He aha ka frontotemporal dementia, nā hōʻailona nui a me ka mālama ʻana

Anter

• Nā hōʻailona nui a me nā ʻōuli
• Nā kumu kūpono
• Pehea e hana ʻia ai ke kuhi
• Nā koho lapaʻau
• Ka ʻokoʻa ma waena o ka dementia frontotemporal a me ka maʻi ʻo Alzheimer

ʻO ka dementia Frontotemporal, i ʻike ʻia ma mua ʻo ka maʻi ʻo Pick, kahi maʻi o nā maʻi e hoʻopili i nā ʻāpana kikoʻī o ka lolo, i kapa ʻia nā lobes frontal. Hana kēia mau maʻi lolo i nā loli i ke ʻano, ka lawena a alakaʻi i ka paʻakikī i ka hoʻomaopopo ʻana a me ka hana ʻana i kahi ʻōlelo.

ʻO kēia ʻano dementia kekahi o nā ʻano nui o nā maʻi neurodegenerative, ʻo ia hoʻi ka mea e ʻoi aku ai ka hewa i ka manawa, a hiki ke hana ʻia i nā mākua ma lalo o ka makahiki 65, a ʻo kona ʻano e pili ana i nā hoʻololi kūpuna i lawe ʻia mai nā mākua i nā keiki.

Hoʻokumu ʻia ka mālama ʻana i ka dementia frontotemporal ma ka hoʻohana ʻana i nā lāʻau e hōʻemi i nā hōʻailona a hoʻomaikaʻi i ke ola o ke kanaka, no ka mea ʻaʻohe lāʻau o kēia ʻano maʻi a mālama ʻia i ka manawa.

Nā hōʻailona nui a me nā ʻōuli

ʻO nā ʻōuli a me nā ʻōuli o ka dementia frontotemporal pili i nā wahi o ka lolo e pili ana a ʻokoʻa paha i kēlā me kēia kanaka, eia nō naʻe nā loli.

• Hana: nā loli pilikino, impulsiveness, nalo ʻana o ka pāpā, nā ʻano pākiko, nā koi, ka huhū, ka hoihoi ʻole i kekahi poʻe ʻē aʻe, ka ʻai ʻana i nā mea hiki ʻole ke inu ʻia a me nā neʻe hou ʻana, e like me ka paʻipaʻi ʻana a i ʻole nā ​​niho mau, hiki ke hana ʻia.
• ʻLelo: pilikia paha ke kanaka i ka ʻōlelo ʻana a i ke kākau ʻana paha, nā pilikia e hoʻomaopopo ana i nā mea a lākou e ʻōlelo ai, e poina ana i ke ʻano o nā huaʻōlelo a i nā hihia ʻoi loa hoʻi, ka nalowale ʻana o ka hiki ke haʻi i nā huaʻōlelo;
• Nā mīkini: haʻalulu nāʻiʻo, ʻāʻī a me nā spasms, paʻakikī i ka ale ʻana a i ʻole ka hele wāwae ʻana, nalo ʻana o ka neʻe ʻana o nā lima a me nā wāwae a, pinepine, paʻakikī i ka kaohi ʻana i ka makemake e mimi a i ʻole defecate paha.

Hōʻike pū ʻia paha kēia mau ʻōuli a i ʻole he hoʻokahi wale nō paha o ke kanaka, a ʻano haʻahaʻa lākou a ʻano ʻino hoʻi i ka hala ʻana o ka manawa. No laila, inā kū kekahi o kēia mau loli, he mea nui e ʻimi i ke kōkua mai kahi neurologist i ka wā hiki wawe, i mea e hana ʻia ai nā hoʻokolohua kikoʻī a hōʻike ʻia ka lāʻau kūpono kūpono loa.

Nā kumu kūpono

ʻAʻole i wehewehe maikaʻi ʻia nā kumu o ka dementia frontotemporal, akā hōʻike kekahi mau noiʻi e pili ana paha lākou i ka hoʻololi ʻana i nā genes kikoʻī, i hoʻopili ʻia me ka protein Tau a me ka protein TDP43. ʻIke ʻia kēia mau protein i loko o ke kino a kōkua i nā pūnaewele e hana pono, akā, no nā kumu i ʻike ʻole ʻia, hiki iā lākou ke hōʻino a hōʻeha i ka frontotemporal dementia.

Hiki ke hoʻoulu ʻia kēia hoʻololi ʻana o ka protein e nā kumu kūlohelohe, ʻo ia hoʻi, ʻo ka poʻe i loaʻa ka moʻolelo ʻohana o kēia ʻano dementia e loaʻa pinepine i nā maʻi lolo like. Eia kekahi, ʻo ka poʻe i ʻeha i ka ʻeha traumatic i ka lolo e loli paha ka lolo a ulu i ka dementia frontotemporal. E aʻo hou aʻe e pili ana i ka poʻo poʻo a me nā hōʻailona.

Pehea e hana ʻia ai ke kuhi

Ke ʻike ʻia nā ʻōuli, pono e nīnau i kahi neurologist nāna e hana i kahi loiloi hoʻokolohua, ʻo ia hoʻi, e hana ʻo ia i kahi anamanaʻo o nā hōʻailona i hōʻike ʻia a, a laila, hiki iā ia ke hōʻike i ka hana o nā hoʻokolohua e hoʻokolokolo inā loaʻa ka frontotemporal o ke kanaka. lualua. ʻO ka hapa nui o ka manawa, paipai ke kauka i ka hana ʻana i nā hoʻokolohua aʻe:

• Nā hōʻike kiʻi: e like me MRI a i ʻole CT scan e nānā ai i ka ʻāpana o ka lolo e hoʻopili ʻia nei;
• Nā ho'āʻo Neuropsychological: lawelawe ia e hoʻoholo i ka hiki o ka hoʻomanaʻo a ʻike i nā pilikia o ka ʻōlelo a me ka lawena paha;
• Nā hōʻike genetic: aia i loko o ka lawe ʻana i nā hoʻokolohua koko e kālailai i ke ʻano o nā protein a me ka ʻea i hoʻopilikia ʻia
• ʻOhi ʻohi: kuhikuhi e kuhikuhi i nā hunaola o ka ʻōnaehana hopohopo e hoʻopili ʻia;
• Helu piha koko: hana ʻia e kāpae i nā maʻi ʻē aʻe i loaʻa nā ʻōuli e like me nā dementia frontotemporal.

Ke kānalua ka neurologist i nā maʻi ʻē aʻe e like me ka tumo a i ʻole ka lolo o ka lolo, kauoha paha ʻo ia i nā hoʻokolohua ʻē aʻe e like me ka scan pet, biopsy lolo a i ʻole ka nānā ʻana o ka lolo. E ʻike hou aʻe he aha ka scintigraphy lolo a pehea e hana ai.

Nā koho lapaʻau

Hana ʻia no ka dementia frontotemporal e hōʻemi i nā hopena maikaʻi ʻole o nā hōʻailona, ​​hoʻomaikaʻi i ka maikaʻi o ke ola a hoʻonui i ke ola o ke kanaka, no ka mea ʻaʻohe lāʻau a lāʻau ʻoki paha e hoʻōla i kēia ʻano maʻi. Eia nō naʻe, hiki ke hoʻohana ʻia kekahi mau lāʻau e hoʻopaʻa i nā hōʻailona e like me anticonvulsants, antidepressants a me antiepileptics.

Ke holo nei kēia maʻi, ʻoi aku paha ka paʻakikī o ke kanaka e hele wāwae, ʻānai, nau a me ka kaohi ʻana hoʻi i ka ʻōpū a i ʻole ka ʻōpū a no laila, ʻo nā physiotherapy a me nā hālāwai hoʻōla ʻōlelo e kōkua ai i ke kanaka e hana i kēia mau hana i kēlā me kēia lā, pono paha.

Ka ʻokoʻa ma waena o ka dementia frontotemporal a me ka maʻi ʻo Alzheimer

ʻOiai ke loaʻa nā hōʻailona like, ʻaʻole like ka dementia frontotemporal dementia i nā hoʻololi like me ka maʻi Alzheimer, ʻoiai ka hapa nui o ka manawa, ʻike ʻia i ka poʻe ma waena o 40 a 60 mau makahiki, ʻokoʻa i nā mea i hana ʻia i ka maʻi Alzheimer kahi i hana ʻia ai ka maʻi, ʻo ka hapa nui. ma hope o 60 mau makahiki.

Hoʻohui ʻia, i ka dementia frontotemporal, ʻoi aku ka maʻamau o nā pilikia a me nā kuhihewa ma mua o ka nalo ʻana o ka hoʻomanaʻo, ʻo ia kahi hōʻailona maʻamau i ka maʻi Alzheimer, no ka laʻana. E nānā he aha nā hōʻailona ʻē aʻe a me nā hōʻailona o ka maʻi Alzheimer.