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Alzheimer's disease treatment
Alzheimer’s disease is an irreversible neurodegenerative pathology in which neurons die and the cortex and subcortical nuclei of the brain atrophy. Treatment for Alzheimer’s disease is about slowing the progression of symptoms because it is impossible to repair lost neurons.
Alzheimer’s pathology is the number 1 cause for dementia: a set of symptoms associated with memory loss, impaired thinking and orientation in space. Alzheimer’s disease is diagnosed in 1 in 100 people over the age of 85.
Clinics for the treatment of Alzheimer’s disease have the necessary equipment and specialists to rule out other causes of dementia: vascular disease, Parkinson’s disease, rare genetic diseases and neurotoxin poisoning.
MedTour patients recommend clinics for the treatment of Alzheimer's disease:
Doctors for the treatment of alzheimer's disease
Frequently Asked Questions
The degree and severity of symptoms depend on the absolute number of dead neurons, as well as on the location of the lesion in the brain. According to the time of occurrence, symptoms are divided into early, intermediate, and late. Also, it is possible to distinguish the first signs of the disease.
First signs
Alzheimer’s precursors can be detected long before diagnosis. However, mild cognitive impairment is only detected with special neuropsychological tests.
Brain disorders are manifested by minor disturbances in memory, decreased focus of attention, and reduced flexibility of thinking. Relatives of patients may note a decrease in mood, up to and including depression and apathy.
Early symptoms
In the first place, memory of recent events suffers, and there are difficulties in assimilating new knowledge. At the same time, memory of own life events, long-standing knowledge and memory of body movements is practically unimpaired.
The vocabulary becomes more impoverished. In spite of this, at an early stage, patients are able to convey their thoughts and express their ideas orally and in writing.
Patients perform daily activities without assistance, especially if the activity does not involve new information and has been performed previously for many years.
Moderate symptoms
Memory impairment is exacerbated. Patients may not recognize the faces of relatives and loved ones. Oral and written language skills are lost. Alzheimer’s patients have difficulty expressing their feelings and thoughts due to a progressive impoverishment of the vocabulary.
Patients’ behavior changes distinctly. Outbursts of unmotivated aggression or tearfulness may occur. The patients are inclined to vagrancy and may leave home unannounced towards evening, moving in an unknown direction.
Serious dementia symptoms
In the later stages of development, Alzheimer’s disease manifests as a complete loss of all skills. Patients are unable to do even the simplest things (pick up a pen, point at an object).
Patients spend most of their time lying in bed. Wasting and muscle weakness increase. At this stage, constant care and inspection are necessary.
Alzheimer’s is not a direct cause of death. Progression of the disease leads to impaired swallowing. This can cause pneumonia due to bits of food and fluid getting into the lungs.
Prolonged stay in bed causes bedsores (ulcers) and congestive lung inflammation due to poor air ventilation in the airways.
Experts believe that there is no single cause of Alzheimer’s disease. In most cases, it is a combination of genetic factors and external causes, such as the environment and the state of the body.
Protein disruption
Disruption of protein metabolism in neurons leads to their damage and, subsequently, death. Most researchers believe that so-called beta-amyloid proteins and tau proteins play a key role in the development of Alzheimer’s disease.
They take part in nutrient metabolism. If they don’t work properly, the neuron gets under the toxic influence of some proteins or receives insufficient energy.
Genetic factors
It is well known that mutation of certain genes leads to the natural development of Alzheimer’s after a certain number of years. Genetically related cases of Alzheimer’s disease only account for about 1-2% of all cases. Typically, this leads to the first signs of the disease appearing in middle age.
Anyone can get Alzheimer’s. However, there are risk factors that increase the chances over time. The key factor is the age of the patient. The higher a person’s age, the more likely they are to identify Alzheimer’s. After age 85, about 7.5% of people have the disease.
Both men and women have Alzheimer’s dementia equally. Among women, Alzheimer’s is more common because women, on average, live longer than men.
People with Down syndrome are more likely to have Alzheimer’s. A pattern of disease among relatives has also been found. If a family member is diagnosed with Alzheimer’s, the chances of getting the disease increase.
Excessive alcohol use and brain injuries cause irreversible changes in the brain. Over time, this can cause dementia and Alzheimer’s disease.
Risk factors for cardiovascular disease can increase your chances of getting Alzheimer’s. Here are some of them:
- High blood pressure,
- Overweight,
- High cholesterol and blood sugar,
- Smoking.
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Diagnosis and treatment of Alzheimer’s disease abroad (2021)
How Alzheimer’s is diagnosed dementia
Doctor Consultation
At the initial consultation, the specialist will take a detailed history and clarify the symptoms, their duration, and their impact on daily life. The doctor may interview the patient as well as someone in the patient’s immediate environment. This is the most important part of the diagnosis, as it determines what further tests the patient needs.
Neurologic exam
Because Alzheimer’s disease affects cells in the nervous system, the doctor may perform a neurological exam, and it includes an assessment of reflexes, muscle tone, coordination of movement, wobbly gait, hearing, and vision.
Neuropsychological tests
The doctor may suggest several psychometric tests. These are aimed at assessing attention, thinking, memory and other cognitive functions. One such common test is the MMSE or Volstein Test
Instrumental Diagnosis
Brain imaging, in most cases, looks for other conditions that cause behavioral disorders and memory problems. These include stroke, craniocerebral injuries, and tumors. Brain structures are used to evaluate:
- Computed tomography (CT),
- Positron emission tomography (PET),
- Magnetic resonance imaging.
During a PET CT, a glucose preparation whose molecules are labeled with radioisotopes is injected into the patient’s body. Once in the body, the glucose accumulates in healthy nerve cells. This allows to assess the picture of the disease, to identify individual areas of the brain lesion.
Foreign medical research centers can offer patients PET CT with imaging of amyloid plaques and tau proteins. This allows dementia in Alzheimer’s disease to be separated from other cases of dementia.
What treatment for Alzheimer’s disease abroad
Medication therapy
Drug therapy aims to slow the progression of the disease and improve memory and other cognitive functions. Approved drugs improve the transfer of impulses between cells as well as maintaining proper metabolic levels. The drugs used to treat Alzheimer’s disease are Memantine as well as cholinesterase blockers:
- Galantamine (Razadin),
- Donepezil (Aricept),
- Rivastigmine (Exelon).
Maintenance
Patients with Alzheimer’s need special care that includes lifestyle modifications:
- Forming a daily schedule,
- Tracking the patient’s location,
- Setting alarm systems in residence,
- Removing unnecessary furniture and mirrors,
- Dealing with finances.
At the foreign medical center, specially trained nurses work with patients and relatives to answer your questions regarding the lifestyle of Alzheimer’s patients.
Alternative therapies
Certain medications and supplements improve brain function and reduce the risk of developing Alzheimer’s disease. Their effectiveness remains controversial because of mixed research results. Your doctor may also prescribe:
- Vitamin E,
- Melatonin,
- Omega-3 fatty acids,
- Extracts of herbs — Gingko and Curcumin.
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