It is estimated that there are nearly 22 million people suffering from Alzheimer's disease the world over. Out of them, over 3 million are estimated to be in India. By 2030 this number is expected to double.
Alzheimer's disease is the most common cause of dementia. Typically, it begins with lapses of memory, difficulty in finding the right words for everyday objects or swinging mood. Mild symptoms may be a natural effect of ageing, but in Alzheimer's disease a pattern of problems emerges over six months or more. As it progresses the person may:
In advanced cases people may also:
What are the symptoms?
Alzheimer's is a physical disease which attacks brain cells (where we store memory), brain nerves and transmitters (which carry instructions around the brain). Production of a chemical messenger acetylcholine is disrupted, nerve ends are attacked and cells die. The brain shrinks as gaps develop in the temporal lobe and hippo campus important for receiving and storing new information. The ability to remember, speak, think and make decisions is disrupted. After death, tangles and plaques made from protein fragments, dying cells and nerve ends are discovered in the brain. This confirms the diagnosis.
What causes Alzheimer's disease?
The short answer is: We don't know. It may be a combination of factors, some we are born
with, some in our environment and some which happen to us. Things that cause Alzheimer's disease more likely are called risk factors. They include:
Age: The greatest risk factor is increasing age
Family condition: Some people are born at risk because of the genes they inherit.
Early onset: Alzheimer's disease in younger people often progresses more rapidly. A number of rare genetic faults make the disease more likely at a young age.
Brain damage: People who have had a severe head injury with loss of consciousness are at increased risk of dementia. This is also true of boxers who have become punch-drunk.
Down's syndrome: Because of their chromosomal defect, people with down's syndrome are more likely to develop Alzheimer's disease. As more people with Down's syndrome survive into their 50's and 60's, more will develop the disease.
Other possible causes
How is Alzheimer's disease diagnosed?
It is important not to become over concerned at minor mental slips, but early and accurate diagnosis is important to clarify whether a treatable condition is causing symptoms, and to provide the best possible care.
A health professional records the pattern of symptoms, and uses simple tests to see what someone remembers and if they can hold simple information in memory. These can be repeated after a few months to measure change. Where dementia is suspected brain scans can show chemical activity and whether areas of the brain are shrinking. Diagnosis can be 80 to 90 per cent accurate in life but can only be confirmed after death.
Is treatment possible?
There is no cure for Alzheimer's disease but prospects for management have improved. New drugs are being developed which seek to slow down the rate of mental decline. These are promising in the early stages of the disease, although it is unclear for how long they can help and they are not yet widely available.
Affected people should live as normal a life for as long as they can. Memory aids and familiar routines are helpful. As the disease progresses, people need more support and close supervision and eventually nursing care.
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