Kupewa Alzheimer's: Kodi Zokambirana Zimayambitsa Dementia?

by Esther Heerema, MSW; Yofotokozedwa ndi Claudia Chaves, MD

Kodi Mphungu Iyo Pamutu Imapanga Kusiyana Patapita Mu Moyo?

Kodi Cholinga N'chiyani?

Kukambirana kuli koposa kungokhala pamutu. Malingana ndi Centers for Disease Control and Prevention,

"kukambirana ndi mtundu wa kuvulazidwa kwa ubongo, kapena TBI, yomwe imayambitsa kupweteka, kupweteka, kapena kupweteka kumutu komwe kungasinthe momwe ubongo wanu umagwirira ntchito. Zokambirana zingabwererenso kugwa kapena kupweteka kwa thupi lomwe amachititsa kuti mutu ndi ubongo zisunthire mofulumira komanso kumbuyo "(Zomwe Zimayambitsa Matenda ndi Kupewa Matenda).

Kodi Ndi Zizindikiro Zotani Zokambirana?

Zizindikiro za mkangano zimaphatikizapo kumutu, kukumbukira, kutaya mtima, kusokonezeka, kusokonezeka maganizo, chizungulire, kunyoza, kulankhula mochedwa komanso kutopa.

Kodi kusiyana kotani pakati pa kugonana ndi zoopsa za ubongo?

Kwenikweni, kukambirana kumene kutayika kwa chidziwitso kumakhalapo, ngakhale kwa mphindi kapena maminiti, kumaonedwa kukhala wovulaza kwambiri ubongo.

Kodi Pali Kulumikizana pakati pa Zokambirana ndi Kuopsa kwa Dementia?

Kuvulala koopsa kwa ubongo (komwe munthu amatha kuzindikira kwambiri kapena kusakhoza kukumbukira) zakhala zikugwirizana ndi chiopsezo chachikulu cha chitukuko cha maganizo , koma nanga bwanji kuvulala koopsa kwa ubongo monga makonzedwe?

Kafukufuku wina wofotokozedwa mu PLOS One anapeza kuti panalidi chiopsezo chachikulu cha matenda a dementia pambuyo pa kuvulala koopsa kwa ubongo. Ochita kafukufuku anafufuza zolemba za anthu oposa 90,000 ndipo adapeza kuti ngakhale atasintha chifukwa cha zinthu zina zoopsa, iwo omwe adamva kuvulala kwa ubongo amatha kukhala ndi matenda a dementia.

Kodi Kafukufuku Amanena Chiyani za Masewero ndi Mikangano?

Malinga ndi Bostonia , kope lofalitsidwa ndi University of Boston, akatswiri ochita masewera olimbitsa thupi ali ndi mwayi wokwanira 19 wokhala ndi vuto lalikulu lopwetekedwa mtima (CTE) . CTE ndi matenda osokoneza ubongo omwe ali ndi zizindikiro zomwe "zimaphatikizapo chisokonezo, kukumbukira zinthu , kusaweruzika , kukhumudwa , khalidwe laukali, kuvutika maganizo, ndi dementia" ( Bostonia )

Kafukufuku wina wapanga kuti olemba mabokosi ndi osewera a hockey ali ndi chiŵerengero chowonjezeka cha kugwidwa kwa malungo kwa CTE.

Kafukufuku wina wofufuzidwa bwino anapeza kuti ambiri mwa anthu osewera mpira omwe anafa mu phunzirolo anawonetsa umboni wa CTE, komanso chiwerengero chochuluka cha matenda a maganizo ndi kuvutika kwa chidziwitso.

Komabe, sikuti maphunziro onse amavomereza pa zoopsa za zokambirana. Kafukufuku wina wolembedwa mu Neurology anapeza chiwerengero cha mafilimu omwe adalandira ndi osewera mpira mwa kuika chipangizo mkati mwa chisoti cha osewera kwa nyengo. Akatswiri ofufuza anazindikira momwe ntchitoyi ikuyendera kumapeto kwa nyengoyi. Uthenga wabwino mu phunziro ili unali kuti ntchito yaifupi ya ubongo siidaperekere zokhudzana ndi zotsatira zazing'ono. Pakhala pali kuchuluka kwa zofalitsa zofalitsa pa kufotokoza bwino ndi kusamalidwa bwino.

Chochititsa chidwi n'chakuti kafukufuku wina wophatikizapo 92 ochita masewera olimbitsa thupi adapeza kuti pafupifupi 11 peresenti amasonyeza zizindikiro za kukhumudwa pang'ono kapena matenda a dementia; Komabe, ochita kafukufuku sanapeze mwayi wowonjezereka wa chiwopsezo cha dementia kwa omwe anali ndi chiopsezo chachikulu poyerekeza ndi iwo omwe ankakhala pa malo oopsa. Komanso, iwo sanapeze mgwirizano pakati pa chiwopsezo chokwanira cha dementia ndi ntchito yambiri mu mpira wa masewera.

Potsirizira pake, ena otsutsa amanena kuti kuphunzira okha maseŵera osewera mpira sikumapereka chithunzi cholondola cha mpira wautali ku ubongo wa ubongo chifukwa ochita kafukufuku akungoyang'anitsitsa osewera omwe mwinamwake anawonongeka kwambiri ndi ubongo ndipo motero adafa.

Kuopsa kwa Kuvulala Kumutu Kwambiri

Anthu omwe adakumana ndi mavuto ambiri amawoneka kuti ali pachiopsezo chachikulu chotenga matenda a dementia, malinga ndi US Alzheimer's . Amadziŵa kuti kugwa , ngozi za galimoto ndi kuvulala kwa maseŵera ndizo zimayambitsa zovulaza ubongo.

Kodi Zokambirana Zowonjezera Ngozi Yopanda Kusokonezeka Maganizo?

Neurology posachedwapa inafalitsa kafukufuku pamutu wamtunduwu ndipo inayerekeza kuchuluka kwa mapuloteni a amyloid m'mabongo a anthu omwe ali ndi vuto lozindikira mozama komanso anthu omwe anayesedwa kuti amadziwika bwino.

Mapuloteni amyloid omwe amapezeka mu ubongo ndi chimodzi mwa zizindikiro za matenda a Alzheimer's .

Ofufuzawa adapeza kuti pakati pa anthu osadziwika bwino, panalibe kusiyana pakati pa mapuloteni a amyloid mu ubongo, mosasamala kanthu kuti ngati wophunzirayo adafotokoza mbiri kapena vuto lalikulu kapena ayi. Komabe, pakati pa anthu omwe ali ndi vuto lodziŵa bwino, omwe ali ndi vuto la m'mutu wam'mbuyomo amasonyeza mapuloteni apamwamba omwe amapezeka mu ubongo kusiyana ndi omwe alibe mbiri yachisoni. Mu phunziro ili, "vuto lalikulu" limatanthauzidwa kukhala kutaya chikumbumtima kapena kukumbukira ngakhale kamodzi kokha pambuyo povulazidwa mutu. Olembawo anapeza kuti zoopsa monga zokambirana zikuwoneka kuti zikuwonjezera chiopsezo cha kuchepa kwa chidziwitso chochepa, chomwe nthawi zambiri sichikupita ku matenda a Alzheimer's.

Mawu ochokera

Ngakhale zotsatira za kafukufuku zimasiyanasiyana, kafukufuku angapo apeza mgwirizano pakati pa zokambirana ndi zomangamanga. Olemba zachipatala akugogomezera kufunika koteteza mutu kuvulala ndi helmets ndi zida zina zotetezera ndikuyankha zotsatizana ndi kupumula kwa thupi ndi m'maganizo, komanso kugwiritsa ntchito mosamala kwambiri pobwerera kuntchito ndi masewera olimbitsa thupi.

_Zotsatira:

_Bostonia. _{Boston University.} _{Ubongo Wopweteka Association of America.} _{Kuvulaza ubongo ndi ubongo.} _{http://www.biausa.org/mild-brain-injury.htm#Concussion}

_{British Journal of Sports Medicine.} _{2014 Jan; 48 (2): 159-61.} _{Kuthamanga ku mpira, kufooka kwa nthawi yaitali ndi chifuwa chachikulu: umboni kuchokera kwa owona masewera otha pantchito.} _{http://www.ncbi.nlm.nih.gov/pubmed/24026299}

> Mez J, Daneshvar DH, Kiernan PT, ndi al. Kufufuza kwachipatala cha matenda osokoneza bongo omwe amachititsa kuti anthu ambiri azitha kuchita masewera olimbitsa thupi. JAMA. 2017; 318 (4): 360-370. lembani: 10.1001 / jama.2017.8334. http://jamanetwork.com/journals/jama/article-abstract/2645104

_{Neurology - Buku la 78, Ndime 22 (May 2012).} _{Zotsatira za mobwerezabwereza mutu wamkati zimakhudza masewera othandizira: Kuonjezera.} _{http://www.neurology.org/content/78/22/e140.full?sid=78830a01-cea3-48ff-8c6c-237f0ae8ae4f}

_Neurology. _{December 26, 2013. Kupweteka kwa mitu ndi zizindikiro za chidziwitso ndi chidziwitso mu phunziro la anthu.} _{http://www.neurology.org/content/early/2013/12/26/01.wnl.0000438229.56094.54.abstract?sid=bdfac23c-33d7-4f54-9f06-886295b7ab83}

_{PLoS One.} _{2013 May 1; 8 (5): e62422.} _{Kuwonjezeka kwa chiwopsezo cha matenda a dementia kwa odwala opweteka kwambiri a ubongo: kuwerengera kwa gulu lonse.} _{http://www.ncbi.nlm.nih.gov/pubmed/23658727}