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‭University of Sargodha‬

‭Biochemistry Assignment‬

‭Submitted by:‬
‭ adia Saif‬
H
‭ HEM51F20R030‬
C
‭Submitted to:‬
‭Dr. Fayyaz ul Rehman‬
‭Alzheimer’s disease‬
‭Why is the disease called Alzheimer's Disease?‬ ‭2‬
‭Factors‬ ‭3‬
‭Vascular contribution‬ ‭4‬
‭Types of Alzheimer’s Disease‬ ‭4‬
‭Stages of Alzheimer's disease‬ ‭4‬
‭Mild Alzheimer’s disease:‬ ‭4‬
‭Moderate Alzheimer’s disease:‬ ‭5‬
‭Severe Alzheimer’s disease:‬ ‭5‬
‭Alzheimer's disease genetics‬ ‭5‬
‭Health, environmental, and lifestyle factors‬ ‭6‬
‭Tau protein tangles‬ ‭7‬
‭Amyloid plaques‬ ‭7‬
‭What's the relationship between diabetes and dementia?‬ ‭8‬
‭Medications‬ ‭10‬
‭Cholinesterase inhibitors‬ ‭10‬
‭What is the difference between Alzheimer’s and dementia?‬ ‭11‬
‭Symptoms‬ ‭12‬
‭Alzheimer’s Disease‬
‭ lzheimer’s‬ ‭disease‬ ‭causes‬ ‭a‬ ‭decline‬ ‭in‬ ‭memory,‬‭thinking,‬‭learning‬‭and‬‭organizing‬
A
‭skills‬‭over‬‭time.‬‭It’s‬‭the‬‭most‬‭common‬‭cause‬‭of‬‭dementia‬‭and‬‭usually‬‭affects‬‭people‬
‭over‬ ‭the‬ ‭age‬ ‭of‬ ‭65.‬ ‭There’s‬ ‭no‬ ‭cure‬ ‭for‬ ‭Alzheimer’s,‬ ‭but‬ ‭certain‬ ‭medications‬ ‭and‬
‭therapies can help manage symptoms temporarily.‬
‭"‬‭Alzheimer’s‬ ‭disease‬ ‭is‬ ‭a‬ ‭brain‬ ‭disorder‬ ‭in‬ ‭which‬ ‭there‬ ‭is‬ ‭an‬ ‭abnormal‬
‭deposition‬ ‭of‬ ‭naturally‬ ‭occurring‬ ‭proteins‬ ‭(beta-amyloid‬ ‭42)‬ ‭that‬ ‭clump‬
‭together‬‭to‬‭form‬‭plaques.‬‭These‬‭plaques‬‭collect‬‭between‬‭neurons‬‭and‬‭disturb‬
‭their functioning”‬‭.‬
‭These‬ ‭abnormal‬ ‭deposits‬ ‭of‬ ‭protein‬ ‭form‬ ‭amyloid‬ ‭plaques‬ ‭and‬ ‭tau‬ ‭tangles‬
‭throughout‬ ‭the‬ ‭brain.‬ ‭The‬ ‭disease‬ ‭slowly‬ ‭destroys‬ ‭memory,‬‭and‬‭the‬‭person‬‭cannot‬
‭perform‬ ‭routine‬ ‭daily‬ ‭activities.‬‭In‬‭addition,‬‭the‬‭person‬‭loses‬‭thinking‬‭skills‬‭slowly‬‭in‬
‭this‬‭disease.‬‭Alzheimer's‬‭disease,‬‭a‬‭type‬‭of‬‭dementia,‬‭is‬‭very‬‭common‬‭among‬‭older‬
‭adults. In this disease, the connection between the brain neurons is lost.‬

‭Why is the disease called Alzheimer's Disease?‬


‭ he‬‭disease‬‭name‬‭has‬‭a‬‭history.‬‭It‬‭is‬‭named‬‭after‬‭Dr.‬‭Alois‬‭Alzheimer‬‭.‬‭In‬‭the‬‭year‬
T
‭1906,‬ ‭he‬ ‭noticed‬ ‭changes‬ ‭in‬ ‭the‬ ‭brain‬ ‭tissue‬ ‭of‬ ‭a‬ ‭woman‬ ‭who‬ ‭died‬ ‭due‬ ‭to‬ ‭an‬
‭unusual‬‭mental‬‭illness.‬‭The‬‭behavior‬‭of‬‭this‬‭woman‬‭was‬‭unpredictable‬‭and‬‭she‬‭had‬
‭the‬ ‭problem‬ ‭of‬ ‭memory‬‭loss.‬‭She‬‭had‬‭language‬‭problems‬‭also.‬‭Dr.‬‭Alois‬‭Alzheimer‬
‭noticed‬‭abnormal‬‭clumps‬‭in‬‭her‬‭brain‬‭and‬‭tangled‬‭bundles‬‭of‬‭fibers.‬‭These‬‭abnormal‬
‭clumps‬ ‭are‬ ‭called‬ ‭amyloid‬ ‭plaques,‬ ‭and‬ ‭these‬ ‭tangled‬ ‭bundles‬ ‭of‬ ‭fibers‬ ‭are‬‭called‬
‭tau‬
‭tangles.‬

‭Factors‬
‭According‬‭to‬‭CDC‬‭Centers‬‭for‬‭Disease‬‭Control‬‭and‬‭Prevention‬‭,‬‭the‬‭following‬‭are‬
‭ nown about Alzheimer's disease:‬
k
‭●‬ ‭Age‬
‭●‬ ‭Cardiovascular, high BP and high cholesterol‬
‭●‬ ‭Diabetes‬
‭●‬ ‭Smoking‬
‭●‬ ‭Obesity‬
‭●‬ ‭Depression‬
‭●‬ ‭Head injury‬
‭Vascular contribution‬

‭Types of Alzheimer’s Disease‬


‭There are two types of Alzheimer’s disease:‬
‭●‬ ‭Late-onset type in which‬‭symptoms‬‭appear in the mid-60s‬
‭●‬ ‭Early-onset‬ ‭type‬‭in‬‭which‬‭the‬‭symptoms‬‭appear‬‭between‬‭the‬‭age‬‭of‬‭30‬‭to‬‭60‬
‭years‬

‭Stages of Alzheimer's disease‬

‭Mild Alzheimer’s disease:‬


‭ s‬ ‭Alzheimer’s‬ ‭worsens,‬ ‭people‬ ‭experience‬ ‭greater‬ ‭memory‬ ‭loss‬ ‭and‬ ‭other‬
A
‭cognitive‬ ‭difficulties.‬ ‭Problems‬ ‭can‬ ‭include‬ ‭wandering‬ ‭and‬ ‭getting‬ ‭lost,‬ ‭trouble‬
‭ andling‬ ‭money‬ ‭and‬ ‭paying‬ ‭bills‬‭,‬ ‭repeating‬ ‭questions,‬ ‭taking‬ ‭longer‬ ‭to‬ ‭complete‬
h
‭normal‬ ‭daily‬ ‭tasks,‬ ‭and‬ ‭personality‬ ‭and‬ ‭behavior‬ ‭changes‬‭.‬ ‭People‬ ‭are‬ ‭often‬
‭diagnosed in this stage.‬

‭Moderate Alzheimer’s disease:‬


I‭n‬‭this‬‭stage,‬‭damage‬‭occurs‬‭in‬‭areas‬‭of‬‭the‬‭brain‬‭that‬‭control‬‭language,‬‭reasoning,‬
‭conscious‬ ‭thought,‬ ‭and‬ ‭sensory‬ ‭processing,‬ ‭such‬ ‭as‬ ‭the‬ ‭ability‬ ‭to‬ ‭correctly‬ ‭detect‬
‭sounds‬ ‭and‬ ‭smells.‬ ‭Memory‬ ‭loss‬ ‭and‬ ‭confusion‬ ‭grow‬ ‭worse,‬ ‭and‬ ‭people‬ ‭begin‬ ‭to‬
‭have‬ ‭problems‬ ‭recognizing‬ ‭family‬ ‭and‬ ‭friends.‬ ‭They‬ ‭may‬ ‭be‬ ‭unable‬ ‭to‬ ‭learn‬ ‭new‬
‭things,‬ ‭carry‬ ‭out‬ ‭multistep‬ ‭tasks‬ ‭such‬ ‭as‬ ‭getting‬ ‭dressed,‬ ‭or‬ ‭cope‬ ‭with‬ ‭new‬
‭situations.‬ ‭In‬ ‭addition,‬ ‭people‬‭at‬‭this‬‭stage‬‭may‬‭have‬‭hallucinations,‬‭delusions,‬‭and‬
‭paranoia‬‭and may behave impulsively.‬

‭Severe Alzheimer’s disease:‬


‭ ltimately,‬‭plaques‬‭and‬‭tangles‬‭spread‬‭throughout‬‭the‬‭brain,‬‭and‬‭brain‬‭tissue‬‭shrinks‬
U
‭significantly.‬ ‭People‬ ‭with‬ ‭severe‬ ‭Alzheimer’s‬ ‭cannot‬ ‭communicate‬ ‭and‬ ‭are‬
‭completely‬‭dependent‬‭on‬‭others‬‭for‬‭their‬‭care.‬‭Near‬‭the‬‭end‬‭of‬‭life‬‭,‬‭the‬‭person‬‭may‬
‭be in bed most or all of the time as the body shuts down.‬

‭Alzheimer's disease genetics‬


I‭n‬‭most‬‭cases,‬‭Alzheimer’s‬‭does‬‭not‬‭have‬‭a‬‭single‬‭genetic‬‭cause.‬‭Instead,‬‭it‬‭is‬‭likely‬
‭influenced‬‭by‬‭multiple‬‭genes‬‭in‬‭combination‬‭with‬‭lifestyle‬‭and‬‭environmental‬‭factors.‬
‭Changes‬ ‭in‬ ‭genes,‬ ‭called‬ ‭genetic‬ ‭variations,‬ ‭may‬ ‭increase‬ ‭or‬ ‭decrease‬‭a‬‭person’s‬
‭risk of developing the disease.‬
‭Scientists‬ ‭currently‬ ‭know‬ ‭of‬ ‭more‬ ‭than‬ ‭70‬ ‭genetic‬ ‭regions‬ ‭associated‬ ‭with‬
‭Alzheimer’s.‬ ‭Of‬ ‭the‬ ‭genetic‬ ‭variants‬ ‭associated‬ ‭with‬ ‭Alzheimer’s‬ ‭so‬ ‭far,‬ ‭only‬ ‭three‬
‭are‬‭known‬‭to‬‭cause‬‭the‬‭disease.‬‭Although‬‭it‬‭happens‬‭rarely,‬‭when‬‭someone‬‭inherits‬
‭an‬ ‭altered‬ ‭version‬ ‭of‬ ‭one‬ ‭of‬ ‭these‬ ‭genes‬ ‭—‬ ‭APP,‬ ‭PSEN1,‬ ‭or‬ ‭PSEN2‬ ‭—‬ ‭they‬ ‭will‬
‭likely develop Alzheimer’s before age 65 and sometimes much earlier.‬
‭People‬ ‭with‬ ‭Down‬ ‭syndrome‬ ‭also‬ ‭have‬ ‭a‬ ‭higher‬ ‭risk‬ ‭of‬ ‭developing‬ ‭Alzheimer’s‬
‭earlier‬‭in‬‭life.‬‭Down‬‭syndrome‬‭results‬‭from‬‭having‬‭an‬‭extra‬‭chromosome‬‭21,‬‭which‬
‭carries‬‭the‬‭APP‬‭gene‬‭that‬‭produces‬‭the‬‭amyloid‬‭precursor‬‭protein.‬‭Too‬‭much‬‭of‬‭this‬
‭protein‬ ‭leads‬ ‭to‬ ‭build-up‬ ‭of‬ ‭beta-amyloid‬ ‭plaques‬ ‭in‬ ‭the‬ ‭brain.‬ ‭Estimates‬ ‭suggest‬
‭that‬‭50%‬‭or‬‭more‬‭of‬‭people‬‭living‬‭with‬‭Down‬‭syndrome‬‭will‬‭develop‬‭Alzheimer’s‬‭with‬
‭symptoms appearing in their 50s and 60s.‬
‭ nother‬‭genetic‬‭variation,‬‭in‬‭the‬‭APOE‬‭gene‬‭,‬‭which‬‭has‬‭several‬‭forms,‬‭is‬‭known‬‭to‬
A
‭influence‬ ‭the‬ ‭risk‬ ‭of‬‭Alzheimer’s.‬‭Specifically,‬‭APOE‬‭ε4‬‭increases‬‭a‬‭person’s‬‭risk‬‭of‬
‭developing‬‭Alzheimer’s‬‭and‬‭is‬‭also‬‭associated‬‭with‬‭developing‬‭Alzheimer’s‬‭earlier‬‭in‬
‭life‬ ‭for‬ ‭certain‬ ‭populations.‬ ‭APOE‬ ‭ε2‬ ‭may‬ ‭provide‬ ‭some‬ ‭protection‬ ‭against‬
‭Alzheimer’s.‬

‭Health, environmental, and lifestyle factors‬


‭Reduce your risk of diabetes and dementia:‬
‭●‬ ‭.Engage‬ ‭in‬ ‭aerobic‬ ‭exercise‬ ‭at‬ ‭least‬ ‭30‬ ‭minutes‬ ‭each‬ ‭day,‬ ‭five‬ ‭days‬ ‭each‬
‭week.‬
‭●‬ ‭Eat a Mediterranean-style menu of foods.‬
‭●‬ ‭Maintain a healthy body weight.‬
‭●‬ ‭Treat high blood pressure.‬
‭●‬ ‭Treat high cholesterol.‬
‭●‬ ‭Don't smoke.‬
‭●‬ ‭mentally‬ ‭stimulating‬ ‭pursuits‬ ‭have‬ ‭all‬ ‭been‬ ‭associated‬ ‭with‬ ‭helping‬ ‭people‬
‭stay healthy as they age.‬

‭ hese‬ ‭factors‬ ‭might‬ ‭also‬ ‭help‬ ‭reduce‬ ‭the‬‭risk‬‭of‬‭cognitive‬‭decline‬‭and‬‭Alzheimer’s.‬


T
‭Researchers are testing some of these possibilities in clinical trials.‬
‭Tau protein tangles‬
‭ esearchers‬ ‭believe‬ ‭that‬ ‭with‬ ‭Alzheimer’s,‬ ‭abnormal‬ ‭tau‬ ‭builds‬ ‭up‬ ‭in‬ ‭the‬ ‭neuron,‬
R
‭causing‬ ‭the‬ ‭microtubules‬ ‭to‬ ‭tangle.‬ ‭This‬ ‭prevents‬ ‭nutrients‬ ‭and‬ ‭other‬ ‭essential‬
‭supplies‬ ‭from‬ ‭moving‬ ‭through‬ ‭the‬ ‭cell‬ ‭and‬ ‭it‬ ‭dies.‬ ‭Your‬ ‭vascular‬ ‭system‬ ‭fails‬ ‭to‬
‭provide‬ ‭enough‬ ‭blood‬ ‭and‬ ‭nutrients‬ ‭to‬ ‭the‬
‭brain‬
‭●‬ ‭The‬ ‭brain‬ ‭lacks‬ ‭the‬ ‭glucose‬ ‭needed‬ ‭to‬
‭provide‬ ‭enough‬ ‭energy‬ ‭for‬ ‭the‬ ‭brain’s‬
‭activities‬
‭●‬ ‭Chronic‬ ‭inflammation‬ ‭sets‬ ‭in‬ ‭as‬ ‭the‬
‭debris‬ ‭is‬ ‭not‬ ‭cleared‬ ‭properly‬ ‭from‬
‭around the neurons‬
‭Eventually,‬ ‭the‬ ‭neurons‬ ‭can’t‬ ‭communicate‬
‭and they die, and the brain begins to shrink.‬

‭Amyloid plaques‬
‭ oxic‬ ‭protein‬ ‭deposits‬ ‭that‬ ‭form‬ ‭in‬ ‭the‬ ‭brains‬ ‭of‬ ‭people‬ ‭living‬ ‭with‬ ‭Alzheimer's‬
T
‭disease‬ ‭most‬ ‭likely‬ ‭leak‬ ‭into‬ ‭the‬ ‭brain‬ ‭from‬ ‭fat‬ ‭carrying‬ ‭particles‬ ‭in‬ ‭blood,‬ ‭called‬
‭lipoproteins.‬ ‭"This‬ ‭'blood-to-brain‬‭pathway'‬‭is‬‭significant‬‭because‬‭if‬‭we‬‭can‬‭manage‬
‭the‬‭levels‬‭in‬‭blood‬‭of‬‭lipoprotein-amyloid‬‭and‬‭prevent‬‭their‬‭leakage‬‭into‬‭the‬‭brain,‬‭this‬
‭opens‬‭up‬‭potential‬‭new‬‭treatments‬‭to‬‭prevent‬‭Alzheimer's‬‭disease‬‭and‬‭slow‬‭memory‬
‭loss."‬
‭"While‬ ‭further‬ ‭studies‬ ‭are‬ ‭now‬ ‭needed,‬ ‭this‬ ‭finding‬ ‭shows‬ ‭the‬ ‭abundance‬ ‭of‬ ‭these‬
‭toxic protein deposits in the blood could potentially be addressed‬
‭amyloid,‬ ‭therefore‬ ‭reducing‬ ‭their‬ ‭risk‬ ‭or‬ ‭slowing‬ ‭the‬ ‭progression‬ ‭of‬ ‭Alzheimer's‬
‭disease.‬
‭ hat's‬ ‭the‬ ‭relationship‬ ‭between‬ ‭diabetes‬
W
‭and dementia?‬
‭ here are multiple reasons why years of type 2 diabetes may lead to dementia. One‬
T
‭reason is related to the effects that diabetes has on the heart, as heart health is‬
‭related to brain health. Heart disease and elevated blood pressure are both‬
‭associated with strokes that, in turn, can lead to dementia. However, strokes‬‭do not‬
‭appear to be the‬‭complete answer, as some‬‭studies‬‭found that diabetes led to an‬
‭increased risk of dementia even when strokes were controlled fo‬‭r.‬
‭Another factor relates to the‬‭episodes of hypoglycemia‬‭that commonly occur in‬
‭diabetes. Although tight control of blood sugars has been proven to reduce the‬
‭long-term risks of heart disease and strokes, tight control can also lead to‬
‭hypoglycemia, memory loss, and dementia. Here, the reason is likely because low‬
‭blood sugars are known to damage the hippocampus — the memory center of the‬
‭brain.‬
‭ ne of the more intriguing hypotheses is that diabetes directly causes Alzheimer's‬
O
‭disease. Indeed, Alzheimer's disease has even been called "type 3 diabetes"‬
‭because of shared molecular and cellular features among diabetes and Alzheimer's.‬
‭For example,‬‭insulin plays a critical role‬‭in the‬‭formation of amyloid plaques, and‬
‭insulin is also involved in the phosphorylation of tau, which leads to neurofibrillary‬
‭tangles. In other words, whereas insulin resistance in the body can lead to type 2‬
‭diabetes, insulin resistance in the brain can lead to the plaques and tangles of‬
‭Alzheimer's disease.‬
‭Treatment of Alzheimer’s Disease‬
‭There is no cure for Alzheimer's disease. Treatment considerations included are:‬
‭‬ M
● ‭ anagement of behavioral symptoms‬
‭●‬ ‭Helping patients maintain brain health‬

‭Medications‬
‭Medications:‬ ‭Two‬ ‭types‬ ‭of‬ ‭drugs‬ ‭are‬ ‭approved‬ ‭by‬ ‭the‬ ‭U.S.‬ ‭Food‬ ‭and‬ ‭Drug‬
‭Administration (FDA) to treat Alzheimer's disease.‬

‭●‬ ‭Cholinesterase inhibitors.‬


‭●‬ ‭NMDA antagonists.‬
‭ he‬ ‭first‬ ‭disease-modifying‬ ‭therapy‬ ‭approved‬ ‭by‬ ‭the‬ ‭FDA‬ ‭to‬ ‭treat‬ ‭Alzheimer's‬ ‭is‬
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‭Aducanumab.‬ ‭This‬‭reduces‬‭amyloid‬‭deposits‬‭in‬‭the‬‭brain,‬‭which‬‭plays‬‭a‬‭vital‬‭role‬‭in‬
‭slowing the progression of Alzheimer's disease.‬
‭ o‬ ‭manage‬ ‭behavioral‬ ‭symptoms,‬ ‭no‬ ‭specific‬ ‭treatment‬ ‭is‬ ‭available‬ ‭yet.‬ ‭However,‬
T
‭the following medications are used:‬
‭●‬ ‭Antidepressants: To treat anxiety and depression.‬
‭●‬ ‭Anti-anxiety drugs: To treat agitation.‬
‭●‬ ‭Anticonvulsant drugs: To treat aggression.‬
‭●‬ ‭Antipsychotics: To treat hallucinations.‬

‭Cholinesterase inhibitors‬
‭ he‬ ‭following‬ ‭cholinesterase‬ ‭inhibitors‬ ‭can‬ ‭help‬ ‭treat‬ ‭the‬ ‭symptoms‬ ‭of‬ ‭mild‬ ‭to‬
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‭moderate Alzheimer’s disease:‬

‭‬ D
● ‭ onepezil. This is also FDA-approved to treat moderate to severe AD.‬
‭●‬ ‭Rivastigmine‬
‭●‬ ‭Galantamine‬

‭ hese‬ ‭drugs‬ ‭work‬ ‭by‬ ‭blocking‬ ‭the‬ ‭action‬ ‭of‬ ‭acetylcholinesterase,‬ ‭the‬ ‭enzyme‬
T
‭responsible‬ ‭for‬ ‭destroying‬ ‭acetylcholine.‬ ‭Acetylcholine‬ ‭is‬ ‭one‬ ‭of‬ ‭the‬‭chemicals‬‭that‬
‭help‬

‭ erve‬ ‭cells‬ ‭communicate.‬ ‭Researchers‬ ‭believe‬ ‭that‬ ‭reduced‬‭levels‬‭of‬‭acetylcholine‬


n
‭cause some of the symptoms of Alzheimer’s disease.‬
‭ hese‬ ‭drugs‬ ‭can‬ ‭improve‬ ‭some‬ ‭memory‬ ‭problems‬ ‭and‬ ‭reduce‬ ‭some‬ ‭behavioral‬
T
‭symptoms of Alzheimer’s disease.‬

‭These‬ ‭medications‬ ‭don’t‬ ‭cure‬ ‭Alzheimer’s‬ ‭disease‬ ‭or‬ ‭stop‬ ‭the‬ ‭progression‬ ‭of‬ ‭the‬
‭ isease.‬
d

‭ hat‬ ‭is‬ ‭the‬ ‭difference‬ ‭between‬ ‭Alzheimer’s‬ ‭and‬


W
‭dementia?‬
‭ ementia‬ ‭describes‬ ‭the‬ ‭state‬ ‭of‬ ‭a‬ ‭person’s‬ ‭mental‬ ‭function.‬ ‭It’s‬ ‭not‬ ‭a‬ ‭specific‬
D
‭disease.‬‭It’s‬‭a‬‭decline‬‭in‬‭mental‬‭function‬‭from‬‭a‬‭previously‬‭higher‬‭level‬‭that’s‬‭severe‬
‭enough to interfere with daily living.‬

‭ ‬ ‭person‬ ‭with‬ ‭dementia‬ ‭has‬ ‭two‬ ‭or‬ ‭more‬ ‭of‬ ‭these‬ ‭specific‬ ‭difficulties,‬ ‭including‬ ‭a‬
A
‭change or decline in:‬

‭‬ U
● ‭ nderstanding visual form and space relationship.‬
‭●‬ ‭Behavior and personality.‬
‭ ementia‬ ‭ranges‬ ‭in‬ ‭severity.‬‭nerve‬ ‭cells‬ ‭communicate.‬ ‭Researchers‬ ‭believe‬ ‭that‬
D
‭reduced‬ ‭levels‬ ‭of‬ ‭acetylcholine‬ ‭cause‬ ‭some‬ ‭of‬ ‭the‬ ‭symptoms‬ ‭of‬ ‭Alzheimer’s‬
‭disease.‬
‭These‬ ‭drugs‬ ‭can‬ ‭improve‬ ‭some‬ ‭memory‬ ‭problems‬ ‭and‬ ‭reduce‬ ‭some‬ ‭behavioral‬
‭symptoms‬ ‭of‬ ‭Alzheimer’s‬ ‭disease.‬ ‭These‬ ‭medications‬ ‭don’t‬ ‭cure‬ ‭Alzheimer’s‬
‭disease or stop the progression of the disease.‬
‭In‬‭the‬‭mildest‬‭stage,‬‭you‬‭may‬‭notice‬‭a‬‭slight‬‭decline‬‭in‬‭your‬‭mental‬‭functioning‬‭and‬
‭require‬‭some‬‭assistance‬‭on‬‭daily‬‭tasks.‬‭At‬‭the‬‭most‬‭severe‬‭stage,‬‭a‬‭person‬‭depends‬
‭completely on others for help with simple daily tasks.‬
‭Dementia‬ ‭develops‬ ‭when‬ ‭infections‬ ‭or‬ ‭diseases‬ ‭impact‬ ‭the‬ ‭parts‬ ‭of‬ ‭your‬ ‭brain‬
‭involved‬ ‭with‬ ‭learning,‬ ‭memory,‬ ‭decision-making‬ ‭or‬ ‭language.‬ ‭Alzheimer’s‬ ‭disease‬
‭is‬ ‭the‬ ‭most‬ ‭common‬ ‭cause‬ ‭of‬ ‭dementia,‬ ‭accounting‬ ‭for‬ ‭at‬ ‭least‬ ‭two-thirds‬ ‭of‬
‭dementia cases in people 65 and older.‬

‭Other common causes of dementia include:‬

‭‬
● ‭ ascular dementia.‬
V
‭●‬ ‭Dementia with Lewy bodies.‬
‭●‬ ‭Frontotemporal dementia.‬
‭●‬ ‭Dementia due to Parkinson’s disease‬

‭Symptoms‬
‭The‬ ‭person‬ ‭affected‬ ‭with‬ ‭Alzheimer's‬ ‭has‬ ‭difficulty‬ ‭performing‬ ‭the‬ ‭most‬
‭ traightforward task of daily routine activities. Alzheimer's symptoms are:‬
s
‭●‬ ‭The person cannot drive a car‬
‭●‬ ‭Trouble in cooking‬
‭●‬ ‭Trouble in handling money‬
‭●‬ ‭Judgment is poor‬
‭●‬ ‭Mood changes‬
‭●‬ ‭Ask the same question many times‬
‭●‬ ‭The person has so much confusion‬
‭●‬ ‭The‬ ‭patient‬ ‭may‬ ‭experience‬ ‭worries‬ ‭and‬ ‭anger,‬ ‭and‬ ‭at‬ ‭times‬ ‭they‬ ‭may‬ ‭be‬
‭violent due to the disease progression.‬
‭●‬ ‭Problems recognising friends and family‬
‭●‬ ‭Impulsive behavior‬
‭●‬ ‭The person cannot communicate‬
‭‬ H
● ‭ allucinations‬
‭●‬ ‭Mood swings‬
‭●‬ ‭Anxiety‬

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