Ingabe ngezinye izikhathi uyakhohlwa izinto? Ingabe ukhohlwa ngokuzumayo ukuthi ungenza kanjani iresiphi ejwayelekile? Noma ukhohlwa ukukhokha izikweletu zakho zanyanga zonke? Ingabe ushintsha imizila ngenkathi ushayela emgwaqweni ojwayelekile? Uma lezi zinto zenzeka kuwe noma kothandekayo wakho, kungaba uphawu lokuqala lwesifo i -Alzheimer 's . Kodwa ungakhathazeki. Akusikho konke ukukhohlwa okuyi-Alzheimer's. Ake sixoxe ngalokhu ngokuningiliziwe.
Ingabe lesi yisifo i-Alzheimer's ngempela? Noma ingabe kumane nje kuwukukhohlwa okuvamile?
Into yokuqala okufanele uyiqonde ukuthi isifo i-Alzheimer's asiyona nje ingxenye evamile yokuguga . Yisifo esithinta ubuchopho. Ngezinye izikhathi ukukhohlwa ukuthi upake kuphi imoto yakho noma ngokungazelelwe ukungakhumbuli igama lomngane kuyinto evamile. Kodwa kulesi sifo i-Alzheimer's, lokhu kukhohlwa kubi kakhulu.
Cabanga nje, uma ukhuluma nomuntu okhuluma naye nsuku zonke, uphinda into efanayo ngokuphindaphindiwe. Noma ukhohlwa igama elilula kakhulu bese usebenzisa igama elingalungile esikhundleni salokho. Ngokungazelelwe uba nenkinga yokukhumbula ukuthi isikhathi sini noma ukuthi ukuphi. Lezi yizimpawu ezivamile zesifo se-Alzheimer's sokuqala.
Kodwa khumbula, lezi zimpawu zingabangelwa nezinye izifo. Isibonelo:
- Ukucindezeleka
- Ukuntuleka kwamavithamini (ikakhulukazi i-vitamin B12 )
- Izinkinga ze-thyroid
- Eminye yemithi oyithathayo ayihambisani.
- Ukuphefumula komoya ngesikhathi sokulala
Ngakho-ke, uma wena noma othile omaziyo enezinkinga zokukhumbula ezinjengalezi, kungcono ukubona udokotela ofanelekayo bese uhlolwa ngaphandle kokushesha ufinyelele esiphethweni ngokwakho.
Kungani udinga ukubona udokotela ngokushesha?
Kunzima ukwazi ukuthi unalesi simo, kodwa kunenzuzo enkulu ekutholakaleni kusenesikhathi.
1. Kukunika isikhathi sokuhlela ikusasa: Ukwazi ngalesi sifo kusenesikhathi kukuvumela ukuthi uxoxe futhi uhlele namalungu omndeni ngokunakekelwa kwesikhathi esizayo, izindaba zomthetho, kanye nezindaba zezimali.
2. Ukwelashwa kungaqala kusenesikhathi: Nakuba isifo i-Alzheimer singelapheki ngokuphelele, kunemithi engasiza ekulawuleni izimpawu. Le mithi ingase isebenze kangcono uma iqalwa kusenesikhathi kulesi sifo.
3. Ungajoyina amaqembu okusekela:Leli yithuba elihle lokwabelana ngolwazi nokuthola induduzo kwabanye ababhekene nalesi simo njengawe.
4. Ungahlanganyela ezivivinyweni zemitholampilo: Ungase futhi ube nethuba lokuhlanganyela ocwaningweni oluhlola izindlela zokwelapha ezintsha.
Ukuze wenze konke lokhu, udinga kuqala ukuxilonga lesi sifo ngendlela efanele. Yingakho udinga usizo lukadokotela.
Udokotela usithola kanjani lesi sifo?
Akukho ukuhlolwa okukodwa okungakutshela ukuthi unesifo i-Alzheimer's. Yingakho udokotela wakho ezosebenzisa izindlela eziningana ukuze athole ukuxilongwa okunembile. Umgomo oyinhloko ukubona ukuthi unama -beta-amyloid plaques, i-protein deposit eqondene nesifo i-Alzheimer's. Ukuxilongwa kwakho kungafaka phakathi okukodwa noma ngaphezulu kwalokhu kuhlolwa.
- Ukubuza ngomlando wakho wezokwelapha
- Ukuhlolwa kwesimo sengqondo
- Ukuhlolwa komzimba
- Ukuhlolwa kwe-neurological
- Ukuhlolwa kwegazi
- Ukuhlolwa kobuchopho kanye noketshezi lomgogodla (uketshezi lwe-cerebrospinal - CSF)
- Ukuthwebula izithombe zobuchopho
Izinto okufanele uzibuze ngomlando wakho wezokwelapha
Udokotela uzokubuza wena kanye nelungu lomndeni wakho le mibuzo elandelayo:
- Ziyini izimpawu? (isib., ukukhohlwa, ukukhuluma okungacacile)
- Zaqala nini lezi?
- Lokhu kuthinta kanjani umsebenzi wansuku zonke?
- Ingabe ukhona emndenini onalezi zifo?
- Yimiphi imithi oyiphuzayo njengamanje?
- Yiziphi ezinye izifo onazo?
- Sinjani isimo sakho sengqondo? (Ukuze ufunde ngezimo ezifana nokucindezeleka)
Kubaluleke kakhulu ukuphendula le mibuzo ngokunembe nangokuthembekile ngangokunokwenzeka.
Yini ehlolwayo ngesikhathi sokuhlolwa ngokomzimba?
Lapha, udokotela uzohlola impilo yakho iyonke.
- Ukuhlola umfutho wegazi, izinga lokushisa, kanye nokushaya kwenhliziyo
- Ukulalela inhliziyo namaphaphu
- Ukuthatha amasampula egazi noma omchamo ukuhlola ezinye izimo zezokwelapha
Lezi zivivinyo zingasusa ezinye izimo (isib. ukuntuleka kwamavithamini, izinkinga ze-thyroid) ezibangela izimpawu ezifana neze-Alzheimer's.
Ukuhlolwa Kwezinzwa
Lokhu kuhlolwa kubheka ukusebenza kobuchopho bakho kanye nohlelo lwakho lwezinzwa. Kungasiza ekunqumeni ukuthi inkumbulo yakho ithintwa yini ezinye izimo, njengesifo sohlangothi, isifo sikaParkinson, noma isimila sobuchopho, ngaphandle kwesifo sika-Alzheimer. Kuhlola:
- Ukuzindla
- Ibhalansi yomzimba kanye nokuxhumana
- Amandla emisipha kanye nethoni
- Inkulumo
- Ukunyakaza kwamehlo
Ukuhlolwa Kokuqonda Nokuziphatha
Lezi ziyingxenye ebaluleke kakhulu yokuxilonga. Lezi zivivinyo zilinganisa amakhono ahlukene obuchopho bakho.
- Inkumbulo
- Amakhono okuxazulula izinkinga
- Isikhathi sokunaka
- Amakhono okubala
- Amakhono okuhlela
Udokotela wakho angase akucele ukuthi ubambe ngekhanda uhlu lwamagama, wenze izibalo ezilula, noma ulandele uchungechunge lwemiyalelo. Lokhu kungafaka phakathi ukusebenzisa imibuzo ejwayelekile efana ne-Mini-Mental State Exam (MMSE) noma i-Montreal Cognitive Assessment (MoCA).
Ukuthwebula Izithombe Zobuchopho
Lezi ziskeni ziyasiza ekubhekeni ngaphakathi kobuchopho. Zisetshenziswa kakhulu ukuhlola ezinye izimbangela ngaphandle kwe-Alzheimer's (njengesimila sobuchopho noma izimpawu zesifo sohlangothi). Kodwa-ke, ezinye iziskeni zingabonisa nezinguquko ezihlobene nesifo se-Alzheimer's.
| Uhlobo lokuskena | Kalula nje, |
|---|---|
| I-CT Scan (i-Computed Tomography) | Ukuthatha izithombe zobuchopho ezihlukaniswe ngezigaba kusetshenziswa ubuchwepheshe be-X-ray. Lokhu kusiza ukubona ukuthi izingxenye ezithile zobuchopho ziye zancipha yini ezigabeni zakamuva zesifo. |
| Ukuskena kwe-MRI (Umfanekiso Wokuqabulana Kwamagnetic) | Ukusebenzisa insimu enamandla yamagnetic ukuthatha izithombe ezicacile nezinemininingwane zobuchopho, okulungele ukubona izinguquko zobuchopho ezihlobene nesifo i-Alzheimer's. |
| Ukuskena kwe-PET (i-Positron Emission Tomography) | Lolu vivinyo oluthuthuke kakhulu. Lungabona ngqo ama-protein deposits abizwa ngokuthi i-amyloid kanye ne-tau ebuchosheni. Kodwa-ke, luyabiza futhi luvame ukusetshenziswa kakhulu ngezinjongo zocwaningo. |
Ezinye izivivinyo ezikhethekile kanye nezivivinyo zasekhaya
Kulezi zinsuku, ukuhlolwa kwegazi kungasetshenziswa ukuhlola izinga leprotheyini ye-amyloid ukuze kutholakale umbono wesifo sika-Alzheimer. Futhi, ukubhoboza kwe-lumbar , okuwukuhlolwa okuthatha amanzi emgogodleni , kungahlola izinga lamaprotheni e-amyloid kanye ne-tau oketshezini oluzungeze ubuchopho (uketshezi lwe-cerebrospinal - CSF). Lokhu kungasiza ekutholeni lesi sifo kusenesikhathi.
Ingabe ukuhlolwa kwasekhaya kuyasebenza ngempela?
Kunezinhlobo ezahlukene zokuhlolwa eziku-inthanethi ezithi "zihlola i-Alzheimer's ekhaya." Isibonelo yi-SAGE (Self-Administered Gerocognitive Exam). Ikucela ukuthi wenze izinto ezilula njengokubhala amagama ezilwane ezingu-12 bese udweba ubuso bewashi.
Kodwa kukhona isixwayiso esikhulu lapha. Lokhu kuhlolwa akulona iqiniso eliphelele. Ngezinye izikhathi kunganikeza imiphumela engamanga, kuthi “cha” kumuntu onesifo kanye nokuthi “yebo” kumuntu ongenaso.
Ukuhlolwa kwasekhaya okufana nalokhu kungaba yindlela enhle yokuqinisekisa izinsolo zakho noma ukuqala ukukhuluma nodokotela wakho. Kodwa-ke, ukuhlolwa kwasekhaya kukodwa akukwazi ukunquma njalo ukuthi unesifo i-Alzheimer's. Kufanele nakanjani ubone udokotela ukuze uthole ukuxilongwa okunembile nokwelashwa.
Umlayezo Wokuya Nawe Ekhaya
- Akusikho konke ukukhohlwa okuyisifo i-Alzheimer's, kodwa uma unezinkinga zokukhumbula ezithinta impilo yakho yansuku zonke, ungazinaki.
- Uma wena noma othile emndenini wakho enalezi zimpawu, ungesabi ukubona udokotela ofanelekayo.
- Ukutholwa kwalesi sifo kusenesikhathi kuvumela ukuhlela ikusasa kanye nokuqala ukwelashwa kusenesikhathi okulawula izimpawu.
- Isifo i-Alzheimer's asitholakali ngokuhlolwa okukodwa, kodwa sitholakala ngokuhlanganiswa kwezindlela, okuhlanganisa umlando wezokwelapha, ukuhlolwa ngokomzimba, ukuhlolwa kwenkumbulo, kanye nokuskena.
- Ungathembeli kuphela ekuhlolweni kwe-inthanethi noma ekhaya. Njalo xhumana nodokotela wakho ukuze uthole ukuxilongwa okunembile.
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