ʻO ka Dementia kekahi o nā pilikia koʻikoʻi loa o ka honua. ʻO ia ke kumu helu ʻekahi o ka make ma ʻEnelani a me Wales a ʻo ka lima o ka honua. Ma ʻAmelika Hui Pū ʻIa, ʻo ka maʻi Alzheimer, i wehewehe ʻia e ka Center for Disease Control ma ke ʻano he "mea make o ka dementia," ʻo ia ke ono o ke kumu nui o ka make. Wahi a WHO, ma 2015 ua ʻoi aku ma mua o 46 miliona mau kānaka me ka dementia ma ka honua holoʻokoʻa, i ka makahiki 2016 ua piʻi kēia helu i 50 miliona. Kuhi ʻia kēia helu e piʻi i 2050 miliona e 131,5.
Mai ka ʻōlelo Latin ʻo "dementia" ua unuhi ʻia ʻo ia ʻo "pupule". ʻO ke kanaka, i kekahi degere a i ʻole, nalowale ka ʻike i loaʻa mua a me nā mākau hana, a loaʻa pū kekahi i nā pilikia koʻikoʻi i ka loaʻa ʻana o nā mea hou. I ka poʻe maʻamau, kapa ʻia ka dementia ʻo "senile pupule." Hoʻopili pū ʻia ʻo Dementia me ka hōʻino ʻana i ka noʻonoʻo abstract, ka hiki ʻole ke hana i nā hoʻolālā ʻoiaʻiʻo no nā poʻe ʻē aʻe, nā hoʻololi pilikino, ka hoʻoponopono kino ʻana i ka ʻohana a me ka hana, a me nā mea ʻē aʻe.
Hiki i ka ea a mākou e hanu ai ke loaʻa nā hopena lōʻihi i ko mākou lolo e hiki ai ke alakaʻi i ka emi ʻana o ka cognitive. I loko o kahi noiʻi hou i paʻi ʻia ma ka puke pai BMJ Open, ua ʻimi nā mea noiʻi i ka helu dementia maʻi i nā poʻe ʻelemakule a me nā pae o ka pollution ea ma Lākana. ʻO ka hōʻike hope loa, e loiloi pū ana i nā mea ʻē aʻe e like me ka walaʻau, ka puhi ʻana a me ka maʻi diabetes, kahi hana ʻē aʻe i ka hoʻomaopopo ʻana i ka pilina ma waena o ka pollution kaiapuni a me ka ulu ʻana o nā maʻi neurocognitive.
"ʻOiai e nānā pono ʻia nā ʻike me ka akahele, ʻo ke aʻo ʻana he mea hoʻohui koʻikoʻi i nā hōʻike e ulu nei no kahi pilina ma waena o ka pollution traffic a me ka dementia a pono e paipai i ka noiʻi hou e hōʻoia ai," wahi a ka mea kākau alakaʻi a me ka epidemiologist ma St George's University London. , Ian Carey. .
Manaʻo ka poʻe ʻepekema ʻo ka hopena o ka ea haumia ʻaʻole wale i ka ʻū, ka ihu a me nā pilikia make ʻole. Ua hoʻopili mua lākou i ka haumia i ka piʻi nui ʻana o ka maʻi puʻuwai a me ka hahau. ʻO nā mea haumia pōʻino loa he mau ʻāpana liʻiliʻi (30 mau manawa ʻoi aku ka liʻiliʻi ma mua o ka lauoho kanaka) i kapa ʻia ʻo PM2.5. ʻO kēia mau ʻāpana he hui pū ʻana o ka lepo, ka lehu, ka soot, nā sulfate a me nā nitrates. Ma keʻano laulā, nā mea a pau i hoʻokuʻuʻia i ka lewa i kēlā me kēia manawa āu e hele ai ma hope o ke kaʻa.
No ka ʻike inā hiki iā ia ke hōʻino i ka lolo, ua kālailai ʻo Carey a me kāna hui i nā moʻolelo olakino o 131 mau maʻi mai 000 a 50 ma waena o 79 a me 2005. Ma Ianuali 2013, ʻaʻohe o ka poʻe i komo i ka mōʻaukala dementia. Ua nānā nā mea noiʻi i ka nui o nā mea maʻi i hoʻomohala i ka dementia i ka wā aʻo. Ma hope o kēlā, ua hoʻoholo nā mea noiʻi i ka awelika o ka makahiki PM2005 ma 2.5. Ua loiloi pū lākou i ka nui o nā kaʻa, kokoke i nā alanui nui, a me nā pae walaʻau i ka pō.
Ma hope o ka ʻike ʻana i nā mea ʻē aʻe e like me ka puhi ʻana, ka maʻi diabetes, ka makahiki, a me ka lāhui, ua ʻike ʻo Carey a me kāna hui e noho ana nā maʻi ma nā wahi me ka PM2.5 kiʻekiʻe. ʻo ka pilikia o ka hoʻomohala ʻana i ka dementia he 40% kiʻekiʻema mua o ka poʻe i noho ma nā wahi me ka haʻahaʻa haʻahaʻa o kēia mau ʻāpana i ka lewa. I ka manawa i nānā ai nā mea noiʻi i ka ʻikepili, ua ʻike lākou ʻo ka hui ʻana no hoʻokahi ʻano dementia: ʻo ka maʻi o Alzheimer.
"ʻOliʻoli loa wau i ka hoʻomaka ʻana e ʻike i nā haʻawina e like me kēia," wahi a George Washington University epidemiologist Melinda Power. "Manaʻo wau he mea maikaʻi loa kēia no ka mea e noʻonoʻo ana ka haʻawina i nā pae walaʻau i ka pō."
Ma kahi o ka pollution, nui ka walaau. Ke alakaʻi nei kēia i ka poʻe epidemiologists e nīnau inā pili maoli ka pollution i ka lolo a inā paha he hopena o ka hoʻolaha lōʻihi i nā leo nui e like me ke kaʻa. Malia paha e hiamoe ka poʻe ma nā wahi ʻoi aku ka nui o ke kaumaha i kēlā me kēia lā. Ua noʻonoʻo kēia haʻawina i ka nui o ka walaʻau i ka pō (i ka wā i noho ai nā kānaka i ka home) a ʻike ʻia ʻaʻohe hopena o ka walaʻau i ka hoʻomaka ʻana o ka dementia.
Wahi a ka mea maʻi epidemiologist o ke Kulanui o Boston ʻo Jennifer Weve, ʻo ka hoʻohana ʻana i nā moʻolelo olakino e ʻike ai i ka dementia kekahi o nā palena nui loa i ka noiʻi. ʻAʻole hiki ke hilinaʻi ʻia kēia mau ʻikepili a hiki ke hōʻike wale i ka dementia i ʻike ʻia a ʻaʻole nā hihia āpau. Loaʻa paha i ka poʻe e noho ana ma nā wahi haumia ke loaʻa i ka maʻi hahau a me ka maʻi puʻuwai, a no laila e kipa mau i nā kauka e ʻike i ka dementia i loko o lākou.
ʻAʻole ʻike maopopo ʻia ke ʻano o ka haumia ea i ka lolo, akā ʻelua mau manaʻo hana. ʻO ka mea mua, hoʻopōʻino ka ea i ka vasculature o ka lolo.
"ʻO ka mea maikaʻi ʻole no kou puʻuwai he hewa pinepine ia i kou lolo"Wahi a ka mana.
ʻO kēia paha ka hopena o ka haumia i ka hana o ka lolo a me ka puʻuwai. ʻO kekahi manaʻo ʻo ia ke komo ʻana o nā mea haumia i ka lolo ma o ke aʻalolo olfactory a hoʻoulu i ka mumū a me ke koʻikoʻi oxidative pololei i nā ʻiʻo.
ʻOiai nā palena o kēia a me nā haʻawina like ʻole, he mea koʻikoʻi kēia ʻano noiʻi, ʻoi aku hoʻi ma kahi kahua ʻaʻohe lāʻau lapaʻau e hiki ke mālama i ka maʻi. Inā hiki i nā kānaka ʻepekema ke hōʻoia i kēia loulou, a laila hiki ke hōʻemi ʻia ka dementia ma o ka hoʻomaikaʻi ʻana i ka maikaʻi o ka ea.
"ʻAʻole hiki iā mākou ke hoʻopau loa i ka dementia," ʻōlelo ʻo Wev. "Akā hiki iā mākou ke hoʻololi iki i nā helu."