How long is the lifespan of someone with Alzheimer's?

Written by Tang Bo
Neurology
Updated on September 13, 2024
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The causes of dementia in the elderly can be varied, with many diseases such as Alzheimer's disease, Parkinson's disease, and vascular dementia, all leading to senile dementia. Therefore, how long one lives may require specific analysis.

If the dementia is due to cerebrovascular factors, the lifespan of the individual may be closely related to the primary disease, i.e., cerebrovascular disease. Dementia caused by Alzheimer's disease progresses with the disease and affects the patient's lifespan. In its advanced stages, when the patient can no longer take care of themselves, complications such as lung infections can further impact their lifespan.

There are also other factors, which need to be assessed based on the evaluation of the disease.

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Written by Zhang Hui
Neurology
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Early signs of dementia

Dementia in the elderly, mainly refers to Alzheimer's disease. Early signs of this condition may manifest as some forgetfulness. For example, a patient might forget to add salt while cooking, or forget to bring their keys when leaving the house. These clinical signs should be highly alarming and should not be dismissed as mere forgetfulness, ignoring further examinations and treatments. It is recommended that if the elderly show signs of diminished memory function, they should promptly visit a hospital. Comprehensive assessments and further tests, including brain MRI scans, should be conducted to check for significant atrophy in brain areas such as the temporal lobes and hippocampus. If dementia is diagnosed, prompt intervention and treatment should be pursued.

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Written by Zhang Hui
Neurology
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What can be done about senile dementia?

Once a patient is diagnosed with dementia, it is crucial to promptly visit a hospital for treatment. The doctor will conduct some auxiliary examinations based on the patient's medical history to rule out other diseases. If the diagnosis confirms dementia, firstly, family members must pay attention to care. The living abilities of patients with dementia decline significantly, and they may experience wandering, thus enhancing caregiving to prevent any accidents in the elderly; Secondly, it is essential to encourage the patient to engage in physical activities. Exercise can slow down the progression of aging and delay the further deterioration of dementia; Thirdly, it is vital to enhance communication for the patient, encouraging them to converse more with others, as interaction can slow down the progression of dementia; Fourthly, some specific medications should be administered for treatment. These drugs mainly include acetylcholinesterase inhibitors and NMDA receptor antagonists, which current research confirms can alleviate certain symptoms of dementia.

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Written by Zhang Hui
Neurology
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Symptoms of dementia in the elderly

Dementia in the elderly is medically known as Alzheimer's disease, which is categorized into mild, moderate, and severe stages. The clinical manifestations vary with the severity of the disease. Mild dementia primarily presents as memory impairment, starting with a decline in short-term memory, where patients often forget daily activities. For instance, they might forget the way home when they go out, forget to add salt when cooking, or forget to turn off the stove. Patients may also exhibit personality disorders, such as neglecting personal hygiene or not wanting to bathe. As the disease progresses to moderate dementia, besides worsening memory impairment, the patient's ability to work, learn new knowledge, and communicate with others significantly diminishes. There is a notable decline in previously acquired knowledge and skills, such as judgment and calculation abilities. They may also experience aphasia, apraxia, agnosia, and some patients may exhibit significant behavioral and psychological abnormalities. With further progression to severe dementia, patients may become emotionally detached, exhibit unpredictable crying or laughing, fail to recognize family members, lose verbal abilities, and even become unable to perform simple tasks such as dressing or eating. They may spend their days in bed, not speaking, and gradually lose contact with the outside world, ultimately leading to death.

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Written by Zhang Hui
Neurology
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How to alleviate senile dementia?

Dementia brings a heavy burden to both the patient and their family, severely affecting the quality of life. Fundamentally, there is no particularly effective treatment for this disease. To achieve relief, the following measures are recommended: Firstly, it is generally necessary for the patient to take medication for treatment. Commonly used medications include cholinesterase inhibitors, which can increase the content of acetylcholine in the brain and can to some extent delay the progression of the disease. In addition, one can also take some NMDA receptor antagonists to improve dementia. Secondly, encourage the elderly to learn more and read more, which can increase knowledge reserves and delay progression. Thirdly, it is essential to encourage the elderly to go out and interact with others, and of course, precautions should be taken to prevent them from getting lost. In addition, they should engage in appropriate aerobic exercise. (Specific medication use should be conducted under the guidance of a doctor)

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Written by Zhang Hui
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How is Alzheimer's disease treated?

Senile dementia, also known as Alzheimer's disease, is the most common neurodegenerative disease worldwide. The pathogenesis of this disease is not particularly clear so far and may be related to genetic and environmental factors. Multiple factors act on neurons causing irreversible and progressive death of neuronal cells. Currently, the treatment of this disease mainly includes two aspects. The first aspect is general treatment, mainly including family care. Family members must pay attention to the care of the patient, prevent the patient from accidentally wandering off, prevent the patient from falling, and prevent some accidents that cause injuries. In addition, it is important for the patient to listen to music, interact with others, and exercise more, all of which can delay the progression of senile dementia. The second aspect is pharmacological treatment, mainly using drugs that inhibit the reduction of acetylcholine. These drugs can increase the content of acetylcholine and improve the cognitive functions of patients to a certain extent, but so far, these treatments cannot reverse senile dementia.