"Tunah chuan kan mom/dad hi a upa deuh tawh a, a hma angin a theihnghilh tawh lo..." He thawnthu hi i hriat chian a ni mai thei. A châng chuan, chabi awmna hmun emaw, mi hming emaw ang chi thil tê tê theihnghilh hi tar chakna pangngai a ni. Mahse he theihnghilhna hi zawi zawiin a pung a, nitin hna kan thawh theih lohna hmun a thlen chuan tlem chuan kan ngaihtuah tur a ni. A chhan chu, Dementia an tih natna chhinchhiahna a ni thei. Chuvangin vawiin hian heng natna pahnih dementia leh Alzheimer’s an tih hi han sawi ila.
A hmasa berah chuan dementia hi eng nge ni?
A awlsam zawngin sawi ila, dementia hi natna bik a ni lo. Kan thluak hnathawh dan tichhe thei dinhmun hrang hrang, a bik takin hriatrengna, ngaihtuahna, ngaihtuahna leh thutlukna siamna tichhe thei dinhmun hrang hrang huamtu umbrella term a ni.
Dementia vei nia hriat theih nan chuan mi pakhatin theihnghilh theih loh thil a neih a ngai a ni. A tlangpuiin, a hnuaia theihna pahnih tal-ah hian chhiatna nasa tak an nei tur a ni:
- Hriatrengna: Tun hnaia thil thleng leh inbiakna te theihnghilh.
- Inbiakpawhna leh thusawi: Thumal zawn harsat, inbiak laia i sawi duh chu theihnghilh.
- Ngaihtuahna leh ngaihtuahna seng: Thil pakhata ngaihtuahna seng reng harsa.
- Reasoning leh rorelna: Thutlukna siam harsa, ruahmanna siam thiam lohna.
- Visual perception: A chang chuan thil awm lo hmuh (hallucinations), rawng thliar hran theih loh.
Heng symptoms te hi a inang em em a, i hmangaih tak hian eng ang dementia nge a neih tih chiang taka hriat a harsa thei hle. Chuvangin doctor i pan dawnin i natna lan chhuah dan zawng zawng, damdawi ei dan, zu in dan leh a hmaa natna i neih tawh zawng zawng hriat chian a pawimawh.
Chuti a nih chuan Alzheimer natna hi eng nge ni?
Alzheimer natna hi a hmaa kan sawi tawh umbrella term dementia hnuaia natna awm tam ber a ni. Dementia vei zinga 60% leh 80% inkar chuan Alzheimer’s disease an nei a ni. Hun kal zelah a zual zel a, a zual zel a ni. Kum 65 chunglam a vei tlangpui a, tunah hian he natna hi damdawi a la awm lo. Mahse, natna lan chhuah dan control thei tur leh nunphung tha tak vawng reng thei tur enkawlna a awm.
Alzheimer natnaah hian kan thluaka nerve cell inkarah ‘plaques’ an tih protein pangngai lo a lo awm a, nerve cell chhungah ‘tangles’ a lo awm bawk.Fibers ang chi thil khawlkhawmna chu. Kawngpuiah traffic jam lian tak a awm lai ang bawkin traffic a ding a, heng avang hian nerve cell inkara message kal dan chu a tawp a, a tawpah chuan nerve cell te chu a chhe vek a ni.
He natna pianphung hi a ni a, a tir lamah chuan hriatrengna hloh hi a na lo hle thei a, mahse hun kal zelah a natna lan chhuah dan chu a zual zauh zauh thin.
Alzheimer natna lan chhuah dan tlangpui:
- Mi hming, thilthleng leh inbiakna te theihnghilh.
- Thil ngaihtuah harsa tak a ni.
- Mihring nun inthlak danglamna: i thil hlimawm tak takte ngaihvenna hloh, midang rinhlelhna, chetsualna.
- Mood inthlak danglam leh depression.
- Rorelna leh thutlukna siam thiam lohna.
- Rilru tibuai.
Hun a kal zel a, inbiakna pangngai neih emaw, nitin hna thawh emaw pawh a harsa ta hle. Doctor chuan Alzheimer’s a ni tih 100% chiang takin a sawi thei lo a, mahse thluak imaging test, MRI scan leh hriatrengna, ngaihtuahna leh tawng ang chi thil tehna test te hian a dik tawk hle a ni.
Dementia chi hrang hrang lian ber ber
Alzheimer’s tih lohah hian dementia category-a tel tur condition dang engemaw zat a awm bawk. Hengte hi hriat chian a pawimawh bawk.
| Dementia chi hrang hrang | Thil pawimawh leh thil pawimawh tak takte |
|---|---|
| Vascular Dementia natna a awm | Hei hi chi hnihna a ni. Thluaka thisen petu thisen kalna kawngkhar (blood vessels) a block emaw, a chhiat emaw avanga lo awm a ni. Thingkungah tui pipe a inkhar a, thil thleng nen a inang hle. Alzheimer natna ang bawkin hriatrengna hloh hi a lan chhuah hmasak ber a ni lo. Chu ai chuan ruahmanna siam lama harsatna leh thutlukna siam \ha lo chu a lan chhuahna hmasa ber a ni thei. |
| Lewy taksa nei dementia | Hetiang dinhmun hi thluaka nerve cell-a protein clump pangngai lo Lewy body an tih avanga lo awm a ni. Hallucination, mut harsatna, leh Parkinson natnaa hmuh ang chi jerky, uncoordinated movement te a thlen thei a ni.A hriat hmasak ber a ni. Natna a zual zel angin hriatrengna hloh a awm thin. |
| Hma lam natna (FTD) . | Hei hian thluak hmalam leh sir lama nerve cell te a tichhia a ni. Chuvangin mize leh nungchang a nghawng ber a ni. Mi chu rang takin a chetsual hle thei a, khawtlang nunah awm dan tur a theihnghilh thei bawk. Ṭawng lama harsatna a awm bawk. Alzheimer’s (kum 60 vel) aiin kum naupang zawkah a intan tlangpui. |
| Thil dang hmuh tur awm lo | Tin, dementia hi a awm lo hle a, genetic forms, Creutzfeldt-Jakob disease (CJD) leh Huntington’s disease , a na zual thuai thei bawk. |
Engtin nge enkawl dante chu?
Alzheimer natna emaw, dementia chi tam zawk emaw damdawi a awm lo. Doctor-te chuan natna lan chhuah dan enkawl te, natna zual zel tihkhawtlai te, damlo chu a rei thei ang bera nunphung tha tak pek te hi an ngaih pawimawh ber a ni.
Enkawl dan hrang hrang a awm a:
- Hriatrengna hloh damdawi: Alzheimer’s leh dementia chi thenkhatah hian hriatrengna hloh control thei damdawi a awm.
- Nungchang leh rilru tihdanglamna damdawi: Depression, aggression, leh restlessness ang chi thil control nana pek damdawi.
- Mut lama harsatna nei damdawi: Mut dan inthlak danglam avanga harsatna awm thei te tan a pui thin.
- A chhan dang enkawl dan: A châng chuan, Dementia symptoms hi enkawl theih thil, vitamin B12 tlakchham emaw, thluaka tui tam lutuk (hydrocephalus) vang emaw a ni thei. Chutiang hunah chuan a chhan bulpui enkawlna chuan a natna lan chhuahna chu a tihziaawm thei a, a ti bo thei hial a ni. Hei vang hian a hmaa diagnosis dik tak neih a pawimawh em em a ni.
Dementia vei nena kan awm dun huna hriat reng tur thil
I chhungkuaa mi tu emaw hian hetiang dinhmun hi a nei a nih chuan anmahni nena inbiak pawh hi a harsa deuh thei a, mahse dawhtheihna leh hriatthiamna neih a pawimawh hle.
- An hmaah sawi suh: An hrethiam lo ang tih ngaihtuah chungin an hmaah an natna chungchang sawi loh tur. Inbiaknaah telh bawk ang che.
- "I hre reng em...?", ti suh.Chu zawhna chuan an rilru a ti buai thei a ni. Thil eng emaw an hriatreng loh chuan inhriat nawn tum ai chuan thupui thlak danglam a tha zawk.
- Inhnial suh: An thusawi chu a dik lo a nih pawhin inhnialna hmang hian tibuai zual suh. Muangchangin leh zawi zawiin thu sawi rawh.
- An thusawi chu titawp suh: An thusawi lai hian dawhthei takin ngaithla la, thumal zawn nan hun rei tak a la ngai a nih pawhin.
Hetiang dinhmun hi damlo tan chuan rilru leh taksa lamah pawh a hahthlak thei a, chubakah nang pawhin i enkawl theih nan a hahthlak thei bawk. Chuvangin i hriselna pawh ngaihtuah a pawimawh hle. A tul chuan doctor rawn la, thurawn la rawh.
Take-Home Thuchah a ni
- Dementia hi thluak hnathawh tichhe thei natna engemaw zat sawina tlangpui a ni. Alzheimer's hi a tam ber a ni.
- Kum upat deuh deuh chuan thil tenawm tak tak theihnghilh hi thil pangngai a ni. Mahse i hriatrengna, ngaihtuahna leh nungchang te chu i nitin nunah i thawk thei lo khawpa a inthlak chuan ngaihthah suh.
- Heng symptoms te hi a inang vek avangin diagnosis dik tak neih a pawimawh hle. Chumi atan chuan doctor thiam tak thurawn la rawh.
- Dementia chi tam zawk hi damdawi kimchang awm lo mah se, a natna lan chhuah dan control thei leh nunphung sang tak vawng reng thei enkawlna a awm.
- Natna hriat hmasak chuan enkawlna i neih theih nan leh hmalam hun tur ruahmanna i neih theih nan a pui thei che a ni. Chuvangin hlau suh, rinhlelhna i neih chuan Doctor nen inbia ang che.
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