Kan chhungkuaa mi pakhatin a upat deuh deuh chuan a hriatrengna a hloh tan chuan, chu chu Alzheimer’s angin kan ngai vek a ni. A dik a ni, Alzheimer's hi dementia natna vei tam ber pakhat a ni. Mahse, i hria em, natna dang pakhat Lewy Body Dementia , or LBD tih a awm bawk. Hei hian kum 50 chunglam pawh a nghawng a, chuvangin vawiin hian LBD chu eng nge a nih kan sawi dawn nia.
A awlsam zawngin, Lewy Body Dementia (LBD) hi eng nge ni?
Kan thluaka cell te hi chemical hmangin an inbiakpawhna angin han ngaihtuah teh . Lewy bodies hi kan thluaka protein clump pangngai lo tak tak, a awm khawm thin a ni. An pungkhawm chuan thluak hnathawh dan pangngai a tibuai thin. A bik takin, thil tam tak an tibuai thei a, chung zingah chuan kan hriatrengna, kan chezia, kan ngaihtuahna, kan rilru put hmang , leh kan nungchang te pawh a tel a ni.
He LBD condition hi kawng lian pahnih a awm thei a:
1. Dementia with Lewy bodies: Hei hi taksa lama harsatna atanga tan a ni a, chu chu kea kal leh che harsat vang a ni. Kum khat vel hnuah chuan Alzheimer natna ang chi hriatrengna leh ngaihtuahna lama harsatna a lo awm ta a ni. Hallucinations pawh a awm thei bawk.
2. Parkinson’s disease dementia: Hemiah hian chetna lama harsatna (Parkinson’s symptoms) a lo lang hmasa ber thin. Hriatrengna leh ngaihtuahna lama harsatna hi natnaah hian a hnu lawkah a lo lang thin.
A pawimawh ber chu tun dinhmunah LBD damdawi a la awm lo. Mahse, a natna lan chhuah dan enkawl dan tur leh rei lo te chhunga hahdamna engemaw chen pek dan tur a awm.
LBD, Alzheimer’s, leh Parkinson’s te hi eng nge an danglamna?
Heng natna pathumte hi hmel inang viau mah se, an inkarah hian danglamna chiang tak a awm. Heng danglamnate hriat hi enkawlna atan a pawimawh hle.
| Natna tehkhin | LBDs inthlauhna ber chu |
|---|---|
| Alzheimer natna a ni | Alzheimer’s ang lo takin LBD hian a tir lamah chuan hun rei lote chhunga hriatrengna a hloh lo. LBD-ah chuan ngaihtuahna leh ngaihtuahna thiamna hi a inthlak danglam chak hle (nitin, darkar tin, darkar tin a inang lo thei). LBD natna bul tan tirh lamah chuan hallucinations hi a awm fo thin a, mahse Alzheimer’s natnaah chuan natna hi a tlai lamah a thleng thin. |
| Parkinson natna a ni | Parkinson natnaah chuan hriatrengna lama harsatna (dementia) hi natnain a zual zel hnuah chauh a awm a, a chang chuan a lo awm lo. Mahse, LBD -ah chuan hriatrengna lama harsatna chu movement harsatna nen emaw, a hnu lawkah emaw a intan thin . |
| Mut nungchang | LBD thil danglam bik chu REM sleep behavior disorder hi a ni . Hei hi i mut laiin i mumang i act tak tak lai a ni (e.g., i mumang a i insual a nih chuan i ke leh ke i ti che tak tak a, a nih loh leh khum atanga i tlu a ni). Hei hi LBD symptom hmasa ber a ni thei. |
LBD awm chhan leh a hlauhawmna
Heng protein clump, Lewy body tia koh te hi protein chi khat alpha-synuclein an tih atanga siam an ni. Thluaka an pungkhawm chuan kan thluaka chemical pawimawh pahnih siam chhuah a tibuai a ni.
- Acetylcholine: Hei hian kan hriatrengna leh kan zirlai a nghawng a.
- Dopamine : Hei hian kan che vel, kan rilru put hmang leh mut a thunun a.
Scientist te hian engvangin nge heng Lewy taksa te hi thluaka an pungkhawm tih chiang takin an la hre lo a, engvangin nge mi thenkhat chauhin LBD an vei tih pawh an la hre lo.
Hei hi thlahtu natna a ni em? LBD hi a tlangpuiin thlahtu natna anga ngaih a ni lo. Mahse, i chhungkuaa mi tu emaw chuan LBD a vei a nih chuan i vei theihna a sang deuh mai thei.
Risk factor lian ber berte:
- Tar (a bik takin kum 50 chunglam) .
- Damdawi lam harsatna dang nei, Parkinson natna ang chi
- Chhungkaw history-a LBD vei nei
- Mipa hian hri kai an tam zawk
LBD natna lan chhuah dan 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. A hnuaia tarlan te hi a lan chhuah dan tlangpui thenkhat an ni.
| Mihring ziarang chi khat | Entirnan |
|---|---|
| Ngaihtuahna thiamnaah nghawng a nei | Thutlukna siam harsa, hlat zawng teh thiam lohna, ngaihvenna tlahniam, hriatrengna tlahniam, hmun leh hun chungchanga buaina, number hmanga hnathawh harsa. |
| Movement-a nghawng a neih dan | Kal laiin ke hrual, nghet lo, kut khur, balance hloh leh tlu, hmalam pan, kutziak te te, ei harsa. |
| Mut a nghawng dan | REM sleep behavior disorder, nitin mut tam lutuk, mut theih lohna, leh restless legs syndrome te. |
| Mood-a nghawng a neih dan | Depression, lungkhamna, rilru hahdam lohna, thil awm lo hmuh leh hriat, hlauhna danglam tak tak (e.g. mi pakhatin min tichhe dawn nia ngaih). |
| Thil dang pawh a awm | Luak chhuak leh muhil, thisen sang inthlak danglam, chaw ei kham, zun control theih lohna, rim hriatna tlahniam. |
Thunun theih loh tap emaw, nuih emaw
LBD vei thenkhat chu chhan hriat lohvin an tap nghal emaw, an nui nasa emaw thei bawk. Hei hi damdawi lam chuan `pseudobulbar affect (PBA) tia hriat a ni.` Hei hi an rilru dik tak ni lovin, natna avanga thunun theih loh thil a ni.
Diagnosis leh enkawl dan
LBD hriat theihna tur test pakhat mah a awm lo. A lan chhuah dan hi natna dang nen a inang em avangin doctor-te tan chuan a hriat chian a harsa thei hle a, a bik takin a tir lamah chuan a harsa thei hle. Chuvangin, doctor chuan test eng emaw zat a ti ang a , natna dang a awm loh nan .
- Taksa leh nervous system enfiah
- Thisen test (vitamin emaw hormone level enfiah nan) .
- Thluak scan (CT scan, MRI scan) hmanga enfiah a ni.
- Hriatrengna leh ngaihtuahna thiamna tehna test
- Mut test te
Enkawlna chungchang kan sawi chuan, .
Tunah hian LBD hi damdawi leh enkawl dan tur a la awm lo a, mahse damdawi leh enkawlna hrang hrang a awm a, chu chuan natna lan chhuah dan a thunun thei a, nun a ti awlsam thei bawk.
Warning: Alzheimer natna enkawlna atana hman thin antipsychotics thenkhat chu LBD vei tan chuan a pawi thei hle. Symptoms a ti na zual thei. Chuvangin, damdawi eng pawh i hman hmain i doctor nen inbiakna neih hmasak phawt ang che.
Damdawi bakah hian taksa lam enkawlna, hnathawhna lama enkawlna, leh counselling ang chi enkawlna hian damlo leh a enkawltute tan hahdamna nasa tak a pe thei a ni.
LBD nena khawsa
LBD hi damlo leh an chhungte tan pawh harsatna a ni a, mahse ruahmanna dik leh puihna dik tak nen chuan zinkawng chu a awlsam phah thei a ni.
- Hriselna enfiah: In lama kea kalna hmuna harsatna awmte chu paih vek tur a ni. Bathroom chhungah grab bar dah rawh.
- Ṭanpuina dawng rawh: Hemi chungchang hi chhungte leh ṭhiante nen sawiho rawh. A tul chuan professional tanpuina dawng rawh.
- Ruahman lawk rawh: Damdawi lam leh sum leh pai chungchanga thutlukna siam lawk la, damlo duh dan ang zelin.
- Hlim rawh: Damlo chu a thil nuam leh hlimawm takah te inrawlh tir rawh.
LBD vei dam chhung chu a natna lan chhuah tirh atanga kum 7-8 vel a ni. Mahse, hei hi mi tinah a inang lo thei hle. Mi thenkhat chu kum 20 thleng an dam.
Take-Home Thuchah a ni
- Dementia hi Alzheimer natna a ni ngai lo. Lewy body dementia (LBD) pawh hi a awm fo bawk.
- Hriatrengna lama harsatna bakah hian LBD-ah hian a tir lamah chuan chetna, mut leh nungchang inthlak danglamna hmuh tur a awm.
- REM sleep behavior disorder leh hallucinations te hi LBD chhinchhiahna ber a ni thei.
- He natna hi tihdamna famkim awm lo mah se, a natna lan chhuah dan enkawl hian damlo nunphung a tichangtlung thei a ni.
- I hnaih ber tu emaw hian heng symptoms te hi a nei a nih chuan doctor thiam tak pan nghal a, thurawn lak a pawimawh hle.
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