• 泰州 阵雨转多云 18℃~11℃

【健康】家里老人有这些症状要小心!很多人都忽视了,中年人也可能中招

来源: 编辑:高雅 09-20 14:56 查看数:0 评论:0

9月21日是世界阿尔茨海默病日,也称为“世界老年痴呆日”。在“世界老年痴呆日”来临之际,北京协和医院专家为您揭秘老年认知障碍那些容易被忽视的症状。

“痴呆”是一种病而非衰老的必然

有人常常认为,年纪大了牙齿必然会掉光,人必然会健忘、糊涂,总之“人老就是不中用”。然而实际情况并非如此,2016年全球阿尔茨海默科学家年会(AAIC)上曾报道过一组113岁的荷兰老人,即便百岁高龄,其认知功能依然正常,所以认知障碍并非衰老的必然。

但是,认知障碍也可能发病于四五十岁的中年人,所以既不能太过悲观,也不可掉以轻心,要用防病治病的心态来对待它。

虽然,医学上目前还没有能彻底治愈老年期痴呆的方法,但是早防早治是提高患者晚年生活质量的有效措施。

“痴呆”的常见征兆和症状

一种常见误区:很多老人的认知障碍已经很严重了,可家属仍坚持认为老人只是“老糊涂”,不是病,无需就医。下面列举几种常见的行为异常症状:

有的体面老人忽然开始捡垃圾、囤积废品,还用卖废品赚来的钱给孙子买零食;

有的老人总是认为老伴有“外遇”,甚至能虚构出“合情合理”的约会对象和情节;

有的老人总是认为邻居偷了她一棵白菜、保姆偷了她两个鸡蛋等;

有的老人面对常用的家电手足无措,不会使用,甚至把电熨斗放到冰箱,把蔬菜放进洗衣机,把洗干净的衣服和脏衣服混起来放;

更有甚者会把家人无微不至的照顾当作敌人的监控,常常令儿女们委屈不已……

当患者本人及周围家属都认为其记忆减退、遇到问题总是向他人求答案,但家人聚会却总是不参与聊天时,也应及时就诊!

“他病了”所以“他变了”

患老年认知障碍的人总会给周围家属带来一种“他变了”的感觉。以前脾气暴躁的人,会突然变得顺从乖巧,而从前脾气温顺的人,会变得暴躁易怒;

过去爱干净的人渐渐变得邋里邋遢,原本淡泊的人突然开始在意过去的荣誉,甚至随身携带各种证书;原本随性的人突然变得规律刻板,比如风雨无阻准点去跳广场舞……

如果您家老人也释放了这些信号,先别着急埋怨他,一定要跟进观察,及时就诊。

痴呆所致的多种功能性障碍

有的老人做饭时反复放调料,买菜时重复购物,但却习惯拿陈年旧事填补记忆空白,尤其爱回忆成功往事;

有的老人总是念叨着想回“家”,可即便刚进家门还是收拾东西要回“家”……

专家提示,老人心中回不去的“家”其实是回忆里儿时的老家。

有的患者虽然记忆力很好,却无法识别钟表指针显示的时间;

有的患者分不清物体的远近和大小,甚至辨色困难,例如误把红灯当绿灯,直接过马路;

有的患者空间感下降,常常忘记身处何地,甚至找不到回家的路;

有的患者甚至常??谕?,例如,想说“手表”,却忘记这个词,直接描述为“那个看时间的东西”……

有的患者全然正常,唯独在日期推算方面漏洞百出;

有人甚至会忘记自己的强项:过去熟悉的太极拳招式不会了,过去可以裁剪衣服现在却不会了,过去是家中主厨,现在每天每顿只会做鸡蛋面……

反常的“精明”≠“没毛病”

认知功能障碍并非“全”或“无”,大多数情况下只是部分丧失。因此,很多认知功能障碍患者偶尔表现出有违常理的“精明”,往往令家属倍感困惑,甚至怀疑老人是“装病”。

王阿姨经常找女儿“碰瓷儿”,说自己丢了钱,王阿姨的女儿给了她200块钱后,王阿姨脸色一变,“我明明丢了500块,你还差我300块!”突如其来的质问,令人哭笑不得。

张大爷总怀疑儿子“偷”了自己的牙签,于是先去派出所报案,被拒绝受理后又开始找律师打官司。一根牙签引发的诉讼看似荒唐,但法律程序却走得有理有据,导致张大爷的儿子声称自己的老爸在“装病”。

尽管子女们刚开始都半信半疑,但老人们后期症状不断加重,均被诊断为患病。随着病情进展,有的老人甚至会在发病时伤及子女亲人。这充分提示我们,应该仔细比对,认真判别老伴或父母的行为变化,及时发现端倪并就诊。

“痴呆”的分类与诊断

老年期认知障碍,即俗称的“痴呆”有多种分类,如阿尔茨海默?。ㄕ贾饕糠郑?、额颞叶痴呆、血管性痴呆、路易体痴呆、朊蛋白病等等,上述几种痴呆所导致的认知功能退化都是不可逆的。

但是,有一种由脑积水引起的痴呆,又称作正常颅压脑积水性老年痴呆,这种痴呆在早期诊断正确的前提下,有治疗好转的机会。

绝大多数患者会在就诊过程中通过认知功能评价得到临床可能的诊断。认知功能的全面评价既可以明确患者的问题所在,也可以指导家属有的放矢地照料老人。

如何预防和延缓老年痴呆

饮食:美国著名的弗莱明汉队列研究中曾经建造过一个社区来帮助社区居民预防心脑血管疾病。通过三十年的时间,研究人员惊奇地发现,原本为了预防心脑血管疾病所采取的健康管理措施,竟然对老年期痴呆也有效!与第一个十年相比,第四个十年的痴呆发生率下降44%。

运动:有研究表明运动对预防痴呆有很大帮助,例如走路、跑步等。手部运动,如弹琴、敲键盘、捡豆子等,也可以有效刺激区域脑血流量,对预防和减缓老年痴呆都有帮助。

环境刺激:两点一线、生活乏味单调的人更容易患老年痴呆,因此环境刺激对预防老年痴呆非常有效。丰富的生活内容和社交圈子都可以有效刺激大脑皮层,“活到老、学到老”也可以持续锻炼大脑,预防老年痴呆。

睡眠:研究表明,睡眠和认知功能有着不可忽视的联系,因此,专家建议每天保持7个小时以上的有效睡眠(尽量连续)。

专家提示,如果家中有老人,一定要对老年认知障碍做到充分了解,提前预防,一旦发现可疑症状,切不可讳疾忌医,应及时到神经科就诊,医生会对症采取系统的、梯度递进的多次认知功能评价,对患者作出诊断。

来源:新华社

编辑:高雅

责编:赵倩倩

审核:吴军

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