I chhûngkaw zînga mi tu emaw, i nu emaw, i pa emaw, i pi leh pu emaw pawhin thil an theihnghilh ṭan em? Thumal zawn kawngah harsatna an nei fo em? Kum upa lam thil pangngai angin kan ngai fo thin. Mahse, a chang chuan thil buaithlak zawk chhinchhiahna a ni thei. Vawiin hian dementia lam hawi deuh deuh, hriatrengna hloh natna kan sawi dawn a ni. Chu chu ‘mixed dementia’ an tih dinhmun a ni.
Mixed Dementia hi eng nge ni?
A awlsam zawngin sawi ila, mixed dementia chu mi thluak chu a ruala dementia chi hnih emaw a aia tam emaw in a nghawng hian a ni. A dik zawk chuan thluak inthlak danglamna chi khat aia tam a ruala a awm hian a ni.
Chung zinga a tam ber chu mixed dementia a ni a, hei hi Alzheimer natna leh vascular dementia inzawmkhawm a ni . Mahse, Alzheimer natna hi natna dang nen pawh a inzawm thei a, chu chu Dementia with Lewy bodies (DLB) emaw, Parkinson’s disease nena inzawm dementia emaw te hi a ni. A châng chuan, dementia chi thumte hi a awm vek thei bawk.
He dinhmun hi hun kal zelah a zual zel dan (natna stage) .
Dementia chi dang ang bawkin mixed dementia hi a kal zel a, a bulpui ber pasarih-ah then theih a ni.
1. Normal functioning: Natna a lo intan tirh khan symptoms i nei lo mai thei. Thluak hnathawh hi a pangngai vek thei.
2. Mild memory loss: Stage hnihnaah chuan memory loss tlem tak tak i hmu tan a. Thil i theihnghilh mai thei. Hei hi tar chakna pangngai ang maiin a lang thei.
3. Mild memory loss: Stage thumnaah chuan dementia chhinchhiahna hmasa ber i hmu tan a. Thil hriat reng leh thil pakhat sawifiahna tur thumal zawn harsa i nei thei.
4. Moderate memory impairment: Hetiang dinhmunah hian hriatrengna hloh hi a langsar zual thin. Nitin hna thawh tur, bill pek leh thil ruahman te a tibuai tan thin.
5. Hriatrengna lama harsatna nasa tak (moderately severe memory impairment): Nitin hnathawh pawh hi thil harsa tak a lo ni ta a ni. Mimal hna, inbual leh incheina ang chiteah ṭanpuina i mamawh mai thei.
6. Hriatrengna lama harsatna nasa tak: Nitin hna thawk tur chuan tanpuina tam tak a mamawh. Mi dangte nena inbiakna pawh a harsa mai thei.
7. Hriatrengna hloh nasa tak: Hetiang dinhmunah hian thil pawimawh tak tak, kea kal leh thusawi ang chi pawh a theih loh mai thei. Hetih lai hian nitin darkar 24 chhung enkawl a ngai mai thei.
He natna hi tu nge vei thei ber?
Mixed dementia lo awm chhan lian tak tak engemaw zat a awm. Tin, dementia chi hrang hrang a inrawlh dan azirin risk factors pawh a inang lo bawk. Hengte hi dawhkan pakhatah han en ila.
| Factor / Dementia chi hrang hrang | Risk Factors awm thei te |
|---|---|
| Risk factor lian ber berte | Kum upa lam (a bik takin kum 75 chunglam), thisen sang, thluaka thisen kalna kawng chhia. |
| Alzheimer natna nena inzawm hlauhawmna | Chhungkaw chanchin, genetic influences, lu hliam, thinlung natna, mahni chauha awm, enkawl loh depression. |
| Vascular dementia nena inzawm hlauhawmna | Tar, atherosclerosis, heartbeat mumal lo (atrial fibrillation), zu in tam lutuk, cholesterol sang, heart attack emaw stroke emaw history nei, thau lutuk, meizuk, zunthlum thunun theih loh. |
| Lewy Body Dementia (DLB) nena inzawm hlauhawmna | Kum upa lam, chhungkaw history-a DLB emaw Parkinson’s natna vei, leh chhungkaw history-a REM sleep behavior disorder nei te. |
Mixed dementia natna lan chhuah dan chu engte nge ni?
Mixed dementia symptoms hi mi hrang hrangah a inang lo thei hle. Hei hi a chhan chu he natna hi dementia chi hrang hrang avanga lo awm thei a ni a, chu chuan thluak hmun hrang hrang a tichhe thei a ni. A symptoms hi i dementia chi hrang hrang inzawmkhawm a ni.
Ngaihtuah teh, mi pakhatin Alzheimer’s leh vascular dementia a nei ve ve a nih chuan Alzheimer’s nena inzawm hriatrengna hloh leh vascular dementia nena inzawm ngaihtuahna slow tak chu a tawng ve ve thei a ni.
A lan chhuah dan tlangpui thenkhat chu:
- Nungchang a inthlak danglam thin
- Hmun hriat lar takah pawh buaina
- Lungngaihna
- Nitin hna thawh harsat (inchei dan ang chi) .
- Thutlukna siam harsa
- Tun hnaia thil thleng emaw, thil thleng tawh emaw hriatreng harsa
- Ṭawng hman harsa
- Theihnghilh theihnghilh
- Thinrimna (Iritability) a awm
- Mood a inthlak danglam thin
- Taksa inthlauhna leh incheina lama harsatna
- Mihring nihna a inthlak danglam thin
Engtin nge doctor hian hei hi a hriat chian?
Dik tak chuan mixed dementia hmuhchhuah hi a harsa deuh a, a chhan chu mi nung thluak tissue inthlak danglamna dik taka teh a harsat avangin. Heng inthlak danglamna te hi autopsy-a thluak enfiah a nih chauhvin chiang takin a lang thei.
Vawi tam tak chu doctor chuan dementia chi khat (e.g. Alzheimer’s) chu a lan chhuah dan a zirin a hmuchhuak a, mahse a hnuah autopsy-ah chuan mixed dementia a ni tih a nemnghet leh thin.
Nangmah emaw, i chhungte zinga tu emaw hian dementia symptoms an neih chuan list siam la, i doctor pan mai tur a ni. Dementia chi hnih emaw a aia tam emaw nena inmil symptom i neih chuan i doctor chuan mixed dementia a ringhlel mai thei.
Diagnosis atan hian a hnuaia test te hi hman tlanglawn a ni:
- Thisen test a ni
- Thluak scan a ni
- Thil hriatna (cognitive testing) a ni
- Taksa enfiahna kimchang
- Neurological exam neih a ni
- Nang leh i chhungte damdawi lam chanchin enfiah
Hei hi eng enkawlna nge ni?
Dementia chi dang ang bawkin mixed dementia hi damdawi a awm lo. Tin, natna a zual zel tur venna tur damdawi a awm lo bawk. Mahse, natna lan chhuah dan control thei leh nun awlsam zawka siam thei enkawlna a awm.
- Damdawi: I mixed dementia hi Alzheimer natna nen pawh a inzawm a nih chuan i doctor chuan damdawi chi hrang hrang, cholinesterase inhibitor te a pe thei a, chu chu Alzheimer natna lanchhuahna enkawlna atana hman thin a ni. Tin, vascular dementia i neih chuan i doctor chuan thisen sang ang chi thil control nan damdawi a pe thei bawk.
- Nunphung inthlak danglamna: Nunphung inthlak danglamna thenkhat hian natna lan chhuahna a tiziaawm thei a ni.
- Exercise tih hi a ni
- Hla thlamuanthlak tak tak ngaihthlak
- Mental wellness method hrang hrang, meditation ang chi te
- Chhungte leh thiante nena hun hman
- Therapies dang: 1.1.Psychotherapy leh occupational therapy ang chi thilte hian nitin hnathawh dan, tawng, hriatrengna leh harsatna chinfel thiamna tihchangtlunna kawngah a pui thei a ni.
A pawimawh ber chu eng enkawlna pawh i tan hmain i doctor nen inbiakna neih hmasak phawt a, a thupek zawm hmasak phawt hi a ni.
Hetiang dinhmun hi engtin nge kan nunpui ang?
Mixed dementia damdawi nghet awm lo mah se, damlo nunphung tihsan nan thil tam tak tih theih a awm.
- Thil hriatreng awlsam zawk siam rawh: Appointment, to-do items, etc. ziak rawh.
- Bill pek awlsam rawh: Automatic bill pek dan tur siam rawh. Chhungkaw member emaw, ṭhian emaw rintlak tak ṭanpuina dil rawh.
- Mut tha rawh: Nitin mut la, a rualin harh rawh. Zan lamah caffeine, tea leh coffee ang chi hi tihtlem tur a ni.
- Nun nuam ti rawh: I duhzawng thil ti rawh. Social takin awm rawh. Mahni chauha awm i nih chuan midangte pawh sawm rawh.
- Ṭanpuina dil rawh: Chhungte leh ṭhiante chu huan siam, lirthei khalh, leh thil lei tur phurh ang chi thila ṭanpuina dil rawh. Ṭanpuina dil hi zahthlak a awm lo.
- Professional tanpuina dawng rawh: A tul chuan home care services emaw khawtlang pawl emaw atangin tanpuina i dawng thei ang.
Take-Home Thuchah a ni
- Mixed dementia chu dementia chi hnih emaw a aia tam emaw a ruala mi thluak a nghawng hian a ni.
- Mi hrang hrangah symptoms a inang lo a, damloin dementia a neih chi hrang hrangah a innghat.
- Hei hi hriat chian a harsat avangin a natna lan chhuah veleh doctor thiam tak pan a pawimawh hle.
- Hei hi damdawi nghet tak awm lo mah se, damdawi te, enkawlna te, leh nunphung tihdanglamna te hian i natna lan chhuahna te chu a enkawl thei a, nun tha zawk i nei thei bawk.
- Damlo tan chhungte leh thiante hnen atanga hmangaihna, thlawpna leh hriatthiamna a dawn hi a pawimawh hle.
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