ʻO Dementia ma muli o nā kumu hana metabolic

Lilo ka Dementia i ka hana lolo e kū me kekahi mau maʻi.

ʻO Dementia ma muli o nā hopena metabolic kahi nalowale o ka hana o ka lolo e hiki ke hana me nā hana ʻino ʻole i loko o ke kino. Me kekahi o kēia mau maʻi, inā mālama mua ʻia, hiki ke hoʻihoʻi ʻia ka hana ʻole o ka lolo. Haʻalele ʻole ʻia, hōʻino ʻia ka lolo mau loa, e like me dementia, hiki ke hana.

ʻO nā kumu metabolic hiki i ka dementia ke:

• Nā maʻi Hormonal, e like me Addison maʻi, Cushing maʻi
• Hōʻike ka hao kaumaha, e like me ke kēpau, arsenic, mercury, a me ka manganese
• E hana hou i nā ʻāpana o ke kō kō kō (hypoglycemia), ʻike pinepine ʻia i ka poʻe me ka maʻi diabetes e hoʻohana ana i ka insulin
• ʻO ke kiʻekiʻe o ka calcium i loko o ke koko, e like me ka hyperparathyroidism
• ʻO ke kiʻekiʻe o ka hormone thyroid (hypothyroidism) a i ʻole ke kiʻekiʻe o ka hormone thyroid (thyrotoxicosis) i loko o ke kino.
• Kaʻu cirrhosis
• Hewa ʻole nā ​​hakuʻala
• Nā maʻi kīnā ʻole, e like me ka hemahema o ka huaʻai B1, ka pau ʻole ka wikamina B12, ka pellagra, a i ʻole ka protein-calorie
• ʻO Porphyria
• Nā lāʻau ʻono, e like me ka methanol
• Hoʻohana nui i ka waiʻona
• Maʻi ʻo Wilson
• Nā maʻi o ka mitochondria (nā māhele hana ikehu o nā hunaola)
• Hoʻololi wikiwiki i ka pae sodium

Hiki i nā maʻi Metabolic ke kumu o ka huikau a me nā loli i ka noʻonoʻo a me ka noʻonoʻo ʻana. He wā pōkole a mau paha kēia mau hoʻololi. Hana ʻia ʻo Dementia ke hiki ʻole ke hoʻohuli ʻia nā ʻōuli. Hiki i nā ʻōuli ke ʻokoʻa no kēlā me kēia. Kaukaʻi ʻia lākou i ke kūlana olakino e hiki ai i ka dementia.

Hiki i nā ʻōuli mua o ke dementia ke komo pū me:

• Ka paʻakikī me nā hana e noʻonoʻo ai akā hoʻohana maʻalahi ʻia, e like me ke kaulike ʻana i kahi puke nānā, pāʻani ʻana i nā pāʻani (e like me ke alahaka), a me ke aʻo ʻana i ka ʻike hou a i ʻole nā ​​hana maʻamau.
• E nalowale ana ma nā ala maʻamau
• Nā pilikia ʻōlelo, e like me ka pilikia me nā inoa o nā mea kamaʻāina
• Loaʻa ka hoihoi i nā mea i leʻaleʻa ma mua, ʻano pālahalaha
• Ke kuhi hewa nei i nā mea
• Hoʻololi ka pilikino a me ka nalo ʻana o nā mākau kaiaulu, kahi e alakaʻi ai i nā lawena kūpono ʻole
• Hiki ke hoʻololi i ka mood i hiki ke hana i nā manawa o ka huhū a me ka hopohopo
  
• Hana maikaʻi ʻole ma ka hana e hopena ana i ka hoʻohaʻahaʻa a me ka nalo ʻana o ka hana
  

Ke hele a māhuahua ka dementia, ʻike maopopo ʻia nā ʻōuli a keakea i ka hiki ke mālama iā ʻoe iho:

• Ke hoʻololi nei i nā hiʻohiʻona hiamoe, ala pinepine i ka pō
• Poina i nā kikoʻī e pili ana i nā hanana o kēia manawa, hoʻopoina i nā hanana i ka moʻolelo o ke ola o kekahi
• Loaʻa ka paʻakikī i ka hana ʻana i nā hana maʻamau, e like me ka hoʻomākaukau ʻana i nā meaʻai, ke koho ʻana i nā lole kūpono, a i ʻole ke kalaiwa ʻana
• Loaʻa i nā hallucination, nā paio, ke kuʻi ʻana, a me ka hana kolohe
• ʻOi aku ka paʻakikī o ka heluhelu a me ke kākau ʻana
• Ka noʻonoʻo maikaʻi ʻole a me ka nalo ʻana o ka hiki ke ʻike i ka makaʻu
• Ke hoʻohana nei i ka huaʻōlelo kūpono ʻole, ʻaʻole hoʻopuka pololei ʻana i nā huaʻōlelo, ke kamaʻilio ʻana i nā ʻōlelo huikau
• Ke haʻalele nei mai ka pilina pilikino

Loaʻa paha i ke kanaka nā ʻōuli mai ka maʻi i loaʻa ai ka dementia.

Aia i ke kumu, hana ʻia kahi ʻōnaehana hopohopo (nīnau neurologic) e ʻike ai i nā pilikia.

ʻO nā hoʻāʻo e kuhikuhi i kahi ʻano olakino hiki i ke dementia ke hoʻopili pū ʻia:

• ʻĀmonia pae i ke koko
• ʻO ke kemika koko, nā electrolytes
• Pae kō glucose
• BUN, creatinine e nānā i ka hana o ka hakuʻala
• Nā hoʻāʻo hana ate
• Lumbar puncture (iwi kuamoʻo tap)
• Nānā Nutritional
• Nā hoʻāʻo ʻana o ka hana thyroid
• Urinalysis
• ʻO ka pae Vitamin B12

No ka hōʻoki ʻana i kekahi mau maʻi lolo, hana pinepine ʻia kahi EEG (electroencephalogram), scan CT poʻo, a i ʻole scan MRI poʻo.

ʻO ka pahuhopu o ka mālama ʻana ka mālama ʻana i ka maʻi a me nā ʻōuli o ke kaohi. Me kekahi mau maʻi metabolic, hiki i ka lapaʻau ke hoʻopau a i ʻole hoʻohuli paha i nā ʻōuli dementia.

ʻAʻole hōʻike ʻia nā lāʻau i hoʻohana ʻia e mālama ai i ka maʻi ʻo Alzheimer no kēia mau ʻano maʻi. I kekahi manawa, hoʻohana ʻia kēia mau lāʻau i ka wā e holo pono ʻole ai nā lāʻau ʻē aʻe i nā pilikia pilikia.

Pono e hoʻolālā i nā hoʻolālā no ka mālama home ʻana no ka poʻe me ka dementia.

Hoʻololi nā hopena, e like me ke kumu o ka dementia a me ka nui o nā mea i hōʻino ʻia i ka lolo.

Pākuʻi ʻia paha nā pilikia i kēia mau mea:

• Ka nalowale o ka hiki ke hana a mālama paha iā ʻoe iho
• Lilo o ka hiki ke launa pū
• ʻO Ponia, nā maʻi maʻi urinary, a me nā maʻi o ka ʻili
• ʻEha puʻe
• Nā ʻōuli o ka pilikia ma lalo (e like me ka nalo ʻana o ka naʻau ma muli o kahi ʻeha nerve mai ka hemahema o ka wikamina B12)

Kāhea i kahi manawa me kāu kauka olakino inā e hōʻeha a hoʻomau paha nā ʻōuli. E hele i ka lumi pilikia a kāhea paha i ka helu kūloko kūloko (e like me 911) inā he hoʻololi lōkahi o ke kūlana noʻonoʻo a i ʻole kahi pilikia weliweli i ke ola.

ʻO ka mālama ʻana i ke kumu kumu e hoʻoliʻiliʻi ai i ka makaʻu no ka dementia metabolic.

Lolo lolo - metabolic; Muli noʻonoʻo - metabolic; MCI - metabolic

• Lolo
• ʻŌnaehana lolo a me ka pūnao

Budson AE, Solomon PR. Nā maʻi ʻē aʻe i kumu e nalo ai ka hoʻomanaʻo ʻana a i ʻole dementia. I: Budson AE, Solomon PR, eds. Loss Memory, Alzheimer's Disease, a me Dementia. ʻElua ed. Piladelapia, PA: Elsevier; 2016: chap 14.

ʻO Knopman DS. Ka hoʻohaʻahaʻa ʻike a me ka dementia. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 374.

ʻO Peterson R, Graff-Radford J. Alzheimer maʻi a me nā dementias ʻē aʻe. I: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. ʻO Bradley's Neurology i ka hana lapaʻau. ʻEpekema 7 Piladelapia, PA: Elsevier; 2016: chap 95.