Chirwere chepachika chinoreva zvirwere zvisingaoneki zvinokonzera nheyo yepamusoro yenheyo. Chikonzero chekuonekwa kwechirwere ichi hachina kudzidziswa zvizere, uye hapana mhinduro yakagadziriswa. Chirwere ichi chinokanganisa vanhu mushure memakore makumi matanhatu uye vanokurumidza kufambira mberi.
Chirwere chePikk chii?
Chirwere che Pick chirwere chinoratidzirwa senile dementia. Chikonzero chekusimudzirwa kwayo ndiko kukanganisa kumasero epamberi netimes temporal. Iro cerebral cortex chikamu cheuropi chinoderera nechirwere chePikk, mutsetse pakati pemuchena uye grey brain substance yakasvibiswa. Murwere anotanga kufamba zvishoma mumhepo, kurasikirwa nounyanzvi huripo, haagoni kuwana zivo itsva uye unyanzvi. Kuchinja kweunhu hunoita kuti kuderedzwa kwekuzvidzora uye kuwedzera kwemaitiro ezvido uye zvisikwa.
Zvirwere zvepamusoro neAlzheimer - kusiyana
Dendaase Peak neAlzheimer zvakafanana pakati pavo, zviratidzo, pakati pacho iyo inonyanya kukurudzirwa kwekushaya pfungwa. Chimwe chirwere chakasiyana ndeye Niemann Pick, ine zita rakafanana, asi chiratidzo chakasiyana zvachose uye chetsika. Kusiyanisa chirwere cheAlzheimer uye chirwere chePikk, zvakakosha kubhadhara zvinhu zvakadai:
- Age. Chirwere chePeak chinogona kuzviratidza kune vanhu mushure memakore makumi mashanu, uye chirwere cheAlzheimer chinowanikwa kune vakwegura - makore 60-70.
- Kuziva njere. Muhosha yeAlzheimer, cherechedza, kuyeuka nekufunga zvinotanga kutanga, uye muzvirwere zvePikk, zvinetso nehutano hwekuziva hunoonekwa pane imwe nguva.
- Unhu. Muhutano hweAlzheimer, unhu hwemunhu hunoramba huri kwenguva refu, uye panyaya yechirwere chePikk, kuchinja kwehutano muhupenyu hunoonekwa nokukurumidza. Murwere ane chirwere chePikk's disease anofamba, anotevera maitiro ake, anoramba kumuchengetedza, anoita seanomiswa.
- Kutaura. Varwere vane chirwere chaPikk vanorasikirwa nedzimwe mazwi, asi vanochengetedza unyanzvi hwekuverenga nekunyora. Muhosha yeAlzheimer, zvinetso zvekutaura zvinowedzera zvishoma, asi unyanzvi hwekuverenga nekunyora hwakarasika.
- Nzira yechirwere. Chirwere chePeak chinoratidzwa nehutsinye, chinokurumidza uye chinogona kutungamirira kurufu mumakore matanhatu. Chirwere cheAlzheimer chinozivikanwa nenzira yakanyanya. Upenyu mushure mekutsvaga huri makore 7-10.
Zvinokonzera senile dementia
Zviratidzo zvechirwere chaPikk zvakarondedzerwa kumashure muna 1892, asi kusvika panguva ino, zvikonzero chaiyo zvechirwere hazvina kuiswa. Senile dementia, dambudziko rekushaya dambudziko rinogona kupiwa nhaka, asi zvinowanzoitika zvinowanzoitika kakawanda. Pakati pezvikonzero zvinokonzera chirwere ichi, vatsvakurudzi vanoshevedza izvi:
- kugara munhu kwenguva yakareba pasi pesimba rekukuvadza makemikari, kutora zvinodhaka, kudhakwa;
- kazhinji kana kudarika anesthesia ;
- kukanganisika kwepfungwa;
- matumbo;
- craniocerebral trauma;
- utachiona;
- vitamini inoshaya inokonzerwa nekushaya B mavitamini .
Pick's disease - zviratidzo nezviratidzo
Senile dementia, zviratidzo zvayo zvinokura nekukura kwechirwere ichi, zvinoratidzika zvakajeka pakutanga kwechirwere. Vanachiremba vanoshevedza zviratidzo zvakadaro zvekunyanya kukonzera demoa:
- kunyanya udyire;
- tevera mafungiro ako uye zvido zvako;
- unhu hwakasiyana;
- kuderera kwekutarisa-chengetedza basa;
- kuchinja mumutauro, kudzokorora kwemitsetse yaunoda;
- kunyanya kufungidzira kunotaura: kufara kana kusafarira ;
- kusagadzikana kwemafungiro uye manzwiro;
- amnesia , kunyanya kuora mwoyo;
- kurasikirwa nekwanisi yekudzidza;
- kurasikirwa kwekwaniso yekukurukura nevamwe.
Zvirwere zvechirwere - zvikamu
Chirwere chePeak, zviratidzo uye zviratidzo zvaro zvinoenderana nechikamu chechirwere ichi, chinotanga nekusawirirana kwehutano hushoma, uye chinopera nekufa kwemurwere. Kune zvikamu zvitatu zvechirwere ichi:
- Kukura kwezvido zvoudyire. Murwere anorega kutarisira zvido uye unhu hwevanhu vakavapoteredza. Pakati penyika yake ndeye. Zvido zvake nezvido zvinosvika mberi, izvo zvaanoda kuti agutsikane nekukurumidza sezvazvinogona. Pamwe neizvi, kukwanisa kuzvizvidza uye kuzvidzora kunoderera. Iko kusagadzikana kwepfungwa, chido chekuda uye kusafarira.
- Kusvibiswa kwemabasa ekuziva. Kune matambudziko nekutaura: murwere anodzokorora mazwi akadai uye nyaya. Kukura kwematambudziko nekutaura kunokonzera kusakwanisa kutaura pfungwa dzavo uye kunzwisisa mutauro wemumwe munhu. Unyanzvi hwokudzikama hwekuverenga, kunyora, kuverenga, kuderedza pfungwa nekucherechedza, kukwanisa kuita zviito.
- Deep dementia. Pane kuora mwoyo muzvimbo, kukwanisa kuzvipira-kurasikirwa kurasikirwa. Varwere vanomira kufamba uye vanoda nguva dzose kuchengetwa. Zvirwere uye hutachiona husina kukwana hunotungamirira kurufu rwemurwere.
Pick's illness - diagnosis
Chirwere chePeak pazvikamu zvokutanga zvinoratidza kuti zvinopindirana nezvimwe zvirwere zveurongwa hwepfungwa nehupfungwa. Asati apora chirwere chinorwara, vanachiremba vanodzidza anamnesis, kubvunzurudza hama dzevarwere uye kunyatsoongorora nyaya yacho. Kuongororwa kwe "Pick" "neuropathologists" inowanzoisa muchechi wechipiri chechirwere, apo zviratidzo zvekutanga zvinowanikwa kune kuputsika kwemafungiro ekuziva. Kusiyana kwehutano hwechirwere cheAlzheimer uye chirwere chePikk chinobva paEEG, REG, transcranial ultrasound, Echo-EG uye tomography nzira.
Muedzo wekunyanya kuora mwoyo
Nechirwere chaPikk, akadudza kuora mwoyo kwebasa rekuziva nezvekuziva zvinowanikwa. Vamwe vanocherechedza kuti murwere akawedzera kukuyeuka, akachera kufunga uye kufunga.
Kuti asimbise kusafungirwa kwekutsvaga kwekutenda kwemaitiro uye kutarisisa hutano hwezviitiko izvi, murwere anogona kupiwa zviedzo zviviri zviri nyore:
- Mufananidzo weawa. Mumwe murume akwegura anopiwa kuvhara hovha. Kazhinji, chiyero chinofanira kutorwa zvose madijita eawa, inofanira kunge iri panzvimbo imwe chete kubva kune imwe. Pakati pano panofanira kuva nekatsva nemiseve yakaiswa.
- Mashoko. Munhu anokumbirwa kutumidza semiti yakawanda nemhuka sezvinobvira muminiti imwe chete, kana semashoko akawanda sezvinobvira pane imwe tsamba. Kazhinji, vanhu vanoshevedza 15-22 mazwi nemazita emiti kana mhuka uye 12-16 mazwi ese tsamba. Kana murwere achitaura pasi pemashoko gumi, ane nhamo yepamusoro.
Chii chaunofanira kuita nekunetseka kwemaitiro?
Pick's disease, kurapa iyo isina kuwanikwa, inokura nokukurumidza uye inouraya. Kunyange zvazvo chirwere ichi chisingagoni kurapwa, kufambira mberi kwayo kunogona kuderedzwa uye kuita kuti hutano hwevanhu vanorwara huve nyore. Hama dzevanhu vanorwara dzinoda kushivirira kukuru uye kunzwisisa, nokuti kuora mwoyo mukati mechirwere chaPikk kunonyatsotaurwa.
Murwere ane chirwere chekuora mwoyo chinoda kuchengetwa kwemaawa makumi maviri nemasere uye kutarisirwa nekuda kwesimba ku vagrancy uye kuita zvisarudzo zvisina kufanira. Hama dzinotarisira murwere dzinofanira kutarisa kupiwa kwemishonga inorayirirwa, kutevera mitemo yose yechiremba, kudzivirira murwere kubva kumanzwiro nekudzvinyirira, mabasa ane ruzha, mhirizhonga.
Senile dementia - kune chiremba chinoshanda kupi?
Zviratidzo zvekutanga zvechirwere chePikk zviri kukurudzira hama dzomurwere kufunga nezvekuonekwa kwechirwere chepfungwa. Kana iwe uchifungidzira kuonekwa kwe "senile dementia," kurapwa, kuongororwa kwevarwere vakadai, kusarudzwa kwehutano hwekuongororwa uye kujekeswa kwekuongororwa kunoitwa nenyanzvi yezvehutachiona iyo inobva yanyora nzira yekurapa mishonga. Kuwedzerwa kurapwa kunogona kuitwa neavoologist uye mupfungwa yepfungwa.
Pick's disease - kliniki mazano
Iyo Pick chirwere inowanzovhiringidzwa nehosha yaNiemann Pick. Zvirwere zviviri izvi zvine zviratidzo zvakakosha zvekusiyana uye zvakafanana chete nemazita. Chirwere cheNiemann Pick, icho chirongwa chekliniki chinotarisana chichasiyana zvakanyanya kubva kune mazano e Pick's disease, haisi kusangana nezvinetso zvepfungwa uye inowanikwa muvana. Nekuremekedza chirwere chaPikk, kune zvikwereti zvakadai zvekuchirapa:
- Mishonga inofanira kuisa chiremba wepfungwa, zvichibva pane zvinorayirwa neurologist.
- Kuita kuti hurumende ive nemamiriro ezvinhu, vanachiremba vepfungwa uye vezvepfungwa vanofanirwa kubatanidzwa mukurapa.
- Zvinodhaka zvinodhaka, nokuti zvinobatsira kuderedza kufambira mberi kwechirwere.
- Pachigumo chekupedzisira, hutano hwemurwere hunofanirwa kunyatsoongororwa: nekuda kwekusimuka, zvinetso zvakawanda zvinogona kuitika.
Senile dementia - kurapa, zvinodhaka
Chirwere chePeak chinoreva zvirwere zvinotyisa zvisingagoni kururamiswa. Pazvikamu zvekutanga zvechirwere, murwere anoratidzirwa psychotherapy, anoshanyira kurudziro rwekuziva, uye nekufambira mberi kwechirwere - unyanzvi hwekugadzira, nzvimbo yekunzwa, nzvimbo yekufananidzira yepo. Kurapa kwemazuva ano kunokonzera kuora mwoyo nemishonga kunobvumira kuderedza kukura kwechirwere, asi hachina chekuita. Mutemo wokurapa unosanganisira:
- Memantine;
- anticholinesterase madawa: Galantamine, Choline alfoscerate, Donepezil, Rivastigmine;
- nootropics: gamma-aminobutyric acid, Piracetam uye Fonturacetam;
- antipsychotics kana hukama hwechisimba hunozviratidza: Chlorprotixen, Alimemazin.
Nzira yekudzivirira sei kuora mwoyo kwemaitiro?
Nzira dzekudzivirira zvirwere zve Pick hazvina kuumbwa kusvikira nhasi, sezvo pasina zvikonzero zvakakonzera kukura kwechirwere. Nokuda kwechikonzero ichi, kudzivirira kukwegura kwemaitiro kunobva pamitemo inonyatsozivikanwa yehupenyu hwakanaka:
- kudya kunovaka muviri, kuzere nezvose zvakakosha mavitamini nemaminerari;
- kunwa mvura yakakwana;
- chiito chemuviri chaiyo;
- kuenzanisa uwandu hwepfungwa;
- kuvapo kwechitenderera chekutaurirana;
- zvishoma zvinodzvinyirira zvinotakura, nzvimbo dzakadzikama uye dzine tariro.