He kaumātua kei roto i tō whānau, he whaea, he pāpā, he kuia rānei, e wareware ohorere ana i ngā mea, e whakarerekē ana i tana whanonga ina tū ia, e kōrero ana i ētahi wā mō ngā mea kāore i reira, pērā i te "Ko wai kei reira?" He uaua ki a ia te hikoi? Mena kei a koe ēnei tohu, ehara pea i te koroheketanga noa e ai ki tā tātou e whakaaro nei. I tēnei rā kei te kōrero tātou mō tētahi mate motuhake ka puta ai ēnei tohu, e kiia nei ko te ' Dementia ', ko te Lewy Body Dementia rānei, kei roto i te kāwai o 'Ngā Mate Ngaronga Mahara'.
He aha te tikanga o te Lewy Body Dementia (LBD)?
Ki te kī māmā noa, ko te LBD te tuarua o ngā momo mate wareware e tino kitea ana i muri i te mate a Alzheimer . He maha ngā wā ka pāngia te hunga neke atu i te 50 tau te pakeke.
Nā te mea ka puta ngā puranga pūmua e kiia nei ko ngā "tinana Lewy" i roto i ngā pūtau o te roro . Ko tēnei momo pūmua e kiia nei ko te alpha-synuclein. Ina kohikohia ēnei puranga ki roto i te roro, ka whakararuraru i te mahi noa o te roro, inā koa ko tō tātou mahara, te nekehanga, te kaha whakaaro, te wairua, me ngā whanonga .
Ka whakararuraru ēnei tinana Lewy i te hanga o ngā matū nui e rua i roto i te roro.
1. Acetylcholine: He mea tino nui tēnei mō tō tātou mahara me te ako.
2. Dopamine : Mā tēnei ka whakahaere te nekehanga, te kare ā-roto , me te moe o tō tātou tinana.
E rua ngā momo matua o te LBD. Ko tētahi ko te ' Dementia with Lewy bodies', ko tētahi ko te ' Parkinson 's disease dementia'. He iti noa ngā rerekētanga i roto i te raupapatanga o ngā tohu.
He aha te rerekētanga o tēnei i ngā mate a Alzheimer me Parkinson?
He tokomaha te hunga e whakapoauau ana i ēnei āhuatanga e toru nā te mea he tino ōrite ō rātou tohu. Heoi, he mārama ngā rerekētanga i waenganui i a rātou. He mea nui te mōhio ki tēnei hei tautuhi i te mate me te whiwhi i te maimoatanga tika.
| Āhuatanga hauora | Te raupapatanga o ngā raruraru mahara me ngā raruraru nekehanga | Ētahi atu āhuatanga motuhake |
|---|---|---|
| Te Mate Pouri o te Tinana o Lewy (LBD) | He maha ngā wā ka puta ngā raruraru nekehanga (te uaua ki te hikoi, te wiri) me ngā raruraru mahara (te warewaretanga) i te wā kotahi, i roto rānei i te tau kotahi. | Ka puta pea ngā moemoeā i te tīmatanga o te mate. He mea noa te mate moe REM. Ka rerekē ngā pūkenga aro me te whakaaro puta noa i te rā (i ētahi wā he tino pai, i ētahi wā he tino pōhēhē). |
| Te mate a Alzheimer | Ka tīmata i ngā raruraru mahara (ina koa ko te mahara poto). Ka puta ngā raruraru nekehanga i ngā wāhanga whakamutunga o te mate. | Ka kitea ngā moemoeā i te nuinga o te wā ina tino horapa te mate, arā, i ngā wāhanga whakamutunga. |
| Te mate a Parkinson | Ka tīmata i ngā raruraru nekehanga (te wiri, te pakari o te uaua). Ka puta ngā raruraru mahara (te mate wareware) i muri tata mai i te mate, kāore rānei e puta. | Ka pā nui ki te nekehanga. Mēnā ka puta te mate wareware, ka kiia ko te 'mate wareware a Parkinson'. |
Ko te mea nui, he rerekē anō hoki ngā rongoā e hoatu ana mō ēnei āhuatanga, nō reira he mea tino nui te tautuhi tika i te mate.
He aha ngā āhuatanga mōrearea e pā ana ki te whakawhanaketanga o te LBD?
Kāore anō kia tino mōhiotia e ngā kaipūtaiao he aha i puta ai ngā tinana Lewy i roto i te roro o ētahi tāngata, engari kua tautuhia e rātou ētahi āhuatanga mōrearea ka whai wāhi pea ki tēnei.
- Tau: He tino mōrearea te neke atu i te 50 tau te pakeke.
- Ētahi atu āhuatanga hauora:Kei a koe ngā āhuatanga pēnei i te mate a Parkinson, te mate moe REM rānei.
- Hītori whānau: Ahakoa kāore tēnei e kiia he mate tuku iho, mēnā kua pāngia tētahi o tō whānau e te LBD, ka paku piki ake tō tupono ki te pangia e tēnei mate.
- Ira Tangata: He nui ake te tūponotanga o ngā tāne ki te pāngia e tēnei mate i ngā wāhine.
He aha ngā tohu matua o te LBD?
Kāore e rite ngā tohu o te katoa o ngā tūroro. Tērā pea he ngawari ētahi tohu, ko ētahi he kino. E whā ngā wāhanga e taea ai te wehewehe i ngā tohu.
| Kāwai āhuatanga | Ngā tauira |
|---|---|
| Ngā Pānga ki ngā Pūkenga Whakaaro | Te uaua ki te whakatau kaupapa, te uaua ki te aromatawai i te tawhiti, te uaua ki te arotahi, te ngaro o te mahara, te titiro matatau ki te wāhi kotahi, te kite i ngā mea kāore i reira (ngā moemoeā), te pōhēhē mō te wā me te wāhi. |
| Nekehanga | Te nekenekehanga o ngā waewae i te wā e hikoi ana, te pakari o te tinana, te ngaro o te taurite me te hinga, te wiri, te tū piko whakamua, te uaua ki te horomi, te ngoikore o te āhua o te mata, me te ngoikore o te reo. |
| Ngā pānga ki te moe | Te whakaari i ngā moemoeā i te wā e moe ana (hei tauira, te hamama, te wiri o ngā waewae, te taka i te moenga), te hiamoe nui i te awatea, te kore moe, me te hiahia ki te neke i ngā waewae (Restless legs syndrome). |
| Ngā Pānga ki te Wairua me te Whanoke | Te pouri, te manukanuka, te kore okiokinga, te paranoia, te pahūtanga ohorere o te riri, te kata, te tangi rānei kāore e taea te whakahaere (te pānga pseudobulbar). |
He aha ngā tohu tōmua o te LBD?
Te kite pinepine i ngā mea kāore i reira (Whakaaroaro pōhewa)Ko te moemoeā te tohu tuatahi e puta ana i roto i te 80% o ngā tūroro LBD. Ko te tikanga ka kite rātou i ngā mea, pērā i ngā kararehe, i te tangata, me ngā āhua, kāore i reira. Hei tāpiri, ka kitea anō hoki ngā huringa o ngā pūkenga whakaaro, te wareware, me ngā raruraru moe i ngā wāhanga tōmua.
Me pēhea te tātaritanga a te tākuta i te LBD?
Kāore e taea te tautuhi i te LBD mā te whakamātautau kotahi. Nā te mea he rite ōna tohu ki ētahi atu momo mate wareware, he uaua pea te tautuhi, inā koa i ngā wāhanga tōmua. Nō reira, ka whakakorehia e te tākuta ētahi atu āhuatanga e puta ai ngā tohu rite.
Ka taea e tō tākuta te whakahaere i ētahi whakamātautau maha, pēnei i:
- He whakamātautau tinana me te matapaki hohonu mō ō tohumate.
- Whakamātautau roro: Te tirotiro i ō urupare, kaha, taurite, haere, me te nekehanga o ngā kanohi.
- Ngā whakamātautau toto: Tirohia mēnā he rerekē ngā taumata o ngā homoni, o ngā huaora rānei.
- Ngā matawai roro: Ka taea e te matawai CT, MRI rānei te rapu i ngā huringa e pā ana ki ētahi atu momo mate wareware. Tērā pea ka mahia hoki ngā matawai motuhake pēnei i te PET, i te SPECT rānei.
- Ngā whakamātautau moe: Tirohia mēnā he raruraru moe pēnei i te mate whanonga moe REM.
He aha ngā maimoatanga mō te LBD?
Kāore he rongoā, he rongoā rānei mō te LBD i tēnei wā. Heoi anō, kei reira ngā maimoatanga hei āwhina i te whakahaere i ngā tohu me te whakangāwari ake i te oranga .
- Ngā rongoā:
- Ko ngā rongoā pēnei i te `donepezil (Aricept)` me te `rivastigmine (Exelon)`, e hoatu ana ki ngā tūroro a Alzheimer mō ngā raruraru whakaaro me te mahara.
- Ngā rongoā pēnei i te levodopa mō ngā raruraru nekehanga (te wiri, te pakari).
- Ngā rongoā pēnei i te melatonin, te clonazepam rānei (Klonopin) hei rongoā mō ngā raruraru moe.
- Ētahi atu Whakaora:
- Whakaora tinana: Ngā mahi hei whakapai ake i te nekehanga me te taurite.
- Whakaora mahi: Ki te ako me pēhea te mahi i ngā mahi o ia rā me te ngāwari ake.
- Tohutohu: Hei whakahaere i ngā raruraru hinengaro pēnei i te pouri me te manukanuka.
He mea tino nui: Ko ētahi rongoā antipsychotic e whakamahia ana hei rongoā i ngā mate hinengaro ka pā kino ki te hunga whai LBD. Ka taea e ēnei te whakararu i ngā tohu (ina koa ko te kite i ngā mea kāore i reira me ngā raruraru nekehanga). Nō reira, kaua e whakamahi i tētahi rongoā me te kore he tohutohu a tō tākuta.
He tohutohu mō te tangata e noho tahi ana me te LBD me ōna kaitiaki
He wero te noho me te LBD mō te tūroro me ōna kaitiaki, engari mā te whakamahere me te tautoko tika, ka māmā ake te haerenga.
- Whakaarohia te haumaru: Tangohia ngā arai e taka ai koe ki roto i te whare. Tāutahia ngā pae hopu ki roto i te wharepaku.
- Rapua he tautoko: Kōrero ki te whānau me ngā hoa mō tēnei. Rapua he āwhina mai i a rātou. Me okioki anō hoki te kaitiaki.
- Whakamaherehia i mua: Whakamaherehia ngā whakaritenga ture me ngā whakaritenga pūtea i mua i te wā e ai ki ngā hiahia o te tūroro.
- Kia harikoa: Me whai wāhi te tūroro ki ngā mahi e harikoa ai, e pārekareka ai ki a rātou (pēnei i te whakarongo puoro, te tuhi, me ētahi atu).
Ko te roanga o te oranga mō te LBD he 7-8 tau i muri i te tīmatanga o ngā tohu, engari ka rerekē pea tēnei i ia tangata, i ia tangata. Mēnā he pai te tiaki me te maimoatanga, ka taea e ētahi tūroro te ora tae atu ki te 20 tau.
Karere Tangohia ki te Kāinga
- Ko te mate wareware tinana o Lewy (LBD) he mate e puta mai ana i ngā putunga pūmua i roto i te roro e pā ana ki te mahara, te nekehanga, me te whanonga.
- He rerekē tēnei i te mate a Alzheimer me te mate a Parkinson i roto i te raupapatanga me te āhua o ngā tohu. He mea noa ngā raruraru tirohanga me ngā raruraru moe i roto i te LBD.
- Ahakoa kāore he rongoā katoa mō tēnei, ka taea e ngā rongoā me ngā tikanga whakaora te whakahaere i ngā tohu me te whakamāmā ake i te oranga.
- Mena kei te pāngia tētahi e tata ana ki a koe e ēnei tohu, kaua e mataku, me toro atu ki te tākuta i te wā e taea ai . He mea tino nui te tautuhi tika i te mate.
- He mea tino nui anō hoki te hauora hinengaro me te hauora tinana o te kaitiaki. Kaua e mangere ki te rapu tautoko ina hiahiatia.
Te Mate Pouri o te Tinana o Lewy, LBD, Te Mate Pouri, Te Ngaronga o te Mahara, Te Mate a Alzheimer, Te Mate a Parkinson, Te Hauora o te Kaumātua
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