I chhungkuaah hian kum upa lam, i nu emaw, i pi emaw, i pi emaw, thil theihnghilh thut a, a ding laia a nungchang thlak danglam, a chang chuan thil awm lo, “Tunge awm?” Kea kal pawh a harsat deuh em? Hetiang symptoms i neih chuan kan ngaihtuah angin normal aging a ni lo mai thei. Vawiin hian hetiang chhinchhiahna thlen thei natna bik, ‘ Dementia ’ emaw Lewy Body Dementia , ‘Memory Loss Diseases’ category-a tel kan sawi dawn a ni.
Lewy Body Dementia (LBD) hi eng nge ni mai?
A awlsam zawngin sawi ila, Alzheimer natna hnuaiah hian LBD hi dementia chi hrang hrang zingah a tam ber pahnihna a ni. Kum 50 chunglamte a nghawng tlangpui.
Hei hi kan thluak cell chhungah hian protein clump “Lewy bodies” an tih a lo awm vang a ni. Hetiang protein chi hi alpha-synuclein an ti a. Chûng clump-te chu thluaka an lo pun khâwm chuan thluak hnathawh dân pangngai, a bîk takin kan hriatrengna, kan chetna, kan ngaihtuahna, kan rilru put hmang, leh kan nungchangte a tibuai a ni .
Heng Lewy taksa te hian thluaka chemical pawimawh pahnih siamchhuahna a tibuai a.
1. Acetylcholine: Hei hi kan hriatrengna leh kan zirna atan a pawimawh hle.
2. Dopamine : Hei hian kan taksa chetna, rilru put hmang , leh mut dan a thunun a ni.
LBD hi chi hnih a awm a. Pakhat chu ' Dementia with Lewy bodies' tih a ni a, pakhat chu ' Parkinson 's disease dementia' tih a ni. A lan chhuah dan tur order-ah hian danglamna tlem a awm.
Hei hi Alzheimer leh Parkinson natna nen engtin nge a danglam?
Mi tam tak chuan heng dinhmun pathumte hi an symptoms a inang em em avangin an buaipui thin. Mahse, an inkarah hian danglamna chiang tak a awm. Hei hi hriat hi natna hriatchhuahna atan leh enkawlna dik tak hmuhna atan a pawimawh hle.
| Damdawi lam dinhmun | Hriatrengna lama harsatna leh chetna lama harsatna lo awm dan tur | Thil danglam bik dangte |
|---|---|---|
| Lewy Taksa Dementia (LBD) a awm a. | Vawi tam tak chu chetna lama harsatna (kal harsa, khur) leh hriatrengna lama harsatna (theihnghilh) te hi a rualin emaw, kum khat chhungin emaw a thleng thin. | Hallucinations hi natna hi a tir lamah a awm thei a. REM sleep behavior disorder hi a awm fo thin. Ngaihtuahna leh ngaihtuahna thiamna hi nitin a inthlak danglam thin (a chang chuan a tha hle a, a chang chuan a buaithlak hle). |
| Alzheimer natna a ni | Memory problem (a bik takin short-term memory) atanga tan a ni. Natna hnuhnung zawkah hian chetna lama harsatna a awm thin. | Hallucinations hi natna a lo zual tawh hle a, chu chu a tawp lam a nih chuan hmuh tur a awm tlangpui. |
| Parkinson natna a ni | Incheina lama harsatna (tremors, muscle stiffness) atanga tan a ni. Hriatrengna lama harsatna (dementia) hi natnaah hian a hnu lawkah a lang a, a lo lang ngai lo thei bawk. | A bik takin movement a nghawng a ni. Dementia a awm chuan ‘Parkinson’s disease dementia’ an ti thin. |
A pawimawh ber chu heng natna atana damdawi pek pawh hi a danglam a, chuvangin diagnosis dik tak neih a pawimawh hle.
LBD vei theihna tur risk factors te chu engte nge ni?
Scientist-te chuan mi ṭhenkhatin an thluaka Lewy taksa an neih chhan chiang takin an la hre lo a, mahse hei hi a thlen theihna tur risk factor eng emaw zat an hmuchhuak a ni.
- Kum: Kum 50 aia upa nih hi risk factor lian tak a ni.
- Damdawi lam harsatna dangte:Parkinson natna emaw REM sleep behavior disorder ang chi natna nei.
- Chhungkaw chanchin: Hei hi thlahtu natna anga ngaih ni lo mah se, i chhungkuaa mi tu emaw chuan LBD a vei tawh a nih chuan i vei theihna chance chu a sang deuh hlek a ni.
- Gender: Hmeichhia aiin mipain he natna hi an vei tam zawk.
LBD natna lan chhuahna berte chu engte nge ni?
Damlo zawng zawng hian symptom inang an nei vek lo. Symptom thenkhat chu a na lo thei a, thenkhat erawh chu a na hle thei bawk. Symptoms hi chi liah then theih a ni.
| Mihring ziarang category | Entirnan |
|---|---|
| Ngaihtuahna Thiamna a nghawng dan | Thutlukna siam harsa, hlat zawng teh harsa, ngaihtuahna seng harsa, hriatrengna hloh, hmun khat en reng, thil awm lo hmuh (hallucinations), hun leh hmun chungchanga buaina. |
| Chet | Kal laiin ke inthlak danglam, taksa a nghet lo, balance hloh leh tlu, khur, hmalam hawia ben, ei harsa, hmel lan dan tlahniam, aw chak lo. |
| Mut a nghawng dan | Mut laiin mumang acting out (e.g., au thawm, ke ruh tliak, khum atanga tlu), nitin mut tam lutuk, mut theih lohna, leh ke tihchet ngai (Restless legs syndrome) te. |
| Mood leh Behavior-a nghawng a neih dan | Depression, lungkhamna, rilru hahdam lohna, paranoia, thinrimna chhuak nghal, thunun theih loha nuih emaw tap (pseudobulbar affect). |
LBD natna lan chhuah hmasak berte chu engte nge ni?
Thil awm lo hmuh fo thin (Hallucinations) .LBD vei zinga 80% vel chu hallucinations hi a lan chhuah hmasak ber a ni. Chumi awmzia chu thil awm lo, rannung, mihring leh pianzia te an hmu tihna a ni. Chu bâkah, ngaihtuahna lama inthlâk danglamna te, theihnghilh theihna te, leh mut harsatna te pawh a tir lamah hmuh theih a ni bawk.
Engtin nge doctor hian LBD hi a hriat theih ang?
LBD hi test pakhat chauh hmanga hriat theih a ni lo. A natna lan chhuah dan hi dementia chi dang nen a inang avangin hriat a harsa thei hle a, a bik takin a tir lamah chuan hriat a harsa thei hle. Chuvangin doctor chuan chutiang bawka symptoms thlentu condition dang chu a paih chhuak ang.
I doctor chuan test engemaw zat a ti thei a, chungte chu:
- Taksa enfiahna leh i symptoms chungchang ngun taka sawihona.
- Neurological exam: I reflexes, i chakna, i balance, i kal dan leh i mit che dan enfiah.
- Thisen test: Hormone emaw vitamin level-ah thil dik lo a awm leh awm loh enfiah thin ang che.
- Brain scans: CT scan emaw MRI scan emaw hian dementia chi dang nena inzawm thil danglamna a zawng thei a. Special scan PET emaw SPECT emaw pawh tih theih a ni.
- Mut test: Mut harsatna, REM sleep behavior disorder ang chi te enfiah thin ang che.
LBD enkawlna tur engte nge ni?
Tunah hian LBD hi damdawi leh enkawlna a la awm lo. Mahse, natna lan chhuah dan thunun thei leh nun awlsam zawka siam thei enkawlna a awm .
- Damdawi hman tur: 1.1.
- Damdawi chi hrang hrang `donepezil (Aricept)` leh `rivastigmine (Exelon)` te, Alzheimer natna vei te chu ngaihtuahna leh hriatrengna lama harsatna nei te hnenah pek thin a ni.
- Damdawi, levodopa ang chi, chetna lama harsatna (tremors, stiffness) tan.
- Mut lama harsatna nei damdawi melatonin emaw clonazepam (Klonopin) te.
- Therapies dang: 1.1.
- Physical therapy: Incheina leh inthlauhna tihchangtlunna tura exercise tih.
- Occupational therapy: Nitin hna awlsam zawka thawh dan zir nan.
- Counselling: Rilru lama harsatna, lungngaihna leh lungkhamna te enkawl nan.
Pawimawh tak: Rilru natna enkawlna atana hman thin antipsychotic damdawi thenkhat hian LBD vei te tan nghawng tha lo a nei thei a ni. Hengte hian symptoms (a bik takin thil awm lo hmuh leh chetna lama harsatna) a ti na zual thei. Chuvangin doctor thurawn lo chuan damdawi engmah hmang suh.
LBD vei mi pakhat leh an enkawltute tan thurawn
LBD nena nun hi damlo leh an enkawltute tan pawh thil harsa tak a ni a, mahse ruahmanna fel tak leh puihna a awm chuan zinkawng chu a awlsam phah thei a ni.
- Hriselna chungchâng ngaihtuah rawh: In chhûnga tlu thei thilte chu paih bo rawh. Bathroom chhungah grab bar dah rawh.
- Ṭanpuina dawng rawh: Hemi chungchang hi chhungte leh ṭhiante nen sawiho rawh. An tanpuina dawng rawh. Enkawltu pawhin chawlh hahdam a mamawh a ni.
- Ruahman lawk rawh: Damlo duh dan ang zelin dan leh sum leh pai lama ruahmanna siam lawk rawh.
- Hlim rawh: Damlo chu a hlimna leh nuam ti thei thil (music ngaihthlak, lemziak, etc.)-ah te tel tir rawh.
LBD dam rei zawng chu a lan chhuah tirh atanga kum 7-8 vel a ni a, mahse hei hi mi hrang hrangah a danglam thei. Enkawlna leh enkawlna tha tak a awm chuan damlo thenkhat chu kum 20 thleng an dam thei a ni.
Take-Home Thuchah a ni
- Lewy body dementia (LBD) hi thluaka protein awm zat avanga hriatrengna, chetna leh nungchang tichhe thei a ni.
- Hei hi Alzheimer natna leh Parkinson natna nen hian a lan dan tur leh a lan danah a danglam a ni. LBD-ah hian mitdel leh mut harsatna a awm fo.
- Hei hi damdawi famkim awm lo mah se, damdawi leh damdawi chi hrang hrang hmangin a natna lan chhuah dan a thunun thei a, nun a ti awlsam thei hle.
- I hnaih bertuin heng natna hi a neih chuan hlauthawng suh la, a rang thei ang bera doctor pan rawh . Diagnosis dik tak neih a pawimawh hle.
- A enkawltu rilru leh taksa hriselna pawh a pawimawh hle. A tul hunah tanpuina zawng hreh suh.
Lewy Body Dementia, LBD, Dementia, Hriatrengna hloh, Alzheimer, Parkinson, Tar hriselna











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