血管 痴呆
Overview
血管 dementia (VaD) is one of the most common types of dementia in older adults. 它会引起微妙的, progressive decline of memory and other brain function, 比如思考, 学习, 记住, 组织能力和复杂的视觉处理能力, 它是由脑部血流量减少引起的.
VaD可能由a引起 中风, in which the blood supply to the brain becomes blocked, resulting in permanent brain damage. When caused by a single 中风, it's called single-infarct dementia. When caused by a series of small, often unnoticeable 中风s, it's called multi-infarct dementia.
Damage to tiny blood vessels that lie deep in the brain may also lead to a type of VaD known as sub-cortical vascular dementia. VaD也可能发生于 阿尔茨海默病, which causes similar 症状, 比如记忆力减退.
High blood pressure, 心脏病, 高胆固醇, 糖尿病, smoking and alcoholism may cause or increase the risk of 血管疾病例如中风和VaD. It's important to promptly diagnose and treat these conditions to prevent VaD.
Males and African Americans are also at an increased risk of developing the disease.
我们治疗血管性痴呆的方法
加州大学旧金山分校, patients who may have vascular dementia are evaluated by a specially trained team that includes neurologists, 放射科十大赌博平台排行榜, 药剂师, 护士和其他卫生专业人员. 尽管目前还没有治愈方法, we offer medications to manage 症状 such as memory problems and mood changes.
奖 & 识别
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是全国顶尖的十大赌博平台排行榜之一
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加州最好，排名第一. 神经病学全国排名第二 & 神经外科
迹象 & 症状
Symptoms of vascular dementia (VaD) can develop quickly or slowly. 有时, people with VaD experience long periods without noticeable changes, 甚至可能表现出改善. But if the disease is caused by aa 中风 and another 中风 occurs, 症状 may progress rapidly.
这种情况经常发生在 阿尔茨海默病, 这使它的发展变得复杂. VaD 症状 are similar to those of 阿尔茨海默病 (AD), 比如记忆力减退, but are usually easier to overcome with cues and reminders.
常见症状包括:
- 难以遵循指示
- Difficulty organizing and solving complex problems
- 难以从记忆中提取单词
- 分心或“心不在焉”
- 问题说
- 放缓思考
- 拖着脚步快速地走着
其他症状可能包括:
- 平衡和运动问题
- Hallucinations or delusions, which may be distressing to the patient and caregiver
- 膀胱或肠道失控
- Mood and behavior changes, such as 抑郁症, irritability or apathy
- 帕金森氏症的症状，如震颤
诊断
Patient evaluations for vascular dementia (VaD) are performed by a specially trained team including neurologists, 放射科十大赌博平台排行榜, 药剂师, 护士和其他卫生专业人员 at the UCSF Memory and Aging Center. The first step is to determine if a patient has dementia and if so, the cause. The most difficult part is differentiating it from 阿尔茨海默病 (AD), 因为这两种情况有许多相似的症状.
诊断可能包括:
- 血液测试. 血液测试, including tests of thyroid function and vitamin B12 levels, 是评估的常规部分吗. Tests looking for evidence of 糖尿病 and cholesterol levels also will be conducted.
- 大脑扫描. 大脑扫描 will be conducted, particularly to look for signs of prior 中风s. 磁共振成像(MRI) is one of the most useful tests in the evaluation of VaD. MRI is very sensitive to changes in the brain caused by 中风.
- 病史. 将收集病史和症状. 病人 should be accompanied by a family member or friend who can provide information about the patient's degree of memory loss and functional impairment with respect to daily activities.
- 精神状态评估. 对记忆力和理解能力的评估, communicate and other cognitive functions will be conducted. A patient will also be asked about 抑郁症 and emotional behavior changes, 因为这些在VaD中经常发生改变.
- 物理考试. 病人 will have a thorough physical exam to check for 血管疾病, 风险因素和其他医疗十大赌博靠谱网络平台, 比如高血压.
治疗
Currently, there is no cure for vascular dementia (VaD).
治疗 are designed to prevent and control risk factors such as alcoholism, 糖尿病, 心脏病, 高血压, 高胆固醇, 和吸烟. 例如, 高血压 and cholesterol can be treated with a combination of medicine, 定期锻炼和健康饮食. Treating these conditions greatly reduces the risk of developing dementia.
Studies are being conducted to determine if medications for 阿尔茨海默病 (AD), 如胆碱酯酶抑制剂, 治疗VaD有效吗.
加州大学旧金山分校健康 medical specialists have reviewed this information. It is for educational purposes only and is not intended to replace the advice of your doctor or other health care provider. We encourage you to discuss any questions or concerns you may have with your provider.
