I hriatrengna chu zawi zawiin a bo vek niin i hria em? MCI (Mild Cognitive Impairment) chungchang hi han sawi ila!

Thil kan theihnghilh fo thin a ni lawm ni? Ngaihtuah teh, in atanga i chhuah hnu rei vak lo i kal hnu chuan, "Aw ka Pathian, kawngkhar kha ka khar em?" A nih loh leh, i ṭhianpa nêna inbiakna nuam tak i neih laiin i sawi tûr chu i theihnghilh thut mai a ni. Heng thilte hi a hluar hle a, ngaihtuahawm tur a awm lo. Mahse, nang emaw, i pa emaw, i hmangaih emaw, heng theihnghilhnate hi a pung zauh zauh a, i nitin hnathawhnaah pawh tibuaina tenau te a thlen ve niin i hria em? Tichuan he thuziak hi i tan a pawimawh hle ang. Vawiin hian MCI kan sawi dawn a, chu chu Mild Cognitive Impairment tihna a ni.

MCI hi eng nge ni tak tak?

A awlsam zawngin, MCI (Mild Cognitive Impairment) hi mi pakhat hriatrengna leh ngaihtuahna thiamna tlem a tihchhiatna a ni . Hei hi tar chakna nena lo awm theihnghilh dan pangngai aiin a tam deuh hlek a ni. Mahse, hriatrengna hloh nasa tak, dementia an tih ang kha a na lo.

Hetiang hian han ngaihtuah teh. Scam call hriat harsa i ti thei a, doctor pan ni ang chi thilte pawh i theihnghilh thei bawk. Nang leh i chhungte chuan heng inthlâk danglamnate hi in hmu mai thei. Mahse a pawimawh ber chu MCI vei chuan midang tanpuina tel lovin nitin hna a la thawk thei tho a ni. Chumi awmzia chu chaw siam te, inchei te, inchhung hna te chu mahni chauhin an thawk thei tihna a ni.

Thu lawmawm tak chu MCI hi a nghet reng lo. A then phei chuan a chhan bulpui ber enkawl a nih veleh symptoms te chu a tha thei hle. Mahse, MCI neih hian nakin lawkah dementia, Alzheimer natna ang chi i vei theihna a tipung deuh a ni.

MCI hi chi hnih a awm a, chungte chu:

MCI dinhmun hi hmunpui pahnih ah kan then a. Hriatthiam awlsam zawk nan hetiang hian ka sawifiah ang.

Nang pawhin heng mizia te hi i nei ve em?

MCI ziarang ber chu tuna kan sawi mek theihna tlahniam hi a ni. Chûngte chu i hriat chian angin a ri em tih en rawh.

• Ngaihtuah tur: Thil pakhata ngaihtuahna seng reng chu a harsa a, rilru pawh a buai awlsam hle.
• Rorelna: Thil dik leh dik lo thlan a har a, thutlukna tha siam a har.
• Ṭawng: Thusawi laiin thu dik tak hmuh harsat.
• Hriatrengna: A hma aia tam thil theihnghilh.
• Ruahmanna: Ruahmanna leh hna thawh tur felfai taka thawh a harsa hle.
• Reasoning: Buaina hriatthiam a, a chinfel dan zawn chu thil harsa tak a ni.

Engtin nge hengte hi nitin nunah a lo lan?

• Ka chabi, glasses leh phone ka dahna hmun chu theihnghilhin ka zawng fo thin.
• Electric leh tui bill ang chi thil ka pek theihnghilh thin.
• Inkhawm pawimawh, lawmna leh chhungkaw special ni te chu theihnghilh a ni.
• In inbiak lai chuan i sawi tur chu i theihnghilh nghal a, i chawlhsan ta a ni.

MCI vei thenkhat chuan kea kal harsatna leh rim hriatna hloh te pawh an nei thei bawk.

Engvangin nge hetiang hi a lo awm? MCI awm chhante chu engte nge ni?

Kan thluak peng hrang hrang, hriatrengna leh ngaihtuahna lama puitu a awm a. Entirnan, hippocampus leh temporal lobes ang chi hmun te. MCI-ah hian heng hmunah hian chhiatna emaw, structural change emaw a awm thin. Hêng thluak inthlâk danglamnate hian a hma ang bawka thil hriat reng a harsat a, ngaihtuah chian a, ngaihven a harsat phah a ni.

A châng chuan MCI hi thluak cell-te chu zawi zawiin a chhe vek ṭhin, neurodegenerative condition na tak, a bul ṭanna ber a ni thei bawk. Chung dinhmun thenkhat chu:

• Alzheimer natna a ni
• Frontotemporal dementia natna a ni
• Lewy taksa lam natna (dementia) a awm
• Parkinson natna a ni
• Vascular dementia a awm thei

Tute nge MCI vei theihna chance sang zawk?

Tu pawhin MCI an vei thei a, mahse mi thenkhat chu an hlauhawm zawk.

Risk factors thunun theih loh:

• Kum 65 chunglam: Kum upat deuh deuh chuan a hlauhawmna a sang chho zel.
• Chhungkaw chanchin: 1.1.Chhungkaw zinga mi pakhatin dementia a vei tawh a nih chuan.
• Genetic factors: Gene variant APOE-e4 (Alzheimer natna vei theihna tipungtu gene) nei.

Risk factors control theih emaw enkawl theih te:

• Lung leh thisen kalna kawng lama harsatna: Thisen sang, cholesterol sang, leh stroke ang chi natna.
• Natna rei tak: Zunthlum, COPD, ruh natna.
• Rilru hriselna lama harsatna: lungngaihna leh lungkhamna.
• Mut harsatna: bengchheng leh mut theih lohna (obstructive sleep apnea).
• Vitamin tlakchhamna: a bik takin vitamin B12 tlakchhamna.
• Thyroid lama harsatna nei: Hypothyroidism.
• Infection: Urinary tract infection (UTI) ang chi thilte hian a tichak lo thei hle a, a bik takin kum upa lam tan chuan a tichak lo thei hle.
• Lu hliam: (Traumatic thluak hliam).
• Damdawi thenkhat: Damdawi thenkhat antihistamine, antidepressant, opiate, leh benzodiazepines te pawh hian side effect angin hriatrengna hloh a thlen thei bawk.

Engtin nge doctor hian hei hi a hmuh theih?

MCI i neih leh neih loh hriat chian theihna tur test pakhat mah a awm lo. Doctor i pan hunah uluk takin a enfiah ang che.

1. Nang leh i chhungte hnenah inthlak danglamna chungchang zawt rawh: Engtik atang khan nge i natna lanchhuahna hi a lo intan a, eng ang thil nge i theihnghilh a, nitin i thiltih a nghawng em? I bula awm tu emaw chu heng inthlak danglamna chungchang hi i zawt thei bawk.

2. Physical and neurological exam: I balance, reflexes, leh nervous system hnathawh dan enfiah a ni ang.

3. Hriatrengna leh ngaihtuahna thiamna tehna test: Zawhna tawi hrang hrang zawh che a ni thei a, thlalak siam tura tih i ni thei a, i rilru hnathawh dan tehna atan thumal hriat reng tur i ti thei bawk. Hei hi Neuropsychological testing kan ti a.

4. Test dang: 1.1.

• Thisen leh zun test: A chhan dang, Vitamin tlakchhamna, thyroid harsatna, leh natna hrik kai te enfiah thin ang che.
• Brain scans: CT scan emaw MRI scan emaw hmangin thluaka tumor, stroke chhinchhiahna emaw, structural change dang emaw a awm thei.
• Lumbar puncture a awm chuan:Thil bik thenkhatah chuan he test hi Alzheimer natna nena inzawm protein awm leh awm loh enfiah nan tih theih a ni.

MCI enkawlna tur engte nge ni?

MCI enkawl dan chu a chhanah a innghat. Mi zawng zawng tan enkawlna pakhat chauh a awm lo. I doctor chuan hetiang hi a rawt thei ang:

• Condition hnuaia awmte enkawl dan: MCI thlentu chu zunthlum, thisen sang, mut harsatna (sleep apnea), emaw vitamin tlakchhamna ang chi a nih chuan, chu natna enkawl dan dik chuan hriatrengna lama harsatna a ti \ha thei a ni.
• Damdawi thlak danglam: Damdawi thenkhat i ei lai hian i hriatrengna a nghawng a nih chuan i doctor chuan a thlak danglam thei a, a hman dan pawh a tihtlem thei bawk.
• Thluak tichaktu thiltih: Puzzle chinfel te, thil thar (Ṭawng, musical instrument ang chi) zir te, lehkhabu chhiar te, mi dangte nena inpawh tawn te hi thluak tan exercise tha tak a ni.
• Nunphung inthlak danglamna:
• Meizial zu leh zu in hi bansan emaw tihtlem emaw.
• Ei leh in inthlau (balanced diet) ei (thlai, thei, sangha tam zawk).
• Exercise neih fo thin.
• Hriselna tihchian: I in chhunga slip leh tlu hlauhawmna (e.g. carpet) siam that leh lirthei khalh ngaihtuah nawn leh te ang chi thil i ngaihtuah a ngai mai thei.

MCI vei tan chuan hmalam hun chu eng ang nge ni ang?

Hei hi mi tam takin an hlauh em em chu a ni. MCI an tih condition hi mi zawng zawng tan a inang vek lo.

• Mi thenkhat tan chuan: Enkawlna an neih hnuah a natna lan chhuah dan a tha thei a, an kum a zirin a pangngaiin a lo awm leh thei bawk.
• Mi thenkhat tan chuan: Symptoms chu a awm reng thei a, a na zual lo.
• Midang tan: Hun kal zelah MCI hi dementia-ah a kal thei. Research atanga a lan dan chuan MCI vei kum 65 chunglam zinga 10% leh 20% inkar chuan kum khat chhungin dementia an nei ang.

Mahse MCI vei zawng zawng hian dementia an vei vek dawn lo. Mi tam tak chuan mahni hna thawk chhunzawmin mahni inrintawkna neiin an khawsa thei a. A pawimawh ber chu doctor nen inzawmna mumal tak neih hi a ni . I dinhmun enfiah nan thla 6 atanga thla 12 danah hmuh a pawimawh hle.