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How is Alzheimer’s Treated: What You Need to Know

Dr. Nieto
Medically reviewed by Robert Nieto
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Dr. Nieto
Medically reviewed by Robert Nieto

Лечение болезни Альцгеймера

Чтобы понять, как лечится болезнь Альцгеймера , давайте сначала разберемся, что это такое. Это одно из самых распространенных и тяжелых заболеваний. Главное, что делает эту болезнь такой сложной для лечения, это то, что это сложная болезнь, неизлечимая одной волшебной таблеткой. Современная медицина фокусируется на сохранении когнитивных функций для борьбы с различными расстройствами поведения. Главное – снизить скорость прогрессирования болезни. Также мы говорим об эффективности лекарств от болезни Альцгеймера . Большинство препаратов высокоэффективны на начальной и средней стадиях. 

Именно поэтому крайне важно выявить это заболевание как можно раньше. Это увеличивает шансы минимизировать ущерб и снизить скорость прогрессирования заболевания. Все, что могут сделать врачи, — это продлить самостоятельную жизнь пациента и снизить скорость развития симптомов. Это печально, но действительно, не существует ни лекарств, ни методов, которые могли бы остановить прогрессирование болезни.

Лечение ранней стадии болезни Альцгеймера

Лечение ранней стадии болезни Альцгеймера

Лечение ранней стадии болезни Альцгеймера направлено на устранение признаков и замедление прогрессирования. Они включают легкую потерю памяти, трудности с речью и нарушение рассуждения или суждения. Также среди признаков – изменения настроения или поведения. Люди также могут страдать от трудностей с повседневными задачами. Вот как обычно обращаются на ранней стадии:

  • Когнитивная стимуляция : участие в умственно стимулирующей деятельности жизненно важно. Среди них головоломки, чтение и социальное взаимодействие. Они могут помочь поддерживать когнитивные функции и задержать снижение когнитивных функций на ранней стадии болезни Альцгеймера.
  • Лекарства : лекарства от болезни Альцгеймера представляют собой ингибиторы холинэстеразы и мемантин. Их обычно назначают для улучшения когнитивных функций, памяти и поведения.
  • Здоровый образ жизни : Здоровые привычки могут поддержать здоровье мозга и замедлить прогрессирование заболеваний. Жизненно важно регулярные физические упражнения, сбалансированное питание, достаточный сон и управление стрессом.
  • Поддержка лиц, осуществляющих уход : Оказание поддержки и помощи лицам, осуществляющим уход, имеет важное значение. Лица, осуществляющие уход, могут извлечь выгоду из образования, временного ухода и групп поддержки. Они стремятся помочь им справиться с проблемами ухода.
  • Мониторинг и последующее наблюдение . Регулярный мониторинг со стороны медицинских работников имеет решающее значение. Это помогает оценить когнитивные функции, отслеживать прогрессирование заболевания и при необходимости корректировать лечение. Раннее выявление изменений позволяет своевременно вмешаться и принять меры.
  • Предварительное планирование ухода : отдельные лица и их семьи должны участвовать в предварительных обсуждениях. Это включает в себя решения о будущем медицинском обслуживании, финансовом планировании и предпочтениях в конце жизни.

В более сложных случаях или по мере прогрессирования заболевания могут потребоваться дополнительные вмешательства. Лечение ранней стадии болезни Альцгеймера также включает:

  • Поведенческие вмешательства для устранения возбуждения, агрессии или других нейропсихиатрических симптомов.
  • Трудотерапия для поддержания независимости в повседневной деятельности и повышения качества жизни.
  • Вспомогательные устройства и модификации окружающей среды для обеспечения безопасности и функциональных возможностей.
  • Участие в клинических исследованиях экспериментальных методов лечения или терапии для замедления прогрессирования заболевания.

Лекарства от болезни Альцгеймера не существует , но стратегии лечения на ранних стадиях полезны. 

Лечение средней стадии болезни Альцгеймера

Лечение средней стадии болезни Альцгеймера

In the middle stage of Alzheimer’s, signs become more pronounced. Daily functioning becomes increasingly challenging. The disease manifests with memory loss, confusion, disorientation, and difficulty with communication. Also, individuals may suffer from loss of motor skills and independence. An increased risk of falls and accidents usually appears. Treatment aims to manage symptoms, maximize independence, and support individuals. Here’s how the middle stage of Alzheimer’s is typically addressed:

  • Symptom Management: Alzheimer’s disease medications include cholinesterase inhibitors, antidepressants, and antianxiety. They may continue to help manage cognitive signs and behavioral changes. However, their effectiveness may diminish as the illness progresses.
  • Functional Support: Occupational therapy and rehabilitation services are necessary. They can help individuals maintain independence in daily activities for as long as possible. Adaptive strategies and assistive devices may be usually recommended. They aim to address mobility, communication, and self-care challenges.
  • Behavioral Interventions: Agitation, aggression, wandering, and hallucinations may become more pronounced. Behavioral interventions, environmental modifications, and psychosocial support can help manage them.
  • Caregiver Education and Support: Caregivers are crucial in supporting individuals. Education, training, respite care, and support groups can help caregivers cope with the demands of caregiving. Also, it aims to prevent caregiver burnout.
  • Safety Precautions: As cognitive and functional abilities decline, safety becomes a significant concern. Installing home safety devices and integrating wandering prevention strategies is vital. Also, ensuring medication adherence is pivotal to preventing accidents and injuries.
  • Advance Care Planning: The middle stage is critical for such discussions. Patients and their families should discuss preferences for future medical care. In contrast, the individual with Alzheimer’s can still participate in decision-making.

More interventions may be necessary in more complex cases of the middle stage of Alzheimer’s. Also, they are crucial when the disease progresses. They include:

  • Palliative care to address symptom management, pain relief, and quality of life.
  • Hospice care for end-of-life support and comfort care.
  • Supportive services facilities to meet the increasing care needs of individuals with Alzheimer’s. Among them are adult day programs, in-home care, or residential care.

In individual cases, the doctor will add therapeutic measures.

Severe Stage Alzheimer’s Treatment

Лечение тяжелой стадии болезни Альцгеймера

In the severe stage, individuals experience a profound cognitive and functional decline. It requires intensive care and support to meet their complex needs. Among common symptoms are agitation, aggression, and nighttime wandering. Also, patients experience sleep disturbances. Severe Alzheimer’s increases the risk of medical complications. Infections, falls, malnutrition, dehydration, and pressure ulcers are among them. Treatment during this stage focuses on comfort care and maintaining dignity. It consists of such aspects:

  • Medications: Alzheimer’s disease medication consists of Memantine and cholinesterase inhibitors. They may help manage signs like memory loss and confusion.
  • Behavioral Interventions: These techniques include redirection, validation therapy, and a calm environment. They can help manage challenging behaviors like agitation and aggression.
  • Safety Measures: Integrating safety measures to prevent falls, wandering, and accidents. Among them are installing locks on doors and removing tripping hazards.
  • Supportive Care: Assisting with Alzheimer’s disease medical procedures is vital. It helps to ensure proper nutrition and hydration. Such procedures address hygiene needs and are essential for maintaining comfort and well-being.
  • Emotional Support: Providing such help to individuals and their caregivers is crucial. It happens through counseling, support groups, or respite services.
  • End-of-Life Care: As Alzheimer’s progresses, palliative and hospice care may be necessary. They help to ensure comfort and dignity in the final stages of the disease.

Caregivers must work closely with healthcare professionals to develop a comprehensive care plan. It is generally tailored to the individual’s needs and preferences.

Conclusion 

Understanding how Alzheimer’s is treated helps to manage the clinical picture and slow progression effectively. Treatment focuses on symptom management and support, ensuring safety and comfort. A combination of medications, behavioral interventions, and supportive care is pivotal. Emotional support for both patients and caregivers is vital, too. So, individuals with Alzheimer’s can experience enhanced well-being. They may maintain dignity throughout the progression of the disease. Ongoing research continues to explore new treatment avenues and interventions. They aim to improve outcomes for those affected by Alzheimer’s.

FAQ 

What are the first steps in seeking treatment after an Alzheimer’s diagnosis?

Первые шаги в обращении за лечением обычно включают консультацию с медицинским работником. Затем он включает обсуждение вариантов лечения и разработку комплексного плана ухода. В целом оно должно быть адаптировано к потребностям человека.

Могут ли изменения образа жизни повлиять на лечение и ведение болезни Альцгеймера?

Да, изменения образа жизни могут положительно повлиять на лечение и ведение болезни Альцгеймера. Это регулярные физические упражнения, сбалансированное питание, умственная стимуляция, социальная активность и достаточный сон. Они делают это, замедляя прогрессирование заболевания и улучшая общее самочувствие.

Какую роль играют терапия и поддержка лиц, осуществляющих уход, в лечении болезни Альцгеймера?

Терапия имеет решающее значение в лечении болезни Альцгеймера. Среди них когнитивная стимуляция, воспоминания и трудотерапия. Они наряду с программами поддержки лиц, осуществляющих уход. Такая терапия помогает справиться с симптомами, улучшить качество жизни и обеспечить эмоциональную поддержку.

Есть ли на горизонте какие-либо новые методы лечения болезни Альцгеймера?

Несколько потенциальных новых методов лечения болезни Альцгеймера включают моноклональные антитела, нацеленные на бета-амилоид. Кроме того, они включают в себя низкомолекулярные препараты и подходы генной терапии. В настоящее время они проходят клинические испытания. Несмотря на многообещающие результаты, необходимы дальнейшие исследования для подтверждения их эффективности и безопасности.

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Edward Medina
Edward Medina
15:34 30 Jun 22
Just such an amazing staff that makes you feel like part of their family. I’ve been going there for over 5 years now... and each visit I get the very best care and treatments that I have ever received in the 20+ years that I’ve been dealing with severe debilitating migraines. Since i started seeing them the number of my migraines has dropped from 15-20 a month to 2-3 every 3 month. I highly recommend them …they will change your life!read more
Daneisha Johnson
Daneisha Johnson
22:20 19 May 22
Dr. Askari was very kind and explained everything so I could understand. The other staff were nice as well. I would... have gave 5 stars but I was a little taken aback when I checked in and had to pay 600.00 upfront. I think that should have been discussed in a appointment confirmation call or email just so I could have been prepared.read more
Jean Cooper
Jean Cooper
16:54 29 Apr 22
I love the office staff they are friendly and very helpful. Dr. JODIE is very caring and understanding to your needs... and wants to help you. I will go back. would recommend Dr. Dr. Jodie to other Patients in a heart beat. The team works well together.read more
Linda M
Linda M
19:40 02 Apr 22
I was obviously stressed, needing to see a neurologist. The staff was so patient and Dr. Ansari was so kind. At one... point he told me to relax, we have time, when I was relaying my history of my condition. That helped ease my stress. I have seen 3 other neurologists and he was the only one who performed any assessment tests on my cognitive and physical skills. At one point I couldn't complete two assessments and got upset and cried. I was told, it's OK. That's why you're here. I was truly impressed, and super pleased with the whole experience!read more
Leslie Durham
Leslie Durham
15:05 01 Apr 22
I've been coming here for about 5 years. The staff are ALWAYS friendly and knowledgeable. The Doctors are the absolute... best!! Jodie Moore is always in such a great mood which is a plus when you are already stressed. Highly recommendedread more
Monica Del Bosque
Monica Del Bosque
14:13 25 Mar 22
Since my first post my thoughts have changed here. It's unfortunate. My doctor and PA were great, but the office staff... is horrible. They never call you back when they say they will, they misinform you, they cause you too much stress wondering what's going on, they don't keep you posted. They never answer the phone. At this point I've left four messages in the last week, and I have sent three messages. Twice from their portal and one direct email. No response. My appointment is on Monday morning at 8:30am, no confirmation on my insurance and what's going on. What the heck is going on, this is ridiculous!I've given up... the stress her office staff has put me through is just not worth it. You can do so much better, please clean house, either change out your office staff, or find a way for them to be more efficient please. You have to do something. This is not how you want to run your practice. It leaves a very bad impression on your business.read more
Ron Buckholz
Ron Buckholz
23:32 23 Mar 22
I was actually pleasantly surprised with this visit! It took me a long time to get the appointment scheduled because no... one answers your phones EVER! After a month, I finally got in, and your staff was warm, friendly, and I was totally impressed! I feel like you will take care of my needs!read more
Steve Nabavi
Steve Nabavi
16:28 16 Mar 22
It was a nice visit. Happy staff doing all they can do to comfort the patients in a very calming environment. You ask... me they are earned a big gold star on the fridge. My only complaint they didn't give me any cookies.read more
Katie Lewis
Katie Lewis
16:10 10 Feb 22
Had very positive appointments with Jodie and Dr. Sheth for my migraine care. Jodie was so fast with the injections and... has so much valuable info. I started to feel light headed during checkout and the staff was SO helpful—giving me a chair, water, and taking me into a private room until I felt better. Highly recommend this practice for migraine patients, they know what they’re doing!!read more
Joshua Martinez
Joshua Martinez
16:02 10 Dec 21
I was scheduled to be checked and just want to say that the staff was fantastic. They were kind and helpful. I was... asked many questions related to what was going on and not once did I feel as though I was being brushed off. The front desk staff was especially great in assisting me. I'm scheduled to go back for a mri and am glad that I'll be going there.read more
Isabel Ivy
Isabel Ivy
21:42 03 Nov 21
I had such a good experience with Lone Star Neurology, Brent my MRI Tech was so awesome and made sure I was very... comfortable during the appointment. He gave me ear plugs, a pillow, leg support and blanket, easiest MRI ever lol 🤣 My 72 hour EEG nurse Amanda was also so awesome. She made sure I was take care of over the 3 days and took her time with the electrodes to make sure it was comfortable for me! Paige was also a huge help in answering all my questions when it came to my test results, and letting me know her honest opinions about how I should go forth with my treatment.read more
Leslie Luce
Leslie Luce
17:37 20 Oct 21
The professionalism and want to help attitude of this office was present from the moment I contacted them. The follow... up and follow through as well as their willingness to find a way to schedule my dad was above and beyond. We visited two offices in the same day with the same experience. I am appreciative of this—we spend a lot of time with doctors and this was top notch start to finish.read more
robert Parker
robert Parker
16:38 16 Apr 21
I love going to this office. The staff is friendly and helpful. The doctor is great. I am getting the best... neurological tests and treatment I have ever had. The only reason I did not give them a 5 star rating is because it is impossible to reach a live person at the office to reschedule appointments. Every time I have tried to get through to the office it says all people are busy and I am sent to a voicemail. If they could get their phone answering fixed, I would give them a strong 5 stars.read more
MaryAnn Hornbaker
MaryAnn Hornbaker
00:26 25 Feb 21
Dr. Harney is an excellent Dr. I found him friendly , personable and thorough. I evidently am an unusual case. ... Therefore he spent a Hugh amount of time educating me. He even gave me literature to further explain my condition and how to follow up. This is something you rarely get from your doctors. So I am more than please with my doctor and his staff.read more
Roger Arguello
Roger Arguello
03:05 29 Jan 21
Always courteous, professional. The staff is very friendly and always work with you to find the best appointment time.... The care team has been great. Always taking the time to listen to your concerns and to find the best treatment.read more
Margaret Rowland
Margaret Rowland
01:12 27 Jan 21
I have been a patient at Lone Star Neurology for several years. Now both my adult daughters also are patients there. I... love Jodie. She is always so prompt whether it is a teleamed call are a visit in the office. She takes the time to explain everything to me and answers all my questions. I am so blessed to have Jodie as my doctor.read more
Susan Miller
Susan Miller
03:01 13 Jan 21
My husband had an accident 5 years ago and Lone Star Neurology has been such a blessing to us with my husbands care.... Jodie Moore is his provider and she is amazing! Jodie is very knowledgeable, caring, and thorough. She takes her time with you, making sure your needs are met and she is happy to answer any questions you may have. Lone Star Neurology’s patients are very lucky to have Jodie providing their care. Thank you Lone Star Neurology and especially Jodie for everything you have done for us. Jodie, you are the best!read more
Windalyn C
Windalyn C
01:32 09 Jan 21
Jodie is wonderful. She is very caring and knowledgeable. I have been to over a dozen neurologists, and none were able... to help me as much as they have here. Thanks!read more
Katie Kordel
Katie Kordel
00:40 09 Jan 21
Jodi Moore, nurse practitioner, is amazing. I have suffered from frequent, debilitating headaches for almost 20 years.... She has provided the best proactive and responsive care I have ever received. My quality of life has been greatly improved by her caring approach and tenacity in finding solutions.read more
Ellie Natsis
Ellie Natsis
15:41 07 Jan 21
I have had the best experience at this neurologist's office! For over a year I have been receiving iv treatments here... each month and my nurse, Bobbie is beyond wonderful!! She's so attentive, knowledgeable, caring, and detail oriented. She makes an otherwise uncomfortable experience much more pleasant and definitely puts me at ease! She also helps me with my insurance,ordering this specialty medication and dealing with the ordering process which is no easy feat.Needless to say, she goes above a beyond in every way and I'm so grateful to this office and to Bobbie for all they do for me!read more
Matt Morris
Matt Morris
15:39 07 Jan 21
Let me start by saying that I have been coming here for years. Due to my autoimmune disease, I am in this office... once every three weeks for multiple hours at a time. The office is very clean and the staff very friendly. My only complaint would be there communication via phone. They aren't the best at responding if you leave a voicemail and expect a call back. I understand that this is prob just due to the sheer number of alls they receive daily. What I can say I like the best about the office are the people. Bobby who handles my infusions is great. I never have any issues with her setting up my infusions. She is very quick to reply to messages sent via text and if she were to leave then my whole opinion of the office may change. I also enjoy people like Matt, Lauren, and Jodi. I appreciate all that they do for me and without this team I'm not sure I would be as happy as I am to visit the office as frequently as I have to. Please ensure that these folks are recognized as they are what makes my visit to this office so tolerable :).read more
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