɔto ɔl di ``MCI`` kes dɛm kin go bifo to ``Dementia``. Bitwin 10% ɛn 20% pan di pipul dɛm wae gɛt dis sik kin gɛt ``MCI`` nɔmɔ ɔlsay na dɛn layf.

As yu no, Pakinsin sik na wan sik wae de mek yu nɔr de fil fayn, ɔr wan sik na yu bren wae de mek di nerve cells wik smɔl smɔl. I kin mɔs afɛkt di we aw di bɔdi de muv. Di sayn dɛm lɛk fɔ shek yu an ɛn fɔ waka sloslo (bradykinesia) na di fɔs wan dɛn we kin apin. Bɔt as tɛm de go, dis sik kin afɛkt bak di pat dɛn na di bren we de kɔntrol di we aw pɔsin de tink ɛn du tin. Na da tɛm de dis maynia sik kin kam.

Aw dis sik kin kɔmɔn?

De risk fɔ gɛt dis maynia sik kin difrɛn wit yu ej ɛn aw lɔng yu dɔn gɛt dis sik. Fɔ ɛgzampul:

• Bitwin 16% ɛn 20% pan pipul dɛm wae ol bitwin 60 ɛn 75 ia dɔn gɛt dis sik fɔ bitwin 5 ɛn 10 ia.
• Bitwin 20% ɛn 30% pan pipul dɛm wae ol bitwin 60 ɛn 75 ia dɔn gɛt dis sik fɔ 10 to 15 ia.
• Dis sik kin apin pan 50% to 60% pan pipul dɛm wae dɔn pas 75 ia wae dɔn gɛt dis sik fɔ pas 15 ia.

Wetin na de sayn dɛm wae de sho se pɔrsin gɛt dis maynia sik?

Di we aw dis sik kin afɛkt ɛnibɔdi kin difrɛn, bɔt sɔm sayn dɛn de we kin apin:

• I nɔ izi fɔ pe atɛnshɔn: I nɔ kin izi fɔ mek yu pe atɛnshɔn pan wan tin, i kin izi fɔ mek yu pe atɛnshɔn to yu.
• Memori lɔs: I nɔ kin izi fɔ mɛmba nyu tin, ɛn sɔntɛnde i kin ivin fɔgɛt ol tin.
• Prɔblɛm fɔ ɔndastand di tin dɛn we pɔsin kin si: Fɔ ɛgzampul, i nɔ kin izi fɔ fɛn wan tin na say we pipul dɛn kin bɔku.
• Ivin simpul wok kin at fɔ plan, bigin, ɛn dɔn.
• Langwej prɔblɛm dɛn: Wɔd dɛn kin miks, pipul dɛn kin fɔgɛt bɔt tin dɛn nem, ɛn kɔmpleks sɛntɛns dɛn kin at fɔ ɔndastand.
• Di tɔk nɔ kin klia, lɛk fɔ tɔk smɔl smɔl.

Apat frɔm dat, chenj dɛn kin apin na di we aw pɔsin de biev:

• Chenj na yu maynd: yu de fil bad pasmak (diprɛshɔn), yu kin vɛks ɔltɛm (i kin vɛks bad bad wan), ɛn yu kin wɔri.
• Apathy: Nɔ want fɔ du ɛnitin, fil se yu de bost wit ɔltin.
• Saykosis: Fɔ si tin dɛm wae nɔr rial (especially visual hallucinations), ɔr biliv tin dɛm wae nɔr rial (especially paranoid thinking).

If yu ɔ pɔsin we yu lɛk gɛt dɛn kayn sik ya, i rili impɔtant fɔ go to dɔktɔ fɔ advays. Yu kin ɔndastand di tin we de apin ɛn tek di step dɛn we yu nid ɛn nɔ panik.

Wetin mek dis sik kin kam pan pɔrsin wae gɛt dis maynia sik?

di men rizin fכ dis na di akyumyuleshכn fכ abnכmal protin dεm we dεn kכl `(Lewy bodies)` na di bren. dis `(Lewy bodies)` na sכm sכm kכlכm dεm we dεn mek wit wan protin we dεn kכl `(alpha-synuclein)`. we dεn ya kכlכm insay di nεv sεl dεm `(nyurכn)` dεm na di bren, dεn sεl dεm de dεm de pwεl εn dεn de day.

insay di sik we dεn kכl Parkinson, dεn `(Lewy bodies)` dεm ya de fכs dכpכt na di pat dεm na di bren we de kכntro di muvmεnt, spεshal wan na di `(basal ganglia)` εria. Na dat mek di muvmɛnt prɔblɛm lɛk fɔ shek shek ɛn fɔ waka sloslo kin apin fɔs. as tεm de go, dεn `(Lewy bodies)` dεm kin spre to hכy lεvεl pat dεm na di bren we de kכntro tin dεm lεk fכ tink, mεmכri, εn langwej. Na da tɛm de `(Parkinson’s Disease Dementia)` kin apin.

Dis kɔndishɔn kin rili fiba ɔda kayn dis maynia sik wae dɛn kɔl Lewy body dementia (LBD). Infakt, sɔm sayɛnsman dɛn biliv se dɛn tu sik ya kin kam bikɔs ɔf di sem kayn chenj dɛn we de apin na di bren we gɛt fɔ du wit di prɔtin we dɛn kɔl alfa-synuclein. Di big difrɛns na di ɔda we aw di sik dɛn de sho. Wi go tɔk bɔt dat insay smɔl tɛm.

Udat de pan big risk fɔ gɛt dis sik?

De tu men tin wae kin mek yu gɛt dis maynia sik na:

1. Di ej we de go ɔp: Dis risk de go ɔp wit di ej.

2. I kin teik dis sik: Di mɔr de sik kin te, na di mɔr de risk fɔ gɛt dis maynia sik.

Apat frɔm dat, stɔdi dɔn sho se pipul dɛm wae gɛt sɔm kayn sik wae de mɛk dɛn gɛt dis maynia sik kin gɛt dis maynia sik bak. Dɛn kayn sayn ya na:

• Fɔ gɛt siriɔs motoka simptom: If yu gɛt siriɔs sayn lɛk fɔ shek ɛn i nɔ izi fɔ waka.
• Ali na di kɔs fɔ di sik we dɛn kɔl Parkinson , prɔblɛm wit di ɔtonomik nɛvɔ sistɛm (fɔ ɛgzampul, ɔrtɔstatik haypɔtɛnshɔn, urinary incontinence) kin apin.
• di muvmεnt dizכrd dεm de afekt di tu say dεm na di bכdi ikwal wan (symmetrical motor symptoms).
• Di mɛrɛsin dɛn we gɛt dopamin fɔ di sik we dɛn kɔl Pakinsin nɔ kin wok lɛk aw dɛn bin de tink.
• Fɔ gɛt wan kɔndishɔn we dɛn kɔl ``REM slip bihayvya disɔda'' (we yu kin rili akt wetin yu de drim bɔt).

Aw yu no dis klia wan?

Bɔt i sɔri fɔ no se, nɔr patikyula tɛst nɔr de wae kin kɔnfirm kwik kwik wan se pɔrsin gɛt Pakinson Disease Dementia. Di dɔktɔ kin mek di diagnosis bay we i tink bɔt sɔm tin dɛn:

• Dɛn kin aks ustɛm yu sik bigin ɛn aw dɛn dɔn chenj.
• Aks bɔt yu kɔmplit mɛdikal istri.
• A go luk pan us mɛrɛsin yu de tek naw.
• Aks if ɛnibɔdi na yu famili gɛt dɛn sik ya.

Apat frɔm dat, dɛn kin du sɔm tɛst dɛn fɔ ɛp fɔ no if pɔsin gɛt di sik. Fɔ ɛgzampul, blɔd tɛst, bren imej tɛst (lɛk CT skan, MRI skan), ɛn nyurosaykolojik tɛst we de tɛst di we aw pɔsin de tink.

As a bin dɔn tɔk bifo tɛm, di sayn dɛm ɛn di tin dɛm wae kin mek pɔrsin gɛt Pakinson Disease Dementia (PDD) ɛn Lewy Body Dementia (LBD) kin rili fiba. So, wan smɔl we de we dɔktɔ dɛn kin yuz fɔ no difrɛns bitwin dɛn tu tin ya:

• If di sayn dɛm wae de sho se pɔrsin gɛt dis maynia sik (lɛk wae pɔrsin nɔr de mɛmba fayn fayn wan) kam fɔ lɛk wan ia (bɔku tɛm fɔ sɔm ia) afta wae pɔrsin gɛt dis maynia sik wae de muv (lɛk wae yu de shek, wae yu de waka sloslo), dɛn kin kɔl am Pakinsin Disease Dementia (PDD).
• If di sik wae de kam pan pɔrsin wae gɛt dis maynia sik bifo, di tɛm, ɔr insay wan ia afta di sik wae de kam pan pɔrsin in muvmɛnt bigin, dɛn kin kɔl am `(Lewy body dementia - LBD)`. Sɔm `(LBD)` pasɛnt dɛn nɔ kin gɛt di sik we dɛn kɔl Parkinson’s muvmɛnt dizayd.

Wetin na di tritmɛnt dɛm fɔ dis?

Wan kwɛstyɔn we bɔku pipul dɛn kin aks na if mɛrɛsin de fɔ dis, ɔ if dɛn kin mɛn am. Fɔ tɔk tru, nɔr mɛrɛsin stil nɔr de wae kin stɔp ɔr kin rivεs di prɔgrɛs fɔ Pakinsin Disease Dementia. Dat na smɔl tin we rili sɔri.

Bɔt nɔ giv ɔp fɔ op! Dɛn kin gɛt mɛrɛsin ɛn tritmɛnt wae kin ɛp fɔ kɔntrol ɔr ridyus sɔm pan de sik dɛm. Fɔ ɛgzampul:

• `(Kɔlinɛstɛrayz inhibito dɛn)`: .Mεdikeshכn dεm na dis klas, lεk donepezil (Aricept®), rivastigmine (Exelon®), εn galantamine (Razadyne®), kin gi sכm rεlif frכm sכm sayn dεm, spεshal wan fכ si tin dεm we yu de si, chenj dεm we yu de tink, εn chenj dεm we yu de biev.
• Sεlektiv sεrotonin riuptek inhibito (SSRI) εn sεrotonin εn norepinephrine riuptek inhibito (SNRI): Dis na mεdikeshכn dεm we dεn kin gi fכ diprεshכn. Dɛn kin ɛp fɔ kɔntrol di we aw yu de fil lɛk fɔ fil bad, fɔ vɛks, ɛn fɔ fred.
• Kɔgnitiv bihayvya tɛrapi (CBT): Dis na wan kayn saykotɛrapi, we na wan kayn tɔk tɛrapi. E kin ɛp fɔ mɛn tin dɛm lɛk prɔblɛm wit aw pɔrsin de biev ɛn strɛs.

Yu mɛdikal tim go tɔk to yu ɛn disayd us tritmɛnt go fayn fɔ yu. Bɔt mɛmba wan tin. Sɔm mɛrɛsin kin mek di sik wae de kam pan pɔrsin wae gɛt dis maynia sik, wɔs. Fɔ ɛgzampul, carbidopa-levodopa, na wan mɛrɛsin wae dɛn kin yuse fɔ trit de muvmɛnt prɔblɛm wae gɛt dis sik, kin mek sɔm pipul dɛm wae gɛt dis maynia sik wae gɛt dis maynia sik ɛn kɔnfyus. So, nɔ bigin ɔ stɔp fɔ tek ɛni mɛrɛsin we yu dɔktɔ nɔ gi yu advays.

Sɔntɛm dɛn kin gɛt klinik trial fɔ nyu tritmɛnt fɔ Pakinsin Disease Dementia. Yu kin aks yu dɔktɔ bɔt dat bak.

Aw dis tin de go bifo? (Prɔgnosis) .

De prognosis fɔ pɔrsin wae gɛt dis sik kin dipen pan bɔku tin dɛm. Bɔt lɛk di sik we dɛn kɔl Pakinsin, di sik we dɛn kɔl Pakinsin Disease Dementia kin wɔs as tɛm de go. Pan ɔl we di tritmɛnt kin mek pɔsin fil sɔm kayn we frɔm di sayn dɛm, bɔku tɛm dɛn kin ridyus di kwaliti fɔ liv.

Aw kwik dis kin bɔku?

De rεt wae de sik wae de mɛk pɔrsin gɛt dis maynia sik kin wɔs kin difrɛn frɔm pɔrsin to ɔda pɔrsin, jɔs lɛk aw dis sik kin go bifo. Yu mɛdikal tim kin gi yu ɛn yu famili sɔm aidia bɔt wetin fɔ ɛkspɛkt bay yu patikyula kɔndishɔn.

Yu nɔ tink se dis nɔ go apin?

Bɔt i sɔri fɔ no se naw, natin nɔr de wae dɛn kin du fɔ mek pɔrsin nɔr gɛt dis sik wae de mɛk pɔrsin gɛt dis maynia sik. Dɔn bak, no we nɔ de fɔ ridyus di risk fɔ gɛt am.

Aw wi kin ɛp pɔrsin wae gɛt dis maynia sik wae de kam pan pɔrsin wae gɛt dis maynia sik?

If yu pɔsin we yu lɛk gɛt dis sik, apat frɔm we yu de wok wit di mɛdikal tim fɔ gi dɛn di bɛst kia, sɔm ɔda tin dɛn de we yu kin du:

• Lan ɔltin wae yu kin lan bɔt dis sik wae de kam pan pɔrsin wae gɛt dis maynia sik: De mɔr yu no bɔt am, na de i go izi fɔ yu fɔ bia wit wetin de kam. Ɛn, yu go ebul fɔ advatayz di pɔsin we yu lɛk bɛtɛ.
• Mek di say we i de, simpul:Rimov tin dɛn we nɔ nid na di os ɛn kip dɛn ɔdasay. Dis kin mek dɛn nɔ gɛt bɔku kɔnfyushɔn na dɛn maynd. If yu gɛt smɔl layt na nɛt, dat kin ɛp fɔ mek yu nɔ si di rayt tin we yu de si.
• Mek yu fɔ du tin ɔltɛm: If yu gɛt tin fɔ du ɔltɛm, lɛk fɔ it, was, ɛn slip di sem tɛm ɛvride, dat kin ɛp pipul dɛn we gɛt Pakinsin Disease Dementia fɔ fil fayn ɛn fil sef.
• Join wan sɔpɔt grup: Mek yu pɔrsin wae yu lɛk ɛn yusɛf involv pan sɔpɔt grup fɔ pipul dɛm wae gɛt Pakinson ɛn dɛn famili. Dɛn grup ya kin gi valyu tin dɛn, advays, ɛn sheb ɛkspiriɛns dɛn. Dis na big trɛnk we dɛn de du dis waka.

Yu tink se de dis maynia sik wae de kam wit Parkinson difrɛn frɔm ɔda kayn dis maynia sik wae kin kam pan pɔrsin wae gɛt dis maynia sik?

Bɔrku tin de wae kin mek pɔrsin gɛt dis maynia sik, ɛn de sayn dɛm kin difrɛn. Alzaima sik na de kayn sik wae kin kam pan pɔrsin wae gɛt dis maynia sik. Sayɛnsman dɛn se di sayn dɛm wae de sho se pɔrsin gɛt dis maynia sik wae de mɛk pɔrsin gɛt dis maynia sik kin difrɛn smɔl frɔm de sik wae de mɛk pɔrsin gɛt dis maynia sik. Fɔ ɛgzampul:

• Pipul wae gɛt dis sik wae de mɛk pɔrsin gɛt dis maynia sik kin gɛt dis maynia sik ɛn nɔr kin gɛt dis maynia sik pas di wan dɛm wae gɛt Alzaima.
• Pipul wae gɛt dis maynia sik kin gɛt prɔblɛm wit dɛn langwej kwik kwik wan pas di wan dɛm wae gɛt dis maynia sik wae gɛt Pakinson. Dɔn bak, pipul dɛm wae gɛt Alzaima kin gɛt bɔrku prɔblɛm fɔ mɛmba nyu tin dɛm pas di wan dɛm wae gɛt dis maynia sik wae gɛt dis maynia sik.

Difrɛn stej dɛm de wae de kam pan pɔrsin wae gɛt dis maynia sik?

Dɔktɔ dɛn dɔn gri fɔ tek di we aw dɛn kin sheb di sik we dɛn kɔl Pakinsin to difrɛn stej dɛn. Bɔt nɔr patikyula we nɔr de fɔ klas di sik wae de mɛk pɔrsin gɛt dis maynia sik. Dis na bikɔs di we aw i kin afɛkt ɔlman ɛn di rit we i kin wɔs kin difrɛn bad bad wan. So, i nɔ kin izi fɔ sayɛnsman ɛn dɔktɔ dɛn fɔ sheb am to patikyula stej dɛn.

Fɔ dɔn, tin dɛn we wi fɔ mɛmba

E nɔr izi fɔ no se yu gɛt Pakinsin sik, wae kin afɛkt yu mɛmori ɛn kin afɛkt yu ebul fɔ woke. Na nɔmal tin fɔ fil bad, fil bad, ɛn fred wetin go apin tumara bambay. Mɛmba se nɔto yu wangren de insay dis tɛm. Gɛt di sɔpɔt we yu nid frɔm di wan dɛn we yu lɛk, yu fambul, padi dɛn, ɛn mɔ yu mɛdikal tim.

Mɛmba se pan ɔl we tritmɛnt nɔ kin ebul fɔ mɛn dis sik ɔltogɛda, i kin ɛp fɔ kɔntrol di sayn dɛm ɛn mek yu layf bɛtɛ to sɔm mak. So, nɔ giv ɔp op ɛn kɔntinyu dis joyn wit di sɔpɔt we yu de gɛt.

Parkinson ’s , dimɛnshɔn, mɛmori lɔs, bren sik, Lewy bɔdi, nyurolɔjik sik, geriatric care