I chhûngkuaa mi tu emaw, i nu emaw, i pa emaw, i kawppui emaw pawh ni se, a inthlâk danglam thut tih i hre ngai em? A hma aia rilru na zawkin an che a, an thusawi an sawisel nasa zawk emaw, thil an ngaihven lo emaw pawh a ni thei... Mi tam tak chuan hei hi tar chakna pangngai anga an ngaih laiin, a châng chuan natna khirh zawk chhinchhiahna a ni thei bawk. Vawiin hian chutiang dinhmun pakhat kan sawi dawn a, chu chu Frontotemporal Dementia a ni.
Frontotemporal Dementia (FTD) hi eng nge ni?
A awlsam zawngin sawi ila, hei hi kan thluak tibuaitu natna a ni. Kan thluak hi control center lian tak angin han ngaihtuah teh. Kan nungchang, tawngkam leh ruahmanna a\anga engkim thununtu chu a peng hrang hrangte hi a ni.
FTD-ah chuan thluak hmalam (frontal lobe) pahnih hi a chhe ber a ni.
1. Frontal lobes: Hengte hi hmai hnung lamah a awm a. Kan control room CEO ang mai an ni. Kan mizia te, thutlukna siam dan te, rilru thunun dan te, leh khawtlang nunah kan awm dan te an thunun a ni.
2. Temporal lobes: Hengte hi beng sir lehlamah a awm a. Hengte hi kan tawng leh hriatrengna hmun ang mai a ni. He \hen hian thumal hriatthiamna te, thusawi te, thil hriatrengna te min pui \hin.
FTD-ah chuan heng hmun pahniha nerve cell (neurons) te hi a chhe vek a, zawi zawiin an thi ta a ni. Nerve cell-te an thih chuan, thluaka chu hmunte chu a lo tlem a, balloon-a thawk chhuah ang maiin a lo tlem ta a ni. Chuvang chuan chutiang hmunte thunun hnathawh chu a bo zauh zauh thin. Hei hi natna zual zel a ni a, hun kal zelah a zual zel a ni.
FTD chi hrang hrangte chu engte nge ni?
FTD hian mi zawng zawng a nghawng dan inang vek lo. Thluak peng eng nge chhiat a zirin symptoms a inang lo. Chumi ang chuan chi hrang hrang a awm a.
| Lampang | Hmuh theih thil langsar ber ber |
|---|---|
| Thiltih dan danglam (bvFTD) . | Hei hi a tam ber chi a ni. Mihring nihna leh nungchang a inthlak vek. Khawtlangin a pawm loh thil an ti a, an sawi bawk. An thil tih hi a dik lo tih an hrethiam lo. An lainatna an hloh ta a ni. |
| Thusawi lama harsatna (Primary Progressive Aphasia - PPA) 1.1. | Heta buaina lian ber chu tawng nena inzawm a ni. Thusawi lai hian tawngkam hmuh a har a, thu a inhmeh lo a, sawi chu hriatthiam theih a ni lo. Hun a kal zel a, lehkha chhiar thiamna pawh a bo ta zel a. |
| Incheina lama harsatna thlen thei chi hrang hrang | Hei hian Corticobasal degeneration leh Progressive supranuclear palsy ang chi natna te a huam a ni. Taksa chetna lama harsatna a awm thin. Entirnan, taksa sir khat hman harsa, kal laia balance hloh leh mit chet harsa. |
| FTD leh natna dang inzawmkhawm (FTD-ALS ang chi) . | A châng chuan FTD hi thluak lam natna dang, ALS ang chi, ruh chakna tichhe thei te nen a awm dun thei bawk. Chutiang a nih chuan nungchang leh thusawi inthlak danglamna te, taksa ruh chak lohna rang tak te pawh hmuh tur a awm bawk. |
FTD natna lan chhuah dan tlangpui chu engte nge ni?
Damlo hrang hrangah natna lan chhuah dan inang lo mah se, natna hriat theihna tur chhinchhiahna tlanglawn thenkhat a awm.
| Symptom a ni | A sawifiahna awlsam tak |
|---|---|
| Ngaihvenna hloh (Apathy) . | Eng thil pawh tih duhna leh chêttîrna an hloh a ni. Khawtlang atangin an inhnukdawk a, mahni faina lam pawh an ngaihtuah ngai lo. |
| Khawtlang nunphung dik lo | Thusawi lai hian ‘filter’ a awm lo. An rilrua lo lang apiang an sawi a, midang rilru a ti na dawn em tih ngaihtuah lovin an sawi thin. Thil hlauhawm tak tak ti tûra thlêm an ni thei. |
| Lainatna hloh | Mi dangte rilru put hmang, lungngaihna emaw, hlimna emaw ang chite hrethiam thei lo an lo ni ta a ni. Thinlung nei lo ang maiin an che thei a ni. |
| Ei leh in lama inthlak danglamna | Vawi khata chaw tam tak ei, a bik takin sweets ei. Mi thenkhat chu an ei loh tur thil (e.g., bawlhhlawh, lehkha) ei turin an thlem thin. Hei hi damdawi lam hawi chuan Pica an ti a. |
| Chutiang bawk chu sawi nawn leh | Thumal emaw sentence khat emaw sawi nawn leh nawn leh. A nih loh leh thiltih ang chiah tih (e.g., kutbeng). |
| Planning harsatna a awm | Hna ruahmanna siam te, harsatna sutkian te, thutlukna siam te chu a harsa ta hle. |
A pawimawh ber chu heng symptoms te hi a tir lamah chuan a langsar vak lova, mahse hun kal zelah a na zual zel a ni.
Engvangin nge FTD hi a lo awm? Tute nge hlauhawma awm?
Researcher-te chuan FTD thlentu dik tak hi an la hre chiang lo a, mahse thil pawimawh pahnih ngaihtuah mek a ni.
- Protein deposit: Thluaka nerve cell chhungah protein pangngai lo a awm khawm a, chu chuan cell a tichhia a, a thih phah niin an ngai.
- Genetic influence: FTD vei hmun thuma ṭhena hmun khat vel chuan chhungkaw history-ah he natna hi an nei tawh a ni. Chumi awmzia chu i chhungkuaa mi tu emaw chuan he natna hi a lo nei tawh a nih chuan nang pawhin i vei theihna a hlauhawm tihna a ni. Hei hi i genes inthlak danglam vang pawh a ni thei.
Tin, zirchianna thenkhatah chuan a hmaa lu hliam na tak (traumatic brain injury) pawh hi a hlauhawm thei tih hmuhchhuah a ni bawk.
Engtin nge doctor hian FTD hi a hriat theih ang?
FTD hriatchhuah hi a harsa thei hle a, a lan chhuah dan chu rilru natna dang (depression ang chi) emaw Alzheimer’s emaw nen a inang thei a ni.
Chuvangin doctor chuan nang leh damlo hnenah i symptoms chungchang chipchiar takin zawhna a zawt ang. Chumi hnuah chuan damdawi lam thil dang a awm loh nan test engemaw zat an ti mai thei.
- Thisen test: Damdawi lam thil dang a awm leh awm loh enfiah thin ang che.
- Brain imaging test: MRI, CT scan , emaw PET scan ang chi test hmangin thluak hmalam (frontal lobes) te chu a lo tlem tawh em tih hriat theih a ni.
- Cognitive testing: Zawhna leh thiltih engemaw zat pek i ni a, chu chuan hriatrengna, ngaihvenna, leh harsatna chinfel theihna te ang chi thilte a teh a ni.
- Genetic testing: Chhungkaw chanchin a zirin a tul chuan tih theih a ni.
Heng zawng zawng hi a en hnu chuan doctor chuan FTD a ni tih thutlukna a siam ta a ni.
FTD enkawlna tur engte nge ni?
Thil lungchhiatthlak tak chu FTD damdawi a la awm lo. Mahse, a natna lan chhuah dan enkawlna leh damlo nunphung a rei thei ang bera vawng reng thei tur enkawlna a awm.
- Damdawi: Nungchang lama harsatna (thinrim, impulsivity) control nan Selective Serotonin Reuptake Inhibitors (SSRIs) ang chi damdawi pek theih a ni. Rilru lama harsatna nei tan damdawi dang pawh pek theih a ni.
- Damdawi hmanga enkawlna: 1.1.
- Speech therapy: Thusawi harsa i tih chuan hei hian inbiakpawhna kawng dang i zir theih nan a pui thei che a ni.
- Physical therapy: Mobility lama harsatna a awm chuan taksaa balance leh chakna vawng reng turin exercise lak a tha.
- Assistive devices: Kea kal harsatna i neih chuan walker emaw wheelchair emaw ang chi thil i hmang thei.
Heng enkawlna zawng zawng hi damlo dinhmun leh a natna lan chhuah dan azira tihfel vek a ni. Chuvangin, i doctor nen inbiakna neih a pawimawh hle a, a thupek dik tak zawm a pawimawh hle .
FTD nena kan awm hian eng nge beisei tur?
Hei hi damlo leh anmahni enkawltu chhungte tan pawh zinkawng harsa tak a ni. Natna a zual zel chuan damlo chu a mah chauhin nitin hna a thawk thei lo mai thei. Chuvangin hun kim taka enkawl a ngai mai thei.
He natna hi a tir lamah i vei tih hmuhchhuah i nih chuan thil pawimawh tak i tih theih a awm. Chu chu i hmalam hun chungchânga thu tlûkna siam a, i hmangaihte hnêna hrilh a, dân anga document siamsak a ni.
Hetiang inbiakna neih hi a har khawp mai. Mahse chhungkua chu "eng nge a duh ang?" natna chu thutlukna siam thei lo khawpa a lo zual hnuah.
FTD hmuhchhuah hnua dam rei zawng chu kum 7-13 vel ni mahse, heng statistics te hi mi zawng zawng tan a hman theih loh. Hei hi mi tin a inang lo thei hle. I hmangaih tak dinhmun dik tak hre thei tur chuan an doctor hi a ni.
FTD avanga direct thihna hi a tlem hle a, mahse ei harsatna avanga pneumonia ang chi complication te hi nunna atana hlauhawm tak a ni thei.
Take-Home Thuchah a ni
- Frontotemporal Dementia (FTD) hi natna a ni a, hriatrengna hloh aiin nungchang, mize, leh tawngkam a nghawng ber a ni.
- Hei hi hun kal zelah a zual zel a ni.
- Damdawi famkim awm lo mah se, natna lan chhuah dan enkawl thei leh damlo tan hahdamna pe thei enkawlna a awm.
- I chhûngkaw zînga mi pakhat nungchang emaw, thusawi emaw-ah sawifiah theih loh, a danglam reng tih i hriat chuan doctor pan nghâl la, thurâwn la rawh.
- Natna hi a hmaa hriatchhuah a, hmalam hun ruahman a, damlo leh chhungte tan a tul anga puihna hmuh a pawimawh hle.
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