Ese kwibuka kwawe n'imitekerereze yawe birahinduka? Reka twige ku ndwara zo kwangirika kw'imitsi.

Ese wigeze utekereza ko uturemangingo duto two mu bwonko bwacu, twitwa neuron, dushobora gucika intege buhoro buhoro, tugahindura kwibuka kwacu, uko dutekereza, uko tugenda, n'uko tuvuga? Hari igihe twabonye ibi biba ku bantu bacu bageze mu za bukuru. Ibyo ni byo twita itsinda ry'indwara zitwa Neurodegenerative Diseases . Nubwo ibi bishobora kumvikana nk'ijambo riremereye, reka tubiganireho mu buryo bworoshye kandi bwuje ubuntu.

Izi ndwara zo kwangirika kw'imitsi ni izihe?

Muri make, izi ni itsinda ry'indwara zangiza buhoro buhoro kandi zigasenya uturemangingo tw'imitsi yacu, cyane cyane mu bwonko . Tekereza kuri ubu buryo: nk'uko igiti kibora uko igihe kigenda gihita, izi ndwara zisenya uturemangingo tw'ubwonko bwacu buhoro buhoro. Izi ndwara akenshi ntiziza mu buryo butunguranye, zikura buhoro buhoro . Kubwibyo, bifata igihe kirekire kugira ngo ibimenyetso bigaragare, rimwe na rimwe ndetse no mu buzima bwa nyuma.

Iyi si indwara imwe. Kimwe n'ibindi bintu byinshi biri munsi y'umuzingo umwe, hari ubwoko butandukanye bw'indwara ziri munsi y'iri zina.

Ni ubuhe bwoko bw'ingenzi bw'izi ndwara?

Reka turebe ubwoko bumwe bw'ingenzi bw'izi ndwara zitera kwangirika kw'imitsi. Ariko izi si zo zonyine, hari n'izindi nyinshi.

Indwara zo mu bwoko bwa dementia

Ibi bitera kwangirika buhoro buhoro ku bice bitandukanye by'ubwonko, kandi uturemangingo two muri utwo duce turapfa. Ibimenyetso bishobora gutandukana cyane bitewe n'agace k'ubwonko kangiritse.

Urugero: Indwara ya Alzheimer , indwara yo kwibagirwa imbere mu gihe cy'impinduka, indwara itera indwara idakira (CTE), na Lewy body dementia biri muri iki cyiciro.

Indwara zigabanya umusemburo w'amaraso

Uturemangingo tw’imitsi yacu tuzengurutswe n’agakoresho karinda umubiri kitwa myelin . Ni nk’agakoresho ka pulasitiki gatwikira insinga. Aka gakoresho ni ko gatuma ubutumwa bw’imitsi bugenda neza. Izi ndwara zangiza agakoresho ka myelin.

Ingero: Multiple Sclerosis (MS) , Neuromyelitis Optica Spectrum Disorder (NMOSD).

Indwara zo mu bwoko bwa Parkinsonism

Ibi biterwa no kwangirika kw'imitsi yihariye mu bwonko bwacu, cyane cyane iyo ihuza kandi ikagenzura neza imitsi .

Ingero: Indwara ya Parkinson n'izindi ndwara za Parkinson zigaragaza ibimenyetso bisa n'ibya Parkinson.

Indwara z'imitsi y'ubwonko ikoresha ikoranabuhanga

Ibi bikura iyo uturemangingo tugenzura ingendo zacu dupfuye .

Ingero: Amyotrophic Lateral Sclerosis (ALS) (yitwa kandi "indwara ya Lou Gehrig"), Progressive Supranuclear Palsy (PSP).

Indwara za Prion

Izi ndwara zidasanzwe cyane. Izi ndwara, ziterwa no kwivanga kwa poroteyine, zitera kwangirika gukomeye k'ubwonko mu gihe gito cyane . Akenshi, aba barwayi ntibarenza umwaka umwe babaho.

Urugero: Indwara ya Creutzfeldt-Jakob ni yo ikunze kugaragara cyane. Hari igihe ibi bishobora no guterwa n'ibintu bigize imiterere y'umubiri.

Igikuru ni uko hashobora kuba hari ibintu bimwe na bimwe bihuriyeho n'isano riri hagati y'izi ndwara zitandukanye zitera kwangirika kw'imitsi. Hari indwara zishobora kugira ibimenyetso bisa n'impamvu zisa.

Ese koko izi ndwara zikunze kugaragara mu rugero rungana iki?

Nubwo indwara zo kwangirika kw'imitsi zidakunze kugaragara cyane, abashakashatsi basanze abantu barenga miliyoni 50 ku isi bafite izi ndwara. Ibyo bivuze ko ari ibisanzwe ko umwe muri twe yumva izi ndwara.

Izi ndwara akenshi zifitanye isano rya bugufi no gusaza . Zikunze kugaragara cyane ku bantu barengeje imyaka 65. Ariko, zimwe mu ndwara, nka Huntington's disease na ALS, zishobora kugaragara ku bantu bakiri bato. Nk’uko bivugwa n’Ishami ry’Umuryango w’Abibumbye ryita ku Buzima (OMS), abaturage barengeje imyaka 65 biteganijwe ko bazikuba kabiri mu myaka 30 iri imbere. Ibi bivuze ko umubare w’abantu bafite izi ndwara zo kwangirika kw’imitsi ushobora kwiyongera ku gipimo kimwe.

Ni ibihe bimenyetso by'indwara ziterwa n'imitsi n'ubwonko?

Ibimenyetso by'izi ndwara biratandukanye cyane . Ibimenyetso bimwe na bimwe bishobora gutuma utekereza ko iyi ari indwara y'ubwonko. Ariko, ibimenyetso bimwe na bimwe bishobora kuba bitandukanye cyane ku buryo bitamenyekana hatabayeho isuzuma ryihariye rya muganga.

Ubusanzwe, ibimenyetso nk'ibi bishobora kugaragara bitewe n'ubwoko bw'indwara:

• Indwara zo mu bwoko bwa dementia: urujijo, kwibagirwa, kugorwa no gutekereza cyangwa kwibanda ku bintu, hamwe n'impinduka mu myitwarire.
• Indwara zangiza myelin: gucika intege, ububabare, imitsi ihindagurika, gutakaza uburinganire cyangwa ubumuga, kugenda bigoranye, n'umunaniro ukabije.
• Indwara zo mu bwoko bwa Parkinsonism: kugenda buhoro, guhinda umushyitsi mu maguru, ibibazo byo kuringaniza ibirenge, gukurura ibirenge hasi iyo ugenda, kunama imbere.
• Indwara z'imitsi ikora ku bwonko: Izi zigira ingaruka ku bice by'ubwonko n'imitsi bigenzura imitsi. Uko imitsi ikora kuri ibyo bice ipfa, imitsi irabura. Ibi bishobora gutuma umuntu agira intege nke ndetse bigatera ubumuga .

Kuki ibi bimenyetso bitandukanye cyane?

Hari impamvu nyinshi zituma ibimenyetso bishobora gutandukana bitewe n'umuntu, nubwo umuntu yarwara indwara imwe:

• Ubwonko bwa buri wese si bumwe:Nta bwonko bubiri buremwa cyangwa ngo bukore kimwe, bityo n'indwara imwe ishobora kugira ingaruka ku bantu babiri mu buryo butandukanye.
• Hari impamvu nyinshi zituma izi ndwara zigira ingaruka: Nubwo zaba ari ubwoko bumwe bw'indwara, impamvu zizigiraho ziratandukanye cyane.
• Ibimenyetso biterwa n'agace kafashwe: Ibimenyetso biterwa n'igice cy'ubwonko bwawe cyangwa uturemangingo tw'imitsi twangiritse.

Ni izihe mpamvu zitera izi ndwara?

Abaganga bashobora kubona impamvu imwe itera indwara zimwe na zimwe zo kwangirika kw'imitsi. Ariko mu bihe byinshi, nta mpamvu imwe ibaho . Ubushakashatsi bwagaragaje ko hari ibintu byinshi bitera izi ndwara. Hari igihe abaganga bashobora kutabasha kubona impamvu na gato. Ibi birababaza cyane umurwayi n'umuryango we.

Kugeza ubu, impuguke zagaragaje impamvu nyinshi zishobora gutera izi ndwara n'ibintu bishobora gutera izo ndwara. Zishobora kugabanywamo ibyiciro byinshi by'ingenzi:

• Imyaka: Ikintu nyamukuru bigira ingaruka ku iterambere ry'izi ndwara ni gusaza . Ibyago byo kurwara iyi ndwara biriyongera uko umuntu akura. Nubwo zimwe mu ndwara zishobora gutangira umuntu akiri muto, ni gake cyane.
• Genetike: Indwara nyinshi zo kwangirika kw'imitsi zifitanye isano n'amateka y'umuryango. Ibi bivuze ko zimwe mu mpinduka za genetike zishobora guhererekanywa mu bisekuruza. Impinduka nshya za genetike zishobora kuvuka, cyangwa uruvange rw'uturemangingo rugashobora kugira ingaruka.
• Ibidukikije: Ibidukikije utuyemo nabyo bishobora kugira ingaruka zikomeye kuri izi ndwara. Ibintu nk'ihumana ry'ikirere, kwandura imiti n'uburozi, ubwoko bumwe na bumwe bw'indwara, ndetse n'akarere utuyemo (urugero, urugero rwa vitamine D rugabanuka uko wegera equator, byagaragaye ko bitera indwara zo mu bwoko bwa dementia).
• Amateka y'ubuvuzi: Indwara zawe za kera n'ibyakubayeho mu buzima bishobora kugira ingaruka ku iterambere ry'izi ndwara. Ingero zirimo kanseri, indwara zimwe na zimwe, n'ibikomere byo mu mutwe.
• Ingeso, gahunda, n'amahitamo: Hari ibintu byinshi bigira ingaruka kuri ibi, harimo ibyo urya n'ibyo unywa, uburyo ukora cyane, niba unywa ibikomoka ku itabi, ndetse n'ingano y'inzoga unywa.

Ni izihe ngorane zishobora guterwa n'izi ndwara?

Kubera ko izi ndwara zangiza ubwonko n'imitsi, amahirwe yo kugira ibibazo aba menshi. Uko ibyangiritse byiyongera, ubushobozi bugenzurwa n'ibyo bice byangiritse burabura.

• Indwara zo kugenda: Kugabanuka kw'imbaraga, ubworoherane, ubushobozi bwo gukora ibintu, n'igihe cyo gusubiza ibintu, ibyo byongera ibyago byo kugwa no kuvunika.
• Indwara z'imitsi ikora mu bwonko: Paralysie ikomeza kwiyongera. Iyo ibi bigira ingaruka ku mitsi ihumeka, ibyago byo kurwara indwara z'ubuhumekero nka pneumonia biriyongera.
• Indwara zo mu bwoko bwa dementia:Ubushobozi bwo kwibuka, gufata ibyemezo, no gutekereza buragabanuka. Uko ibi bigenda birushaho kuzamba, ntibashobora gutekereza ku mutekano wabo kandi ntibashobora kubaho bonyine.

Izi ndwara zipimwa gute? (Isuzuma)

Uburyo bwo gusuzuma indwara yangiritse mu mitsi buratandukanye bitewe n’indwara. Ubusanzwe abaganga batangira basuzuma indwara z’imitsi bakakubaza wowe cyangwa umuryango wawe ibimenyetso by’indwara zawe n’amateka y’uburwayi bwawe.

Indwara zimwe na zimwe zishobora gupimwa hakoreshejwe ibizamini byihariye:

• Gupima muri laboratwari: Hari indwara zishobora kuvurwa binyuze mu bintu nk'ibipimo by'amaraso no gupima imiterere y'uturemangingo.
• Gupima amashusho: Ibizamini nka CT scan na MRI scan ni ingenzi cyane mu gusuzuma izi ndwara. Ibi bituma abaganga "bareba" ubwonko bwawe. Hanyuma bashobora kumenya niba hari ibyangiritse mu bwonko, impinduka, cyangwa indi mpamvu.
• Histopathology nyuma y'urupfu: Indwara zimwe na zimwe, nka Pick's disease cyangwa chronic traumatic encephalopathy (CTE), ntizishobora gupimwa burundu mu gihe umuntu akiri muzima. Nubwo abaganga bashobora kubikeka, byemezwa gusa no gusuzuma ingingo z'ubwonko hakoreshejwe mikorosikopi nyuma yo gupimwa umurambo .

Bitewe n'uko urwaye cyangwa ibimenyetso byawe, hari ibindi bizamini bishobora gukorwa. Muganga wawe ni we muntu mwiza wo kukubwira ibizamini bikubereye n'impamvu birimo gukorwa.

Ese hari uburyo bwo kuvura indwara zifata ubwonko? Ese zishobora gukira?

Ikibabaje ni uko atari ko indwara zose zitera indwara z’ubwonko zishobora kuvurwa . Izi ndwara zisenya uturemangingo tw’ubwonko kandi ntizishobora gusubizwa inyuma.

Ariko, zimwe mu ndwara zitera indwara z’ubwonko zishobora kuvurwa , bitewe n’icyateye iyi ndwara. Hari indwara zishobora kuvurwa mu buryo butaziguye kugira ngo zigenzure, zigabanye cyangwa zigabanye ingaruka z’iyi ndwara. Nubwo hari izindi ndwara zidashobora kuvurwa mu buryo butaziguye, kuvura ibimenyetso bishobora gufasha kunoza ubuzima .

Kubera ko hari uburyo bwinshi butandukanye bwo kuvura, muganga wawe ni we muntu mwiza wo kukubwira uburyo bwo kuvura buhari n'ibyo agusaba. Amakuru batanga ni yo nyayo kandi ajyanye n'uburwayi bwawe n'amateka y'ubuzima bwawe. Bazakubwira kandi ingaruka mbi, ingorane, n'ibintu ugomba kumenya.

Bite se niba mfite ubwoko bw'indwara?

Kubera ko hari ubwoko bwinshi bw'indwara zitera kwangirika kw'imitsi, ibizakubaho biterwa n'ibintu byinshi. Hari indwara ziyongera ku rugero rutandukanye; zimwe zishobora gufata imyaka cyangwa imyaka mirongo kugira ngo zikomere. Izindi zishobora kwiyongera vuba. Bityo rero, muganga wawe ni we muntu mwiza wo kukubwira icyo ukwiye kwitega.

Uko umara igihe kirekire urwaye indwara yo kwangirika kw'imitsi, ni ko urushaho kugira ibyago byo kugira ingorane. Ikibabaje ni uko izi ndwara zishobora kugabanya ubuzima bwawe ndetse zikanagutera urupfu (cyangwa zigatera ikindi kintu gitera urupfu).

Izi ndwara zimara igihe kingana iki?

Iyo izi ndwara zimaze kugaragara, ziba ubuzima buhoraho .

Ese hari uburyo bwo kwirinda burundu izi ndwara?

Indwara zo kwangirika kw'imitsi zikura mu buryo tutari twiteze ko bushoboka. Akenshi, zikura bitewe n'impamvu zidasobanutse neza. Kubera izi mpamvu zombi, ntizishobora kwirindwa .

None se twakora iki kugira ngo tugabanye ibyago?

Nubwo izi ndwara zidashobora kwirindwa, hari ibyo wakora kugira ngo ugabanye ibyago byo kuzirwara. Kubera ko izi ndwara akenshi ziterwa n'ibintu bitandukanye, kugabanya umubare w'ibintu bishobora kugabanya ibyago byo kurwara.

Hari intambwe nyinshi ushobora gutera kugira ngo ugabanye ibyago byawe:

• Kurya indyo yuzuye: Ibyo urya bigira ingaruka ku buzima bw'ubwonko bwawe. Indyo mbi ishobora gutuma ubwonko bwawe bwibasirwa n'iyi ndwara. Bishobora kandi gutera izindi ndwara nka stroke .
• Komeza gukora siporo kandi ukomeze kugira ibiro byiza: Ibiro byawe n'urwego rw'imyitozo bigira ingaruka ku bwonko bwawe. Ibibazo bifitanye isano n'ibiro, cyane cyane ibibazo by'imiyoboro y'amaraso nk'umuvuduko ukabije w'amaraso, n'indwara za metabolisme nka Diyabete yo mu bwoko bwa 2, nabyo bishobora kubitera.
• Ambara ibikoresho byo kwirinda iyo bibaye ngombwa: Ibikomere byo mu mutwe, cyane cyane indwara zo mu bwonko n'ibikomere byo mu mutwe , byongera cyane ibyago byo kurwara izi ndwara. Kubwibyo, ibikoresho byo kwirinda ni igikoresho cy'agaciro cyo kwirinda ibikomere no kurinda ubuzima bw'ubwonko mu gihe kirekire.
• Jyana na muganga w'umuryango wawe buri mwaka: Ibi bishobora gufasha gukumira cyangwa gutinza indwara zidakira zishobora gutera indwara z'ubwonko mu gihe cy'ubuzima. Izi ngendo zishobora no gufasha kumenya izi ndwara hakiri kare. Inyinshi muri izi ndwara zoroshye kuvura mu ntangiriro.

Niba mfite ubwoko bw'indwara nk'iyi, nakwiyitaho nte?

Niba ufite indwara yo kwangirika kw'imitsi, ushobora kuba ushobora kwiyitaho mbere na mbere, ariko uzakenera ubufasha uko igihe kigenda gihita. Igihe ushobora kwiyitaho giterwa n'ibintu byinshi, nk'indwara ufite n'ibindi bibazo by'ubuzima.

Bite se niba udashobora gufata ibyemezo? Reka tubitekerezeho nawe?

Niba usanze ufite indwara yo kwangirika kw'imitsi kandi ukaba udashobora kwifatira ibyemezo, ni ngombwa kuganira n'abantu wizeye ku byo wifuza ko byabaho. Iki kiganiro gishobora kugorana, ariko kizabafasha kumenya ibyifuzo byanyu kandi bagakora ibikwiye. Iki ni ikintu cyiza kuri buri wese, uko indwara waba ufite yaba iri kose.

Abantu ukwiye kuganira nabo kuri ibi:

• Umuganga w'umuryango wawe cyangwa inzobere zivura indwara yawe.
• Umuryango wawe wa hafi.
• Umwunganizi wawe mu mategeko (niba ahari).
• Abandi bavandimwe n'inshuti wizeye kandi wumva bashobora kugufatira ibyemezo by'ubuzima n'urupfu.

Ingingo ugomba kuganira na bo:

• Niba bibaye ngombwa, ni nde wifuza ko akuvugira kandi akagufatira ibyemezo?
• Ibibazo by'imari bijyanye n'ikiguzi cy'ubuvuzi bwawe.
• Ibyifuzo byawe bijyanye n'ibintu nko kwita ku iherezo ry'ubuzima, irage n'isezerano rya nyuma, hamwe n'ububasha bw'umwunganizi .
• Ni iki ukunda ku bijyanye n'ubuvuzi burokora ubuzima cyangwa bwongera ubuzima?

Iki kiganiro gishobora kugorana kandi kikagorana, ariko kugira ibi biganiro mbere y'uko birangira bizatuma abakunzi bawe bamenya ibyifuzo byawe niba udashobora kuvuga.

Uretse iki kiganiro, ni byiza kwandika ibyifuzo byawe n'ibyemezo byawe . Tekereza kwandika inyandiko z'amategeko zigaragaza uko bigenda mu gihe utabasha kwiyitaho cyangwa gufata ibyemezo ku buzima bwawe. Ushobora kubona ubufasha bw'umunyamategeko, ariko ushobora no kwikorera zimwe muri zo (ushobora gukenera kuzisinywaho na noteri).

Wakwitaho ute uwo ukunda mu gihe afite ubwo bwoko bw'indwara?

Niba umuntu wawe arwaye indwara yo kwangirika kw'imitsi, icyo wakora kizaterwa n'ubwoko bw'indwara afite, ubukana bwayo, ndetse niba afite izindi ngorane z'ubuzima. Bo cyangwa muganga wabo ni bo bashobora kukubwira neza icyo akeneye.

Abantu benshi bafite izi ndwara birabagora kuvuga ibyo banyuzemo. Benshi batinya ibizaba mu gihe kizaza. Ibi bishobora gutuma bigorana gusaba ubufasha. Bagira isoni zo gusaba ubufasha, kandi gutekereza ko ugomba kwishingikiriza ku bandi bishobora kubatera agahinda.

Niba uwo ukunda afite iyi ndwara, hari ibintu bike ushobora gukora no kuzirikana:

• Ntukamfate nk'umutwaro cyangwa umuntu utagira icyo akora. Izi ndwara zituma bigorana gukora ibintu byari byoroshye mbere. Amaherezo, n'ibintu byoroshye nko kwiyuhagira, kwambara no kujya mu bwiherero bishobora kugorana. Bafate mu buryo burangwa n'icyubahiro n'urukundo nk'abandi bose. Wibuke ko ari umuntu ukunda, atari indwara bafite.
• Babaze icyo bakeneye. Hari igihe umuntu uri mu bihe bigoye aba akeneye gusa umuntu wo kuvugana na we. Niba uwo ukunda aguseruriye, ni byiza kumubaza niba akeneye umuntu wo gutega amatwi, cyangwa niba akeneye ibitekerezo, inama cyangwa ubufasha.
• Tanga ubufasha. Bishobora kugorana ku muntu ukunda gusaba ubufasha. Ashobora kudashaka kubusaba, cyangwa se akaba yumva adakeneye ubufasha. Hari igihe gufasha mu tuntu duto bishobora gutuma byoroha kukwishingikirizaho mu gihe akeneye ubufasha bwinshi. Ushobora kubafasha ujyana kwa muganga, kubafasha guhaha, cyangwa kubafasha mu mirimo yo mu rugo.
• Witeho nawe ubwawe.Abarera abana bashobora kunanirwa mu mutwe no mu mubiri (kunanirwa kwita ku bandi) . Biragoye kwita ku bandi niba utita ku bandi. Ni ngombwa kandi kumva ko uwo ukunda ashobora gukenera kwitabwaho kurusha uko wabimukorera. Kugerageza kubitaho udafite amahugurwa n'ibikoresho ufite bishobora kugira ingaruka mbi kuruta ibyiza.

Ni ryari twagombye kubonana na muganga?

Niba ufite ibimenyetso bifitanye isano n'ubwonko bigira ingaruka ku buzima bwawe bwa buri munsi cyangwa ku kazi, gana muganga igihe icyo ari cyo cyose . Gutahura indwara z'ubwonko hakiri kare bishobora kugira uruhare runini mu kugenzura umuvuduko w'indwara ziyongera.

Niba uzi ko ufite indwara yo kwangirika kw'imitsi, shaka inama kwa muganga no muri ibi bihe:

• Iyo umuganga wawe aguhaye gahunda . Kujya muri izi gahunda bifasha umuganga wawe gukurikirana ikibazo cyawe no kukugira inama yo kuvurwa cyangwa guhindura imibereho yawe.
• Niba ubonye impinduka mu bimenyetso byawe , izi mpinduka zishobora kuba amakuru y'ingenzi muganga wawe agomba kuzirikana mu gihe agukurikirana kandi akakwitaho.
• Niba ubonye ingaruka mbi cyangwa impinduka mu mikorere y'ubuvuzi bwawe , uburyo bwo kuvura, nk'imiti, bushobora kugabanuka uko igihe kigenda gihita. Bibwire muganga wawe niba ubonye impinduka mu mikorere y'ubuvuzi bwawe. Ibi bizamufasha guhindura uburyo bwo kuvura no gukurikirana uburwayi bwawe.

Muganga wawe ashobora kandi kukubwira ibindi bintu ugomba kumusura vuba, cyangwa bisaba ubuvuzi bwihuse.

Amaherezo, ubutumwa bwo kujyana mu rugo

Iyo umenye ko ufite indwara yo kwangirika kw'imitsi, ushobora kumva utangaye, ufite ubwoba kandi urakaye. Bishobora kukugora guhangana n'igitekerezo cyo kudashobora kwiyitaho cyangwa kubaho wenyine. Niba ufite uwo ukunda urwaye iyi ndwara, nawe ushobora kumva umeze utyo.

Indwara zo kwangirika kw'imitsi ntizikira kandi ntizikira. Ariko impuguke n'abashakashatsi bahora bashaka uburyo bushya bwo gusuzuma no kuvura izi ndwara . Ibyo bivuze ko abaganga bashobora gukora byinshi mu kuvura izi ndwara, bakagufasha kubaho igihe kirekire, kandi bakanoza ubuzima bwawe uko bishoboka kose. Muri ubwo buryo, ushobora kugabanya ingaruka izi ndwara zigira ku buzima bwawe no kwibanda ku bintu by'ingenzi kuri wewe. Ntugacike intege, kurikiza inama za muganga wawe, kandi uganire n'abakunzi bawe kuri ibi.

Indwara zo kwangirika kw'imitsi, Indwara z'ubwonko, Udutsi duto tw'imitsi, Dementia, Indwara ya Alzheimer, Indwara ya Parkinson, Kwibagirwa, Gusaza