I chhungkuaa Alzheimer natna vei i neih chuan, i nu emaw, i pa emaw, i pi emaw, i pi emaw pawh ni se, zawi zawiin thil an theihnghilh tih i hre mai thei. Chu chu he natna lan chhuahna ber a ni. Mahse, an hriatrengna hloh bâkah, an nungchangah inthlâk danglamna lian tak i hmu tawh mai thei. A châng chuan an rilru a hahdam lo va, an thinrim a, an lungngai a, a nih loh leh zanah muthilh lovin an kal kual mai mai ṭhin. Heng thilte i hmuh hian i lungngai hle bawk ang. Vawiin hian Alzheimer natna avanga hriatrengna hloh bakah nungchang leh rilru lama harsatna lo awm thin enkawlna dang, a nih loh leh ``Adjunct Treatments`` tih kan sawi dawn a ni.
A awlsam zawngin, Alzheimer natna hian thluaka nerve cell a tihchhiat hian hriatrengna chauh ni lovin kan nungchang thununtu peng hrang hrangte a nghawng a ni. Hei vang hian heng harsatnate hi a lo awm thin.
- Agitation tih hi a ni
- Aggression a ni
- Lungkhamna
- Delusions (thil awm lo rinna) .
- Lungngaihna
- Thil hmuh theih loh hmuh emaw, thil hmuh theih loh hriat emaw (Hallucinations) .
- Mu thei lo
- Restlessness a awm
Heng symptoms te hi damlo tan leh nang, enkawltu tan pawh a buaithlak hle thei a ni. Doctor-te chuan damdawi i hman hmain heng natna lan chhuah dante hi nunphung thlak danglam leh nungchang lama enkawlna hmanga enkawl tum hmasa phawt turin an rawt tlangpui. Tin, nungchang inthlak danglamna chhan dang a awm leh awm loh pawh i hre hmasa tur a ni (entir nan, natna hrik, mit emaw hriatna lama harsatna emaw, damdawi dang avanga side effect emaw).
Mahse a chang chuan damdawi hi a tha ber a ni. Heta kan sawi damdawi tam tak hi Alzheimer natna atana phalna bik a ni lo. Doctor-te chuan hengte hi "off-label" tiin an ziak thin. Chu chu, natna dang (depression ang chi) atana pawm damdawi chu doctor-in Alzheimer vei nungchang lama harsatna a neihte tan pawh a remchang thei tih a sawi avangin pek a ni tihna a ni.
Mut theihna tur aids
Mi tam tak chuan kum upat deuh deuhin mut harsatna an nei thin .A thleng thin. Mahse Alzheimer vei zingah a tam ber. Thluak inthlak danglam avang hian zanah an harh fo a, chhun lamah an chau hle.
A pawimawh ber chu mutna damdawi hman ai chuan damdawi tel lova mut tum hi a ni. A chhan chu Alzheimer natna vei te mutna damdawi pek hi a chang chuan a hlauhawm thei hle.
Nunphung inthlak danglamna hian mut a pui lo che a, zan lama mut reng hi a buaithlak hle a nih chauhvin i doctor chuan hetiang damdawi hi pe rawh se:
- Suvorexant (Belsomra): Hei hi US FDA-in Alzheimer natna nena inzawm mut lama harsatna nei tan damdawi a pawmpui awmchhun a ni. ``Orexin inhibitors'' tih damdawi class-ah a tel a ni. Mahse, he damdawi hian side effects a thlen thei a, chu chu mutthilh, lungngaihna, leh nitin mutthilh te a ni.
- Sedatives dang: I doctor chuan mutna damdawi dang, `Eszopiclone (Lunesta)` emaw `Zolpidem (Ambien) emaw a pe thei che a ni.` Amaherawhchu, hengte ei hian i mut laiin thil danglam tak tak (i mut laiin ei emaw, lirthei khalh emaw ang chi) a ti thei che a ni. Nitin buaina, hriatrengna hloh, leh i balance hloh leh tlu theihna a tipung thei bawk.
Pawimawh tak: Mut theihna damdawi hi hun rei lote chhung chauh hman tur a ni . Lung a ti na thei a, awlsam takin a muhil thei bawk. I mut dan pangngai a lo awm tawh chuan i doctor nen inbiakna neihpui la, ei loh tum tur a ni.
Tin, damdawi dawr atanga over-the-counter-a i lei theih mutna damdawi thenkhat (antihistamine, e.g. diphenhydramine awmna) chu Alzheimer vei tan a tha lo tak zet a ni Thluaka nerve cell te inbiakpawhna a tibuai thei a, hriatrengna leh ngaihtuahna thiamna a tichhe thei a ni.
Antidepressant & Anti-anxiety damdawi te a awm bawk
Depression hi Alzheimer natna nen pawh a hluar hle. Damlo rilru tihchangtlun nan doctor chuan antidepressant a pe thei a. Heng damdawi te hian lungngaihna chauh ni lovin, lungkhamna te, mut harsatna te, buaina te, leh thil hmuh loh (hallucinations) te pawh a pui thei a ni.
| Ruihhlo chi hrang hrang | Entirnan |
|---|---|
| SSRIs (Selective Serotonin Reuptake Inhibitors) te hi a tha ber pawl a ni. (Damdawi hman tlanglawn, him lo) . | A rilru a buai em em a, a rilru a hah em em bawk a. |
| SNRIs (Serotonin-Noradrenaline Reuptake Inhibitors) te hi a tha ber pawl a ni. | Venlafaxor (Effexor), Duloxetine (Cymbalta) te hi a tha hle a, a man hi a to hle bawk. |
| Atypical Antidepressants hmanga tihdam theih a ni | Mirtazapine (Remeron) te, Trazodone (Desyrel) te hi a tha hle a ni. |
Warning: Alzheimer natna vei tan chuan antidepressant hlui zawk, tricyclic antidepressant (e.g., amitriptyline) leh SSRIs paroxetine (Paxil) te hi hman a tha lo. Hriatrengna leh ngaihtuahna thiamna an tichhe zual thei a ni.
A châng chuan doctor-te chuan hun rei lote chhûnga damdawi benzodiazepines an tih (e.g., Lorazepam (Ativan), Diazepam (Valium)) chu lungkhamna, rilru hahdam lohna leh chetsualna enkawlna atan an pe ṭhin. Mahse, hengte hian mutthilh, luak chhuak, buaina leh tlu hlauhawmna a thlen thei bawk.
Antipsychotics (lungkhamna nasa tak leh rilru lama harsatna nei damdawi) .
Alzheimer natna nena lo awm nungchang lama harsatna thenkhat chu damlo tan emaw, an enkawltute tan emaw a hlauhawm thei hle. Entîr nân, tharum thawhna nasa tak, mahni emaw, mi dangte emaw tihnat tumna, leh thil awm lo hmuh emaw hriat emaw. Chutiang hunah chuan antipsychotic damdawi chu a tawp ber atan hman theih a ni a, chu chu duhthlan tur dang a awm loh chuan .
Heng damdawi te hi fimkhur hle tur a ni a, doctor enkawlna hnuaiah hman tur a ni. Risk chu a hlawkna aiin a tam thei a, chuvangin, mithiamte chuan duhthlan tur dang a hlawhtlin loh hunah chauh hman an rawt a ni.
He damdawi hi kan tan hmain, .
- Environment muang tak siam
- Routine pakhat hman thiam
- Taksa tihchaknaah inhmang
Chutiang thil chu i lo tum ve ngei tur a ni.
Psychotic damdawi (e.g., `Risperidone (Risperdal)`, `Quetiapine (Seroquel)`, `Olanzapine (Zyprexa)`) te hi:
- Damlo chu mahni emaw, midang emaw hlauhawm thei dinhmunah a ding a nih chuan.
- Nungchang lama harsatna avanga damdawi mamawh pek theih loh a nih chuan.
- Alzheimer natna bakah hian rilru lam natna dang (e.g. schizophrenia ) i neih chuan.
Heng damdawiah hianRisk na tak a awm. Chu chu Alzheimer natna vei kum upa lamte stroke leh thihna a tipung tihna a ni. Hei bakah hian mutthilh nasat tak an thlen a, tlu hlauhawmna an tipung bawk. Chu bâkah, ṭhenkhat chuan Alzheimer natnaah hriatrengna leh ngaihtuahna tichaktu damdawi hnathawh chu an do thei a, chu damdawi hlawkna chu a ti tlem thei a ni.
Enkawlna dang dang pawh a awm bawk
A chunga kan sawi tak damdawi bakah hian damdawi dang pawh "off-label"-in an hmang fo bawk.
- Anticonvulsants: Alzheimer’s vei te rilru hahna control nan antiepileptic drugs Carbamazepine leh Gabapentin te hi hman a ni \hin.
- Anti-Parkinson’s drugs: Parkinson’s natna enkawlna atana hman thin damdawi thenkhat chu Alzheimer’s symptoms te pawh a pui thei em tih zirchian mek a ni.
Take-Home Thuchah a ni
- Alzheimer natna hi hriatrengna hloh mai a ni lo. A kaihhnawih nungchang leh rilru lama harsatna lo awmte pawh hi natna zinga mi a ni.
- Hêng harsatnate tâna damdawi i hman hmain, ruihhlo hman loh dân , boruak muanawm siam te, ni tin nunphung vawng reng te, leh hmangaihna leh ngilnei taka thusawi te hi enchhin hmasa phawt ang che
- He thuziaka damdawi kan sawi zawng zawng deuhthaw hian side effect leh hlauhawmna nasa tak a nei a ni. Doctor thurawn tel lo chuan tan leh tihtawp loh tur a ni.
- Damlo nungchang a danglam nghal tih i hriat chuan taksa lam thil dang (e.g., zun kawng infection) a awm thei a ni. Chuvangin, i doctor hmu hmasa la, sawiho rawh.
- I hmangaih tak enkawl hi rilru hahthlak hna a ni. Chuvangin, i rilru hriselna pawh uluk takin enkawl rawh. I mamawh chuan tanpuina dil hreh suh.











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