Care sunt simptomele demen\u021bei cu corpi Lewy?<\/h2>\n
Simptomele demen\u021bei cu corpi Lewy includ:<\/p>\n
- \n
- Dificult\u0103\u021bi de memorie, aten\u021bie, concentrare;<\/li>\n
- Halucina\u021bii (vizuale, olfactive);<\/li>\n
- Probleme \u00een men\u021binerea st\u0103rii de veghe;<\/li>\n
- Dificult\u0103\u021bi de mi\u0219care, coordonare, echilibru;<\/li>\n
- Rigiditate muscular\u0103;<\/li>\n
- Tulbur\u0103ri de somn;<\/li>\n
- Dezorientare;<\/li>\n
- Probleme de percep\u021bie;<\/li>\n
- Apatie;<\/li>\n
- Probleme de interpretare a informa\u021biilor vizuale;<\/li>\n
- Probleme ale sistemului nervos autonom, care controleaz\u0103 transpira\u021bia, tensiunea arterial\u0103, ritmul cardiac, digestia \u0219i r\u0103spunsul sexual [1,2].<\/li>\n<\/ul>\n
![\"\"](\"https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/12\/Dementa-Lewy-simptome.jpg\" "\\"\\"")
<\/p>\nAproximativ 5% dintre persoanele diagnosticate cu demen\u021b\u0103 sunt \u00eenregistrate ca av\u00e2nd DCL, dar este posibil ca aceast\u0103 afec\u021biune s\u0103 fie subdiagnosticat\u0103 [3].<\/div>\nDemen\u021ba cu corpi Lewy progreseaz\u0103 pe o perioad\u0103 de c\u00e2\u021biva ani. \u00cen stadiile avansate ale bolii, pe l\u00e2ng\u0103 problemele cu memoria \u0219i cele emo\u021bionale (agita\u021bie, nelini\u0219te), apar probleme motorii, de vorbire \u0219i \u00eenghi\u021bire care pot duce la risc de sufocare, precum \u0219i probleme digestive, ce duce la grea\u021b\u0103 \u0219i disconfort.<\/p>\n
Care sunt factorii de risc pentru demen\u021ba cu corpi Lewy?<\/h2>\n
V\u00e2rsta<\/strong> este considerat\u0103 cel mai important factor de risc. Mai mult, demen\u021ba cu corpi Lewy afecteaz\u0103 b\u0103rba\u021bii \u00eentr-o propor\u021bie mai mare dec\u00e2t femeile.<\/p>\n
Istoricul familial<\/strong> este de asemenea un factor semnificativ, deoarece persoanele care au un membru al familiei cu demen\u021b\u0103 cu corpi Lewy sau cu boala Parkinson sunt expuse unui risc mai mare, de\u0219i demen\u021ba cu corpi Lewy nu este considerat\u0103 o boal\u0103 genetic\u0103.<\/p>\n
Anumite afec\u021biuni<\/strong> precum boala Parkinson \u0219i tulburarea de somn REM sunt, de asemenea, asociate cu un risc crescut de a dezvolta DCL.<\/p>\n
Cum se diagnosticheaz\u0103 demen\u021ba cu corpi Lewy?<\/h2>\n
De\u0219i nu exist\u0103 un test unic pentru diagnosticare, similar cu celelalte tipuri de demen\u021b\u0103, un medic neurolog evalueaz\u0103 \u0219i ofer\u0103 diagnostic pe baza a mai multor criterii:<\/p>\n
- \n
- Istoricul medical \u0219i a factorii de risc;<\/li>\n
- Simptomatologia;<\/li>\n
- Examen fizic;<\/li>\n
- Teste de laborator (pentru a exclude alte patologii).<\/li>\n<\/ul>\n
Ce pot face pacien\u021bii cu demen\u021b\u0103 cu corpi Lewy?<\/h2>\n
De\u0219i patologia nu poate fi prevenit\u0103 sau vindecat\u0103, tratamentele pot ajuta la atenuarea simptomelor. Un plan de tratament comprehensiv include medica\u021bie, terapie fizic\u0103, consiliere psihologic\u0103. De asemenea, este important pentru pacien\u021bi ca locuin\u021ba s\u0103 fie adaptat\u0103 nevoilor lor.<\/p>\n
Tratamente farmacologice<\/h3>\n
Printre tratamentele farmacologice de gestionare a simptomelor se num\u0103r\u0103:<\/p>\n
- \n
- Inhibitori de colinesteraz\u0103: ajut\u0103 la gestionarea simptomelor cognitive;<\/li>\n
- Carbidopa-levodopa: trateaz\u0103 simptomele motorii;<\/li>\n
- Medica\u021bie antipsihotic\u0103;<\/li>\n
- Melatonin\u0103 \u0219i alte tratamente pentru somn;<\/li>\n<\/ul>\n
Sprijinul social, grupurile de suport \u0219i o echip\u0103 multidisciplinar\u0103 sunt factori importan\u021bi pentru asigurarea unei calit\u0103\u021bi ridicate a vie\u021bii pacien\u021bilor.<\/p>\n
Terapii complementare<\/h3>\n
Terapiile ce pot ajuta pacien\u021bii cu demen\u021ba cu corpi Lewy includ:<\/p>\n
- \n
- Fizioterapia;<\/li>\n
- Terapia ocupa\u021bional\u0103;<\/li>\n
- Psihoterapia individuale \u0219i de familie;<\/li>\n
- Exerci\u021biile fizice.<\/li>\n<\/ul>\n
\u00cen cazurile avansate, apare nevoia de \u00eengrijire paliativ\u0103, ce asigur\u0103 ameliorarea simptomelor \u0219i confort \u00een ultimii ani ai vie\u021bii.<\/p>\n
Resurse \u0219i suport pentru pacien\u021bi<\/h2>\n
Dac\u0103 ave\u021bi un membru al familiei cu simptome anterior amintite programa\u021bi-v\u0103 acum contact\u00e2nd recep\u021bia Institutului RoNeuro<\/strong> la num\u0103rul de telefon 0374 46 2222<\/a><\/strong>, luni \u0219i mar\u021bi \u00eentre orele 08:00 – 19:00<\/strong>, iar de miercuri p\u00e2n\u0103 vineri \u00eentre orele 08:00 – 18:00. <\/strong><\/p>\n
La momentul program\u0103rii, pute\u021bi opta \u0219i pentru consulta\u021bie neurologic\u0103 gratuit\u0103, decontat\u0103 prin Casa Na\u021bional\u0103 de Asigur\u0103ri de S\u0103n\u0103tate. Mai mult, pot fi efectuate program\u0103ri online.<\/p>\n
Program\u0103ri online aici!<\/a><\/p>\n
Locui\u021bi \u00eentr-o zon\u0103 izolat\u0103 sau nu v\u0103 pute\u021bi deplasa la clinic\u0103? RoNeuro ofer\u0103 \u0219i op\u021biunea de telemedicin\u0103<\/a>.<\/strong><\/p>\n
Care este mecanismul demen\u021bei cu corpi Lewy?<\/h2>\n
\u00cen demen\u021ba cu corpi Lewy, \u00een celulele nervoase din creier se formeaz\u0103 acumul\u0103ri mici de proteine numite corpi Lewy<\/strong>. Acest proces este \u00eenso\u021bit de deteriorarea celulelor nervoase \u0219i a comunic\u0103rii dintre neuroni. determin\u00e2nd apari\u021bia unor simptome care pot sem\u0103na at\u00e2t cu cele ale bolii Alzheimer, c\u00e2t \u0219i cu cele ale bolii Parkinson, ceea ce face ca DCL s\u0103 fie frecvent diagnosticat\u0103 gre\u0219it. Corpii Lewy se pot dezvolta \u00een creier pentru o lung\u0103 perioad\u0103 de timp \u00eenainte de apari\u021bia oric\u0103ror simptome.<\/p>\n
Demen\u021ba cu corpi Lewy poate provoca simptome diferite, \u00een func\u021bie de p\u0103r\u021bile creierului \u00een care s-a acumulat cea mai mare cantitate de proteine defecte, ea reduc\u00e2nd nivelurile anumitor neurotransmi\u021b\u0103tori:<\/p>\n
- \n
- Acetilcolina – rol \u00een memorie, \u00eenv\u0103\u021bare;<\/li>\n
- Dopamina – rol \u00een comportament, mi\u0219care, motiva\u021bie, dispozi\u021bie.<\/li>\n<\/ul>\n
Care este diferen\u021ba dintre demen\u021ba cu corpi Lewy \u0219i demen\u021ba de tip Parkinson?<\/h2>\n
Ambele forme implic\u0103 prezen\u021ba corpilor Lewy \u0219i sunt clasificate \u00een categoria demen\u021bei cu corpi Lewy:<\/p>\n
- \n
- C\u00e2nd simptomele motorii preced declinul cognitiv, diagnosticul este, de obicei, demen\u021b\u0103 asociat\u0103 cu boala Parkinson.<\/li>\n
- C\u00e2nd problemele cognitive apar primele, se diagnosticheaz\u0103 demen\u021b\u0103 cu corpi Lewy.<\/li>\n<\/ul>\n
![\"\"](\"https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/12\/diagnostic-diferential.jpg\" "\\"\\"")
<\/p>\nConcluzii<\/h2>\n
Este important s\u0103 \u00een\u021belegem aceast\u0103 afec\u021biune, deoarece un diagnostic corect poate influen\u021ba semnificativ modul de \u00eengrijire \u0219i tratament. Gestionarea simptomelor necesit\u0103 o abordare specific\u0103, diferit\u0103 de cea folosit\u0103 pentru alte tipuri de demen\u021b\u0103, deoarece este necesar\u0103 una care adreseaz\u0103 \u0219i halucina\u021biile sau problemele de somn.<\/p>\n
\u00cen\u021belegerea mecanismelor \u0219i simptomelor unice contribuie la \u00eembun\u0103t\u0103\u021birea calit\u0103\u021bii vie\u021bii pacien\u021bilor \u0219i la sus\u021binerea familiilor acestora. Patologia variaz\u0103 de la persoan\u0103 la persoan\u0103, iar ritmul progresiei bolii este imprevizibil \u0219i poate fi influen\u021bat de s\u0103n\u0103tatea general\u0103 \u0219i de alte afec\u021biuni existente.<\/p>\n
Fiind o boal\u0103 progresiv\u0103, dificult\u0103\u021bile cognitive \u0219i motorii se agraveaz\u0103 \u00een timp, iar \u00een prezent nu exist\u0103 tratament care s\u0103 opreasc\u0103 evolu\u021bia sa. Totu\u0219i, cercet\u0103rile \u00een domeniu sunt \u00een desf\u0103\u0219urare, viz\u00e2nd dezvoltarea de medicamente noi \u0219i explorarea unor abord\u0103ri inovatoare de tratament.<\/p>\n
Referin\u021be<\/h2>\n
- \n
- What is lewy body dementia? causes, symptoms, and treatments<\/a> | National Institute on Aging. (n.d.-d).<\/li>\n
- Haider A, Spurling BC, S\u00e1nchez-Manso JC. Lewy Body Dementia. 2023 Feb 12. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan\u2013. PMID: 29494048.<\/li>\n
- Kane JPM, Surendranathan A, Bentley A, Barker SAH, Taylor JP, Thomas AJ, Allan LM, McNally RJ, James PW, McKeith IG, Burn DJ, O’Brien JT. Clinical prevalence of Lewy body dementia. Alzheimers Res Ther. 2018 Feb 15;10(1):19. doi: 10.1186\/s13195-018-0350-6. PMID: 29448953; PMCID: PMC5815202.<\/li>\n
- Types of dementia<\/em><\/a>. Alzheimer\u2019s Research UK. (2024, November 5).<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"
Ce este demen\u021ba cu corpi Lewy? Pe l\u00e2ng\u0103 demen\u021ba de tip Alzheimer, demen\u021ba vascular\u0103 \u0219i demen\u021ba de tip mixt, care au fost descrise \u00eentr-un articol anterior, alt tip de demen\u021b\u0103 relativ des \u00eent\u00e2lnit este demen\u021ba cu corpi Lewy (DCL). De\u0219i exist\u0103 asem\u0103n\u0103ri simptomatice cu tipurile de demen\u021b\u0103 descrise anterior, mecanismul acesteia este diferit, ceea ce […]<\/p>\n","protected":false},"author":2,"featured_media":1422,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"jnews-multi-image_gallery":[],"jnews_single_post":{"source_name":"","source_url":"","via_name":"","via_url":"","override_template":"0","override":[{"template":"6","single_blog_custom":"","parallax":"1","fullscreen":"1","layout":"no-sidebar","sidebar":"default-sidebar","second_sidebar":"default-sidebar","sticky_sidebar":"1","share_position":"floatbottom","share_float_style":"share-normal","show_share_counter":"1","show_view_counter":"1","show_featured":"1","show_post_meta":"1","show_post_author":"0","show_post_author_image":"1","show_post_date":"1","post_date_format":"default","post_date_format_custom":"Y\/m\/d","show_post_category":"1","show_post_reading_time":"1","post_reading_time_wpm":"300","show_zoom_button":"1","zoom_button_out_step":"2","zoom_button_in_step":"3","show_post_tag":"1","show_prev_next_post":"0","show_popup_post":"1","number_popup_post":"3","show_author_box":"0","show_post_related":"1","show_inline_post_related":"0"}],"override_image_size":"0","image_override":[{"single_post_thumbnail_size":"crop-500","single_post_gallery_size":"crop-500"}],"trending_post":"0","trending_post_position":"meta","trending_post_label":"Trending","sponsored_post":"0","sponsored_post_label":"Sponsored by","sponsored_post_name":"","sponsored_post_url":"","sponsored_post_logo_enable":"0","sponsored_post_logo":"","sponsored_post_desc":"","disable_ad":"0"},"jnews_primary_category":{"id":"","hide":""},"jnews_override_counter":[],"footnotes":""},"categories":[6],"tags":[],"class_list":["post-1417","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-neurologie"],"_links":{"self":[{"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/posts\/1417","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/comments?post=1417"}],"version-history":[{"count":2,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/posts\/1417\/revisions"}],"predecessor-version":[{"id":1421,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/posts\/1417\/revisions\/1421"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/media\/1422"}],"wp:attachment":[{"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/media?parent=1417"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/categories?post=1417"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/tags?post=1417"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
- What is lewy body dementia? causes, symptoms, and treatments<\/a> | National Institute on Aging. (n.d.-d).<\/li>\n