Ingabe ukushaywa yisifo sohlangothi okuncane njalo kubangela ukulahlekelwa yinkumbulo? (I-Multi-Infarct Dementia) Ake sifunde kahle ukuthi iyini!

Ingabe umuntu osekhulile ekhaya lakho, mhlawumbe umama wakho, ubaba, noma ugogo wakho, uyakhohlwa izinto? Ingabe bayadideka ngamazwi ngenkathi behamba? Noma ingabe banenkinga yokuthola indlela yabo ngisho nalapho behamba emgwaqweni abawujwayele? Nakuba lezi zinto zingase zibonakale njengezinto ezivamile ezenzeka njengoba sikhula, ngezinye izikhathi zingaba ngaphezu kwalokho. Namuhla sizokhuluma ngesimo esinjalo, okungukuthi, isifo sokulahlekelwa yinkumbulo esibangelwa uchungechunge lwezinhlungu ezincane (izimo ezingaphelele).

Kuyini i-Multi-Infarct Dementia?

Kalula nje, i-Multi-Infarct Dementia (MID) yisimo lapho amangqamuzana obuchopho onakala khona ngenxa yokuvinjelwa okuncane emithanjeni yegazi ehambisa igazi ebuchosheni, okubangela ukulahlekelwa yinkumbulo. Igama elithi "Multi" lapha lisho "okuningi" noma "okuningi." Igama elithi "Infarct" lisho ukulahlekelwa kwegazi engxenyeni yobuchopho, okubangela ukufa kwezicubu. Lokhu kushaywa yisifo kuvimbela izicubu zobuchopho ekutholeni igazi elanele, okusho ukuthi azitholi umoya-mpilo owanele kanye nezakhamzimba.

I-dementia yisimo lapho ukusebenza kwengqondo kwehla khona ngaphezu kwalokho obekujwayelekile ngaphambilini, okuthinta imisebenzi yansuku zonke kuze kube yilapho kunzima khona ukuyenza. Umuntu onesifo se-dementia angaba nezimo ezimbili noma ngaphezulu kwalokhu okulandelayo:

• Ukulahlekelwa yinkumbulo.
• Ukwehla kwekhono lokucabanga nokwenza izinqumo.
• Ubunzima bokukhuluma.
• Ukwehla kwebhalansi kanye nokuxhumana.
• Ukungakwazi ukulawula imizwa, izinguquko ezivamile.
• Izinguquko zokuziphatha.

Le nkinga yokuwohloka komqondo okune-multi-infarct iyisifo esingaphansi kwesigaba se -vascular dementia . Umfutho wegazi ophakeme uyisici esikhulu esiyingozi salokhu.

Sivame kangakanani lesi simo?

I-multi-infarct dementia yisimo esivame kakhulu . Yimbangela yesibili evame kakhulu ye-dementia ngemva kwesifo i-Alzheimer's . Ngezinye izikhathi lezi zifo ezimbili zingahambisana.

I-MID ivame ukuthinta abantu abaneminyaka ephakathi kuka-60 no-75. Kuthiwa futhi ivame kakhulu kwabesilisa kunabesifazane.

Ziyini izimpawu ze-multi-infarct dementia (MID)?

Izimpawu ze-multi-infarct dementia (MID) zingaqala ngokuzumayo . Lezi yizimpawu eziyinhloko:

• Ukukhathazeka okungazelelwe, izinkinga zenkumbulo yesikhashana (isib. ukukhohlwa ukuthi udle ini ekuseni).
• Ukulahleka, ukungakwazi ukuthola indlela yakho, ngisho nasezindaweni ozaziyo.
• Ukuhamba ngezitebhisi ezincane kanye nokuhamba okusheshayo.
• Ukungakwazi ukulawula umchamo noma indle.
• Ukuhleka noma ukukhala ngezikhathi ezingafanele.
• Ubunzima bokuqonda nokulandela imiyalelo.
• Izinkinga zokubala imali nokuthenga izinto ngemali.

Nakuba abanye abantu abane-MID bezwa ukwehla kwezimpawu isikhashana futhi bazizwe bengcono,, ngemva kokushaywa yisifo sohlangothi noma okunye okumbalwa, isimo siba sibi futhi. Kufana nokwehla izitebhisi, ngokuzumayo isimo siba sibi kakhulu, mhlawumbe sibe ngcono kancane, bese siba sibi futhi.

Ziyini izimpawu ze-mini-stroke (TIA)?

I-Multi-infarct dementia ibangelwa ukushaywa yisifo sohlangothi okuncane, noma ukuhlaselwa kwe-ischemic okuhamba kancane (i-TIAs) . Izimpawu ze-TIA zifana nezesifo sohlangothi esivamile, kodwa zingase zibe zincane kakhulu. Izimpawu zivame ukuvela ngokuzumayo :

• Ukubona okufiphele noma ukulahlekelwa umbono kwelinye noma kuwo womabili amehlo.
• Ukuba ndikindiki noma ubuthakathaka ebusweni, ezingalweni, noma emilenzeni, ikakhulukazi ohlangothini olulodwa lomzimba.
• Ikhanda elibuhlungu kakhulu.
• Ubunzima bokuhamba.
• Isiyezi.
• Ukulahlekelwa yibhalansi emzimbeni.
• Ubunzima bokukhuluma noma ukuqonda okushiwoyo.

Into ebaluleke kakhulu: Uma uzwa izimpawu zesifo sohlangothi noma i-TIA kanje, noma ngabe ziyanyamalala ngemva kwesikhashana, kufanele nakanjani uye esibhedlela uyofuna iseluleko sezokwelapha ngokushesha! Ngoba kungaba uphawu lwesifo sohlangothi esikhulu.

Yini ebangela i-multi-infarct dementia (MID)?

Njengoba sishilo ngaphambili, lokhu kubangelwa kakhulu uchungechunge lwemivimbo emincane elimaza izicubu zobuchopho. I-stroke yenzeka lapho ukugeleza kwegazi engxenyeni yobuchopho kunqamuka. I-stroke ingenzeka lapho ihlule legazi livimba imithambo yegazi enikeza igazi ebuchosheni, noma lapho ama-plaque, okuyizinqwaba zamafutha eziqongeleleka ngaphakathi kwemithambo yegazi, evimba imithambo yegazi.

Abantu abaningi abane-MID abazi nokuthi bake baba ne-mini-stroke. Lokhu kungenxa yokuthi, ngezinye izikhathi, kulezi zi-mini-stroke, umthambo wegazi ovalekile ungavuleka ngemizuzu embalwa. Ngemuva kwalokho, izimpawu ze-stroke (njengokungazweli kolunye uhlangothi lomzimba) ziyafika futhi ziphele okwesikhashana.

Cabanga nje, umakhelwane wakho, uMalume uNimal, ukhona. Ngolunye usuku, ngesikhathi ekhuluma naye, amazwi akhe avele adideka, isandla sakhe sabonakala sengathi siyaphela isikhashana. Saphela ngemizuzu embalwa. Akazange akunake kakhulu lokho. Wacabanga, "Kumelwe ukuba ukhathele." Kodwa lapho kwenzeka izenzakalo ezimbalwa ezincane ezifana nalezo ngokuhamba kwesikhathi, kancane kancane zaqala ukuthinta inkumbulo yakhe nendlela acabanga ngayo. Yileyo ndlela lesi sifo esiba ngayo. Lezi zifo ezincane zilimaza izicubu zobuchopho. Umonakalo onjalo uyanqwabelana futhi uholele ekulahlekelweni yingqondo.

Yiziphi izinto ezibangela lokhu?

Izici eziyingozi ze-multi-infarct dementia ziyafana nalezo ze-stroke. Ziyi:

• Umfutho wegazi ophakeme (umfutho wegazi ophakeme): Lesi yisici esibaluleke kakhulu nesiyingozi kakhulu . Umuntu ongenawo umfutho wegazi ophakeme cishe akanaso isifo se-MID.
• Isifo Sikashukela (i-Diabetes Mellitus)` .
• Izimo ezingabangela ukuqhekeka kwegazi noma okunye ukuvinjelwa: isibonelo , i-atherosclerosis (ukuqina nokuqina kwezindonga zemithambo yegazi), isifo senhliziyo(isifo semithambo yegazi emithanjeni yegazi), `isifo semithambo yegazi emithanjeni yegazi` (isifo semithambo yegazi emithanjeni yegazi) kanye `nesifo semithambo yegazi emithanjeni yegazi emithanjeni yegazi` (isifo semithambo yegazi emithanjeni ...
• Amazinga akhuphukile e-cholesterol eyingozi egazini (i-hyperlipidemia) .
• Ukubhema.

Lesi sifo sitholakala kanjani? (Ukuxilongwa)

Akukho ukuhlolwa okukodwa okungahlonza ngokunembile i-multi-infarct dementia. Ngakho-ke, ukuxilongwa kungaba nzima. Izimpawu ngezinye izikhathi zingafana kakhulu nesifo i-Alzheimer's. Futhi, umuntu angaba nazo zombili lezi zimo ngesikhathi esisodwa.

Uma unezimpawu ze-MID, udokotela wakho uzobuza ngomlando wakho wezempilo , enze ukuhlolwa ngokomzimba nangokwezinzwa , futhi ahlole ingozi yakho yokuba nesifo sohlangothi. Lokhu kungasiza ekunqumeni ukutholakala kwe-MID.

I -MRI noma i-CT scan yobuchopho ingasiza ekuxilongeni i-MID, ifune izindawo zomonakalo wobuchopho. Udokotela wakho angakudlulisela kuchwepheshe ukuze ayohlolwa yi-neuropsychological ukuze ahlole izinkinga ngomsebenzi wakho wengqondo, njengenkumbulo yakho.

Yiziphi izindlela zokwelapha i-multi-infarct dementia (MID)?

Eqinisweni, ayikho ikhambi eliqinisekile le-MID . Ngenxa yokuthi umonakalo ebuchosheni obangelwa yisifo sohlangothi uhlala unomphela, umgomo oyinhloko wokwelashwa ukuvimbela isifo sohlangothi esikhathini esizayo . Lokhu kuhilela ukulawula izimo ezandisa ingozi yesifo sohlangothi.

Udokotela wakho uzokunikeza imithi yezinto ezifana nalezi:

• Lawula umfutho wegazi lakho.
• Yehlisa amazinga aphezulu e-cholesterol.
• Lawula amazinga kashukela egazini (isifo sikashukela).
• Izinto zokunciphisa igazi ukuze kuvinjelwe ukuqhekeka kwegazi.

Udokotela uncoma nokwenza izinguquko endleleni yokuphila ezifana nalezi:

• Ukuzivocavoca njalo.
• Ukudla ukudla okunempilo (isib. ukudla kwaseMedithera noma ukudla kwaseDash ).
• Ukuyeka ukubhema nokuphuza utshwala.

Ukucindezeleka kuyisimo sengqondo esivamile esingenzeka nge-MID. Kungenza kube kubi kakhulu ukusebenza kobuchopho. Uma unesifo sokucindezeleka, udokotela wakho angase akunike imithi yalokho.

Kanye nokushintsha kobuchopho, udokotela angase ancome ukwelashwa okwengeziwe ukusiza umuntu one-MID ukuthi abhekane nezimo ezintsha futhi anqobe izinkinga . Isibonelo:

• Ukwelashwa ngenkulumo
• Ukwelashwa kwengqondo
• Ukwelashwa ngokomzimba

Yini engingayilindela uma mina noma othandekayo wami ene-MID?

I-dementia ye-multi-infarct iya ngokuya iba yimbi kancane kancane ngokuhamba kwesikhathi.Ukugula. Uhlobo lwe-MID lufana nokwehla izitebhisi. Kuvele kube kubi kakhulu (ngezinye izikhathi kuba ngcono kamuva), bese kuba kubi kakhulu futhi uma usuphinde waba nesifo sohlangothi. Uhambo lwawo wonke umuntu luhlukile . Ithimba lakho lezokwelapha lingakunikeza umbono omuhle kakhulu walokho ongakulindela ngokusekelwe esimweni sakho.

Ngokuvamile, abantu abane-MID nezinye izinhlobo ze-vascular dementia bangase babe nesikhathi sokuphila esifushane kancane . Lokhu kungenxa yokuthi basengozini enkulu yokuba nesinye isifo sohlangothi noma ukuhlaselwa yinhliziyo.

Ingabe i-multi-infarct dementia (MID) ingavinjelwa?

Ukwelashwa okungcono kakhulu kwe-MID ukuzama ukuyivimbela esemncane . Nazi ezinye izindlela ongazama ngazo ukuvimbela i-MID ngokunciphisa izici zakho eziyingozi:

• Ukugcina umfutho wegazi onempilo, amazinga e-cholesterol, kanye namazinga kashukela egazini.
• Ukugcina isisindo esinempilo esikufanele.
• Ukuzivocavoca njalo.
• Ukudla ukudla okunempilo nokulinganiselayo (isib. ukudla kwaseMedithera noma ukudla kwaseDash ).
• Ukuyeka ukubhema (cela usizo kudokotela wakho).
• Ukunciphisa ukusetshenziswa kotshwala.
• Ukulawula ukucindezeleka (zama ukuzivocavoca kokuphumula, ukuzindla, i-yoga, njll.).
• Thatha yonke imithi oyinikezwe udokotela wakho ngesikhathi esifanele . Uma izimpawu zakho zishintsha noma ziba zimbi kakhulu, khuluma nodokotela wakho. Ungalokothi uyeke ukuthatha imithi yakho noma ushintshe umthamo ngaphandle kokukhuluma nodokotela wakho.

Ngingamnakekela kanjani umuntu one-MID? Noma ngizinakekela kanjani mina?

Umuntu one-MID uzodinga usizo ngeminye yemisebenzi yakhe yansuku zonke . Isibonelo, ukuphuza imithi, ukukhokha izikweletu, nokulungisa ukudla. Nakuba abantu abane-MID bengenza izinto eziningi bodwa, kuye ngokuthi izimpawu zabo zibucayi kangakanani, kungase kungabi kuphephile ukuhlala bodwa . Abanye abantu abane-MID bangadinga ukunakekelwa okukhethekile okuvela ezikhungweni ezikhethekile ekunakekelweni kwe-dementia.

Udinga ukubona udokotela ngasiphi isikhathi?

Wena noma umnakekeli wakho kufanele nishayele udokotela wakho ucingo uma:

• Uma izimpawu zakho ziba zimbi kakhulu.
• Uma kuvela izimpawu ezintsha.
• Uma umuthi ubangela imiphumela emibi ekhathazayo.

Ingabe isifo sokulahlekelwa yingqondo esibangelwa yi-multi-infarct dementia (MID) sifana nesifo i-Alzheimer's?

Cha. Nakuba zombili lezi zimo zingabangela i-dementia, zibangelwa izinto ezahlukene . I-dementia ukwehla kokusebenza kwengqondo kuze kube sezingeni lapho iphazamisa khona impilo yomuntu yansuku zonke kanye nemisebenzi yakhe.

I-dementia ebangelwa yi-MID ibangelwa ukushaywa yisifo sohlangothi okuphindaphindwayo okunciphisa ukugeleza kwegazi ebuchosheni futhi kulimaze izicubu zobuchopho.Isifo i-Alzheimer's sibangela i-dementia ngenxa yokungajwayelekile kwamaprotheni ebuchosheni. Esifweni i-Alzheimer's, lawa ma-protein abizwa ngokuthi `(amyloid protein)` kanye `(tau protein)` abangela ukuba amangqamuzana obuchopho afe.

Ngaphezu kwalokho, izimpawu ze-Alzheimer zivame ukukhula kancane, ngendlela efanayo . Ku-MID, izinguquko zingavela ngokuzumayo noma kancane kancane.

Ingabe i-multi-infarct dementia (MID) iyafana ne-vascular dementia?

I-Multi-infarct dementia uhlobo olulodwa nje lwe-vascular dementia . Kunezinye izinhlobo ze-vascular dementia:

• I-subcortical vascular dementia (isifo sikaBinswanger): Isimo lapho kwenzeka khona umonakalo omncane wobuchopho ngenxa yokuqina nokuncipha kwemithambo yegazi ezindaweni ezingaphansi kwe-subcortical zobuchopho.
• Isifo sohlangothi esihlobene nokuphazamiseka kwengqondo: Isifo sohlangothi esibangelwa ukushaywa yisifo sohlangothi kanye.
• I-Mixed dementia: I-Dementia ebangelwa yizimbangela ezingaphezu kweyodwa. Ngokuvamile lokhu kuyinhlanganisela yesifo i-Alzheimer kanye ne-vascular dementia.

Kuvamile ukuzizwa ukhungathekile uma uthola ukuthi othandekayo wakho unesifo sokulahlekelwa yingqondo esinama-multi-infarct. Kodwa khumbula, ithimba labo lezokwelapha lizokusekela bona kanye nawe kulo lonke inqubo, futhi lizokunikeza izinketho zokunakekelwa ezifanele wena. Kubalulekile futhi ukuzinakekela. Joyina amaqembu okusekela, noma wakhe inethiwekhi yakho yokusekela ukuze ikusize.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Nakuba i-multi-infarct dementia kuyinto okufanele yesatshwe, ukuhlonza nokulawula izici eziyingozi kusenesikhathi kungasiza kakhulu ekuvimbeleni noma ekulawuleni lesi simo.

• Lawula kahle izimo ezifana nomfutho wegazi ophakeme, isifo sikashukela kanye ne-cholesterol ephezulu .
• Gwema ukubhema ngokuphelele.
• Landela indlela yokuphila enempilo .
• Uma kuvela izimpawu , funa iseluleko sezokwelapha ngokushesha.
• Uma wena noma othandekayo wakho ehlushwa yilesi simo, khumbula ukuthi awuwedwa. Ukusekelwa odokotela, amaqembu okusekela kanye nomndeni kubaluleke kakhulu.

Ngiyethemba ukuthi lolu lwazi luwusizo kuwe. Hlala uphilile!

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