There is dementia morbidity in ten people

There is dementia morbidity in ten people
There is dementia morbidity in ten people
The newest investigation reveals, the old man over our country 80 Public cognition degree is low, often mistaken the early symptom of senile dementia as " memory is bad " , " bad-tempered " The expert thinks " The empty nest old man " It is apter to get senile dementia Draw the clock to test, help you to examine the old man of home and present dull-witted early symptom On dull-witted day Wednesday afternoon of special topic of old age of the world, Liu LiZhen's old mother with 83 years old reaches a courtyard of memory obstacle clinic subsequent visit of wide medicine. Liu LiZhen is 53 years old this year, look that 5 years older at least than the peer. Since mother was diagnosed as senile dementia, this " old man who became the same as child " 3 years ago Become beautiful precious centre of a circle of life Liu. "The food and drink to be looked after her is drawn and spread every day, watch out for her to slip out of the door keeping watch on her constantly, she get up in the depth of the night frequently still, one pieces of room knock at door, until the whole family ' strike and wake up ' Such life, are not really crossed by people. " In fact in China, senile dementia patients like Liu LiZhen's mother has more than 5 million, and have illness coming on newly the example will also increase about 300,000 every year. In order to let more persons know this disease, the dull-witted association of old age of world determines as " dull-witted day of old age of world " on September 21 annual . "The patient will present memory failing, cognitive ability obstacle while just beginning, such as not intervening in time, their situation will be serious day by day, the last result loses all life functions. " A wide medicine a courtyard nerve head of the department of internal medicine Shao Ming tells reporters, senile dementia is not merely given to the old man, bring serious puzzlement and burden to family that the old man belongs to even more, furthermore let the relatives of much senile dementia present the psychological obstacle. Phenomenon: The kindly old professor turns into " The nurse terminator " 78 -year-old grandmother Zhao is the retired professor of one university in 2011, treat people affable, tolerant, with life of son's family throughout the year, very harmonious. But during recent half a year, family think grandmother Zhao seems to turn into individual, make and nitpick, selfish, even a little impervious to reason. "It is ' the nurse terminator ' that we have chosen a flower for the grandmother privately. " Grandmother Zhao's son Mr. Deng tells reporters, because in half a year, the family successively changed five nurses, all thrown out by the grandmother. "We ask new nurse go home each time, grandmother will complain, nurse ' cook, give her cost ' ' steal money and, garment ' ' scold her ' of her in a few days, even once also say ' the nurse entices the grandfather '. " Mr. Deng say whole family it thinks to be must nurse problematic begin, then so long as the grandmother complains, they substitute. But when changing the fifth nurse, family begin to feel improper, once in a relative's job of home because of this nurse, the a special consideration old man too, the public praise is very good, but come for third day, the grandmother says the nurse " hits her " , " no have a meal for her " "We recalled at this moment, it turned it into individual that the grandmother has really looked like recently, not only to the nurse, is a great deal of nitpicking even to family, lose the temper easily, very fond of the grandson's her in the past, still often difficult and sulky with children recently. " Then, family are taking grandmother Zhao to the hospital to see a doctor first. In the old memory obstacle clinic that the department of nerve internal medicine has specially, doctors have found out about the medical history of grandmother Zhao in detail, have done scale test for her, and let her do MR of the brain, make a definite diagnosis of senile dementia finally. "Grandmother Zhao one very typical case that we accept for medical treatment, she relent from one and affable old man become it impervious to reason, it is in fact senile dementia and a very important early symptom - -The changes of personality and mood. On this basis, we combine assessment of scale, in addition, result of MR brief on, she has presented brain atrophy, synthesizes these factors, has already accorded with the diagnosis of senile dementia. " The first affiliated hospital nerve head of the department of internal medicine Shao Ming of Guangzhou medical college says. Figure: The number of the infected of senile dementia of our country exceeds 5 million The statistics show, there are 24 million dementia patients in the world now. In our country, ill number of people of senile dementia up to 5 million more than, have 300,000 new example of having illness coming on every year. According to the introduction of attending physician Wu YiJuan of the old memory obstacle clinic of the first affiliated hospital of Guangzhou medical college, can cause in various in the old age, Alzheimer's disease is the reason for ranking the first, the proportion is up to 60%. This kind of disease sees more the elderly over 65, with the increase of age, its morbidity will be higher and higher too. The crowd's morbidity is that the crowd's morbidity is up to 11.4% over 8.26%, 80 over 75, "that is to say, in the old man over 80, nearly every 10 people have dull-witted patients of a piece of old age, this morbidity is quite high. " Shao Ming says. The cause of disease: Still indeterminate Or with " empty nest " Relevant will study a group of vice group leaders, introductions of Wang YanPing, chief physician of institute of wide medicine two dull-wittedly according to the neuropathy credit of medical association of Guangdong Province, senile dementia is a kind of chronic, going on brain obstacle disease caused because the brain cell is damaged. Mainly shown as the obstacle in respects such as memory, daily viability,etc., and present the going on and aggravate, until totally losing the self-care ability of life finally. Wang YanPing analyzes, in she meets the senile dementia patient that examines, nearly half is " empty nest old man " living alone . "Though the precise cause of disease of senile dementia has not been clear yet, the empty nest old man is lonely, hollow, lack the target that can exchange, the brain circulation drops gradually, so may suffer from senile dementia more easily than other old men. " Shao Ming says. Difficult position: Cognition is insufficient to find little and senile dementia has illness coming on and bears down menacingly to compare in early days, treat the difficult position on and furthermore lets the clinician feel worried. "Most big problem public cognition of this kind of disease scarce seriously. " Wu YiJuan tells reporters, in the senile dementia first visit patient that accept in their clinic for medical treatment, there are very few ones that can come to go to a doctor before being early, very serious symptom has appeared, lost after not for example recognizing family members, going out, even will not wear the clothes, have a meal to just see the doctor, wrap up, walk around, know, it depends on training finally in other department all. According to the introduction of Wu YiJuan, the discovery in early days of senile dementia is very important, these symptoms include the obstacle of old man's memory, especially the near thing is very easy to forget; The forgetful situation often takes place, for example cook and forget to put the rice, goes out and forgets to close the fire, hold the key in the hand but look for etc. everywhere; The meeting a bit seriously can not say when today is, can't name family. "These clue numerous,but can family or The patient realizes but the problematic one is few, in the Chinese idea by oneself, people are old, it is very normal to present the above-mentioned phenomenon, it is not the memory almost, will not associate it with this signal that is disease at all. " It shows to count, only 14% of senile dementia case that our country goes to a doctor in early days. Moreover, a lot of Chinese old men, to " senile dementia " This diagnosis is resisted very much, " they are unwilling to believe that has got such a disease oneself, and lump this kind of disease and psychosis together. " Just in order to look after this kind of mood of the patients, the senile dementia specialized departments of many hospitals of Guangzhou are nowadays renamed as " Alzheimer's disease clinic " Or " obstacle clinic of old memory " . It causes some dementia old men to delay treating or cutting off one of the therapeutic reasons to treat the costly patient's burden and treat the expenses again. Shao Ming tells reporters, treat the expenses of senile dementia at present it costs 1000 yuan at least every month, though a lot of medicines have already entered the medical insurance catalogue, and this disease has been listed in the slow disease clinic of the medical insurance, but the patient can be from only 150 yuan every month of subsidy that is obtained in the medical insurance pool fund, other expenses should be all paid from the medical insurance card directly. "This is a heavy burden to a lot of old men. " 80% of the patient relatives present the mood question to " get senile dementia in a sense, the most painful one is not the patient, because of the progress with disease, their thinking will make ' rejuvenate ', they do not have anything to feel in life's joys and sorrows in life, the most bitter one is actually the relatives who take care of them. " In doctor to take care of senile dementia in the relative of patient while being numerous contact, more than 80% of the persons have mood obstacle at various degrees, some people even suffer from the depressed and anxious disease. "It is only a reason among them to be hard, the more important thing is that kind is unable to communicate and see the feeling not hoping, let a lot of relatives feel desperate deeply. " Outlet: Find and treat and delay disease progress early early still today different to prevent of senile dementia, " find early, diagnose early, treat early " Oppose the best method of senile dementia. The expert points out, it is accepted that the normal treatment can make the senile dementia patient's symptom get effective control, though is unable to cure this disease, can delay their behavior disorder, time to lose viability. So expert emphasize dull-witted to treat old age the main point is to diagnose that adds treating actively in early days, the process of patient's deterioration of slowing down that could be effective in this way, improve patient's daily viability, help the patient for a longer time to keep oneself, improve patient's long-term prognosis, the nursing reducing family at the same time is born. Wu YiJuan says, there are medical researchers that have done such a contrast, have divided the senile dementia patient into two groups, one group accepts normal treatment, another group does not accept any treatment, let these two groups of old men accept one Manchus is divided into 30 points of scale test at the same time one year later. Found finally, the score of the old man of the group only dropped by 1- 2 points to receive treatment, but there is no old man receiving treatment, having dropped by 4- 6 points, that is to say the progress of disease will be soon numerous. Watch out for: Ten major danger signals one of Alzheimer's disease, memory decline day by day, influence the daily daily life activity. Second, deal with the thing known well and encounter difficulties, it is difficult to be competent at daily house work: Step substantially as knowing the order in clothes, cooking the meal. Third, language express and encounter difficulties. Fourth, feel confused to time, place and personage day by day: Remember what's the date today and on what day, in which province is oneself. Fifth, judgement fail day by day: The burning sun plays and wears the cotton-padded jacket, but the thin clothing is worn in severe winter. Sixth, comprehension or arranging for the ability of the things to drop and can not catch up with the thinking that others talk rationally, or can't pay various bills on time. Seventh, often place the things on the inappropriate place arbitrarily, for example put the iron into the washing machine, put the hairdryer into the refrigerator. Eighth, mood display the unstable and behavior to relatively seem unusual: Big rise and big fall, capricious of mood. Ninth, personality are changed: Become suspicious, selfish and nitpicking, indifferent, anxious or rude, etc. Tenth, lose initiative of doing things: Wore down time all day, there was not interest to the hobby in the past. Alzheimer's disease tests small: If you suspect the old man of the family may present Alzheimer's disease, can evaluate them by a small simple test, this test is named " draws the clock to test " in medical science : Let old man draw clock, write, come out one by one figure at the clock, then tell first time of old man, such as 12: 05,Let old man draw hour hand and minute hand, come out by mark this time. The normal old man can finish smoothly, if the old man can not draw the circle, it is unable to write 12 time figures out completely, or unable to write the figure on the correct position, can't use hour hand and the intersection of minute hand and the intersection of mark and time accurately, appear one kind in the above-mentioned situation any, the cognitive ability that should all watch out for the old man may go wrong, and Alzheimer's disease (senile dementia) exactly Signals early,should if you can't last departments of nerve internal medicine or specialized departments relevants other of hospital regular, make to check further.


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