Matenda a Pick: Kusintha kwa Machitidwe a Frontotemporal Dementia

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

Mtundu uwu wa Kukhazikitsidwa kwa Pulezidenti Kumatchedwanso Matenda a Pick

Kusintha kwa maganizo a frontotemporal dementia (bvFTD) ndi imodzi mwa mitundu yosiyanasiyana ya chifuwa chachikulu chomwe chimagwera mu "kutsogolo kwa" frontotemporal ". Chigawochi chimakhudza pafupifupi 50,000 mpaka 60,000 Achimereka. Monga momwe dzina limasonyezera, mtundu wa dementia woterewu umakhudza kwambiri lobes ndipakati pa nthawi. Demoenti yaikulu ya frontotemporal ndi ya khalidwe lachikhalidwe.

Khalidwe loyambitsa matenda a demokarasi nthawi zina limatchedwa matenda a Pick .

Kodi Chimachititsa Bwanji Kudwala Matenda?

Matenda a Pick akuganiza kuti amayambitsidwa ndi mapuloteni osakanizika omwe amapezeka mkati mwa ubongo. Mapuloteni awa amadziwika kuti Pick bodies. Pamene akusonkhanitsa m'matumba amenewa, maselo a ubongo amayamba kufa, zomwe zimachititsa kusintha kwa maganizo, khalidwe ndi chidziwitso pa ntchito yanu.

Zizindikiro

Zizindikiro zofala za bvFTD ndizovuta kuchita , kuphatikizapo kudya mopitirira muyeso, kukhala ndi maganizo olakwika, kusokoneza maganizo ndi zochita, kuphatikizapo kukhumudwa, kusokonezeka , kusasamala komanso kudzikonda.

Anthu omwe ali ndi bvFTD angavutike kusunga ntchito, akuwonetsa kuchepa kwa ukhondo wawo, kusungira zinthu zina, kupanga zosankha zachuma, ndi mabanja apamtunda ndi abwenzi mwa malingaliro awo osadziwika ndi makhalidwe.

Anthu ena omwe ali ndi bvFTD amakhalanso ndi zovuta zofanana ndi matenda a Parkinson , kuphatikizapo kuchepa kwa nkhope, kuuma kwa minofu, kufooka ndi kukhwima.

Mosiyana ndi Alzheimer's , kukumbukira nthawi zambiri sikumapangidwira mu bvFTD, ndipo ngati icho chimachitika, sichidzatha mpaka matendawa atapita.

Monga wosamalira, mungathe kuzindikira zovuta za kukumbukira, komanso mavuto ndi kukonzekera kapena kulingalira (zokhudzana ndi ntchito yogwira ntchito ).

Pa bvFTD yovuta, chinenero chimakhudzidwa, ndikupanga kuyankhulana kovuta kwambiri.

Kodi Matenda a Pick Amasiyana Bwanji ndi Alzheimer's?

Maganizo a frontotemporal dementia (matenda a Pick's) ali ndi zizindikiro zina zowonongeka ndi matenda a Alzheimer popeza matenda onsewa amakhudza kuzindikira, kutengeka ndi makhalidwe.Zomwe zizindikiro za matenda a Pick, zomwe zimakhalapo kale, zimakhudza makamaka kusintha kwa maganizo, chiweruzo , ntchito yoyendetsa komanso khalidwe, pamene mu matenda a Alzheimers, kukumbukira, kukumbukira ndi kuyankhulana ndizofala kwambiri poyamba.

Kudziwa

Kuzindikira kwa BvFTD kawirikawiri kumachedwa chifukwa poyamba zingaganizedwe kuti munthu wokhudzidwa amakhala wonyansa, wodzikonda, wokhumudwa kapena wochita khalidwe. Ngakhale kuti zizindikiro zikupita patsogolo, komabe mabanja amafunsira thandizo la chipatala kuti athandizidwe ndi kuchipatala. Kuzindikira kumadalira kupezeka kwa zizindikiro zambiri zomwe tafotokoza pamwambapa, komanso kukhoza kutulutsa chifuwa chachikulu cha dementia monga Alzheimer's or dementia . Kuyang'anitsitsa zofunikira za FTD zosiyana siyana zingakhale zothandiza kwa mamembala ngati BvFTD imapezeka kapena kuganiziridwa ndi dokotala.

MRI ingathandizenso kuti muzindikire bvFTD chifukwa nthawi zambiri imawonetsa atrophy (shrinkage) ya ubongo wamkati . Pamene nthendayi ikupita, chiwonongeko chidzawonjezeka ndi kufalikira ku madera akumidzi, kuphatikizapo basal ganglia.

Kugonjetsa ndi Kuyembekezera Moyo (Malingaliro a Nthawi Zakale)

Chiwerengero cha chiyembekezo cha moyo kuyambira pachiyambi cha zizindikiro ndi zaka pafupifupi zisanu ndi zitatu mphambu zisanu ndi zinayi, ngakhale kuti anthu ena amakhala ndi zaka makumi awiri kapena zisanu ndi nthendayi. Monga ndi matenda aliwonse a maganizo, ingakhale matenda ovuta kwa osamalira, komanso kwa iwo omwe akukumana nawo.

Chithandizo

Kuchiza kungaphatikizepo kuyesa kugwiritsa ntchito njira zosagwiritsira ntchito mankhwala osokoneza bongo pofuna kuthetsa makhalidwe enaake.

Madokotala ena amapereka mankhwala opatsirana pogwiritsa ntchito otchedwa serotonin reuptake inhibitors (SSRIs), omwe angathandize ndi zina mwazochita zofuna kudziletsa monga kudya kapena kudya.

Mawu ochokera

Ndi zachilendo kumva nthawi zina pamene mukulimbana ndi mavuto omwe amachititsa kuti thupi lanu likhale ndi maganizo olakwika a frontotemporal. Musanyalanyaze chiyeso choyesera kuti muchite nokha; M'malo mwake, funsani thandizo kwa anthu omwe akuzungulirani, kaya ndi pulogalamu yothandizira anthu, ndikukambirana pa Intaneti pa BvFTD kapena mnzanu amene akufuna kukuchotserani khofi kapena kukhala kunyumba ndi wokondedwa wanu pamene mukugona.

Kuphatikizanso apo, Association for Frontotemporal Dementia imatchula magulu othandizira am'deralo komanso zipangizo zamakono komanso foni yothandizira.

_Zotsatira:

_{Annals of Neurology.} _{Kudya ndi hypothalamus kusintha kwa khalidwe - kusiyana kwa maganizo a frontotemporal.} _{http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3084499}

_{Bungwe la Frontotemporal Degeneration.} _{Zolinga za mgwirizano wa mayiko osiyanasiyana za FTD.} _{http://www.theaftd.org/wp-content/uploads/2009/02/Table-3-International-consensus-criteria-for-behavioural-variant-FTD.pdf}

_{Mabungwe, S., Weintraub, S. Journal of Geriatric Psychiatry ndi Neurology.} _{Zizindikiro za Neuropsychiatric Zomwe Zimakhala Zosiyana Kwambiri Frontotemporal Dementia ndi Aphasia Yopambana Kwambiri .. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2892801/}

_Neurology. _{Kuzindikira kuti panopa ndizofunika kuti munthu azindikire kuti ali ndi maganizo osiyana siyana.} _{http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2821829/}

_{University of California, San Francisco.} _{Kukula kwa Matenda: FTD yosiyana siyana.} _{http://memory.ucsf.edu/ftd/overview/ftd/progression/multiple}