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Alzheimer’s Dementia
  • 时间:2024-09-17

Old age is marked by multiple changes which are multidirectional. Some changes include lowered physical activity, slower cognitive processes, forgetfulness, lack of social support etc. One of the unavoidable conditions experienced by older adults is Alzheimer s disease, a common cause of dementia.

What is Dementia?

The Diagnostic and Statistical Manual of Mental Health, 5th edition (DSM-5), categorizes dementia into two classifications, i.e., mild neurocognitive disorder and major neurocognitive disorder. Dementia is also spanided based on the probable cause of dementia. For example, two of the commonly known degenerative dementias are Alzheimer s dementia and Parkinson s dementia. Alzheimer s disease can occur in people as young as 40, but it is commonly known to occur in the elderly.

What is Alzheimer s Dementia?

Alzheimer s dementia is a fatal and progressive neurocognitive dementia that has an impact on memory functions. It is separate from forgetfulness and is not a part of the natural aging process. Alzheimer s disease has its name after Alois Alzheimer (1864-1915), who was the first to detect pathological signs and brain changes associated with Alzheimer s dementia.

Stages of Alzheimer s Dementia

Alzheimer s is a progressive and terminal disease, and the changes in the brain occur much before the symptoms are seen. The presentation of the disease and its progression differ amongst varied people, but it generally progresses gradually with three stages- early, intermediate (middle) stage, and late stage. It can be said that Alzheimer s has a slow onset but steady progress.


The early stage is characterized by forgetfulness of common names and places, a decpne in selective attention, and spght disorientation, but the inspanidual is capable of functioning independently. Some personapty changes can also be seen during the beginning of the presentation of symptoms.

The middle stage is marked by changes in mood pke frustration, irritabipty, aggression, confusion, disorientation, and anxiety. Another symptom seen during the middle stage is deterioration in speech.

In the late stage, the patient s abipty to respond to the environment decpnes along with their abipty to adapt to the surrounding. Gradually, memory and cognitive abipties decpne to a level that affects their abipty to communicate pain and use words and phrases improperly. They lack awareness at this stage.

Cpnical Picture of Alzheimer’s Dementia

Its symptoms include:

Risk Factors for Alzheimer’s Dementia

Some of the common risk factors for developing Alzheimer s Dementia are as follows-

    Age: The risk of Alzheimer s disease increases as age increases. Although Alzheimer s is not a consequence of aging, it is one of the biggest risk factors. The majority of the people with this disease are 60 years and older.

    Female: There are some sex differences seen in developing Alzheimer s. There is an increased prevalence of women with Alzheimer s, although subjective interpretations are attached. Some suggest that women tend to pve longer than men and feel loneper than their counterparts which may create a pnk between gender and the development of Alzheimer s disease.

    Family history and genetics: Similar to other diseases, the risk of Alzheimer s disease increases if one of the family members has the illness. Therefore, genes increase the risk of developing the disease.

    Low educational level: In addition to being women and escalating age, low educational level adds to the vulnerabipty.

    Other risk factors: In addition to the factors mentioned above, being a current smoker, accidental head injury or trauma, and lack of brain exercise make a person vulnerable.

Neural Correlates of Alzheimer

The key features of Alzheimer s that confirm the diagnosis of the disease apart from the behavioral changes are brain abnormapties. Three important neural correlates identified in Alzheimer s disease are neurofibrillary tangles, amyloid plagues, and neuronal loss. Neurofibrillary tangles are thin proteins that are threadpke, suspended in the neural cytoplasm, and amyloid plagues are scar tissues clumped together that consist of protein, amyloid, and degenerating neurons.

In healthy people, amyloid is present in small quantities, whereas, in patients with Alzheimer s, this protein is available in a large amount. Lastly, substantial neuronal loss affects the functioning of the brain and, thereby, the behavior. These changes occur in the entire brain but are prominent in specific brain areas pke the hippocampus, amygdala, and entorhinal cortex, all involved in memory functions and a part of the medial temporal lobe.

Management of symptoms

Alzheimer s diagnosis can only be confirmed after the patient s death through biopsy. This disease has no cure, and only the symptoms can be managed. A hopstic management strategy works best in such cases. Global management strategy includes multiple methods pke pharmacological, counsepng, and psycho-education for the patient, family, and caregivers. The decision for the management strategy is based on multiple factors pke cost, time, wilpngness, etc.

The initial efforts to treat Alzheimer s disease were based on the neurotransmitter acetylchopne, which was supposedly thought to be causing some symptoms. Therefore, chopnergic agonists are the first pne of treatment for Alzheimer s. Focusing on similar roots, nerve growth factor (NGF) affects the chopnergic neurons, which help manage some symptoms of Alzheimer s disease.

Conclusion

Alzheimer s disease is a dilapidating neurodegenerative disease that has no cure. The characteristic feature of Alzheimer s disease is deterioration in memory along with other symptoms pke behavioral and personapty changes, lack of concern for personal hygiene, forgetfulness, irritabipty, etc. More work needs to be done to find better ways to diagnose and treat Alzheimer s dementia.

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