I hnaih bertu mi pakhatin hriatrengna hloh a tawk em? Lewy Body Dementia (LBD) a ni thei ang em?

I in chhunga tar pakhat, i nu emaw, i pa emaw, i pi emaw, i pi emaw pawh ni se, zawi zawiin a inthlak danglam tih i hmu em? An hriatrengna a tlahniam niin a lang em, an nungchang a danglamin a lang em, a nih loh leh kal harsa an ti hle niin a lang em? Heng thilte hi kan tar chhoh zel chuan thil pangngai anga ngaih a nih laiin, a chang chuan chu aia tam pawh a ni thei. Vawiin hian chutiang dinhmun pakhat, Lewy Body Dementia (LBD) chungchang kan sawi dawn a ni.

Lewy Body Dementia (LBD) hi eng nge ni?

A awlsam zawngin sawi ila, Lewy Body Dementia (LBD) hi dementia chi khat a ni. Dementia hi hriatrengna, ngaihtuahna leh ngaihtuahna te ang chi thilte a tlahniam zauh zauh thin a ni. He LBD chungchanga thil danglam bik chu thluaka protein clump Lewy body an tih hi a ni. Heng Lewy taksa te hi a takah chuan protein chi danglam tak, kan thluaka nerve cells (neurons) chhunga awm khawm thin an ni. Hengte hian thluak hmun pawimawh thenkhata nerve cells te a tichhe thin. A bik takin, he chhiatna hi kan rilru chakna, kan nungchang, kan chetna leh kan mutna thununtu thluak hmun hrang hrangah a thleng tam ber a ni.

Kan in chhunga tui pipe-a bawlhhlawh a tlakbuak ang bawkin tui luang chu a tlahniam a, heng Lewy taksa te hian thluaka nerve cell te chu a thawk tha thei lo.

Hei hi natna zual zel a ni . Chumi awmzia chu a natna lan chhuah dan chu zawi zawiin a intan a, hun kal zelah a pung zauh zauh tihna a ni. Inthlauhna lian tak chu i hmu nghal lo mai thei a, mahse hun kal zelah chauh harsatna a awm tih i hre thei a ni.

LBD hi kum 65 chunglam zingah dementia thlentu lian ber pakhat a ni a, a chang chuan a natna lan chhuah dan hi thluak lam natna dang, Alzheimer’s disease emaw Parkinson’s disease emaw nen a inang hle a, chuvangin a tir lamah chuan thliar hran a harsa thei hle.

Tunah hian LBD hi damdawi a la awm lo. Mahse, enkawlna \ha leh \anpuina (physical therapy, speech therapy) te hian natna lan chhuahna control-na kawngah a pui thei a, damlo tan pawh hahdamna a pe thei bawk.

LBD, Alzheimer natna leh Parkinson natna te hi eng nge an inzawmna?

Lewy taksa nei dementia leh Parkinson’s disease dementia (PDD) te hi thil inzawm pahnih an ni a, LBD category lian zawkah an tel a ni. A châng chuan doctor-te chuan a tirah chuan LBD vei mi pakhat chu an natna lan chhuah dan a zirin Parkinson natna emaw Alzheimer natna emaw a nei tih an hre sual thei a ni.

• Parkinson natna avanga rilru hahna (PDD):Mi thenkhat chuan Parkinson natna nena inzawm movement disorder (e.g., khur, kal harsatna) an nei hmasa thin. Chuvangin a tir lamah chuan Parkinson natna an vei tih hmuhchhuah an ni. Mahse, kum tam tak chhung chu hriatrengna hloh leh hriatna tlahniam (dementia symptoms) chhinchhiahna a lo lang a nih chuan, diagnosis chu PDD-ah an thlak a ni.
• Alzheimer’s disease (AD): Mi thenkhat chuan hriatrengna emaw, hriatna lama harsatna emaw an nei hmasa thin. Alzheimer natna vei an ni thei. Mahse, LBD tana chiang tak symptoms an neih ve bawk a, chu chu attention span tihpun emaw tlahniam emaw, hriatna inthlak danglamna, chetna lama harsatna, leh mit hmuhna (visual hallucinations) te hi a ni.

Hetiang dinhmun hian tute nge a nghawng nasa ber?

Lewy Body Dementia (LBD) hian kum 50 chunglam a vei tlangpui a, kum upa lam a zirin he natna vei theihna a sang chho zel a ni. Hmeichhia aiin mipain LBD an vei tam zawk tih hmuhchhuah a ni bawk.

Tin, i chhungkuaa mi tu emaw chuan LBD emaw Parkinson’s disease emaw a vei tawh a nih chuan he natna hi i vei theihna chance a sang deuh mai thei bawk.

Lewy Body Dementia (LBD) hi engtiang chiahin nge a awm?

LBD hi dementia chi khat a ni a, zirchiangtute chuan United States-ah ringawt pawh mi maktaduai 1.4 velin an vei niin an chhut. Sri Lanka ramah pawh hetiang dinhmun hi hriat a pawimawh hle.

Lewy body dementia (LBD) natna lan chhuahna chu engte nge ni?

LBD symptoms hi a chang chuan thliar hran a harsa thei a, a chhan chu neurological disease dang, Alzheimer’s disease leh Parkinson’s disease te nen a inang thei a ni. Mi hrang hrangah leh a hun hunah symptoms a inang lo thei .

LBD chhinchhiahna lian ber berte hi chi hrang hrangah then theih a ni:

• Incheina lama harsatna awm
• Thil hriatna (cognitive symptoms) a awm
• Mut harsatna a awm
• Dysautonomia (Dysautonomia) a ni
• Mood leh nungchang inthlak danglamna

Tunah chuan heng category tinte hi chipchiar deuhin han thlir ila.

Incheina lama harsatna awm

LBD thil langsar ber pakhat chu parkinsonism a awm hi a ni . Parkinsonism hi chetna lama harsatna hrang hrang awmkhawmna a ni. Chung zingah chuan:

• Slow movements (bradykinesia): Taksa chu nunna nei lo ang maiin, engkim zawi zawia tih.
• Rigidity or stiffness: Kawng leh ke chu ben emaw, tihdik emaw harsa, thing hnah ang mai.
• Tremors: Khuh, a bik takin kut, ke emaw lu emaw a nghing.

LBD vei thenkhat chuan kum tam tak chhung chu chetna lama harsatna lian tham an nei lo mai thei. Mi dangte chuan natna lan chhuah tirh lamah heng natna lanchhuahna hi an nei thei bawk. Heng incheina lama harsatnate hi a tir lamah chuan a fiah em em a, awlsam takin kan hmu lo thei a ni.

Movement lama harsatna dangte:

• Balance lama harsatna a awm
• Shuffling walk a ni
• Chaw ei harsa (dysphagia) .
• Hmêl lan dân tihtlem: Hmêl chu nunna nei lo ang maiin.
• Tlu fo thin
• Coordination hloh
• Letter pangngai aia te zawk ziah

Ngaihtuah teh, i pi chu a hma angin a nui lo, a sawi lai pawhin a hmel a danglam lo niin a lang. A nih loh leh, leiah a tla fo bawk. Hengte hi LBD chhinchhiahna a ni thei.

Thil hriatna (cognitive symptoms) a awm

LBD ziarang pakhat chu rilru hnathawh dan inang lo tak a ni . Chu chu, LBD vei chu a chang chuan a fimkhur a, a tawng chiang thei a, mahse a chang chuan a buai hle a, zawhna a chhang thei lo bawk. Hei hi ni tin a danglam thei a, ni khat chhung pawhin a danglam thei bawk .

Mindfulness nena inzawm thil dangte:

• Planning thiamna tlahniam
• Harsatna chinfel thiamna tlahniam
• Thutlukna siam thiamna tlahniam
• Hriatrengna hloh: Alzheimer natna ang lo takin LBD tan tirh lamah hian hriatrengna lama harsatna a awm lo thei. Mahse, natna a zual zel chuan hriatrengna hloh a tan ta a ni.
• Thil ngaihtuah theihna tlahniam
• Visual information hriatthiamna tihtlem (Visual form-a information hriatthiam) .

LBD vei zinga 80% vel chuan mit hmuhna (visual hallucinations) an nei thin . Hei hi natna bul tan tirh lamah a thleng thei a ni. Entîr nân, mite chuan pindan chhûnga mi emaw, bang chunga ran tê tê lo kal emaw an hmu mai thei. Aw awm lo hriat emaw, awm lo rim hriat emaw hi hmuh theiha thil hmuh theih loh (visual hallucination) aiin a tam lo zawk a, mahse a thleng thei bawk.

Visuospatial difficulties , thukzia hriat harsa, thil hriat harsa, leh kut leh mit inrem lohna te pawh hi LBD vei zingah a awm fo bawk.

Mut harsatna a awm

LBD vei te pawhin mut harsatna an nei fo thin a, a bik takin rapid eye movement (REM) sleep behavior disorder (RBD) . Hei hi REM mut laiin i mumang i act out hian a ni. Entîr nân, mi i vuak i mumang a nih chuan i vuak tak tak thei a, i kut i phar a, i au chhuak thei bawk. RBD vei te pawh hi an mumang chu a tak tak leh tak tak loh chungchangah buai takin an harh thei bawk.

LBD nena inzawm mut harsatna dangte:

• Nitin mutthilh lutuk
• Mut dan inthlak danglamna
• Mu thei lo

Dysautonomia chu eng nge ni?

Dysautonomia hi kan autonomic nervous system (ANS) hnathawh that loh vanga lo awm thin natna pawl hming tlangpui a ni.

Autonomic nervous system (ANS) hi kan taksa peng pakhat, kan neih kan hriat loh thiltih control tu a ni. Entirnan, heart rate, thisen sang, thawk, chaw ei dan leh thil dang tam tak.

LBD vei te hian he autonomic nervous system hi harsatna an tawk thei a, chu chuan symptoms a thlen thei a, chu chu:

• Taksa lum leh vawt inthlak danglam
• Thisen sang inthlak danglamna
• Luak chhuak thei
• Fainting a ni
• Khua lum leh vawt laka invenna (hypersensitivity) a awm
• Mipat hmeichhiatna lama harsatna nei
• Zun chhuah loh (Urinary incontinence) a awm
• Fecal (bowel) insum theih lohna
• Ek khal

Mood leh nungchang inthlak danglamna

LBD vei te hian an nungchang leh an rilru put hmang a inthlak danglam thei a ni . Chûngte chu an ngaihtuahna a tlahniam deuh deuh chuan a na zual thei a ni. Symptoms i nei thei a, chungte chu:

• Lungngaihna
• Hlauhthawnna
• Agitation, rilru hahdam lohna emaw, tharum thawhna emaw
• Delusions : Entirnan, mi pakhatin a rukin rulhut (poison) a tum che tih rin hi.
• Midang rin lohna danglam tak, ngaihtuahna fim lo tak (Paranoia) .

Lewy body dementia (LBD) hi eng thilin nge a thlen?

LBD leh Parkinson’s disease dementia pahnih hi thluaka nerve cell chhunga protein pakhat alpha-synuclein , Lewy bodies tia koh a awm khawm vang a ni. Heng Lewy taksa te hi nerve cell chhunga an punkhawm chuan chu cell te chu an tichhia a, thluak hmun thenkhat hnathawh a tichhe bawk.

Mahse, zirchiangtute chuan engvangin nge mi thenkhatin Lewy taksa an neih a, thenkhatin an neih loh tih chiang takin an la hre lo. Genetic changes, environment factors, leh tarte inzawmkhawm hian he natna hi a thlen thei niin an ngai. A chhan zawn chhuah tumin zirchianna an la kalpui mek a ni.

Tun hnaia thil hmuhchhuahte chuan LBD lo awm chhanah hian genetic factors pawh hian chanvo a nei tih a tarlang. APOE gene leh GBA gene te hi a niGene pahnih variant thenkhat chuan LBD vei theihna a tisang tih hmuhchhuah a ni. APOE gene hian Alzheimer natna vei theihna a tipung tih hriat a ni tawh a. He gene hian LBD vei theihna a tipung bawk tih finfiahna a pung zel bawk. GBA gene hian Parkinson natna leh LBD vei theihna a tipung bawk.

Mahse, scientist-te chuan heng genetic changes te hi LBD thlentu ber niin an la ngai lo. LBD vei tam zawkah chuan he natna hi rochun a ni lo niin an ngai .

Engtin nge Lewy Body Dementia (LBD) hi hmuhchhuah a nih?

LBD hriatchhuah hi a harsa deuh thei a, a chhan chu LBD natna lan chhuah hmasak dan hi thluak natna dang emaw rilru lam natna dang emaw nen a inang hle a ni.

Tunah hian LBD hi 100% dik taka hriat theihna tur medical test bik a awm lo. Diagnosis siam tur chuan specialist team a ngai mai thei. Chûng zîngah chuan:

• Neurologist te an ni
• Geriatric psychiatrist te an ni
• Neuropsychologist te chuan an zirtir a
• Geriatrician te pawh an awm

Hetiang mite hi an telh theih a ni. Heng zawng zawng test leh symptoms te hi a inzawm khawm a, "probable LBD" tih hriat theihna a ni.

Nitin hnathawhna tibuaitu khawpa hriatna tlahniam zauh zauh a nih avangin a hnuaia thil pawimawh pali zinga pahnih tal a awm chuan LBD hi a awm theihna a sang zawk. Feature pakhat chauh a awm chuan LBD hi a theih anga ngaih a ni:

• Cognition leh behavior inthlak danglamna
• Visual hallucinations lo awm leh thin
• Rapid eye movement (REM) mut nungchang lama harsatna nei
• Parkinson natna vei a ni

Parkinson natna vei chuan LBD a vei tih hriat theih a ni a, chu chu a chetna lama harsatna a lo chhuah atanga kum khat chhunga hriatna lama harsatna a neih chuan a ni.

Doctor-te chuan heng hmanrua te hi LBD hriatchhuah nan leh natna dang, a lan chhuah dan inang nei te chu paih chhuah nan an hmang thin:

• Medical history kimchang leh taksa enfiahna: I doctor chuan i natna lan chhuah dan chanchin a zawt ang. Taksa, hriatna, hriatrengna, rilru, nungchang, chetna, mut leh thil dang i tihdanglam tawh zawng zawngte chu hrilh rawh. I chhungte leh i thiante hnenah i symptoms te pawh an zawt thei bawk. Tin, tuna i ei mek damdawi, supplement, vitamin, herbal products leh over-the-counter damdawi te chu i doctor hnenah hrilh bawk ang che.
• Imaging test: MRI scan leh CT scan hmanga enfiah a niHeng test te hian LBD a hriat theih loh chhan chu LBD vei thluak inthlak danglamna hi vascular dementia vei te nen a inang a ni. Mahse, a chhan dang, thluaka thisen chhuak emaw, tumor emaw te chu paih chhuah kawngah an pui thei a ni.
• Neurological exam: Hei hian i rilru hnathawh dan a test thin. Ngaihtuahna thiamna, hriatrengna, thumal zawn thiamna, ngaihvenna, leh hmuh theihna-hmun thiamna te a test thin.
• Thisen test: I doctor chuan thyroid thisen test , i vitamin B12 level enfiahna tur test , leh syphilis leh HIV ang chi condition enfiahna test te a ti thei ang. Heng test te hian dementia thlentu dangte chu a paih chhuak thei a ni.
• Mut dan zirchianna: I doctor chuan REM mut dan lama harsatna awm leh awm loh enfiah turin mut zirchianna neih a rawt thei ang. Hei hian laboratory-a zan khat riah a huam a ni. He test neih chhung hian sensor te hian i heart rate, thluak hnathawh dan, thawk dan, kut leh ke incheina, leh tawngkam te an enfiah thin. REM mut chhunga i awm dan pawh video hmangin record a ni thei bawk.

Lewy Body Dementia (LBD) hi engtin nge enkawl a nih?

Tunah hian LBD hi damdawi a la awm lo . Mahse, damdawi leh damdawi ni lo enkawlna, physiotherapy, occupational therapy, leh speech therapy te hian a theih ang anga symptoms control-na kawngah a pui thei a ni.

LBD symptoms control nana puitu damdawi te:

• Cholinesterase inhibitor: Damdawi rivastigmine , galantamine, leh donepezil te hi he pawlah hian an tel a ni. LBD-a cognitive problems control-naah an pui thin.
• Carbidopa-levodopa: Levodopa hi Parkinson natna enkawlna atana hman tlanglawn tak a ni a, Parkinson natna lanchhuahna, khur ang chite enkawlna atan hman a ni. Mahse, side effect na tak a thlen thei a ni. Entirnan, hallucinations leh confusion a pung thei.
• Pimavanserin: He damdawi hi psychosis enkawlna atan hman theih a ni a, chu chu Parkinson natna vanga dementia vei te chuan hallucination leh rinna dik lo an neih thinna a ni.
• Clonazepam leh melatonin: Heng damdawi te hian REM mutna lama harsatna nei te tan a pui thei a ni.
• Antidepressants: LBD vei zingah hian depression hi a awm fo thin. Hei hian antidepressant damdawi SSRI (selective serotonin reuptake inhibitors) te a mamawh thei a ni.
• Memantine-a chuan:He damdawi hi Alzheimer natna vanga dementia enkawlna atana pek a ni tlangpui a, mahse clinical trial-ah chuan natna hmasa lama LBD vei tan pawh a hlawkpui thei tih hmuhchhuah a ni.

LBD vei te hian an nunphung tihsan nan enkawlna hrang hrangah an tel thei a, chung zingah chuan:

• Taksa lam enkawlna (physiotherapy) a ni
• Occupational therapy hmanga enkawlna
• Thusawi hmanga enkawlna
• Support group hrang hrangte
• Mimal leh chhungkaw rilru lam enkawlna (talk therapies) .
• Insawizawi

LBD natna khirh takah chuan palliative care – chu chu natna lanchhuahna tihziaawmna, thlamuanna pe thei, leh puitu enkawlna – intensive medical intervention emaw damdawi ina enkawlna aiin a remchang zawk mai thei.

Lewy Body Dementia (LBD) hi ven theih a ni em?

Tunah hian Lewy body dementia (LBD) ven dan tur hriat a la ni lo .

He natna hi eng prognosis nge ni?

LBD hi hun kal zelah a kal zawi zawi avangin natna thlirna chu a tlangpuiin fair atanga poor thlengin a awm thei .

LBD vei te hi harsatna hrang hrang vangin an thi thei a ni. Entir nan:

• Falls a ni
• Hmuh theih lohna
• Lung lam harsatna a awm
• Damdawi side effects a awm thei
• Pneumonia natna (Pneumonia) a ni
• Swallowing chungchang a ni
• Depression avanga mahni intihhlumna
• Rilru natna thenkhat atana hman thin antipsychotic damdawi, e.g. neuroleptic malignant syndrome a ni a, a rilru a hah hle .

Nangmah emaw, i hnaih ber tu emaw LBD vei nia hriat a nih chuan, a dinhmun leh a theih ang anga nuam leh him taka awm theihna tur damdawi leh enkawlna te hriat a pawimawh hle.

Keimah emaw, ka hnaih ber emaw hian LBD an nei a nih chuan eng nge ka beisei theih ang?

Mi tinin LBD kan tawn dan hi a danglam vek . Eng chen nge natna hi a zual zel dawn tih leh eng chen nge a kal chak dawn tih chiang taka sawi theih a ni lo. Mahse, i hriselna tlangpui leh damdawi lam thil dang i neih chuan hei hi a nghawng thei a ni.

LBD hi natna zual zel a nih avangin rilru leh taksa hnathawh harsatna hi hun kal zelah a pung zel a ni. Tunah hian he natna hi a lo zual zel hi tihtawp theih dan tur a la awm lo.

Mahse, beiseina a awm reng a ni . Lewy taksa avanga dementia, Alzheimer natna, leh Parkinson natna te chungchangah zirchianna an nei chhunzawm zel a ni. Damdawi thar hmuhchhuah a ni a, enkawlna thar enchhin a ni bawk.

LBD vei dam rei zawng chu engzat nge ni?

LBD hmuhchhuah hmasak ber hnua dam rei zawng chu kum nga atanga kum riat vel a ni.Mahse, LBD vei thenkhat chu an hmuhchhuah hnuah kum 20 vel an dam tawhna a awm.

Hetianga dam rei theihna tlahniam chhan hi doctor leh mipui zahawmte zingah LBD chungchanga hriatna tlakchham vang leh a ang chi natna dang nena thliar hran a harsat vang pawh a ni thei. Hei hian natna hmuhchhuah a tikhawtlai a, enkawlna bik tan hun a tikhawtlai bawk.

LBD vei hi engtin nge i enkawl?

LBD vei nia hriat mi i enkawl a nih chuan a natna chungchang hriat a pawimawh a, in lama enkawl dan tur professional advice lak a pawimawh bawk. LBD hriatthiamna hian nitin harsatna i tawhte i hmachhawn theih nan a pui ang che.

An tâna ni tin hna awlsam zâwk tûrin i in chhûngah pawh inthlâk danglamna engemaw zat i siam a ngai mai thei bawk. Entîr nân, boruak êng, hlim tak, leh hriat hlawh tak neih hian a ṭanpui thei a ni. In chu him leh anmahni ti tlu thei tur harsatna awm lo a nih leh nih loh enfiah a pawimawh bawk. I hmangaih tak medical team chuan heng inthlak danglamnate hi a kaihruai thei che a ni.

LBD vei te hian ngaihtuahna leh ngaihtuahna an hloh zel avangin an sum leh pai enkawltu tur mi dang i ruat a ngai mai thei. An rilru hnathawhna nasa taka a tihchhiat hmain enkawlna, sum leh pai leh dan lam thila an duhzawng chiang taka hriatthiam a pawimawh bawk.

Engtikah nge Doctor ka hmuh ang?

Nangmah emaw, i hnaih ber emaw chuan LBD symptoms i neih chuan i doctor nen inbia .

LBD i vei tih hmuhchhuah a nih chuan i hriselna leh natna lan chhuah dan enfiah turin i medical team i hmuh fo a ngai ang a, i damdawi te chu a thawk tha em tih enfiah a ngai bawk ang.

LBD hriat hmasak hian nang leh i chhungte nen nun awmze nei tak neih dun theihna tura ruahmanna siam turin a pui thei che a, dan anga, sum leh pai leh hriselna lama in ruahmanna leh duh zawngte chu a felfai thei bawk. I medical team te chu nangmah emaw, i hmangaih tak emaw enkawlna tur, tanpuina leh enkawlna pe turin an awm reng ang. I medical team te hnenah i awmna hmuna LBD support group te zawt rawh. Heng group te hi care tips insem theihna tur leh nangmah chauh i ni lo tih inrintawkna tha tak a ni thei.

Take-Home Thuchah a ni

• Lewy body dementia (LBD) hi Dementia chi khat a ni a, thluaka Lewy bodies an tih protein a awm avangin hriatrengna, chetna, nungchang leh mut a nghawng a ni.
• A natna lan chhuah dan hi Alzheimer leh Parkinson natna nen a inang thei a, hriatna lama inthlak danglamna, thil hmuh theih loh, Parkinson natna lan chhuah dan, leh mut harsatna te pawh a tel thei bawk.
• LBD hmuhchhuah hi thil harsa tak a ni a, specialist doctor team puihna a ngai thei bawk.
• Damdawi famkim awm lo mah se, damdawi leh enkawlna chi hrang hrang hian natna lan chhuah dan a thunun thei a, nunphung a titha thei bawk.
• Nangmah emaw, i hnaih ber emaw hian LBD symptoms i neih chuan a rang thei ang bera doctor thurawn lak a pawimawh. A hmaa hmuhchhuah leh enkawl hian damlo leh chhungte tan hlawkna nasa tak a thlen thei a ni.
• Damlo thlawp a, boruak him siam a, puihna pawl atanga tanpuina lak a pawimawh bawk.

He thu hi in tan a tangkai ngei ka beisei. Zawhna dang i neih chuan doctor biak hreh suh.

` Lewy body dementia, LBD, dementia, Parkinson natna, Alzheimer natna, hriatrengna hloh, hriatna tlahniam, thluak lam natna