Wednesday, January 30, 2013

阿茲海默 腦退化症(前稱:老年痴呆症) / Senile dementia with Alzheimer's type


今天往藥房買了一些医生配的保腦丸給母親吃,希望延遲她進入「忘我」的境界。

其實,健忘病徵並不只限於高齡人仕,年紀較輕的間中也会忘記人名、地址、电話等。但患上了失憶症的長者,他/她们的記憶是有系統地慢慢消失,起先是腦袋不能夠維持短期資料記錄。例如: 医生叫病人緊記三樣東西: 手錶、鉛筆、間尺,跟著要他/她計一些加減數,之後叫病人回述那三樣東西是什么。

平常人通常都能应付這一系列叫 Mini-mental state exam (MMSE) 的記憶測驗,取得30滿分是沒有問題。但如果失憶症病情継續惡化,患者的MMSE分數会每年喪失3至4分,嚴重的不單只短期資料記錄会煙消云散,連長期記憶如熟悉親戚朋友的面孔也不会記得。

医生說我母親有失憶健忘症的先兆,病向淺中医,所以配了一些保腦藥品給她服用,希望她能在「忘年」的歲月,不会完全「忘我」。

Photo Credit:  I took the photo of this big tree in Dakar, Senegal in June 2012,

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Related info:


阿兹海默症


According to Wikipeida:  有失去記憶導致憂慮的症狀,就可能罹患了阿茲海默症,但必須經過醫師的智能測驗及腦部斷層掃描才能確定,以下是作為指標的智能量表。
階段智能測驗說明症狀說明平均期間退化程度
( MMSE :29-30)正常-成人
( MMSE :29 )正常年齡之健忘,與年齡有關之記憶障礙(忘記東西放置的地方及某些字, 減少注意力)-成人
輕度神經認知功能障礙( MMSE :25 )降低從事複雜工作之能力及社會功能(例如:完成一件報告)-年輕之成人
輕度阿茲海默氏失智症( MMSE :20 )計算能力下降(100-7, 40-4),無法從事複雜活動(個人理財、料理三餐、上市場), 注意力、計算及記憶障礙(近期為主)2年8 歲-青少年
中度阿茲海默氏失智症( MMSE :14 )計算能力明顯下降(20-2),失去選擇適當衣服及日常活動之能力,走路緩慢、退縮、容易流淚、妄想、躁動不安1.5年5-7 歲
中重度阿茲海默氏失智症( MMSE :5)無法唸10-9-8-7……,需他人協助穿衣、洗澡及上廁所,大小便失禁,躁動不安,降低語言能力2.5年5-7 歲
重度阿茲海默氏失智症( MMSE :0)需依賴他人持續照顧, 除叫喊外無語言能力、無法行走,行為問題減少,增加褥瘡、肺炎及四肢攣縮之可能性MMSE從23(輕度)→0 約6年,每年約降3-4分,MMSE 到0後可平均再活2-3年4 週-15 個月

Source: 阿兹海默症
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According to the Alzheimer's Association:   ".... Dementia is a general term for a decline in mental ability severe enough to interfere with daily life.  Memory loss is an example. Alzheimer's is the most common type of dementia.... 

While symptoms of dementia can vary greatly, at least two of the following core mental functions must be significantly impaired to be considered dementia:
  • Memory
  • Communication and language
  • Ability to focus and pay attention
  • Reasoning and judgment
  • Visual perception
People with dementia may have problems with short-term memory, keeping track of a purse or wallet, paying bills, planning and preparing meals, remembering appointments or traveling out of the neighborhood. Many dementias are progressive, meaning symptoms start out slowly and gradually get worse.

Source:    http://www.alz.org/alzheimers_disease_steps_to_diagnosis.asp

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5 comments:

the inner space said...

在香港已經改稱:腦退化症,避免混淆痴線和弱智!

新鮮人 said...

可否多講一些適合老人家的 保腦丸的資料嗎?

Anonymous said...

SBB:

多謝指點,題目已更改。

微豆

the inner space said...

聞說 Southern Ontario 由多倫多至渥太華 and the maritimes 都下着五年來最大雪暴。Drive Safe and don‘t push too hard shoveling snow!

順祝闔家蛇年順景!

Anonymous said...

新鮮人:

那是医生配的藥,叫: ARICEPT (5 MG)/DONEPEZIL HCL

I am not a medical professional. So, please make sure you or your family members consult and seek expert advice from a medical professional on the kind of medications that are required or acceptable.

Haricot

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