一個40 歲管理層投訴記憶衰退,懷疑自己腦退化(認知障礙症)症,不安心

1) 身體醫學  - 醫病 (Reactive) -  自我初步診斷可能為腦退化,先入為主,不安 (dis-ease), 以偏概全,找腦科專家照腦CT找病 (disease),結果正常。腦科專家認為情況未夠嚴重,不乎合腦退化診斷標籤,是工作壓力引致,建議運動娛樂放假行為 (life style) 釋放壓力 (行為醫學),壓力正常,要自理。負面推動找病 ,再 等惡化到有明顯腦退化身體病診斷才理? 看病後對腦退化病放心,仍於工作家庭內外人事物不安有壓力。健康信心因記憶問題下降後上昇原處。健康整體沒有好轉,壓力可惡化致失眠頭痛心悸等。 用物質支持心理,去醫因 記憶衰退引致再懷疑自己腦退化再 引致的 不安症。

 

2) 身心醫學  - 醫人  (Proactive) -   如上,但未必照腦,加強正面推動找更健康 - 全面評估內身體、外人事物(工作、家庭)壓力。練習人生內(身體)外人事物之領導管理溝通技巧,正向心理學,改善人類弱點,認知偏差,找出對老年癡呆症的片面醫療信息誤解病毒。找出引致長期壓力之心結、改變思維模式 (思想醫學)醫治壓力 ( 不安症dis-ease)。定期跟進化為長期記憶,以確保取得進展 (at- ease),避免壓力惡化致失眠頭痛等。思想改變,醫  生活事件 及 記憶衰退引致的  不安症。

科學證明  生活事件不安症 可引致 記憶衰退 ,壓力病又大大加劇腦退化病(見以下證據)。

 

「病」診斷的意義

1) 大眾醫學,第3者付費 - 乎合標籤,有理由向政府或保險公司申請公共/第3者資源。夠負面才推動改善。 方便和其他類似病人比較經驗。

2)  少眾醫學,正面拉動向好。更注重和自己比較,病標籤有時形成病態思維。不用等大病標籤推動自己去積極找協助醫治壓力病。

 

壓力下,額葉腦萎縮,引致認知障礙症。

  50 歲 患腦退化,2012 醫界爭取改名認知障礙症,

      額葉腦萎縮 開始原因是什麼? 壓力是不被「物質醫學」重視的原因,因為未發明藥物醫治壓力?

     額葉腦萎縮 惡化原因是什麼? 壓力、血管窄。

 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3181832/

                 一些腦科專家認為太遲求醫,治療困難。  

          有症徵又未達腦退化標籤的人,經情緒心理分析後如發現有意識情緒壓力 潛意識身體壓力,可給名稱為壓力病 (stress illness)去醫 ( 生物心理社會模式疾病分類,bio-psychosocial model, Engel , 1977)。不用限於現行身體醫學模式 (bio-medical model, Virchow, 1865) 之 腦退化症 。

壓力大大加劇腦退化

http://www.sciencedaily.com/releases/2006/08/060830005837.htm

Stress Significantly Hastens Progression Of Alzheimer's Disease

 

壓力加大腦退化機會

http://www.sciencedaily.com/releases/2011/05/110526114535.htm

Stress May Increase Risk for Alzheimer's Disease

http://www.sciencedaily.com/releases/2012/03/120326160819.htm

Chronic Stress Spawns Protein Aggregates Linked to Alzheimer's

 

 

記憶退化可還原

http://www.sciencedaily.com/releases/2011/02/110216083119.htm

Tau-Induced Memory Loss in Alzheimer’s Mice Is Reversible; Study Raises Hopes for the Development of Effective Therapies

...............

糖尿膽固醇加快認知退步

http://www.sciencedaily.com/releases/2009/03/090309161955.htm

Diabetes And Elevated Levels Of Cholesterol Linked To Faster Cognitive Decline In Alzheimer's Patients

壓力已證明引致膽固醇血糖上昇。

 

 

壓力破壞海馬體 (hippocampus)腦細胞,影響記憶

http://www.youtube.com/watch?v=OHl7BewJ0yU&feature=fvwrel

 

 

Stress as common cause of aging brain and high BP, why not treat stress?

Hypertension/High Blood Pressure Health Center

Elevated BP May Prematurely Age the Brain

http://www.webmd.com/hypertension-high-blood-pressure/news/20121101/elevated-blood-pressure-age-brain?ecd=wnl_hyp_110812&ctr=wnl-hyp-110812_promo_2&mb=

sphygmomanometer and stethoscope

"Nov. 1, 2012 -- Having even mildly elevated blood pressure at midlife prematurely ages the brain, a new study shows.

Researchers say the early changes seen with higher blood pressure may set the stage for problems with thinking, memory, and dementia down the road.

“This is an important finding,” says Paul Rosenberg, MD, associate professor of psychiatry and behavioral sciences at Johns Hopkins University in Baltimore, Md.

“There’s a suggestion here that we should be treating blood pressure more aggressively in younger people,” says Rosenberg, who was not involved in the research........... Elias has spent his
career studying the effects of blood pressure on the brain."

 

Beta-blockers linked to fewer Alzheimer's lesions

January 8, 2013 http://www.theheart.org/article/1493989.do?utm_medium=email&utm_source=20130109_heartwire&utm_campaign=newsletter

 

Specific Statin Significantly Reduces Alzheimer's And Parkinson's Disease Risk, Study Shows

July 19, 2007 — Researchers from Boston University School of Medicine (BUSM) have found that the statin, simvastatin, reduces the incidence of Alzheimer's disease and Parkinson's disease by almost 50 percent. This is the first study to suggest that statins might reduce the incidence of Parkinson's disease.

http://www.sciencedaily.com/releases/2007/07/070719011237.htm