Ese gucika intege nke kenshi bitera gutakaza kwibuka? (Multi-Infarct Dementia) Reka twige neza icyo ari cyo!

Ese umuntu ugeze mu za bukuru mu rugo rwawe, wenda mama wawe, so wawe, cyangwa nyogokuru, yibagirwa ibintu? Ese bahura n'ibibazo byo kutamenya amagambo mu gihe bagenda? Cyangwa se bagorwa no kubona inzira ndetse no mu gihe bagenda mu muhanda usanzwe? Nubwo ibi bintu bishobora gusa n'ibisanzwe bibaho uko tugenda dusaza, rimwe na rimwe bishobora kuba ibirenze ibyo. Uyu munsi tugiye kuvuga ku ndwara nk'iyo, ari yo indwara yo kwibagirwa iterwa no gucika intege mu buryo butunguranye (indwara z'igice).

Dementia ya Multi-Infarct ni iki?

Mu magambo make, indwara yo kwiheba mu bwonko yitwa Multi-Infarct Dementia (MID) ni indwara aho uturemangingo tw’ubwonko twangirika bitewe n’uturemangingo duto tw’imitsi itanga amaraso mu bwonko, bigatuma umuntu atacyibuka neza. "Multi" hano bivuze "nyinshi" cyangwa "nyinshi." "Infarct" bivuze kubura amaraso mu gice cy’ubwonko, bigatera urupfu rw’uturemangingo. Izi ndwara zituma uturemangingo tw’ubwonko tudahabwa amaraso ahagije, bivuze ko tutabona ogisijeni n’intungamubiri bihagije.

Dementia ni indwara aho imikorere y'ubwonko igabanuka cyane kurusha uko byari bisanzwe, bigatuma ibikorwa bya buri munsi birushaho kugorana. Umuntu urwaye dementia ashobora kugira bibiri cyangwa byinshi muri ibi bikurikira:

• Gutakaza kwibuka.
• Kugabanuka k'ubushobozi bwo gutekereza no gufata ibyemezo.
• Kugorwa no kuvuga.
• Kugabanuka kw'uburinganire n'imikoranire.
• Kudashobora kugenzura amarangamutima, impinduka zikunze kubaho.
• Impinduka mu myitwarire.

Iyi ndwara yo kwibagirwa indwara ya multi-infarct dementia ni indwara iri mu cyiciro cya dementia y’imitsi . Umuvuduko ukabije w’amaraso ni ikintu gikomeye gishobora gutera iyi ndwara.

Iyi ndwara ikunze kugaragara gute?

Indwara yo kwibagirwa mu buryo butandukanye (multi-infarct dementia) ni indwara ikunze kugaragara cyane . Ni yo mpamvu ya kabiri itera indwara yo kwibagirwa nyuma ya Alzheimer . Hari igihe indwara zombi zishobora kubaho.

MID ikunze kwibasira abantu bari hagati y’imyaka 60 na 75. Bivugwa kandi ko ikunze kugaragara ku bagabo kurusha abagore.

Ni ibihe bimenyetso by'indwara yo kwibagirwa indwara ya multi-infarct dementia (MID)?

Ibimenyetso bya multi-infarct dementia (MID) bishobora gutangira mu buryo butunguranye . Ibi ni byo bimenyetso by'ingenzi:

• Guhangayika bitunguranye, ibibazo byo kwibuka by'igihe gito (urugero: kwibagirwa ibyo wariye mu gitondo).
• Kuzimira, kutabasha kubona aho ugana, ndetse no mu bice umenyereye.
• Kugenda n'intambwe nto n'inzira yihuta cyane.
• Kudashobora kugenzura inkari cyangwa amabyi.
• Guseka cyangwa kurira mu bihe bitabereye.
• Kugorwa no gusobanukirwa no gukurikiza amabwiriza.
• Ibibazo byo kubara amafaranga no kugura ibintu ukoresheje amafaranga.

Nubwo hari abantu barwaye MID bagabanuka igihe runaka bakarushaho kumererwa neza,, nyuma yo kongera gutera stroke cyangwa izindi nke, iyo ndwara irongera irushaho kuba mbi. Ni nko kumanuka ingazi, mu buryo butunguranye iyo ndwara irushaho kuba mbi, wenda ikarushaho koroherwa gato, hanyuma ikongera kuba mbi.

Ni ibihe bimenyetso by'indwara ya mini-stroke (TIA)?

Indwara yo kwibagirwa indwara ya Multi-infarct iterwa n'indwara nyinshi zo mu bwonko, cyangwa indwara zo mu bwonko zifata igihe gito (TIAs) . Ibimenyetso bya TIA bisa n'iby'indwara isanzwe yo mu bwonko, ariko bishobora kuba byoroshye. Ibimenyetso akenshi biza mu buryo butunguranye :

• Kutabona neza cyangwa gutakaza ubushobozi bwo kubona mu jisho rimwe cyangwa yombi.
• Kubura ibinya cyangwa intege nke mu maso, mu maboko, cyangwa mu maguru, cyane cyane ku ruhande rumwe rw'umubiri.
• Kuribwa umutwe cyane.
• Kugorwa no kugenda.
• Kuzungera.
• Gutakaza uburinganire mu mubiri.
• Kugorwa no kuvuga cyangwa kumva ibivugwa.

Ikintu cy'ingenzi: Niba ubonye ibimenyetso bya stroke cyangwa TIA nk'ibi, nubwo byashira nyuma y'igihe runaka, ugomba kujya kwa muganga ako kanya! Kuko bishobora kuba ikimenyetso cy'stroke ikomeye.

Ni iki gitera indwara yo kwibagirwa indwara ya multi-infarct dementia (MID)?

Nkuko twabivuze mbere, ibi biterwa ahanini n'urukurikirane rw'udukoko duto twangiza uturemangingo tw'ubwonko. Udukoko duto tubaho iyo amaraso atembera mu gice cy'ubwonko aciwe. Udukoko duto dushobora kubaho iyo amaraso apfutse imiyoboro y'amaraso itanga amaraso mu bwonko, cyangwa iyo udukoko, ari byo binure byiyongera mu miyoboro y'amaraso, dufunga imiyoboro y'amaraso.

Abantu benshi barwaye MID ntibazi ko barwaye indwara ya mini-stroke. Ibi biterwa nuko, rimwe na rimwe, muri izi ndwara nto, imitsi y'amaraso yazibye ishobora kongera gufungura mu minota mike. Hanyuma, ibimenyetso bya stroke (nk'ibihumyo ku ruhande rumwe rw'umubiri) biza bigakomeza kugenda by'agateganyo.

Tekereza, umuturanyi wawe, Marume Nimal, ari aho. Umunsi umwe, ubwo yavugaga, amagambo ye yahindutse nk'aho adasobanutse neza, maze ukuboko kwe kwasa n'aho gucika intege igihe gito. Byarashize mu minota mike. Ntiyabyitayeho cyane. Yibwiraga ati: "Agomba kuba ananiwe." Ariko iyo habayeho ibintu bike nk'ibyo mu gihe runaka, byatangiye kugira ingaruka ku kwibuka kwe n'uko atekereza. Ni ko iyi ndwara iteye. Utu dukoko duto twangiza ubwonko. Ibyo byangiritse birundanya bigatera indwara yo kwibagirwa.

Ni ibihe bintu bishobora gutera ibi?

Ibintu bishobora gutera indwara ya multi-infarct dementia ni bimwe n'ibyatera stroke. Ni ibi bikurikira:

• Umuvuduko ukabije w'amaraso (hypertension): Iki ni cyo kintu cy'ingenzi kandi gikomeye gishobora gutera ibyago byinshi . Umuntu udafite umuvuduko ukabije w'amaraso ntabwo ashobora kurwara MID.
• Diyabete `(Diabete Mellitus)` .
• Ibintu bishobora gutera kubyimba kw'amaraso cyangwa ibindi bintu bishobora kuziba: urugero , indwara z'imitsi itera indwara z'umutima (atherosclerosis ) (kwiyongera no gukomera kw'inkuta z'imitsi), indwara z'umutima(indwara y'imitsi ifata imitsi), `indwara y'umutima` (indwara y'imitsi ifata imitsi) na `indwara y'imitsi ifata imitsi` (indwara y'imitsi mito ku mpande zombi z'ijosi).
• Kongera urugero rwa cholesterol mbi mu maraso (hyperlipidemia) .
• Kunywa itabi.

Iyi ndwara ipimwa ite? (Isuzuma)

Nta kizamini kimwe gishobora gusuzuma neza indwara ya dementia ifite infarct nyinshi. Kubwibyo, kuyisuzuma bishobora kugorana. Ibimenyetso rimwe na rimwe bishobora gusa cyane n'indwara ya Alzheimer. Nanone, umuntu ashobora kugira indwara zombi icyarimwe.

Niba ufite ibimenyetso bya MID, muganga wawe azabaza amateka y'ubuzima bwawe, agukorere ibizamini by'umubiri n'iby'imitsi , kandi arebe ibyago byo kurwara indwara yo mu bwonko. Ibi bishobora gufasha kumenya niba MID ari yo isanzwe.

Gupima ubwonko hakoreshejwe MRI cyangwa CT scan bishobora gufasha gusuzuma MID, bigashaka ahantu ubwonko bwangiritse. Muganga wawe ashobora kandi kukwohereza ku muganga w’inzobere kugira ngo agupime indwara zo mu mutwe kugira ngo asuzume ibibazo biri mu mikorere y’ubwonko bwawe, nko kwibuka kwawe.

Ni ubuhe buryo bwo kuvura indwara yo kwiheba mu maraso (MID)?

Mu by’ukuri, nta muti ufatika wa MID . Kubera ko kwangirika k’ubwonko guterwa n’indwara yo gucika kw’imitsi yo mu bwonko ari burundu, intego nyamukuru yo kuvura ni ukwirinda indwara yo gucika kw’imitsi yo mu bwonko mu gihe kizaza . Ibi bikubiyemo kugenzura indwara zishobora kongera ibyago byo kurwara indwara yo gucika kw’imitsi yo mu bwonko.

Muganga wawe azakwandikira imiti ijyanye n'ibintu nk'ibi:

• Genzura umuvuduko w'amaraso yawe.
• Gabanya urugero rwa cholesterol ruri hejuru.
• Kugenzura urugero rw'isukari mu maraso (diyabete).
• Imiti igabanya amaraso kugira ngo hirindwe kubyimba kw'amaraso.

Muganga kandi agira inama yo guhindura imibereho ye nk'iyi:

• Gukora imyitozo ngororamubiri buri gihe.
• Kurya indyo yuzuye (urugero: indyo yo mu nyanja ya Mediterane cyangwa indyo ya Dash ).
• Kureka kunywa itabi no kunywa inzoga.

Ihungabana ni indwara yo mu mutwe ikunze kugaragara iterwa na MID. Ishobora gutuma ubwonko bukora nabi. Niba ufite ihungabana, muganga wawe ashobora no kukwandikira imiti.

Uretse impinduka mu bwonko, muganga ashobora kukugira inama y'ubundi buryo bwo kuvura kugira ngo afashe umuntu urwaye MID guhangana n'ibibazo bishya no gutsinda ibibazo . Urugero:

• Ubuvuzi bw'imivugire
• Ubuvuzi bwo mu mutwe
• Ubuvuzi bw'umubiri

Ni iki nakwitega niba njye cyangwa uwo nkunda afite MID?

Indwara yo kwiheba mu buryo butandukanye igenda yiyongera uko igihe kigenda gihita.Indwara. Imiterere ya MID ni nko kumanuka ingazi. Irushaho kuba mbi mu buryo butunguranye (rimwe na rimwe irushaho kuba nziza nyuma gato), hanyuma ikongera kuba mbi mu buryo butunguranye iyo ugize indi ndwara yo mu bwonko. Urugendo rwa buri wese ruratandukanye . Itsinda ry'abaganga rishobora kuguha igitekerezo cyiza cy'icyo witeze bitewe n'imimerere yawe.

Muri rusange, abantu barwaye MID n'abandi bantu bafite indwara yo kwibagirwa imitsi bashobora kubaho igihe gito . Ibi biterwa nuko baba bafite ibyago byinshi byo kongera kurwara indwara yo mu bwonko cyangwa indwara y'umutima.

Ese indwara yo kwibagirwa indwara ya multi-infarct dementia (MID) ishobora kwirindwa?

Uburyo bwiza bwo kuvura MID ni ukugerageza kuyirinda hakiri kare . Dore bumwe mu buryo ushobora kugerageza kwirinda MID ugabanya ibintu bishobora gutuma urwara:

• Kugumana umuvuduko w'amaraso mwiza, urugero rwa cholesterol, n'urugero rw'isukari mu maraso.
• Kugumana ibiro byiza bikubereye.
• Gukora imyitozo ngororamubiri buri gihe.
• Kurya indyo yuzuye kandi iboneye (urugero: indyo yo mu nyanja ya Mediterane cyangwa indyo yo mu bwoko bwa Dash ).
• Kureka kunywa itabi (saba ubufasha kwa muganga wawe).
• Kugabanya ikoreshwa ry'inzoga.
• Gucunga imihangayiko (gerageza imyitozo ngororamubiri yo kuruhuka, gutekereza cyane, yoga, nibindi).
• Fata imiti yose wahawe na muganga wawe neza kandi ku gihe . Niba ibimenyetso byawe bihindutse cyangwa bikarushaho kwiyongera, vugana na muganga wawe. Ntugahagarike gufata imiti yawe cyangwa ngo uhindure ingano yayo utabanje kuvugana na muganga wawe.

Nigute nakwita ku muntu urwaye MID? Cyangwa nigute nakwitaho?

Umuntu urwaye MID azakenera ubufasha mu mirimo ye ya buri munsi . Urugero, gufata imiti, kwishyura fagitire no gutegura amafunguro. Nubwo abantu barwaye MID bashobora gukora ibintu byinshi bonyine, bitewe n'uburemere bw'ibimenyetso byabo, bishobora kuba atari byiza kuba bonyine . Bamwe mu bantu barwaye MID bashobora gukenera ubuvuzi bwihariye buturutse mu bigo byihariye mu kwita ku ndwara yo mu mutwe.

Ni ryari ugomba kubonana na muganga?

Wowe cyangwa umwitaho mugomba guhamagara muganga wanyu niba:

• Niba ibimenyetso byawe birushijeho kwiyongera.
• Iyo ibimenyetso bishya bigaragaye.
• Niba umuti utera ingaruka mbi.

Ese indwara ya multi-infarct dementia (MID) ni imwe n'indwara ya Alzheimer?

Oya. Nubwo izi ndwara zombi zishobora gutera indwara yo kwibagirwa, ziterwa n'ibintu bitandukanye . Indwara yo kwibagirwa ni ukugabanuka k'imikorere y'ubwonko ku buryo bibangamira ubuzima n'ibikorwa bya buri munsi by'umuntu.

Kubura ubwenge biterwa na MID biterwa n'indwara nyinshi zo mu bwonko zigabanya urujya n'uruza rw'amaraso mu bwonko kandi zikangiza ingirabuzima fatizo z'ubwonko.Indwara ya Alzheimer ni ubwoko bwa dementia buterwa no kuba poroteyine zidasanzwe mu bwonko. Mu ndwara ya Alzheimer, iyi miterere ya poroteyine yitwa `(amyloid protein)` na `(tau protein)` ituma uturemangingo tw'ubwonko dupfa.

Byongeye kandi, ibimenyetso bya Alzheimer bikunze kwiyongera buhoro buhoro, mu buryo buhoraho . Muri MID, impinduka zishobora kubaho mu buryo butunguranye cyangwa buhoro buhoro.

Ese indwara yo kwibagirwa indwara ya multi-infarct dementia (MID) ni kimwe n'indwara yo kwibagirwa imitsi?

Dementia ya multi-infarct ni bumwe mu bwoko bwa dementia y'imitsi . Hariho ubundi bwoko bwa dementia y'imitsi:

• Indwara ya Binswanger: Indwara yo kwangirika k'ubwonko mu buryo butunguranye bitewe no kubyimba no kugabanuka kw'imitsi yo mu bice by'ubwonko biri munsi y'ubwonko.
• Kubura ubwenge bifitanye isano na stroke: Dementia iterwa no gucika intege kw'umutima rimwe.
• Indwara yo kwibagirwa ivanze: Dementia iterwa n'impamvu nyinshi. Akenshi iyi iba ari uruvange rw'indwara ya Alzheimer na dementia y'imitsi.

Ni ibisanzwe kumva uremerewe iyo umenye ko uwo ukunda afite indwara yo kwiheba mu buryo bwinshi. Ariko ibuka ko itsinda ry’abaganga babo rizabafasha ndetse nawe muri iki gikorwa cyose, kandi rizabaha uburyo bwo kwita ku buzima bukwiriye. Ni ngombwa kandi kwiyitaho. Jya mu matsinda y’abaterankunga, cyangwa wubake umuyoboro wawe w’abaterankunga kugira ngo bagufashe.

Amaherezo, ibintu byo kwibuka (Ubutumwa bwo kujyana mu rugo)

Nubwo indwara yo kwiheba ifite infarction nyinshi ari ikintu cyo gutinya, kumenya no kugenzura ibintu bishobora gutera indwara hakiri kare bishobora gufasha cyane mu gukumira cyangwa kugenzura iyo ndwara.

• Kugenzura neza indwara nk'umuvuduko ukabije w'amaraso, diyabete, na cholesterol nyinshi .
• Irinde kunywa itabi burundu.
• Kurikira ubuzima bwiza .
• Niba hari ibimenyetso bigaragara , shaka ubufasha bwa muganga vuba.
• Niba wowe cyangwa uwo ukunda afite iyi ndwara, ibuka ko utari wenyine. Inkunga ituruka ku baganga, amatsinda y'abaterankunga n'imiryango ni ingenzi cyane.

Ndizera ko aya makuru azaba ingirakamaro kuri wewe. Komeza ugire ubuzima bwiza!

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