How is Alzheimer's treated?

Written by Zhang Hui
Neurology
Updated on January 17, 2025
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The treatment of Alzheimer's disease mainly includes the following aspects. First, enhance care to prevent accidents. Patients with Alzheimer's may get lost, forget to turn off fires or gas, etc., so it is essential to strengthen care to prevent accidents. Second, encourage the elderly to read more books and newspapers and enhance learning, which can effectively slow down the progression. Third, have the elderly interact more with others and exercise more. This can strengthen their physical health and, to some extent, delay the development of Alzheimer's disease. Another aspect is drug treatment, which mainly includes acetylcholinesterase inhibitors and some NMDA receptor antagonists. These can improve the symptoms to some extent and enhance the quality of life. Additionally, in the later stages of Alzheimer's, some psychiatric symptoms such as visual hallucinations and aggressive behavior like hitting or yelling may occur. Appropriate atypical antipsychotic drugs can be administered for treatment.

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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 to eat for senile dementia

For patients with dementia, it is recommended to take some cholinesterase inhibitors, which can increase the content of acetylcholine in the brain and have certain effects on improving cognitive functions. Additionally, consuming NMDA receptor antagonists can also help improve cognition. In terms of diet, it is advised that patients eat more foods rich in unsaturated fatty acids, such as fish, shrimp, and olive oil. It's also beneficial to consume plenty of fresh vegetables and fruits, which are rich in vitamin C and can help combat oxidative stress. Drinking more milk and eating foods rich in B vitamins, mainly whole grains, is also recommended. (Medication should be used under the guidance of a doctor.)

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Written by Zhang Hui
Neurology
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What to do about senile dementia?

For patients with dementia, if the diagnosis is confirmed, the recommended treatment is as follows: First, it is very important to pay attention to nursing care. Patients with dementia often get lost, which can lead to a series of dangers, so it is necessary to take good care of them to prevent getting lost. Secondly, for the improvement of cognitive functions, it is recommended to use some cholinesterase inhibitors, which can increase the level of acetylcholine in the brain and improve the patient's cognitive functions to a certain extent. Third, symptomatic treatment should also be provided. Since patients with dementia often exhibit psychiatric symptoms, such as visual and auditory hallucinations, appropriate antipsychotic medications can be used for treatment. (Please use medication under the guidance of a professional physician.)

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Written by Zhang Hui
Neurology
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What is the full name of dementia?

Senile dementia mainly refers to Alzheimer's disease, a condition with a relatively high incidence rate among the elderly population, and it is the most common neurodegenerative disease. The specific causes and mechanisms of this disease are not particularly clear. Under the influence of various factors, degeneration and death of the temporal lobe, hippocampus, and neurons occur, leading to a series of clinical manifestations. Initially, it mainly manifests as a decline in recent memory function, often forgetting recent events. As the disease progresses, there is a decline in calculating ability and judgment, significant spatial dysfunction, personality changes, and psychiatric symptoms.

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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.