如何在MS中管理思维和内存问题

认知赤字 - 处理信息,学习和记忆的问题 - 在MS中很常见,但一些实用的解决方案可以提供帮助。

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写下东西可以帮助你记住它们。 Jamie Grill/Getty Images

“最艰难的是,艾伦常常不记得她在做什么,”弗里德曼42岁,曾在旧金山的妻子的多发性硬化(MS)支持小组最近。“她会送一个锅烹饪,永远不会想到它,直到烟雾报警出现。她会和你谈论,完全忘记她所说的话。这对我们俩都很难。“

艾伦,45岁是前学校老师。

艾伦的损失被称为“认知挑战的关注cit.” Other cognitive (thinking) deficits include difficulty learning new information and remembering it, slowed processing of information, and problems with planning and organization.

According to a论文发表于2018年10月的问题多发性硬化症杂志和endorsed by the National Medical Advisory Board of theNational Multiple Sclerosis Society (NMSS)as well as the International Multiple Sclerosis Cognition Society, cognitive deficits affect up to 65 percent of有女士的人.

As with other女士的症状,认知赤字可以从非常轻微到严重。早期和正在进行的认知变化的筛选可以帮助识别在家和工作中管理它们的问题和战略。

就像physical symptoms of MS, cognitive symptoms result from damage to the myelin covering of nerve fibers in the brain and the nerve fibers themselves. Since the areas of damage are different in different people, the effects on cognition vary from person to person.

Depending on the cognitive symptoms you’re experiencing and their severity, the following suggestions may help you manage your symptoms, minimize their impact on your life, and prevent new symptoms.

To Stay Focused, Avoid Multitasking

Nicholas Larocca,博士,心理学家和NMSS的顾问,说:“在MS,分开注意任务,或者一次关注多件事,经常受到影响。”

To improve your ability to focus on any one task, don’t multitask!

Ellen has learned to apply this rule to avoid burning things. “I stay in the kitchen until everything is finished and turned off,” she says. “Or if I can’t do that, I set a timer to remind me to check in, even if I’m just boiling water.”

当Ellen驱动器时,她说:“我离开收音机,不要和人交谈。如果有乘客,我让他们保持安静。每次旅行都让我的GPS提醒我,让我在哪里。我必须保持简单的东西,但它有效。“

Conversations usually go better if the participants are focused on what’s being said.rosalind kalb,phd, a psychologist and a consultant for the NMSS in New York City, recommends “taking conversations into a quiet place, keeping eye contact with people you are talking to, turning off the television, and removing other distracting stimuli.”

即使你没有试图一次做两个或更多的事情,你也可以分散你的任务的噪音或活动,并且分心是注意力杀手。

When you need to concentrate on something, consider wearing earplugs to cut out background noise. If possible, take “mind breaks” in a dark, quiet environment when you need to.

写下它以记住它

Louise Fletcher, 61, a librarian from Vallejo, California, has had progressive MS for 20 years. She says her memory is “not good, but I’m very organized.” She keeps little notebooks for different parts of her life. She has books for each child and grandchild, and for shopping, home repair, cleaning, and her art projects. She consults her notebooks regularly and writes everything she needs to remember in the appropriate book.

Fletcher也将她的“写下”练习练习烹饪。她忘记了食谱并忘记了她已经做过的菜,所以她是她最喜欢的食谱的许多副本。当她烹饪时,她在指示中跨越每一步,直到她完成一切。

用于管理认知症状的其他提示

A number of other self-help measures, as well as a couple to discuss with your healthcare provider, can help with other mental tasks if you’re having trouble, the NMSS recommends:

组织你的环境We’re not all natural organizers like Fletcher. But having a place for everything and being consistent in where you put things will make it easier to find what you want.

注意你的心情抑郁症是MS最常见的症状之一,可以影响你的认知。全国MS Society推荐早期和正在进行的抑郁症,以识别和解决显着的情绪变化。

放松bob bet体育 you are, the better your focus will be. Try meditating, praying, practicing yoga, petting an animal, or doing relaxation exercises to lower yourstress levels.According to the Mayo Clinic, relaxation techniques can reduce fatigue and improve concentration and mood.

RELATED:对多发性硬化症的人的康复

Getting Enough Sleep得到足够的睡眠保护您的能量商店。疲劳带来了认知问题,所以拯救你的努力思考,以获得更多休息时间。频繁地从精神任务中休息。

Training Your BrainExercising your mind is an important part of staying healthy with MS, and there’s some evidence, per astudy published in July 2018 in the journalDisability and Health Journal,计算机辅助认知培训计划可能有所帮助。

但这些程序与在线销售的商业上可用的“脑训练”游戏不同,其中一些可能有助于,其中一些可能不会。例如,2016年1月的储存创造者达成协议,支付200万美元以结算联邦贸易委员会的收费,声称他们被欺骗了减少或延迟认知下降的毫无根据的索赔。

另一方面,一个学习于2015年6月在杂志中发表的Neurorehabilitation and Neural Repair重点关注任天堂游戏脑年龄建议它可能改善认知功能和认知疲劳。

参与各种非充实的智力活动,如阅读,演奏拼写,或者在你的头脑中做算术也可以帮助保持你的思想健康。

寻求认知康复Talk to your doctor about seeing a rehabilitation specialist for an evaluation. Depending on the results, you may be referred for treatment to a neuropsychologist, occupational therapist, or speech language pathologist.

Additional reporting by Brian P. Dunleavy.

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