Shin kun taba yin mamaki idan akwai bambanci tsakanin lalata jiki da Lewy da kwayar cutar ta Parkinson? Idan ka taba jin bayyanar cututtuka na waɗannan ɓarna biyu, suna sauti abin mamaki daidai. Wannan shi ne saboda sun kasance duka iri biyu na Lewy jiki dementia.
Lement Body Dementia
Akwai nau'i biyu na jiki na Lewy: lalata tare da Lewy jikin (DLB) da kuma cututtukan cututtukan Parkinson (PDD).
Kwayoyin cututtuka na PDD da DLB
Don fahimtar bambancin tsakanin PDD da DLB, yana da muhimmanci a gane cewa akwai nau'i biyu na bayyanar cututtuka da ke faruwa a PDD da DLB.
- Jiki : Cutar cututtuka da ke shafi jiki sun hada da rauni na tsoka, da nakasa (rashin ƙarfi) da jinkirin cikin ƙungiyoyi.
- Brain : Kwayoyin cututtuka a cikin kwakwalwa sun hada da aiki na rashin lafiya, da hankali, da ƙwaƙwalwar ajiyar ƙwaƙwalwa.
Dukkan wadannan nau'i-nau'i suna da alamun bayyanar cututtuka da suka shafi jiki da kwakwalwa. Hannun ciki da damuwa suna kasancewa a cikin nau'i biyu na lalata, da. Dukkanin wa] ansu sharu]] an da ake amfani da su ne, wa] ansu magunguna ne, wa] anda aka ba da umurni ga cutar ta Parkinson , irin su carbidopa-levodopa (Sinemet) , wanda zai iya taimakawa wajen inganta ikon iya motsawa da kuma aikin jiki, da kuma magungunan magunguna na cholinesterase , .
Differences tsakanin PDD da DLB
To, ta yaya PDD da DLB suka bambanta da juna?
Wannan ya dogara ga wanda kuke tambayar. Wasu likitoci sun ji cewa waɗannan yanayi guda biyu ne daban-daban nau'i na irin wannan cuta. A gaskiya ma, na ji wasu masanan sunyi amfani da kalmomi a cikin layi. Duk da haka, bisa ga halin yanzu an yarda-a kan jagororin binciken, akwai wasu bambance-bambance.
Bambanci mafi girma tsakanin cututtukan cututtukan Parkinson da lalata da Lewy jikin shi ne tsari na farawa da alamun bayyanar.
Abokan likitoci sukan bambanta tsakanin waɗannan ta hanyar tambayar wane siginar cututtuka (jiki ko kwakwalwa) ya fara bayyana.
Don gano tantance cutar cututtukan Parkinson, motar motsa jiki da motsa jiki, ciki har da rigidity, rauni da fargaba, ya kamata a kasance a kalla shekara guda kafin haɓaka ƙin ganewa.
Dama tare da Lewy jikin an gano idan bayyanar cututtuka a motsa jiki da kuma tsokawar tsoka yana faruwa a lokaci ɗaya a matsayin rashin karfin zuciya, idan bayyanar cututtuka na faruwa kafin motsawar motar, ko kuma idan rashin karfin zuciya ya fara ƙasa da shekara guda bayan motar motar ta fara.
Shin akwai wasu bambanci?
Bambanci a Cognition
Mutanen da ke da lalata tare da Lewy jikin sun nuna nuna bambanci a cikin halayyar fahimta fiye da wadanda ke fama da cutar ta Parkinson. Wannan yana da mahimmanci don ganewa saboda masu iyalansu da masu kulawa na iya zama masu takaici kuma sunyi imani cewa mutum yana zabar lokacin (ko ma a ɓoye) abubuwan da ya lalace.
Ƙin fahimtar yiwuwar yiwuwar haɓaka a cikin hankalin tunanin mutum yana da mahimmanci a gwaji da aunawa. Mutanen da ke fama da cututtukan cututtukan Parkinson na iya yin irin wannan a kan gwaje-gwajen gwagwarmaya ko da idan ka gwada su a lokuta daban-daban na yini ko kuma a cikin kwanaki daban-daban.
Duk da haka, mutumin da ke da lalata tare da Lewy jikin zai iya nuna ingantaccen ƙwaƙwalwar ajiya ko ƙaddamarwa a wasu lokuta kuma musamman haɓaka cognition a wasu lokuta. Sabili da haka, yana da muhimmanci a gudanar da kwarewar ƙwarewa fiye da sau daya don daidaita mutum wanda yake da lalata tare da jikin Lewy.
Abun Hutu
DLB sau da yawa yana rinjayar barci fiye da muhimmanci saboda rashin barci na REM, yanayin da mutane ke yin mafarki kamar yadda suke barci, yafi kowa a farkon matakan DLB idan aka kwatanta da PDD. Wannan shi ne abin mamaki a farkon alamar Lewy jikin jiki.
Dalilin PDD da DLB
Dukkan nau'i-nau'i iri biyu suna nuna halin gaban Lewy jikin a cikin kwakwalwa, ƙwaƙwalwar ƙwayoyin kwakwalwa da kuma matsalolin transmitter acetylcholine.
Duk nau'ukan iri biyu (ko da yake wannan na iya zama mafi mahimmanci a cikin DLB) na iya samun wasu adadin amyloid beta a cikin kwakwalwa, wanda shine alamar cutar Alzheimer .
Sources:
Deutsches Arzteblatt International. 2010 Oktoba; 107 (39): 684-691. Lewy Body da Parkinsonian Dementia. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2957617/
Lewy Body Dementia Association. Dabaru Dewy Body Dementia. http://lbda.org/content/lbd-booklet/types-of-lbd
Ma'anar ilimin halitta. Volume 68 (11), 13 Maris 2007, shafi 812-819. DLB da kuma PDD iyakoki: Mahimmin ganewa, magani, kwayoyin halitta, da kuma masu kare rayuka. http://www.neurology.org/content/68/11/812.abstract?sid=be7f0348-f70f-4b92-b56f-e09ba641b396
Cibiyar Cututtuka ta Parkinson ta Birtaniya. Q & A: Dementia da Parkinson's. http://www.parkinsons.org.uk/content/qa-dementia-and-parkinsons