Alzheimer's, one of the diseases caused by the deterioration of tissue structure in the brain. Degeneration of neurons in the brain cells in the brain is dead or not working. Causing the rest of the brain to not function fully. Often found in the elderly, 60-80 percent of all dementia patients. More frighteningly, this disease cannot be prevented or cured, and if left untreated, dementia becomes so severe that in the end, Alzheimer's patients will not be able to carry out their daily life as a cover Criticize. Inability to control their emotions Inability to distinguish right or wrong, and in the end, it loses all memories. So how do you know if you have Alzheimer's disease? Let's learn about the disease and the warning signs of Alzheimer's risk.

What are the risk factors?

• Statistics from the World Health Organization found that Alzheimer's disease is more common with age. Statistics from the World Health Organization found that Alzheimer's disease is more common with age. Which showed that Alzheimer's disease was more common with older age. For Thailand, there is about 2-3 percent of Alzheimer's cases of the elderly who are over 60 years of age, with the older they are, the greater the likelihood of seeing Alzheimer's patients.
  
  
• Alzheimer's disease is inherited in approximately 5 percent. In which patients will begin to have obvious symptoms from the age of 50-60 years. Therefore, if someone in a family has Alzheimer's disease, they have the same chance of getting one. And even though people with Alzheimer's genetics are at a higher risk. But if taking good care of your health was able to reduce the risk of getting Alzheimer's disease by 32% compared to those who lived an unhealthy lifestyle.
  
  
• Chronic diseases such as diabetes, hypertension, kidney disease, which can lead to more memory loss.
  
  
• Comes from the behavior of people who often spend their lives slowly Living day Not taking responsibility for work or not developing thinking can also be at risk of Alzheimer's disease.

The stage of Alzheimer's disease

Alzheimer's disease symptoms last for years. And show symptoms according to the 3 stages of brain degeneration as follows

First phase
 

Having a recessive memory that he can feel Getting lost and forgetful Forget about what you just said or forget about what happened. Likes to ask the same things over and over, repetitions, repeated thoughts, stresses easily, is easily upset and depressed, confused directions, easily panic, unable to make simple decisions. But still able to communicate and take care of themselves in their daily routine. During this period, people around you may not even notice. But when the unusual behavior of the patient is frequent Enter, it will make it known that there is a malfunction. Which is the first stage the family can still take care of the sick.
 

Medium phase
 

At this stage, the patient's symptoms can be observed more clearly. Patients have worse memory. Behavior change from being kind to being angry and easily angry. Normally speaking because he speaks from being rude Showing offensive behavior. Or suddenly walked out of the house without a destination. And over time Patients will begin to have problems with their daily life that they have previously been able to, such as using a mobile phone, or a TV remote control Can't wear a shirt, pants, and belt. To think of something that is not sanctioned or immoral Not in the real world. For example, think of a cuckold. I think a thief has entered the house. Thought that the family had misappropriated money. Thinking that the valuables in the house are missing or someone will kill them. This includes confusion, forgetting days, and insomnia, all of which are difficult to care for and socialize. Caregivers must practice accepting and accepting changes in the patient's behavior and should keep sharp objects, weapons, or anything else that the patient can use to hurt others. And should not leave the patient at home alone If necessary, the front door should be locked so that it cannot leave the house.

Last phase
 

In the final stage, the patient's condition will worsen. Patients suffer from hallucinations, saying they saw things such as flooding their homes. Someone has entered the house There is a call for attention or more aggressive. They often have physical symptoms, such as difficulty chewing and swallowing. Slow down or unable to walk on their own Urine or fecal incontinence due to incontinence and loss of ability for daily life. They often have physical symptoms, such as difficulty chewing and swallowing. Slow down or unable to walk on their own Urine or fecal incontinence due to incontinence and loss of ability for daily life. As well as being less responsive to the surroundings His health deteriorated like a patient in bed. Eat less food Less movement or no movement at all Can't help himself. Dementia is widespread, does not speak, and weakened immune system leads to infection and death. The total duration from the first stage until the average death is approximately 8-10 years. This final stage requires patience and the close care of every step, unable to leave the patient alone. Causing nurses to be hired or sent to a nursing home.

Warning signs that you may have Alzheimer's

he first warning sign of Alzheimer's patients is short-term memory loss. Which is close to the symptoms of memory loss of the elderly naturally. But 80-90 percent of patients, over time, will also have psychiatric or behavioral symptoms. Here are some warning signs that you may have Alzheimer's disease:

• Forget about short-term events. Ask repetitive things, such as forgetting what you've done in your daily life.
• Inability to plan or solve everyday problems such as being unable to do things Step by step
• Reading difficult to understand. Can't figure out the distance, often letting things down before reaching the table More difficult to distinguish colors
• Problems using proper words in speech or writing, such as not knowing how to say next, or repeating words or sentences
• Difficulty doing familiar things
• Temporarily confused. Forgot the house you used to live in or don't know how to get to a familiar place.
• Leave things where they shouldn't, such as keeping your phone in the refrigerator.
• Decreased or lost ability to make decisions, for example, unable to decide what to do with oneself
• Separate yourself from your work or activities that you enjoy for no reason.
• Mood and personality changes such as confusion, anxiety, fear

If any of the warning signs are found Should consult a specialist. To make an early diagnosis of Alzheimer's disease and receive the most effective treatment Including being able to plan the future for himself

How to slow down the development of Alzheimer's

• Eat foods that are beneficial to the body and brain.
• Do not smoke and do not drink alcohol.
• Exercise regularly.
• Do thought stimulating activities on a regular basis.

Method of diagnosis

Medical technology is now able to detect the brain with an electromagnetic imaging machine (MRI) that can visualize brain conditions or dementia to detect abnormalities in the brain tissue in brain cells. Protein buildup in the cerebral vascular wall Loss of neuron junction These causes a decrease in neurotransmitters in different parts. Of the brain, which can cause Alzheimer's disease or memory loss
 

Remedy
 

There is currently no cure for Alzheimer's disease. There is only one cure for the patients to have a better quality of life and be able to help themselves. Using drugs that inhibit acetylcholine esterase (Acetylcholinesterase) to reduce the destruction of memory substances in the brain.

For family members with Alzheimer's disease, help to understand the disease. When the patient is behaving differently, he can act promptly and he should not use his emotions on the patient, must be patient in explaining the story. Or does not make the patient feel insecure, frustrated. In some cases, with hallucinations, seduction techniques may be required to distract something. In some cases, those who are agitated and angry Should keep sharp objects not easy to grab. Should be careful of all types of electrical appliances. Always close the gas stove valve. And should make the room or house look nice and bright and convenient for the patient's life. Those who start to care difficult or like to run away from home Should be brought to a neurologist for medication to relieve symptoms. Above all, it is important to love, care, empathize, and exercise patience with the sick. It will help to sustain Alzheimer's patients to be happy according to their status until the end of their lives. If you are concerned that you will get the sick and unexpected disease. Interested in making insurance claims for critical diseases (SCB Multi Care Multi Claims) help protect yourself. See details here. https://www.scb.co.th/th/personal-banking/insurance/cancer-insurance/mcci.html

Reference

https://www.samitivejchinatown.com/th/health-article/Alzheimer-Signs

https://www.bumrungrad.com/th/health-blog/september-2018/alzheimer-disease

https://www.paolohospital.com