I hriatrengnaah eng thil nge thleng? (Vascular Dementia) tih hi a awm em? Hemi chungchang hi han sawi ila!

Nang emaw, i chhungkuaa tu emaw hian a chang chuan thil i theihnghilh thin em? A nih loh leh i nungchang chu beisei loh takin a danglam niin i hria em? Hêng thilte hi kum upat ruala lo awm ṭhin dinhmun pangngaiah i ngai mai thei a, mahse a châng chuan hei hi tlem tal ngaihtuah tûr thil a ni thei bawk. Vawiin hian thluaka thisen kal tlem vanga hriatrengna hloh natna chungchang kan sawi dawn a ni. Hei hi damdawi lam chuan (Vascular Dementia) kan tih chu a ni.

Vascular Dementia hi eng nge ni? A awlsam zawngin...

A awlsam zawngin sawi ila, Vascular Dementia hi thluaka thisen petu thisen kalna kawng a chhiat a, thluak hmun thenkhatin thisen a dawn tlem chuan a lo awm thin I hriat angin kan thluak hian a thawk tha tur chuan oxygen leh nutrients a mamawh bawk. Chungte chu thisen atanga lak chhuah a ni. Chuvangin, thisen kal a tlem chuan thluak cell te a chhiat phah thin. He chhiatna hian kan rilru hnathawh, chu chu kan ngaihtuahna, hriatrengna, etc. tichhetu a ni. He dinhmun hi a nasat em avangin nitin hna kan thawk thei lo. Hei hi a chhan ber chu (Stroke) , paralysis tihna a ni.

Vascular Dementia hi kum 65 chunglam zingah dementia chi khat a ni a, zirchianna thenkhatah chuan dementia vei zinga 5% atanga 10% inkar hian vascular dementia chauh an nei tih an sawi. Mahse, Alzheimer natna nen hian hmuh dun a ni fo . Hetiang a nih chuan mixed dementia kan ti a, chu chu dementia thlentu pakhat aia tam a awm tihna a ni.

Doctor-te chuan Vascular Dementia tih ai chuan Vascular Cognitive Impairment (VCI) tih thumal hi an hmang fo thin a, a chhan chu heng thisen kalna kawng chhiatna avanga ngaihtuahna inthlak danglamna hi theihnghilh nasat lutuk (Mild Cognitive Impairment (MCI) tia koh) atanga dementia na tak thlengin a na thei a ni.

Dementia i vei tih hmuhchhuah a nih chuan i nun chu a inthlak danglam nghal mai ang maiin a lang thei. Nang leh i hmangaihte chuan thil lo thleng tûr chu in hlau mai thei. Mahse, vascular dementia hian mi zawng zawng a nghawng dan inang lo tih hre reng ang che. Chuvangin, i healthcare team te nen hian kaihhruaina dawng la, he zinkawng chhunga i beisei tur te sawiho rawh.

Heng symptoms te hi engte nge ni?

Tunah chuan, ‘Okay, chuti a nih chuan vascular dementia symptoms chu eng nge ni?’ tiin i ngaihtuah mai thei. Dik tak chuan a natna lan chhuah dan hi mi hrang hrangah a inang lo thei. A chhan i hria em? Kan thluak peng hrang hrang hian thil chi hrang hrang an thunun a. Chuvangin, thluak hmun engzat nge chhiat tih leh a chhiatna zau zawng a zirin symptoms a inang lo.

Ngaihtuah teh, mi ṭhenkhat chuan hriatrengna an nei ṭha lo hle mai thei . Mi dangte chuan kea kal leh inthlauhna neih harsa an ti thei bawk . Ṭhenkhat chuan thusawi laiin thumal siam leh hriatthiam harsa an ti thei (aphasia pawh hi hetiang dinhmun hi a ni).

Chu bâkah, a hnuaia thil awmte hi i hmu thei bawk:

• Thil engemaw ngaihtuah , thupek zawm, ngaihtuahna fim tak, thil buatsaih, ruahmanna siam, leh hna thawh zawh chu a harsa ta hle .
• Mood a inthlak danglam thin . I lungngai mai mai (depression ang chi) emaw, i thinrim awlsam emaw pawh a ni thei.
• Mihring leh nungchang inthlak danglamna i hmu mai thei . I nihna ang kha ni lo ang maiin i inhria mai thei.
• Apathy hi a lo awm thei a ni.
• Buaina a awm thei a, a bik takin zan lamah (Sundown Syndrome tia hriat bawk).
• I nuih emaw, i tap emaw chu chhan awm lovin i thunun thei lo mai thei (hei hi Pseudobulbar Affect an ti a).
• Zun leh ek thunun a harsa thei hle (he dinhmun hi incontinence an ti a).
• Thil tê tête man chu a harsa thei a, hna nalh tak tak, kut leh ke khur ang chite thawh a harsa thei bawk.
• Mut harsatna a awm thei bawk.

A pawimawh ber chu nangmah emaw i hriat emaw hian heng symptoms hi i neih chuan doctor pan ngei ngei tur a ni a, thurawn i la tur a ni.

Hei pawh hi scenario hrang hrang a awm em?

Vascular dementia hi stage bik a awm lo . Hei hi mi zawng zawng a nghawng dan a inang lo va, natna hi a kal chak dan a inang lo vang a ni. Thluak peng engte nge a nghawng tih leh a chhiatna a nasat danah a innghat a ni.

Vawi tam tak chu kum tam tak chhungin symptoms hi a lo lang zauh zauh thin. Mahse, major stroke hnuah symptoms a lo lang nghal thei a ni. A châng chuan, a lan chhuah dân chu hun rei lo tê chhûngin a ṭha chho niin a lang thei. Mahse, stroke i neih tam chuan i dinhmun a chhe zual thei.

Vascular dementia hi dementia chi dang, Alzheimer’s disease ang chi nen a awm dun pawhin a lan chhuah dan a inang lo thei.

Engvangin nge hetiang hi a lo awm? A chhan engte nge ni?

Vascular dementia awm chhan ber chu thluaka thisen kalna kawng a chhiat vang emaw, thluaka thisen kalna a khar vek emaw, a then emaw a tikhawlo emaw a ni . Hetianga thisen kal a tihtlem chuan thluak hmun thenkhatin oxygen leh nutrient an mamawh ang an dawng lo. An tel lo chuan thluak cell te chu an thi tan thin.

Vascular Dementia thlentu ber thenkhat chu:

• Atherosclerosis chu thluaka thisen kalna kawng khauh emaw, a zim emaw a ni. Hei hian thluaka thisen petu thisen kalna kawng te te pawh a nghawng thei bawk. Hetiang dinhmun hi ischemic stroke an ti a .
• Thisen kalna kawng a puak a, thluak chhungah thisen a chhuak a . Entîr nân, natna pakhat, Hemorrhagic Stroke .

Risk factors te chu engte nge ni?

Heng thisen kalna kawngte tichhe thei leh vascular dementia lo awm theihna tur risk factor thenkhat a awm. Anni chu:

• Hei hi atrial fibrillation (Afib) an ti a.
• Zunthlum .
• Lung natna .
• Thisen sang (Hypertension).
• Thisenah cholesterol a sang ((Hyperlipidemia)).
• Stroke pakhat emaw a aia tam emaw nei tawh .
• Kum tihpun , a bik takin kum 60 chunglam tan.
• Meizial zuk leh hmuam .

Vascular Dementia chi hrang hrang a awm em?

Ni e, doctor-te chuan vascular dementia sawina atan hian thumal hrang hrang an hmang a, chu chu thisen kalna kawng a vei zat leh chi hrang hrang leh a lan chhuah dan azirin a ni. Chung zinga ṭhenkhat chu:

• (Post-stroke Dementia): Hei hi stroke hnua vascular dementia lo awm theihna hun a ni. Hei hi a ngaihtuahna hnathawh pakhat aia tam control tu thluak tissue chu stroke vang a ni. Ṭawng harsatna leh hriatrengna lama harsatna a awm fo. Mahse, a natna lan chhuah dan chu thluak hmun eng ber nge stroke-in a nghawng tih a innghat a ni. Heng ngaihtuahna lama harsatnate hi stroke hnuah emaw thla ruk chhungin emaw a lo lang nghal tur a ni a, a dam leh tur a ni lo, doctor-te chuan hei hi (Post-stroke Dementia) tiin an classified theih nan.
• (Multi-infarct Dementia): "Infarct" tih hi (Stroke) nen a inang. Chuvangin (Multi-infarct) tih awmzia chu (Stroke) tam tak hian thluak hmun hrang hranga thisen kal dan a nghawng tihna a ni. Heng (Strokes) avanga natna lan chhuah dan hi a lo awm dan ang zelin a lang fo thin. Chuvangin ngaihtuahna thiamna inthlak danglamna hi a lo thleng zauh zauh (chu chu hun kal zelah dinhmun chu a zual nghal zual sauh tihna a ni).
• (Binswanger Disease) (Subcortical Vascular Dementia): Hei hi hun kal zelah atherosclerosis vangin thluaka white matter zawng zawnga thisen kalna kawng te te a zim vang a ni. A natna lan chhuah dan hi a lo lang nghal lo va, hun kal zelah a lo lang zauh zauh thin.
• Mixed Dementia: Dementia symptoms hi chhan pakhat aia tam a awm chuan Doctor ten Mixed Dementia an ti thin. Vascular Dementia nena inzawmna hmuh tam ber chu Alzheimer’s disease a ni. Mahse, Neurodegenerative condition dang nen pawh a awm thei bawk.

Hei hi thlah kal zel atanga lo chhuak thil a ni em?

Vascular dementia hi direct genetic a ni lo . Mahse, a thlentu dinhmun thenkhat, thisen sang leh thinlung natna te hi chhungkuaah a kal thei a ni.

Mahse, Vascular Dementia hi chi hnih a awm lo hle a, chungte chu gene thenkhata inthlak danglamna (mutations an tih) avanga stroke engemaw zat avanga lo awm a ni. Heng pahnih hian thluaka thil dum (white matter)-a thisen kalna kawng te te a nghawng ber a ni. Anni chu:

• (CADASIL) (CADASIL) chuan:Hei hi a hming kimchang chu (Cerebral Autosomal Dominant Arteriopathy with Subcortical Infarcts leh Leukoencephalopathy) tih a ni. (CADASIL) hi nu leh pa zinga pakhatin he natna hi a neih a, naupangin a rochun ((Autosomal Dominant Inheritance) Hei hi an ti a). (CADASIL) natna lan chhuah dan bik chu migraine leh stroke lo awm leh thin hi a ni.
• (CARASIL): Hei hi a hming kimchang chu (Cerebral Autosomal Recessive Arteriopathy with Subcortical Infarcts leh Leukoencephalopathy) tih a ni. (CARASIL) a lo awm theih nan nu leh pa pahnih hi he natna hi kengtu an ni tur a ni a, naupang chuan a rochun ang ((Autosomal Recessive Inheritance)). (CARASIL) natna lanchhuahna langsar ber chu ke ruh na leh kal harsatna a ni.

Engtin nge hei hi i hriat chian tak?

Vascular dementia i vei tih chian nan chuan specialist-in i enfiah a ngai a ni . A chhan chu dementia chi hrang hrang a awm a, hei hi natna dang chhinchhiahna nen a inang thei a ni.

I doctor chuan heng thilte hi a ti ang:

• Engtin nge i symptoms te kha a lo awm tih ka zawt a.
• I natna hmasa te zawt rawh.
• Tunah hian eng damdawi nge i ei tih an en ang a, damdawi thenkhat chuan dementia ang chi natna a thlen thei a ni.
• I chhungkuaa natna awmte zawt rawh.

Chumi hnuah chuan test hrang hrang engemawzat nei turin thurawn i dawng ngei ang. Chung zingah chuan thisen test te, thluak scan te, leh thluak hnathawh test te pawh a tel thei. Tin, dementia lama specialist, neurologist leh geriatrician te pawh i hmuh a ngai bawk ang.

Thisen/khuh test (Laboratory test) 1.1.

Thisen test hmang hian dementia symptoms thlentu dinhmun dang, natna hrik, taksaa inflammation, hypothyroidism, leh vitamin tlakchhamna (a bik takin vitamin B12) te an enfiah thin.

A châng chuan doctor-te chuan spinal tap hmangin cerebrospinal fluid (CSF) an enfiah a, autoimmune condition leh neurodegenerative diseases ang chi condition an enfiah ṭhin.

Thluak (brain imaging test) a ni

I doctor chuan hetiang hian thluak scan a order thei ang:

• (Computed Tomography - CT) leh (Magnetic Resonance Imaging - MRI): Heng (Scan) test te hian stroke, thisen chhuah, tumor, emaw thluaka tui awm zat ang chi thil te a enfiah thin. Doctor-te chuan (Vascular Dementia) a awm leh awm loh enfiah nan (MRI) test neih an duh zawk.
• (Amyloid PET scan) hmanga enfiah a ni.Hei hi PET scan chi khat bik a ni. Thluaka protein pakhat amyloid an tih awm dan pangngai lo a zawng thin. Hei hi Alzheimer natnaah hmuh tur a awm fo thin. Doctor-te chuan Alzheimer natna i vei nia an rinhlelh chuan he test hi an rawt \hin.

Neuropsychological testing neih a ni

He test-ah hian i doctor chuan ziak leh computer hmanga test hmangin i rilru lam theihna a enfiah ang. Chung zingah chuan:

• Buaina chinfel thiam.
• Zirna thiamna.
• Thutlukna siam thiam.
• Hriatrengna chakna.
• Ruahmanna siam thiam.
• Thil ngaihtuah thiam.
• Ṭawng thiamna.

A bik taka training nei psychologist (Neuropsychologist tia koh) te chuan heng test result te hi an en a, i thluak hriselna leh i ngaihtuahna (Cognition an tih) inzawmna hi hriatthiam zawk an tum thin.

Vascular Dementia hi engtin nge kan finfiah theih ang?

Doctor-te chuan Vascular Dementia hriat theihna atan heng tehfungte hi an hmang a:

• Dementia emaw MCI emaw a awm leh awm loh hriat chian nan neuropsychological testing neih a ngai a ni.
• Tun hnaia stroke i neih thu emaw, i thluaka thisen kalna kawng dang, i hriatna lama harsatna nena inmil, i neih thu emaw, thluak scan (a tam zawkah chuan MRI) atanga finfiahna a awm tur a ni.
• Ngaihtuahna tlahniam chhan dang a awm lo tih finfiahna a awm tur a ni.

Heng tehfungte hian Mild Cognitive Impairment (MCI) emaw dementia emaw hi thisen kalna kawng chhiatna avanga lo awm a ni tih a tilang ber a, thil dang vang a ni lo.

Hei hi eng enkawlna nge ni?

Vanduaithlak takin vascular dementia hi damdawi a awm lo . Vawikhat thluak a chhiat tawh chuan a pum puia siam that leh a harsa thin. Chu ai chuan, vascular dementia enkawlna tum ber chu risk factors control leh chhiatna dang tihtawp emaw, tihkhawtlai emaw hi a ni . Tin, thluak chhiatna avanga harsatna awmte tuar chhuak tur leh tih dan thar zawng chhuak turin mite a pui bawk.

Damdawi ei tur

Alzheimer natna ang lo takin tunah hian Vascular Dementia atana FDA-in a bik taka a pawmpui damdawi a awm lo. Mahse, doctor-te chuan Vascular Dementia damdawi Cholinesterase Inhibitors an tih chu an pe thei a ni. Zirna hrang hrangah chuan hengte hian thluaka thisen kalna a tipung thei a, ngaihtuahna thiamna a tisang thei a ni.

Memantine hi damdawi dang Alzheimer natna atana pawm a ni a, vascular dementia tan pawh a pui thei bawk.

I doctor chuan stroke vei theihna tur i control theih nan damdawi dang a pe thei bawk. Entirnan, thisen sang, cholesterol sang, leh zunthlum damdawi.

Rehabilitation leh advance care ruahmanna siam a ni

Vascular Dementia i symptoms te enkawl nan specialist hrang hrang nen thawhhona i neih a ngai mai thei. Entîr nân, physical therapist leh occupational therapist-te chuan i taksa chakna tihpun leh ni tin hna thawh dân thar zawng tûrin an ṭanpui thei che a ni. Speech and language therapist chuan thusawi, ei leh in leh inbiak dan dang zir turin a pui thei che a ni.

Mithiam dangte tanpui thei tur che chu:

• Recreational therapist te an ni.
• Dietitian registered te an ni.
• Psychologist emaw rilru lam doctor emaw.
• Clinical social worker te an ni.
• Kum upa lam enkawlna enkawltu te.

Heng specialist-te hian nang leh i hmangaih takte nen thawk hovin i mamawh leh i thil tum ang zela enkawlna level mumal tak i dawng thei a ni. Tin, nakin lawka enkawlna ruahmanna chungchangah nang leh i chhungte chu thurawn an pe bawk a, chutah chuan sum leh pai leh hriselna chungchanga thutlukna siamte pawh an tel a ni. Tin, an natna a nasat chuan palliative care emaw hospice emaw-ah referral an siam thei bawk.

Hei hi pumpelh dan tur a awm em?

Hetiang dinhmun tichhe thei risk factor thenkhat, i kum emaw, i genetic factors emaw, i thlak danglam theih loh te a awm. Mahse, he natna hi ven tumna atana i control theih tur risk factor dang tam tak a awm - a bik takin i thisen kalna kawng tichhe thei te hi. I tih theih tur step thenkhat chu hetiang hi a ni:

• I thisen sang, cholesterol, leh thisen sugar (glucose) level te chu hriselna tha takah dah la . Hei hian doctor nen thawhhona tha tak neih a ngai a ni.
• Nangmah tan chuan taksa rihna hrisel tak vawng reng rawh .
• Exercise tih fo thin ang che . Ni khatah minute 30 tal tih tum ang che.
• Lung hriselna atana tha ei tur ei , Mediterranean ei leh in emaw DASH ei emaw ang chi.
• Meizial zuk kha bansan rawh .
• Zu in hi tihtlem rawh .
• I stress kha control rawh .
• Medical checkup neih fo la , damdawi pek ang chiah kha ei rawh.

Vascular dementia hi dementia chi tam zawk nen a danglam a , a tam zawkah chuan ven theih a ni . Heng risk factors zinga pakhat tal i neih chuan i doctor nen sawiho la, chu chu enkawl dan tur i tih theih dan tur sawipui rawh.

Hetiang dinhmun nen hian eng nge i beisei theih ang?

Vascular Dementia hi hun kal zelah a zual thei hle. Heng inthlâk danglamnate hi a thleng thut emaw, zawi zawiin emaw a thleng thei a ni. Mi tin kan zinkawng a inang lo. Enkawlna hian natna kal zel dan tur a thunun thei a ni. Nang leh i doctor hian in natna lan chhuah dan leh i dinhmun a zirin enkawlna tur ruahmanna tha ber i siam ang.

Hemi hun chhung hian i hmangaih tak takte hnen atangin tanpuina dawng rawh. In thawhhona chuan dementia a lo zual zel angin i nunphung leh i duhzawng zah thei tur ruahmanna i siam thei a ni.

Eng chen nge nangmah chauhin i hna i thawh theih ang?

Vascular dementia vei chuan nitin a thil tih thenkhatah tanpuina a mamawh mai thei. Entirnan, damdawi enkawl te, bill pek te, leh chaw buatsaih te. Hetiang dinhmun nei i hmangaih tak hian a mah chauhin thil tam tak a ti thei mai thei. Mahse, eng theihnate nge nghawng a neih dan azirin anmahni chauha awm chu a him lo thei a ni. Vascular dementia vei thenkhat chuan dementia vei enkawlna lama specialist facility atanga specialized care tam zawk an mamawh mai thei.

Engtin nge dam chhung chu?

Hetiang natna vei dam rei zawng hi natna nasat dan a zirin a innghat a ni. Vascular Dementia hi a nasat dan a inang lo va, mi zawng zawng a nghawng dan a inang lo.

Vascular dementia vei te hian Alzheimer natna vei te aiin an dam rei zawk a ni. Hei hi a chhan chu vascular dementia vei te hi dementia ngei aiin stroke emaw heart attack emaw avanga thi an tam zawk vang a ni.

Hun tâwpna chhinchhiahnate chu engte nge ni?

Vascular dementia natna lan chhuahna hnuhnung ber chu eng nge ni tih chiang taka sawi a harsa hle. Dementia hian i hmangaih zawng zawng a nghawng dan ngaihtuah hi a \angkai zawk \hin. Dementia tawp lamah chuan i hmangaih nun kawng tam takah nasa takin nghawng a nei tawh ang. Hun pumhlum enkawlna leh puihna an mamawh dawn a ni.

Late emaw end-stage symptoms te chu:

• Hriatrengna hloh nasa tak.
• Taksa lama harsatna, nitin hnathawh, ei leh in, inbual, leh incheina te chu ṭanpuina tel lova tih theih lohna .
• Ṭawng thiamna hloh vek tawh mai.
• Lungngaihna, engmah ngaihven lohna ((Apathy)).
• Hallucinations leh delusions te .
• Restlessness, thinrimna, emaw, buaina emaw.

I hmangaih tak medical team, critical care nurse emaw palliative care provider emaw te hi hun bituk chungchanga zawh tur tha ber an ni. Eng chhinchhiahna nge i zawn tur tih an hrilh thei che a, chuvangin i beisei tur chu rough idea i nei thei a ni.

Engtikah nge Doctor ka hmuh ang?

Nangmah emaw, i enkawltu emaw chuan i natna lan chhuahna a zual zel tih i hriat chuan, emaw, natna lan chhuahna thar a lo lang a nih chuan i doctor pan ngei ngei tur a ni.I doctor emaw healthcare team emaw chuan inthlak danglamna awm apiang chu an zirchiang ang a, a tul chuan i enkawlna ruahmannaah siamthatna an siam ang.

Nangmah emaw, i hmangaih tak emaw hian Vascular Dementia i vei a nih chuan nangmah chauh i ni lo tih hre reng ang che. Mi zawng zawng deuhthaw hian engtik lai pawhin dementia chi khat emaw an vei tawh a ni. I diagnosis hriat hian nang leh i chhungte chu hmalam hun atana inbuatsaihna leh ruahmanna siam turin hun a pe a ni. I mamawh theih enkawlna chi hrang hrang leh chu enkawlna chu khawiah nge i dawng duh zawk ang tih i zir thei a ni. I healthcare team zawng zawng chu tanpui turin an inpeih reng a ni.

Thil pawimawh ber - Take-Home Message

Okay, chuvangin, kan sawi tawh (Vascular Dementia) atang hian, i hriat reng tur pawimawh tak tak thenkhat chu hetiang hi a ni:

• Vascular Dementia hi thluaka thisen kal tlem avanga hriatrengna hloh a ni .
• Chutianga a awm chhan ber chu thisen kalna kawng chhiatna a ni a, chu chu stroke .
• Mi hrang hrangah symptoms a inang lo thei . Hriatrengna hloh te, kal harsa te, nungchang inthlak danglamna te hi a awm fo thin.
• Dam vek theih ni lo mah se, natna zual zel chu risk factors control-na hmangin control theih a ni .
• Thisen sang, zunthlum, cholesterol sang, leh zuk leh hmuam te hi control a pawimawh hle .
• Symptoms i neih chuan doctor thurawn lak nghal a pawimawh .
• Nangmah chauh i ni lo va, puihna leh enkawlna dik tak i hmu thei a ni .

He thu hi i tan a tangkai ngei ka beisei. Hrisel takin awm rawh!

` Vascular dementia, hriatrengna hloh, cerebral circulation, paralysis, dementia, geriatric health, thluak natna