Dementia ni ijambo rikoreshwa mu gusobanura ibimenyetso byinshi bigira ingaruka ku kwibuka, gutekereza no kubana n'abandi. Mu bantu bafite dementia, ibimenyetso bibangamira imibereho yabo ya buri munsi. Dementia si indwara imwe. Indwara nyinshi zishobora gutera dementia.
Dementia muri rusange igaragara mu kubura kwibuka. Akenshi ni kimwe mu bimenyetso bya mbere by'iyi ndwara. Ariko kuba warabuze kwibuka gusa ntibisobanura ko ufite dementia. Kubura kwibuka bishobora kuba bifite imvano zitandukanye.
Indwara ya Alzheimer ni yo itera dementia cyane mu bantu bakuze, ariko hari n'izindi mpamvu zitera dementia. Bitewe n'impamvu, bimwe mu bimenyetso bya dementia bishobora gukira.
Ibimenyetso bya demantia bitandukanye bitewe n'icyayiteye. Ibimenyetso bisanzwe birimo: Gutakaza kwibuka, ibi bikunze kugaragara n'undi muntu. Kugira ibibazo mu gutangaza ibitekerezo cyangwa gushaka amagambo. Kugira ibibazo mu kubona no gutekereza ibintu, nko gutaha mu nzira mu gihe utwaye imodoka. Kugira ibibazo mu gutekereza cyangwa gukemura ibibazo. Kugira ibibazo mu gukora imirimo igoranye. Kugira ibibazo mu gutegura no gutegura ibintu. Kutagira ubumenyi n'ubushobozi mu mikorere y'umubiri. Kwitiranya no kutamenya aho uri. Guhinduka kw'imico. Kugira agahinda. Kugira ubwoba. Kugira umujinya. Imiterere idakwiriye. Kwikanga, bizwi nka paranoia. Kubona ibintu bidahahari, bizwi nka hallucinations. Reba umuganga niba wowe cyangwa umuntu ukunda afite ibibazo byo kwibuka cyangwa ibindi bimenyetso bya demantia. Ni ngombwa kumenya icyabiteye. Amwe mu mararyi atuma haba ibimenyetso bya demantia ashobora kuvurwa.
Gira inama n'umuganga niba wowe cyangwa umuntu ukunda afite ibibazo byo kwibuka cyangwa ibindi bimenyetso bya alzeimera. Ni ngombwa kumenya icyabiteye. Hari uburwayi bumwe na bumwe butera ibimenyetso bya alzeimera bushobora kuvurwa.
Dementia iterwaho n’uko ubwonko bugira ibibazo cyangwa bukaba bwapfushije uturemangingo tw’ubwonko n’imiterere yadutunganyaga. Ibimenyetso bigenda bitewe n’agace k’ubwonko kagize ikibazo. Dementia ishobora kugira ingaruka zitandukanye ku bantu.
Dementias akenshi ziteranywa bitewe n’ibintu zihuriyeho. Zishobora guteranywa bitewe na poroteyine cyangwa poroteyine ziba mu bwonko cyangwa igice cy’ubwonko kigizweho ingaruka. Nanone, zimwe mu ndwara zigira ibimenyetso nk’ibya dementia. Kandi imiti imwe ishobora gutera ikibazo kirimo ibimenyetso bya dementia. Kudafata vitamine cyangwa imyunyu ngugu ihagije bishobora kandi gutera ibimenyetso bya dementia. Ibi nibyo bibaye, ibimenyetso bya dementia bishobora kuzahuka hakoreshejwe ubuvuzi.
Dementias zikomeza gukura zikagenda ziyongera uko igihe gihita. Ubwoko bwa dementias buhora bubi kandi budakira burangwa na:
Nubwo atari byose bizwi ku birebana n’intandaro z’indwara ya Alzheimer, impuguke zizi ko igice gito cyazo gifitanye isano n’impinduka mu gene eshatu. Izi mpinduka za gene zishobora guherwa ku babyeyi ku bana. Nubwo hari gene nyinshi zishobora kuba zifite uruhare mu ndwara ya Alzheimer, gene imwe ikomeye yongerera ibyago ni apolipoprotein E4 (APOE).
Abantu barwaye indwara ya Alzheimer bagira plaques na tangles mu bwonko bwabo. Plaques ni ibice by’umunyungunyugu witwa beta-amyloid. Tangles ni ibice by’inyuzi bikozwe na poroteyine ya tau. Birizwa ko ibi bice byangiza uturemangingo tw’ubwonko dufite ubuzima bwiza n’inyuzi zibitunganira.
Ibimenyetso bikunze kugaragara bya vascular dementia birimo ibibazo mu gukemura ibibazo, gutekereza buhoro, no kubura uburyo bwo kwibanda no gutegura ibintu. Ibi bikunze kugaragara kurusha ibibazo byo kwibuka.
Ibimenyetso bikunze kugaragara birimo gukina inzozi mu gihe cyo kuryama no kubona ibintu bidahari, bizwi nka hallucinations. Ibimenyetso birimo kandi ibibazo byo kwibanda no kwita ku bintu. Ibindi bimenyetso birimo imiterere idahwitse cyangwa buhoro, guhinda umubiri, no gukomera, bizwi nka parkinsonism.
Indwara ya Alzheimer. Iyi ni yo ntandaro ikunze kugaragara ya dementia.
Nubwo atari byose bizwi ku birebana n’intandaro z’indwara ya Alzheimer, impuguke zizi ko igice gito cyazo gifitanye isano n’impinduka mu gene eshatu. Izi mpinduka za gene zishobora guherwa ku babyeyi ku bana. Nubwo hari gene nyinshi zishobora kuba zifite uruhare mu ndwara ya Alzheimer, gene imwe ikomeye yongerera ibyago ni apolipoprotein E4 (APOE).
Abantu barwaye indwara ya Alzheimer bagira plaques na tangles mu bwonko bwabo. Plaques ni ibice by’umunyungunyugu witwa beta-amyloid. Tangles ni ibice by’inyuzi bikozwe na poroteyine ya tau. Birizwa ko ibi bice byangiza uturemangingo tw’ubwonko dufite ubuzima bwiza n’inyuzi zibitunganira.
Dementia ya Vascular. Ubu bwoko bwa dementia buterwa n’ibibazo byangiza imiyoboro itwara amaraso mu bwonko. Ibibazo by’imijyana y’amaraso bishobora gutera stroke cyangwa kugira ingaruka ku bwonko mu buryo bundi, nko kwangiza inyuzi zo mu gice cyera cy’ubwonko.
Ibimenyetso bikunze kugaragara bya vascular dementia birimo ibibazo mu gukemura ibibazo, gutekereza buhoro, no kubura uburyo bwo kwibanda no gutegura ibintu. Ibi bikunze kugaragara kurusha ibibazo byo kwibuka.
Dementia ya Lewy body. Lewy bodies ni ibice by’umunyungunyugu bisa nk’ibibabi. Byabonetse mu bwonko bw’abantu barwaye Lewy body dementia, indwara ya Alzheimer na Parkinson. Lewy body dementia ni imwe mu bwoko bwa dementia bukunze kugaragara.
Ibimenyetso bikunze kugaragara birimo gukina inzozi mu gihe cyo kuryama no kubona ibintu bidahari, bizwi nka hallucinations. Ibimenyetso birimo kandi ibibazo byo kwibanda no kwita ku bintu. Ibindi bimenyetso birimo imiterere idahwitse cyangwa buhoro, guhinda umubiri, no gukomera, bizwi nka parkinsonism.
Indwara ya Creutzfeldt-Jakob akenshi nta ntandaro izwi ariko ishobora guherwa ku babyeyi. Ishobora kandi guterwa no kwandura ubwonko cyangwa imyanya y’ubwonko, nko kubera kubyaza amaso.
Umuvuduko ku bwonko (TBI). Iyi ndwara ikunze guterwa no gukubitwa umutwe kenshi. Abakina ibyiciro, abakinnyi ba ruhago cyangwa abasirikare bashobora kugira TBI.
Indwara ya Creutzfeldt-Jakob. Iyi ndwara y’ubwonko idakunze kugaragara ikunze kugaragara mu bantu badafite ibyago bizwi. Iyi ndwara ishobora guterwa n’ibice by’umunyungunyugu wanduza bizwi nka prions. Ibimenyetso by’iyi ndwara yica bikunze kugaragara nyuma y’imyaka 60.
Indwara ya Creutzfeldt-Jakob akenshi nta ntandaro izwi ariko ishobora guherwa ku babyeyi. Ishobora kandi guterwa no kwandura ubwonko cyangwa imyanya y’ubwonko, nko kubera kubyaza amaso.
Zimwe mu ntandaro z’ibimenyetso bisa na dementia zishobora gukira hakoreshejwe ubuvuzi. Zirimo:
Ibisobanuro byinshi bishobora gutera indwara ya alzheimer. Bimwe mu bintu, nka kuba umuntu ageze mu zabukuru, ntabwo bishobora guhinduka. Urashobora guhangana n'ibindi bintu kugira ngo ugabanye ibyago byawe.
Ushobora kuba ushobora kugenzura izi ngingo zikurura alzheimer.
Kandi gabanya imiti ihumanya n'imiti yo kurara. Ganira n'umuganga kubyerekeye niba imiti uyifata ishobora kugutera gutakaza kwibuka.
Imiti ishobora kongera gutakaza kwibuka. Ibi birimo imiti yo kurara irimo diphenhydramine (Benadryl) n'imiti yo kuvura guhora ukeneye kujya kwitinya nk'oxybutynin (Ditropan XL).
Kandi gabanya imiti ihumanya n'imiti yo kurara. Ganira n'umuganga kubyerekeye niba imiti uyifata ishobora kugutera gutakaza kwibuka.
Dementia ishobora kugira ingaruka ku bice byinshi by'umubiri, bityo bikagira ingaruka ku bushobozi bwo gukora. Dementia ishobora gutera:
Nta buryo bwo kwirinda indwara ya alzheimer buhamye, ariko hari intambwe ushobora gutera zishobora kugufasha. Ubushakashatsi burenze burakenewe, ariko bishobora kugufasha gukora ibi bikurikira:
Kugira ngo hamenyekane icyateye ikibazo cyo gutakaza ubwenge, umuhanga mu buvuzi agomba kumenya uburyo ubushobozi n'imikorere byagiye biburizwamo. Uyu muhanga mu buvuzi kandi areba ibyo uwo muntu agishoboye gukora. Mu bihe byashize haje ibimenyetso byerekana indwara, bigatuma hamenyekana neza indwara ya Alzheimer.
Umuhanga mu buvuzi asuzuma amateka yawe y'ubuzima n'ibimenyetso ufite, akanakora isuzuma rusange ry'umubiri. Umuntu ukugiranye ukumvikana ashobora kubazwa ibyerekeye ibimenyetso byawe.
Nta kizami kimwe cyonyine gishobora kugaragaza ikibazo cyo gutakaza ubwenge. Bishobora kuba ngombwa gukora ibizami byinshi kugira ngo hamenyekane ikibazo.
Ibi bizami bisuzuma ubushobozi bwawe bwo gutekereza. Hariho ibizami byinshi bipima ubuhanga bwo gutekereza, nko kwibuka, kumenya aho uri, gutekereza no gufata ibyemezo, ubuhanga mu ndimi, no kwitonda.
Ubushobozi bwawe bwo kwibuka, ubuhanga mu ndimi, uburyo ubona ibintu, kwitonda, ubuhanga mu gukemura ibibazo, imikorere y'umubiri, ibyiyumvo, umutekano, imikorere y'imitsi n'ibindi bimenyetso birasuzumwa.
Ibizami by'amaraso bisanzwe bishobora kugaragaza ibibazo by'umubiri bishobora kugira ingaruka ku mikorere y'ubwonko, nko kubura vitamine B-12 mu mubiri cyangwa umusemburo wa thyroid utameze neza. Rimwe na rimwe, amazi ari mu mugongo arasuzumwa kugira ngo harebwe niba hari indwara, kubabara cyangwa ibimenyetso by'indwara zimwe na zimwe zangiza imitsi.
Ubwoko bwinshi bwa dementia ntiburwayo, ariko hariho uburyo bwo gucunga ibimenyetso byayo.
Ibikurikira bikoreshwa mu kongera ibimenyetso bya dementia by'igihe gito.
Nubwo ahanini bikoreshwa mu kuvura indwara ya Alzheimer, ibi bitabu bishobora kandi kwandikwa ku zindi ndwara za dementia. Bishobora kwandikwa ku bantu bafite vascular dementia, Parkinson's disease dementia na Lewy body dementia.
Ingaruka mbi zishobora kubaho harimo isereri, kuruka no kuribwa mu nda. Izindi ngaruka mbi zishoboka harimo kugabanyuka k'umuvuduko w'umutima, gucika intege no kubura ibitotsi.
Ingaruka mbi isanzwe ya memantine ni ugucika intege.
Inhibitors za Cholinesterase. Ibi bitabu byakora binyongera urwego rw'intumwa y'ibinyabuzima ifite uruhare mu kwibuka no gufata ibyemezo. birimo donepezil (Aricept, Adlarity), rivastigmine (Exelon) na galantamine (Razadyne ER).
Nubwo ahanini bikoreshwa mu kuvura indwara ya Alzheimer, ibi bitabu bishobora kandi kwandikwa ku zindi ndwara za dementia. Bishobora kwandikwa ku bantu bafite vascular dementia, Parkinson's disease dementia na Lewy body dementia.
Ingaruka mbi zishobora kubaho harimo isereri, kuruka no kuribwa mu nda. Izindi ngaruka mbi zishoboka harimo kugabanyuka k'umuvuduko w'umutima, gucika intege no kubura ibitotsi.
Memantine. Memantine (Namenda) ikora igenzura ibikorwa bya glutamate. Glutamate ni indi ntumwa y'ibinyabuzima ifite uruhare mu mirimo y'ubwonko nko kwiga no kwibuka. Memantine rimwe na rimwe yandikwa hamwe na cholinesterase inhibitor.
Ingaruka mbi isanzwe ya memantine ni ugucika intege.
Ikigo cy'Amerika gishinzwe ibyo kurya n'imiti (FDA) cyemeje lecanemab (Leqembi) na donanemab (Kisunla) ku bantu bafite indwara ya Alzheimer yoroheje n'ubumenyi buke buterwa n'indwara ya Alzheimer.
Isuzuma ry'ubuvuzi ryasanze imiti igabanya kugabanuka mu kwibuka no gukora ku bantu bafite indwara ya Alzheimer yo mu ntangiriro. Imiti ibuza plaque ya amyloid mu bwonko kudakurura.
Lecanemab itangwa nk'umuti uterwa mu mubiri buri byumweru bibiri. Ingaruka mbi za lecanemab harimo ingaruka zijyanye no guterwa umuti nko guhindagurika, ibimenyetso nk'iby'umwijima, isereri, kuruka, ugucika intege, guhindagurika kw'umuvuduko w'umutima no guhumeka nabi.
Kandi, abantu bafata lecanemab cyangwa donanemab bashobora kubyimba mu bwonko cyangwa bagashobora kugira amaraso make mu bwonko. Gake, kubyimba mu bwonko bishobora kuba bikomeye bihagije gutera indwara z'ubwonko n'ibindi bimenyetso. Nanone mu bihe bike, kuva amaraso mu bwonko bishobora gutera urupfu. FDA irasaba gukora MRI y'ubwonko mbere yo gutangira kuvurwa. FDA inasaba gukora MRI y'ubwonko buri gihe mu gihe cy'ubuvuzi ku bimenyetso byo kubyimba mu bwonko cyangwa kuva amaraso.
Abantu bafite ubwoko runaka bwa gene izwi nka APOE e4 basa nkaho bafite ibyago byinshi by'izi ngaruka zikomeye. FDA irasaba gupima iyi gene mbere yo gutangira kuvurwa.
Niba ufashe umuti ugabanya amaraso cyangwa ufite ibindi bintu byongera ibyago byo kuva amaraso mu bwonko, vugana n'abaganga bawe mbere yo gufata lecanemab cyangwa donanemab. Imiti igabanya amaraso ishobora kongera ibyago byo kuva amaraso mu bwonko.
Ubushakashatsi bwinshi burakorwa ku ngaruka zishoboka zo gufata lecanemab na donanemab. Ubundi bushakashatsi buri kureba uko imiti ishobora kugira akamaro ku bantu bafite ibyago byo kurwara Alzheimer, harimo n'abantu bafite umuntu wo mu muryango wa hafi, nka se cyangwa mukuru, arwaye iyo ndwara.
Ibimenyetso byinshi bya dementia n'ibibazo by'imyitwarire bishobora kuvurwa mbere na terapi zisanzwe atari imiti. Ibi bishobora kuba:
Umuhakana: Kanama ni urubuga rw'amakuru y'ubuzima kandi ibisubizo byayo ntibigize inama z'ubuvuzi. Jya ubona umuganga ufite uruhushya rwo gukorera hafi yawe mbere yo gukora impinduka izo ari zo zose.