Maʻi Neurocognitive

ʻO ka maʻi Neurocognitive kahi manawa maʻamau e wehewehe i ka hoʻohaʻahaʻa ʻana i ka hana noʻonoʻo ma muli o kahi maʻi olakino ʻē aʻe ma mua o kahi maʻi psychiatric. Hoʻohana pinepine ʻia ia me ka synonymous (akā pololei ʻole) me ka dementia.

ʻO ka papa inoa ma lalo nā kūlana e pili ana i ka maʻi neurocognitive.

KA ʻeha ʻeha i hana ʻia e TRAUMA

• Kahe i ka lolo (intracerebral hemorrhage)
• Kahe i ka wahi a puni ka lolo (subarachnoid hemorrhage)
• ʻO ke koko i loko o ka iwi poʻo e hoʻonāukiuki ana i ka lolo (subdural a i ʻole epidural hematoma)
• Kūpilikiʻi

NĀ HANA HANA

• Low oxygen i loko o ke kino (hypoxia)
• ʻO ke kiʻekiʻe kalapona kiʻekiʻe ma ke kino (hypercapnia)

HUAKAI CARDIOVASCULAR

• Dementia ma muli o nā hahau he nui (dementia multi-infarct)
• Nā maʻi puʻuwai (endocarditis, myocarditis)
• Hahau
• Hoʻouka ischemic kuewa (TIA)

HUA PALAPALA HELE

• ʻO ka maʻi Alzheimer (i kapa ʻia hoʻi ka senile dementia, ʻano Alzheimer)
• Maʻi ʻo Creutzfeldt-Jakob
• ʻO Diffuse Lewy maʻi maʻi
• Maʻi ʻo Huntington
• Sclerosis lehulehu
• ʻO ka hydrocephalus kaomi maʻamau
• Maʻi ʻo Parkinson
• Koho maʻi

ʻO DEMENTIA NO KE KUMU METABOLIC

• ʻO ka maʻi kīwī
• Maʻi maʻi ate
• ʻO ka maʻi thyroid (hyperthyroidism a i ʻole hypothyroidism)
• Ka nele o ka wikamina (B1, B12, a i ʻole folate)

NA MEA E PILI ANA I KA LAKU

• Mokuʻāina huki wai ʻona
• ʻO ka ona ʻana mai ka hoʻohana lāʻau a lāʻau paha
• ʻO Wernicke-Korsakoff Syndrome (kahi hopena lōʻihi o ka hemahema o ka thiamine (wikamina B1))
• Haʻalele mai nā lāʻau (e like me sedative-hypnotics a me corticosteroids)

INFECTIONS

• Kekahi hoʻomaka koke (koʻikoʻi) a lōʻihi paha (maʻi paʻa) maʻi
• Ka make ʻana o ke koko (septicemia)
• Maʻi maʻiʻaʻai (encephalitis)
• Meningitis (maʻi o ka uhi o ka lolo a me ka iwi kuamoʻo)
• Nā maʻi Prion, e like me ka maʻi bipi hehena
• Syphilis pae hope

ʻO nā pilikia o ka maʻi ʻaʻai a me ka maʻi ʻaʻai me ka chemotherapy hiki ke alakaʻi i ka maʻi neurocognitive.

ʻO nā kūlana ʻē aʻe i mimic i ka maʻi lolo lolo e hoʻopili ʻia:

• Kaumaha
• Neurosis
• Psychosis

Hiki ke ʻokoʻa nā hōʻailona ma muli o ka maʻi. Ma ka laulaha, ke kumu o ka lolo lolo ke kumu:

• Hoʻoikaika
• Huikau
• Ka nalowale lōʻihi ʻana o ka hana lolo (dementia)
• Kaumaha nui, wā pōkole o ka hana o ka lolo (delirium)

Pili nā hoʻokolohua i ka maʻi, akā hiki ke hoʻopili ʻia:

• Nā hoʻāʻo koko
• Electroencephalogram (EEG)
• Poʻomanaʻo CT poʻo
• Poʻo MRI
• Lumbar puncture (iwi kuamoʻo tap)

Mālama ʻia ka mālama ʻana i ke ʻano o ke kumu. Mālama nui ʻia nā ʻano he nui me ka hoʻoponopono hou ʻana a me ke kōkua kōkua e kōkua i ke kanaka me nā hana i nalowale ma muli o nā wahi e pili ai ka hana o ka lolo.

Pono paha nā lāʻau e hōʻemi i nā hana ʻino e hiki ke hana ʻia me kekahi o nā kūlana.

ʻO kekahi mau maʻi pōkole a hiki ke hoʻohuli ʻia. Akā he nui nā mea lōʻihi a ʻinoʻino paha i ka hala ʻana o ka manawa.

ʻO ka poʻe me ka maʻi neurocognitive lilo pinepine i ka hiki ke launa pū me nā poʻe ʻē aʻe a i ʻole hana i kā lākou iho.

Kāhea i kāu kahu mālama ola inā:

• Ua ʻike ʻia ʻoe me ka maʻi o ka lolo a ʻaʻole maopopo iā ʻoe no ka maʻi pololei.
• Loaʻa iā ʻoe nā ʻōuli o kēia maʻi.
• Ua ʻike ʻia ʻoe me ka maʻi neurocognitive a ʻoi aku ka maikaʻi o kāu mau ʻōuli.

Maʻi maʻi ʻōiwi (OMS); ʻO ka maʻi lolo lolo

• Lolo

Beck BJ, Tompkins KJ. Nā maʻi noʻonoʻo ma muli o kekahi kūlana olakino. I: Stern TA, Fava M, Wilens TE, Rosenbaum JF, eds. ʻO ka haukapila laulima ʻo Massachusetts General Hospital. ʻElua ed. Piladelapia, PA: Elsevier; 2016: chap 21.

ʻO Fernandez-Robles C, Greenberg DB, Pirl WF. Psycho-oncology: Psych -atric co-morbidities a me nā pilikia o ka maʻi ʻaʻai a me ka maʻi ʻaʻai. I: Stern TA, Fava M, Wilens TE, Rosenbaum JF, eds. ʻO ka haukapila laulima ʻo Massachusetts General Hospital. ʻElua ed. Piladelapia, PA: Elsevier; 2016: chap 56.

Merrick ST, Jones S, Glesby MJ. Nā hōʻike ʻōnaehana o HIV / AIDS. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 366.