Ukuwohloka kwengqondo okuninzi

Umxholo

• Ukuqonda iiMpawu zeDementia ye-Multi-Infarct Dementia
• Iimpawu zokuqala
• Iimpawu zexesha elizayo
• Yintoni oonobangela besifo sengqondo esixhalabisayo esingafaniyo nesinye?
• Ziziphi izinto eziNgozi kuMngcipheko?
• Iimeko zoNyango
• Izinto ezinobungozi kwindlela yokuphila
• Ichongwa njani i-MID?
• Ukuvavanya
• UkuLawula oonobangela beDementia
• Iphathwa njani iMID?
• Amayeza
• Olunye unyango
• Yiyiphi i-Outlook yexesha elide kwi-MID?
• Inokuthintelwa njani i-MID?

Yintoni i-Multi-infarct Dementia?

I-dementia ye-Multi-infarct dementia (MID) luhlobo lwesifo sengqondo esixhalabisayo. Kwenzeka xa uthotho lwemivumbo emincinci lubangela ukulahleka kwengqondo. I-stroke, okanye ingqondo engapheliyo, yenzeka xa ukuhamba kwegazi kunoma yiphina indawo yengqondo kuphazamiseka okanye kuvaliwe. Igazi lithwala ioksijini liyise kwingqondo, kwaye ngaphandle kweoksijini, izicwili zobuchopho ziyafa ngokukhawuleza.

Indawo yomonakalo wokubetha ichaza uhlobo lweempawu ezenzekayo. I-MID inokubangela ukulahleka kwememori kunye nokusebenza kwengqondo kwaye kunokubangela iingxaki zengqondo. Unyango lujolise kulawulo lweempawu kunye nokunciphisa umngcipheko wokubetha okuzayo.

Ukuqonda iiMpawu zeDementia ye-Multi-Infarct Dementia

Iimpawu ze-MID zinokubonakala ngokuthe chu ngokuhamba kwexesha, okanye zinokwenzeka ngesiquphe emva kokubetha. Abanye abantu baya kubonakala bephucula kwaye baphinde balahle emva kokuba benemivimbo emincinci.

Iimpawu zokuqala

Iimpawu zokuqala zesifo sengqondo esixhalabisayo zibandakanya:

• ukulahleka kwiindawo eziqhelekileyo
• ukuba nobunzima ekwenzeni imisebenzi yesiqhelo, njengokuhlawula amatyala
• kubenzima ukukhumbula amagama
• ukubeka izinto ngokungafanelekanga
• Ukuphelelwa ngumdla kwizinto obukade uziyolisa
• ukufumana utshintsho kubuntu

Iimpawu zexesha elizayo

Iimpawu ezibonakalayo ngakumbi zibonakala njengokuba isifo sengqondo esixhalabisayo siqhubeka. Oku kunokubandakanya:

• utshintsho kwiindlela zokulala
• nemibono
• ubunzima ngemisebenzi esisiseko, enjengokunxiba nokulungiselela ukutya
• ukukhohlisa
• ukudakumba
• isigqibo esingalunganga
• Ukurhoxa ekuhlaleni
• ukulahleka kwememori

Yintoni oonobangela besifo sengqondo esixhalabisayo esingafaniyo nesinye?

I-MID ibangelwa luthotho lwemivumbo emincinci. Ukubetha, okanye infarct, kukuphazamiseka okanye ukuvaleka kokuhamba kwegazi kuye nakweyiphi na indawo yengqondo. Igama elithi "multi-infarct" lithetha ukubetha okuninzi kunye neendawo ezininzi zomonakalo. Ukuba ukuhamba kwegazi kumisiwe ngaphezu kwemizuzwana embalwa, iiseli zobuchopho zinokufa kukuswela ioksijini. Lo monakalo uhlala usisigxina.

Ukubetha kungathula, oko kuthetha ukuba kuyayichaphazela indawo encinci yengqondo kangangokuba kungabonakali. Ixesha elingaphezulu, ukubetha okungathethiyo kunokukhokelela kwi-MID. Imivumbo emikhulu ebangela ukubonakala komzimba kunye neempawu ze-neurological inokukhokelela nakwi-MID.

Ziziphi izinto eziNgozi kuMngcipheko?

I-MID ngokubanzi ivela kubantu abaneminyaka engama-55 ukuya kwengama-75 kwaye ixhaphake kakhulu emadodeni kunabafazi.

Iimeko zoNyango

Iimeko zonyango ezonyusa umngcipheko we-MID zibandakanya:

• i-fibrillation ye-atrial, engaqhelekanga, yokubetha kwentliziyo okukhawulezayo eyenza ukuduma okungakhokelela kwigazi
• imivimbo yangaphambili
• ukumelwa yintliziyo
• ukwehla kwengqondo ngaphambi kokubetha
• igazi elonyukayo
• isifo seswekile
• i-atherosclerosis, okanye ukuqina kwemithambo

Izinto ezinobungozi kwindlela yokuphila

Oku kulandelayo yimingcipheko yendlela yokuphila ye-MID:

• ukutshaya
• utywala
• inqanaba eliphantsi lemfundo
• ukutya okungafanelekanga
• akukho nto ingako yomzimba

Ichongwa njani i-MID?

Akukho vavanyo oluthile oluchaza i-MID. Imeko nganye ye-MID yahlukile. Imemori inokungasebenzi kakuhle komnye umntu kwaye ibe nomonakalo ophantsi komnye umntu.

Ukuxilongwa kuhlala kwenziwa ngokusekwe:

• Uvavanyo lwe-neurological
• imbali yokwehla kwengqondo ngokwasengqondweni
• I-CT okanye i-MRI ijonga ezo ndawo zincinci zethishu ezafa ngenxa yokungabikho kwegazi
• ukugweba ezinye izinto eziphilayo zesifo sengqondo esixhalabisayo njenge-cholesterol ephezulu, isifo seswekile, uxinzelelo lwegazi oluphezulu, okanye icarotid stenosis

Ukuvavanya

Uvavanyo lwe-Radiological imaging lunokubandakanya:

• Ukuvavanywa kwe-CT kwengqondo yakho
• Ukuvavanywa kweMRI kwengqondo yakho
• i-electroencephalogram, eyimilinganiselo yokusebenza kombane kwingqondo
• i-transcranial doppler, evumela ugqirha wakho ukuba alinganise isantya sokuhamba kwegazi kwimithambo yegazi yengqondo yakho

UkuLawula oonobangela beDementia

Ugqirha wakho unokuyalela iimvavanyo zokulawula ezinye iimeko ezinokubangela okanye ezinegalelo kwisifo sengqondo esixhalabisayo, ezinje

• ianemia
• ithumba ebuchotsheni
• usulelo olungapheliyo
• ukudakumba
• isifo se-thyroid
• ukuswela iivithamini
• ukunxila kweziyobisi

Iphathwa njani iMID?

Unyango luya kulungelelaniswa neemfuno zakho. Uninzi lwezicwangciso zonyango lubandakanya amayeza kunye notshintsho kwindlela yokuphila.

Amayeza

Amayeza anokubandakanya:

• imemine
• nimodipine
• xube
• ifolic acid
• I-CDP-choline
• i-serotonin reuptake inhibitors ekhethiweyo, eyi-anti-depressants enokuthi incede ii-neurons zikhule kwaye ziphinde zibuyisele unxibelelwano kwingqondo.
• I-calcium channel blockers yokusebenza kwexesha elifutshane
• i-angiotensin-eguqula i-enzyme inhibitors ukunciphisa uxinzelelo lwegazi

Olunye unyango

Izongezo zemifuno zikhule ngokuthandwa njengonyango lwe-MID. Nangona kunjalo, akukho zifundo zaneleyo zenziweyo ukubonisa ukuba ukusetyenziswa kwazo kuyimpumelelo. Imizekelo yezongezo zemithi ezifundwayo ngoku ukuze zisetyenziselwe ukunyanga i-MID zibandakanya:

• UArtemisia absinthium, okanye umhlonyane, osetyenziselwa ukuphucula ukusebenza kwengqondo
• UMelissa officinalis, okanye i-lemon balm, esetyenziselwa ukubuyisela inkumbulo
• Bacopa yemoniyeri, okanye nehisope yamanzi, esetyenziselwa ukuphucula inkumbulo nokusebenza kwengqondo

Qiniseka ukuba uxoxa ngezi zongezelelo nogqirha wakho ngaphambi kokuba uzithathe, njengoko zinokuphazamisa amanye amayeza.

Olunye ukhetho kunyango lubandakanya ukuzilolonga rhoqo ukwakha amandla emisipha, uqeqesho lokuqonda ukuze uphinde usebenze ngengqondo, kunye nokuvuselelwa kwemicimbi yokuhamba.

Yiyiphi i-Outlook yexesha elide kwi-MID?

I-MID ayinanyango. Amayeza kunye noqeqesho lokuqonda kunokunceda ukugcina ukusebenza kwengqondo. Isantya kunye nokuhamba phambili kwesifo sengqondo esihlukeneyo kuyahluka. Abanye abantu basweleka kwakamsinya emva kokuchongwa kwe-MID, kwaye abanye bayaphila iminyaka.

Inokuthintelwa njani i-MID?

Akukho bungqina bayo nayiphi na indlela efanelekileyo yokuphepha i-MID. Njengakwiimeko ezininzi, eyona ndlela yokuthintela kukukhathalela umzimba wakho. Kufuneke u:

• Tyelela ugqirha rhoqo.
• Yitya ukutya okunezondlo.
• Qalisa okanye ugcine inkqubo yokuzilolonga rhoqo.
• Qinisekisa uxinzelelo lwegazi.
• Gcina ulawulo lweswekile.