{"id":2326,"date":"2024-09-20T13:29:56","date_gmt":"2024-09-20T13:29:56","guid":{"rendered":"https:\/\/andarclinic.com\/staging\/8811\/?p=2326"},"modified":"2025-09-20T18:16:58","modified_gmt":"2025-09-20T18:16:58","slug":"doenca-de-alzheimer","status":"publish","type":"post","link":"https:\/\/andarclinic.com\/staging\/8811\/doenca-de-alzheimer\/","title":{"rendered":"A Doen\u00e7a de Alzheimer"},"content":{"rendered":"

O Aumento da Esperan\u00e7a M\u00e9dia de Vida, a Dem\u00eancia e o Alzheimer<\/h2>\n

Em Portugal o n\u00famero e a percentagem de pessoas com dem\u00eancia \u00e9 crescente, fruto do aumento da esperan\u00e7a m\u00e9dia de vida que tem sido significativa e associada \u00e0 redu\u00e7\u00e3o da natalidade. No entanto, se analisarmos as dem\u00eancias por idade e por sexo, observamos que nas \u00faltimas d\u00e9cadas, ano ap\u00f3s ano, se verifica uma redu\u00e7\u00e3o na incid\u00eancia da dem\u00eancia.<\/p>\n

A Doen\u00e7a de Alzheimer \u00e9 a dem\u00eancia mais frequente. E, sem d\u00favida, o principal fator de risco principal \u00e9 a idade. Por outro lado, nas outras formas de dem\u00eancia a idade n\u00e3o \u00e9 o fator determinante.<\/p>\n

Assim, efetivamente, o envelhecimento, n\u00e3o \u00e9 uma doen\u00e7a, mas \u00e9 um fator de risco para um conjunto de doen\u00e7as, onde se inclui a dem\u00eancia, nomeadamente a Doen\u00e7a de Alzheimer.<\/p>\n

O diagn\u00f3stico da dem\u00eancia<\/h2>\n

Na abordagem de um doente com suspeita de dem\u00eancia, a hist\u00f3ria do paciente, a observa\u00e7\u00e3o cl\u00ednica e psicol\u00f3gica s\u00e3o, por isso, os elementos essenciais do diagn\u00f3stico.<\/p>\n

A investiga\u00e7\u00e3o cl\u00ednica, ao associar marcadores qu\u00edmicos, neuropsicol\u00f3gicos e neurorradiol\u00f3gicos permite-nos afirmar com grande probabilidade que se trata de uma doen\u00e7a de Alzheimer. Apesar do diagn\u00f3stico ser sustentado por todos estes marcadores e exames, infelizmente at\u00e9 ao momento n\u00e3o dispomos de nenhum medicamento que atrase significativamente a evolu\u00e7\u00e3o da doen\u00e7a.<\/p>\n

A import\u00e2ncia de confirmar o diagn\u00f3stico de Doen\u00e7a de Alzheimer<\/h3>\n

Confirmado o diagn\u00f3stico de dem\u00eancia \u00e9 essencial excluir as m\u00faltiplas causas trat\u00e1veis da doen\u00e7a. Como o hipotiroidismo, d\u00e9fice de vitamina B12, aumento da press\u00e3o do l\u00edquor no c\u00e9rebro, AVCs de repeti\u00e7\u00e3o, etc. O diagn\u00f3stico de Alzheimer s\u00f3 se pode fazer ap\u00f3s se excluir todas as causas trat\u00e1veis.<\/p>\n

Na minha experi\u00eancia enquanto Neurologista, na atualidade um n\u00famero significativo de doentes est\u00e3o rotulados de Doen\u00e7a de Alzheimer, a fazerem terap\u00eauticas prolongadas, sem benef\u00edcios para a dem\u00eancia e, na verdade, sofrem de depress\u00f5es ou altera\u00e7\u00f5es psic\u00f3ticas n\u00e3o tratadas.<\/p>\n

A preven\u00e7\u00e3o da dem\u00eancia<\/h3>\n

Estudos epidemiol\u00f3gicos apontam para cerca de 40% das dem\u00eancias poderem ser evitadas e tratadas. A raz\u00e3o mais prov\u00e1vel para a redu\u00e7\u00e3o da preval\u00eancia da doen\u00e7a \u00e9 o melhor controlo da hipertens\u00e3o, diabetes, insufici\u00eancia card\u00edaca, etc. Contudo, s\u00e3o tamb\u00e9m importantes para esta diminui\u00e7\u00e3o a utiliza\u00e7\u00e3o da anti-agrega\u00e7\u00e3o plaquet\u00e1ria e anticoagula\u00e7\u00e3o na preven\u00e7\u00e3o de fen\u00f3menos cardioemb\u00f3licos.<\/p>\n

D\u00e9fice cognitivo e idade<\/h3>\n

A observa\u00e7\u00e3o m\u00e9dica deve avaliar e valorizar cada vez mais os d\u00e9fices auditivos, visuais e dos outros \u00f3rg\u00e3os dos sentidos que acompanham a evolu\u00e7\u00e3o natural do processo de envelhecimento. E contribuem para o crescente d\u00e9fice cognitivo. Mas, podemos ainda reduzir a incid\u00eancia das outras causas de dem\u00eancia n\u00e3o Alzheimer.<\/p>\n

Como reduzir o risco de dem\u00eancia?<\/h4>\n

Reduzir a ingest\u00e3o de sal, excesso de \u00e1lcool, tabaco, drogas, benzodiazepinas, anti\u00e1cidos e ter uma dieta equilibrada s\u00e3o os segredos para minimizar o risco de dem\u00eancia.<\/p>\n

De acordo com algumas investiga\u00e7\u00f5es, sabemos que nas pessoas com menor escolaridade, o Alzheimer evolui mais r\u00e1pido. A reserva cognitiva \u00e9 vari\u00e1vel de pessoa para pessoa. Al\u00e9m destes fatores, hoje \u00e9 consensual que se devem criar ambientes confort\u00e1veis e familiares que facilitem a estimula\u00e7\u00e3o cognitiva. Ler, jogar, conviver com os amigos, pensar e andar s\u00e3o atividades que estimulam o nosso c\u00e9rebro e contribuem para o retardar do processo demencial.<\/p>\n

Por exemplo, quando fazemos um movimento f\u00edsico, como simplesmente andar ou quando nos \u00e9 realizada uma massagem muscular estimulamos eletricamente o c\u00f3rtex cerebral.<\/p>\n

Em suma, uma car\u00edcia, um abra\u00e7o, um beijo estimulam da mesma forma outras \u00e1reas do c\u00f3rtex cerebral, n\u00e3o menos importantes.<\/p>\n

Vamos pensar nisto e reduzir assim o decl\u00ednio cognitivo?<\/p>\n

 <\/p>\n

Artigo de Joaquim Machado C\u00e2ndido<\/a>, diretor cl\u00ednico da Andar Clinic, sobre a Doen\u00e7a de Alzheimer.<\/strong><\/h6>\n","protected":false},"excerpt":{"rendered":"

O Aumento da Esperan\u00e7a M\u00e9dia de Vida, a Dem\u00eancia e o Alzheimer Em Portugal o n\u00famero e a percentagem de pessoas com dem\u00eancia \u00e9 crescente, fruto do aumento da esperan\u00e7a m\u00e9dia de vida que tem sido significativa e associada \u00e0 redu\u00e7\u00e3o da natalidade. No entanto, se analisarmos as dem\u00eancias por idade e por sexo, observamosLeer M\u00e1s<\/p>\n","protected":false},"author":3,"featured_media":2328,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","footnotes":""},"categories":[38,41],"tags":[43,59,57,58],"class_list":["post-2326","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-noticias","category-patologias-neurologicas","tag-alzheimer","tag-doenca","tag-memoria","tag-prevencao"],"yoast_head":"\nDoen\u00e7a de Alzheimer e o aumento da Esperan\u00e7a M\u00e9dia de Vida<\/title>\n<meta name=\"description\" content=\"Doen\u00e7a de Alzheimer \u00e9 a dem\u00eancia mais frequente e o fator de risco principal \u00e9 a idade. Mas ser\u00e1 poss\u00edvel prevenir a dem\u00eancia? 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