Alzheimer's disease is a form of dementia
in which there is loss of brain functions that worsens over time.
In this disease, the short-term memory
is affected very early and gradually deteriorate other intellectual functions
or critical judgment and judgment is impaired. Most people with advanced
Alzheimer's disease lose the ability to perform normal activities of daily
living.
The disease usually begins after age
60, may occasionally affect younger people.
There is still much to discover about
the causes and mechanisms responsible for the manifestations of Alzheimer's
disease. Individuals with this disorder have excessive deposits of two proteins
in your brain. Researchers believe that these proteins disrupt communication
between brain cells.
In this disease, the levels of
acetylcholine (a chemical that helps transmit messages between nerve cells)
begin to descend, which can exacerbate the problems of communication between
brain cells.
Finally, the cells themselves are
affected brain, beginning to deteriorate and die.
The following factors may increase the
risk of developing Alzheimer's disease:
• Age. The risk increases with age.
• Family history and genetic factors.
The risk increases if the family members, especially parents or siblings have
or had Alzheimer's disease
Prevention
There is no way to prevent Alzheimer's
disease. However, the physical and intellectual activity and a balanced diet is
important to prevent cognitive deterioration.
Treatment
There is no cure for Alzheimer's
disease. The aim of treatment is to control the clinical manifestations and
delay disease progression.
The drugs called cholinesterase
inhibitors (donepezil, rivastagmina, galantamine) help restore communication
between brain cells by increasing brain levels of acetylcholine. These drugs
can slow cognitive decline in some people with Alzheimer's disease mild to
moderate.
Another drug that shown to stabilize
memory in people with moderate to severe disease is memantine, which is an
antagonist of NMDA glutamate receptor.
The neuropsychology techniques can be
used to help patients, including memory training.
Drugs can also be administered to
reduce the symptoms of depression or agitated behavior control.
As far as possible, patients with
Alzheimer's disease are:
• have a regular exercise routine
• maintain normal social contacts with
family and friends
• continue the intellectual
activities.
Patients and their families should
take advantage of existing resources in the community and support groups and
should discuss all safety concerns (especially with regard to driving) with the
patient's doctor.
Several OTC products claim to improve
mental function but the scientific evidence is weak and therefore the doctor
should be contacted prior to administration of any over the counter medicine.
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