Kodi munayamba mwadzifunsapo ngati pali kusiyana kulikonse pakati pa kugwidwa maganizo ndi matupi a Lewy ndi matenda a Parkinson? Ngati munayamba mwamvapo zizindikiro za matenda awiriwa, zimamveka zozizwitsa. Ndi chifukwa chakuti onsewa ndi mtundu wa Lewy thupi la maganizo.
Lewy Body Dementia
Pali mitundu iwiri ya matenda a Dementia a Lewy: chifuwa chachikulu cha matenda a m'mimba ndi matenda a Lewy (DLB) ndi Parkinson's disease dementia (PDD).
Zizindikiro Zogwirizanitsidwa za PDD ndi DLB
Kuti mumvetse kusiyana kwa PDD ndi DLB, nkofunika kumvetsetsa kuti pali zizindikiro ziwiri zomwe zimachitika mu PDD ndi DLB.
- Thupi : Zizindikiro zomwe zimakhudza thupi zimaphatikizapo kufooka kwa minofu, kukhwima (kuuma) ndi kulowera mofulumira.
- Ubongo : Zizindikiro zomwe zimapezeka mu ubongo zimaphatikizapo zovuta kugwira ntchito , kuthamanga , komanso kutaya mtima.
Mitundu yonse ya dementiayi ili ndi zizindikiro zomwe zimakhudza thupi ndi ubongo. Mafupa ndi kupsinjika maganizo nthawi zambiri zimapezeka m'magulu awiri a dementia, komanso. Mavuto onsewa amachiritsidwa ndi mankhwala omwe amaperekedwa kwa matenda a Parkinson , monga carbidopa-levodopa (Sinemet) , omwe angakhale othandiza mwa kuwongolera luso lotha kuyenda ndi thupi, komanso mankhwala omwe amachititsa kuti magazi asamayende bwino. .
Kusiyana pakati pa PDD ndi DLB
Kotero, PDD ndi DLB zimasiyana bwanji wina ndi mnzake?
Izi zimadalira amene mumamufunsa. Madokotala ena amaganiza kuti zinthu ziwirizi ndizosiyana kwambiri ndi matenda omwewo. Ndipotu, ndamva ngakhale akatswiri ena akugwiritsa ntchito mawuwo mosiyana. Komabe, molingana ndi momwe zogwirizana ndi momwe zogwiritsira ntchito zowonetsera, pali kusiyana.
Kusiyana kwakukulu pakati pa matenda a Parkinson ndi dementia ndi matupi a Lewy ndi dongosolo la kuyambira kwa zizindikiro.
Madokotala amatha kusiyanitsa pakati pa izi mwa kufunsa zizindikiro ziti (thupi kapena ubongo).
Pofuna kudziwa matenda a Parkinson, matendawa ndi zizindikiro, kuphatikizapo kufooka, zofooka ndi mantha, ziyenera kukhalapo chaka chimodzi chisanafike chidziwitso.
Thupi la Dementia liri ndi matupi a Lewy omwe amapezeka ngati zizindikiro zowonongeka ndi zofooka zimachitika panthawi imodzimodzimodzi ngati kuchepa kwa chidziwitso, ngati zizindikiro zamaganizo zimapezeka musanafike zizindikiro, kapena ngati kuchepa kwa chidziwitso kumapitirira kuchepera chaka chimodzi pambuyo pake zizindikiro zimayamba.
Kodi Pali Zosiyana Zina?
Kusinthasintha mu Cognition
Anthu omwe ali ndi matenda a dementia ndi matupi a Lewy amasonyeza kusinthasintha kwakukulu mu luntha la kulingalira kuposa omwe ali ndi matenda a Parkinson. Izi ndi zofunika kumvetsetsa chifukwa am'banja ndi osamalira amatha kusokonezeka ndipo amakhulupirira kuti munthuyo akusankha nthawi yake (kapena kukhumudwitsa) mavuto ake.
Kumvetsetsa kusintha kwa malingaliro a m'maganizo kumathandizanso pakuyesedwa ndi kulingalira. Anthu omwe ali ndi matenda a Parkinson matenda a maganizo akhoza kuchita chimodzimodzi pa mayesero a chidziwitso ngakhale mutayesa nthawi zosiyanasiyana pa tsiku kapena masiku osiyanasiyana.
Komabe, munthu yemwe ali ndi matenda a dementia ndi matupi a Lewy angasonyeze bwino kukumbukira kapena kusinkhasinkha nthawi zina komanso makamaka kukhumudwitsidwa kwanthawi zina. Choncho, ndikofunikira kuti muzindikire mozama kamodzi kokha kuti mudziwe bwinobwino munthu yemwe ali ndi matenda a dementia ndi matupi a Lewy.
Zozoloŵera Zogona
DLB nthawi zambiri imakhudza kwambiri kugona chifukwa vuto la sleep sleep, momwe anthu amachitira maloto awo pamene akugona, ndizofala kwambiri kumayambiriro kwa DLB poyerekeza ndi PDD. Izi nthawi zambiri zimakhala zozizwitsa zoyambirira za Lewy thupi la maganizo.
Zifukwa za PDD ndi DLB
Mitundu yonse ya dementia imadziwika ndi kukhalapo kwa matupi a Lewy mu ubongo, kupweteka kwa maselo a ubongo ndi mavuto a acetylcholine transmitter.
Mitundu yonse ya chiwopsezo cha m'mimba (ngakhale izi zikhoza kukhala zofala kwambiri mu DLB) zingakhale ndi mapuloteni ambiri a amyloid m'mabongo , omwe ndi khalidwe limodzi la matenda a Alzheimer's .
Zotsatira:
Deutsches Arzteblatt International. 2010; 107 (39): 684-691. Lewy Body ndi Parkinsonian Dementia. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2957617/
Lewy Body Dementia Association. Mitundu ya Demyma ya Lewy. http://lbda.org/content/lbd-booklet/types-of-lbd
Neurology. Vesi 68 (11), 13 March 2007, masamba 812-819. Mavuto a DLB ndi PDD: Kufufuza, chithandizo, matenda a maselo, ndi zinyama. http://www.neurology.org/content/68/11/812.abstract?sid=be7f0348-f70f-4b92-b56f-e09ba641b396
Bungwe la Parkinson's Disease Society la United Kingdom. Q & A: Dementia ndi Parkinson. http://www.parkinsons.org.uk/content/qa-dementia-and-parkinsons