Nguoi mac benh sa sut tri tue thuong khoi dau am tham Mot so truong hop benh se tu phuc hoi hoac sau khi dieu tri se duoc phuc hoi Benh nhan mac benh Alzheimer thi benh se tien trien nang dan

1 Chan doan benh sa sut tri tue o nguoi cao tuoi
Nhung nguoi bi roi loan nhan thuc thuong co cac bieu hien sau

Tri nho bi suy giam

Suy giam chuc nang nhan thuc

Suy giam kha nang tri tue

Suy giam tri nho lanh tinh o nguoi gia hoac suy giam nhan thuc nhe nhung trieu chung nay tuy khong gay giam hoat dong cac chuc nang hang ngay nhung co the se tien trien thanh sa sut tri tue trong 18 thang

Sang giam su chu y va y thuc

Hien nay viec chan doan benh sa sut tri tue o nguoi cao tuoi se dua vao cac yeu to sau

1 1 Dua vao cac tieu chuan chan doan
Suy giam nhan thuc

Nguoi benh se duoc thuc hien cac bai test danh gia sa sut tri tue bang cac trac nghiem doc xuoi va nguoc cac day so Ben canh do nguoi benh co the se duoc nghe ba tu sau khoang 5 phut se yeu cau nhac lai Hoac co the kiem tra tri nho cua nguoi benh bang xem ba do vat sau do cat di roi yeu cau benh nhan doc lai Mot bai test khac co the duoc dua ra do la cho benh nhan nghe mot doan van roi sau do yeu cau benh nhan ke lai

De kiem tra tri nho dai han cua nguoi benh co the hoi cac cau hoi ve ban than nguoi benh roi kiem chung qua loi cua nguoi than Dua ra cac cau hoi phu hop voi nen tang kien thuc va van hoa cua benh nhan de kiem tra

Roi loan nhan thuc

Roi loan ngon ngu o nguoi bi roi loan ngon ngu gom that ngon co dien kho tim tu de dien dat con the hien qua cac cau noi trong rong khong co day du danh dong tu Khi nguoi benh o giai doan dau nen yeu cau nguoi benh noi cang nhieu ten con vat cang tot Nhung nguoi mac benh Alzheimer se khong noi duoc qua 10 ten con vat va thuong se co su trung lap trong cau tra loi

Kho thuc hien duoc cac dong tac mac du chuc nang van dong van binh thuong

Khong co kha nang xac dinh duoc do vat mac du chuc nang giac quan van binh thuong

Suy giam kha nang len ke hoach to chuc

Kha nang truu tuong bi suy giam nguoi benh khong co kha nang phan loai su giong nhau va khac nhau giua cac do vat

Khi nguoi benh bi sang thi cac su suy giam nay se khong xay ra

1 2 Dua vao tien su cua nguoi benh
Can tim hieu tien su cua nguoi benh ve cac thong tin nhu benh an don thuoc ket qua xet nghiem cac bai test danh gia sa sut tri tue

Can xac minh cac trieu chung khoi phat cap ban cap hay tu tu Neu cac trieu chung khoi phat cap thi thuong la nguoi benh bi sang hon la sa sut tri tue Thuc hien cac chan doan phan biet voi cac nguyen nhan nhiem trung mach mau chan thuong tam than hoac cac nguyen nhan khac Neu cac trieu chung khoi phat ban cap thuong gap trong cac nguyen nhan nhiem trung hoac ung thu Neu cac trieu chung tu tu thuong gap trong tinh trang sa sut tri tue

1 3 Kham tong quat bao gom kham than kinh
Thuc hien kham tong quat kham than kinh de tim cac dau hieu cua benh tai bien mach mau nao benh Parkinson

1 4 Thuc hien cac bai trac nghiem tam ly
Thuc hien cac bai test danh gia sa sut tri tue de phan biet cac the cua sa sut tri tue cung nhu theo doi qua trinh tien trien cua benh

2 Dieu tri benh sa sut tri tue o nguoi cao tuoi
Su dung cac loai thuoc de lam cham tien trien cua benh

2 1 Su dung cac loai thuoc de lam cham tien trien cua benh
Su dung thuoc uc che acetylcholinesterase de cai thien kha nang nhan thuc voi nguoi mac benh Alzheimer Cac loai thuoc bao gom donepezil nam 1997 galantamine nam 2001 rivastigmin nam 2000

Cac loai thuoc tren deu co tac dung khang cholinesterase trong benh Alzheimer cung nhu lam tang chuc nang dieu hanh tri nho

2 2 Dieu tri cac roi loan hanh vi o nguoi benh
Thay doi moi truong song

Can tim ra cac yeu to khoi phat benh

Quan ly hanh vi cua nguoi benh nhung van ton trong nhu cau kiem soat cua benh nhan

Tang cuong tap the duc the thao tham gia cac hoat dong xa hoi

Lam giam su dau don cua nguoi benh va ganh nang cho nguoi cham

Benh nhan can duoc dam bao an toan

Thuc hien dieu tri tram cam

Can nhan biet cac bieu hien cua tram cam

Benh nhan duoc quyen lua chon va kiem soat

Tim hieu nhung hoat dong yeu thich cua nguoi benh

Can tang cuong kha nang nhan thuc

Thuc hien dieu tri mat ngu

Khong nen su dung cac chat kich thich nhu ruou bia thuoc la ca phe

Cac hoi chung roi loan tam than can duoc dieu tri

Cac thuoc chong tram cam co the khien tinh trang suy giam tri nho them tram trong

Dieu tri tinh trang kich dong bao luc o nguoi benh

Can tim yeu to khoi phat

Lua chon cach thuc giao tiep phu hop

Thay doi moi truong song cua nguoi benh

Co the su dung thuoc neu can

Dieu tri tinh trang loan than o nguoi benh

Xac dinh duoc cac trieu chung hoang tuong cua nguoi benh

Su dung cac loai thuoc chong loan than the he cu hoac the he moi

2 3 Su dung thuoc co tac dung bao ve than kinh
Co cac chien luoc roi loan co tron

Su dung Estrogen co tac dung khong ro rang trong viec lam cham su khoi phat cua benh Alzheimer nen dieu tri som de co ket qua tot

Su dung Statins co tac dung ngan ngua su lang dong amyloid trong nao thong qua viec hinh thanh cholesterol khong phai tat ca cac statin deu co tac dung nhu nhau va cac bang chung ve hieu qua van con la de tai gay ra nhieu tranh cai