Lewy dementia ya thupi: ndi chiyani, zizindikilo komanso momwe mungachiritsire

Zamkati

• Zizindikiro zazikulu
• Momwe mungatsimikizire matendawa
• Momwe mankhwalawa amachitikira

Matenda a Lewy, omwe amadziwikanso kuti matenda akulu kapena ofatsa am'maganizo ndi matupi a Lewy, ndimatenda osokoneza bongo omwe amakhudza madera omwe amachititsa ntchito monga kukumbukira, kuganiza ndi kuyenda, ndipo amayamba chifukwa cha kuchuluka kwa mapuloteni, omwe amadziwika kuti matupi a Lewy, mu minofu yaubongo.

Matendawa amapezeka ndi ukalamba, omwe amapezeka kwambiri pazaka zoposa 60, ndipo amayambitsa zizindikilo monga kuyerekezera zinthu m'maganizo, kuiwalika pang'onopang'ono komanso kuvutika kuzama, komanso kunjenjemera kwa minofu ndi kuuma, kutengedwa ngati mtundu wachiwiri wodwaladwala wopunduka, pambuyo pake Matenda a Alzheimer's.

Ngakhale kulibe mankhwala a matenda a dementia a Lewy, ndizotheka kuchiza ndikuwongolera zizindikirazo, pogwiritsa ntchito mankhwala motsogozedwa ndi adotolo, monga Quetiapine kapena Donepezila, mwachitsanzo, omwe amachepetsa zizindikilo zina, kuphatikiza pakuwononga ndalama chithandizo chamankhwala komanso chithandizo chantchito. Mwanjira imeneyi, munthuyo amatha kukhala zaka zambiri ali ndi ufulu wodziyimira pawokha komanso moyo wabwino.

Zizindikiro zazikulu

Kudwala kwa thupi kwa Lewy kumakhala ndi zizindikilo zomwe zimawoneka pang'onopang'ono, ndipo pang'onopang'ono zimaipiraipira. Mfundo zazikuluzikulu ndi izi:

• Kutaya mphamvu zamaganizidwe, amatchedwa ntchito zidziwitso, monga kukumbukira, kusinkhasinkha, chidwi, kulumikizana ndi chilankhulo;
• Kusokonezeka m'maganizo ndi kusokonezeka, Kusintha pakati pa mphindi zakusokonekera kwambiri komanso mphindi zosatekeseka;
• Minofu inagwedezeka ndi kuuma, yotchedwa parkinsonism, chifukwa amatsanzira kayendedwe ka Parkinson;
• Zojambula zozizwitsa, momwe munthuyo amawonera zinthu zomwe kulibe, monga nyama kapena ana, mwachitsanzo;
• Zovuta pakuwunika mtunda, yotchedwa visospatial changes, yomwe imatha kubweretsa kugwa pafupipafupi;
• Kusintha kwa kugona kwa REM, yomwe imatha kudziwonetsera yokha ndimayendedwe, mawu kapena kufuula tulo.

Nthawi zambiri, kusintha kwamaganizidwe kumawonekera koyamba, ndipo matendawa akamakula, kusintha kwa mayendedwe kumawonekera, ndipo kusokonezeka kwamaganizidwe kumakhala koopsa. Zimakhalanso zachizoloŵezi kukhala ndi zizindikiro za kusintha kwa malingaliro, monga kukhumudwa ndi mphwayi.

Chifukwa cha zizindikilo zofananira, matendawa amatha kulakwitsa chifukwa cha Alzheimer's kapena Parkinson. Palibe chifukwa chodziwikiratu cha Lewy Body Dementia, chifukwa chake aliyense akhoza kudwala matendawa, ngakhale akuwoneka kuti amapezeka kwambiri mwa amuna opitilira 60.

Momwe mungatsimikizire matendawa

Kuzindikira kwa dementia ndi matupi a Lewy kumapangidwa ndi katswiri wa zamagulu, dokotala wazachipatala kapena wamisala, atawunika kwathunthu, mbiri ya banja ndikuwunika kwakuthupi.

Ngakhale mayeso ena ojambula, monga computed tomography kapena imaginous resonance imaging, atha kuthandiza kuzindikira kuwonongeka kwa mbali zina zaubongo, amalephera kuzindikira matupi a Lewy, omwe amangowoneka pambuyo poti munthu wamwalira. Ndikofunikanso kugwiritsa ntchito masikelo owerengera kuti muwone kusinthasintha kwa luso lazidziwitso.

Mwanjira imeneyi, adotolo amasiyanitsa matendawa ndi ena omwe ali ndi zizindikilo zofananira, monga Alzheimer's ndi Parkinson, ndikuwonetsa chithandizo choyenera kwambiri.

Momwe mankhwalawa amachitikira

Popeza kulibe mankhwala a matenda a dementia ndi matupi a Lewy, chithandizo chiyenera kutsogozedwa ndi katswiri wazachipatala, dokotala wazachipatala kapena wazamisala kuti athetse zisonyezo za munthu aliyense ndikusintha moyo wa wonyamulirayo.

Chifukwa chake mitundu yayikulu yamankhwala ndi awa:

• Mankhwala a antipsychotic, monga Quetiapine kapena Olanzapine: amalola kuti achepetseko kuyerekezera zinthu m'maganizo pafupipafupi, komabe, zimatha kuyambitsa zovuta zingapo kapena kukulitsa vuto la munthuyo, chifukwa chake, zikagwiritsidwa ntchito, ayenera kuyesedwa ndi dokotala nthawi zonse;
• Zithandizo zokumbukira, monga Donepezila kapena Rivastigmine: kuwonjezera kupanga kwa ma neurotransmitters muubongo, omwe amatha kusintha kusungunuka, kukumbukira ndikuchepetsa mawonekedwe azolowera komanso mavuto ena amachitidwe;
• Zithandizo zowongolera luso lamagalimoto, monga Carbidopa ndi Levodopa, omwe amagwiritsidwa ntchito kwambiri ku Parkinson: amachepetsa zizindikilo zamagalimoto monga kunjenjemera, kuuma kwa minofu kapena kuyenda pang'onopang'ono. Komabe, kuyerekezera zinthu m'maganizo ndi chisokonezo kumatha kukulirakulira, chifukwa chake kumatha kuphatikizidwa ndi njira zokumbukira;
• Njira zochotsera nkhawa, monga Sertraline kapena Citalopam: amagwiritsidwa ntchito kukonza zizindikiritso zachisoni, kuphatikiza pakuthandizira kuwongolera machitidwe ndikuwongolera kugona;
• Physiotherapy: Amathandiza kukhala ndi mphamvu ya minofu ndi kusinthasintha, kuwonjezera pakukweza mphamvu yamtima ndi mitundu ingapo ya masewera olimbitsa thupi;
• Thandizo lantchito: ndikofunikira kuthandiza kukhala wodziyimira pawokha, kumuphunzitsa munthuyo kuchita ntchito za tsiku ndi tsiku ndi zolephera zawo zatsopano.

Kuphatikiza apo, kuti athandize kuthana ndi zisonyezo zakukhumudwa pafupipafupi, kuda nkhawa kapena kusakhazikika, wowasamalirayo atha kugwiritsa ntchito njira zochiritsira zina monga aromatherapy, nyimbo kapena kusisita, mwachitsanzo.

Ndikulimbikitsanso kuti muzichita masewera olimbitsa thupi kuti ubongo ukhale wogwira ntchito, kupewa kusuta komanso kudya zakudya zopatsa thanzi, kukonda zipatso ndi ndiwo zamasamba. Onani zina zomwe zingakuthandizeni kuti ubongo wanu ukhale wogwira ntchito.