I chhungkuaah hian kum upa lam, i nu emaw, i pa emaw, i pi leh pute emaw pawh ni se, theihnghilh nasa leh lungkham deuh anga lang an awm em? An ke pawh an kal lai hian leiah a hrual a, an taksa pawh a nghet deuh niin a lang em? "Tunge chair-a thu chu?" room chhunga midang an awm loh lai hian? Hetiang thil i hmuh hian hlauhna i nei ngei ang. Hei hi Alzheimer natna a ni em, a nih loh leh thil dang a ni em tih i ngaihtuah mai thei. Vawiin hian heng symptoms te nena lo kal, mahse khawtlang nunah sawi tam loh dinhmun kan sawi dawn a ni. Chu chu Lewy Body Dementia a ni.
A awlsam zawngin, Lewy Body Dementia (LBD) hi eng nge ni?
Okay, a awlsam zawngin sawi ila. Kan thluaka cell maktaduai tam tak kan nei a. Chûng cell-te chuan kan ngaihtuahna, kan thiltih, leh kan thiltih zawng zawng thunun tûrin an inbiak tawn a ni. Lewy body dementia (LBD) an tih dinhmunah chuan thluak cell chhungah protein chi khat Lewy body an tih chu a awm khawm tan a. Kan in chhunga bawlhhlawh bawm ang maiin han ngaihtuah teh. Hetianga protein duh loh pungkhawm hian thluak cell te a tichhia a, hnathawh tha tur a titawp bawk. Hei hian hriatrengna, ngaihtuahna, taksa chetna leh nungchang a nghawng a ni.
Hei hi natna zual zel a ni. Chu chu symptoms chu a lo lang nghal lo tihna a ni. Zawi zawiin an tan a, hun kal zelah an chhe zauh zauh bawk. LBD hi puitling zingah chuan dementia chi hnihna a ni a, Alzheimer natna hnuaiah a awm.
A pawimawh ber chu, hei hi tar pangngai mai a ni lo. Hei hi damdawi lam dinhmun a ni a, enkawl leh thunun theih a ni. Chuvangin hei hi hriat chian a pawimawh.
He LBD hi chi hnih a awm a.
Ni e, LBD hi chi hnih lian tak a awm. An pahnih symptoms hi a inang hle. Mahse a danglamna ber chu eng symptom nge intan hmasa ber tih hi a ni. Mi thenkhat chuan hriatrengna lama harsatna an nei tan hmasa a, thenkhat erawh chuan kea kal harsa tih ang chi thil atang hian an tan hmasa thung.
Heng chi hnih hi eng nge an nih i lo en ang u.
| LBD chi hrang hrang | Thil pawimawh tak |
|---|---|
| Lewy taksa (DLB) neia rilru lam natna (dementia) . | Hetiang chiah hian ngaihtuahna leh hriatrengna lama harsatna hi a intan hmasa ber a, Alzheimer natna ang bawkin. Movement problem, stiffness leh tremors te hi a hnuah a intan a, a nih loh leh memory problem nen hian a intan ve thei bawk. |
| Parkinson natna avanga rilru hahna | Hetiang chi ah hian taksa chetna lama harsatna hi a intan hmasa ber thin. Parkinson natna nen a inang. Kut inthlak, kal harsa, leh rilru hahna ang chi thilte chu a hmasa ber a ni. Hriatrengna leh ngaihtuahna lama harsatna hi a hnuah a lo thleng a, a châng chuan kum khat hnuah pawh a lo thleng ṭhin. |
He natna lan chhuah dan hi eng nge ni thei ang?
LBD hian symptom hrang hrang a nei thei. Heng symptoms te hi mi zawng zawng tan a inang vek lo. Mi hrang hrangah an inang lo thei. Symptom thenkhat chu ni khatah a awm a, a tuk ah a bo thei bawk. Chu chu natna awm dan chu a ni.
Heng symptoms te hi a then ah then ila.
| Mihring ziarang chi khat | Thil hmuh tur awm |
|---|---|
| Thil hriatna (cognitive Symptoms) a awm | |
| Thil awm lo hmuh (Visual Hallucinations) . | Hei hi LBD-te thil langsar tak a ni. Mihring, rannung emaw, a tak tak lo pianphung emaw i hmu ang maiin a siam che a ni. |
| Ngaihtuahna leh hriatna lama inthlak danglamna | Hun khat chu, i harh chhuak thei hle a, i tawng thei hle a, a dawt lehah chuan i muhil nasa hle a, i ngaihtuahna a buai hle mai thei bawk. Heng state te hi ni khata hun khatah pawh a danglam thei a ni. |
| Hriatrengna leh thutlukna siam thiam lohna | Thil theihnghilh te, thu tlûkna siam harsat te, ṭawngkam hmuh theih loh te. |
| Movement Symptoms a awm thei | |
| Taksa rigidity a awm | Muscle te chu a nghet lo va, ke ruhte chu ben emaw, tihdik emaw a harsa hle. |
| Tremors a awm | Kut khur, a bik takin chawlh laiin. |
| Incheina slowing | Kal chak lutuk, ke hrual, tlu fo leh balance hloh. Hmai lam hawi lo. |
| Mut harsatna | |
| REM Mut Nunphung Disorder | Hei hi a hmaa symptom pawimawh tak a ni bawk. I mut laiin au thawm, i kut leh ke hrual, khum atanga tlu ang chi thil te. |
| Nitin mutthilh lutuk | Zanah mut tha viau mah ila, nilengin mutthilh lutuk anga inhriatna. |
| Mood & Behavior Symptoms te chu a rawn lang leh ta | |
| Lungngaihna | Eng thil pawh ngaihvenna hloh, lungngaihna leh lungngaihna nei reng reng. |
| Lungkhamna leh chawlh hahdam lohna | Chhan awm lova hlauhna leh lungkhamna nei. |
| Thil dik lo (delusions) te | Thil dik lo tak tak ring tlat. Entîr nân, mi pakhatin a rukin rulhut emaw, i pawisa ruksak emaw a tum che a ni. |
Engvangin nge he natna hi a lo awm? Risk factors te chu engte nge ni?
Dik tak chuan mi thenkhatin an thluaka Lewy taksa an neih chhan leh thenkhatin an neih loh chhan dik tak hi doctor-te chuan an la hre lo. Mahse, natna vei theihna tipung thei tur risk factor thenkhat an hmuchhuak a ni.
- Kum: He natna hi kum 50 chunglam ah a awm tlangpui.
- Chhungkaw chanchin: I chhungte zinga i chhungte hnai berin LBD emaw Parkinson’s disease emaw a vei tawh a nih chuan natna vei theihna i nei tlem thei hle.
- Genes: Genes thenkhat, `(APOE)` leh `(GBA)` te hian natna kai theihna a tipung tih hmuhchhuah a ni. Mahse, chutiang gene nei zawng zawng chuan LBD an nei vek dawn tihna erawh a ni lo.
Engtin nge doctor hian he natna hi dik taka a hriat theih ang?
Hei hi mi tam takin harsatna an neih chu a ni. LBD dik taka hriat theihna tur test pakhat mah a awm lo. Chuvangin, doctor chuan thil chi hrang hrang a thlunzawm ang a, natna dang a paih chhuak ang a, thutlukna dik tak a siam ang. Hei hian specialist team te thawhhona a huam thei a ni.
Diagnostic process hi hetiang hian a kal tlangpui.
1. I damdawi lam chanchin sawi: I natna lan chhuah dan te, engtik atanga a lo intan nge tih te, leh i chhungte zingah hetiang natna hi an nei tawh em tih te zawt.
2. Taksa leh thluak enfiahna: Hei hian i hriatrengna, i ngaihtuahna, i balance leh i taksa chakna te a enfiah ang.
3. Test hrang hrang order a ni:
- Thisen test: Heng symptoms te hi damdawi lam thil dang (e.g. vitamin tlakchham, thyroid problem) avanga lo awm a ni em tih enfiah thin ang che.
- Brain scan: CT emaw MRI scan hmangin harsatna dang, thluaka tumor emaw stroke emaw a awm leh awm loh enfiah a ni. Scan chi hrang hrang thenkhat (SPECT, PET) hian thluak hnathawh dan tur a hriattir thei bawk.
- Mut dan zirchianna: Hei hian mutthilh theihna chhinchhiahna a awm leh awm loh finfiah turin a pui thei a ni.
4. Doctor specialist te tanpuina dil:Neurologist, psychiatrist, emaw geriatrician emaw hnen atanga tanpuina dil.
Heng zawng zawng hi kan han belhkhawm chuan doctor-te chuan hei hi "probable LBD" a ni tih an sawi thei a ni.
Hei hi enkawl dan tur a awm em? Engtin nge symptoms te hi ka enkawl theih ang?
Hei hi lungchhiatthlak tak ni mah se, thudik tak chu LBD hi damdawi a la awm lo a, a lo awm loh nan pawh a la awm lo.
Mahse, chu chuan a ti beidawng che suh! Enkawlna leh enkawl dan tha tak tak a awm a, chu chuan natna lan chhuah dan a thunun thei a, damlo leh an chhungte nun a ti awlsam hle bawk.
Enkawl dan tur ruahmanna hi damlo natna lan chhuah dan leh a dinhmun a zirin siam a ni.
Damdawi chi hrang hrang
Doctor chuan symptom hrang hrang control nan damdawi chi hrang hrang a pe thei a.
- Hriatrengna leh ngaihtuahna tihchangtlun: Damdawi `(Cholinesterase inhibitors)` (e.g. `rivastigmine`, `donepezil`) tih hian mi thenkhat a pui thin.
- Incheina lama harsatna nei tan: Parkinson natna enkawlna atana hman thin Carbidopa-levodopa hian taksa khauh leh khur a ti thei a.
- Hallucinations control nan: Antipsychotics hi a chang chuan hman a ni. Mahse, heng damdawi te hian LBD vei te tan side effect a neih theih avangin doctor ten fimkhur takin an pe thin.
- Depression tan: Depression damdawi.
- Mut lama harsatna nei tan: Damdawi `(Clonazepam)` leh `(melatonin)` ang chi te.
Therapies leh Support hrang hrangte
Damdawi ang bawkin heng enkawlnate hian nun a ti awlsam bawk.
- Occupational therapy: Nitin hna (ei leh in, incheina) mahni inrintawkna leh him taka thawk turin a pui thin.
- Physical therapy: Taksa chakna leh balance tichak turin a pui a, kea kal a awlsam a, tlu a ti tlem bawk.
- Speech therapy: Thusawi leh ei harsatnaah a pui.
Chûng zawng zawng bâkah, thil tih dân muang tak, mumal tak neih a pawimawh hle . Hei hian damlo lungkhamna leh hahdam lohna a tiziaawm thei a ni.
Engtikah nge Doctor hmuh a tha ber ang?
Nangmah emaw, i chhungte zinga mi emaw, a bik takin tar pakhatin thil awm lo (hallucinations) i hmuh tan a, chubakah hriatrengna, kal dan leh nungchang inthlak danglamna eng pawh i hmuh tan chuan khawngaihin ngaihthah suh ang che. Doctor hmu la, sawipui ngei ang che.
LBD i vei tih i hriat tawh chuan doctor pan a, regular checkup neih a pawimawh. I symptoms-ah danglamna emaw, symptom thar emaw i hmuh chuan doctor hnenah i hrilh tur a ni.
He natna nena khawsak dan tur hriat tur
He natna hi a zual zel avangin hun kal zelah damlo tan chuan mahni chauha thutlukna siam leh nitin hna thawh a harsa thei hle. Chuvang chuan damlo chu rilru lam a la fimkhur lai hian sawi leh hmalam hun tur ruahmanna siam a pawimawh hle.
A vaiin LBD vei chu a natna hmuhchhuah a nih atanga kum 5 leh kum 8 inkar vel a dam nia sawi a ni a, mahse hei hi mi hrang hrangah a inang lo hle. Mi thenkhat chu chu aia rei an dam rei zawk hle.
He natna nena nun hi damlo leh a enkawltu chhungte tan pawh harsatna a ni. Mahse, nangmah chauh i ni lo tih hre reng ang che. Damdawi lam enkawlna dik, puihna leh hriatthiamna dik tak nen chuan he zinkawng hi a awlsam phah thei a ni.
Take-Home Thuchah a ni
- Lewy Body Dementia (LBD) hi thil theihnghilh mai mai a ni lo. Hriatrengna, chetna, mut leh nungchang atanga engkim nghawng thei dinhmun khirh tak a ni.
- Hallucinations leh acting out dreams te hi he natna lan chhuahna ber leh a lan chhuahna hmasa ber a ni thei.
- He natna hi tihdam kim theih ni lo mah se, a natna lan chhuah dan thunun thei leh nun ti awlsam thei damdawi leh enkawl dan tam tak a awm a.
- Nangmah emaw, i hmangaih tak emaw hian heng symptoms te hi i vei a nih chuan hlauthawng suh la, rei lovah doctor pan rawh. Natna hi a hriat hma poh leh enkawl a awlsam zawk.
- Damlo leh enkawltute tanpui hi a pawimawh hle. Environment muang tak leh thil tih dan mumal tak neih hian natna lan chhuahna thunun kawngah kawng thui tak a zawh thei a ni.











💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh