Matšoao, Tlhahlobo le Phekolo
Parkingon's disease dementia (PDD) ke mofuta oa Lewy 'mele oa' dementia ' o etsoang ha mokuli ea nang le lefu la Parkinson a hlahisa bothata ba ho tepella maikutlo ka nako e ka bang lilemo tse peli ka mor'a hore ho fumanoe hore lefu la Parkinson le entsoe,' me lisosa tse ling tsa 'dementia ' li hlokomolohile. Hoo e ka bang 25-30% ea bakuli bohle ba nang le lefu la Parkinson le bona ba na le bothata ba 'dementia', empa ka mor'a ho ba le lefu la Parkinson ka lilemo tse 15, ho ata ha PDD ho eketseha ho 68%.
PDD e fapane haholo le hore na e itlhahisa joang ho tsoa ho lefu la Alzheimer : Ka mohlala, ka PDD, batho ba atisa ho ba le mathata a maholo ka tlhokomelo , ts'ebetso ea tsamaiso , le ho khutlisetsa mohopolo . Ka lefu la Alzheimer, bothata ba ho hopola ke hangata bo bong ba ho hopola lintho. Batho ba nang le PDD ba ka boela ba tseba ho ba le bothata ba ho hopola ho feta batho ba nang le lefu la Alzheimer.
Ho lemoha lefu la Parkinson la Dementia
Senotlolo sa ho khetholla PDD ke ts'ebetso ea mathata a ho utloisisa lintho tse matla ho lekaneng ho ama ts'ebetsong ea letsatsi le leng le le leng. Ho hlahlojoa ha Mental-Mental State Examination (MMSE) ke tlhahlobo ea ho hlahloba e atisang ho sebelisoa ho thusa ho hlahloba lefu la Alzheimer le PDD.
Dementia e tloaelehile ho batho ba nang le lefu la Parkinson, haholo-holo ho tloha ha nako e tloaelehileng ea ho qala ha lefu la Parkinson e le 60 'me ha motho a ntse a e-na le nako e telele, ho ka etsahala hore ba hlahise lefu la dementia. Ho ba mohlankana le ho ba le maikutlo a ho hlahisa maikutlo ke li-predictors tse matla tsa ho hlaolela 'dementia' ho batho ba nang le lefu la Parkinson.
Mofuta o mong oa 'dementia' oo ho bonahalang ho tloaelehileng ho tloaelehileng, 'me seo se amana le maloetse a mabeli a Parkinson le a Alzheimer a bitsoa Lewy' meleng oa 'mele . Ha e le hantle, lihlopha tsa Lewy li fumanoa ke boko ba batho ba nang le PDD, lefu la 'mele la' mele le lefu la Alzheimer.
Ho phekola lefu la Parkinson la Dementia
Hona joale, ho na le phekolo e le 'ngoe feela e amohelehang ea FDA bakeng sa PDD.
Exelon patch (rivastigmine transdermal system) le li-capsules tsa Exelon (rivastigmine tartrate) li bontšoa bakeng sa ho phekoloa ha 'meleng oa' mele oa lefu la 'mele oa Alzheimer' me lefu la 'dementia le bonolo ho isa tekanyo le lefu la Parkinson.
> Mehloli:
> Aarsland D, Zaccai J, Brayne C. Tlhahlobo e tsitsitseng ea lipatlisiso tsa ho ata ha 'dementia' meleng oa Parkinson. Mov Disord . 2005; 20: 1255-1263
> Dubois B, Burn D, Goetz C, et al. Mekhoa ea ho hlahloba lefu la Parkinson's disease dementia: litlhahiso tse tsoang Movement Disorder Society Task Force. Mov Disord . 2007; 22: 2314- 2324.
E hatisitsoe ke Esther Heerema, MSW