I hmangaih chuan engkim a theihnghilh vek em? Dementia chungchang hi han sawi ila! (Dementia natna) 1.1.

I nu, i pa, i pi, i pi, i pi upa tawhte hian thil an theihnghilh em? Zawhna khat chu a zawt nawn leh fo em? A hma aia rilru na zawkin emaw, lungkham takin emaw a che em? A châng chuan heng thilte hi tar pêng pangngaiah kan ngai a, mahse chutiang chu a ni reng reng lo. Hetiang dinhmun hi dementia an tih dinhmun bul tanna a ni thei. Chuvangin vawiinah hian he thu hi sawi ila, thianpa nen kan inbia ang maiin, phurrit nei loin.

‘Dementia’ hi eng nge ni tak tak?

A awlsam zawngin sawi ila, dementia hi natna pakhat chauh a ni lo. Natna chi hrang hrang avanga symptoms awmte khawlkhawm a ni. Hemia thil thleng ber chu kan thluak cell te a chhiat a, an inkara inbiakpawhna, chu chu thuchah inthlengna chu a bo ta a ni. Kan thluak hi company lian office ang maiin han ngaihtuah teh. Section tin hian a hranin hna an thawk a. Hriatrengna tur section a awm a, thusawi puitu section a awm a, thutlukna siamna tur section a awm bawk. Dementia-ah chuan heng section hrang hrangte inzawmna a bo a, office pumpui hnathawh chu a buai ta hle a ni.

Chumi avang chuan , ngaihtuahna thiamna, hriatrengna, leh ngaihtuahna thiamna chu a chak lo va, nitin hna chu anmahni chauhin an thawk thei lo.

Dementia leh normal aging hi eng nge an danglamna?

Hei hi mi tam takin harsatna an neih a ni. Hei hi chiang takin i hrethiam ang u.

Dementia leh Alzheimer's hi thil inang an ni em?

No. Hei hi mi tam tak buaina hmun a ni bawk. ‘Dementia’ hi ‘thei’ tia koh category lian tak angin ngaihtuah teh. ‘Alzheimer’s’ hi chu thei chi hrang hranga ‘mango’ ang a ni. Chu chu, dementia thlentu tam tak zingah chuan a tam ber leh a chhan ber chu Alzheimer natna a ni tihna a ni . Dementia vei zinga 70%-80% chuan he natna hi an nei a ni. Mahse hei bakah hian dementia natna thlen thei thil dang 50 vel a awm bawk.

Dementia chi hrang hrang leh a chhan lian ber berte chu engte nge ni?

Alzheimer natna bakah hian dementia chi hrang hrang lian tak tak a awm bawk.

1. Vascular Dementia: Hei hi thluaka kalna thisen kalna kawng a block emaw, a chhiat vang emaw a ni. Thisen sang, zunthlum, cholesterol sang, leh stroke ang chi natna hian a hlauhawmna a tipung a ni.

2. Lewy Body Dementia (LBD): Hetiang dinhmun hi thluak cell chhunga protein pangngai lo ``Lewy bodies`` an tihte a awm khawm vang a ni. Hriatrengna hloh bakah hian kea kal harsatna, khur (Parkinson natna lan chhuah dan ang chi), nitin mutthilh, leh thil hmuh theih loh (hallucinations) te hi he natnaah hian a tam zawk a ni.

3. Frontotemporal Dementia (FTD): Hei hi thluak hmalam leh sir lam a chhiat nasat em emna a ni. Hei hian hriatrengna aiin nungchang, mize leh thusawiah danglamna a thlen a ni. Tûn hmaa mi rilru hahdam tak chu a râpthlâk emaw, a inhnukdawk emaw a ni thei. A nih loh leh, an tawng thiam hle mai thei bawk.

4. Mixed Dementia: Mi thenkhat chuan a rualin dementia chi hnih emaw a aia tam emaw an nei thei. Entirnan, Alzheimer natna leh vascular dementia hi an awm dun thei a ni.

Eng symptom nge kan fimkhur tur?

I chhungte zingah hian heng symptoms hi tu emaw chuan an nei em tih en rawh. Pakhat emaw pahnih emaw i neih vang mai maia dementia tia koh hlau suh, mahse an awm reng chuan damdawi lam thurawn lak a pawimawh.

• Hun rei lote chhunga hriatrengna hloh: Hun rei vak lo kalta a thusawi theihnghilh, zawhna inang chiah zawh nawn leh, thil awm dan theihnghilh.
• Inbiakpawhna lama harsatna: Thumal dik zawn harsat, inbiakna kara chawlh hahdam, mi dangte thusawi hriatthiam harsa.
• Hmun hriat lar takah pawh bo mai: Mahni khua emaw khawpuiah emaw pawh kawng zawn theih loh.
• Hna khirh tak tak tihfel harsa: Hmanlai thil tih awlsam tak tak, huan siam te, bill pek te, leh inchhung senso enkawl te chu tunah chuan tih theih a ni tawh lo.
• Mihring leh nungchang inthlak danglamna: lungkhamna, rinhlelhna, lungngaihna, mahni chauha awm duhna, emaw, khawtlang nun kalh zawnga nungchang emaw.
• Thutlukna siam harsa: Thil ngaihtuah thiam loh leh thil tha leh tha lo thlang thei lo.
• Mut dan inthlak danglamna: Zanah mut theih lohna leh nitin mutthilh lutuk.
• Thil awm lo hmuh emaw hriat emaw (Hallucinations): Mi emaw, rannung emaw awm tak tak lo hmuh.

Engtin nge dementia hi hriat chhuah a nih?

Test pakhat hian dementia i vei leh neih loh a hre thei lo. Hei hi i doctor chuan test eng emaw zat a ti ang.

1. Inbiakna: Doctor chuan damlo leh chhungte a bia a, a natna lan chhuah dan te, engtikah nge a intan tih te, natna dang eng pawh a zawt thin.

2. Hriatrengna leh ngaihtuahna thiamna test: Hriatrengna test dan chi hrang hrang a awm a, chu chu zawhna awlsam tak zawh leh thlalak siam te hi a ni.

3. Thisen test: Dementia ang chi natna dang, vitamin B12 tlakchhamna leh thyroid hormone lama harsatna nei te enfiah thin ang che.

4. Brain scan: CT scan emaw MRI scan emaw hmangin thluak a hrual emaw, stroke avanga chhiatna emaw, tumor emaw a awm leh awm loh enfiah theih a ni.

Heng zawng zawng a en hnu hian doctor chuan hei hi dementia a ni em tih leh, a nih chuan eng chi nge a nih tih thutlukna a siam ta a ni.

Enkawlna a awm em? Engtin nge kan tih ang?

Vanduaithlak takin dementia chi hrang hrang tam tak hi a dam kim thei lo. Amaherawhchu, symptoms te chu enkawl theih a ni a, natna zual zel chu a tikhawtlai thei a, damlo leh an chhungte nunphung a tichangtlung thei bawk.

Enkawlnaah heng thilte hi a pawimawh a ni:

• Damdawi chi hrang hrang: 1.1.Dementia chi thenkhat, Alzheimer’s-ah te hian damdawi (`Cholinesterase inhibitors`, `Memantine` ang chi) a awm a, chu chuan hriatrengna leh ngaihtuahna thiamna a tichak thei a, a natna lan chhuah dan a tikhawtlai thei bawk. I doctor chuan agitation leh depression ang chi thilte enkawlna atana pui turin damdawi a pe thei bawk. Doctor thurawn tel lo chuan heng damdawi te hi hmang ngai suh.
• Occupational Therapy: Occupational therapist chuan damlo chu a theih ang anga mahni hna thawk turin a pui thei a, in chhung boruak chu damlo tan a him thei a, hriatrengna tichaktu exercise awlsam tak tak a zirtir thei bawk.
• Nunphung tihdanglam: Ei leh in inthlau tak, exercise mumal neih te , inpawh taka awm reng te, thisen sang leh zunthlum ang chi natna te thunun hi a pawimawh hle.

Dementia vei enkawltu anga i tih theih thilte

Dementia vei enkawl hi thil awlsam a ni lo. Inpekna lian tak a ni. Chûng thilte chu i ṭanpui theih nân rilruah vawng reng ang che.

• Dawhthei rawh: Thu inang an zawh leh sawi nawn leh chuan thinrim suh. Chutiang thil chu thinrimna vangin an ti lo.
• Inbiakpawhna awlsam tak: Thumal tawi leh awlsam tak hmangin chiang takin thu sawi rawh. Vawi khatah thupek tam lutuk pe suh.
• Thil tih dân mumal tak siam rawh: Ei leh in, inbual, leh mut ang chi thilte atân hun mumal tak siam rawh. Hei hian an buaina a tiziaawm ang.
• Hriselna chungchang ngaihtuah rawh: Thil hlauhawm tak tak, chemte leh match te chu hmuh theih lohna hmunah dah rawh. Mahni chauhin an vakvai a, an bo mai thei a, fimkhur rawh.
• Mahni inngaihtuah teh: Damlo i enkawl lai hian nangmah ngeiin i rilru leh taksa hriselna i ngaihtuah ang. I chau a nih chuan chhungkaw member dangte tanpuina dil rawh. A tul chuan counselling zawng rawh.