Dementia vascular

ʻO Dementia kahi hōʻemi mau a me ka lilo mau o ka hana o ka lolo. Loaʻa kēia me kekahi mau maʻi. Hoʻopili ia i ka hoʻomanaʻo, ka noʻonoʻo, ka ʻōlelo, ka hoʻokolokolo, a me ka lawena.

Hoʻokumu ʻia ka dementia vascular e kekahi papa o nā kuʻi liʻiliʻi ma kahi o kahi wā lōʻihi.

ʻO Vement dementia ka lua o nā kumu maʻamau o ka dementia ma hope o ka maʻi Alzheimer i ka poʻe ma mua o 65 mau makahiki.

Hoʻokumu ʻia ka dementia vascular e kekahi papa o nā kaha liʻiliʻi.

• ʻO ka hahau kahi haunaele a i ʻole ka paʻa ʻana o ka lako o ke koko i nā ʻāpana o ka lolo. Kāhea ʻia kahi hahau he infarct. ʻO ka nui o ka infarct ʻo ia hoʻi ʻoi aku ka nui o nā wahi o ka lolo i hōʻeha ʻia no ka nele i ke koko.
• Inā kū ke kahe o ke koko ma mua o kekona kekona, ʻaʻole hiki i ka lolo ke loaʻa ka oxygen. Hiki i nā pūnaewele lolo ke make, e hōʻino mau ana.
• Ke hoʻopili nā hahau i kahi wahi liʻiliʻi, ʻaʻohe paha ʻōuli. Kapa ʻia kēia mau mea he hahau hāmau. I ka hala ʻana o ka manawa, ke hōʻino ʻia nā wahi hou o ka lolo, ʻike ʻia nā ʻōuli o dementia.
• ʻAʻole hāmau nā hahau āpau. ʻO nā hahau nui e hoʻopili i ka ikaika, sensation, a i ʻole ka lolo a me ka ʻōnaehana ʻōiwi (neurologic) hiki ke alakaʻi i ka dementia.

Nā kumuhana kūpilikiʻi no ka vement dementia:

• Diabetes
• ʻO ka paʻakikī o nā aʻa (atherosclerosis), maʻi puʻuwai
• Ke koko kiʻekiʻe (hypertension)
• Puhipaka
• Hahau

Hoʻokumu pū ʻia nā ʻōuli o ke dementia e nā ʻano maʻi ʻē aʻe o ka lolo. ʻO kekahi ʻano maʻi ʻo ia ka maʻi Alzheimer. ʻO nā ʻōuli o ka maʻi ʻo Alzheimer hiki ke like me nā dementia vascular. ʻO ka maʻi vascular a me ka maʻi Alzheimer nā kumu maʻamau o ka dementia, a hiki pū kekahi.

ʻO nā ʻōuli o ka vament dementia hiki ke hoʻomāhuahua a holomua paha ma hope o kēlā me kēia hahau liʻiliʻi.

E hoʻomaka koke paha nā ʻōuli ma hope o kēlā me kēia hahau. Hiki ke hoʻomaikaʻi i kekahi poʻe me ka dementia vascular no nā wā pōkole, akā hōʻole ma hope o ka loaʻa ʻana o nā hahau hāmau hou aku. ʻO nā ʻōuli o ke dementia vascular e kaukaʻi ʻia i nā wahi o ka lolo i hōʻeha ʻia ma muli o ka hahau.

Hiki i nā ʻōuli o ke dementia ke hoʻopili pū me:

• Ka hana paʻakikī ʻana i nā hana i hele maʻalahi mai, 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 e loaʻa ka inoa o nā mea kamaʻāina
• Ka lilo ʻana i ka hoihoi i nā mea āu i leʻaleʻa ai i mua, ʻano pālahalaha
• Ke kuhi hewa nei i nā mea
• Hoʻololi ka pilikino a me ka nalo ʻana o ka mākau pilikanaka a me nā loli

Ke piʻi a ʻino ke dementia, ʻike maopopo ʻia nā ʻōuli a me ka hiki ke mālama iā ia iho e hōʻole. Pākuʻi ʻia paha nā ʻōuli:

• Hoʻololi i nā hiʻohiʻona hiamoe, ala pinepine i ka pō
• Hana paʻakikī 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
• Poina i nā kikoʻī e pili ana i nā hanana o kēia manawa
• Ke hoʻopoina nei i nā hanana i kāu mōʻaukala ponoʻī, e nalo nei i ka ʻike iā ʻoe iho
• Loaʻa i nā kuhi, kaumaha, a i ʻole hoʻonāukiuki
• Loaʻa i nā hallucination, nā paio, ke kuʻi ʻana, a i ʻole ka hana kolohe
• Loaʻa ka paʻakikī i ka heluhelu a me ke kākau ʻana
• Loaʻa ka maikaʻi ʻole o ka noʻonoʻo a me ka nalo o ka hiki ke ʻike i ka weliweli
• Ke hoʻohana nei i ka huaʻōlelo hewa, ʻaʻole hoʻopuka pololei ʻana i nā huaʻōlelo, a i ʻole ke kamaʻilio ʻana i nā ʻōlelo huikau
• Ke haʻalele nei mai ka pilina pilikino

ʻO nā ʻōnaehana nervous (neurologic) e kū nei me kahi hahau kekahi.

Kauoha ʻia paha nā hoʻokolohua e kōkua e hoʻoholo inā paha e hiki i nā pilikia olakino ʻē aʻe ke hōʻemi i ka dementia a i ʻole ka hōʻino ʻana, e like me:

• Anemia
• Tumo lolo
• Maʻi maʻi maʻi
• Lāʻau a me ka lāʻau intoxication (overdose)
• Kaumaha loa
• Maʻi thyroid
• Ka nele o ka wikamina

Hana ʻia paha nā hoʻokolohua ʻē aʻe e ʻike i nā ʻāpana o ka noʻonoʻo i hoʻopili ʻia a alakaʻi i nā hoʻokolohua ʻē aʻe.

Nā hōʻike i hiki ke hōʻike i nā hōʻike o nā hahau mua ma ka lolo e komo pū paha:

• Poʻomanaʻo CT poʻo
• MRI o ka lolo

ʻAʻohe lāʻau e hoʻohuli ai i ka hōʻino i ka lolo ma muli o nā kaha liʻiliʻi.

ʻO kahi pahuhopu nui ka kaohi ʻana i nā ʻōuli a hoʻoponopono i nā kumu pilikia. I pale i nā hahau wā e hiki mai ana:

• Hōʻalo i nā meaʻai momona. E hāhai i kahi papaʻai olakino, momona momona.
• Mai inu ʻoi aku ma mua o 1 a 2 mau mea inu ʻona i ka lā.
• E mālama i ke kahe o ke koko ma lalo o 130/80 mm / Hg. E nīnau i kāu kauka i ke ʻano o kou kaomi koko.
• E mālama i ka LDL "ʻino" kolesterol ma lalo o 70 mg / dL.
• MAI Puhi.
• Hōʻike paha ke kauka i nā wīwī o ke koko, e like me ka aspirin, e kōkua ai i ka pale ʻana i nā kahe o ke koko mai ka hana ʻana i nā aʻa. Mai hoʻomaka i ka lawe ʻana i ka aspirin a oki paha i ka lawe ʻana me ke kamaʻilio ʻole ʻana me kāu kauka.

ʻO nā pahuhopu o ke kōkua ʻana i kekahi me ka dementia i ka home e:

• Hoʻoponopono i nā pilikia hana, huikau, nā pilikia hiamoe, a me nā hoʻonāukiuki
• Wehe i nā palekana palekana i ka home
• Kākoʻo i nā lālā ʻohana a me nā mea mālama ʻē aʻe

Pono paha nā lāʻau e kāohi i nā hana kūpikipiki, hoʻonāukiuki a weliweli paha.

ʻAʻole hōʻike ʻia nā lāʻau i hoʻohana ʻia e mālama ai i ka maʻi ʻo Alzheimer no ka dementia vascular.

Kū paha kekahi mau hoʻomaikaʻi no nā wā pōkole, akā e ʻoi aku ka maikaʻi o ka maʻi ma ka manawa.

Hoʻopili nā pilikia i kēia mau mea:

• Nā hahau wā e hiki mai ana
• Maʻi maʻi puʻuwai
• 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, nā maʻi o ka ʻili
• ʻEha puʻe

E kāhea aku i kāu kauka inā loaʻa nā ʻōuli o ka vament dementia. E hele i ka lumi pilikia a kāhea paha i ka helu kūloko kūloko (e like me 911) inā loaʻa ka hoʻololi koke o ke kūlana noʻonoʻo, sensation, a neʻe paha. ʻO kēia nā hōʻailona pilikia o ka hahau.

Nā kūlana kāohi e hoʻonui ai i ka pilikia o ka ʻaʻa o ke aʻa (atherosclerosis) e:

• Ka mālama ʻana i ke kiʻekiʻe o ke koko
• Ka mālama ʻana i ke kaupaona
• Ke kū nei ka hoʻohana ʻana i nā huahana paka
• Hoʻoemi i nā momona momona a me ka paʻakai i ka papaʻai
• Ka mālama ʻana i nā maʻi e pili ana

MIDA; Dementia - nunui-infarct; Dementia - post-stroke; Dementia nunui-infarct; Dementia vaskular Cortical; VaD; Maʻi maʻi lolo lōʻihi - vascular; Ka hoʻohaʻahaʻa noʻonoʻo ʻoluʻolu - vascular; MCI - vaskular; Maʻi ʻo Binswanger

• Dementia - he aha e nīnau aku ai i kāu kauka

• ʻŌnaehana ʻōnaehana waena a me ka ʻōnaehana ʻōnaehana peripheral
• Lolo
• ʻŌnaehana lolo a me ka pūnao
• Nā hanana lolo

Budson AE, Solomon PR. ʻO ke dementia vascular a me ka hoʻohaunaele noʻonoʻo. I: Budson AE, Solomon PR, eds. Loss Memory, Alzheimer's Disease, a me Dementia. ʻElua ed. Piladelapia, PA: Elsevier; 2016: chap 6.

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.

Seshadri S, Economos A, Wright C. Vascular dementia a me ka noʻonoʻo ʻole. I: Grotta JC, Albers GW, Broderick JP et al, hua. ʻOhana: Pathophysiology, Diagnosis, a me Management. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2016: chap 17.