Dementia Ya Lewy Body

Dementia ya Lewy body ni yo ya kabiri imenyekanye cyane nyuma ya Alzheimer. Ibintu byitwa Lewy bodies bikusanyirizwa mu mubiri w'imisemburo mu bwonko. Ibyo bintu bikusanyirijwe bigira ingaruka ku bice by'ubwonko bifite aho bihuriye no gutekereza, kwibuka no kugenda. Iyi ndwara izwi kandi nka dementia ifite Lewy bodies.

Dementia ya Lewy body itera kugabanuka k'ubushobozi bwo gutekereza buhora bwiyongera uko igihe gihita. Abantu barwaye dementia ya Lewy body bashobora kubona ibintu bitariho. Ibi bizwi nko kubona ibintu bitariho. Bashobora kandi guhindura uburyo bwo kuba maso no kwitabira.

Abantu barwaye dementia ya Lewy body bashobora kugira ibimenyetso by'indwara ya Parkinson. Ibi bimenyetso bishobora kuba birimo imikaya ikakaye, kugenda buhoro, kugira ikibazo cyo kugenda no guhindahira.

Ibimenyetso bya Lewy body dementia bishobora kuba birimo:

• Urubura rw'amaso. Kubona ibintu bidahahari, bizwi nka hallucinations, bishobora kuba kimwe mu bimenyetso bya mbere bya Lewy body dementia. Iki kimenyetso kenshi kibaho buri gihe. Abantu bafite Lewy body dementia bashobora kubona ibishushanyo, inyamaswa cyangwa abantu badahahari. Urubura rw'ibintu byumvikana, impumuro cyangwa gukoraho birashoboka.
• Indwara zifata imitsi. Ibimenyetso bya Parkinson, bizwi nka parkinsonian signs, bishobora kubaho. Ibi bimenyetso birimo kugenda buhoro, imikaya ikakara, guhinda umubiri cyangwa kugenda uhindisha ibirenge. Ibi bishobora gutuma umuntu agwa.
• Ibibazo byo gutekereza. Abantu bafite Lewy body dementia bashobora kugira ibibazo byo gutekereza bisa nibyo bya Alzheimer. Bishobora kuba birimo kwitiranya, kutagira ubushishozi, ibibazo byo kubona ibintu mu mibanire n'ibindi, no kubura kwibuka.
• Ibibazo byo kuryama. Abantu bafite Lewy body dementia bashobora kugira ikibazo cyo gusinzira cyitwa rapid eye movement (REM) sleep behavior disorder. Iki kibazo gitera abantu gukora ibyo babona mu nzozi mu gihe baryamye. Abantu bafite REM sleep behavior disorder bashobora gukubita, gutera amaguru, gutaka cyangwa gutaka mu gihe baryamye.
• Kwitonda kudakomeye. Ibihe byo gusinzira, igihe kirekire cyo kureba mu kirere, ibitotsi birebire mu manywa cyangwa kuvuga bidasobanutse birashoboka.
• Ubunebwe. Kubura ishyaka bishobora kubaho.

Dementia ya Lewy body irangwa no kubura imisemburo ya poroteyine mu mubiri izwi nka Lewy bodies. Iyi poroteyine inafitanye isano n'indwara ya Parkinson. Abantu bafite Lewy bodies mu bwonko bwabo nabo bafite ibyondo n'imigozi bifitanye isano n'indwara ya Alzheimer.

Hari impamvu nke zisa nkaho zongera ibyago byo kwibasirwa na Lewy body dementia, birimo:

• Imyaka. Abantu barengeje imyaka 60 bafite ibyago byinshi.
• Ibitsina. Lewy body dementia ikunda kwibasira abagabo kurusha abagore.
• Amateka y'umuryango. Abagira umuntu wo mu muryango wabo warwaye Lewy body dementia cyangwa Parkinson bafite ibyago byinshi.

Dementia ya Lewy body iraba mbi uko igihe gihita. Ibi bivuze ko igenda irushaho kuba mbi uko iminsi igenda. Uko ibimenyetso birushaho kuba bibi, Dementia ya Lewy body ishobora gutera:

• Dementia ikomeye.
• Imikorere mibi.
• Icyago cyo kugwa no gukomereka.
• Kugenda nabi kw'ibimenyetso bya Parkinson, nko guhinda umubiri.
• Urupfu, muri rusange nyuma y'imyaka 7 kugeza kuri 8 ibimenyetso bitangiye.

Abantu bafite uburwayi bwa Lewy body dementia bagenda bagabanuka ubushobozi bwo gutekereza. Nanone bagira byibuze bibiri muri ibi bikurikira:

• Kugenda bagaruka bagaruka mu kwitonda no gutekereza.
• Kubona ibintu bitariho kenshi.
• Ibimenyetso bya Parkinson.
• REM sleep behavior disorder, aho abantu bakora ibyo babona mu nzozi mu gihe barara.

Uburyo umubiri wakira imiti ivura ibibazo byo mu mutwe, na byo bifasha mu gupima iyi ndwara. Ibi ni byo cyane cyane ku miti nka haloperidol (Haldol). Imiti ivura ibibazo byo mu mutwe ntikorerwa abantu bafite uburwayi bwa Lewy body dementia kuko ishobora kongera ubukana bw'ibimenyetso.

Nta kizami kimwe cyonyine gishobora gupima uburwayi bwa Lewy body dementia. Isuzuma rikorwa hagendewe ku bimenyetso ufite no gukuraho izindi ndwara. Ibipimo bishobora kuba ibi bikurikira:

Muganga wawe ashobora kureba ibimenyetso bya Parkinson, ibicurane byo mu bwonko, udukoko cyangwa izindi ndwara zishobora kugira ingaruka ku bwonko n'imikorere y'umubiri. Ibizamini by'ubwonko byo gusuzuma:

• Imiterere y'imikaya.
• Imbara.
• Kugenda.
• Imiterere y'imikaya.
• Imiterere y'amaso.
• Kuguma.
• Kumva.

Igice gito cy'iki kizamini, gisuzumana ubwenge n'ubushobozi bwo gutekereza, gishobora gukorwa munsi y'iminota 10. Iki kizamini ntigaragaza itandukaniro hagati ya Lewy body dementia na Alzheimer. Ariko iki kizamini gishobora kugaragaza niba ufite ikibazo cyo gutekereza. Ibipimo birebire bifata amasaha menshi bifasha mu gupima uburwayi bwa Lewy body dementia.

Ibi bishobora gukuraho ibibazo by'umubiri bishobora kugira ingaruka ku mikorere y'ubwonko, nko kubura vitamine B-12 cyangwa ikibazo cy'umwijima.

Muganga wawe ashobora gutegeka MRI cyangwa CT scan kugira ngo amenye niba hari ibicurane cyangwa amaraso, no gukuraho udukoko. Indwara zo mu mutwe zimenyekana hagendewe ku mateka y'ubuzima n'isuzuma ry'umubiri. Ariko bimwe mu bimenyetso byo mu bipimo by'amashusho bishobora kugaragaza ubwoko butandukanye bw'indwara zo mu mutwe, nka Alzheimer cyangwa Lewy body dementia.

Niba isuzuma ritari ryo cyangwa ibimenyetso bitari bisanzwe, ushobora gukenera ibindi bipimo by'amashusho. Ibi bipimo by'amashusho bishobora gufasha mu gupima uburwayi bwa Lewy body dementia:

• Fluorodeoxyglucose PET brain scans, zisuzumana imikorere y'ubwonko.
• Single-photon emission computerized tomography (SPECT) cyangwa PET imaging. Ibi bipimo bishobora kugaragaza kugabanuka kw'imikorere ya dopamine mu bwonko. Ibi bishobora gufasha mu gupima uburwayi bwa Lewy body dementia.

Mu bihugu bimwe, abaganga bashobora kandi gutegeka ikizamini cy'umutima cyitwa myocardial scintigraphy. Iki kizamini kirigenzura imiterere y'amaraso ajya mu mutima kugira ngo harebwe ibimenyetso by'uburwayi bwa Lewy body dementia. Ariko, iki kizamini ntikorwa muri Leta Zunze Ubumwe za Amerika.

Ubushakashatsi burakomeje ku bindi bimenyetso by'uburwayi bwa Lewy body dementia. Ibi bimenyetso bishobora gufasha mu gupima hakiri kare uburwayi bwa Lewy body dementia mbere y'uko burangira burangira.