Dementia (SSTT) is determined by memory impairment, loss of judgment, disorientation and cognitive disorders. SSTT can occur in middle age or earlier as a result of oxygen deprivation, trauma, infection, tumors and neurological diseases like Parkinson’s. SSTT not just a matter of the physician but also a problem of the whole society.
Dementia – The suffering should be sympathetic
Expression of different SSTT depending common symptoms of the disease but SSTT include changes in memory, intelligence, behavior and personality. Some old people complain about amnesia, incoherent thoughts.
SSTT often leads to poor hygiene, use of equipment and lack of safety, confusion over expenditure and hike, or repeat the question. Nighttime sleep disorders and behavioral disorders caused difficulties to the treatment and care: agitated, shout loudly, against the washing and dressing. Relieve sexual instinct, demanding sex with people who were not his wife (husband) … external manifestations of the disease may be very different, people who live alone are very sloppy, others are care carefully nurtured. Patients often hide cognitive impairment in a long time, so many people still believe that people with mild confusion can still manage his life.
A common symptom is the disorientation of time, patients often confusion about the time is that they have retired, so visual and so poorly isolated from society, sometimes they are not distributed differentiate between day and night, morning and evening, things unknown, date. Disorientation in space less disclosure if the patient is still living in a permanent place in many years. Patients may worry, agitation, severe emotional disorders and body if required beyond the patient’s response. Later agitation takes place in the evening and night. 5% of patients with depression SSTT typically enclosed, specially SSTT vascular, Parkinson’s disease and other neurological diseases.
The symptoms of depression
Withdrawal from social activities, agitation, crying, insomnia, appetite loss. The elderly are confusion, depression, anxiety seems to look and feel unhappy. Regarding language difficulties choose from. Thinking Contents simple, discrete and repetitive. In the next phase, the patient has symptoms SSTT false thinking, hallucinations and paranoia. When appliances to a place not to be remembered, patients often believed to have been stolen. The thinking distortions that often fixed while fixtures that have been found. Some other cases, the wife (husband) is considered the parody of parents has long been thought dead is alive, the neighbors accused of snooping property and belongings of patients. Hallucinations can come in several forms, but the most common visual hallucinations, visual hallucinations usually about the children and the animals. The bizarre visual hallucinations, often garish suggesting possible delirium or SSTT Lewybodies.
Care and treatment
Dementia in old age.
- Older adults with Alzheimer’s disease SSTT about 50% of cases.
- 15% Vascular Disease.
- Alzheimer’s and vascular mixture of 20%.
- Lost 17% Lewy bodies.
- The decline caused by subcortical 15%.
- Alcoholism 6% and other causes.
SSTT meet 5-8% in people over 65 years, 15-20% in those over 75 years of age, 25-50% in people over 85 years old.
Need to make a diagnosis based disease may SSTT least, eliminate the causes can be treated, depression and delirium is manifested merely contributed to happen confusion. SSTT can rarely recover fully in octogenarians if so subdural hematoma, brain tumors, hydrocephalus is necessarily remove the cause. The causes of anemia, diabetes, thyroid insufficiency and drug toxicity should also be eliminated.
The cholinesteraza inhibitors may improve cognitive symptoms in Alzheimer’s patients creates the equivalent progress with the recovery process within 6 -12 months. However the psychotropic drugs only play a limited role, with the ability to make confusion worse, disrupt the balance and cause falls. These new neuroleptics as risperidon, olanzapine safer and designated priority over traditional medicine. Side effects related to the dosage should be taken in low doses. The mood stabilizing medications used selectively to treat agitation, attacks and fluctuating emotions. Oestrogen and cyproteron acetate may treat the loss of control and state sexual assault of men.
Antidepressants are used to treat depression with symptoms such as: mood reduce prolonged or inciting struggle or slow psychomotor, insomnia and loss of appetite. There were authors recommend whether definitive diagnosis is SSTT should still towards depression treatment for patients, clinical cases will be significantly better. Should choose new antidepressants as inhibitors selective serotonin reuptake, avoid taking antidepressants 3 rounds with anticholinergic effects as they aggravate confusional state. Note the antipsychotic drugs can cause delirium especially anticholinergic drugs, narcotic substances, the anticonvulsants, so caution should appoint patients SSTT …
|Dementia in elderly