Vascular Dementia

Vascular dementia igama rakajairika rinotsanangura matambudziko ekufunga, kuronga, kutonga, ndangariro nedzimwe nzira dzekufunga dzakakonzerwa nekuvadzwa uropi kubva pakuderera kweropa kuenda kuuropi hwako. Unogona kuwana vascular dementia mushure mekurasikirwa neropa kunovhara artery muuropi hwako, asi kurasikirwa neropa hakugare kuchikonzeresa vascular dementia. Kana kurasikirwa neropa kuchikanganisa kufunga kwako nekufunga kunoenderana nehukuru hwekurasikirwa neropa nekukosha kwaro. Vascular dementia inogona zvakare kubva kune zvimwe zvirwere zvinovhiringidza ropa uye zvinoderedza kutenderera, zvichiita kuti uropi hwako hushome oksijeni nezvinovaka muviri. Zvinhu zvinoita kuti njodzi yako yemwoyo nekuvhunduka kwemoyo iwedzere — kusanganisira chirwere cheshuga, kuwedzera kweropa, cholesterol yakakwira nekubvira — zvinoitawo kuti njodzi yako ye vascular dementia iwedzere. Kudzora izvi zvinhu kunogona kubatsira kuderedza mikana yako yekuwana vascular dementia.

Zviratidzo zve vascular dementia zvinosiyana, zvichienderana nechikamu cheuropi rako umo kuyerera kweropa kwakanganiswa. Zviratidzo kazhinji zvinoenderana nezvimwe zvirwere zve dementia, kunyanya Alzheimer's disease dementia. Asi zvakasiyana neAlzheimer's disease, zviratidzo zvikuru zve vascular dementia zvinowanzoita kuti munhu afunge zvishoma nezvinetso zvekugadzirisa matambudziko pane kurasikirwa nekuyeuka.

Zviratidzo nezviratidzo zve vascular dementia zvinosanganisira:

• Kusanzwisisa
• Dambudziko rekutarisisa nekutarisa
• Kuderedzwa kwekuita zvinhu kana kufunga
• Kudzikira mukukwanisa kuongorora mamiriro ezvinhu, kugadzira chirongwa chinobatsira uye kutaura chirongwa icho kune vamwe
• Kufunga zvishoma nezvinetso
• Dambudziko rekugadzirisa zvinhu
• Dambudziko rekugadzirisa kuti chii chaunofanira kuita
• Matambudziko ekurangarira
• Kusagadzikana nekutsamwa
• Kufamba kusina kugadzikana
• Chido chekuenda kuchimbuzi kamwe kamwe kana kazhinji kana kusakwanisa kudzora kuenda kuchimbuzi
• Kuora mwoyo kana kusava nehanya

Zviratidzo zve vascular dementia zvinogona kujeka kana zvikaitika kamwe kamwe mushure me stroke. Kana kuchinja mufunge rako nekufunga kwako kuchioneka kwakabatana ne stroke, mamiriro ezvinhu anozivikanwa se post-stroke dementia.

Dzimwe nguva zviratidzo zve vascular dementia zvinoitika mushure me stroke dzakawanda kana ministrokes. Kuchinja mumafungiro ako kunoitika zvishoma nezvishoma kubva pane zvawakanga uchiita kare, zvakasiyana nekuora kwakanyanya kunowanzoitika mu Alzheimer's disease dementia.

Asi vascular dementia inogonawo kukura zvishoma nezvishoma, sekunge Alzheimer's disease dementia. Zvakawanda, vascular disease neAlzheimer's disease kazhinji zvinoitika pamwe chete.

Onzvero inoratidza kuti vanhu vakawanda vane dementia uye humbowo hwehuropi vascular disease vanewo Alzheimer's disease.

Vascular dementia inokonzerwa nemamiriro ano kukuvadza ropa rinoenda kuuropi hwako, zvichiita kuti rusakwanise kupa uropi hwako zvinovaka muviri nezvinhu zvinokosha zvinoda kuti uropi hwako huite mabasa ayo zvakanaka.

Zvimwe zvinetso zvinogona kukonzera vascular dementia zvinosanganisira:

• Kurohwa (kufa kwesero) kunovhara ropa rinoenda kuuropi. Kurohwa kunovhara ropa rinoenda kuuropi kazhinji kunokonzera zviratidzo zvakasiyana-siyana zvinogona kusanganisira vascular dementia. Asi mamwe kurohwa haakonzere chero zviratidzo zvinoonekwa. Aya kurohwa asinganzwikwi anoenderera mberi achikwidziridza njodzi yekuita dementia.

  Nezvose kurohwa asinganzwikwi neaonekwa, njodzi ye vascular dementia inowedzera nehuwandu hwekurohwa kunoitika nekufamba kwenguva. Rudzi rwe vascular dementia rinosanganisira kurohwa kwakawanda rinonzi multi-infarct dementia.

• Kubuda kweropa muuropi. Kazhinji kunokonzerwa nekukwirira kweropa kunosvitsa ropa rinoenda kuuropi, zvichikonzera kubuda kweropa muuropi zvichikonzera kukuvara kana kubva pakuunganidzwa kwemaproteni muropa duku rinoenda kuuropi kunoitika nekukwegura kuchisvitsa ropa racho nekufamba kwenguva (cerebral amyloid angiopathy)

• Ropa rinoenda kuuropi rakamanikana kana rakakuvadzwa kwenguva refu. Zvinetso zvinomanikana kana kukuvadza ropa rinoenda kuuropi kwenguva refu zvinogona kukonzera vascular dementia. Aya matambudziko anosanganisira kupfeka nekukuvadzwa kunouya nekukwegura, kuwanda kweropa, kukwegura kwakashata kweropa (atherosclerosis), chirwere cheshuga

Kazhinji, zvinokonzera vascular dementia zvakafanana nezvinokonzera chirwere chemwoyo nekuvhunduka. Zvinokonzera vascular dementia zvinosanganisira:

• Kuwedzera kwezera. Ngozi yako ye vascular dementia inowedzera sezvaunokura. Hosha iyi haawanzoitika usati wasvika makore 65, uye ngozi inowedzera zvakanyanya kana wasvika makore 90.
• Nhoroondo yekurohwa kwemwoyo, kurohwa kana ministrokes. Kana wakamborohwa nemwoyo, ungave uri pangozi yakawedzera yekuva nematambudziko eropa mudumbu rako. Kukuvadzwa kwepfungwa kunoitika nekurohwa kana ministroke (transient ischemic attack) kunogona kuwedzera ngozi yako yekuwana dementia.
• Kukwegura kwakashata kweropa (atherosclerosis). Iyi mamiriro anoitika kana zvinhu zvakaita se cholesterol nezvimwe zvinhu (plaques) zvikaunganidzwa mu arteries dzako uye zvichidzikisa ropa rako. Atherosclerosis inogona kuwedzera ngozi yako ye vascular dementia nekuderedza kuyerera kweropa kunodyisa uropi hwako.
• Cholesterol yakakwirira. Kuwanda kwakanyanya kwe low-density lipoprotein (LDL), iyo "yakaipa" cholesterol, inobatanidzwa nengozi yakawedzera ye vascular dementia.
• Kumanikidza kwepamusoro kweropa. Kana kumanikidza kwako kweropa kwakanyanya, kunowedzera kumanikidza ropa mudumbu rako rese, kusanganisira uropi hwako. Izvi zvinoita kuti ngozi yematambudziko eropa muuropi iwedzere.
• Chirwere cheshuga. Kuwanda kwakanyanya kwe glucose kunokuvadza ropa mudumbu rako rese. Kukuvadzwa kweropa muuropi kunogona kuwedzera ngozi yako yekurohwa ne vascular dementia.
• Kusvuta. Kusvuta kunokuvadza ropa rako zvakananga, kuwedzera ngozi yako ye atherosclerosis nezvimwe zvirwere zvekuyerera kweropa, kusanganisira vascular dementia.
• Kutadza uremu. Kuwanda kwemuviri kunonyanya kuzivikanwa sechinokonzera zvirwere zvekuyerera kweropa, uye nekudaro, zvinofungidzirwa kuti zvinoita kuti ngozi yako ye vascular dementia iwedzere.
• Atrial fibrillation. Munzira iyi isina kujairika yemwoyo, makamuri epamusoro emwoyo wako anotanga kurova nekukurumidza uye asinganzwisisiki, asingabatani nemakamuri epasi emwoyo wako. Atrial fibrillation inowedzera ngozi yako yekurohwa nekuti inokonzera kuti ropa riunganidzwe mumwoyo rinogona kuputsika uye kuenda kuropa reropa muuropi.

Hutano hwemapoto eropa emuhuga hwako hunosangana pedyo nehutano hwako hwemoyo wose. Kuita matanho aya kuchengetedza mwoyo wako uri utano kunogona kubatsira kuderedza njodzi yako yekuchema kwemasero eropa emuhuga (vascular dementia):

• Chengetera kuyerera kweropa kwakanaka. Kuchengeta kuyerera kweropa rako kuri munzvimbo yakajairwa kunogona kubatsira kudzivirira zvose vascular dementia nechirwere cheAlzheimer's.
• Dzivisa kana kudzora chirwere cheshuga. Kudzivisa kutanga kwechirwere cheshuga chemarudzi maviri, nekudya nemuviri, imumwe mukana wekuderedza njodzi yako yekuchema kwemasero eropa emuhuga. Kana uchitova nechirwere cheshuga, kudzora mazinga ako ehuga kunogona kubatsira kuchengetedza mapoto eropa emuhuga rako kuti arege kukuvara.
• Rega kusvuta. Kusvuta fodya kunokuvadza mapoto eropa muviri wako wose.
• Ita zvemuviri. Kuita zvemuviri nguva dzose kunofanira kuva chikamu chikuru chehurongwa hwehutano hweumwe neumwe. Pamusoro pezvikomborero zvaro zvose, kuita zvemuviri kunogona kukubatsira kudzivisa vascular dementia.
• Chengetera cholesterol yako iri pasi pekutonga. Kudya kwakanaka, kwakaderera mafuta uye mishonga inoderedza cholesterol kana uchida inogona kuderedza njodzi yako yekurohwa nepfungwa uye kurwara kwemoyo kunogona kukonzera vascular dementia, zvichida nekuderedza huwandu hwezvinhu zvinonamatira mukati mema arteries emuhuga rako.

Vanachire vanogona kazhinji kuziva kuti une dementia, asi hapana bvunzo chaiyo inosimbisa kuti une vascular dementia. Chiremba wako achaita mutongo wekuti vascular dementia ndiyo inonyanya kukonzera zviratidzo zvako zvichienderana neruzivo rwaunopa, nhoroondo yako yezvechiremba yekurova kana zvirwere zvemoyo nemhepo, uye mhedzisiro ye bvunzo dzinogona kukubatsira kunyatsojeka chirwere chako.\n\nKana rekodhi yako yekurapa isina kukosha kwazvino kwezviratidzo zvikuru zveutano hwemoyo wako nemhepo, chiremba wako achaongorora:\n\nIye kana iye anogona kukumbirawo bvunzo kuti adzima zvimwe zvinokonzera kurasikirwa kwekurangarira nekusaona, senge:\n\nChidzidzo chako chichaongorora hutano hwako hwehuropi hwese nekuongorora:\n\nMifananidzo yehuropi hwako inogona kuratidza zvikanganiso zvinooneka zvinokonzerwa nekurova, zvirwere zvemidziyo yeropa, zvirwere kana kukuvara kunogona kukonzera shanduko mufungwa nekufunga. Chidzidzo chekuongorora huropi chinogona kubatsira chiremba wako kuziva zvinokonzera zviratidzo zvako uye kubvisa zvimwe zvinokonzera.\n\nMaitiro ekuongorora huropi chiremba wako anogona kukurudzira kuti akubatsire kuziva vascular dementia anosanganisira:\n\nMagnetic resonance imaging (MRI). Magnetic resonance imaging (MRI) inoshandisa ma radio wave uye simba guru remagnetic kuti ibudirire mifananidzo yakadzama yehuropi hwako. Unovata patafura yakamanikana inopinda muchina weMRI une chimiro chechubhu, unoita ruzha rwakakura paunogadzira mifananidzo.\n\nMRIs hazvina marwadzo, asi vamwe vanhu vanonzwa vakavharirwa mukati mechina uye vanonetseka neruzha. MRIs kazhinji ndiyo bvunzo yakanakisa yekufananidza nekuti MRIs inogona kupa ruzivo rwakawanda kupfuura computed tomography (CT) scans pamusoro pekurova, ministrokes uye zvikanganiso zvemidziyo yeropa uye ndiyo bvunzo yekusarudza yekuongorora vascular dementia.\n\nComputerized tomography (CT) scan. Kuti uite CT scan, ucharara patafura yakamanikana inopinda mukamuri duku. X-rays inopfuura mumuviri wako kubva pakona dzakasiyana-siyana, uye kombiyuta inoshandisa ruzivo urwu kugadzira mifananidzo yakadzama ye cross-sectional (slices) yehuropi hwako.\n\nCT scan inogona kupa ruzivo pamusoro pemusoro wehuropi hwako; kutaura kana chero nzvimbo ichiita kuti ishome; uye kuwana humbowo hwekurova, ministroke (transient ischemic attacks), shanduko mumidziyo yeropa kana chirwere.\n\nRudzi urwu rwekuongorora runoongorora kugona kwako ku:\n\nNeuropsychological bvunzo dzimwe nguva dzinoratidza mhedzisiro yakasarudzika kune vanhu vane marudzi akasiyana e dementias. Vanhu vane vascular dementia vanogona kunetseka zvikuru kuongorora dambudziko uye kugadzira mhinduro inoshanda.\n\nVanogona kunge vasina kunetseka kudzidza ruzivo rutsva uye kurangarira kupfuura vanhu vane dementia nekuda kwechirwere cheAlzheimer kunze kwekunge matambudziko avo emidziyo yeropa akakanganisa nzvimbo dzehuropi dzakakosha pakurangarira. Zvisinei, kazhinji kune kuwanda kwemhedzisiro yekuongorora kune vanhu vane vascular dementia nevanhu vanewo shanduko dzehuropi dzechirwere cheAlzheimer.\n\nPasi pane zvakawanda zvinotarisa pakusiyanisa Alzheimer's dementia kubva kuvascular dementia, zvinobuda kuti kazhinji kune kuwanda kukuru. Vanhu vazhinji vanozivisa kuti vane Alzheimer's dementia vane chikamu chevascular uye nenzira yakafanana vanhu vazhinji vane vascular dementia vane imwe nhanho yekushanduka kweAlzheimer muhuropi hwavo.\n\n* Ropa rekuita

• Cholesterol
• Shuga yeropa\n\n* Zvirwere zve thyroid
• Kushomeka kwemavhitamini\n\n* Reflexes
• Tone yemhasuru nesimba, uye kuti simba riri divi rimwe remunhu riri sei neimwe divi
• Kugona kumuka kubva pachigaro uye kufamba mukamuri
• Kunzwa kwekuhwina nekuona
• Kugadzikana
• Kuenzana\n\n* Magnetic resonance imaging (MRI). Magnetic resonance imaging (MRI) inoshandisa ma radio wave uye simba guru remagnetic kuti ibudirire mifananidzo yakadzama yehuropi hwako. Unovata patafura yakamanikana inopinda muchina weMRI une chimiro chechubhu, unoita ruzha rwakakura paunogadzira mifananidzo.\n\n MRIs hazvina marwadzo, asi vamwe vanhu vanonzwa vakavharirwa mukati mechina uye vanonetseka neruzha. MRIs kazhinji ndiyo bvunzo yakanakisa yekufananidza nekuti MRIs inogona kupa ruzivo rwakawanda kupfuura computed tomography (CT) scans pamusoro pekurova, ministrokes uye zvikanganiso zvemidziyo yeropa uye ndiyo bvunzo yekusarudza yekuongorora vascular dementia.\n* Computerized tomography (CT) scan. Kuti uite CT scan, ucharara patafura yakamanikana inopinda mukamuri duku. X-rays inopfuura mumuviri wako kubva pakona dzakasiyana-siyana, uye kombiyuta inoshandisa ruzivo urwu kugadzira mifananidzo yakadzama ye cross-sectional (slices) yehuropi hwako.\n\n CT scan inogona kupa ruzivo pamusoro pemusoro wehuropi hwako; kutaura kana chero nzvimbo ichiita kuti ishome; uye kuwana humbowo hwekurova, ministroke (transient ischemic attacks), shanduko mumidziyo yeropa kana chirwere.\n\n* Kutaura, kunyora uye kunzwisisa mutauro
• Kushanda nenhamba
• Kudzidza uye kurangarira ruzivo
• Kugadzira chirongwa chekurwisa uye kugadzirisa dambudziko
• Kupindura zvakanaka kune mamiriro ezvinhu asingatarisirwi

Kurapa kazhinji kunotarisa pakutonga mamiriro ezvekurapa uye zvinokonzera njodzi zvinoita kuti pave ne dementia yevascular.

Kutonga mamiriro anoita kuti utano hwemoyo nemidziyo yeropa zvibude zvakaipa dzimwe nguva kunogona kuderedza kumhanya kwavanoita kuti vascular dementia iwedzere kuipa, uye dzimwe nguva kunogona kudzivirira kuwedzera kuderera. Zvichienderana nemamiriro ako, chiremba wako anogona kupa mishonga kuti:

• Dzikise kuwedzera kweropa rako
• Dzikisa huwandu hwe cholesterol yako
• Kudzivirira ropa rako kuti rirege kuomarara uye kuchengeta arteries dzako dzakachena
• Kubatsira kutonga shuga yeropa rako kana uine chirwere cheshuga

Kunyangwe aya asina humbowo hwekuti anochinja nzira ye vascular dementia, chiremba wenyu angakurudzira kuti:

• Ita zvemuviri nguva dzose
• Dyisa zvinovaka muviri
• Edza kuchengetedza uremu hwakanaka
• Shandisa nguva nevamwe vanhu
• Kumbira pfungwa dzako nemitambo, mapuzzle nemabasa matsva, sekudzidza zvesimbi kana kuteerera mimhanzi mitsva
• Dzora huwandu hwemweya waunonwa