Ina tīmata te ngaro o te mahara o tētahi o tō tātou whānau i a rātou e pakeke haere ana, ka whakaaro tātou katoa he mate a Alzheimer . He pono, ko te mate a Alzheimer tētahi o ngā mate wareware tino noa. Engari i mōhio koe, kei reira tētahi atu āhuatanga e kiia nei ko te Lewy Body Dementia , ko te LBD rānei. Ka pāngia hoki te hunga neke atu i te 50 tau te pakeke. Nō reira, i tēnei rā, me kōrero tātou mō te LBD.
He aha te tikanga o te Lewy Body Dementia (LBD)?
Whakaarohia kei te whakawhitiwhiti kōrero ngā pūtau o roto i tō tātou roro tetahi ki tetahi mā roto i ngā matū . Ko ngā tinana Lewy he puranga pūmua rerekē e kohia ana i roto i ō tātou roro. Ina kohia, ka whakararuraru i te mahi noa o te roro. Ina koa, ka taea e rātou te whakararuraru i ngā mea maha, tae atu ki tō tātou mahara, nekehanga, kaha whakaaro, kare ā-roto , me ngā whanonga.
E rua ngā huarahi matua e puta ai tēnei āhuatanga LBD:
1. Te mate wareware me ngā tinana Lewy: Ka tīmata tēnei me ngā raruraru tinana, pērā i te uaua ki te hikoi me te neke. I muri i te tau pea, ka puta ngā raruraru mahara me te whakaaro e rite ana ki te mate a Alzheimer. Tērā pea ka puta ngā moemoeā.
2. Te mate wareware o te mate a Parkinson : I tēnei, ka puta tuatahi ngā raruraru nekehanga (ngā tohumate o Parkinson). Ka puta ngā raruraru mahara me te whakaaro i muri tata mai i te mate.
Ko te mea nui, kāore anō kia kitea he rongoā mō te LBD i tēnei wā. Heoi anō, kei reira ngā huarahi hei whakahaere i ngā tohu me te whakarato i ētahi whakaora wā poto.
He aha te rerekētanga i waenga i te LBD, te mate a Alzheimer, me te mate a Parkinson?
Ahakoa te āhua ōrite o ēnei mate e toru, he mārama ngā rerekētanga i waenganui i a rātou. He mea nui te mōhio ki ēnei rerekētanga mō te maimoatanga.
| Te whakataurite i te mate | Ko te rerekētanga matua i waenga i ngā LBD |
|---|---|
| Te mate a Alzheimer | Kāore i rite ki te mate a Alzheimer, kāore te LBD e ngaro i te tīmatanga te mahara poto. I roto i te LBD, ka tere te huri o ngā pūkenga aro me te whakaaro (ka rerekē pea i ia rā, i ia hāora). He mea noa ngā moemoeā i ngā wāhanga tōmua o te LBD, engari i roto i te mate a Alzheimer, ka puta i te mutunga o te mate. |
| Te mate a Parkinson | I roto i te mate a Parkinson, ka puta ngā raruraru mahara (dementia) i muri i te taenga o te mate ki tētahi wāhanga tino kino, i ētahi wā kāore rānei. Heoi, i roto i te LBD , ka tīmata ngā raruraru mahara i te wā kotahi me ngā uauatanga nekehanga, i muri tata mai rānei . |
| Te whanonga moe | Ko tētahi āhuatanga ahurei o te LBD ko te mate whanonga moe REM . Koinei te wā e whakaari ana koe i ō moemoeā i a koe e moe ana (hei tauira, ki te whawhai koe i roto i ō moemoeā, ka nekehia ō waewae, ka taka rānei i te moenga). Koinei pea te tohu tuatahi o te LBD. |
Ngā take me ngā āhuatanga mōrearea o te LBD
Ko ēnei puranga pūmua, e kiia nei ko ngā tinana Lewy, he mea hanga mai i tētahi momo pūmua e kiia nei ko te alpha-synuclein. Ina kohia ki roto i te roro, ka whakararuraru i te hanga o ngā matū nui e rua i roto i tō tātou roro.
- Acetylcholine: Ka pā tēnei ki tō tātou mahara me te ako.
- Dopamine : Ka whakahaere tēnei i ā tātou nekehanga, kare ā-roto, me te moe.
Kāore anō kia tino mōhiotia e ngā kaipūtaiao he aha i kohia ai ēnei tinana Lewy i roto i te roro, he aha rānei ko ētahi anake e pāngia ana e te LBD.
He mate tuku iho tēnei? Kāore te LBD e kiia whānuitia he mate tuku iho. Heoi, ki te pāngia tētahi o tō whānau e te LBD, tera pea ka paku nui ake te tūponotanga ka pāngia koe e tēnei mate.
Ngā āhuatanga mōrearea matua:
- Te koroheketanga (ina koa neke atu i te 50 tau te pakeke)
- Kei a koe ētahi atu āhuatanga hauora, pērā i te mate a Parkinson
- He hītori whānau tō te LBD
- He nui ake te tūponotanga ka pangia ngā tāne
He aha ngā tohu o te LBD?
Kāore e rite ngā tohu o te katoa o ngā tūroro. Tērā pea he ngawari ētahi tohu, ko ētahi he kino. Kei raro nei ētahi o ngā tohu noa.
| Momo āhuatanga | Ngā tauira |
|---|---|
| Ngā pānga ki te kaha whakaaro | Te uaua ki te whakatau kaupapa, te kore e taea te aromatawai i te tawhiti, te iti o te aro, te iti o te mahara, te pōhēhē mō te wāhi, te wā rānei, te uaua ki te mahi me ngā tau. |
| Ngā pānga ki te nekehanga | Te tōtō o ngā waewae i te wā e hikoi ana, te pakari, te wiri o ngā ringa, te ngaro o te taurite me te hinga, te piko whakamua, te pakupaku o te tuhituhi, te uaua ki te horomi. |
| Ngā pānga ki te moe | Te mate whanonga moe REM, te hiamoe nui i te awatea, te kore moe, me te mate waewae okioki. |
| Ngā pānga ki te wairua | Te pouri, te manukanuka, te kore okiokinga, te kite, te rongo rānei i ngā mea kāore i reira, ngā mataku rerekē (hei tauira, te whakaaro kei te whara ahau i tētahi). |
| Ētahi atu āhuatanga | Te whanoke me te hemo o te tinana, ngā panonitanga o te toto toto, te mate kōroke, te kore e taea te whakahaere i te mimi, me te ngoikore o te hongi. |
Te tangi, te kata rānei e kore e taea te whakahaere
Ko ētahi tāngata whai LBD ka tangi ohorere, ka kata nui rānei, kāore he take e kitea ana. E mōhiotia ana tēnei i roto i te rongoā ko te 'pseudobulbar affect (PBA).' Ehara tēnei i ō rātou kare ā-roto tūturu, engari he mea ka puta i waho o te mana whakahaere nā te mate.
Te tātaritanga me te maimoatanga
Kāore he whakamātautau kotahi hei tautuhi i te LBD. Nā te mea he rite ngā tohu ki ētahi atu mate, he uaua pea ki ngā tākuta te tautuhi i te mate, inā koa i ngā wāhanga tōmua. Nō reira, ka whakahaerehia e te tākuta ētahi whakamātautau hei whakarite kia kore he mate kē atu .
- Te whakamātautau tinana me te pūnaha io
- Ngā whakamātautau toto (hei tirotiro i ngā taumata huaora, homoni rānei)
- Ngā matawai roro (matawai CT, matawai MRI)
- Ngā whakamātautau e ine ana i te kaha mahara me te whakaaro
- Ngā whakamātautau moe
Ki te kōrero tātou mō te maimoatanga,
Kāore he rongoā, he rongoā rānei mō te LBD i tēnei wā, engari he rongoā me ngā maimoatanga hei āwhina i te whakahaere i ngā tohu me te whakamāmā ake i te oranga.
Whakatūpato: Ka pā kino pea ētahi rongoā antipsychotic e whakamahia ana hei rongoā i te mate a Alzheimer ki te hunga whai LBD. Ka taea e rātou te whakararu i ngā tohu. Nō reira, kia mōhio koe ki te kōrero ki tō tākuta i mua i te whakamahi i tētahi rongoā.
Haunga te rongoā, ka taea e ngā maimoatanga pēnei i te whakaora tinana, te whakaora mahi, me te tohutohu te whakarato i te oranga nui ki te tūroro me ō rātou kaitiaki.
Te noho tahi me te LBD
He wero te LBD mō te tūroro me tōna whānau, engari mā te whakamahere me te tautoko tika, ka taea te whakahaere i te haerenga kia māmā ake.
- Kia mau te haumaru: Tangohia ngā arai i ngā wāhi hikoi i te kāinga. Tāutahia ngā pae hopu ki te wharepaku.
- Rapua he tautoko: Kōrero ki te whānau me ngā hoa mō tēnei. Rapua he āwhina ngaio mēnā e tika ana.
- Whakamaherehia i mua: Whakatauhia ngā whakataunga hauora me ngā whakataunga pūtea i mua i te wā, kia rite ki ngā hiahia o te tūroro.
- Kia harikoa: Me whakauru te tūroro ki ngā mea e pārekareka ana ki a ia, e pai ana hoki ki a ia.
Ko te roanga o te oranga o te tangata whai LBD he 7-8 tau mai i te tīmatanga o ngā tohu. Heoi, ka rerekē pea tēnei i ia tangata, i ia tangata. Ko ētahi tāngata e ora ana ki te 20 tau.
Karere Tangohia ki te Kāinga
- Ehara i te mea ko te mate wareware te mate a Alzheimer i ngā wā katoa. He mate noa anō hoki te mate wareware tinana o Lewy (LBD).
- Haunga ngā raruraru mahara, ka kitea ngā huringa o te nekehanga, te moe, me te whanonga i roto i te LBD i ngā wāhanga tōmua.
- Ko te mate whanonga moe REM me ngā moemoeā pea ngā tohu matua o te LBD.
- Ahakoa kāore he rongoā katoa mō tēnei mate, ka taea te whakapai ake i te kounga o te oranga o te tūroro mā te whakahaere i ngā tohumate.
- Mena kei te pāngia tētahi e tata ana ki a koe e ēnei tohu, he mea tino nui kia toro atu koe ki tētahi tākuta whai tohu me te rapu tohutohu tonu.
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