Dementia be ita taravatu diba? Ripoti ia gwau toma

Bema oi be dementia ida tau ta oi naria eiava oiemu tama eiava sina dementia ida ia noho oi itaia, reana oi nanadaia dementia be ita taravatu diba eiava oi sibomu dekenai ita taravatu diba, a? Inai peji ai ripoti idia hahedinaraia gaudia ita herevalaia, gwau maoromaoro ai. Henao kwadogi be: ta be dementia taravatu diba ia gwau hamomokania lasi, to ripoti ia gwau risk haida be ita ihamaraina diba, bona tanobada ai unai risk idia ihamaraina neganai dementia abia taudia idia maragi diba eiava gabea neganai idia abia diba.

Inai be sivarai, dokta ena hereva lasi. Ba hereva mai medical disclaimer bona oiemu mauri toana dekenai dokta ida ba herevalaia.

Dementia be ita taravatu diba, a?

Tau ta ese dementia taravatu diba dalana ta be ripoti ia hahedinaraia lasi. National Institute on Aging (NIA) ia gwau Alzheimer’s taravatu diba toana be ripoti ia hahedinaraia lasi, to ripoti taudia idia dalana namodia haida idia davaria bona dahaka idia gaukara diba eiava gaukara lasi idia diba.

Ripoti idia hahedinaraia be mauri kerere bona dala haida be dementia abia diba odds bada ida idia hebou. Bema tanobada ai unai risk idia ihamaraina, tau haida be dementia idia abia lasi diba eiava gabea neganai idia abia diba. Unai be gwarume ida ia idau lasi.

Sivarai namo ta: 2024 Lancet Commission ia ripotia dala haida ai, hegeregere US bona UK, tau bada edia kahana ai dementia abia taudia idia maragi. Ripoti taudia idia laloa unai be sikuli namona, mauri naria namona, bona mauri ibounai ai rara dalana kerere ia maragi dainai, University College London ena ripoti kwadogi ia gwau.

2024 Lancet Commission be dahaka ia davaria?

Lancet Commission on dementia prevention, intervention and care be ripoti taudia 27 edia huhui, lagani haida ta ta ai ripoti idia itaia lou. Edia 2024 ripoti ai risk factor 14 idia gwauraia, unai be haidaua diba, bona idia hesabia unai ibounai be tanobada ai dementia case edia kahana hegeregere (45%). Ripoti taudia edia hereva ai, bema unai risk idia kokia, unai case idia laloa dalanai taravatu diba eiava haheauka diba (2024 Lancet Commission report).

Unai 14 factor, ripoti ia goada bada mauri negana dekenai:

• Mauri matamana: sikuli maragi.
• Tau gabuna negana (lagani 40–65 hegeregere): kamonai kerere, LDL (“bad”) cholesterol bada, laloa hekwarahi, kwarana dika abia, tau hururuhuru lasi, diabetes, kukou ania, rara pressure bada, tau anina bada, bona inuinu momo.
• Gabeai mauri negana: tau haida ida noho lasi, air kerere, bona mata kerere namoa lasi.

2024 ai idia halataia matamata factor rua be LDL cholesterol bada bona mata kerere namoa lasi. Case momo ida idia hebou factor be kamonai kerere bona LDL cholesterol bada (ta ta 7% hegeregere), murina ai sikuli maragi bona tau haida ida noho lasi (ta ta 5% hegeregere).

Ita eda risk factors guide ai unai 14 ibounai ia hahedinaraia, ripoti ia gwau dahaka bona dahaka ita karaia diba.

45% namba ia gwau lasi gaudia

Inai namba be diba kerere diba, unai dainai ba diba maoromaoro:

• Unai be tanobada hesabu. Unai be tanobada ai dementia case ia herevalaia, oiemu eiava oiemu tama/sina ena odds lasi.
• Unai ia gwauraia dika be badina. Ripoti taudia idia gwau idia abia risk factor be ripoti goadadia mo, to hebou haida be kahana mo idia dika diba. Hegeregere, gabeai mauri ai laloa hekwarahi be dementia ena toana matamana diba, badina lasi.
• Tau ta dekenai gwarume lasi. UCL ripoti kwadogi ia gwau risk ihamaraina be tanobada ai ia gaukara, to tau ta dementia ia abia lasi gwarume lasi.
• Case kahana ma haida be unai factor ai idia noho lasi. Lagu ani, gene, bona ripoti taudia idia diba lasi badina haida be kahana ma.

“Risk ihamaraina” bona “taravatu” edia idau be dahaka?

Risk ihamaraina anina be odds ihamaraina. Bema tau momo edia rara pressure idia ihamaraina, lagani momo lalonai dementia idia abia taudia be maragi diba. Unai huhui lalonai tau haida be dementia idia abia diba.

Taravatu anina be gau ta ia vara lasi. Dementia toana ai, ripoti be harihari tau ta dekenai unai ia gwau hamomokania lasi.

Ripoti taudia idia hereva haheauka toana. Lancet Commission ia gwau ripoti matamata ia hahedinaraia risk ihamaraina be dementia ia matamaia negana ia haheauka diba bona tau ta mauri kerere ida ia noho negana ia kwadogia diba. Lagani haida mo ena haheauka be tau ta bona ena ruma bese dekenai gau badana.

Inai peji ai, ai “risk ihamaraina” bona “ida ia hebou” ai gaukaralaia. Bema oi itaia hoihoi gaudia, supplement, eiava program ta ia gwau “Alzheimer’s ia taravatu”, ba naria namonamo. NIA ia gwau dokta ida ba herevalaia guna murimuire ai muramura eiava namo ta oi gaukaralaia, badina unai gaudia be namo lasi diba, moni ia ore diba, eiava ruaosi.

Trial badadia be dahaka idia davaria?

Observational study (tau edia mauri idia itaia nega daudau ai) be hebou idia hahedinaraia diba. Randomized trial, tau idia program ta eiava idau huhui ta dekenai idia atoa hegamegamenai, be stadilai goadana. Inai be trial diba momo edia davana.

FINGER (Finland)

FINGER trial ai tau 1,260, edia lagani 60–77, dementia abia risk bada ida, idia abia. Kahana ta ia abia lagani rua ena program: aniani hereva, tau hururuhuru, kompiuta brain exercise, bona kudou/rara dalana naria; ma ta ia abia mauri hereva sibona. Program huhui ia namo maragi thinking test haida ai, maragi to ripoti dalanai idia diba (FINGER trial in The Lancet). Trial ia stadilaia test result, dementia diba lasi.

US POINTER (United States)

US POINTER ai tau 2,111, edia lagani 60–79, tau hururuhuru lasi, aniani namona lasi, bona risk haida ida, idia abia. Huhui ruaosi idia hagoadadia tau hururuhuru, laloa gaukara, aniani namona, tau haida ida hebou, bona kudou naria. Huhui ta ia abia program badina ida naria; ma ta ia naria sibona. Lagani rua lalonai, thinking test result ia namo huhui ruaosi ai, bona program badina ai ia namo maragi (US POINTER trial in JAMA). Ripoti taudia idia gwau naria ma haida be gau badana dina mauri ai eiava lasi diba toana. “Gau ta karaia lasi” huhui ia noho lasi dainai, trial be program ruaosi edia durua ia hahedinaraia lasi.

SPRINT MIND (rara pressure)

SPRINT MIND ia stadilaia US tau 9,361, edia lagani 50 eiava bada, rara pressure bada ida. Idia atoa rara pressure anina maragi (bada namba 120 ihana ai) eiava anina biasa (140 ihana ai). Anina maragi ia ihamaraina bada mild cognitive impairment, unai be laloa bona memoria kerere ta, dementia ia mai lasi guna. Probable dementia toana ai, anina maragi huhui ai case idia maragi, to idau be ripoti dalanai bada lasi. Trial ia dokona guna bona dementia case ia maragi hereana idia lalopararalaia, unai dainai unai henanadai ia haerelaia toana be maragi diba (SPRINT MIND in JAMA).

Ripoti itaia haida edia hebou

2021 Cochrane review ia haboua trial badadia 9, risk momo idia karaia program, tau 18,000 ia hanaia. Ia davaria thinking test ai maragi durua, to dementia abia taudia edia namba ia idau lasi trial rua ai idia stadilaia (Cochrane review of multi-domain interventions).

2017 ai National Academies of Sciences, Engineering, and Medicine ena ripoti itaia, NIA ia herevalaia, ia davaria ripoti “namona to diba lasi”: rara pressure bada naria, tau hururuhuru habada, bona cognitive training.

Nega daika ai ita matamaia be gau badana, a?

Lancet Commission ena hereva be risk ihamaraina ba matamaia harihari bona ba noho daudau: “nega matama be namo” bona “nega daudau be namo”. Ia gwau danu risk ihamaraina be nega matama eiava nega gabea lasi. Ripoti momo be tau gabuna negana, lagani 40–65 hegeregere, ia herevalaia, to factor haida, hegeregere mata kerere bona tau haida ida noho lasi, be gabeai mauri ai risk, unai ai karaia be namo diba.

Ripoti ia gwau ripoti matamata ia hahedinaraia risk ida noho daudau be goada bada. Hegeregere, tau gabuna neganai ia matamaia diabetes be gabeai neganai ia matamaia diabetes ia hanaia goada bada.

Dementia risk be tau ibounai dekenai tamona, a?

Lasi. Commission ia davaria low- and middle-income countries ai tau, minority group ai tau, bona moni maragi tau edia dekenai unai risk idia momo, unai dainai dementia be lagani maragi ai ia matamaia diba. Risk momo be tau idia abia hidi lasi gaudia ida idia hebou, hegeregere natuna neganai sikuli namona, noho gabuna ena air, bona aniani namona ena davana bona moni.

Unai dainai Commission ena hereva be gavman dekenai bona tau ta ta dekenai: natuna ibounai dekenai sikuli namona, air namona, kukou ania ihamaraina dalana, stoa bona aniani gabuna ai suka bona damena ihamaraina, bona kamonai heduru gaudia tau ibounai dekenai idia gaukaralaia. Tau ta ena gaukara be gau badana, to ia noho dalana danu. Unai be badina ta dementia abia ta ia hadikaia lasi.

Inai ripoti ena maoro gau be dahaka?

• Dementia be lagani momo lalonai ia tubu, to trial momo be lagani rua–ima lalonai. Dementia sibona stadilaia, test result lasi, be stadilai daudau bona bada ia ura.
• Trial momo be thinking test idia stadilaia. Test ai maragi namo be dementia abia taudia idia maragi eiava dina mauri ia namo toana lasi.
• Trial ai idia vareai taudia be mauri namona bona sikuli bada tau momo ia hanaia. Lancet Commission ia gwau ripoti momo be high-income countries amo, bona minority group idia maragi.
• Hebou haida be dala ruaosi. Tau hururuhuru lasi eiava tau haida ida hebou lasi be dementia ena toana matamana diba, badina sibona lasi.
• Aniani trial edia davana be namo lasi momo. Lagani toi MIND diet trial ia davaria thinking ai idia idau lasi. Ba itaia diet guide.
• Brain game ese dementia ia taravatu toana ia hahedinaraia lasi. Ba itaia brain games and dementia.
• Fasting ena ripoti be maragi momo, bona tau bada dekenai kerere diba. Ba itaia fasting guide.

Bema tau ta ia gaukara namonamo, dahaka dainai dementia ia abia?

Badina dementia be abia hidi daladia sibona lasi. NIA ia gwau lagu ani bada be Alzheimer’s ena risk factor badana, bona ta be haidaua lasi diba. Gene be kahana. Bona ripoti taudia be harihari Alzheimer’s ena badina maoromaoro idia diba lasi tau momo dekenai. Bema unai 14 risk factor ibounai idia kokia, Lancet Commission ena hesabu sibona ia gwau case kahana ma haida be idia noho.

Unai dainai, bema oi be tau ta oi naria, ia tau hururuhuru, ia aniani namo, kukou ia ania lasi, to dementia ia abia, unai be ena kerere lasi, oiemu kerere lasi. Bema oi sibomu dementia oi abia, unai be oiemu kerere lasi. Laloa hemarai be ruma bese ai ia vara momo, to ia namo lasi. Hari be tauḡa namona, hebou, bona dina namodia, bona ai eda activity ideas bona caregiver self-care guide be matamaia namona.

Dokta ida dahaka herevalaia namo?

Inai be ripoti idia stadilaia gaudia momo. Idia herevalaia namo dokta itaia neganai, badina momo idia kudou mauri, laloa namona, bona sibona naria ai idia durua, dementia dekenai dahaka idia karaia eiava lasi.

1. Rara pressure. Oiemu namba dahaka bona anina daika ia namo ba nanadaia. Lancet Commission ia gwau lagani 40 amo bada namba 130 eiava ihana ai ba tahua, to tau bada dekenai anina namona be ena mauri ibounai ida ia hebou.
2. Kamonai. Kamonai stadilai ba abia, bona kamonai heduru gaudia idia durua diba eiava lasi ba nanadaia. Ai eda hearing guide ia ripoti ia hahedinaraia.
3. Mata. Mata stadilai ba karaia nega ta ta ai bona kerere hegeregere cataract ia namoa diba eiava lasi ba nanadaia.
4. Cholesterol. Oiemu LDL cholesterol stadilaia namo eiava lasi ba nanadaia.
5. Rara suga. Bema oi diabetes oi abia, ba nanadaia edena dalanai ba naria namonamo.
6. Laloa. Laloa hekwarahi be ia vara diba bona namoa diba. Bema wiki rua eiava bada lalonai oi laloa hemarai eiava gau haida oi ura lasi, dokta ba hamaoroa.
7. Kukou bona inuinu. Kukou dokona durua bona inuinu ena maoro anina dekenai ba nanadaia.
8. Tau hururuhuru. Oiemu dekenai gaukara daika ia namo ba nanadaia. Ai eda exercise guide ai lalo haida.
9. Kwarana naria. Baik eiava contact sport ai kwarana naria ba gaukaralaia, bona keto kerere taravatu dalana ba nanadaia.
10. Hebou noho. Tau haida ida negana noho be mauri namona kahana. Ba itaia social connection bona sleep.

Muramura, aniani, supplement, fasting, eiava tau hururuhuru ba haidaua guna, dokta ida ba herevalaia, hegeregere bema oi kudou gorere, diabetes, keto kerere, eiava dementia oi abia.

Dokta ida ba herevalaia

Bema memoria eiava laloa haidaua oi itaia oi laloa hemarai, oiemu eiava tau ta ena, dokta oi itaia negana ba atoa. NIA ia gwau memoria kerere be badina ma haida diba, hegeregere muramura ena dika, thyroid kerere, laloa hekwarahi, eiava vitamin B12 maragi, bona haida be badina ia namoa neganai idia dokona. Ai eda warning signs guide ia hahedinaraia dahaka ba itaia.

Heduru harihari ba tahua bema haidaua ia vara haraga: haraga ai laloa ia heudeheude, kahana ta ia goada lasi eiava ia mate, hereva ia kerere, eiava kwarana hisihisi bada be stroke eiava kerere ma ta ena toana diba. 112 ba boilia.

Golden Moments ia noho edeseni

Golden Moments ia karaia gaukaralaia maoromaoro taudia ida, hegeregere conversation cards, picture bingo bona calm breathing pause. Idia be moale bona hebou negana toana. Idia be namo muramura lasi, bona dementia idia taravatu lasi eiava idia haheauka lasi.