I hnaih ber tu emaw chu a inthlak thut em? Frontotemporal Dementia (FTD) a ni thei ang em?

Ngaihtuah teh, i pa emaw, i pasal emaw, i hnaih em em tu emaw... Vawikhatmah a nungchang chu a danglam vek. Tun hmaa mi ngilnei tak leh mi khawngaihthlak tak ni thin kha tunah chuan midangte chungah thil tihnatthlak tak tak a sawi thin a, khawtlang nunah pawh a nungchang mawi lo takin a awm ta a ni. Hei hi rilru lama harsatna chi khat, depression ang chi pawh a ni mai thei. Mahse, hei hi thil danglam tak a ni thei a, thluak nena inzawm thil a ni thei. Vawiin hian hetiang inthlak danglamna thlentu, Alzheimer natna nena danglam, mahse mi tam takin an hriat loh dinhmun kan sawi dawn a ni. Chu chu Frontotemporal Dementia, a nih loh leh FTD a ni.

Frontotemporal Dementia (FTD) hi eng nge ni?

A awlsam zawngin sawi ila, FTD hi kan thluak hmalam leh hnunglam (frontal and temporal lobes) a chhiat avanga lo awm thin a ni. Chûngte chu kan mize, kan nungchang leh kan ṭawngkam thununtu pêngte chu an ni. Chuvangin heng parts te hi a chhiat chuan symptoms te hian memory loss aiin a kal pel thin. Mi nungchang te, a thusawi dan te, tawngkam a hriatthiam dan te, a taksa chetna thlengin a danglam thei a ni.

FTD hi Alzheimer’s angin hriat hlawh lo mah se, dementia vei zinga 10% leh 20% inkar chuan FTD chi khat emaw an nei a ni. Dementia chi dang aiin a intan hma thei a, a tlangpuiin kum 45 leh 60 inkar a nih avangin nunah nghawng lian tak a nei thei a ni.

A lan chhuah hmasak ber, mi rilru na, ngilnei lo, emaw, lemchan thiam loh emaw a nih avangin rilru natna anga hriat sual a ni fo. Hei hi FTD hi a tir lama tihkhawtlai fo chhan lian tak a ni. I doctor chuan Pick natna tiin a sawi thei bawk.

FTD chi hrang hrangte chu engte nge ni?

FTD hi a lan chhuah hmasak dan a zirin chi hrang hrangah then theih a ni. Hei hi chiang taka hrethiam tur chuan he table hi han en ila.

FTD natna lan chhuahna awm thei te chu engte nge ni?

FTD natna lan chhuah dan hi mi hrang hrangah a inang lo. Hun kal zelah an na zual deuh deuh thin. Heng symptoms te hi category engemaw zat hnuaiah han thlir ila.

Nungchang a inthlak danglam thin

• Socially indecent: I rilru a awm chu zahpui lovin a sawi thin. Midangte hnenah thil tihnatthlak tak tak a hrilh a, midang hnaih lutuk a duh.
• Lainatna hloh: Midangte rilru put hmang hrethiam thei lo. Mi pakhat chu thinlung lum tak ang maiin a che thei.
• Apathy: Hmanlai thil hlimawm tak takte ngaihvenna emaw, ngaihsak lohna emaw.
• Thil inang sawi nawn leh nawn leh: Kut beng, hmui seh, etc. Thu leh ri inang lo sawi nawn leh.
• Mimal faina ngaihthah: ha sil loh leh inbual loh.
• Ei leh in lama inthlak danglamna: Vawi khata sweets tam tak ei, a chang chuan i tana tha lo thil ei tum.

Thusawi leh tawng inthlauhna

• Thusawi lai hian thu dik tak hmuh a har khawp mai.
• Thumal hian awmzia a hloh zel a.
• Thumal awlsam tak, thumal tawi tak tak hmangin a sawi thin.
• A châng chuan thil sawite hian awmzia a nei lo mai thei.

Taksa chetna inthlak danglamna

• Mit tihchet harsat.
• Taksa a khur, taksa ruh a ti na.
• Taksa a nghet lo.
• Taksa thununna hloh.
• Chaw ei harsa.
• A thawnthu hi a buaithlak khawp mai.
• Ka tlu dawn a, kal a har dawn khawp mai.

FTD vei chhan leh hlauhawmna te chu engte nge ni?

FTD vei te thluak cell (neurons) an thih chuan thluak hmun thenkhat chu a tlahniam thin. Scientist-te chuan hei hi kan taksa siam protein thenkhat hnathawh dan pangngai lo avanga lo awm niin an ngai. A bik takin, he chhiatna hi thluaka protein pahnih tau leh TDP-43 an tih, chi danglam tak tak a awm khawm vang a ni.

FTD vei zinga 40% vel chuan chhungkaw history-ah he natna hi an nei tawh a ni . Hei hian genetic a ni thei tihna a ni. Chu bâkah, thil dangin a hlauhawmna a tipung thei bawk:

• Lu hliam na tak: Hei hian FTD vei theihna chu a let thum velin a tipung thei a ni.
• Thyroid natna: Hei hian a hlauhawmna chu a let hnih aia tam a tipung a ni.

Engtin nge FTD hi hmuhchhuah a nih?

FTD hi dik taka hriat a harsa thei a, a chhan chu a lan chhuah dan chu natna dang, Parkinson’s, Alzheimer’s, depression, leh schizophrenia te nen a inang thei a ni.

Doctor chuan i chhungkaw chanchin a zawt ang a, natna dang a awm loh nan thisen test a ti mai thei bawk. Neurologist hnenah an refer fo ang che. I balance, reflexes, memory, leh ngaihtuahna thiamna ang chi thilte chu a test ang. FTD finfiah nan hetiang test hi order theih a ni:

• CT scan: Thluak X-ray hmanga thlalak chipchiar tak.
• MRI scan: Magnet leh radio wave hmangin thluak thlalak chiang tak tak a siam chhuak thin.
• FDG-PET scan: Thluak peng hrang hrangte chu engtiang chiahin nge an active tih hriat nan radioactive substance chu thisenah inject a ni.
• EEG (electroencephalogram): Thluak electric hnathawh dan tehna a ni.
• Spinal tap: Thluak leh ruhro vel tui awmte enfiah.
• Neuropsychological testing: Rilru lama theihna tehna, hriatrengna, tawng thiamna leh ngaihtuahna thiamna te chu zawhna chhanna, thlalak siam leh puzzle chinfelna hmanga teh a ni.

FTD enkawlna tur engte nge ni?

Vanduaithlak takin FTD hi damdawi leh enkawlna a la awm lo. Alzheimer natna enkawlna atana hman damdawi te hian FTD tan hna a thawk lo. A then phei chuan heng damdawi te hian symptoms a ti na zual thei bawk.

Mahse, natna lan chhuahna enkawlna atana pui thei damdawi leh enkawlna thenkhat a awm a:

• Antidepressants: Mood leh nungchang lama harsatna awmte control.
• Antipsychotics: Nungchang lama harsatna lian tak takte control thei mah se, side effect na tak a nei thei a ni. Chungte chu doctor enkawlna hnuaiah chauh hman a ni.
• Speech therapy: Inbiakpawhna lama harsatna awmte tanpui.

FTD nena khawsa leh enkawl

He natna hi damlo leh chhungte tan pawh harsatna lian tak a ni. Chuvang chuan natna a hriat chian veleh doctor thiam tak hnen atanga tanpuina lak a pawimawh hle.

FTD vei enkawltu i nih chuan...

He zinkawng hi enkawltu tan chuan hahthlak tak a ni thei. I tanpui thei tur thil thenkhat chu hetiang hi a ni:

• Diary vawng rawh: Damlo nungchang inthlak danglamna leh a thlentu trigger te chhinchhiah rawh. Hei hian harsatna awm thei dinhmunte pumpelh turin a pui thei che a ni.
• Thil tih dân mumal tak siam rawh: Damlo chuan a ruala chaw ei leh inbual ang chi thil aṭangin hahdamna engemaw chen a hmu thei a ni.
• Mi dangte hnênah thil awm dân hrilhfiah rawh: Tlawhtute leh chhûngte hnênah damlo dinhmun chu hrilh lâwk rawh.
• Nangmah pawh inngaihtuah teh: Hei hi a pawimawh hle. Damlo chu taksa leh rilru i dam phawt chuan i enkawl tha thei chauh a ni. Chaw ei \ha la, mut \ha la, exercise la. Midang hnen atangin chawlh hahdamna pe turin tanpuina la rawh (respite care).
• Nakin hun atana ruahmanna: Hun kal zelah damlo chu darkar 24 chhung enkawl a ngai dawn a ni. Hei hian nursing home-ah enkawl a ngai mai thei. Hemi atan hian ruahmanna siam lawk a pawimawh.

FTD hmuhchhuah a nih hnua dam rei zawng chu kum 7.5 vel a ni. Thihna hi natna atanga lo awm ai chuan natna khirh tak avanga lo awm a tam zawk. Entirnan, ei harsa vanga pneumonia hi thihna thlentu lian ber a ni.