Kodi nthawi zina mumaiwala zinthu? Kodi mwadzidzidzi mumaiwala momwe mungapangire njira yodziwika bwino yophikira? Kapena mumaiwala kulipira mabilu anu a mwezi uliwonse? Kodi mumasintha misewu mukuyendetsa galimoto pamsewu wodziwika bwino? Ngati zinthuzi zikuchitikirani inu kapena wokondedwa wanu, zikhoza kukhala chizindikiro choyamba cha matenda a Alzheimer . Koma musadandaule. Sikuti kuiwala konse ndi matenda a Alzheimer. Tiyeni tikambirane izi mwatsatanetsatane.
Kodi iyi ndi matenda a Alzheimer's? Kapena ndi kuiwala zinthu mwachibadwa?
Choyamba muyenera kumvetsetsa kuti matenda a Alzheimer si matenda wamba a ukalamba . Ndi matenda omwe amakhudza ubongo. Nthawi zina kuiwala komwe mudayimitsa galimoto yanu kapena kusakumbukira dzina la mnzanu mwadzidzidzi ndikwachibadwa. Koma mu matenda a Alzheimer, kuiwala kumeneku ndi koopsa kwambiri.
Tangoganizirani, mukamalankhula ndi munthu amene mumalankhula naye tsiku lililonse, mumabwerezabwereza zomwezo mobwerezabwereza. Kapena mumaiwala mawu osavuta kwambiri ndikugwiritsa ntchito mawu olakwika m'malo mwake. Mwadzidzidzi mumavutika kukumbukira nthawi kapena komwe muli. Izi ndi zizindikiro zodziwika bwino za matenda a Alzheimer's oyambirira.
Koma kumbukirani kuti zizindikiro zimenezi zingayambitsidwenso ndi matenda ena. Mwachitsanzo:
- Kuvutika maganizo
- Kusowa kwa mavitamini (makamaka vitamini B12 )
- Mavuto a chithokomiro
- Mankhwala ena omwe mumamwa sagwirizana.
- Kupuma movutikira
Chifukwa chake, ngati inu kapena munthu amene mumamudziwa ali ndi vuto lokumbukira zinthu ngati limeneli, ndi bwino kupita kwa dokotala woyenerera ndikupita naye kuchipatala popanda kufulumira kuganiza nokha.
N’chifukwa chiyani muyenera kupita kwa dokotala posachedwa?
N'zovuta kudziwa kuti muli ndi vutoli, koma pali ubwino waukulu wopezeka msanga.
1. Kumakupatsani nthawi yokonzekera zamtsogolo: Kudziwa za matendawa pasadakhale kumakupatsani mwayi wokambirana ndikukonzekera ndi achibale anu za chisamaliro chamtsogolo, nkhani zamalamulo, ndi nkhani zachuma.
2. Chithandizo chimayamba msanga: Ngakhale kuti matenda a Alzheimer sangachiritsidwe kwathunthu, pali mankhwala omwe angathandize kuchepetsa zizindikiro. Mankhwalawa angakhale othandiza kwambiri akayamba msanga matendawa.
3. Mutha kulowa nawo magulu othandizira:Uwu ndi mwayi wabwino wogawana zomwe mwakumana nazo ndikupeza chitonthozo kuchokera kwa ena omwe akukumana ndi vutoli ngati inu.
4. Mutha kutenga nawo mbali mu mayesero azachipatala: Muthanso kukhala ndi mwayi wochita nawo kafukufuku woyesa mankhwala atsopano.
Kuti muchite zonsezi, choyamba muyenera kuzindikira matendawa molondola. Ndicho chifukwa chake muyenera thandizo la dokotala.
Kodi dokotala amazindikira bwanji matendawa?
Palibe mayeso amodzi omwe angakuuzeni ngati muli ndi matenda a Alzheimer's. Ichi ndichifukwa chake dokotala wanu adzagwiritsa ntchito njira zingapo kuti adziwe matenda molondola. Cholinga chachikulu ndikuwona ngati muli ndi ma beta-amyloid plaques, omwe ndi mapuloteni enieni a matenda a Alzheimer's. Matenda anu angaphatikizepo mayeso amodzi kapena angapo.
- Kufunsa za mbiri yanu yachipatala
- Kuwunika momwe munthu alili m'maganizo
- Mayeso a thupi
- Mayeso a ubongo
- Kuyezetsa magazi
- Kufufuza ubongo ndi madzi a msana (Cerebrospinal fluid - CSF)
- Kujambula zithunzi za ubongo
Zinthu zoti mufunse zokhudza mbiri yanu yachipatala
Dokotala adzakufunsani inu ndi wachibale wanu mafunso otsatirawa:
- Kodi zizindikiro zake ndi ziti? (monga kuiwala, kulankhula molakwika)
- Kodi izi zinayamba liti?
- Kodi izi zimakhudza bwanji ntchito ya tsiku ndi tsiku?
- Kodi pali aliyense m'banjamo amene ali ndi matenda amenewa?
- Kodi mukumwa mankhwala otani panopa?
- Ndi matenda ena ati omwe muli nawo?
- Kodi maganizo anu ali bwanji? (Kuti mudziwe za matenda monga kuvutika maganizo)
Ndikofunikira kwambiri kuyankha mafunso awa molondola komanso moona mtima momwe zingathere.
Kodi n’chiyani chimafufuzidwa panthawi yoyezetsa thupi?
Apa, dokotala adzayang'ana thanzi lanu lonse.
- Kuyang'ana kuthamanga kwa magazi, kutentha, ndi kugunda kwa mtima
- Kumvetsera mtima ndi mapapo
- Kutenga zitsanzo za magazi kapena mkodzo kuti muwone ngati pali matenda ena
Mayeso amenewa amatha kuchotsa matenda ena (monga kusowa kwa mavitamini, mavuto a chithokomiro) omwe amayambitsa zizindikiro zofanana ndi za Alzheimer's.
Kuyezetsa Mitsempha
Kuyesaku kumayang'ana momwe ubongo wanu ndi dongosolo lanu la mitsempha zimagwirira ntchito. Kungakuthandizeni kudziwa ngati kukumbukira kwanu kumakhudzidwa ndi matenda ena, monga sitiroko, matenda a Parkinson, kapena chotupa cha muubongo, kupatula matenda a Alzheimer's. Kumafufuza:
- Kusinkhasinkha
- Kulinganiza thupi ndi kugwirizana
- Mphamvu ya minofu ndi kamvekedwe kake
- Kulankhula
- Kusuntha kwa maso
Mayeso a Maganizo ndi Makhalidwe
Izi ndi gawo lofunika kwambiri pa matenda. Mayesowa amayesa luso losiyanasiyana la ubongo wanu.
- Kukumbukira
- Maluso othetsera mavuto
- Kusamalira nthawi
- Maluso owerengera
- Luso lokonzekera
Dokotala wanu angakufunseni kuti muloweze mndandanda wa mawu, kuwerengera kosavuta, kapena kutsatira malangizo angapo. Izi zingaphatikizepo kugwiritsa ntchito mafunso wamba monga Mini-Mental State Exam (MMSE) kapena Montreal Cognitive Assessment (MoCA).
Kujambula Ubongo
Ma scan amenewa amathandiza kuyang'ana mkati mwa ubongo. Amagwiritsidwa ntchito makamaka pofufuza zifukwa zina kupatula matenda a Alzheimer's (monga chotupa mu ubongo kapena zizindikiro za sitiroko). Komabe, ma scan ena amathanso kuwonetsa kusintha komwe kumagwirizana ndi matenda a Alzheimer's.
| Mtundu wa sikani | Mwachidule, |
|---|---|
| Kujambula kwa CT (Kujambula kwa Tomografia) | Kujambula zithunzi za ubongo pogwiritsa ntchito ukadaulo wa X-ray. Izi zimathandiza kuona ngati ziwalo zina za ubongo zachepa kumapeto kwa matendawa. |
| Kujambula kwa MRI (Kujambula kwa Magnetic Resonance) | Kugwiritsa ntchito mphamvu yamphamvu ya maginito kujambula zithunzi zomveka bwino komanso zatsatanetsatane za ubongo, zomwe ndi zabwino kwambiri pozindikira kusintha kwa ubongo komwe kumakhudzana ndi matenda a Alzheimer's. |
| Kujambula kwa PET (Positron Emission Tomography) | Iyi ndi njira yoyesera yapamwamba kwambiri. Imatha kuzindikira mwachindunji mapuloteni otchedwa amyloid ndi tau muubongo. Komabe, ndi okwera mtengo ndipo nthawi zambiri imagwiritsidwa ntchito kwambiri pa kafukufuku. |
Mayeso ena apadera ndi mayeso apakhomo
Masiku ano, kuyezetsa magazi kungagwiritsidwe ntchito poyesa kuchuluka kwa mapuloteni a amyloid kuti mudziwe matenda a Alzheimer's. Komanso, kubowola kwa lumbar , komwe ndi mayeso omwe amatenga madzi kuchokera kumsana , kumatha kuwona kuchuluka kwa mapuloteni a amyloid ndi tau m'madzi ozungulira ubongo (cerebrospinal fluid - CSF). Izi zingathandize kuzindikira matendawa pachiyambi kwambiri.
Kodi mayeso a kunyumba ndi othandizadi?
Pali mayeso osiyanasiyana pa intaneti omwe amati "amafufuza matenda a Alzheimer's kuchokera kunyumba." Chitsanzo ndi SAGE (Self-Administered Gerocognitive Exam). Imakufunsani kuti muchite zinthu zosavuta monga kulemba mayina a nyama 12 ndikujambula nkhope ya wotchi.
Koma pali chenjezo lalikulu apa. Mayeso awa si olondola 100%. Nthawi zina amatha kupereka zotsatira zabodza, kunena "ayi" kwa munthu amene ali ndi matendawa ndi "inde" kwa munthu amene alibe.
Kuyezetsa kunyumba ngati kumeneku kungakhale njira yabwino yotsimikizira zomwe mukukayikira kapena kuyamba kulankhula ndi dokotala wanu. Komabe, kuyezetsa kunyumba kokha sikungathe nthawi zonse kudziwa ngati muli ndi matenda a Alzheimer. Muyenera kuonana ndi dokotala kuti akupatseni chithandizo cholondola.
Uthenga Wopita Nawo Kunyumba
- Sikuti kuiwala konse ndi matenda a Alzheimer, koma ngati muli ndi mavuto okumbukira omwe akukhudza moyo wanu watsiku ndi tsiku, musawanyalanyaze.
- Ngati inu kapena wina m'banja mwanu ali ndi zizindikiro izi, musaope kupita kwa dokotala wodziwa bwino ntchito yake.
- Kuzindikira matendawa msanga kumathandiza kukonzekera zamtsogolo komanso kuyambitsa chithandizo msanga chomwe chimawongolera zizindikiro.
- Matenda a Alzheimer sapezeka ndi mayeso amodzi okha, koma m'malo mwake kudzera m'njira zosiyanasiyana, kuphatikizapo mbiri yachipatala, kuyezetsa thupi, kuyezetsa kukumbukira, ndi kusanthula.
- Musamangodalira mayeso apa intaneti kapena kunyumba kokha. Nthawi zonse funsani dokotala wanu kuti akupatseni matenda olondola.
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