Parkinson natna nen hian hriatrengna hloh hi a ni em? Parkinson natna Dementia chungchang hi han sawi ila!

I chhungte, i nu emaw, i pa emaw, i hnaih ber emaw pawhin Parkinson natna an vei em? Chutiang mi chuan zawi zawiin thil a theihnghilh tawh em, a hmaa thil awlsam tak tih a harsat tawh em, a nih loh leh an ngaihtuahnaah inthlak danglamna i hmu em? Dik tak chuan, Parkinson natna nena lo awm thei hriatrengna leh finna dinhmun a awm a. Vawiin hian he natna `(Parkinson’s Disease Dementia)` tih hi kan sawi dawn a ni. Hlau suh, hei hi awlsam takin i hrethiam ang u.

Parkinson natna Dementia hi eng nge ni?

A awlsam zawngin sawi ila, Parkinson’s Disease Dementia (PDD) hi Parkinson natna vei zingah ngaihtuahna leh ngaihtuahna thiamna tlahniam a ni a, a natna hmuhchhuah atanga kum khat tal (a tlangpuiin a rei zawk) a ni.

Mi thenkhat chuan "Dementia" tih thumal an hriat hian an hlau thin. Mahse eng nge a nih i hrethiam ang u. Dementia hi mi pakhatin a hma aia a rilru a thawh dan a tlem a, nitin hna thawh a harsat phah a ni. He rilru hnathawhna hi tihchhiat a nih theih nan a hnuaia mi pahnih tal chu tihchhiat a ngai a ni:

• Hriatrengna
• Logical taka ngaihtuah
• Ṭawng (thusawi, hriatthiamna) .
• Thil inrualrem (coordinating) a ni
• Nungchang

Vawi tam tak chu he theihnghilh lian tak hi a lo thlen hma hian ``Mild Cognitive Impairment (MCI)`` tih hming pu dinhmun a lo awm thei a, chu chu hriatrengna lama harsatna tenau emaw, ngaihtuahna chakna tlahniam deuh emaw a ni. Hei hian nitin hnathawhnaah nasa takin a tibuai lo nachungin hriatrengna a tichhe deuh tihna a ni. Mahse, ``MCI`` case zawng zawng hi ``Dementia`` ah an kal vek lo. Parkinson natna vei zinga 10% leh 20% inkar chuan an dam chhung zawngin ``MCI`` chauh an nei thei.

I hriat angin Parkinson natna hi neurodegenerative disease a ni a, a nih loh leh thluak natna a ni a, zawi zawiin nerve cell a tichak lo. Taksa chetna a nghawng ber a ni. Kut inthlauhna leh kal zawi (bradykinesia) ang chi symptoms te hi a lang hmasa ber a ni. Mahse, hun kal zelah he natna hian ngaihtuahna leh thiltih thununtu thluak peng hrang hrang a nghawng thei bawk. Chutah chuan dementia a lo awm ta a ni.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Parkinson’s dementia vei theihna hi kum leh Parkinson’s natna i vei rei zawng a zirin a inang lo. Entir nan:

• Kum 60 leh 75 inkar zinga 16% leh 20% inkar chuan Parkinson natna hi kum 5 leh 10 inkar an nei tawh a ni.
• Kum 60 leh 75 inkar zinga 20% leh 30% inkar chuan Parkinson natna hi kum 10 atanga kum 15 chhung an vei tawh a ni.
• Hetiang dinhmun hi kum 75 chunglam, kum 15 aia tam Parkinson natna vei tawh zinga 50% atanga 60% velah a awm thei a ni.

Parkinson’s Dementia natna lan chhuah dan chu engte nge ni?

He natna hian mi tinte a nghawng dan hi a inang lo thei a, mahse a lan chhuah dan tlangpui thenkhat a awm a:

• Thil ngaihtuah harsa: Thil pakhata ngaihtuahna seng reng harsa, awlsam taka ngaihtuahna tihbuai.
• Hriatrengna hloh: Thil thar hriatreng harsa, a chang chuan thil hlui theihnghilh hial.
• Visual information hriatthiamna lama harsatna: Entirnan, mipui tamna hmuna thil pakhat hmuh harsat.
• Hna awlsam tak pawh hi ruahmanna siam, bul tan, leh tihfel a harsa thei hle.
• Ṭawng harsatna: Thumal a inhmeh lo va, thil hmingte chu theihnghilh a ni a, sentence buaithlak tak takte chu hriatthiam a harsa ta hle.
• Thusawi chu a chiang lo ta a, ṭawngkam chhuak ang maiin.

Chu bâkah, nungchang lama inthlâk danglamna a awm thei bawk:

• Rilru dinhmun inthlak danglamna: lungngaihna (depression), thinrim fo (thinrimna), leh lungkhamna te.
• Apathy: Engmah tih duh loh, engkim bo tih hriat.
• Psychosis: Thil tak tak lo hmuh (a bik takin visual hallucinations), emaw thil tak tak lo rin (a bik takin paranoid thinking).

Nangmah emaw, i hmangaih tak emaw hian heng symptoms hi i neih chuan doctor pan a, thurawn lak a pawimawh hle. Thil awmdan chu i hrethiam thei a, hlauthawng lovin a tul angin hma i la thei bawk.

Engvangin nge Parkinson’s dementia hi a lo awm?

A chhan ber chu thluaka protein pangngai lo `(Lewy bodies)` an tihte a lo awm khawm vang a ni. Heng `(Lewy body)` te hi protein pakhat `(alpha-synuclein)` atanga siam clump te tak te an ni. Chungte chu thluaka nerve cell `(neurons)` chhunga an awm khawm chuan chu cell te chu a chhe vek a, an thi ta a ni.

Parkinson natnaah chuan heng `(Lewy bodies)` te hi thluak chhunga chetna control tu hmunah te, a bik takin `(basal ganglia)` area-ah an dah hmasa ber thin. Chuvangin movement disorder, tremor leh slow walking te hi a lo awm hmasa ber a ni. Hun a kal zel a, heng `(Lewy bodies)` te hi thluak hmun sang zawk, ngaihtuahna, hriatrengna, leh tawng ang chi thil thunun thei hmunah te a darh thei a ni. Chu chu `(Parkinson’s Disease Dementia)` a lo awm hun a ni.

Hetiang dinhmun hi dementia chi dang Lewy body dementia (LBD) tih nen a inang hle. Dik tak chuan scientist thenkhat chuan natna pahnih hi protein alpha-synuclein inrawlhna thluak inthlak danglamna chi khat avanga lo awm niin an ngai. A danglamna lian ber chu symptoms lo lang dan tur a ni. Chu chu rei lo te chhungin kan sawi dawn a ni.

He natna hi tute nge vei theihna chance sang zawk?

Parkinson’s dementia vei theihna tur risk factor lian pahnih chu:

1. Kum pung: Kum upat deuh deuh hian he hlauhawmna hi a pung zel.

2. Parkinson’s natna vei hun rei zawk: Natna a awm rei poh leh dementia vei theihna a sang zawk.

Hei bakah hian zirchianna hrang hrangah Parkinson natna lanchhuahna thenkhat nei te pawhin dementia an vei tam zawk tih hmuhchhuah a ni bawk. Chutiang chhinchhiahnate chu:

• Motor symptoms na tak neih: Symptoms na tak tak i neih chuan khur leh kal harsa i neih chuan.
• Parkinson’s disease , a kal tan tirh lamah chuan autonomic nervous system-ah harsatna (entir nan, orthostatic hypotension, urinary incontinence) a awm thei.
• Movement disorder hian taksa sir lehlamah inang tlangin a nghawng a (symmetrical motor symptoms).
• Parkinson natna damdawi dopamine awmna damdawi hi beisei angin a hlawhtling lo.
• ``REM sleep behavior disorder'' (i mumang chu i act tak takna) tih condition neih.

Engtin nge hei hi i hriat chian tak?

Vanduaithlak takin Parkinson’s Disease Dementia a awm leh awm loh finfiah nghal thei tur test bik a awm lo. Doctor chuan thil engemaw zat ngaihtuah chungin diagnosis a siam a:

• Engtikah nge i symptoms te hi a lo intan tih leh engtin nge a lo danglam tih an zawt thin.
• I medical history kimchang zawt rawh.
• Tunah hian eng damdawi nge i ei tih ka en ang.
• I chhungte zingah heng natna vei an awm em tih zawt rawh.

Chu bâkah, natna hriat theihna tûra ṭanpui tûrin test ṭhenkhat pawh tih theih a ni bawk. Entirnan, thisen test te, thluak image test te (CT scan, MRI scan ang chi), leh neuropsychological test te, ngaihtuahna thiamna test te.

Ka sawi tawh ang khan Parkinson’s Disease Dementia (PDD) leh Lewy Body Dementia (LBD) natna lan chhuah dan leh a chhan hi a inang hle. Chuvangin, doctor-te’n an pahnih thliar hrangna atana an hman dan tlemte a awm a:

• Parkinson’s disease movement disorders (tremors, slow walking ang chi) a lo chhuah atanga kum khat tal (a tlangpuiin kum engemaw zat) hnuah dementia symptoms (hriatrengna hloh ang chi) a lo lang a nih chuan Parkinson’s Disease Dementia (PDD) an ti a ni.
• Parkinson’s movement disorders lo awm hma emaw, a lo chhuah chhung emaw, kum khat chhunga dementia symptoms a lo lang chuan `(Lewy body dementia - LBD)` an ti a ni. `(LBD)` damlo thenkhat chuan Parkinson's movement disorder an nei lo mai thei.

Hei hi eng enkawlna nge ni?

Mi tam takin zawhna an zawh thin chu hei hi damdawi a awm em, tihdam theih a ni em tih hi a ni. Dik tak chuan Parkinson’s Disease Dementia natna zual zel tur titawp thei emaw, tidanglam thei emaw damdawi a la awm lo. Chu chu thil lungchhiatthlak deuh a ni.

Mahse, beiseina bansan suh! Damdawi leh enkawlna hrang hrang a awm a, chu chuan natna lan chhuah dan thenkhat control emaw tihziaawm emaw a pui thei a ni. Entir nan:

• `(Cholinesterase titawptu)`: 1.1.He class-a damdawi, donepezil (Aricept®), rivastigmine (Exelon®), leh galantamine (Razadyne®) te hian natna lan chhuah dan thenkhat, a bik takin mit hmuh theih loh, ngaihtuahna inthlak danglamna, leh nungchang inthlak danglamna atanga chhanchhuahna engemaw zat a pe thei a ni.
• Selective serotonin reuptake inhibitors (SSRIs) leh serotonin leh norepinephrine reuptake inhibitors (SNRIs): Hengte hi lungngaihna atana damdawi an pek tlangpui a ni. Lungngaihna, thinrimna, leh hlauhna ang chi mood swing control-naah an pui thei a ni.
• Cognitive behavioral therapy (CBT): Hei hi psychotherapy chi khat a ni a, chu chu talk therapy chi khat a ni. Nungchang lama harsatna leh lungkhamna ang chi thilte enkawl nan a pui thei a ni.

I medical team chuan an bia ang che a, i tan eng enkawlna nge tha ber tih an rel ang. Mahse thil pakhat hre reng ang che. Damdawi thenkhat chuan dementia symptoms a ti na zual thei. Entirnan, Parkinson natna avanga chetna lama harsatna awmte enkawlna atana hman tlanglawn damdawi carbidopa-levodopa hian Parkinson natna dementia vei thenkhatte chu thil hmuh theih loh leh buaina a tipung thei a ni. Chuvangin, doctor thurawn tel lo chuan damdawi engmah ei tan emaw, chawlhsan emaw suh.

Parkinson’s Disease Dementia enkawlna thar tur clinical trial neih mek a ni mai thei. Chu chu i doctor hnenah pawh i zawt thei bawk.

He dinhmun hi engtin nge hmalam pan a nih? (Prognosis) tih a ni.

Hetiang natna vei tan hian prognosis hi thil engemaw zat ah a innghat a ni. Mahse, Parkinson natna ang bawkin Parkinson’s Disease Dementia hi hun kal zelah a zual zel thin. Enkawlna hian natna lan chhuahna a\angin eng emaw chen hahdamna pe thei mah se, nunphung (quality of life) chu a tlahniam thei fo.

Hei hi engtiang chiahin nge a pun chak theih ang?

Parkinson’s Disease Dementia natna a zual zel dan hi mi hrang hrangah a inang lo hle a, Parkinson’s natna hi a zual zel ang bawkin. I medical team chuan nang leh i chhungte chu i dinhmun bik a\angin eng nge i beisei ang tih ngaihtuahna engemaw zat a pe thei che a ni.

Hei hi a thleng lo thei lo em ni?

Vanduaithlak takin tunah hian Parkinson’s Disease Dementia lo awm tur venna tur engmah tih theih a la awm lo. Tin, a vei theihna tur tihziaawmna tur a awm lo bawk.

Parkinson’s dementia vei chu engtin nge kan tanpui ang?

I hmangaih tak hian he natna hi a vei a nih chuan, medical team te nen thawhhona tha ber pek bakah hian thil dang engemaw zat tih theih a awm a:

• Parkinson’s Disease Dementia chungchang hi i theih ang angin zir rawh : I hriat tam poh leh i hmaa thil lo thleng tur chu i hmachhawn a awlsam zawk ang. Tin, i hmangaih tak tan pawh i advocate tha zawk thei bawk ang.
• A chhehvel chu awlsam zawka siam rawh:In atanga thil tul lote paih chhuakin, a felfai takin vawng reng ang che. Hei hian rilru lama buaina an tawh thin chu a tiziaawm thei a ni. Zanah light tlemte on hian mit hmuh dan dik lo a tihziaawm thei a ni.
• Thil tih dan pangngai siam rawh: Nitin ei leh in, inbual, leh mut hun inang ang chi tih dan pangngai neih hian Parkinson’s Disease Dementia vei te chu nuam leh him zawka an awm theih nan a pui thei a ni.
• Support group-ah tel rawh: I hmangaih tak leh nangmah ngei pawh Parkinson vei leh an chhungte tanpuitu group-ah tel tir rawh. Chûng pâwlte chuan thu hlu tak tak, thurâwn, leh thiltawn an pe thei a ni. Hei hi he zin chhung hian chakna ropui tak a ni thei.

Parkinson’s dementia hi dementia natna tlanglawn dangte nen a danglam em?

Dementia thlentu tam tak a awm a, a lan chhuah dan pawh a inang lo hle. Alzheimer natna hi dementia chi khat a ni ber. Scientist-te sawi dan chuan Parkinson’s disease dementia symptoms hi Alzheimer’s disease dementia symptoms nen hian a danglam deuh hlek a ni. Entir nan:

• Parkinson’s Disease Dementia vei te hian Alzheimer’s vei te aiin ngaihsak lohna leh ngaihtuahna seng harsatna an nei tam zawk.
• Alzheimer’s disease dementia vei te hian Parkinson’s disease dementia vei te aiin tawng harsatna an nei hmasa zawk thei. Tin, Alzheimer’s vei te hian Parkinson’s disease dementia vei te aiin thil thar hriatreng an harsat zawk bawk.

Parkinson’s dementia hi stage hrang hrang a awm em?

Doctor-te chuan Parkinson natna hi stage hrang hranga thliar hran dan tur an pawm a. Mahse, Parkinson’s Disease Dementia hi thliar hran dan chiang tak a awm lo. Hei hi mi zawng zawng a nghawng dan leh a nasat dan a inang lo hle a ni. Chuvangin scientist leh doctor te tan chuan stage bik ah then hran a harsa hle.

A tawp berah chuan thil hriat reng tur

Parkinson natna i vei tih hriat chu thil awlsam a ni lo a, hei hian i hriatrengna a tichhe thei a, i hnathawh theihna a tichhe thei a ni. Lungngaihna, lungngaihna leh hmalam hun tur hlauhthawn hi thil pangngai a ni. He hunah hian nangmah chauh i ni lo tih hre reng ang che. I hmangaih tak takte, chhungte, ṭhiante, a bik takin i medical team aṭangin i mamawh ṭanpuina dawng rawh.

He natna hi enkawlna hian a tidam kim thei lo nain, a natna lan chhuah dan a thunun thei a, eng emaw chen chu nunphung a tichangtlung thei tih hre reng ang che. Chuvangin, beiseina bansan suh la, thlawpna i dawn nen hian he zinkawng hi chhunzawm zel rawh.

` Parkinson’s, dementia, hriatrengna hloh, thluak natna, Lewy body, thluak lam natna, geriatric care