Early detection and early prevention of Alzheimer's disease
Upload time：2017-02-27 Browse：
Author: Sheng Chan Han Ying
Blzheimer (Alzheimer 's disease, AD) is the most common type of dementia, commonly known as Alzheimer's disease. Since the publication of the first case of AD in by the German psychiatrist, Alzheimer's disease, it has drawn increasing attention. Us for having heard it many times world celebrities, such as former US President Reagan, former British Prime Minister Thatcher, "the father of optical fiber" Charles and Nobel prize winner Marcks in his later years also get rid of AD. With the aging of population, the incidence of AD is increasing year by year. China's population over the age of 65 the prevalence rate of 6.6%, the country has about dementia in 10 million, the average survival period from the date of diagnosis is only 5.9 years, seriously affecting the quality of life of the elderly, brought heavy mental and economic burden to family and society.
First, AD early detection
As everyone knows, AD is the early onset form of occult, imperceptible, careful observation will find only relatives of the patients reaction slightly slow, often cannot remember things, but what time from the beginning who don't know. The initial clinical manifestations of AD are memory loss, sometimes accompanied by mental and behavioral disorders.
1 recent memory loss:
The typical performance of early AD patients is memory loss, and the recent memory decline, long-term memory remains. At this time, the family will complain that patients often forget recent important events or date, what happened just turned to forget, even after being reminded nor memories of all or part of the contents, but fresh for long Chen sesame rotten millet ". Some patients are always asking the same question over and over again, no matter how many times they explain it. Patients often do not remember the items placed in the position of life is always absent-minded. Some patients always repeat the salt or forget to put salt when cooking, as well as forget to turn off the lights, close the door, off the stove, causing security risks. To arouse our attention, because the patient remained disease early long-term memory, so the family will think that this loss of memory is a normal phenomenon of the elderly aging and not go to the hospital, until further aggravate the disease or mental behavior symptoms when they pay attention, but at this time, has missed the best intervention during the period of.
2 mental and behavioral disorders:
In the early stage of the disease, patients with AD may exhibit mild mental symptoms. Early patients have self-awareness, can feel the speed of reaction, their memory and understanding as before, so sometimes showed mild anxiety or depression; some patients showed apathy, for nothing interested, not willing to learn new things; there are some original introverted patients become irritable, excited euphoria; individual patients become gentle, calm and;
Other patients use worthless gadgets as valuables, and even garbage everywhere.
In addition to the clinical manifestation, in early detection plays an irreplaceable role in AD neuroimaging, for suspected patients should be routinely performed MRI scans in order to understand the whole brain and brain, is conducive to the early diagnosis.
Two, AD early prevention
Experts pointed out that the prevention of AD as well as cerebrovascular disease to actively carry out primary prevention and two prevention. The risk of familial genetic AD clinical manifestation is normal and mutation carriers with AD factors (such as hypertension, hyperlipidemia and diabetes, folic acid and vitamin B12 deficiency etc.) who actively carry out primary prevention, such as controlling blood pressure, regulating blood lipid and glucose levels, supplement folic acid and vitamin B12, for high-risk groups family history, should control these may lead to the risk factors of dementia; for mild cognitive impairment should be carried out in the two grade prevention, drug taking law to improve cognitive function, such as donepezil, Kabbala Ting, the complex Fang Congrong yizhi capsule, to delay the progression of cognitive impairment. At the same time to encourage more exchanges with more reading, enhance cognitive training, improve the patient initiative to do things, to give humane care to patients, avoid social discrimination, is called an ounce of prevention is better than ten treatment.
It points out that in 2011 the National Institute on aging and Alzheimer's disease association diagnosis standard, AD is a continuous pathological process, appeared early in patients with clinical symptoms before a long period of time in the brain that are related to pathophysiological changes, that is to say once the clinical symptoms had been late, so the memory clinic in general hospital suitable for primary prevention and secondary prevention of the above mentioned two people to go to a qualified doctor, doctors and patients and their families together against the AD of the cross century disease for human encroachment.