Amai vako, baba, ambuya, kana tete vari kumba vari kukanganwa zvinhu zvakanyanya here? Unobva wangokanganwa chimwe chinhu chawaitaura nezvacho here? Pamwe iwe pachako unoona zvichikuomera kurangarira zviitiko zvichangobva kuitika? Ungangove uchishamisikawo kana ichi chiri chinhu chakajairika chekukwegura, kana kuti chirwere chatinofanira kutya. Saka nhasi, ngatitaurei nezvechirwere cheAlzheimer, chinova kurasikirwa nendangariro kunoramba kuchiitika kunonetsa vanhu vazhinji.
Ndingaziva sei kuti ndine chirwere cheAlzheimer?
Kana uine fungidziro diki yekuti iwe kana mumwe munhu mumhuri yako ari kuona zviratidzo zvechirwere cheAlzheimer, chinhu chakanakisa chekuita ndechekuona chiremba nekukurumidza. Nekuti zviratidzo zvakaita sekukanganwa hazvingori zvechirwere cheAlzheimer chete. Zviratidzo izvi zvinogona kuitika nekuda kwezvimwe zvirwere nezvikonzero.
Funga nezvezvikonzero zvinotevera nei ungave uine matambudziko ekurangarira:
- Utachiona mumuviri: Humwe utachiona hwemabhakitiriya kana hwemavhairasi, kunyanya hutachiona hwemunzira yeweti, hunogona kukonzera kuvhiringidzika kwepfungwa nematambudziko ekurangarira muvanhu vakuru.
- Migumisiro yemishonga: Kana ukashandisa mishonga yakawanda isingapindirane panguva imwe chete, inogona kusangana yokonzera zviratidzo zvakaita seizvi.
- Kurohwa kudiki: Kuvharika kwetsinga dzeropa diki dzinoendesa ropa kuuropi kunogona kukanganisawo ndangariro.
- Kuora Mwoyo: Kuora mwoyo kunogona kukonzera kuti pfungwa dzemunhu nendangariro zvishaye simba.
- Shuga shoma muropa: Kana huwandu hweshuga muropa hukadzikira kamwe kamwe muvanhu vane chirwere cheshuga kana vamwe, zvinogona kukonzera matambudziko ekurangarira kwenguva pfupi uye kuvhiringidzika.
- Matambudziko ethyroid: Kuchinja kwemazinga emahormone ethyroid kunogona kukanganisa mashandiro emuviri nendangariro.
- Zvimwe zvirwere zvetsinga zvakaita semabundu emuuropi kana chirwere cheParkinson .
Saka, usatya kutaura kuti, "Ndine chirwere cheAlzheimer" kana uchangonzwa sekunge ndangariro dzako dziri kukundikana. Chinhu chakakosha kutanga waona chiremba wobva waziva kuti chii chinokonzera chirwere ichi.
Chiremba achatanga aongorora hutano hwako hwemuviri. Zvadaro, achakubvunza mibvunzo mishoma kuti aongorore hutano hwepfungwa dzako, kusanganisira kurangarira kwako, kutaura, hunyanzvi hwekugadzirisa matambudziko, hunyanzvi hwekufunga, uye manzwiro. Vachabvunzawo mhuri yako nezvekuchinja kupi zvako muhunhu hwako.
Ndezvipi zviedzo zvinoitwa kuti zvisimbiswe kuti chirwere chacho ndechechokwadi?
Mushure mekuongororwa nguva dzose, vanachiremba vanoraira kuongororwa kweuropi kuti vaone kana chirwere ichi chiri cheAlzheimer's kana kuti zviratidzo izvi zvinokonzerwa nechimwe chikonzero.
| Zita rebvunzo | Zvichitaurwa zviri nyore... |
|---|---|
| Kuskena kweMRI (Magnetic Resonance Imaging) | Izvi zvakafanana nekutora mufananidzo wehuropi wakakura. Zvinoshandisa magineti ane simba nemasaisai eredhiyo kuti zvionekwe zvakajeka maumbirwo ehuropi. Izvi zvinogona kubatsira kuona kana zviratidzo zvako zvichikonzerwa nechimwe chinhu, senge bundu reuropi kana sitiroko. |
| Kuongororwa kwePET (Positron Emission Tomography) | Iyi iongororo yakakosha. Iyi ongororo inogona kuona zvakananga kuvapo kwemaplaque, puroteni inokuvadza inonzi beta-amyloid, inoungana muuropi hwevarwere vane Alzheimer's. Zvisinei, iyi ongororo inodhura zvishoma. |
| Kuongororwa kweRopa | Iye zvino, nekufambira mberi kwetekinoroji, bvunzo itsva dzeropa dzakabuda. Izvi zvinogona kutarisa huwandu hwemamwe mapuroteni (semuenzaniso beta-amyloid, APOE) muropa uye zvinopa pfungwa yemukana wekukura kwezvicherwa zvinokuvadza muuropi. |
Ndeipi mishonga yekurapa chirwere cheAlzheimer?
Chekutanga, zvakakosha kuziva kuti hapana mushonga wechirwere cheAlzheimer. Zvisinei, izvi hazvirevi kuti kurapwa hakushande. Kune mishonga yakawanda inoshanda uye nzira dzekurapa dziripo nhasi dzinogona kubatsira kuderedza kufambira mberi kwechirwere, kudzora zviratidzo, uye kuvandudza hupenyu hwemurwere.
Mamwe emhando huru dzemishonga inoshandiswa akanyorwa mutafura iri pazasi:
| Rudzi rwemishonga / zita | Kushanda uye nyaya yekushandisa |
|---|---|
| Lecanemab, Donanemab | Iyi mishonga mitsva ye monoclonal antibody. Inonyanya kushandiswa pakurwisa mapuroteni e beta-amyloid anoiswa zvakananga muuropi. Yakakodzera vanhu vari muchikamu chekutanga chechirwere. Inogona kukonzera migumisiro yakaipa yakadai sekuzvimba kweuropi kana kubuda ropa zvishoma. |
| Donepezil, Rivastigmine, Galantamine | Mishonga iyi inowedzera huwandu hwekemikari inonzi acetylcholine, iyo inobatsira masero etsinga muuropi kutaurirana. Inobatsira kudzora mwero wezviratidzo zvinowedzera pakutanga uye pakati pechirwere. |
| Memantine | Masero europi akakuvadzwa nechirwere cheAlzheimer anogadzira huwandu hwakawanda hwekemikari inonzi glutamate. Mushonga uyu unoshanda nekudzivirira kukuvara kunokonzerwa ne glutamate yakawanda kumasero etsinga. Izvi zvinobatsira kudzora kufambira mberi nekukurumidza kwezviratidzo muzvikamu zviri pakati nepakati kusvika zvakanyanya zvechirwere . |
| Memantine-Donepezil (musanganiswa) | Uyu musanganiswa wemishonga miviri yataurwa pamusoro apa. Inoshandiswa pakurapa chirwere cheAlzheimer chiri pakati nepakati kusvika chakakomba . |
Kurapa kunodzora zvimwe zviratidzo zvinoperekedza chirwere
Chirwere cheAlzheimer hachisi chekungokanganwa chete. Sezvo chirwere ichi chichienderera mberi, chinogonawo kukonzera shanduko muhunhu nepfungwa. Vanachiremba vanopa mishonga yakasiyana-siyana yekubatsira kudzora zviratidzo izvi.
- Kufungira, kuvhiringidzika, uye hunhu hwehasha: Vamwe varwere vanogona kutanga kutya uye kuona zvinhu zvisipo. Mishonga yekurwisa pfungwa yakaita sehaloperidol nerisperidone inoshandiswa kudzora zviratidzo izvi.
- Kuora mwoyo nekuzvidya mwoyo:Kushungurudzika kwepfungwa kunowanzoitika pachirwere ichi. Mishonga yakaita seFluoxetine neSertraline inoshandiswa kuchirapa.
- Kushaya hope: Kusakwanisa kurara husiku idambudziko rinowanzoitika. Panyaya iyi, chiremba achakupa piritsi rekurara rakakodzera.
- Kusagadzikana uye Kusagadzikana: Varwere vanogara vasina zororo uye vachinetseka vanopiwa mishonga yekuderedza kuzvidya mwoyo yakaita seLorazepam.
Zvakakosha: Usamboshandisa chero mishonga yataurwa pano usina kunyorerwa nachiremba uye kutarisirwa. Zvakakosha kutora mishonga iyi yese muchiyero chakakodzera uye panguva chaiyo. Kana ikashandiswa zvisizvo, inogona kukonzera migumisiro yakaipa.
Mharidzo Yekuenda Nayo Kumba
- Kana iwe kana mumwe munhu waunoda ari kuona zviratidzo zvekusayeuka, usazvitore sechiitiko chenguva dzose chekukwegura. Iva nechokwadi chekuona chiremba kuti akupe mazano.
- Zviratidzo zvakafanana neAlzheimer zvinogona kukonzerwa nezvimwe zvirwere zvakawanda zvinorapika nyore nyore, saka zvakakosha kuti uwane chirwere chakarurama.
- Kunyange hazvo chirwere cheAlzheimer chisingagoni kurapwa zvachose, kune nzira dzakawanda dzekurapa dzinoshanda dziripo nhasi dzinodzora kufambira mberi kwechirwere, kuderedza zviratidzo, uye kuita kuti hupenyu huve nyore.
- Usatange, usachinje mushonga, kana kurega kutora chero mushonga usina kubvunza chiremba. Chenjerera zvakanyanya nemishonga yezviratidzo zvepfungwa.
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