Zizindikiro, Kuzindikira ndi Chithandizo
Parkinson's disease dementia (PDD) ndi mtundu wa Lewy wodwala matenda a maganizo omwe amapezeka pamene wodwalayo ali ndi matenda a Parkinson amachititsa kuti munthu adwale matenda ovutika maganizo makamaka zaka ziwiri pambuyo pozindikira kuti matenda a Parkinson apangidwa, ndi zina zomwe zimayambitsa matenda a maganizo . Pafupifupi 25-30% mwa odwala onse omwe ali ndi matenda a Parkinson ali ndi matenda a maganizo, koma atakhala ndi matenda a Parkinson kwa zaka 15, kuchuluka kwa PDD kumawonjezeka kwa 68%.
PDD ndi yosiyana kwambiri ndi momwe imaonekera kuchokera ku matenda a Alzheimer : Mwa PDD, mwachitsanzo, anthu amakhala ndi mavuto akuluakulu, kusamalira bwino , ndi kukumbukira kukumbukira . Mu matenda a Alzheimer's, vuto la kukumbukira nthawi zambiri limakhala chimodzi mwazikumbukiro. Anthu omwe ali ndi PDD akhoza kudziwa kuti ali ndi vuto la kukumbukira anthu omwe ali ndi matenda a Alzheimer.
Kuzindikira matenda a Parkinson's Dementia
Chinsinsi chozindikiritsa PDD ndikulingalira kwa mavuto amalingaliro omwe ali okhudzana kwambiri kuti agwire ntchito tsiku ndi tsiku. The Mini-Mental State Examination (MMSE) ndiyeso yogwiritsira ntchito yomwe imagwiritsidwa ntchito kuthandiza kuthandizira matenda a Alzheimer's and PDD.
Dementia imapezeka mwa anthu omwe ali ndi matenda a Parkinson, makamaka popeza kuti zaka zapakati pa kuyamba kwa matenda a Parkinson ndi 60 ndipo munthu akamakhala ndi nthawi yaitali, amatha kukhala ndi matenda a dementia. Kukhala wamwamuna komanso kukhala ndi ziwonetsero zowonongeka ndizomwe zimayambitsa matenda a dementia mwa anthu omwe ali ndi matenda a Parkinson.
Mtundu wina wa chifuwa cha dementia momwe maonekedwe owonetsera amapezeka, ndipo izi zikugwirizana ndi matenda a Parkinson ndi Alzheimer amatchedwa Lewy thupi la maganizo . Ndipotu matupi a Lewy amapezeka mu ubongo wa anthu omwe ali ndi PDD, Lewy thupi la maganizo, komanso anthu ena omwe ali ndi matenda a Alzheimer's.
Kuchiza Matenda a Parkinson
Pakalipano, pali mankhwala amodzi omwe amavomerezedwa ndi FDA a PDD.
Pulogalamu ya Exelon (rivastigmine transdermal system) ndi makapulisi a Exelon (rivastigmine tartrate) amasonyeza kuti amachiza matenda ovutika maganizo a Alzheimer's komanso matenda a maganizo a Parkinson.
> Zotsatira:
> Aarsland D, Zaccai J, Brayne C. Kuwonetseratu mwatsatanetsatane kafukufuku wochuluka wa matenda a maganizo a Parkinson. Mov Disord . 2005; 20: 1255-1263
> Dubois B, Kutentha D, Goetz C, et al. Njira zowonetsera matenda a Parkinson matenda a maganizo: malingaliro ochokera ku Movement Disorder Society Task Force. Mov Disord . 2007; 22: 2314- 2324.
-Edited by Esther Heerema, MSW