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Vascular dementia inoitika kana ropa richipinda muuropi rako richideredzwa, richikuvadza tishu dzeuropi nekufamba kwenguva. Iyo rudzi rwechipiri rwakajairika re dementia mushure meAlzheimer's disease, richikanganisa vanhu vanosvika 10% vane dementia.
Fungidzira uropi hwako sebindu rinoda kuyerwa kwenguva dzose kuti rive nehutano. Kana midziyero yeropa ikavharwa kana kukuvadzwa, zvikamu zveuropi hwako hazviwani oksijeni nezvinovaka muviri zvinozvida. Izvi zvinoita kuti pave nematambudziko ekufunga, ndangariro, uye mabasa ezuva nezuva anowedzera kuipa nekufamba kwenguva.
Zviratidzo zve vascular dementia kazhinji zvinoonekwa kamwe kamwe mushure me stroke, kana kuti zvinogona kuwedzera zvishoma nezvishoma sezvo kukuvara kwemidziyero midiki yeropa kuchiwanda. Zviratidzo zvaunonzwa zvinoenderana nezvikamu zveuropi hwako zvakakanganiswa nekuderera kweropa.
Ngatitarisei zviratidzo zvakajairika zvaunogona kuona:
Vamwe vanhu vanonzwawo zviratidzo zvisingawanzoitika zvinogona kukonzera kunetseka. Izvi zvinogona kusanganisira kuchinja kwakatonyanya kwemufambiro, kunetseka kukotama, kana matambudziko ekudzora basa rebladder. Nzira yezviratidzo kazhinji inouya nemafuru, ine nguva dzokugarisana dzakateverwa nekuderera kwakatonyanya, kunyanya mushure mekuvhunduka.
Vascular dementia haisi chirwere chimwe chete asi boka rezvirwere zvine hukama. Mhando imwe neimwe inokura kubva kune zviratidzo zvakasiyana zvekuvadza kwemadziro eropa mubrain yako.
Multi-infarct dementia inobva pakurohwa kwakawanda kwakasiyana kwaungatoona kana zvichiitika. Aya “makuhwa akanyarara” anokuvadza zvishoma nezvishoma tishu reubongo nekufamba kwenguva, zvichikonzera kudzikira kwakafanana nechepakati mukukwanisa kwepfungwa.
Subcortical dementia inokura kana madziro maduku eropa ari mukati meubongo hwako akakuvadzwa. Mhando iyi kazhinji inokonzera matambudziko nekukurumidza kufunga, kuchinja kwemanzwiro, uye kunetseka kufamba usati waona matambudziko ekurangarira.
Mixed dementia inosanganisa vascular dementia nemhando imwe, kazhinji chirwere cheAlzheimer. Musanganiswa uyu chaizvoizvo wakajairika, kunyanya muvanhu vane makore anopfuura 80.
Panewo fomu isingawanzoitika inonzi CADASIL (Cerebral Autosomal Dominant Arteriopathy ine Subcortical Infarcts neLeukoencephalopathy), iyo inogara ichinangwa uye kazhinji inotanga kukanganisa vanhu vari mumakore makumi mana kana makumi mashanu. Iyi mamiriro ezvinhu ehutsika inokonzera kukuvara kwakakurumidza kumadziro maduku eropa mukati meubongo.
Vascular dementia inokura kana ubongo hwako husina ropa rakakwana nekuda kwemadziro eropa akakuvadzwa kana akavharirwa. Kuyerera uku kwakaderera kunobvisa masero eubongo okisijeni nezvinovaka muviri zvinodiwa kuti ashingire zvakanaka.
Zvirwere zvakawanda zvinogona kukonzera kukuvara uku kwemadziro eropa:
Zvimwe zvikonzero zvisingawanzoitiki zvinosanganisira matambudziko eropa anoita kuti kuita clots kuwedzere, zvirwere zvinopisa zvinokanganisa mitsinga yeropa, uye zvimwe zvirwere zvemagwenya. Kushanduka kwezera mumitsinga yeropa kunovhiringidzawo vakuru vakwegura, kunyangwe pasina zvimwe zvinokonzera njodzi.
Nzvimbo uye huwandu hwekukuvadzwa kwemitsinga yeropa zvinoona kuti maratidzo api anokura uye kuti anokura nekukurumidza sei. Ndosaka vascular dementia inogona kutaridzika zvakasiyana kubva kune munhu kuenda kune mumwe.
Unofanira kubata nachiremba wako kana ukaona kuchinja kwenguva refu mufungwa, ndangariro, kana kushanda kwezuva nezuva kunokunetsa iwe kana vanhu vaunoda. Kuongororwa pakutanga kunokosha zvikuru nekuti mamwe maratidzo anogona kurapika kana kudzoreredzwa.
Tsvaga rubatsiro rwekurapa nekukurumidza kana iwe ukaona kusanzwisisika kamwe kamwe, kurwadziwa kwemusoro kwakasimba, kuoma kutaura, kana kushaya simba kune rumwe rutivi rwemiviri yako. Izvi zvinogona kuva zviratidzo zvekurova neropa, izvo zvinoda kurapwa kwekukurumidza.
Rongai nguva dzose kana ukaona kuchinja kuri kuita zvishoma nezvishoma sekusava nehanya nemari, kurasika munzvimbo dzauinoshandira, kunetseka kutevera hurukuro, kana kuchinja kwepfungwa kunoratidzika kunge kwakasiyana. Kunyange kuchinja kuri duku kunoda kutarisirwa, kunyanya kana uine zvinokonzera njodzi senge kuwedzera kweropa kana chirwere cheshuga.
Usamirira kuti zviratidzo zvive zvakanyanya usati watanga kutsvaka rubatsiro. Kuita chimwe chinhu pakutanga kunogona kazhinji kudzikisa kufambira mberi uye kuvandudza hupenyu hwako nehwemhuri yako.
Kunzwisisa zvinokonzera njodzi dzako kunogona kukubatsira kutora matanho ekudzivirira hutano hwemuviri wako. Zvizhinji zveizvi zvinhu zviri mukudzora kwako kuburikidza nezvisarudzo zveupenyu uye manejimendi ezvechiremba.
Zvinokonzera njodzi huru zvinosanganisira:
Zvimwe zvinokonzera njodzi zvisingawanzoitika asi zvinokosha zvinosanganisira kurara kwakaoma, kunoderedza oksijeni kuuropi hwako panguva yekurara, uye zvimwe zvirwere zve autoimmune zvinokonzera kuzvimba kwemavessel eropa. Vanhu vane ruvara rweAfrica neHispanic vane huwandu hwakakwira hwevascular dementia, chikamu chacho nekuda kwekuwanda kwechirwere cheshuga uye kuwedzera kweropa mumapoka aya.
Mashoko akanaka ndeakuti akawanda ezvinokonzera njodzi aya anogona kutungamirwa nekurapwa kwemishonga, kuchinja mararamiro, uye kuongororwa nguva dzose nechikwata chehutano hwako.
Vascular dementia chirwere chinopfuurira, zvinoreva kuti matambudziko kazhinji anoonekwa zvishoma nezvishoma sezvo chirwere chacho chikapfuurira. Kunzwisisa izvi zvinetso zvinogona kubatsira iwe nemhuri yako kugadzirira uye kuronga ramangwana.
Matambudziko akajairika anogona kuitika panguva yakareba anosanganisira:
Matambudziko asingawanzoitika asi akakomba anosanganisira kuchinja kwakasimba kwemifungo, kurasikirwa kwakakwana nehunyanzvi hwekukurukura, uye kuwedzera kwekugamuchira hutachiona. Vamwe vanhu vanogona kuwana zvirwere, kunyange zvazvo izvi zvisingawanzoitiki.
Matambudziko mazhinji aya anogona kutarisirwa kana kunonoka nekutarisirwa kwakakodzera, kuongororwa kwemishonga nguva dzose, uye kuchinja kwezvakatipoteredza kuchengetedza kuchengetedzeka nekutonga kwenguva refu sezvinobvira.
Kunyangwe usingakwanisi kudzivirira zviitiko zvese zvevascular dementia, unogona kuderedza njodzi yako zvakanyanya nekudzivirira ropa rako nehutano hwemuviri. Mazano akafanana anodzivirira chirwere chemwoyo nekuvhundukawo anobatsira kudzivirira vascular dementia.
Mazano ekudzivirira anoshanda zvikuru anotarisa pakutarisira zvinhu zvinokonzera chirwere chemwoyo:
Kusimudzira pfungwa kuburikidza nekuverenga, mapuzzle, mabasa emagariro, nekudzidza unyanzvi hutsva kunogona zvakare kubatsira kuvaka kuchengetedza kwepfungwa. Kutsvagisa kwakaita kuti kuenderera mberi nekubatanidzwa kwemagariro uye kurapwa kwekuora mwoyo nekukurumidza kungapa kuchengetedza kuwedzerwa.
Kuongororwa kwemishonga nguva dzose kunobvumira kuonekwa kwenguva uye kurapwa kwezvinhu zvinokonzera njodzi usati zvakonzera kukuvara kwisingaperi kwepfungwa. Kudzivirira kunogara kuri kushanda kupfuura kurapwa mushure mekunge zviratidzo zvaonekwa.
Kuongorora dementia yevascular kunoda kuongororwa kwakazara nekuti hapana bvunzo imwe chete inogona kusimbisa mamiriro acho. Chiremba wenyu achada kubvisa zvimwe zvinokonzera matambudziko ekufunga uye kutsvaga uchapupu hwekukuvara kwemapoto eropa muuropi hwako.
Maitiro ekurapa anowanzo tanga ne nhoroondo yakazara yezvokurapa nekuongororwa kwemuviri. Chiremba wenyu acha kubvunza nezve zviratidzo zvako, pavakatanga, maitiro avo akakurumidza sei, uye nhoroondo yeumhuri yedementia kana stroke.
Kuongororwa kwakati wandei kunobatsira kusimbisa chirwere ichi:
Chiremba wenyu angarayirawo bvunzo dzakasarudzika senge carotid ultrasound kuongorora ma artery akavharwa, kana echocardiogram kuongorora basa remoyo. Muzviitiko zvimwe, kuongororwa kwepfungwa kunopa kuongororwa kwakazara kwehunhu hwepfungwa.
Chirwere chinonyatsojeka kana zviratidzo zvepfungwa zvikaitika pamwe chete neuchapupu hwe stroke kana chirwere chakakomba chemapoto eropa. Dzimwe nguva chirwere chinokura nekufamba kwenguva sezvo chiremba wenyu achiona maitiro ezviratidzo zvichienderera mberi uye kupindura kurapwa.
Kurapwa kwevascular dementia kunotarisa pakudzora kufambira mberi, kudzora zviratidzo, uye kuvandudza hupenyu hwakanaka. Kunyangwe pasina mushonga, nzira dzakati wandei dzinogona kukubatsira kuchengetedza basa uye kuzvimiririra kwenguva refu.
Nzira huru yekurapa inosanganisira kudzivirira kukuvara kwakawanda kwemapoto eropa:
Kana zviri zviratidzo zvepfungwa, chiremba wenyu anganyorera mishonga inonzi cholinesterase inhibitors senge donepezil, rivastigmine, kana galantamine. Kunyange aya mishonga akagadzirwa pakutanga kune chirwere cheAlzheimer's, anogona kubatsira zvishoma kune vamwe vanhu vane vascular dementia.
Kutonga kuora mwoyo, kunetseka, nezviratidzo zvemaitiro kazhinji kunoda mimwe mishonga kana kurairwa. Matambudziko ekurara, kusagadzikana, kana ma hallucinations anoda kurapwa kwakakosha kuti uve wakasununguka uye wakachengeteka.
Nzira dzisingashandisi mishonga dzinosanganisira occupational therapy yekuchengetedza unyanzvi hwekuita mabasa ezuva nezuva, physical therapy yekuchengetedza kufamba uye kuderedza njodzi yekuwa, uye speech therapy kana kutaura kwava kuoma. Kuita zvemitambo nguva dzose, kubatana nevamwe, uye kuchengetedza maitiro ezuva nezuva zvinotsigirawo hutano hwese.
Kuita imba ine rutsigiro kunogona kuvandudza hupenyu hwezuva nezuva kune munhu ane vascular dementia. Kushandura zvidiki kazhinji kunoita musiyano mukuru mukuchengetedza kuzvimiririra uye kuderedza kusuruvara.
Tarisisa kuchengetedzeka uye nyore muimba yako. Bvisa zvinhu zvinogona kukonzera kuwira senge makarpeti asina kugadzikana, ita shuwa kuti kune chiedza chakakwana mumba mako, uye isa mabara ekubata mumabhaziroomu. Chengetera zvinhu zvikuru munzvimbo dzakafanana uye nyora madhirowa kana makabati kana zvichinakidza.
Gadzira maitiro ezuva nezuva anogara achiverengeka anounza kurongeka uye kuderedza kusanzwisisika. Edza kuronga mabasa akaoma panguva iyo kufunga kunonzwa kwakajeka, kazhinji mangwanani. Kamura mabasa akaoma kuva matanho madiki, anogoneka.
Nzira dzekukurukurirana dzinogona kubatsira kuchengetedza hukama nemhuri neshamwari:
Kurudzira kuramba uchitora chikamu mumabasa anofadza, kunyangwe zvichida zvichida kuchinja. Mimhanzi, hunyanzvi, kurima, kana zvimwe zvinofadza zvinogona kupa mufaro nekukurudzira pfungwa. Kuita zvemuviri nguva dzose, kunyange kufamba zvishoma, kunobatsira kuchengetedza hutano hwemuviri uye kunogona kunonoka kudonha kwehungwaru.
Usakanganwa nezve rutsigiro rwemutariri. Kutarisira mumwe munhu ane dementia kunonetsa, saka tsvaga rubatsiro kubva kumhuri, shamwari, mapoka ekutsigira, kana mabasa epanyanzvi kana zvichidikanwa.
Kugadzirira zvakakwana kuenda kwako kunobatsira kuve nechokwadi chekuti unowana chirwere chakarurama uye ruzivo runobatsira. Uya nemumwe wemhuri kana shamwari yaunovimba nayo anogona kupa mamwe mazano uye kubatsira kurangarira zvinhu zvikuru.
Usati waenda, nyora zviratidzo zvese zviripo uye pawakatanga kuzvinaona. Sanganisira mienzaniso chaiyo yezvakaoma sei mabasa ezuva nezuva, sekunetsa kutarisira mari, kurasika panguva yekutyaira, kana kukanganwa mazita anozivikanwa.
Unganidza ruzivo rwakakosha rwekugovera nachiremba wako:
Gadzirira mibvunzo nezve chirwere, nzira dzekurapa, kufambira mberi kunotarisirwa, nezviwanikwa zviripo. Bvunza nezvezvinhu zvekutarisira kuchengetedzeka, kukwanisa kutyaira, uye nguva yekuronga zvinodiwa zvekuchengetedza mune ramangwana.
Uyai nebhuuku rekunyora mashoko akakosha panguva yekushanya. Misangano yekurapa inogona kunzwa ichinetsa, uye kuva nemaonero kunokubatsira kurangarira zvinhu zvikuru gare gare. Usanetseka kubvunza chiremba wako kuti adzokorore kana kujeka chero chinhu chisinganzwisisiki kwauri.
Vascular dementia chirwere chakakomba asi chinogona kudzorwa chinokura kana ropa risina kukwana kukuvadza uropi kwenguva yakareba. Kunyangwe iri kuwedzera uye iye zvino haina mushonga, kuongororwa pakutanga nekurapa zvinogona kunonoka kufambira mberi kwayo uye kubatsira kuchengetedza hupenyu hwakanaka.
Chinhu chakakosha chokurangarira ndechekuti zvinhu zvizhinji zvinokonzera zvinodzorwa. Kudzora kweropa, chirwere cheshuga, cholesterol, nezvimwe zvirwere zvemoyo zvinoderedza zvakanyanya njodzi yekuwana vascular dementia kana kuona kudzikira kuri kuwedzera.
Kana uri kurarama ne vascular dementia, tarisa pane zvaunogona kudzora nhasi. Tora mishonga sezvakarayirwa, gara uchiita zvemuviri uye zvemagariro, chengetedza kuchengetedzeka kumba, uye shandira pamwe nechikwata chako chehutano. Sarudzo duku dzuva nezuva dzinowedzera kusiyana kwakakosha muhupenyu hwako hurefu.
Yeuka kuti kuva nechirwere chepfungwa chevascular hakusi kukutsananguri kana kubvisa mukana wezviitiko zvine musoro, zvinofadza. Nekutsigirwa kwakakodzera, vanhu vazhinji vanoramba vachiwana chinangwa uye hukama kunyangwe mamiriro acho achifambira mberi. Hausiri wega munzira iyi, uye rubatsiro rwuripo.
Kufambira mberi kwechirwere chepfungwa chevascular kuno siyana zvikuru kubva kumunhu kuenda kune mumwe munhu uye kazhinji kunoitika munzira yakaita senhambo pane kudonha kwakaringana. Vamwe vanhu vanoramba vakadzikama kwemwedzi kana makore, nepo vamwe vangave vane shanduko dzakakurumidza, kunyanya mushure mekuvhunduka.
Kufambira mberi kunoenderana nezvinhu zvakaita sekukuvadzwa kwezvipembenene zveropa, kuti mamiriro ezvinhu akavanzika akadzora sei, hutano hwese, uye mukana wekurapwa. Kutonga zvakanaka kweropa, chirwere cheshuga, nezvimwe zvinokonzera ngozi zvinogona kudzikisira zvikuru kufambira mberi.
Chirwere chepfungwa chevascular hachigone kudzoserwa zvachose, asi zvimwe zviratidzo zvinogona kuvandudzwa nekurapwa kwakakodzera. Kutonga kweropa, kutonga chirwere cheshuga, uye kudzivirira kuvhunduka kunogona kumisa kana kudzikisira kufambira mberi muzviitiko zvakawanda.
Vamwe vanhu vanoona kuvandudzwa kwakaderera mufungwa uye kushanda kwezuva nezuva kana mamiriro ezvinhu akavanzika akadzora zvakanaka. Kuita zvekukurumidza kunopa mukana wakanakisa wekuchengetedza hunyanzvi hwepfungwa uye kuchengetedza kuzvitonga kwenguva refu.
Kazhinji kazhinji zvechirwere chepfungwa chevascular hazvina kuwanikwa zvakananga, asi nhoroondo yemhuri inogona kuwedzera njodzi yako. Kana hama dzakave nekuvhunduka, chirwere chemwoyo, chirwere cheshuga, kana ropa rakakwirira, ungangove uri panjodzi yakakura yekuwanawo mamiriro aya.
Marudzi asingaverengeki emajini akadai seCADASIL anogara mumhuri, asi aya anoita chikamu chidiki kwazvo chezviitiko. Tarisa pakutonga zvinhu zvinokonzera njodzi zvaunogona kudzora pane kunetseka nezve nhoroondo yemhuri yausingakwanisi kuchinja.
Dementia inokonzerwa nekushomeka kweropa muuropi inokonzerwa nekuderera kweropa kunofamba kuuropi, nepo chirwere cheAlzheimer's chinobatanidza kuunganidzwa kwemaproteni anokuvadza masero ehuropi. Dementia inokonzerwa nekushomeka kweropa kazhinji inokanganisa kufunga nekufunga usati wasvika pakukanganwa, nepo chirwere cheAlzheimer's chinowanzoita kuti matambudziko ekurangarira aonekwe kutanga.
Zviratidzo zve dementia inokonzerwa nekushomeka kweropa zvinogona kuoneka kamwe kamwe mushure mekurova kweropa kana kuti kuwedzera zvishoma nezvishoma, nepo chirwere cheAlzheimer's chinowanzoita kuti kuora mwoyo kuwedzere zvishoma nezvishoma. Vanhu vazhinji vane zvirwere zviviri izvi pamwe chete, zvinonzi mixed dementia.
Nguva yekurarama ne dementia inokonzerwa nekushomeka kweropa inosiyana zvikuru zvichienderana nezera rekutarisa, hutano hwese, kukura kwezviratidzo, uye kuti mamiriro ezvinhu ari pasi pekutonga anotongwa sei. Vamwe vanhu vanorarama makore mazhinji nehupenyu hwakanaka, nepo vamwe vangave nehupenyu hwakapfupika.
Zvinhu zvinokanganisa hupenyu hurefu zvinosanganisira hutano hwemunhu, mhinduro pakurapa, rutsigiro rwenharaunda, uye kudzivirira matambudziko akadai sekukuwa kana kuzara. Tarisa pakurarama zvakanaka nhasi pane kuedza kufanotaura nguva yemberi.