Nang pawhin thil i theihnghilh ve em? Hei hi ‘MCI’ (Mild Cognitive Impairment) a ni mai thei!

A chang chuan thil tenawm tak tak i theihnghilh thin em? I thianpa nena in sawi dun lai thil emaw, naktuk inkhawm pawimawh tak i neih tur emaw kha han ngaihtuah teh. A chang chuan i chabi awmna hmun, i glasses awmna hmun ang chi thil i zawng a ngai thin, a dik em? Kum upat deuh deuh hian heng theihnghilh te te te hi neih hi thil pangngai tak a ni. Mahse, nangmah emaw, i hnaih ber tu emaw hian heng theihnghilh te hi a tam lutuk deuh a, nitin hnathawhna a tibuai niin i hria ngai em? Chutiang a nih chuan he natna `Mild Cognitive Impairment` (MCI) tih hi i hriat a pawimawh hle a, vawiinah hian kan sawi dawn a ni.

`Mild Cognitive Impairment` (MCI) tih hi eng nge ni?

A awlsam zawngin, `Mild Cognitive Impairment` (MCI) hi i kum rualpui midangte nena khaikhin chuan i hriatna tlahniam degree engemaw chen, a nih loh leh slight impairment , i neihna dinhmun a ni. Mahse hei hi hriat theih chauh a ni . Heng hriatna (cognitive abilities) te hi:

• Hriatrengna: Thil hriat reng theihna.
• Reasoning and Judgment: Thil pakhat chu thlirna hrang hrang atanga thlir thiamna, thil dik leh dik lo thlang thei leh thutlukna siam thiamna.
• Hna harsa tak tak ruahman leh thawh: Hnathawh tur ruahmanna felfai taka ruahman thiam leh thawh that theihna.

He inthlâk danglamna hi nangmah ngeiin i hmu thei a, a nih loh leh chhûngte emaw, i ṭhian emaw pawhin i hre thei bawk. A pawimawh ber chu heng inthlak danglamna te hi a nasat lutuk loh avangin nitin hna pangngai i thawk thei lo . Chu chu, inbual, ei leh in, inchei ang chi thil i la ti thei tihna a ni.

Kum lama hriatrengna inthlak danglamna leh MCI hi eng nge a danglamna?

Kan tar chhoh zel hian kan thluak hnathawh danah hian inthlak danglamna tenau engemaw zat kan tawng vek hi thil awmdan pangngai a ni. Thil thar zir nan hun rei vak lo hman te, thil tih hniam deuh emaw tih ang chi te hi ngaihtuah teh.

Mahse, i kum upat deuh deuha lo awmte hian i hnathawh zawng zawng emaw, ni tin hna i thawh theihna emaw chu a nghawng lo . Tar pangngai hian hriatna, finna, hun rei tak hriatrengna ang chi thilte chu nasa takin a nghawng lo.

Mahse, kum 65 aia upa i nih chuan a châng chuan hming, thumal, a nih loh leh hmun i theihnghilh thei a ni. Mahse, MCI-ah chuan mi dangte nena in inbiakna leh i hriat reng tur thilte (entir nan, doctor emaw, chhungkaw member emaw birthday-a appointment i siam lai) kha i theihnghilh tan mai thei. MCI hian i nitin hnathawh pawh eng emaw chen a nghawng thei bawk.

`Dementia` leh `MCI` hi eng nge an danglamna?

`Dementia` leh `MCI` te hi a takah chuan sawifiahna thumal an ni. Mi pakhat rilru theihna a inthlâk danglamna leh ni tin thiltih a nghawng dân a sawina a ni .

A danglamna ber chu MCI-ah hian rilru lama theihna inthlak danglamna hian nitin nunah nasa takin a tibuai lo tih hi a ni.. Mahse `Dementia`-ah chuan rilru lama theihna a tlahniam nasa hle a, nitin hna a thawk thei lo . Thil dang pakhat chu `MCI` vei te hian `Dementia` vei te angin mize danglamna lian tham an tawk lo.

Dementia hi rilru lam hnathawh tlahniam zel a ni a, nitin nun tibuai thei khawpa na a ni. Dementia vei chuan a hnuaia symptom pahnih emaw a aia tam emaw a nei thei a ni:

• Hriatrengna hloh
• Reasoning thiamna tlahniam
• Ṭawng lama harsatna (thusawi harsa, hriatthiamna) .
• Taksa peng hrang hrang inrualrem harsa
• Mood a inthlak danglam thin
• Nungchang a inthlak danglam thin

`MCI` emaw `Dementia` emaw awm chhan bulpui hrang hrang a awm thei.

`MCI` hi `Dementia` ah a chang fo em?

Hei hi mi tam takin an zawh thin a ni. MCI vei thenkhat chuan a tawpah chuan dementia an nei thei. Mahse, mi zawng zawng hian an ti vek lo . Neurodegenerative condition thenkhatah chuan MCI hi natna chhinchhiahna hmasa ber a ni thei. Neurodegenerative conditions hi thluak khawih thei natna leh hun kal zelah a zual zel a ni. Entirnan, Alzheimer natna leh Parkinson natna te hi a ni.

Mahse, MCI vei thenkhat chu an kum a zirin an level pangngaiah an kir leh a, a nih loh leh an dinhmun a nghet reng a, chu chu a na zual lo tihna a ni.

MCI hi engtiang chiahin nge a hluar?

American Academy of Neurology sawi dan chuan he natna hi ``Mild Cognitive Impairment`` (MCI) an tih hi kum hrang hrangah hetiang hian hmuh a ni:

• Kum 65 leh 69 inkar mi 8% vel an ni.
• Kum 75 leh 79 inkar mi 15% vel an ni.
• Kum 80 leh 84 inkar mi 25% vel an ni.
• Kum 85 aia upa zinga 37% vel.

Heng statistics te hian kum upat rualin he natna hi a awm theihna a sang chho zel tih a tarlang.

`MCI` natna lanchhuahna chu engte nge ni?

`Mild Cognitive Impairment` (MCI) ziarang ber chu rilru lama chakna tlahniam hi a ni. Hei hi entirnan thenkhat chu:

• Hriatrengna hloh: Tun hnaia thil thlengte chu i theihnghilh mai thei. Zawhna leh thawnthu inang chu i sawi nawn leh thei a ni. A châng chuan ṭhiante leh chhûngte hming, doctor-a inpêkna leh ruahmannate chu i theihnghilh mai thei. Thil awmna hmun chu i theihnghilh tam zawk mai thei bawk.
• Ṭawng chungchâng: I mamawh thumal dik tak hmuh chu i harsat phah mai thei. Thuziak emaw, mi pakhatin a sawi emaw chu a hma ang bawkin hriatthiam harsa i ti thei bawk.
• Ngaihven:I ngaihtuahna chu rang takin a inthlak thei a, a hma aia awlsam zawkin i ngaihtuahna a buai thei bawk.
• Ngaihtuahna leh rorelna: Buaina chinfel leh thutlukna siam chu thil harsa tak a ni thei.
• Ruahmanna buaithlak tak: Bill pek te, a hun taka damdawi ei te, dawr kal te, huan enkawl te, in lama hna thawh te, leh lirthei khalh te ang chi thil harsa tak tak pawh ruahman leh tihhlawhtlin chu a hma aia harsa zawk a ni thei.

Hei bakah hian kea kal harsatna leh rim hriatna lama harsatna te pawh MCI nen hian a inzawm tih hmuhchhuah a ni bawk.

`MCI` awm chhante chu engte nge ni?

Mild Cognitive Impairment (MCI) hian chhan tam tak a nei thei a. A chhan thenkhat chu enkawl theih a ni a, thenkhat erawh chu enkawl theih loh.

A chhan awm thei ṭhenkhat chu hetiang hi a ni:

• Depression, chronic stress, leh lungkhamna te.
• Thyroid, kal, emaw thin lama harsatna nei.
• Sleep apnea leh mut kaihhnawih natna dangte.
• Thluak lama thisen kal dan tichhe thei dinhmun: Entirnan, thluaka tumor, thisen zam, stroke, emaw thluak hliam na tak.
• Vitamin B12 tlakchhamna emaw, ei leh in lama harsatna dang emaw a awm chuan.
• Infection: Entirnan, zun kawng infection (UTI).
• Damdawi thenkhatin a nghawng tha lo: Entirnan, damdawi, calcium channel blocker, anticholinergic damdawi, leh benzodiazepines te.
• Substance hmanna lama harsatna leh zu hmansualna.

MCI hi nervous system natna tichhe thei chhinchhiahna hmasa ber a ni fo thin. Chumi awmzia chu MCI hi natna bul tanna a ni thei tihna a ni a, chungte chu:

• Alzheimer natna a ni
• Parkinson natna a ni
• `Lewy taksa rilru natna`
• Vascular dementia a awm thei
• Frontotemporal dementia natna a ni

`MCI` lo awm theihna tur risk factors te chu engte nge ni?

Mild cognitive impairment (MCI) vei theihna tur risk factor lian ber chu dementia vei te nen a inang vek a ni. Anni chu:

• Kum 65 aia upa a nih.
• Chhungkaw zinga mi pakhatin dementia (genetic influence) a neih chuan .
• Lung lam natna vei theihna tipung thei dinhmun neih: entirnan, thisen sang, cholesterol sang, zunthlum, leh thau lutuk.

Engtin nge `MCI` i neih leh neih loh i hriat theih ang?

Mild cognitive impairment (MCI) hi a châng chuan dik taka hriat a harsa thei a , natna tam tak chhinchhiahna hmasa ber a nih theih avangin. Tin, MCI chhinchhiahna thenkhat hi natna dang tam takah a awm fo bawk.

I doctor chuan heng thilte hi a ti ang:

• I symptoms te ka zawt a .
• I medical history (natna hmasa, damdawi ei tawhte) zawt rawh .
• Tuna i damdawi ei mekte hi en la .
• I chhungkuaah hian hriatrengna lama harsatna lian tak emaw dementia emaw nei an awm em tih zawt rawh .
• Taksa endik leh rilru dinhmun endik a ni ang.
• Chhungkaw member emaw i thian rintlak tak emaw hnenah i rilru hnathawh dan inthlak danglamna chungchang zawt rawh .

Tin, test te pawh tih theih a ni bawk a, chungte chu:

• Laboratory test: I doctor chuan thisen emaw zun emaw test a ti thei a, infection emaw inflammation emaw a awm leh awm loh a enfiah thei bawk. Tin, i thyroid hormone level leh vitamin B12 tlakchhamna te pawh an enfiah thei bawk. A châng chuan, autoimmune condition leh neurodegenerative diseases awm leh awm loh enfiah nân cerebrospinal fluid test (spinal tap) an ti thei bawk.
• Imaging test: Computed tomography (CT) scan leh magnetic resonance imaging (MRI) scan ang chi test hmangin thluak chhiatna, stroke, thisen chhuah, tumor, emaw thluaka tui awm leh awm loh enfiah a ni.
• Neuropsychological tests: Hengte hi thusawi leh ziak test hrang hrang a ni a, i finna tlangpui, tawng hman dan, hriatrengna leh zirlai thiamna tehna a ni.

Neurologist leh geriatrician te hian Mild Cognitive Impairment (MCI) an hriat theih nan an pui thei a ni.

`MCI` enkawlna tur engte nge ni?

MCI enkawlna chu a chhan bulpui (a chhan hmuh theih a nih chuan) a innghat a ni. Mahse, neurodegenerative natna avanga MCI condition thenkhat chu tihdanglam theih a ni lo. Mahse, i rilru lam inthlâk danglamna chu natna hrik emaw, mut harsatna emaw, rilru lam inthlâk danglamna emaw, damdawi in a nghawng ṭha lo emaw avânga lo awm a nih chuan, i doctor chuan i mamawh ang zela enkawl dân ruahmanna a siam ang.

US Food and Drug Administration (FDA) chuan Mild Cognitive Impairment (MCI) direct-a enkawlna tur damdawi engmah a la pawm lo. Mahse, ruihhlo hman loh approachCognitive function (`cognition`) tihchangtlunna atana hman theih tur treatment plan a awm. Chungte chu `MCI` awm chhan a zirin a inang lo. Zirchiangtute chuan `Alzheimer`s disease` atana damdawi hmante pawhin `MCI` a puih ngei an beisei. Tunah hian hei hi an zirchiang mek a ni.

Researcher-te chuan MCI enkawlna tur kawng hrang hrang an zirchiang chhunzawm zel a ni. Clinical trial-ah pawh i tel ve thei mai thei. I duhthlan tur chungchang chu i doctor nen sawiho rawh.

`MCI` hmasawnna hi a veng thei ang em?

MCI vei zawng zawng hi ven theih a ni lo. Mahse, i thluak hrisel taka awm reng tur leh MCI vei theihna tur tihziaawmna tur thil i tih theih a awm . Chung zingah chuan:

• Meizial zuk loh emaw, bânsan emaw.
• Zu in loh emaw, a tlem berah hman loh emaw.
• Ei leh in hrisel, inthlau tak ei.
• Exercise neih fo thin.
• Thisen sang hrisel, cholesterol level, leh thisen sugar level te vawn reng.
• Stress tih tlem leh enkawl dan.
• Mut quality tha tak neih.
• Thluak exercise: Puzzle chinfel te, lehkhabu chhiar te, thil thar zir te.
• Khawtlang thila inhmang.
• I natna rei tak enkawl turin doctor hmu fo thin.

Heng thil tih hian MCI lo awm tur hi 100% in a dal lo thei a, mahse, a hlauhawmna tihziaawmna kawngah nasa takin a pui thei tih hre reng ang che.

`MCI` nei tan chuan eng nge hmalam hun? (Hmuh dan tur) .

Mild cognitive impairment (MCI) nei tan chuan a chhan leh thil dang engemaw zat a zirin a prognosis emaw outlook emaw a inang lo. He dinhmun hi zirchiangtute chuan an la zir belh zel a ni.

Zirna hrang hrangah chuan MCI vei kum 65 chunglam zinga 15% vel chuan MCI an vei tih hmuhchhuah a nih atanga kum hnih chhungin dementia an vei tih hmuhchhuah a ni. Tin, MCI vei zinga 14% leh 38% inkar chuan an rilru lam hnathawh dan pangngai an nei leh thin .

MCI vei mi pakhat a nasat dan chu a chhan bulpuiah a innghat fo thin. MCI vei te rilru leh damdawi lama inthlak danglamna hi zirchiangtute chuan an zirchiang chhunzawm zel a ni. Ni khat chu tute nge dementia chi hrang hrang vei theihna chance sang zawk, leh engtiang chiahin nge a kal chak dawn tih an sawi lawk thei zawk an beisei.

`MCI` ka neih chuan engtin nge ka in enkawl ang?

MCI i vei tih hmuhchhuah i nih chuan i doctor leh i rintlak apiang nen i hmalam hun chungchang sawipui a tha.He sawihona hi i doctor-in i MCI hi Alzheimer’s ang chi neurodegenerative disease hmasa ber nia a ngaih chuan a pawimawh hle. He sawihona hian nakin lawkah nangmah ngeiin thutlukna i siam thei lo a nih chuan enkawltute chu i duhzawng hlen chhuak turin a pui ang.

Chu inbiakna bakah chuan i duhzawng leh thutlukna siam pawh a tha hle . Hei hian nangmah i in enkawl thei lo emaw, i enkawlna emaw, i hamthatna chungchangah thutlukna i siam thei lo emaw a nih chuan eng nge thleng duh tih tarlanna legal document siam tihna a ni.

Engtikah nge Doctor ka hmuh ang?

MCI hi neurological condition na zawk chhinchhiahna hmasa ber a nih theih avangin thla 6 atanga thla 12 danah doctor emaw specialist emaw pan a pawimawh . Hei hi i enkawl dan azirin a danglam thei. I doctor chuan hun kal zelah i hriatrengna leh ngaihtuahna thiamna inthlak danglamna chu a enfiah thei a, i hriselna tihdanglam dan tur a rawt thei bawk. Inthlâk danglamna i hmuh chuan, mi mal journal vawn chu a ṭangkai thei bawk.

Symptoms thar i neih chuan , i doctor hnenah zawhfiah rawh.

MCI chungchangah hian eng zawhna nge doctor hnenah zawh tur?

Mild Cognitive Impairment (MCI) i vei tih hmuhchhuah i nih chuan, i doctor hnenah heng zawhnate hi zawh hi a \angkai thei ang:

• Eng thilin nge `MCI` ka neih chhan?
• Eng management option nge ka neih? (Chu chu he dinhmun thunun theihna tura ka tih theih tur thil tihna a ni)
• Specialist ka hmuh a ngai em?
• Ka MCI a na zual em tih hriat nan eng symptom nge ka fimkhur tur?
• Dementia ka vei dawn em ni?
• Car ka la khalh thei em?
• Thil dang tih hi ka bansan a ngai em?
• Ka thluak hrisel turin eng nge ka tih theih ang?
• Ka natna hmuhchhuah chungchang hi midangte hrilh tur em ni?
• MCI vei te tel theihna tur local support group a awm em?

A tawp berah chuan take-home message

Mild Cognitive Impairment (MCI) i vei tih hriat chu a buaithlak thei hle. Nakin hun tûr chungchângah zawhna leh ngaihtuahna tam tak i nei mai thei. Mahse, MCI hian mi zawng zawng a nghawng dan a inang lo tih hre reng ang che. I doctor chuan i dinhmun nena inmil tur leh i duh ang ang plan a siam ang. I zawhnate chhang tur leh thlawp turin an awm reng a ni.

A pawimawh ber chu thil danglam i hmuh chuan a rang thei ang bera doctor pan hi a ni a, ngaihthah ai chuan. A hmaa hriatchhuah leh enkawl dan dik chuan i nunphung humhalh kawngah kawng thui tak a zawh thei a ni. Nangmah chauh i ni lo va, he thil chungchang sawi leh tanpuina dil pawh hlau suh.

`Hriatrengna lama harsatna, hriatna lama harsatna nei lo, MCI, thluak hriselna, tar, dementia, Alzheimer’s