Uri kukanganwawo zvinhu here? Pamwe izvi i'MCI' (Mild Cognitive Impairment)!

Dzimwe nguva unokanganwa zvinhu zvidiki here? Funga nezvechimwe chinhu chawaitaura neshamwari yako, kana musangano wakakosha wauchaita mangwana. Dzimwe nguva unofanirwa kutsvaga zvinhu zvakaita sekuti makiyi ako ari kupi, magirazi ako ari kupi, handiti? Zvakajairika kuva nekakukanganwa uku sezvaunokura. Asi, iwe kana mumwe munhu ari pedyo newe akambonzwa here kuti kakukanganwa uku kwakanyanyisa, uye kuti kuri kukanganisa mabasa ako ezuva nezuva? Kana zvakadaro, zvakakosha kuti uzive nezvechirwere ichi chinonzi `Mild Cognitive Impairment` (MCI), chatiri kuzotaura nezvacho nhasi.

Chii chinonzi `Mild Cognitive Impairment` (MCI)?

Zvichitaurwa zviri nyore, `Mild Cognitive Impairment` (MCI) chirwere apo une kudzikira kweruzivo rwepfungwa, kana kuti kutadza kunzwisisa zvishoma , zvichienzaniswa nevamwe vezera rako. Asi izvi zvinongoonekwa chete . Mano aya ekuziva ndeaya:

• Ndangariro: Kukwanisa kurangarira zvinhu.
• Kufunga uye Kutonga: Kugona kuona chimwe chinhu kubva pamaonero akasiyana, kusarudza pakati pechakanaka nechakaipa, uye kuita sarudzo.
• Kuronga nekuita mabasa akaoma: Kugona kuronga basa zvakarongeka uye kuriita zvakanaka.

Unogona kuona shanduko iyi iwe pachako, kana kuti nhengo yemhuri kana shamwari inogona kuiona. Chinhu chakakosha ndechekuti shanduko idzi hadzina kunyanya kuoma zvekuti haugone kuita mabasa ako ezuva nezuva . Kureva kuti, unogona kuramba uchiita zvinhu zvakaita sekugeza, kudya, uye kuzvipfekedza.

Ndeupi musiyano uripo pakati pekuchinja kwendangariro kunokonzerwa nezera neMCI?

Zvingori muropa kuti tose tiite shanduko diki mukushanda kwepfungwa dzedu sezvatinokura. Funga nezvezvinhu zvakaita sekutora nguva yakati rebei kudzidza chimwe chinhu chitsva, kana kuti kuita zvinhu zvishoma nezvishoma.

Zvisinei, shanduko diki idzi dzinoitika paunokura hadzikanganisi mashandiro ako ese kana kugona kwako kuita mabasa ezuva nezuva . Kukwegura kwakajairika hakukanganisi zvakanyanya zvinhu zvakaita sekuzivikanwa, njere, kana ndangariro yenguva refu.

Zvisinei, kana wava nemakore anopfuura makumi matanhatu nemashanu, dzimwe nguva ungakanganwa mazita, mazwi, kana nzvimbo. Zvisinei, kana uri munhu ane MCI, ungatanga kukanganwa hurukuro dzawakaita nevamwe nezvinhu zvawaiwanzoyeuka (semuenzaniso, nguva yawakaronga kusangana nachiremba kana zuva rekuzvarwa remumwe wemhuri). MCI inogonawo kukanganisa mabasa ako ezuva nezuva kusvika pamwero wakati.

Chii chiri musiyano uripo pakati pe `Dementia` ne `MCI`?

Ose ari maviri `Dementia` ne`MCI` mazwi anotsanangura. Anoreva kuti pfungwa dzemunhu dzakachinja zvakadii uye kuti dzinokanganisa sei mabasa ezuva nezuva .

Musiyano mukuru ndewekuti muMCI, shanduko muhunyanzvi hwepfungwa hadzikanganisi zvakanyanya hupenyu hwezuva nezuva.Asi mu 'Dementia', kugona kwepfungwa kunokanganiswa zvekuti havakwanise kuita mabasa ezuva nezuva . Chimwe chinhu ndechekuti vanhu vane 'MCI' havasangane nekuchinja kukuru kwehunhu sekwevaya vane 'Dementia'.

Dementia kudzikira kunoramba kuchiitika kwekushanda kwepfungwa uko kwakanyanya kukanganisa hupenyu hwezuva nezuva. Munhu ane dementia anogona kuva nezviratidzo zviviri kana kupfuura zvinotevera:

• Kurasikirwa nendangariro
• Kudzikira kwehunyanzvi hwekufunga
• Matambudziko emutauro (kuoma kutaura, kunzwisisa)
• Kuoma kubatanidza nhengo dzemuviri
• Kuchinja kwemanzwiro
• Kuchinja kwemaitiro

Panogona kuva nezvikonzero zvakasiyana-siyana zve `MCI` kana `Dementia`.

Ko `MCI` inogara ichichinja kuita `Dementia` here?

Uyu mubvunzo unobvunzwa nevanhu vazhinji. Vamwe vanhu vane MCI vanogona kuzopedzisira vava nechirwere chepfungwa. Zvisinei, havasi vese vanozviita . Mune mamwe mamiriro ezvinhu anoora, MCI inogona kunge iri chiratidzo chekutanga chechirwere. Mamiriro ezvinhu anoora uropi zvirwere zvinokanganisa uropi uye zvinoramba zvichiwedzera nekufamba kwenguva. Mienzaniso inosanganisira chirwere cheAlzheimer nechirwere cheParkinson.

Zvisinei, vamwe vanhu vane MCI vanodzokera padanho rakajairika zvichienderana nezera ravo, kana kuti mamiriro avo anoramba akasimba, zvichireva kuti haanyanyi kuipa.

MCI yakajairika zvakadii?

Sekureva kweAmerican Academy of Neurology, chirwere ichi, chinonzi ``Mild Cognitive Impairment`` (MCI), chinoonekwa mumazera akasiyana seizvi:

• Vanhu vanosvika 8% vari pakati pemakore 65 ne69.
• Vanhu vanosvika 15% vari pakati pemakore 75 ne79.
• Vanhu vanosvika 25% vari pakati pemakore makumi masere nemana.
• Vanhu vanosvika 37% vane makore 85 zvichikwira.

Nhamba idzi dzinoratidza kuti mukana wekuti chirwere ichi chiwedzere nekukura.

Ndezvipi zviratidzo zve `MCI`?

Hunhu hukuru hwe `Mild Cognitive Impairment` (MCI) kudzikira kwehunyanzvi hwepfungwa. Mimwe mienzaniso yeizvi ndeiyi:

• Kurasikirwa nendangariro: Unogona kukanganwa zviitiko zvichangobva kuitika. Unogona kudzokorora mibvunzo yakafanana nenyaya kakawanda. Dzimwe nguva unogona kukanganwa mazita eshamwari nemhuri, nguva dzekuonana nachiremba, uye zvirongwa. Unogona kukanganwawo kuti zvinhu zviri kupi kakawanda.
• Matambudziko emutauro: Ungave uchinetseka kuwana mazwi chaiwo aunoda. Ungave uchinetsekawo kunzwisisa zvakanyorwa kana zviri kutaurwa nemumwe munhu sezvawaiita kare.
• Kuchenjerera:Pfungwa dzako dzinogona kuchinja nekukurumidza, uye unogona kukanganiswa zviri nyore kupfuura kare.
• Kufunga nekufunga: Kugadzirisa dambudziko nekuita sarudzo kunogona kuoma.
• Kuronga kwakaoma: Kuronga uye kuita mabasa akaomarara, akadai sekubhadhara mabhiri, kutora mishonga nenguva, kuenda kuchitoro, kurima bindu, kuita mabasa epamba, uye kutyaira mota, zvinogona kuoma kupfuura kare.

Pamusoro pezvo, matambudziko ekufamba nematambudziko ekunhuhwidza akaonekwawo seane chekuita neMCI.

Ndezvipi zvikonzero zve `MCI`?

Kukanganisika Kwepfungwa Kushoma (MCI) kunogona kuva nezvikonzero zvakawanda. Zvimwe zvikonzero zvinogona kurapwa, asi zvimwe hazvigone kurapwa.

Heano zvimwe zvikonzero zvinogona kunge zvakadaro:

• Kuora mwoyo, kushushikana kusingaperi, uye kuzvidya mwoyo.
• Matambudziko ethyroid, itsvo, kana chiropa.
• Kumbomira kufema nehope nezvimwe zvirwere zvinokonzerwa nekurara.
• Mamiriro ezvinhu anokanganisa kuyerera kweropa kuenda kuuropi: Semuenzaniso, bundu remuuropi, kuvharika kweropa, sitiroko, kana kukuvara kweuropi kunorwadza.
• Kushaikwa kweVitamin B12 kana zvimwe zvinovaka muviri.
• Utachiona: Semuenzaniso, hutachiona hwemunzira yeweti (UTI).
• Migumisiro yemimwe mishonga: Semuenzaniso, mishonga yakaita se calcium channel blockers, anticholinergic drugs, uye benzodiazepines.
• Dambudziko rekushandisa zvinodhaka uye dambudziko rekushandisa doro.

MCI inowanzova chiratidzo chekutanga chechirwere chinoparadza tsinga. Izvi zvinoreva kuti MCI inogona kuva kutanga kwezvirwere zvakaita se:

• Chirwere cheAlzheimer
• Chirwere cheParkinson
• `Lewy body dementia`
• Kushaya simba kwetsinga dzeropa
• Kushaya pfungwa kwenguva refu kwepamberi

Ndezvipi zvinhu zvinokonzera njodzi yekuva ne `MCI`?

Zvinhu zvikuru zvinokonzera njodzi yekusagadzikana kwepfungwa (MCI) zvakafanana nezvinokonzeresa dementia. Izvi ndeizvi:

• Kuva nemakore 65 zvichikwira.
• Kana mumwe munhu mumhuri aine dementia (genetic influence).
• Kuva nemamiriro ezvinhu anowedzera njodzi yezvirwere zvemwoyo: semuenzaniso, BP yakakwira, cholesterol yakakwira, chirwere cheshuga, uye kufuta.

Ungaziva sei kana uine `MCI`?

Dzimwe nguva zvinogona kuoma kuona chirwere chepfungwa chisinganzwisisike (MCI) nemazvo, sezvo chichigona kuva chiratidzo chekutanga chezvirwere zvakawanda. Pamusoro pezvo, zvimwe zvezviratidzo zveMCI zvakajairika kune zvimwe zvirwere zvakawanda.

Chiremba wako achaita zvinhu izvi:

• Ndiri kubvunza nezvezviratidzo zvako .
• Bvunza nezvenhoroondo yako yezvekurapa (zvirwere zvawakamborwara nazvo, mishonga yawakatora).
• Tarisa mishonga yauri kutora parizvino .
• Bvunza kana paine munhu mumhuri yako ane matambudziko makuru ekurangarira kana kuti dementia .
• Kuongororwa kwemuviri uye kuongororwa kwemamiriro epfungwa kuchaitwa.
• Bvunza nhengo yemhuri kana shamwari yaunovimba nayo nezvekuchinja kuri kuita mashandiro epfungwa dzako .

Uye zvakare, zvinokwanisika kuita bvunzo dzakadai se:

• Kuongororwa kwemurabhoritari: Chiremba wako anogona kukuitira bvunzo dzeropa kana weti kuti aone kana paine hutachiona kana kuzvimba. Vanogonawo kutarisa huwandu hwemahormone ethyroid uye kushomeka kwevhitamini B12. Dzimwe nguva, vanogonawo kuita bvunzo ye cerebrospinal fluid (spinal tap) kuti vaone kana paine zvirwere zve autoimmune uye zvirwere zve neurodegenerative.
• Miedzo yekufungidzira: Miedzo yakaita se computed tomography (CT) scans uye magnetic resonance imaging (MRI) scans inoshandiswa kutarisa kukuvara kweuropi, senge sitiroko, kubuda ropa, bundu, kana kuungana kwemvura muuropi.
• Miedzo yepfungwa: Iyi iongororo dzakatevedzana dzekutaura nekunyora dzinoyera njere dzako, mashandisirwo emutauro, ndangariro, uye kugona kwako kudzidza.

Vanachiremba vetsinga dzeuropi nevezera vanogona kubatsira kuongorora chirwere cheMild Cognitive Impairment (MCI).

Ndezvipi zvinorapwa zve `MCI`?

Kurapwa kweMCI kunoenderana nechikonzero chiripo (kana chikonzero chacho chichiwanikwa). Zvisinei, mamwe matambudziko eMCI anokonzerwa nezvirwere zvinokanganisa mashandiro etsinga haagone kuchinjwa. Zvisinei, kana shanduko dzepfungwa dzako dzikakonzerwa nehutachiona, matambudziko ekurara, kuchinja-chinja kwemafungiro, kana migumisiro yemishonga, chiremba wako achagadzira hurongwa hwekurapa hwakagadzirirwa zvaunoda.

Sangano reU.S. Food and Drug Administration (FDA) harisati rabvumidza chero mishonga yekurapa zvakananga Mild Cognitive Impairment (MCI). Zvisinei, nzira dzisiri dzemishongaKune zvirongwa zvekurapa zvinogona kushandiswa kuvandudza mashandiro epfungwa ('cognition'). Izvi zvinosiyana zvichienderana nechikonzero che'MCI'. Vaongorori vanotarisira kuti mishonga inoshandiswa pa'Alzheimer's disease' ichabatsirawo 'MCI'. Pari zvino vari kudzidza izvi.

Vatsvagurudzi vari kuramba vachidzidza nzira dzekurapa MCI. Ungangokwanisa kupinda muchirongwa chekiriniki. Taura nachiremba wako nezvesarudzo dzako.

Kugadzirwa kwe 'MCI' kunogona kudzivirirwa here?

Hazvisi zvese zviitiko zveMCI zvinogona kudzivirirwa. Zvisinei, pane zvinhu zvaunogona kuita kuti uropi hwako hurambe hwakanaka uye kuderedza njodzi yako yekubatwa neMCI . Izvi zvinosanganisira:

• Kudzivisa kana kurega kusvuta.
• Kudzivisa kushandisa doro kana kurishandisa zvine mwero.
• Kudya chikafu chine hutano uye chakaringana.
• Kurovedza muviri nguva dzose.
• Kuchengetedza BP yakanaka, cholesterol, uye shuga muropa.
• Kuderedza uye kugadzirisa kushushikana.
• Kurara zvakanaka.
• Kurovedza pfungwa: Zvinhu zvakaita sekupedza mapuzzle, kuverenga mabhuku, uye kudzidza zvinhu zvitsva.
• Kuita mabasa ekushamwaridzana nevamwe.
• Kugara uchiona chiremba wako kuti akubatsire kugadzirisa matambudziko ako enguva refu.

Yeuka, kunyange zvazvo kuita zvinhu izvi kungasadzivise kukura kweMCI zvizere, zvinogona kubatsira zvikuru kuderedza njodzi yacho.

Ramangwana remunhu ane `MCI` rakaita sei? (Outlook)

Mafungiro emunhu ane chirwere chepfungwa chishoma (MCI) anosiyana zvichienderana nechikonzero chacho nezvimwe zvinhu zvakawanda. Vaongorori vachiri kudzidza zvakawanda nezvechirwere ichi.

Ongororo dzakaratidza kuti vanhu vanosvika 15% vane makore anopfuura 65 vane MCI vanotanga kuora mwoyo mukati memakore maviri mushure mekuonekwa vaine MCI . Uyewo, pakati pe14% ne38% yevanhu vane MCI vanodzoka pakushanda kwepfungwa dzavo kwakajairika .

Kuwanda kwechirwere ichi kunowanzoenderana nechikonzero chacho. Vaongorori vanoramba vachidzidza nezvekuchinja kwepfungwa nekwezvekurapa kwevanhu vane chirwere ichi. Vanotarisira kuti rimwe zuva vachakwanisa kufanotaura zviri nani kuti ndiani ari panjodzi huru yekurwara nemarudzi akasiyana echirwere ichi, uye kuti chichakurumidza sei kukura.

Kana ndine `MCI`, ndinozvitarisira sei?

Kana wakamboonekwa uine MCI, zvakanaka kutaura nezveramangwana rako nachiremba wako uye chero munhu waunovimba naye.Kukurukurirana uku kwakakosha zvikuru kana chiremba wako achifunga kuti MCI yako idanho rekutanga rechirwere chetsinga chakadai seAlzheimer's. Kukurukurirana uku kuchabatsira vanochengeta varwere kuita zvaunoda kana usingakwanise kuzvisarudzira mune ramangwana.

Pamusoro pehurukuro iyoyo, zvakanakawo kuti zvido zvako nezvisarudzo zvako zvinyorwe pasi . Izvi zvinoreva kugadzira magwaro epamutemo anotsanangura zvaunoda kuti zviitike kana usingakwanise kuzvitarisira kana kuita sarudzo nezvekutarisira kwako kana kugara zvakanaka.

Ndinofanira kuona chiremba rini?

Nekuti MCI inogona kuva chiratidzo chekutanga chechirwere chetsinga chakakomba, zvakakosha kuona chiremba kana nyanzvi mwedzi mitanhatu kusvika gumi nemiviri yega yega . Izvi zvinogona kusiyana zvichienderana nehurongwa hwekurapa kwako. Chiremba wako anogona kutarisa shanduko mundangariro dzako nehunyanzvi hwako hwekufunga nekufamba kwenguva uye anogona kukupa mazano ekuchinja kuhutano hwako. Kana ukaona chero shanduko, zvinogonawo kubatsira kuchengeta bhuku rako rehupenyu.

Kana ukaona zviratidzo zvitsva , taura nachiremba wako.

Mibvunzo ipi yandinofanira kubvunza chiremba nezveMCI?

Kana wakamboonekwa uine Mild Cognitive Impairment (MCI), zvingabatsira kubvunza chiremba wako mibvunzo iyi:

• Chii chakakonzera kuti ndive ne `MCI`?
• Ndedzipi sarudzo dzekutarisira dzandinadzo? (Ndizvo kuti, zvinhu zvandinogona kuita kudzora mamiriro ezvinhu aya)
• Ndinofanira kuona nyanzvi here?
• Ndezvipi zviratidzo zvandinofanira kutarisa kuti ndizive kana MCI yangu iri kuipa?
• Ndichazorwara nepfungwa here?
• Ndichiri kukwanisa kutyaira mota here?
• Ndinofanira kurega kuita zvimwe zvinhu here?
• Ndingaitei kuti pfungwa dzangu dzirambe dzakagwinya?
• Ndinofanira kuudza vamwe nezvechirwere changu here?
• Pane mapoka ekutsigirana munharaunda ayo vanhu vane MCI vanogona kutora chikamu maari here?

Pakupedzisira, meseji yekudzokera nayo kumba

Kuziva kuti une Mild Cognitive Impairment (MCI) kunogona kukuomera. Ungave nemibvunzo yakawanda uye zvinokunetsa nezveramangwana. Asi yeuka, MCI inobata munhu wese zvakasiyana. Chiremba wako achagadzira hurongwa hwakanangana nemamiriro ako ezvinhu uye hwakagadzirirwa iwe. Varipo kuti vapindure mibvunzo yako uye vakutsigire.

Chinhu chinonyanya kukosha ndechekuona chiremba nekukurumidza kana ukaona shanduko, pane kungodzifuratira. Kuonekwa nekukurumidza uye kutarisirwa zvakanaka kunogona kubatsira zvikuru mukuchengetedza hupenyu hwako. Hausi wega, uye usatya kutaura nezvazvo uye kukumbira rubatsiro.

'Kukanganisika kwendangariro, kutadza kunzwisisa zvishoma, MCI, hutano hwepfungwa, kukwegura, dementia, Alzheimer's