Nangmah emaw, i hriatte emaw zu in nasa lutuk em? A châng chuan thil i theihnghilh ṭhîn em, tûn hmaa hna awlsam tak takte chu tûnah chuan thil harsa tak niin a lang em? Chutiang a nih chuan hei hi i tan thil pawimawh tak niin ka hria. Vawiin hian zu in tam lutuk hian kan thluak a tihchhiat theih dan leh a thlen theih hriatrengna hloh (Alcohol-Related Dementia) chungchang kan sawi dawn a ni.
Zu in kaihhnawih Dementia hi eng nge ni?
A awlsam zawngin, Alcohol-Related Dementia hi kum tam tak chhung zu in nasa lutuk avanga i thluak a tihchhiat avanga lo awm thin, dementia chi khat a ni. Mi thenkhat chuan ``Alcohol-Induced Dementia'' emaw ``Alcoholic Dementia'' emaw an ti bawk a, mahse chu hmingte chu a hlui tawh deuh.
A tha ber chu zu in i chawlhsan chuan i thluak hnathawh chu eng emaw chen a tha thei a ni. Chumi awmzia chu a reversible vek lo mai thei a, mahse a natna zual zel tur chu a titawp thei tihna a ni.
Zu tlem tal hian a chang chuan hetiang dementia hi a thlen lo tih hre reng ang che. He chhiatna hi kum tam tak chhunga zu in \ha lo, zu in nasa lutuk avanga lo awm a ni .
I doctor nen zu i in zat chungchang sawipui rawh. I bânsan harsatna i neih chuan ṭanpuina dîl chu zak suh . Zu in hi natna a ni a, mi tha lo a ni lo. A enkawlna a awm.
Zu avanga thluak chhiatna (ARBD) hi eng nge ni?
Zu in tam lutuk avanga thluak chhiatna chi hrang hrang (Alcohol-Related Brain Damage) (ARBD) tih hi a ni. Zu vanga dementia hi ARBD natna hlauhawm ber a ni.
Zu hi a tlem berah in a nih chuan harsatna a awm lo mai thei. Mahse, i in tam poh leh i in tam poh leh i in tam poh leh ARBD vei theihna a sang zawk.
Zu avanga rilru hahna (dementia) natna lan chhuah dan chu engte nge ni?
Zu vanga dementia symptoms hi dementia chi dang nen hian a inang deuh hlek a ni. A tirah chuan hetiang hi i tawng mai thei:
- Hriatrengna hloh : Hming, hmel leh thilthleng i theihnghilh mai thei. Tun hnaia thil thleng (short-term memory) leh hun rei tak chhunga thil thleng (long-term memory) te pawh i theihnghilh mai thei.
- Nitin hna thawh harsa : Huan siam ang chi hna awlsam tak tak pawh ngaihtuah theih loh a lo ni ta a, thutlukna siam pawh a harsa ta hle.
- Thil ngaihtuah harsa tak a ni: Thil pakhat ngaihtuah reng a har khawp mai.
- Ṭawng lama harsatna : Thu i sawi dawnin thu dik lo i hmang thei a, a hma aia tlem zawka tawng turin thlemna i nei thei bawk.
- Nungchang leh mize inthlak danglamna : I thinrim thut mai thei, i buai a, midang i ringhlel thei (paranoia), a nih loh leh thil awm lo i hmu emaw i hre emaw (hallucinations).
- Reduced spatial understanding : I chhehvela thil awmte nena in inhnaih dan hriatthiam harsa. Hei hian i kal laiin i balance hloh a, i tlu thei a, thil i tawk thei a, i pheikhawk hrui phuar ang chi hna nalh tak tak thawh harsa i ti thei bawk.
Heng symptoms te hi a tlangpuiin a lo lang zauh zauh a, mahse mi thenkhat chuan heng inthlak danglamna hi an tawng thut thin. Hriatrengna lama harsatna hi symptom dang hmaah a lang fo thin. I natna lan chhuahna chi hrang hrang chu thluak hmun engte nge zu in a tihchhiat danah a innghat ang.
Zu avanga rilru hahna (dementia) stage hrang hrang
Dementia hi i thluak hnathawh, a nih loh leh i hriatna tlahniam (cognitive decline) a tlahniam tihna a ni. Doctor-te chuan zu vanga dementia natna hi a nasat dan azirin stage lian paliah an ṭhen a:
- Mild cognitive impairment: Hetiang a nih chuan a symptoms hi a na lo hle. Hriatrengna leh ngaihtuahna dik takah harsatna engemaw zat a awm thei. Mahse, lirthei khalh te, hmun hriat lar tak tak te, leh mahni hna thawh tur te chu harsatna lian tham awm lovin i la ti thei tho.
- Zu kaihhnawih rilru lam natna (dementia) hmasa ber: Hetiang dinhmunah hian thluak hnathawh hi a la tlahniam deuh a, a lan chhuah dan pawh a langsar zual hle. Memory a tlahniam nasa hle. Mite chuan tun hnaia thil thlengte, hmingte, leh thu pawimawh tak takte chu an theihnghilh ṭan ta a ni. Heng symptoms te hian nitin nun a nghawng thei a, chuvangin hna thenkhat thawk turin chhungte tanpuina an mamawh mai thei.
- Mid-stage alcohol-related dementia: Thluak hnathawh a tlahniam lehzual a, a symptoms a na zual zel bawk. Thusawi emaw, kal dik emaw pawh a harsa mai thei. Hmun i hriat chian loh te, nangmah chhungkua emaw, i ṭhenawmte pawh i hre lo mai thei.
- Zu kaihhnawih dementia late-stage: Hei hi a na ber a ni. Thluak hnathawh a tlahniam nasa hle. Thusawi thei lo, kea kal thei lo, mahni hna thawk thei lo pawh i ni thei. Enkawl reng i mamawh fo thin.
Mahse hei hi thil pawimawh tak a ni: Zu induced dementia hi Alzheimer natna ang lo takin zu in i chawlhsan chuan a na zual mai mai lo.Chumi awmzia chu thluak chhiatna chu chutiang aia nasa chuan a kal zel dawn lo tihna a ni. Mahse, zu i in chhunzawm chuan thluak i tichhe zual thei a, heng stage-te hi i kal chak zawk thei bawk.
Zu in avanga rilru hahna (dementia) hi eng nge ni?
Hei hi a chhan ber chu zu in tam lutuk leh in fo vang a ni .
A chang chuan cocktail, beer emaw wine glass emaw in hian dementia a thlen lo. Damdawi lam rawtna ang chuan mipa chuan ni khatah standard-sized drinks pahnih aia tam emaw, kar khatah standard-sized drinks 14 aia tam emaw in tur a ni lo. Hmeichhia chuan ni khatah standard-sized drink pakhat aia tam emaw, kar khatah standard-sized drink 7 aia tlem emaw in tur a ni.
Zu in zat standard chu:
- Beer ounces 12 (milliliter 355 vel) a ni a, alcohol 5% a awm bawk
- Wine ounces 5 (milliliter 148 vel) a ni a, alcohol 12% a awm
- Spirit (zu) 1.5 ounces (milliliter 44 vel) a ni a, zu 40% vel a awm
Zu in tam lutuk hian thluaka nerve leh thisen kalna kawng a tichhe thin. Hun a kal zel a, he chhiatna hi a pung khawm a, neuron an tih special nerve cell te chu an thi tan ta a ni. Heng neurons te hi kan thluak ngaihtuahna leh taksa thunun nan a pawimawh hle. Heng neurons te hi zu in a tihchhiat chuan chu thluak hmunin a thunun hnathawh chu a bo zauh zauh thin.
Risk factors te chu engte nge ni?
Zu in vanga dementia hi kum 40 leh 50 inkar, kum tam tak chhung zu in nasa tawhte zingah a tam ber a ni. Mahse, a him aia tam i in chuan kum eng pawhah a thleng thei. Zu hman dan lama harsatna nei te zingah a tam ber.
Chumi laka invenna tha ber chu zu in tam loh hi a ni. Zu in tam lutuk anga i inhriat chuan Doctor emaw, i rintlak emaw nen inbia ang che. Ṭanpuina i mamawh tih pawm chu chak lohna chhinchhiahna a ni lo. I zu in i tihtlem hma chuan i dinhmun a tha zawk ang.
Zu vanga dementia natna (dementia) avanga harsatna awmte chu engte nge ni?
Harsatna lian ber chu thluak chhiatna a ni. Hei hian i mizia, i ngaihtuahna leh i taksa hman danah inthlak danglamna nghet tak a thlen thei a ni. Complication thenkhat chu thihna thlen thei hial a ni.
Harsatna awm thei chu:
- Taksa hriselna zawng zawng a tlahniam.
- Hri kai (e.g. pneumonia , vun natna ).
- Zu avanga damdawi lam harsatna dang, Wernicke-Korsakoff syndrome ang chi te.
- Seizures a awm thin .
- Thâwk harsa.
- Chaw ei harsa.
Hun a kal zel a, i taksa i thunun thei lo va, i hna i thawk thei lo mai thei. Hei hian i risk a tipung thei a ni:
- Bedsores te chu .
- Dehydration emaw ei leh in tha lo emaw.
- Tlu, ruh tliak, leh hliam na tak tak dangte.
- Zun thunun theih lohna (urinary incontinence) leh riltam control theih lohna (bowel incontinence).
- Ha hring , ha hring, leh ha lama harsatna dangte.
Zu vanga dementia vei te pawh hi thluak hliam na tak an tuar theihna a sang hle bawk. Zu him lo hman hian tlu, car accident leh lu hliam dang a thlen theihna a tipung a ni. Heng accident te hian thluak a tichhe zual thei a, neurons a tichhia thei bawk. Hei hian dementia natna a tizual thei a ni.
Zu in avanga rilru hahna (dementia) hi engtin nge kan hriat theih ang? (Diagnosis) tih a ni.
Doctor chuan he natna hi kawng hrang hrangin a hre thei a ni. A hmasa ber chu taksa enfiahna kimchang leh thluak enfiahna neih a ni. Doctor chuan hetiang symptoms nei thei tur condition dang pawh a paih chhuak ang.
I doctor chuan i hriselna leh nitin nun a hriatthiam theih nan zawhna a zawt ang che. I hriat loh inthlâk danglamna eng pawh hriat nân chhûngkaw member pakhat nên an inbia thei bawk. I doctor chuan hetiang hi a zawt thei ang:
- I hnathawh dan pangngai tih theih.
- Zu in hman dan .
- Tunah hian damdawi chu ei rawh.
- Damdawi lam chanchin hmasa `(Medical history)`.
- Mod, nungchang, mize leh i rilru put hmang inthlak danglamna.
- Ei leh in.
- Hriselna dinhmun zawng zawng.
I in tam zia chu i doctor hnenah thudik hrilh rawh. An rorelsak lo vang che a, an cheibâwl lo vang che. I natna lan chhuah chhan hrethiam a, tanpui che an duh a ni.
Doctor chuan zu in vanga rilru lam natna (dementia) a hriat theih nan hetiang test hi a hmang thei a ni:
- Thisen test a ni.
- MRI (Magnetic Resonance Imaging) hmanga thluak test a ni.
- Thil hriatna (cognitive test) te.
- `CT scan (Computed Tomography hmanga enfiah)` tih a ni.
- ``PET scan (Positron Emission Tomography hmanga enfiah)'' tih a ni.
- Zun test a ni.
Zu avanga damdawi lam harsatna dang chhinchhiahna zawng turin test dang pawh tih theih a ni bawk. Entir nan:
- Zu in avanga cardiomyopathy a awm.
- Zu kaihhnawih hepatitis.
- Cirrhosis natna (liver) a awm.
Zu avanga rilru hahna (dementia) enkawlna tur engte nge ni?
I doctor chuan i natna lan chhuah dan tur enkawlna tur damdawi a rawt mai thei a, mahse tunah chuan zuin thluak a tihchhiat chu tihdanglam vek theih dan tur a awm lo.
Inenkawlna pawimawh ber chu zu in bansan vek hi a ni. Zu in chhunzawm chuan thluak chhiatna a tipung thei a, symptoms a ti na zual thei bawk.
I doctor chuan him takin zu in loh nan a pui thei che a ni. Zu in loh nghal hian harsatna lian tak a thlen thei a, chu chu ``cold turkey'', withdrawal symptoms, leh delirium tremens (DT) te hi a ni. ``DT'' hi zu in i chawlhsan nghal mai a, emergency medical treatment a ngai a, chu chu natna khirh tak a ni.
Zu tel lova nun i hman thiam lai hian i him theih nan damdawi in emaw, rehabilitation center emaw-ah i awm a ngai mai thei.
Enkawlna dang i mamawh theihte chu:
- Cognitive Behavioral Therapy (CBT): Mental health counselor nena inbiakna chuan i lungkhamna, i lungkhamna leh i rilru put hmangte chu i hrethiam thei a ni. Zu laka inthiarfihlim tura i mamawh rilru chakna siam turin a pui thei bawk.
- Damdawi: Zu in vanga dementia damdawi bik a awm lo. Mahse, i doctor chuan damdawi thenkhat, dementia chi dang atana hman tur a rawn rawt thei a ni. Zu hmansualna enkawlna atan hian damdawi naltrexone leh acamprosate te pawh pek theih a ni bawk.
- Nutritional support: Ei leh in lama harsatna i neih emaw, vitamin tlakchhamna emaw i neih chuan nutritional supplement i mamawh mai thei.
- Support groups: Hengte hi i dinhmun hrethiam midangte nena inzawmna tha tak a ni. I doctor chuan nangmah leh i chhungte tana tha tur group hrang hrang a hrilh thei che a ni.
Zu avanga rilru lam natna (dementia) awm theihna tur prognosis chu eng nge ni?
Zu in vanga dementia hian mi zawng zawng a nghawng dan inang vek lo. Tunah hian dementia chi hrang hrang damdawi a la awm lo.Chuvangin, i taksa i ngaihtuahna leh i hman dan inthlak danglamna chu a awm reng dawn tih i beisei a ngai a ni. Mahse, inthlâk danglamna tharte chu i hman thiam a ngai a nih pawhin, chu mi chu i la ni reng tho.
Zu in avanga dementia vei dam rei zawng chu engzat nge ni ang?
Hetiang dinhmun hian i dam rei zawng (life expectancy) a nghawng thei a ni. Mahse, mi zawng zawng tana remchang tur hun bik sawi erawh a harsa khawp mai.
Thil engemaw zatah a innghat a ni:
- Zu in i bansan dawn em ni?
- Thluak chhiatna nasat dan.
- Thluak peng engte nge a chhiat?
- i kum zat.
- I hriselna zawng zawng.
Zu avanga hriselna lama harsatna dang i neih chuan i dam chhung pawh a nghawng thei bawk. Eng condition nge i nghawng tam ber tih chiang taka sawi a harsa hle. A pawimawh ber chu him taka awm a, i symptoms te enkawl dan tur i neih hi a ni.
I doctor chuan i hriselna leh i dinhmun bik a zirin beisei tur dik tak siam turin a pui thei che a ni.
Engtikah nge Doctor ka hmuh ang?
Hriatrengna emaw ngaihtuahna lama harsatna i neih chuan Doctor pan rawh. Heng harsatnate hi zu in vanga dementia vang nge, natna dang vang nge tih an rel ang. I natna lan chhuah dan emaw, i rilru put hmang emaw chu doctor hnen atangin thup suh. Mualpho tir che emaw, mualpho tir che emaw an tum lo tih hre reng ang che. Mahse, dik taka an hriat theih nan leh an enkawl theih nan i rilru put hmang leh i thil tawn te an hriat a ngai a ni.
I doctor pan a ngai ang a, check-up neih reng a ngai ang. I thluaka inthlak danglamna an enfiah ang a, a tul angin i enkawlna chu an siamrem ang.
A tawp berah chuan take-home message:
Zu in vanga dementia hi kum tam tak zu in nasa avanga lo awm a ni. Mahse, zu i bansan chuan a chhiatna chu a zual lo ang. Condition i neih vang mai mai chuan hlawhchham emaw, chak lo emaw i ni tihna a ni lo. Tumah an awm lo. Zu insualna leh dementia hi natna a ni a, i chak lohna emaw, i thil tihsual emaw a ni lo.
I chhungte, i doctor, support group emaw, rilru lam hriselna chungchanga counselor emaw nen inbiakna nei rawh . An vai hian i thluak leh taksaa inthlâk danglamnate i insiamrem laiin him taka i awm theih nân, i ngaihsak che a, ngaihthlâk i nih theih nân an ṭanpui thei che a ni.
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