AIDS and Cognitive Impairment, is a subject that also concerns me. Even though I fight for all it seems very natural, at least once or twice, I do it for myself, and for some people who have the same concerns, even better justified because some of these people were born with the virus and have an expectation equal to that of any other person, although, in this way, they were born with HIV or AIDS
And it's Well That's why I have some texts on certain aspects or "spectra of the question itself which is:
HIV, AIDS and Cognitive Impairment
So you may have noticed changes such as less attention span, slowness in information processing, less fluency in language use, less ability to plan and organize everyday life, or lapses in memory.
but understand, most people in their 50, 60 and 70 years begin to notice some lapses in memory or slower thinking.
Cognitive Compromise Is A Natural Thing, A Fact Of Life And Result Of The Corrosive Effect Of Time
These changes are a normal part of getting older..
And yet, I did not get it.
In this way, I was devastated because, the other day, in a consultation with a neurosurgeon and he said, looking at Mara, and not at me, that I suffered or had, I do not know, a loss of brain mass higher than expected for my age!
And he commented on the cavernoma, as a a medical finding, a laboratory finding, saying so, and that it would only be a problem if it were to burst.
I remember having asked how to know and he had looked at me and saying, almost tacitly:
You will know!…
Well, from this second sentence I could understand that I will certainly have a stroke and I will remember the speech and looks of it, I realize what he said more with his eyes than with his voice!
However, he explained to Mara, even the reasons for needing a cane, which are given or should be, I do not know, I do not quite understand, that this is due to the fact that I no longer have an adequate perception of the space, and somehow I can not figure out whether or not I've touched the ground with my foot!
In fact, this is one of the many details that I do not understand easily or naturally!
Pow! I'm not Job !!! Cognitive commitment too! Catso!
And all this knocked me down, made me very sad, scared and scared!
Then down, and then natural and finally I got depressed.
And I could not follow, and I had to have a talk about Zap from about 30 to 40 minutes with Maira, my analyst!
She literally caught me after a long and endless court ritual, where I could really feel that I could trust her, just as one day I was absolutely sure that I could trust Éline!
And that the monkeys will bite me if I do not recognize that it is Éline was the professional person who opened for Maira the way to the basements of my psyche!
Not yet!!!! Not Yet !!! No, Nan Nanão!
Yes Yes! She made me see that, despite the regrets, it does not seem, I venture to say, that I had a significant loss of brain mass, important enough not to be here, writing, translating, talking to people, being multi- tasks much better than Windows 95, for example! And, in truth, I can compete with XP, but from then on they have improved and I use 10 for contractual impositions and I am crazy about life because I know that I can not work without having the cursed ones here, doing "back door" on my machine!
I have Mara, who loves me more than I deserve and whom I love in the best way possible, with all the strength I have, living and learning, following the intelligent speech that I learned at the price of a lot of pain and tears:
Love is Living Show
And today I have a great emotional support island, which helps me to keep the scales, more or less in order, even now, with her being so far, from the territorial physical point of view! Justice be made to Steve Jobs, who really recreated the world!
And Makes you talk can deserve very costly financial with anyone anywhere in the world at any time Just enough that you want to do this!
Steve Jobs: "Both Nominum Nulum Par Elogium"
You see, you live with HIV or AIDS and Cognitive Impairment is Dose for 236 Mammoths and 22 White Rabbits in the Snow!
This is sad, sullen, painful and this desperate ....
But it's the way God has decided that I should lead the world!
And for the truth, I'm even happy because he gives me problems, because every problem that he presents me leads me indefinitely, to a search for a solution that I find, more day, less day!
If I Heard of the Ears, there would be those who accuse Me of Superb! TIC Tac….
This one you notice if some cognitive impairment, like me, looks for other resources!
I have used Google Calendar!
And also has used Outlook calendar!
And in one way or another, just like you or anyone else, you can take ...
Let's continue reading the text ...
But if someone has more of these difficulties than other people of the same age, this can be described as cognitive impairment.
Cognitive impairment can have a wide range of causes.
While we often think of the mind and body as separate spheres, our physical health has a major impact on our cognitive processes. Cognitive impairment is usually caused by physical changes and diseases in the brain.
One form of cognitive impairment is linked to HIV infection.
But people living with HIV may have cognitive impairment due to other causes.
Some of the most important causes are:
- Cognitive disorders induced by alcohol or drugs.
- Alcohol and recreational drugs can damage brain cells and disrupt the body's processes, especially when they are used regularly over a long period of time.
This can have a long-term effect on cognitive function (not just when you're drunk or loud).
- Other mental health problems.
Your symptoms may include:
- lapses of memory,
- problems of concentration,
- slowness of reasoning
- and difficulty solving problems.
Cognitive vascular compromise, caused by small vessel disease, stroke and other conditions that reduce blood flow to the brain, depriving brain cells of vital oxygen and nutrients.
High blood pressure, diabetes, smoking, and high cholesterol are risk factors for vascular cognitive impairment.
Alzheimer's disease, in which abnormal structures called plaques and tangles damage and kill brain cells.
Cognitive disorder associated with HIV, sometimes called neurocognitive disorder associated with HIV or HAND.
How and when does AIDS and Cognitive Compromise manifest together?
This occurs when HIV itself (or the immune system's response to HIV) directly affects the brain and causes cognitive disorders.
This form of cognitive impairment is more common in people who have had a low CD4 count before starting treatment for HIV. I got to 350, little else. Damn governments! All. All of them!
In addition, instead of having a single cause, cognitive impairment usually seems to result from a combination of factors.
For example, a person's heavy drinking, clogged arteries, and low CD4 history may contribute to their cognitive problems. Many of the risk factors for cognitive impairment can be treated or changed.
When dealing with them, it may be possible to reduce the risk of problems or prevent problems from worsening.
If you have mild cognitive impairment, this does not necessarily mean that the situation will progress to a more serious impairment, which interferes with your daily life and your independence (known as dementia).
Maira made me see that! And Mara Tamem! I usually need a network of female mental guidance people to give me the strength to move. (In therapy with Eline).
And based on what we talked about I did the research that brought me to this and a few other texts, which I will publish of "permeio with others", before this becomes the Blog of the crazy Seropositive !!!
In particular, in people receiving effective treatment for HIV, cognitive impairment associated with HIV does not progress to dementia. (The most serious disease, known as HIV-associated dementia, is now almost never seen except in people who are diagnosed with HIV at a very late stage with a very low CD4 cell count).
You can make changes in lifestyle and reduce the progression of your cognitive impairment and even reduce the risk of evolution of this cognitive impairment.
Usually things recommended to protect your heart health also protect your cognitive abilities.
It is also important to continue to be socially connected and mentally engaged.
If you are beginning to have problems with cognitive impairment, the same lifestyle changes will help prevent problems from worsening.
Limit your intake of alcohol and recreational drugs. Avoid drinking in excess (drink too much alcohol in a short time).
Eat a healthy and balanced diet with lots of vegetables, fruits, beans, whole grains and fish. Try to reduce saturated fat (eg cakes, biscuits, cheese) and limit the amount of red meat and processed meat you eat. Reduce your intake of foods high in sugar or salt.
You should aim to do at least 150 minutes of moderate aerobic activity every week (for example, 30 minutes in five days a week - Me and Mara do more! "Old men of war in this fight" and in life as well). Moderate activity will increase your heart rate and make you breathe faster and feel warmer. It includes activities like fast walking, dancing, gardening and cycling. Studies show that regular physical exercise in middle-aged or elderly adults reduces the risk of developing dementia.
Lose weight if you are overweight.
Do not smoke.
Keep your brain active with jigsaw puzzles, quizzes, reading, learning a new skill or anything else that you enjoy that stimulates your mind. Stay socially active.
Strive to see friends and family, participate in activities, join a club, or volunteer at a charity. It is important to strengthen and broaden social networks as you age.
Who is at risk for Cognitive impairment?
The risk of cognitive problems increases as you get older. Because of genetic factors, you are most at risk if a close relative has had cognitive impairment or dementia.
Women are at higher risk.
Having any of these health conditions puts you at increased risk:
- high cholesterol,
- high pressure,
- atherosclerosis (hardening of the arteries),
- stroke or
- Transient ischemic attack (mini-stroke).
- Having had depression earlier increases the risk of cognitive impairment later in life.
The lifestyle factors mentioned in the previous section are also important.
Cognitive impairment in people living with HIV
In addition to the risk factors mentioned above, having a very low CD4 count increases the risk of cognitive impairment associated with HIV.
This may have happened before being diagnosed with HIV and receiving treatment.
Good adherence to effective HIV treatment reduces risk.
"Dementia associated with HIV is now very rare.
This is due to the widespread use of effective HIV treatment. "
At First Sight You Can Be Scared
You can hear about the results of research on cognitive impairment in people with HIV who sound worrying. These research findings need to be carefully interpreted.
In particular, it is important to take note of how cognitive problems are defined. For example, they can be described as:
- asymptomatic - minor changes that are not noticeable in mild daily life - minor problems that have a limited impact on daily life
- Dementia generates more serious problems that significantly interfere with daily life.
Studies are often based on cognitive tests that can detect small declines in memory and thought processes, but these changes may not have any significant impact on people's lives.
Recent studies have compared cognitive function in people living with HIV and in people HIV-negative age, education and similar lifestyle.
They showed small differences in the results of cognitive tests. But we do not know if these small differences are related to real difficulties in carrying out day-to-day tasks.
Researchers do not agree if people with asymptomatic impairment tend to have mild impairment.
On the other hand, we know that dementia associated with HIV is now very rare. This is due to widespread use of effective HIV treatment.
Symptoms - The Damn Word
The different cognitive disorders present different symptoms. For example, severe cases of cognitive disorders associated with HIV tend to affect decision making, concentration, multitasking, and physical coordination.
This is different from Alzheimer's disease, which is characterized by memory problems.
The symptoms may be noticed by you, your partner, your friends, or your family. They can be light and subtle. The symptoms can be fluctuating, which means they come and go. Many people who experience these symptoms feel that the situation improves with time.
Symptoms of various types of cognitive impairment may include:
- You lose your line of thought or the thread of conversations, books or movies.
- You find it harder to make decisions or figure out how to complete a task.
- You forget about information you used to remember easily, such as appointments, conversations, or recent events.
- It takes you longer to find the right word for something.
- You become more impulsive or show a worse judgment
- . Do you have problems with gait, balance or control of muscles
- . You have trouble noticing the visual depth - for example, struggling to assess distances or navigate the stairs.
Your doctor will use a range of information to assess your cognitive function and identify the cause of any problem. You will be asked to do some simple tests of memory, mental processing, and physical coordination.
Cognitive Commitment and Personal Life
You will be asked how the symptoms are affecting your daily life. You can consult a specialist for a more detailed series of written or computerized tests to assess your degree of difficulty with different types of problems.
This can also help identify the type of cognitive disorder, because different parts of the brain are important for different abilities.
Your doctor should consider all possible causes of cognitive problems by reviewing your medical history.
You may need to do additional blood tests to see if an infection, chemical imbalance, or vitamin deficiency is contributing to your difficulties.
A brain scan (usually an MRI) can be used to look for causes such as strokes or tumors.
I already made two. News
Your doctor may recommend a lumbar puncture - this involves a needle being inserted into the lower back to take a sample of the fluid that surrounds the brain and spinal cord (called the cerebrospinal fluid or CSF).
This fluid is checked for infections and for evidence that HIV treatment is working in the brain.
I've been through it several times. The last one was made by a mashed banana that made a mistake (sic) and stuck in a nervous teminal. If until the publication of this text, foreseen for 30 / 01 / 2019 I am able to tell what I passed, I write. For now I just let it go and scream for ten minutes. And I heard my own voice yelling! repeatedly as if I were miles, miles and miles away! Ten minutes of delirium that even the rebound of a lysergic trip did not provoke me. And see that I stopped on the rebound of the first !!!
The results of these tests can be monitored over time. Treatment and treatment. treatment plus treatment!
Neurocognitive Lifestyle and Commitments
If medical problems or lifestyle factors may be contributing to cognitive impairment, it is important to deal with them.
For example, you may need help coping with depression or anxiety, taking medicines to lower high cholesterol or high blood pressure, or reducing alcohol and recreational drug use.
If your problems seem to be linked to HIV, a vital part of treatment is to optimize your treatment for HIV.
If you are not yet taking HIV treatment, you should start. so it's important to test yourself!
If you do not have an undetectable viral load, you may need help with membership to achieve this.
It is not always adherence.
Your doctor may use a lumbar puncture to check if the viral load in the cerebrospinal fluid is also undetectable and if there are no signs of virus resistant to your anti-HIV medicines.
It takes the work together between you and the specialized doctors when it is a neurocognitive problem!
Record the appointments, ask them to write to your other doctors. if the doctor does not cooperate in this training, in the formation of a network, do not look for him after he or she become unnecessary. look for another, ask for a copy of your medical history and seek the support of another medical professional, better disposed, who does not find the damn know-it-all and also does not suffer from Dementia Deity Syndrome, an obvious non-diagnosable psychiatric disorder because the patient is the doctor !!!
Doctors specializing in diseases that affect the brain and nerves are called neurologists.
A neuropsychologist is a psychologist specializing in changes in thinking and behavior that result from diseases that affect the brain. A neuro-psychiatrist is a physician trained in the field of psychiatry and specializes in diseases that affect the brain.
Psychiatry is not crazy medicine. I have been psychiatrically treated for over 15 years, and in theory, and only in thesis, I am not crazy. or am. after all, a person who draws from his pocket financial resources to be able to pay to work certainly does not hit the cuca well!
Rehabilitation can be provided to help you learn ways to deal with cognitive impairment. Occupational therapists can help with day-to-day activities; speech-language pathologists with communication problems; and psychologists with emotional and mental health problems.
Cognitive impairment and HIV not Aidsmap By Cláudio Souza
Aerosmith - The World
To support the Alzheimer's Society provides information on all types of cognitive impairment and dementia.
Their site is www.alzheimers.org.uk and you can contact the service team at 0300 222 1122.
Of course they take care of things there. I'll try to figure out where this is done here. Again, I repeat. I work alone and that sucks at these times.