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xs-font-weight:600;--heading-kaupat_xs-line-height:19px;--heading-kaupat_xs-letter-spacing:0.1px;--body-kaupat_xs-font-family:var(--kaupat-font-family-sans);--body-kaupat_xs-font-size:14px;--body-kaupat_xs-font-weight:400;--body-kaupat_xs-line-height:20px;--body-kaupat_xs-letter-spacing:-0.1px;--body-kaupat_xs-text-transform:none;--bold-font-weight-for-body-kaupat_xs:600;--body-kaupat_s-font-family:var(--kaupat-font-family-sans);--body-kaupat_s-font-size:16px;--body-kaupat_s-font-weight:400;--body-kaupat_s-line-height:22px;--body-kaupat_s-letter-spacing:-0.1px;--body-kaupat_s-text-transform:none;--bold-font-weight-for-body-kaupat_s:600;--body-kaupat_m-font-family:var(--kaupat-font-family-body);--body-kaupat_m-font-size:16px;--body-kaupat_m-font-weight:400;--body-kaupat_m-line-height:22px;--body-kaupat_m-letter-spacing:-0.1px;--body-kaupat_m-text-transform:none;--bold-font-weight-for-body-kaupat_m:700;--body-kaupat_l-font-family:var(--kaupat-font-family-sans);--body-kaupat_l-font-size:18px;--body-kaupat_l-font-weight:400;--body-kaupat_l-line-height:24px;--body-kaupat_l-letter-spacing:0px;--body-kaupat_l-text-transform:none;--bold-font-weight-for-body-kaupat_l:700;--label-kaupat_xs-font-family:var(--kaupat-font-family-sans);--label-kaupat_xs-font-size:12px;--label-kaupat_xs-font-weight:600;--label-kaupat_xs-line-height:14px;--label-kaupat_xs-letter-spacing:0px;--label-kaupat_xs-text-transform:uppercase;--label-kaupat_s-font-family:var(--kaupat-font-family-sans);--label-kaupat_s-font-size:12px;--label-kaupat_s-font-weight:600;--label-kaupat_s-line-height:14px;--label-kaupat_s-letter-spacing:0.75px;--label-kaupat_s-text-transform:uppercase;--label-kaupat_m-font-family:var(--kaupat-font-family-sans);--label-kaupat_m-font-size:12px;--label-kaupat_m-font-weight:600;--label-kaupat_m-line-height:16px;--label-kaupat_m-letter-spacing:0.75px;--label-kaupat_m-text-transform:uppercase;--label-kaupat_l-font-family:var(--kaupat-font-family-sans);--label-kaupat_l-font-size:15px;--label-kaupat_l-font-weight:600;--label-kaupat_l-line-height:18px;--label-kaupat_l-letter-spacing:1px;--label-kaupat_l-text-transform:uppercase;--heading-ads_xs-font-family:var(--terve-font-ads);--heading-ads_xs-font-size:15px;--heading-ads_xs-font-weight:700;--heading-ads_xs-line-height:20px;--heading-ads_xs-letter-spacing:0px;--heading-ads_xs-text-transform:none;--heading-ads_s-font-family:var(--terve-font-ads);--heading-ads_s-font-size:15px;--heading-ads_s-font-weight:700;--heading-ads_s-line-height:19px;--heading-ads_s-letter-spacing:0.75px;--heading-ads_s-text-transform:uppercase;--heading-ads_m-font-family:var(--terve-font-ads);--heading-ads_m-font-size:17px;--heading-ads_m-font-weight:700;--heading-ads_m-line-height:22px;--heading-ads_m-letter-spacing:0px;--heading-ads_m-text-transform:none;--heading-ads_l-font-family:var(--terve-font-ads);--heading-ads_l-font-size:22px;--heading-ads_l-font-weight:700;--heading-ads_l-line-height:27px;--heading-ads_l-letter-spacing:0px;--heading-ads_l-text-transform:none;--heading-ads_xl-font-family:var(--terve-font-ads);--heading-ads_xl-font-size:26px;--heading-ads_xl-font-weight:400;--heading-ads_xl-line-height:32px;--heading-ads_xl-letter-spacing:0px;--heading-ads_xl-text-transform:none;--heading-ads_xxl-font-family:var(--terve-font-ads);--heading-ads_xxl-font-size:32px;--heading-ads_xxl-font-weight:400;--heading-ads_xxl-line-height:34px;--heading-ads_xxl-letter-spacing:0px;--heading-ads_xxl-text-transform:none;--heading-ads_xxxl-font-family:var(--terve-font-ads);--heading-ads_xxxl-font-size:26px;--heading-ads_xxxl-font-weight:400;--heading-ads_xxxl-line-height:32px;--heading-ads_xxxl-letter-spacing:0px;--heading-ads_xxxl-text-transform:none;--body-ads_xs-font-family:var(--terve-font-ads);--body-ads_xs-font-size:16px;--body-ads_xs-font-weight:400;--body-ads_xs-line-height:24px;--body-ads_xs-letter-spacing:0px;--body-ads_xs-text-transform:none;--body-ads_s-font-family:var(--terve-font-ads);--body-ads_s-font-size:16px;--body-ads_s-font-weight:400;--body-ads_s-line-height:24px;--body-ads_s-letter-spacing:0px;--body-ads_s-text-transform:none;--body-ads_m-font-family:var(--terve-font-ads);--body-ads_m-font-size:18px;--body-ads_m-font-weight:400;--body-ads_m-line-height:24px;--body-ads_m-letter-spacing:0px;--body-ads_m-text-transform:none;--body-ads_l-font-family:var(--terve-font-ads);--body-ads_l-font-size:19px;--body-ads_l-font-weight:400;--body-ads_l-line-height:24px;--body-ads_l-letter-spacing:0px;--body-ads_l-text-transform:none;--label-ads_s-font-family:var(--terve-font-ads);--label-ads_s-font-size:12px;--label-ads_s-font-weight:400;--label-ads_s-line-height:15px;--label-ads_s-letter-spacing:0.75px;--label-ads_s-text-transform:uppercase;--label-ads_m-font-family:var(--terve-font-ads);--label-ads_m-font-size:12px;--label-ads_m-font-weight:400;--label-ads_m-line-height:16px;--label-ads_m-letter-spacing:1.2px;--label-ads_m-text-transform:uppercase;--label-ads_l-font-family:var(--terve-font-ads);--label-ads_l-font-size:14px;--label-ads_l-font-weight:700;--label-ads_l-line-height:18px;--label-ads_l-letter-spacing:0.45px;--label-ads_l-text-transform:uppercase;--color-terve-magenta-darken-50:#6e1744;--color-terve-magenta-darken-30:#9a205f;--color-terve-magenta:#d53487;--color-terve-magenta-lighten-70:#f2c2db;--color-terve-magenta-lighten-90:#fbebf3;--color-terve-viridian-darken-30:#255347;--color-terve-viridian:#3e8b77;--color-terve-viridian-lighten-70:#bfe2d9;--color-terve-viridian-lighten-90:#eaf5f2;--color-terve-kaarija:#95fc85;--color-ads-primary:#000000;--color-ads-secondary:#888888;--color-ads-stroke:#e8e8e8;--color-ads-background:#ededed;--color-surface:var(--color-universal-gray-0);--color-container:var(--color-universal-powder);--color-container-secondary:var(--color-universal-powder-lighten-70);--color-container-tertiary:var(--color-universal-gray-50);--color-container-dim:var(--color-universal-gray-900);--color-primary:var(--color-terve-magenta);--color-primary-darken:var(--color-terve-magenta-darken-30);--color-primary-lighten:var(--color-terve-magenta-lighten-70);--color-primary-lighten-secondary:var(--color-terve-magenta-lighten-90);--color-secondary:var(--color-terve-viridian);--color-secondary-lighten:var(--color-terve-viridian-lighten-90);--color-on-surface:var(--color-universal-gray-900);--color-on-surface-secondary:var(--color-universal-gray-800);--color-on-surface-tertiary:var(--color-universal-gray-700);--color-on-surface-disabled:var(--color-universal-gray-600);--color-on-container-dim:var(--color-universal-gray-100);--color-on-container-dim-secondary:var(--color-universal-gray-400);--color-on-primary:var(--color-universal-gray-0);--color-on-secondary:var(--color-terve-viridian-lighten-90);--color-on-secondary-supportive:var(--color-terve-viridian-lighten-70);--color-outline-strong:var(--color-universal-gray-400);--color-outline-primary:var(--color-universal-gray-400);--color-outline-secondary:var(--color-universal-gray-200);--color-audio-control:var(--color-terve-kaarija);--color-brand-tertiary:#000000;--color-tone-dark:#555555;--color-tone-light:#dddddd;--color-black:#1c1c1c;--color-placeholder:#e2e5dc;--block-spacing:20px;--block-gutter:var(--spacing-xl);--ads-color-primary:#000000;--ads-color-secondary:#888888;--ads-color-stroke:#E8E8E8;--ads-color-background:#EDEDED;--ads-font-family:var(--terve-font-ads);--navigation-height:64px;--brand-tag--background-color:#202020;--auth--background:transparent;--article--gutter:var(--spacing-xl);--article--block-spacing:var(--spacing-3xl);--article--block-gutter:var(--spacing-xl);--article-cover--hide-brand:false;--article-cover--gutter:var(--spacing-xl);--article-cover--title-size:xxxl;--article-cover--imagefirst-byline-body-size:xs;--article-cover--imagefirst-byline-color:var(--color-tone-dark);--article-cover--imagefirst-top-margin:0px;--article-cover--imagefirst-bottom-margin:var(--spacing-3xl);--article-cover--imagefirst-media-bottom-margin:var(--spacing-3xl);--article-cover--imagefirst-kicker-bottom-margin:var(--spacing-md);--article-cover--imagefirst-title-bottom-margin:var(--spacing-lg);--article-cover--imagefirst-description-bottom-margin:var(--spacing-2xl);--article-cover--imagefirst-meta-bottom-margin:0px;--article-cover--imagefirst-space-between-authors-and-byline:var(--spacing-sm);--article-cover--imagefirst-space-between-authors-and-publishing:0px;--article-cover--imagefirst-space-between-byline-and-publishing:var(--spacing-md);--article-cover--imagefirst-controls-top-margin:22px;--article-cover--imagefirst-controls-bottom-margin:0px;--article-cover--headlinefirst-byline-body-size:xs;--article-cover--headlinefirst-byline-color:var(--color-tone-dark);--article-cover--headlinefirst-top-margin:var(--spacing-3xl);--article-cover--headlinefirst-bottom-margin:var(--spacing-3xl);--article-cover--headlinefirst-media-bottom-margin:0px;--article-cover--headlinefirst-kicker-bottom-margin:var(--spacing-md);--article-cover--headlinefirst-title-bottom-margin:var(--spacing-lg);--article-cover--headlinefirst-description-bottom-margin:var(--spacing-2xl);--article-cover--headlinefirst-meta-bottom-margin:var(--spacing-2xl);--article-cover--headlinefirst-space-between-authors-and-byline:var(--spacing-sm);--article-cover--headlinefirst-space-between-authors-and-publishing:6px;--article-cover--headlinefirst-space-between-byline-and-publishing:var(--spacing-md);--article-cover--headlinefirst-controls-top-margin:2px;--article-cover--headlinefirst-controls-bottom-margin:var(--spacing-3xl);--article-cover--video-byline-body-size:xs;--article-cover--video-byline-color:var(--color-tone-dark);--article-cover--video-top-margin:0px;--article-cover--video-bottom-margin:var(--spacing-3xl);--article-cover--video-media-bottom-margin:var(--spacing-3xl);--article-cover--video-kicker-bottom-margin:var(--spacing-md);--article-cover--video-title-bottom-margin:var(--spacing-lg);--article-cover--video-description-bottom-margin:var(--spacing-2xl);--article-cover--video-meta-bottom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https://assets.terve.fi/fj4t07ricqpm/29729-thinkstockphotos-530439738/4e8ec60f4edcb9664b9cb80f54a5b249/thinkstockphotos-530439738_yPn4T.jpg?w=828&q=75 828w, https://assets.terve.fi/fj4t07ricqpm/29729-thinkstockphotos-530439738/4e8ec60f4edcb9664b9cb80f54a5b249/thinkstockphotos-530439738_yPn4T.jpg?w=1080&q=75 1080w, https://assets.terve.fi/fj4t07ricqpm/29729-thinkstockphotos-530439738/4e8ec60f4edcb9664b9cb80f54a5b249/thinkstockphotos-530439738_yPn4T.jpg?w=1200&q=75 1200w, https://assets.terve.fi/fj4t07ricqpm/29729-thinkstockphotos-530439738/4e8ec60f4edcb9664b9cb80f54a5b249/thinkstockphotos-530439738_yPn4T.jpg?w=1920&q=75 1920w, https://assets.terve.fi/fj4t07ricqpm/29729-thinkstockphotos-530439738/4e8ec60f4edcb9664b9cb80f54a5b249/thinkstockphotos-530439738_yPn4T.jpg?w=2048&q=75 2048w, https://assets.terve.fi/fj4t07ricqpm/29729-thinkstockphotos-530439738/4e8ec60f4edcb9664b9cb80f54a5b249/thinkstockphotos-530439738_yPn4T.jpg?w=3840&q=75 3840w" src="https://assets.terve.fi/fj4t07ricqpm/29729-thinkstockphotos-530439738/4e8ec60f4edcb9664b9cb80f54a5b249/thinkstockphotos-530439738_yPn4T.jpg?w=3840&q=75"/></div></div><div class="sc-72bf6301-2 kJimZN"></div><div class="sc-72bf6301-8 bwVUUx is-label-m"><span>Sairaudet</span></div><h1 class="sc-72bf6301-9 dwtAfJ is-heading-xxxl">Alzheimerin tauti</h1><p class="sc-72bf6301-13 dmbACd is-body-l">Nämä ovan Alzheimerin taudin oireet. Näin Alzheimerin tauti etenee (alkuvaihe, keskivaihe, loppuvaihe). Tietoa Alzheimerin taudin hoidosta ja lääkkeistä. Lue lisää Alzheimerin taudista.</p><div class="sc-72bf6301-14 cyvIAa is-body-xs"><div class="sc-72bf6301-15 jMKBIZ"><div class="sc-72bf6301-16 bfssT">Teksti <a href="/tekijat/toimitus" target="_self" class="sc-2e5fe484-0 fyMPqx sc-72bf6301-17 dgMPSy is-body-xs">Toimitus</a></div></div><div class="sc-72bf6301-20 dowivJ">10.11.2005<span class="sc-72bf6301-22 kRLIBl"> Terve.fi</span></div><div class="sc-72bf6301-21 fXFzCs"><button data-click-element-name="CommentButton" class="sc-8321e76-0 deaxNn sc-41d1ad8f-0 cJmjrh sc-e9b849f8-0 fiyGXt is-secondary is-medium is-square is-label-l"><svg aria-hidden="true" focusable="false" data-prefix="fas" data-icon="comment" class="svg-inline--fa fa-comment " role="img" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 512 512"><path fill="currentColor" d="M512 240c0 114.9-114.6 208-256 208c-37.1 0-72.3-6.4-104.1-17.9c-11.9 8.7-31.3 20.6-54.3 30.6C73.6 471.1 44.7 480 16 480c-6.5 0-12.3-3.9-14.8-9.9c-2.5-6-1.1-12.8 3.4-17.4l0 0 0 0 0 0 0 0 .3-.3c.3-.3 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href="mailto:?subject=Alzheimerin tauti&body=https%3A%2F%2Fwww.terve.fi%2Fartikkelit%2Falzheimerin-tauti" target="_blank" class="sc-2e5fe484-0 fyMPqx sc-41d1ad8f-0 cJmjrh sc-7a3e8887-0 ckTxXj is-secondary is-medium is-round is-label-l"><svg aria-hidden="true" focusable="false" data-prefix="fal" data-icon="envelope" class="svg-inline--fa fa-envelope " role="img" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 512 512"><path fill="currentColor" d="M64 96c-17.7 0-32 14.3-32 32v39.9L227.6 311.3c16.9 12.4 39.9 12.4 56.8 0L480 167.9V128c0-17.7-14.3-32-32-32H64zM32 207.6V384c0 17.7 14.3 32 32 32H448c17.7 0 32-14.3 32-32V207.6L303.3 337.1c-28.2 20.6-66.5 20.6-94.6 0L32 207.6zM0 128C0 92.7 28.7 64 64 64H448c35.3 0 64 28.7 64 64V384c0 35.3-28.7 64-64 64H64c-35.3 0-64-28.7-64-64V128z"></path></svg></a></div></div></div></div></div><div style="margin:0" class="is-block align-wide has-inner-container" data-element-name="PlacementBlock"><div class="inner-container"><div><template data-dgst="BAILOUT_TO_CLIENT_SIDE_RENDERING"></template></div></div></div><div class="is-block align-full has-inner-container" data-element-name="RichTextBlock"><div class="inner-container"><div data-element-name="RichText" class="sc-d030e146-0 jOdNZB sc-4bf7534e-0 NzdhI"><p class="sc-e683d47a-0 kZdJxS is-block is-body-m">Yleensä ei tiedetä, koska Alzheimerin tauti alkaa, sillä ensimmäisiä oireita on vaikea tunnistaa. Taudin kesto on keskimäärin kymmenen vuotta, mutta se voi vaihdella viidestä vuodesta 20 vuoteen.</p><p class="sc-e683d47a-0 kZdJxS is-block is-body-m">Alzheimerin tauti on yleisin dementiasairaus. Se on aivojen rappeumasairaus.</p><p class="sc-e683d47a-0 kZdJxS is-block is-body-m">Tauti voi alkaa alle 50-vuotiaana, Suomessa työikäisiä Alzheimer- potilaita on noin 7000, mikä on enemmän kuin esimerkiksi MS-potilaita. Suomalaisista 65-67 vuotiaista Alzheimerin tautia sairastaa 2 prosenttia ja yli 85-vuotiaista jo 35 prosenttia. Vuosittain Suomessa todetaan noin 12000 uutta sairaustapausta.</p><div style="margin:0" class="is-block align-wide has-inner-container" data-element-name="PlacementBlock"><div class="inner-container"><div><template data-dgst="BAILOUT_TO_CLIENT_SIDE_RENDERING"></template></div></div></div><h2 class="is-block is-heading-l">Varmat Alzheimertin taudin syyt:</h2><div class="is-block has-inner-container" data-element-name="ListBlock"><div class="inner-container"><ul class="sc-e80d783-0 iQVjkY is-body-s unordered"><li>korkea ikä</li><li><a data-click-element-name="RichTextAnchor" href="https://www.terve.fi/teemat/dementia" target="_self" class="sc-2e5fe484-0 fyMPqx sc-4bf7534e-1 iJBQIU">dementia</a> lähisuvussa</li><li>Downin syndrooma</li><li>apolipoproteeini E-alleelin 4-muoto (ApoE E4)</li><li>tietyt geenivirheet</li></ul></div></div><div style="margin:0" class="is-block align-wide has-inner-container" data-element-name="PlacementBlock"><div class="inner-container"><div><template data-dgst="BAILOUT_TO_CLIENT_SIDE_RENDERING"></template></div></div></div><h2 class="is-block is-heading-l"><strong>Todennäköiset Alzheimerin taudin syyt: </strong></h2><div class="is-block has-inner-container" data-element-name="ListBlock"><div class="inner-container"><ul class="sc-e80d783-0 iQVjkY is-body-s unordered"><li>aivovammat</li><li>matala koulutustaso</li><li>aiemmin sairastettu <a data-click-element-name="RichTextAnchor" href="https://www.terve.fi/teemat/masennus" target="_self" class="sc-2e5fe484-0 fyMPqx sc-4bf7534e-1 iJBQIU">masennus</a></li><li><a data-click-element-name="RichTextAnchor" href="https://www.terve.fi/teemat/verenpaine" target="_self" class="sc-2e5fe484-0 fyMPqx sc-4bf7534e-1 iJBQIU">verenpainetauti</a></li><li>korkea <a data-click-element-name="RichTextAnchor" href="https://www.terve.fi/teemat/kolesteroli" target="_self" class="sc-2e5fe484-0 fyMPqx sc-4bf7534e-1 iJBQIU">kolesteroli</a></li><li>sokeriaineenvaihdunnan häiriö</li><li>aivoverenkiertohäiriöt</li><li>estrogeeni</li><li>antioksidantit, erityisesti <a data-click-element-name="RichTextAnchor" href="https://www.terve.fi/artikkelit/e-vitamiini-tokoferoli" target="_self" class="sc-2e5fe484-0 fyMPqx sc-4bf7534e-1 iJBQIU">E-vitamiini</a>, <a data-click-element-name="RichTextAnchor" href="https://www.terve.fi/artikkelit/c-vitamiini-eli-askorbiinihappo" target="_self" class="sc-2e5fe484-0 fyMPqx sc-4bf7534e-1 iJBQIU">C-vitamiini</a></li><li><a data-click-element-name="RichTextAnchor" href="https://www.terve.fi/sanastot/statiini" target="_self" class="sc-2e5fe484-0 fyMPqx sc-4bf7534e-1 iJBQIU">statiinit</a> (kolesteroliin vaikuttavia lääkeaineita)</li><li><a data-click-element-name="RichTextAnchor" href="https://www.terve.fi/artikkelit/tulehduskipulaakkeet-potilasohje" target="_self" class="sc-2e5fe484-0 fyMPqx sc-4bf7534e-1 iJBQIU">tulehduskipulääkkeet</a></li><li>koulutus</li><li>harrastukset (vireys)</li><li>liikunta</li><li>toimiva sosiaalinen verkosto</li></ul></div></div><div style="margin:0" class="is-block align-wide has-inner-container" data-element-name="PlacementBlock"><div class="inner-container"><div><template data-dgst="BAILOUT_TO_CLIENT_SIDE_RENDERING"></template></div></div></div><p class="sc-e683d47a-0 kZdJxS is-block is-body-m">Tyypillinen ensioire on uuden asian oppimisvaikeus, mikä voidaan todeta muistitesteissä, joita suoritetaan terveyskeskuksissa, neurologian poliklinikoilla ja yksityisen neurologin vastaanotolla. Muistihäiriöitä seuraavat toiminnan ohjauksen, kielellisen ilmaisun ja hahmottamisen vaikeudet. Myöhemmin selviytyminen arkitoimista heikkenee: ruuan valmistaminen unohtuu, lehtiä ja papereita alkaa kerääntyä pinoihin, siivous jää tekemättä ja laskut maksamatta. Vähitellen tulee käytöshäiriöitä ja lopulta edessä on laitoshoito. Sairauden edetessä potilaan sairaudentunto heikkenee.</p><div style="margin:0" class="is-block align-wide has-inner-container" data-element-name="PlacementBlock"><div class="inner-container"><div><template data-dgst="BAILOUT_TO_CLIENT_SIDE_RENDERING"></template></div></div></div><p class="sc-e683d47a-0 kZdJxS is-block is-body-m">Alzheimerin taudissa tavallaan “ovi muistiin” alkaa vähitellen sulkeutua. Tällöin ovella tarkoitetaan aivojen sisemmässä ohimolohkossa sijaitsevia ns. entorinaalisen kuorikerroksen suuria pyramidisoluja ja hippokampusta. Oven sulkeutuessa rappeumamuutoksia on havaittavissa aiemmin mainituissa pyramidisoluissa – niitä kuolee, jolloin niiden määrä vähenee. Jo Alzheimerin taudin varhaisvaiheessa niiden lukumäärä on vähentynyt puoleen. Lisäksi hippokampus pienenee merkittävästi. Muutokset voidaan havaita potilaasta otetuissa aivojen magneettikuvissa (ks. kuvat). On kuitenkin hyvä muistaa, että vaikka ovi muistiin alkaa sulkeutua, portti järkeen ei mene samanaikaisesti kiinni.</p><div style="margin:0" class="is-block align-wide has-inner-container" data-element-name="PlacementBlock"><div class="inner-container"><div><template data-dgst="BAILOUT_TO_CLIENT_SIDE_RENDERING"></template></div></div></div><p class="sc-e683d47a-0 kZdJxS is-block is-body-m">Alzheimerin tauti etenee yksilöllisesti eri potilailla. Potilas saattaa kokea esimerkiksi muistihäiriöitä jo monta vuotta ennen kuin tauti diagnosoidaan. Diagnoosin jälkeen tauti etenee osalla potilaita nopeasti 2-3 seuraavan vuoden aikana. Toisilla eteneminen on vaiheittaisempaa ja tapahtuu pidemmällä aikavälillä (noin 7 vuotta).</p><p class="sc-e683d47a-0 kZdJxS is-block is-body-m">Vaikka Alzheimerin tauti on yksilöllinen sairaus, seneteneminen voidaan jakaa kolmeen eri vaiheeseen.</p><div style="margin:0" class="is-block align-wide has-inner-container" data-element-name="PlacementBlock"><div class="inner-container"><div><template data-dgst="BAILOUT_TO_CLIENT_SIDE_RENDERING"></template></div></div></div><div class="is-block has-inner-container" data-element-name="ListBlock"><div class="inner-container"><ul class="sc-e80d783-0 iQVjkY is-body-s unordered"><li>lähimuisti heikkenee (uuden oppiminen vaikeutuu ja unohtaminen lisääntyy)</li><li>ympäristön hahmottaminen vaikeutuu, potilas eksyy helposti etenkin vieraassa ympäristössä</li><li>ajantaju häviää</li><li>sanojen löytäminen vaikeutuu</li><li>monimutkaisten ja abstraktien asioiden ymmärtäminen vaikeutuu</li><li>potilas saattaa olla inaktiivinen, vetäytyvä</li><li>joskus ilmenee masennusta, vainoharhaisuutta ja aggressiivisuuttakin</li><li>monimutkaisissa kotiaskareissa on vaikeuksia (esim. ruoanlaitto)</li></ul></div></div><div style="margin:0" class="is-block align-wide has-inner-container" data-element-name="PlacementBlock"><div class="inner-container"><div><template data-dgst="BAILOUT_TO_CLIENT_SIDE_RENDERING"></template></div></div></div><p class="sc-e683d47a-0 kZdJxS is-block is-body-m">Alkuvaihe saattaa kestää 3-7 vuotta. Tänä aikana lähimuisti heikkenee, aktiivisuus vähenee ja ilmenee masennusta. Muistivaikeudet ilmenevät siten, että uuden oppiminen vaikeutuu, unohtaminen lisääntyy ja asiakokonaisuuksien mieleenpainaminen hankaloituu. Luetusta tekstistä mieleen jää vain osia. Hahmottamisen vaikeus korostuu vieraassa ympäristössä, mistä seuraa eksymisiä. Ahdistuneisuus, masennus ja ärtyisyys vaihtelevat.</p><div style="margin:0" class="is-block align-wide has-inner-container" data-element-name="PlacementBlock"><div class="inner-container"><div><template data-dgst="BAILOUT_TO_CLIENT_SIDE_RENDERING"></template></div></div></div><p class="sc-e683d47a-0 kZdJxS is-block is-body-m">Jonkinlainen epävarmuus valtaa mielen: työtehtävien suorittaminen ei suju niin kuin ennen. Vaativat tehtävät ja uudet tilanteet saattavat pelottaa. Keskittyminen, aloitekyky ja monimutkaisten ja abstraktien asioiden ymmärtäminen heikkenee. Työssä käyvillä havaitaan sairauden alkuvaiheessa stressioireita, uupumusta ja alavireisyyttä.</p><div style="margin:0" class="is-block align-wide has-inner-container" data-element-name="PlacementBlock"><div class="inner-container"><div><template data-dgst="BAILOUT_TO_CLIENT_SIDE_RENDERING"></template></div></div></div><p class="sc-e683d47a-0 kZdJxS is-block is-body-m">Tyypillinen on ns. päänkääntöoire. Muistihäiriöistä kärsivä vilkaisee lähellä istuvaa varmistaakseen onko vastannut oikein. Monilla jäävät harrastukset ja joillakin osa ystävistä: tuntiessaan epävarmuutta (sanoissa ja teoissa) välttää tilanteita, joissa voisi nolata itsensä.</p><div style="margin:0" class="is-block align-wide has-inner-container" data-element-name="PlacementBlock"><div class="inner-container"><div><template data-dgst="BAILOUT_TO_CLIENT_SIDE_RENDERING"></template></div></div></div><p class="sc-e683d47a-0 kZdJxS is-block is-body-m">Monimutkaisten, älyllisiä kykyjä vaativien tehtävien suorittaminen ei onnistu. Potilas pystyy asumaan kotonaan, jos hän saa päivittäisten tehtävien suorittamiseen säännöllistä, mutta ei välttämättä jatkuvaa apua.</p><div style="margin:0" class="is-block align-wide has-inner-container" data-element-name="PlacementBlock"><div class="inner-container"><div><template data-dgst="BAILOUT_TO_CLIENT_SIDE_RENDERING"></template></div></div></div><div class="is-block has-inner-container" data-element-name="ListBlock"><div class="inner-container"><ul class="sc-e80d783-0 iQVjkY is-body-s unordered"><li>sairaudentunne häviää</li><li>paikantaju häviää</li><li>potilas eksyy tutussakin ympäristössä</li><li>erilaiset harhat</li><li>potilas laihtuu</li><li>päivittäistoiminnoissa on vaikeuksia (esim. pukeutuminen)</li></ul></div></div><div style="margin:0" class="is-block align-wide has-inner-container" data-element-name="PlacementBlock"><div class="inner-container"><div><template data-dgst="BAILOUT_TO_CLIENT_SIDE_RENDERING"></template></div></div></div><p class="sc-e683d47a-0 kZdJxS is-block is-body-m">Keskivaiheen kestoksi arvioidaan 2-4 vuotta. Tällöin tapahtuu monia itsenäisen selviytymisen kannalta ratkaisevia muutoksia. Paikan hahmottamisen vaikeudet lisääntyvät ja tapahtuu eksymistä tutussakin ympäristössä. Pukeutumisessa tarvitaan apua ja vaatteiden lisäksi sanat tuntuvat olevan kateissa. Harhaluulot, harhanäyt ja erilaiset sekavuustilat vaihtelevat, uni-valverytmi häiriöt ovat tavallisia. Potilas oireilee laihtumalla, vaikka syökin monipuolista ravintoa.</p><div style="margin:0" class="is-block align-wide has-inner-container" data-element-name="PlacementBlock"><div class="inner-container"><div><template data-dgst="BAILOUT_TO_CLIENT_SIDE_RENDERING"></template></div></div></div><p class="sc-e683d47a-0 kZdJxS is-block is-body-m">Persoonallisuus ja sosiaaliset kyvyt säilyvät entisellään, ruumiillinen kunto on hyvä ja liikuntakyky on säilynyt. Potilas ei tunne olevansa sairas, hänen kaikki toimintonsa ovat kuitenkin hidastuneet ja hän tuntuu elävän onnellisten maailmassa.</p><div style="margin:0" class="is-block align-wide has-inner-container" data-element-name="PlacementBlock"><div class="inner-container"><div><template data-dgst="BAILOUT_TO_CLIENT_SIDE_RENDERING"></template></div></div></div><p class="sc-e683d47a-0 kZdJxS is-block is-body-m">Useimpien päättelyä ja muistamista vaativien tehtävien suorittaminen ei onnistu ilman apua. Potilas pystyy asumaan kotonaan ainoastaan päivittäisen valvonnan ja avun turvin, esimerkiksi puolison silmälläpidon alaisena.</p><div style="margin:0" class="is-block align-wide has-inner-container" data-element-name="PlacementBlock"><div class="inner-container"><div><template data-dgst="BAILOUT_TO_CLIENT_SIDE_RENDERING"></template></div></div></div><p class="sc-e683d47a-0 kZdJxS is-block is-body-m">Viimeistään tässä vaiheessa on luovuttava ajokortista (hahmotusvaikeudet, reaktiokyky). Sairauden edetessä potilas menettää oikeustoimikelpoisuuden – joten mm. omaisuuteen liittyvät asiat tulisi hoitaa ajoissa. Monen kohdalla kotihoito vaihtuu laitoshoidoksi.</p><div style="margin:0" class="is-block align-wide has-inner-container" data-element-name="PlacementBlock"><div class="inner-container"><div><template data-dgst="BAILOUT_TO_CLIENT_SIDE_RENDERING"></template></div></div></div><div class="is-block has-inner-container" data-element-name="ListBlock"><div class="inner-container"><ul class="sc-e80d783-0 iQVjkY is-body-s unordered"><li>kyky puhua ja ymmärtää puhetta on huomattavasti vaikeutunut tai hävinny</li><li>raajat jäykistyvät ja kävelykyky heikkenee ja häviää</li><li>potilaalle tulee vähitellen virtsan- ja ulosteenpidätysongelmat</li><li>joillakin potilailla ilmenee epileptisiä kohtauksia</li><li>potilaan kyky syödä itse häviää vähitellen (nielemiskyky säilyy pitkään)</li></ul></div></div><div style="margin:0" class="is-block align-wide has-inner-container" data-element-name="PlacementBlock"><div class="inner-container"><div><template data-dgst="BAILOUT_TO_CLIENT_SIDE_RENDERING"></template></div></div></div><h2 class="is-block is-heading-l">Syventävää tietoa loppuvaiheesta:</h2><p class="sc-e683d47a-0 kZdJxS is-block is-body-m">Taudin loppuvaiheen pituus on 1-5 vuotta. Yksinkertaistenkaan päättelyä ja muistamista vaativien tehtävien suorittaminen ei yleensä onnistu itsenäisesti. Potilas on laitostasoisen hoidon tarpeessa ja häntä joudutaan jatkuvasti auttamaan hänen päivittäisissä toiminnoissaan: häntä on syötettävä (nielemiskyky säilyy pitkään) ja hygieniasta on huolehdittava, sillä virtsan- ja ulosteenpidätyskyvyn säätely ei toimi. Puhuminen on vaikeaa, potilas toistaa sanoja ja äänteitä. Puheen ymmärtäminen on hankalaa. Keho on entisestään jäykistynyt, kävelykyky vaikeutuu ja viimein katoaa. Suun seudun pakkoliikkeitä saattaa esiintyä ja jotkut saavat epileptisia kohtauksia ja lihasnykimisiä. Potilas ei enää tunne puolisoaan, lapsiaan eikä yleensäkään läheisiään. Paikan ja ajan taju häviävät.</p><div style="margin:0" class="is-block align-wide has-inner-container" data-element-name="PlacementBlock"><div class="inner-container"><div><template data-dgst="BAILOUT_TO_CLIENT_SIDE_RENDERING"></template></div></div></div><h2 class="is-block is-heading-l">Alzheimerin tauti omaisen kertomana: Näköharhat ja tunnistaminen</h2><p class="sc-e683d47a-0 kZdJxS is-block is-body-m">"Kun menin katsomaan laitoshoidossa olevaa äitiäni, hän kuvitteli, että olin naapurin Liisa ja kyseli kovasti, mitä hänen tyttärelleen (siis minulle) kuuluu. Puolisoaan hän sanoi milloin “isäkseen”, milloin “veljekseen”. Yritämme aina rauhallisesti korjata nämä virheet. Silloin äiti naurahtaa ja toteaa, että niinhän se on. Hetken kuluttua hän saattaa kysyä jotakin televisiokuvalta tai alkaa seurustella kuvan kanssa." “Olimme vaimoni kanssa hississä, kun hän alkoi yhtäkkiä tuijottaa peilistä näkyviä kasvojaan ja kysyi, kuka tuo on?”</p><div style="margin:0" class="is-block align-wide has-inner-container" data-element-name="PlacementBlock"><div class="inner-container"><div><template data-dgst="BAILOUT_TO_CLIENT_SIDE_RENDERING"></template></div></div></div><h3 class="is-block is-heading-m">Tapahtumien tausta: Havaintotoiminnan häiriö</h3><p class="sc-e683d47a-0 kZdJxS is-block is-body-m">Pitkälle edenneessä sairauden vaiheessa muistikuvat siirtyvät yhä kauemmaksi menneisyyteen, tällöin puolisosta saattaa tulla isä tai tyttärestä äiti. Tunnistamisvaikeus voi selittyä myös niin, että potilaalla on havaintotoiminnan häiriö, aivokuoren vaurioituessa sinne syntyvä kuva on rikkonainen ja puutteellinen, jolloin tunnistaminen saattaa tapahtua pelkästään äänen perusteella.</p><p class="sc-e683d47a-0 kZdJxS is-block is-body-m">Hoidon onnistuminen vaatii huolenpitoa lähiympäristöltä.</p><p class="sc-e683d47a-0 kZdJxS is-block is-body-m">Hoitomahdollisuudet ovat parantuneet huomattavasti viimeisten kymmenen vuoden aikana. Vaikka tautiin ei ole parantavaa hoitoa, sen etenemiseen voidaan vaikuttaa.</p><div style="margin:0" class="is-block align-wide has-inner-container" data-element-name="PlacementBlock"><div class="inner-container"><div><template data-dgst="BAILOUT_TO_CLIENT_SIDE_RENDERING"></template></div></div></div><p class="sc-e683d47a-0 kZdJxS is-block is-body-m">Alzheimerin taudin hoidon tavoitteita ovat potilaan toimintakyvyn ylläpitäminen, hänen kotona asumisensa turvallinen jatkaminen, potilaan ja hänen lähiomaisensa jaksamisen tukeminen, laitoshoidon alkamisen siirtäminen ja kaikkien osapuolten mahdollisimman hyvä elämänlaatu.</p><p class="sc-e683d47a-0 kZdJxS is-block is-body-m">Hyvä yleishoito on hoidon perusta. Siihen kuuluvat mm. riittävä lepo, monipuolinen ravinto, liikunta (ulkoilu, kuntoutus) ja hygieniasta huolehtiminen (mm. wc:ssä käymisestä muistuttaminen).</p><div style="margin:0" class="is-block align-wide has-inner-container" data-element-name="PlacementBlock"><div class="inner-container"><div><template data-dgst="BAILOUT_TO_CLIENT_SIDE_RENDERING"></template></div></div></div><p class="sc-e683d47a-0 kZdJxS is-block is-body-m">Lääkehoidon rinnalla korostuu lääkkeetön hoito: potilaan tilaan vaikuttavien virikkeiden määrä (mm. muistikuntoutus, toimiva ystäväpiiri), käytöshäiriöitä aiheuttavien tilanteiden tunnistaminen ja niiden poistaminen, tapaturmavaaran vähentäminen (kynnykset, turvaliedet, korotetut istuimet).</p><div style="margin:0" class="is-block align-wide has-inner-container" data-element-name="PlacementBlock"><div class="inner-container"><div><template data-dgst="BAILOUT_TO_CLIENT_SIDE_RENDERING"></template></div></div></div><p class="sc-e683d47a-0 kZdJxS is-block is-body-m">Alzheimerin tauti oli ensimmäinen dementiasairaus, jonka oireiden hoitoon tuli tarjolle kohdennettu lääkehoito. Lääkehoidolla voidaan hidastaa taudin oireiden etenemistä ja pitämään yllä sairastuneen toimintakykyä. Alzheimer-lääkkeet tehostavat hermosolujen välistä viestintää eli parantavat älyllistä suorituskykyä, päivittäistä toimintakykyä ja yleisvointia</p><div style="margin:0" class="is-block align-wide has-inner-container" data-element-name="PlacementBlock"><div class="inner-container"><div><template data-dgst="BAILOUT_TO_CLIENT_SIDE_RENDERING"></template></div></div></div><p class="sc-e683d47a-0 kZdJxS is-block is-body-m">Lääkkeet hidastavat taudin etenemistä, lievittävät oireita ja auttavat potilasta selviytymään paremmin päivittäisistä tehtävistä. Näillä lääkkeillä on vaikutusta myös käytösoireisiin. Lääkkeet voivat vähentää käytösoireiden ilmaantumista, lievittää jo olemassa olevia käytösoireita tai vähentää tarvetta ns. psyykenlääkkeiden käyttöön. Mitä aikaisemmin sairaus todetaan, sitä varhemmin voidaan aloittaa lääkehoito ja auttaa potilasta säilyttämään elämänlaatunsa. Alzheimer-lääkkeet helpottavat myös omaisen taakkaa ja rasitusta, ja antavat enemmän omaa aikaa omaiselle. Hyviä tuloksia on saatu lääkkeiden käytöstä erityisesti lievässä ja keskivaikeassa Alzheimerin taudissa, mutta lääkkeistä on todettu hyötyä myös taudin vaikeassa muodossa. Varhain aloitetun lääkehoidon uskotaan antavan vähintään vuoden lisää aikaa asua kotona.</p><div style="margin:0" class="is-block align-wide has-inner-container" data-element-name="PlacementBlock"><div class="inner-container"><div><template data-dgst="BAILOUT_TO_CLIENT_SIDE_RENDERING"></template></div></div></div><p class="sc-e683d47a-0 kZdJxS is-block is-body-m">Tällä hetkellä Alzheimerin tautiin on Suomessa saatavilla neljä eri reseptilääkettä: donepetsiili, galantamiini, rivastigmiini ja memantiini. Paras tuntemus oikean lääkkeen valinnasta on Alzheimerin tautia hoitavilla erikoislääkäreillä, joilla on runsaasti erilaisia potilaskokemuksia. Lääkettä voidaan käyttää tilanteissa, jossa potilaan vointia ja lääkkeen ottoa ohjaa omainen tai muu hoitaja.</p><div style="margin:0" class="is-block align-wide has-inner-container" data-element-name="PlacementBlock"><div class="inner-container"><div><template data-dgst="BAILOUT_TO_CLIENT_SIDE_RENDERING"></template></div></div></div><p class="sc-e683d47a-0 kZdJxS is-block is-body-m">Käytössä olevista Alzheimer- lääkkeistä donepetsiili, rivastigniimi ja galantamiini tehostavat aivoissa ja muuallakin elimistössä monin tavoin vaikuttavan asetyylikoliini -välittäjäaineen toimintaa. Nämä lääkkeet on tarkoitettu lievän ja keskivaikea Alzheimerin taudin hoitoon. Kolinergiseen järjestelmään vaikuttavien lääkkeiden lisäksi markkinoilla on memantiini. Memantiini vaikuttaa aivoissa glutamaatti nimisen välittäjäaineen aineenvaihduntaan. Lääke on tarkoitettu keskivaikean ja vaikean Alzheimerin taudin hoitoon.</p><div style="margin:0" class="is-block align-wide has-inner-container" data-element-name="PlacementBlock"><div class="inner-container"><div><template data-dgst="BAILOUT_TO_CLIENT_SIDE_RENDERING"></template></div></div></div><h2 class="is-block is-heading-l"><strong>Omaisen kokemuksia lääkityksen vaihtamisesta ja lopettamisesta</strong></h2><p class="sc-e683d47a-0 kZdJxS is-block is-body-m">“Kun äitiäni oli hoidettu lähes kaksi vuotta Alzheimer-lääkkeillä, ja hänellä ilmenevää löysää vatsaa pidettiin lääkkeen aiheuttamana sivuvaikutuksena, päätettiin kokeilla toista valmistetta. Jo ensimmäisinä päivinä lääkkeen vaihtamisen jälkeen ilmeni rauhattomuutta ja äiti tuntui olevan koko ajan lähdössä jonnekin, hän etsi rahapussiaan ja takkiaan. Yöksi hänet oli kiinnitettävä magneettivyöllä sänkyyn.</p><div style="margin:0" class="is-block align-wide has-inner-container" data-element-name="PlacementBlock"><div class="inner-container"><div><template data-dgst="BAILOUT_TO_CLIENT_SIDE_RENDERING"></template></div></div></div><p class="sc-e683d47a-0 kZdJxS is-block is-body-m">Seuraavaksi päätettiin katsoa, miten lääkehoidon kokonaan lopettaminen häneen vaikuttaisi. Nyt tilanne rauhoittui ja äiti pysyi huoneessaan. Uutena asiana tulivat hallusinaatiot: yöhoitaja kertoi, että hän oli puhunut koko yön, kysynyt ja vastannut, keskustellut itsensä kanssa aamuun asti. Herättyään hän kertoi saaneensa yöllä vieraan, tuntematon mies oli istunut hänen sänkynsä reunalla. Aamupalalla äiti oli niin väsynyt, ettei ollut löytänyt lusikalla suutaan. Päivä oli kulunut uni-valve -tilassa, äiti kertoi ajaneensa mm. raitiovaunulla maapallon ympäri.</p><p class="sc-e683d47a-0 kZdJxS is-block is-body-m">Kokeilujen jälkeen lääkäri päätti palata vanhaan lääkitykseen, hän pienensi annosta – ja olo normalisoitui, rauhattomuus ja hallusinaatiot katosivat. Myös vatsa tuli kuntoon.”</p><div style="margin:0" class="is-block align-wide has-inner-container" data-element-name="PlacementBlock"><div class="inner-container"><div><template data-dgst="BAILOUT_TO_CLIENT_SIDE_RENDERING"></template></div></div></div><p class="sc-e683d47a-0 kZdJxS is-block is-body-m">Lääkityksen peruskorvauksen myöntämistä varten potilas tarvitsee ns. B1-lausunnon, jonka kirjoittaa erikoislääkäri (neurologi, geriatri, kehitysvammalääketieteeseen perehtynyt lääkäri). Täytetty kaavake lähetetään Kelan paikallistoimistoon. Jos lääkekorvaus hyväksytään, potilas maksaa lääkkeestään vain puolet, toisen puolen korvaa Kela.</p><div style="margin:0" class="is-block align-wide has-inner-container" data-element-name="PlacementBlock"><div class="inner-container"><div><template data-dgst="BAILOUT_TO_CLIENT_SIDE_RENDERING"></template></div></div></div><p class="sc-e683d47a-0 kZdJxS is-block is-body-m">Lääkkeitä voidaan käyttää Alzheimerin taudin kaikissa vaiheissa, aina lievästä vaiheesta vaikeaan dementiaan. Peruskorvauksen voi näin saada taudin kaikissa vaiheissa. Hyväksymispäätös ei kuitenkaan aina ole itsestään selvä, sillä Kela on asettanut joitakin erityisehtoja. Alzheimer-lääkkeet maksavat valmisteesta riippuen noin 80-120 euroa kuukaudessa.</p><p class="sc-e683d47a-0 kZdJxS is-block is-body-m">Epäselvissä korvausasioissa voi kääntyä Alzheimer-keskusliiton puoleen tai tiedustella asiaa dementianeuvojalta.</p><div style="margin:0" class="is-block align-wide has-inner-container" data-element-name="PlacementBlock"><div class="inner-container"><div><template data-dgst="BAILOUT_TO_CLIENT_SIDE_RENDERING"></template></div></div></div><h2 class="is-block is-heading-l"><strong>Suuret lääkekustannukset</strong></h2><p class="sc-e683d47a-0 kZdJxS is-block is-body-m">Lisäkorvausta suurista lääkekustannuksista maksetaan seuraavasti: vuonna 2016 raja on 610,37 euroa. Jos lääkekustannukset ovat tätä suuremmat, Kela korvaa ylimenevän osan. Tätä varten on säästettävä apteekin kuitit tai pyydettävä apteekissa pitämään kirjaa lääkemenoista.</p><div class="is-block has-inner-container" data-element-name="ListBlock"><div class="inner-container"><ul class="sc-e80d783-0 iQVjkY is-body-s unordered"><li><p class="sc-e683d47a-0 kZdJxS is-block is-body-m"><a data-click-element-name="RichTextAnchor" href="https://www.terve.fi/artikkelit/nain-laakkeet-korvataan" target="_self" class="sc-2e5fe484-0 fyMPqx sc-4bf7534e-1 iJBQIU">Näin lääkkeet korvataan</a></p></li></ul></div></div><p class="sc-e683d47a-0 kZdJxS is-block is-body-m"><strong>Lisää tietoa Alzheimerin taudista osoitteessa </strong><a data-click-element-name="RichTextAnchor" href="http://www.alzheimerinfo.fi/" target="_blank" class="sc-2e5fe484-0 fyMPqx sc-4bf7534e-1 iJBQIU"><strong>www.alzheimerinfo.fi</strong></a></p></div></div></div><div style="margin:0" class="is-block align-wide has-inner-container" data-element-name="PlacementBlock"><div class="inner-container"><div><template data-dgst="BAILOUT_TO_CLIENT_SIDE_RENDERING"></template></div></div></div><div style="margin:0" class="is-block align-wide has-inner-container" data-element-name="PlacementBlock"><div class="inner-container"><div><template data-dgst="BAILOUT_TO_CLIENT_SIDE_RENDERING"></template></div></div></div><div class="is-block has-inner-container" data-element-name="TaxonomiesBlock"><div class="inner-container"><div class="sc-ba8bf385-0 eQYEpw"><a data-click-element-name="Tag" href="/aiheet/sairaudet" target="_self" class="sc-2e5fe484-0 fyMPqx sc-1f1d1e96-0 clLyCI is-label-m">Sairaudet</a><a data-click-element-name="Tag" href="/teemat/alzheimer" target="_self" class="sc-2e5fe484-0 fyMPqx sc-1f1d1e96-0 clLyCI is-label-m">Alzheimer</a></div></div></div><div style="margin:0" class="is-block align-wide has-inner-container" data-element-name="PlacementBlock"><div class="inner-container"><div><template 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menu-link menu-link--other-brand is-body-s">Mieli</a><a href="http://www.terve.fi/teemat/onnellisuus" target="_blank" class="sc-2e5fe484-0 fyMPqx sc-f0971742-13 giSUho menu-link menu-link--other-brand is-body-s">Onnellisuus</a><a href="https://www.terve.fi/teemat/seksi" target="_self" class="sc-2e5fe484-0 fyMPqx sc-f0971742-13 giSUho menu-link menu-link--other-brand is-body-s">Seksi</a><a href="https://www.terve.fi/aiheet/terveys" target="_self" class="sc-2e5fe484-0 fyMPqx sc-f0971742-13 giSUho menu-link menu-link--other-brand is-body-s">Terveys</a><a href="http://www.terve.fi/teemat" target="_blank" class="sc-2e5fe484-0 fyMPqx sc-f0971742-13 giSUho menu-link menu-link--other-brand is-body-s">Kaikki teemat</a></div><div class="sc-f0971742-17 iYfHGc"><a href="https://www.lily.fi" target="_blank" class="sc-2e5fe484-0 fyMPqx sc-f0971742-18 gAuGRR"><img alt="lily" loading="lazy" width="66" height="70" decoding="async" data-nimg="1" class="sc-f0971742-19 hTjLgK" style="color:transparent" 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aWeb\",\"reading-time--text-font-size\":\"12px\",\"reading-time--text-line-height\":\"17px\",\"reading-time--text-font-weight\":500,\"reading-time--text-letter-spacing\":\"0.12px\",\"richtext--link-text-color\":\"#9a205f\",\"richtext--link-text-decoration\":\"underline\",\"richtext--link-hover-text-color\":\"#6e1744\",\"richtext--heading-two-size\":\"l\",\"richtext--heading-three-size\":\"m\",\"richtext--body-size\":\"m\",\"stripe--text-color\":\"white\",\"stripe--background-color\":\"var(--color-secondary)\",\"stripe--text-type\":\"heading\",\"stripe--text-size\":\"xs\",\"stripe--font-style\":\"normal\",\"stripe--text-decoration\":\"none\",\"storifyme--background-color\":\"var(--color-container)\",\"storifyme--title-padding\":\"0 15px;\",\"tipbox--border-size\":\"4px\",\"tipbox--border-color\":\"var(--color-secondary)\",\"tipbox--heading-two-size\":\"m\",\"tipbox--heading-three-size\":\"s\",\"tipbox--body-size\":\"s\",\"blockquote--text-align\":\"center\",\"blockquote--text-color\":\"black\",\"blockquote--horizontal-padding\":\"36px\",\"blockquote--line-width\":\"4px\",\"blockquote--line-distance\":\"36px\",\"blockquote--line-color\":\"var(--color-secondary)\",\"blockquote--line-max-width\":\"180px\",\"blockquote--heading-size\":\"l\",\"body--drop-cap-margin\":\"0 8px -4px 0\",\"body--drop-cap-padding\":\"4px 0 0 0\",\"body--drop-cap-font-family\":\"var(--terve-font-family-serif)\",\"body--drop-cap-font-size\":\"84px\",\"body--drop-cap-font-weight\":400,\"body--drop-cap-line-height\":\"70px\",\"body--drop-cap-color\":\"var(--color-primary)\",\"body--lead-text-font-family\":\"var(--body-xs-font-family)\",\"body--lead-text-font-size\":\"var(--body-xs-font-size)\",\"body--lead-text-font-weight\":500,\"body--lead-text-color\":\"var(--color-primary)\",\"body--lead-text-letter-spacing\":\"0.7px\",\"body--lead-text-text-transform\":\"uppercase\",\"poster-card--background-color\":\"#EEF0EB\",\"poster-card--title-heading-size\":\"l\",\"poster-card--title-text-color\":\"black\",\"poster-card--kicker-label-size\":\"m\",\"poster-card--image-width\":\"62.5%\",\"poster-card--image-box-shadow\":\"0px 0px 20px rgba(0, 0, 0, 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\":\"88px\",\"promo__media-height\":\"100%\",\"promo__media-ratio\":\"auto\",\"promo__media-frameright-crop\":\"3-4-vertical\",\"promo__content-align-self\":\"normal\",\"promo__content-position\":\"static\",\"promo__content-background\":\"transparent\",\"promo__content-padding\":\"0 var(--spacing-md) 0 0\",\"promo__content-text-align\":\"left\",\"promo__kicker-top\":0,\"promo__kicker-margin-bottom\":\"var(--spacing-xs)\",\"promo__kicker-align\":\"flex-start\",\"promo__kicker-color\":\"var(--color-primary-darken)\",\"promo__kicker-background\":\"transparent\",\"promo__kicker-border-radius\":0,\"promo__kicker-padding\":0,\"promo__kicker-font-family\":\"var(--label-m-font-family)\",\"promo__kicker-font-size\":\"var(--label-m-font-size)\",\"promo__kicker-font-weight\":\"var(--label-m-font-weight)\",\"promo__kicker-line-height\":\"var(--label-m-line-height)\",\"promo__kicker-letter-spacing\":\"var(--label-m-letter-spacing)\",\"promo__kicker-text-transform\":\"var(--label-m-text-transform)\",\"promo__title-color\":\"var(--color-on-surface)\",\"promo__title-min-lines\":5,\"promo__title-max-lines\":5,\"promo__title-font-family\":\"var(--heading-xs-font-family)\",\"promo__title-font-size\":\"var(--heading-xs-font-size)\",\"promo__title-font-weight\":\"var(--heading-xs-font-weight)\",\"promo__title-line-height\":\"var(--heading-xs-line-height)\",\"promo__title-letter-spacing\":\"var(--heading-xs-letter-spacing)\",\"promo__title-text-transform\":\"var(--heading-xs-text-transform)\",\"promo__title-overflow\":\"hidden\"},\"promo--horizontal_s_kaupat\":{\"promo__background\":\"var(--color-surface)\",\"promo__box-shadow\":\"none\",\"promo__border\":\"1px 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0 0 0\",\"promo__content-text-align\":\"left\",\"promo__kicker-top\":0,\"promo__kicker-margin-bottom\":\"var(--spacing-xs)\",\"promo__kicker-align\":\"flex-start\",\"promo__kicker-color\":\"var(--color-primary-darken)\",\"promo__kicker-background\":\"transparent\",\"promo__kicker-border-radius\":0,\"promo__kicker-padding\":0,\"promo__kicker-font-family\":\"var(--label-m-font-family)\",\"promo__kicker-font-size\":\"var(--label-m-font-size)\",\"promo__kicker-font-weight\":\"var(--label-m-font-weight)\",\"promo__kicker-line-height\":\"var(--label-m-line-height)\",\"promo__kicker-letter-spacing\":\"var(--label-m-letter-spacing)\",\"promo__kicker-text-transform\":\"var(--label-m-text-transform)\",\"promo__title-color\":\"var(--color-on-surface)\",\"promo__title-min-lines\":5,\"promo__title-max-lines\":5,\"promo__title-font-family\":\"var(--heading-xs-font-family)\",\"promo__title-font-size\":\"var(--heading-xs-font-size)\",\"promo__title-font-weight\":\"var(--heading-xs-font-weight)\",\"promo__title-line-height\":\"var(--heading-xs-line-height)\",\"promo__title-letter-spacing\":\"var(--heading-xs-letter-spacing)\",\"promo__title-text-transform\":\"var(--heading-xs-text-transform)\",\"promo__title-overflow\":\"hidden\"},\"promo--vertical_m_kaupat\":{\"promo__background\":\"var(--color-surface)\",\"promo__box-shadow\":\"none\",\"promo__border\":\"1px 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solid var(--kaupat-color-primary-lighten)\",\"promo__border-radius\":\"var(--radius-rounded)\",\"promo__media-and-content-flex-direction\":\"row\",\"promo__media-and-content-align-items\":\"normal\",\"promo__media-and-content-justify-content\":\"normal\",\"promo__padding\":\"var(--spacing-md)\",\"promo__media-position\":\"static\",\"promo__media-border\":0,\"promo__media-border-radius\":\"var(--radius-minimal)\",\"promo__media-width\":\"50%\",\"promo__media-height\":\"auto\",\"promo__media-ratio\":\"1/1\",\"promo__media-frameright-crop\":\"1-1-square\",\"promo__content-align-self\":\"center\",\"promo__content-position\":\"static\",\"promo__content-background\":\"transparent\",\"promo__content-padding\":\"0 0 0 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0px 4px 0px rgba(32, 32, 32, 0.04)\",\"promo__border\":0,\"promo__border-radius\":\"var(--radius-rounded)\",\"promo__media-and-content-flex-direction\":\"column\",\"promo__media-and-content-align-items\":\"normal\",\"promo__media-and-content-justify-content\":\"normal\",\"promo__padding\":0,\"promo__media-position\":\"static\",\"promo__media-border\":0,\"promo__media-border-radius\":0,\"promo__media-width\":\"100%\",\"promo__media-height\":\"auto\",\"promo__media-ratio\":\"3/4\",\"promo__media-frameright-crop\":\"3-4-vertical\",\"promo__content-align-self\":\"normal\",\"promo__content-position\":\"static\",\"promo__content-background\":\"transparent\",\"promo__content-padding\":\"var(--spacing-lg) var(--spacing-lg) var(--spacing-xl) var(--spacing-lg)\",\"promo__content-text-align\":\"center\",\"promo__kicker-top\":0,\"promo__kicker-margin-bottom\":\"var(--spacing-xs)\",\"promo__kicker-align\":\"center\",\"promo__kicker-color\":\"var(--color-primary-darken)\",\"promo__kicker-background\":\"transparent\",\"promo__kicker-border-radius\":0,\"promo__kicker-padding\":0,\"promo__kicker-font-family\":\"var(--label-m-font-family)\",\"promo__kicker-font-size\":\"var(--label-m-font-size)\",\"promo__kicker-font-weight\":\"var(--label-m-font-weight)\",\"promo__kicker-line-height\":\"var(--label-m-line-height)\",\"promo__kicker-letter-spacing\":\"var(--label-m-letter-spacing)\",\"promo__kicker-text-transform\":\"var(--label-m-text-transform)\",\"promo__title-color\":\"var(--color-on-surface)\",\"promo__title-min-lines\":5,\"promo__title-max-lines\":5,\"promo__title-font-family\":\"var(--heading-s-font-family)\",\"promo__title-font-size\":\"var(--heading-s-font-size)\",\"promo__title-font-weight\":\"var(--heading-s-font-weight)\",\"promo__title-line-height\":\"var(--heading-s-line-height)\",\"promo__title-letter-spacing\":\"var(--heading-s-letter-spacing)\",\"promo__title-text-transform\":\"var(--heading-s-text-transform)\",\"promo__title-overflow\":\"hidden\"},\"promo--vertical_l_kotonahighlight\":{\"promo__background\":\"var(--color-surface)\",\"promo__box-shadow\":\"0px 0px 4px 0px rgba(32, 32, 32, 0.04)\",\"promo__border\":0,\"promo__border-radius\":\"var(--radius-rounded)\",\"promo__media-and-content-flex-direction\":\"column\",\"promo__media-and-content-align-items\":\"normal\",\"promo__media-and-content-justify-content\":\"flex-end\",\"promo__padding\":0,\"promo__media-position\":\"static\",\"promo__media-border\":0,\"promo__media-border-radius\":0,\"promo__media-width\":\"100%\",\"promo__media-height\":\"100%\",\"promo__media-ratio\":\"3/4\",\"promo__media-frameright-crop\":\"3-4-vertical\",\"promo__content-align-self\":\"normal\",\"promo__content-position\":\"absolute\",\"promo__content-background\":\"rgba(250, 241, 239, 0.85)\",\"promo__content-padding\":\"var(--spacing-xl) var(--spacing-lg) var(--spacing-xl) var(--spacing-lg)\",\"promo__content-text-align\":\"center\",\"promo__kicker-top\":\"-32px\",\"promo__kicker-margin-bottom\":\"-24px\",\"promo__kicker-align\":\"center\",\"promo__kicker-color\":\"var(--color-on-surface-secondary)\",\"promo__kicker-background\":\"var(--color-container)\",\"promo__kicker-border-radius\":\"var(--radius-full)\",\"promo__kicker-padding\":\"var(--spacing-xs) var(--spacing-sm)\",\"promo__kicker-font-family\":\"var(--label-m-font-family)\",\"promo__kicker-font-size\":\"var(--label-m-font-size)\",\"promo__kicker-font-weight\":\"var(--label-m-font-weight)\",\"promo__kicker-line-height\":\"var(--label-m-line-height)\",\"promo__kicker-letter-spacing\":\"var(--label-m-letter-spacing)\",\"promo__kicker-text-transform\":\"var(--label-m-text-transform)\",\"promo__title-color\":\"var(--color-on-surface)\",\"promo__title-min-lines\":null,\"promo__title-max-lines\":null,\"promo__title-font-family\":\"var(--heading-l-font-family)\",\"promo__title-font-size\":\"var(--heading-l-font-size)\",\"promo__title-font-weight\":\"var(--heading-l-font-weight)\",\"promo__title-line-height\":\"var(--heading-l-line-height)\",\"promo__title-letter-spacing\":\"var(--heading-l-letter-spacing)\",\"promo__title-text-transform\":\"var(--heading-l-text-transform)\",\"promo__title-overflow\":\"visible\"},\"promo--vertical_l_kotonahighlight-commercial\":{\"promo__background\":\"var(--color-surface)\",\"promo__box-shadow\":\"0px 0px 4px 0px rgba(32, 32, 32, 0.04)\",\"promo__border\":0,\"promo__border-radius\":\"var(--radius-rounded)\",\"promo__media-and-content-flex-direction\":\"column\",\"promo__media-and-content-align-items\":\"normal\",\"promo__media-and-content-justify-content\":\"flex-end\",\"promo__padding\":0,\"promo__media-position\":\"static\",\"promo__media-border\":0,\"promo__media-border-radius\":0,\"promo__media-width\":\"100%\",\"promo__media-height\":\"100%\",\"promo__media-ratio\":\"3/4\",\"promo__media-frameright-crop\":\"3-4-vertical\",\"promo__content-align-self\":\"normal\",\"promo__content-position\":\"absolute\",\"promo__content-background\":\"rgba(231, 231, 231, 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var(--spacing-sm)\",\"promo__kicker-font-family\":\"var(--label-ads_m-font-family)\",\"promo__kicker-font-size\":\"var(--label-ads_m-font-size)\",\"promo__kicker-font-weight\":\"var(--label-ads_m-font-weight)\",\"promo__kicker-line-height\":\"var(--label-ads_m-line-height)\",\"promo__kicker-letter-spacing\":\"var(--label-ads_m-letter-spacing)\",\"promo__kicker-text-transform\":\"var(--label-ads_m-text-transform)\",\"promo__title-color\":\"var(--color-on-surface)\",\"promo__title-min-lines\":null,\"promo__title-max-lines\":null,\"promo__title-font-family\":\"var(--heading-ads_l-font-family)\",\"promo__title-font-size\":\"var(--heading-ads_l-font-size)\",\"promo__title-font-weight\":\"var(--heading-ads_l-font-weight)\",\"promo__title-line-height\":\"var(--heading-ads_l-line-height)\",\"promo__title-letter-spacing\":\"var(--heading-ads_l-letter-spacing)\",\"promo__title-text-transform\":\"var(--heading-ads_l-text-transform)\",\"promo__title-overflow\":\"visible\"},\"promo--vertical_l_kotonahighlight-kaupatcommercial\":{\"promo__background\":\"var(--color-surface)\",\"promo__box-shadow\":\"0px 0px 4px 0px rgba(32, 32, 32, 0.04)\",\"promo__border\":0,\"promo__border-radius\":\"var(--radius-rounded)\",\"promo__media-and-content-flex-direction\":\"column\",\"promo__media-and-content-align-items\":\"normal\",\"promo__media-and-content-justify-content\":\"flex-end\",\"promo__padding\":0,\"promo__media-position\":\"static\",\"promo__media-border\":0,\"promo__media-border-radius\":0,\"promo__media-width\":\"100%\",\"promo__media-height\":\"100%\",\"promo__media-ratio\":\"3/4\",\"promo__media-frameright-crop\":\"3-4-vertical\",\"promo__content-align-self\":\"normal\",\"promo__content-position\":\"absolute\",\"promo__content-background\":\"rgba(224, 244, 234, 0.85)\",\"promo__content-padding\":\"var(--spacing-xl)\",\"promo__content-text-align\":\"center\",\"promo__kicker-top\":\"-32px\",\"promo__kicker-margin-bottom\":\"-24px\",\"promo__kicker-align\":\"center\",\"promo__kicker-color\":\"var(--color-on-surface-secondary)\",\"promo__kicker-background\":\"var(--color-surface)\",\"promo__kicker-border-radius\":\"var(--radius-full)\",\"promo__kicker-padding\":\"var(--spacing-xs) var(--spacing-sm)\",\"promo__kicker-font-family\":\"var(--label-kaupat_m-font-family)\",\"promo__kicker-font-size\":\"var(--label-kaupat_m-font-size)\",\"promo__kicker-font-weight\":\"var(--label-kaupat_m-font-weight)\",\"promo__kicker-line-height\":\"var(--label-kaupat_m-line-height)\",\"promo__kicker-letter-spacing\":\"var(--label-kaupat_m-letter-spacing)\",\"promo__kicker-text-transform\":\"var(--label-kaupat_m-text-transform)\",\"promo__title-color\":\"var(--color-on-surface)\",\"promo__title-min-lines\":null,\"promo__title-max-lines\":null,\"promo__title-font-family\":\"var(--heading-kaupat_l-font-family)\",\"promo__title-font-size\":\"var(--heading-kaupat_l-font-size)\",\"promo__title-font-weight\":\"var(--heading-kaupat_l-font-weight)\",\"promo__title-line-height\":\"var(--heading-kaupat_l-line-height)\",\"promo__title-letter-spacing\":\"var(--heading-kaupat_l-letter-spacing)\",\"promo__title-text-transform\":\"var(--heading-kaupat_l-text-transform)\",\"promo__title-overflow\":\"visible\"},\"promo--horizontal_author\":{\"promo__background\":\"var(--color-secondary)\",\"promo__box-shadow\":\"none\",\"promo__border\":0,\"promo__border-radius\":\"var(--radius-rounded)\",\"promo__media-and-content-flex-direction\":\"row\",\"promo__media-and-content-align-items\":\"stretch\",\"promo__media-and-content-justify-content\":\"normal\",\"promo__padding\":\"var(--spacing-lg)\",\"promo__media-position\":\"static\",\"promo__media-border\":0,\"promo__media-border-radius\":\"50%\",\"promo__media-width\":\"80px\",\"promo__media-height\":\"80px\",\"promo__media-ratio\":\"auto\",\"promo__media-frameright-crop\":\"3-4-vertical\",\"promo__content-align-self\":\"center\",\"promo__content-position\":\"static\",\"promo__content-background\":\"transparent\",\"promo__content-padding\":\"0 0 0 var(--spacing-md)\",\"promo__content-text-align\":\"left\",\"promo__kicker-top\":0,\"promo__kicker-margin-bottom\":\"var(--spacing-xs)\",\"promo__kicker-align\":\"flex-start\",\"promo__kicker-color\":\"var(--color-primary-darken)\",\"promo__kicker-background\":\"transparent\",\"promo__kicker-border-radius\":0,\"promo__kicker-padding\":0,\"promo__kicker-font-family\":\"var(--label-m-font-family)\",\"promo__kicker-font-size\":\"var(--label-m-font-size)\",\"promo__kicker-font-weight\":\"var(--label-m-font-weight)\",\"promo__kicker-line-height\":\"var(--label-m-line-height)\",\"promo__kicker-letter-spacing\":\"var(--label-m-letter-spacing)\",\"promo__kicker-text-transform\":\"var(--label-m-text-transform)\",\"promo__title-color\":\"var(--color-on-primary)\",\"promo__title-min-lines\":1,\"promo__title-max-lines\":3,\"promo__title-font-family\":\"var(--heading-m-font-family)\",\"promo__title-font-size\":\"var(--heading-m-font-size)\",\"promo__title-font-weight\":\"var(--heading-m-font-weight)\",\"promo__title-line-height\":\"var(--heading-m-line-height)\",\"promo__title-letter-spacing\":\"var(--heading-m-letter-spacing)\",\"promo__title-text-transform\":\"var(--heading-m-text-transform)\",\"promo__title-overflow\":\"hidden\"},\"promo--vertical_author\":{\"promo__background\":\"var(--color-secondary)\",\"promo__box-shadow\":\"none\",\"promo__border\":0,\"promo__border-radius\":\"var(--radius-rounded)\",\"promo__media-and-content-flex-direction\":\"column\",\"promo__media-and-content-align-items\":\"center\",\"promo__media-and-content-justify-content\":\"normal\",\"promo__padding\":\"var(--spacing-5xl) var(--spacing-xl) var(--spacing-2xl) var(--spacing-xl)\",\"promo__media-position\":\"static\",\"promo__media-border\":0,\"promo__media-border-radius\":\"50%\",\"promo__media-width\":\"180px\",\"promo__media-height\":\"180px\",\"promo__media-ratio\":\"auto\",\"promo__media-frameright-crop\":\"3-4-vertical\",\"promo__content-align-self\":\"center\",\"promo__content-position\":\"static\",\"promo__content-background\":\"transparent\",\"promo__content-padding\":\"var(--spacing-xl) 0 0 0\",\"promo__content-text-align\":\"center\",\"promo__kicker-top\":0,\"promo__kicker-margin-bottom\":\"var(--spacing-xs)\",\"promo__kicker-align\":\"flex-start\",\"promo__kicker-color\":\"var(--color-primary-darken)\",\"promo__kicker-background\":\"transparent\",\"promo__kicker-border-radius\":0,\"promo__kicker-padding\":0,\"promo__kicker-font-family\":\"var(--label-m-font-family)\",\"promo__kicker-font-size\":\"var(--label-m-font-size)\",\"promo__kicker-font-weight\":\"var(--label-m-font-weight)\",\"promo__kicker-line-height\":\"var(--label-m-line-height)\",\"promo__kicker-letter-spacing\":\"var(--label-m-letter-spacing)\",\"promo__kicker-text-transform\":\"var(--label-m-text-transform)\",\"promo__title-color\":\"var(--color-on-primary)\",\"promo__title-min-lines\":2,\"promo__title-max-lines\":2,\"promo__title-font-family\":\"var(--heading-xl-font-family)\",\"promo__title-font-size\":\"var(--heading-xl-font-size)\",\"promo__title-font-weight\":\"var(--heading-xl-font-weight)\",\"promo__title-line-height\":\"var(--heading-xl-line-height)\",\"promo__title-letter-spacing\":\"var(--heading-xl-letter-spacing)\",\"promo__title-text-transform\":\"var(--heading-xl-text-transform)\",\"promo__title-overflow\":\"hidden\"},\"content-promo-flex--s-image-width\":\"92px\",\"comments--border-color\":\"#d3d3d3\",\"comments--color-grey\":\"#606060\",\"comments--color-black\":\"#202020\",\"comments--username-color\":\"#3e8b77\",\"comments--quote-background-color\":\"#f5f5f5\",\"comments--input-border-color\":\"#afafaf\",\"comments--placeholder-color\":\"#7c7c7c\",\"recommendation--background-color\":\"#faf7f4\",\"recommendation--item-orientation\":\"horizontal\",\"recommendation--item-size\":\"s\",\"spotlight--text-align\":\"center\",\"spotlight--media-crop\":\"1-1-square\",\"spotlight--kicker-label-size\":\"m\",\"spotlight--title-heading-size\":\"xxxl\",\"spotlight--description-body-size\":\"l\",\"spotlight--separator-line-width\":\"2px\",\"spotlight--separator-line-color\":\"var(--color-tone-light)\",\"spotlight--separator-line-display\":{\"default\":\"none\",\"tablet\":\"none\"},\"spotlight--flex-direction\":{\"default\":\"column\",\"tablet\":\"row\"},\"spotlight--max-width\":{\"default\":\"430px\",\"tablet\":\"var(--width-wide)\"},\"spotlight--content-padding\":{\"default\":\"var(--spacing-4xl) var(--spacing-lg)\",\"tablet\":\"var(--spacing-4xl) var(--spacing-2xl)\",\"desktop\":\"var(--spacing-4xl) var(--spacing-2xl);\"},\"spotlight--border-color\":\"var(--spotlight--separator-line-color)\",\"spotlight--border-width\":{\"default\":\"1px\",\"tablet\":\"0px\"},\"spotlight--border-radius\":{\"default\":\"4px\",\"desktop\":\"8px\"},\"spotlight--background-color\":\"#faf7f4\",\"swiper-carousel--background-color\":\"#faf7f4\",\"toplist--background-color\":\"#faf7f4\",\"toplist--media-aspect-ratio\":\"77/114\",\"toplist--border-radius\":null,\"flow--max-width\":\"var(--width-wide)\",\"title-with-link--icon-margin-top\":\"4px\",\"title-with-link--icon-color\":\"#606060\",\"title-with-link--color-black\":\"#202020\",\"navigation-header--icon-size\":\"20px\",\"navigation-header--border\":\"1px solid #d3d3d3\",\"navigation-header--desktop-width\":\"135px\",\"navigation-header--mobile-width\":\"97px\",\"navigation-menu--border\":\"1px solid 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Muistih\\u00e4iri\\u00f6it\\u00e4 seuraavat toiminnan ohjauksen, kielellisen ilmaisun ja hahmottamisen vaikeudet. My\\u00f6hemmin selviytyminen arkitoimista heikkenee: ruuan valmistaminen unohtuu, lehti\\u00e4 ja papereita alkaa ker\\u00e4\\u00e4nty\\u00e4 pinoihin, siivous j\\u00e4\\u00e4 tekem\\u00e4tt\\u00e4 ja laskut maksamatta. V\\u00e4hitellen tulee k\\u00e4yt\\u00f6sh\\u00e4iri\\u00f6it\\u00e4 ja lopulta edess\\u00e4 on laitoshoito. Sairauden edetess\\u00e4 potilaan sairaudentunto heikkenee.\"}]},{\"kind\":\"block\",\"type\":\"paragraph\",\"nodes\":[{\"kind\":\"text\",\"text\":\"Alzheimerin taudissa tavallaan \\u201covi muistiin\\u201d alkaa v\\u00e4hitellen sulkeutua. T\\u00e4ll\\u00f6in ovella tarkoitetaan aivojen sisemm\\u00e4ss\\u00e4 ohimolohkossa sijaitsevia ns. entorinaalisen kuorikerroksen suuria pyramidisoluja ja hippokampusta. Oven sulkeutuessa rappeumamuutoksia on havaittavissa aiemmin mainituissa pyramidisoluissa \\u2013 niit\\u00e4 kuolee, jolloin niiden m\\u00e4\\u00e4r\\u00e4 v\\u00e4henee. Jo Alzheimerin taudin varhaisvaiheessa niiden lukum\\u00e4\\u00e4r\\u00e4 on v\\u00e4hentynyt puoleen. Lis\\u00e4ksi hippokampus pienenee merkitt\\u00e4v\\u00e4sti. Muutokset voidaan havaita potilaasta otetuissa aivojen magneettikuvissa (ks. kuvat). On kuitenkin hyv\\u00e4 muistaa, ett\\u00e4 vaikka ovi muistiin alkaa sulkeutua, portti j\\u00e4rkeen ei mene samanaikaisesti kiinni.\"}]},{\"kind\":\"block\",\"type\":\"paragraph\",\"nodes\":[{\"kind\":\"text\",\"text\":\"Alzheimerin tauti etenee yksil\\u00f6llisesti eri potilailla. Potilas saattaa kokea esimerkiksi muistih\\u00e4iri\\u00f6it\\u00e4 jo monta vuotta ennen kuin tauti diagnosoidaan. Diagnoosin j\\u00e4lkeen tauti etenee osalla potilaita nopeasti 2-3 seuraavan vuoden aikana. Toisilla eteneminen on vaiheittaisempaa ja tapahtuu pidemm\\u00e4ll\\u00e4 aikav\\u00e4lill\\u00e4 (noin 7 vuotta).\"}]},{\"kind\":\"block\",\"type\":\"paragraph\",\"nodes\":[{\"kind\":\"text\",\"text\":\"Vaikka Alzheimerin tauti on yksil\\u00f6llinen sairaus, seneteneminen voidaan jakaa kolmeen eri vaiheeseen.\"}]},{\"kind\":\"block\",\"type\":\"bulleted-list\",\"nodes\":[{\"kind\":\"block\",\"type\":\"list-item\",\"nodes\":[{\"kind\":\"text\",\"text\":\"l\\u00e4himuisti heikkenee (uuden oppiminen vaikeutuu ja unohtaminen lis\\u00e4\\u00e4ntyy)\"}]},{\"kind\":\"block\",\"type\":\"list-item\",\"nodes\":[{\"kind\":\"text\",\"text\":\"ymp\\u00e4rist\\u00f6n hahmottaminen vaikeutuu, potilas eksyy helposti etenkin vieraassa ymp\\u00e4rist\\u00f6ss\\u00e4\"}]},{\"kind\":\"block\",\"type\":\"list-item\",\"nodes\":[{\"kind\":\"text\",\"text\":\"ajantaju h\\u00e4vi\\u00e4\\u00e4\"}]},{\"kind\":\"block\",\"type\":\"list-item\",\"nodes\":[{\"kind\":\"text\",\"text\":\"sanojen l\\u00f6yt\\u00e4minen vaikeutuu\"}]},{\"kind\":\"block\",\"type\":\"list-item\",\"nodes\":[{\"kind\":\"text\",\"text\":\"monimutkaisten ja abstraktien asioiden ymm\\u00e4rt\\u00e4minen vaikeutuu\"}]},{\"kind\":\"block\",\"type\":\"list-item\",\"nodes\":[{\"kind\":\"text\",\"text\":\"potilas saattaa olla inaktiivinen, vet\\u00e4ytyv\\u00e4\"}]},{\"kind\":\"block\",\"type\":\"list-item\",\"nodes\":[{\"kind\":\"text\",\"text\":\"joskus ilmenee masennusta, vainoharhaisuutta ja aggressiivisuuttakin\"}]},{\"kind\":\"block\",\"type\":\"list-item\",\"nodes\":[{\"kind\":\"text\",\"text\":\"monimutkaisissa kotiaskareissa on vaikeuksia (esim. ruoanlaitto)\"}]}]},{\"kind\":\"block\",\"type\":\"paragraph\",\"nodes\":[{\"kind\":\"text\",\"text\":\"Alkuvaihe saattaa kest\\u00e4\\u00e4 3-7 vuotta. T\\u00e4n\\u00e4 aikana l\\u00e4himuisti heikkenee, aktiivisuus v\\u00e4henee ja ilmenee masennusta. Muistivaikeudet ilmenev\\u00e4t siten, ett\\u00e4 uuden oppiminen vaikeutuu, unohtaminen lis\\u00e4\\u00e4ntyy ja asiakokonaisuuksien mieleenpainaminen hankaloituu. Luetusta tekstist\\u00e4 mieleen j\\u00e4\\u00e4 vain osia. Hahmottamisen vaikeus korostuu vieraassa ymp\\u00e4rist\\u00f6ss\\u00e4, mist\\u00e4 seuraa eksymisi\\u00e4. Ahdistuneisuus, masennus ja \\u00e4rtyisyys vaihtelevat.\"}]},{\"kind\":\"block\",\"type\":\"paragraph\",\"nodes\":[{\"kind\":\"text\",\"text\":\"Jonkinlainen ep\\u00e4varmuus valtaa mielen: ty\\u00f6teht\\u00e4vien suorittaminen ei suju niin kuin ennen. Vaativat teht\\u00e4v\\u00e4t ja uudet tilanteet saattavat pelottaa. Keskittyminen, aloitekyky ja monimutkaisten ja abstraktien asioiden ymm\\u00e4rt\\u00e4minen heikkenee. Ty\\u00f6ss\\u00e4 k\\u00e4yvill\\u00e4 havaitaan sairauden alkuvaiheessa stressioireita, uupumusta ja alavireisyytt\\u00e4.\"}]},{\"kind\":\"block\",\"type\":\"paragraph\",\"nodes\":[{\"kind\":\"text\",\"text\":\"Tyypillinen on ns. p\\u00e4\\u00e4nk\\u00e4\\u00e4nt\\u00f6oire. Muistih\\u00e4iri\\u00f6ist\\u00e4 k\\u00e4rsiv\\u00e4 vilkaisee l\\u00e4hell\\u00e4 istuvaa varmistaakseen onko vastannut oikein. Monilla j\\u00e4\\u00e4v\\u00e4t harrastukset ja joillakin osa yst\\u00e4vist\\u00e4: tuntiessaan ep\\u00e4varmuutta (sanoissa ja teoissa) v\\u00e4ltt\\u00e4\\u00e4 tilanteita, joissa voisi nolata itsens\\u00e4.\"}]},{\"kind\":\"block\",\"type\":\"paragraph\",\"nodes\":[{\"kind\":\"text\",\"text\":\"Monimutkaisten, \\u00e4lyllisi\\u00e4 kykyj\\u00e4 vaativien teht\\u00e4vien suorittaminen ei onnistu. Potilas pystyy asumaan kotonaan, jos h\\u00e4n saa p\\u00e4ivitt\\u00e4isten teht\\u00e4vien suorittamiseen s\\u00e4\\u00e4nn\\u00f6llist\\u00e4, mutta ei v\\u00e4ltt\\u00e4m\\u00e4tt\\u00e4 jatkuvaa apua.\"}]},{\"kind\":\"block\",\"type\":\"bulleted-list\",\"nodes\":[{\"kind\":\"block\",\"type\":\"list-item\",\"nodes\":[{\"kind\":\"text\",\"text\":\"sairaudentunne h\\u00e4vi\\u00e4\\u00e4\"}]},{\"kind\":\"block\",\"type\":\"list-item\",\"nodes\":[{\"kind\":\"text\",\"text\":\"paikantaju h\\u00e4vi\\u00e4\\u00e4\"}]},{\"kind\":\"block\",\"type\":\"list-item\",\"nodes\":[{\"kind\":\"text\",\"text\":\"potilas eksyy tutussakin ymp\\u00e4rist\\u00f6ss\\u00e4\"}]},{\"kind\":\"block\",\"type\":\"list-item\",\"nodes\":[{\"kind\":\"text\",\"text\":\"erilaiset harhat\"}]},{\"kind\":\"block\",\"type\":\"list-item\",\"nodes\":[{\"kind\":\"text\",\"text\":\"potilas laihtuu\"}]},{\"kind\":\"block\",\"type\":\"list-item\",\"nodes\":[{\"kind\":\"text\",\"text\":\"p\\u00e4ivitt\\u00e4istoiminnoissa on vaikeuksia (esim. pukeutuminen)\"}]}]},{\"kind\":\"block\",\"type\":\"paragraph\",\"nodes\":[{\"kind\":\"text\",\"text\":\"Keskivaiheen kestoksi arvioidaan 2-4 vuotta. T\\u00e4ll\\u00f6in tapahtuu monia itsen\\u00e4isen selviytymisen kannalta ratkaisevia muutoksia. Paikan hahmottamisen vaikeudet lis\\u00e4\\u00e4ntyv\\u00e4t ja tapahtuu eksymist\\u00e4 tutussakin ymp\\u00e4rist\\u00f6ss\\u00e4. Pukeutumisessa tarvitaan apua ja vaatteiden lis\\u00e4ksi sanat tuntuvat olevan kateissa. Harhaluulot, harhan\\u00e4yt ja erilaiset sekavuustilat vaihtelevat, uni-valverytmi h\\u00e4iri\\u00f6t ovat tavallisia. Potilas oireilee laihtumalla, vaikka sy\\u00f6kin monipuolista ravintoa.\"}]},{\"kind\":\"block\",\"type\":\"paragraph\",\"nodes\":[{\"kind\":\"text\",\"text\":\"Persoonallisuus ja sosiaaliset kyvyt s\\u00e4ilyv\\u00e4t entisell\\u00e4\\u00e4n, ruumiillinen kunto on hyv\\u00e4 ja liikuntakyky on s\\u00e4ilynyt. Potilas ei tunne olevansa sairas, h\\u00e4nen kaikki toimintonsa ovat kuitenkin hidastuneet ja h\\u00e4n tuntuu el\\u00e4v\\u00e4n onnellisten maailmassa.\"}]},{\"kind\":\"block\",\"type\":\"paragraph\",\"nodes\":[{\"kind\":\"text\",\"text\":\"Useimpien p\\u00e4\\u00e4ttely\\u00e4 ja muistamista vaativien teht\\u00e4vien suorittaminen ei onnistu ilman apua. Potilas pystyy asumaan kotonaan ainoastaan p\\u00e4ivitt\\u00e4isen valvonnan ja avun turvin, esimerkiksi puolison silm\\u00e4ll\\u00e4pidon alaisena.\"}]},{\"kind\":\"block\",\"type\":\"paragraph\",\"nodes\":[{\"kind\":\"text\",\"text\":\"Viimeist\\u00e4\\u00e4n t\\u00e4ss\\u00e4 vaiheessa on luovuttava ajokortista (hahmotusvaikeudet, reaktiokyky). Sairauden edetess\\u00e4 potilas menett\\u00e4\\u00e4 oikeustoimikelpoisuuden \\u2013 joten mm. omaisuuteen liittyv\\u00e4t asiat tulisi hoitaa ajoissa. Monen kohdalla kotihoito vaihtuu laitoshoidoksi.\"}]},{\"kind\":\"block\",\"type\":\"bulleted-list\",\"nodes\":[{\"kind\":\"block\",\"type\":\"list-item\",\"nodes\":[{\"kind\":\"text\",\"text\":\"kyky puhua ja ymm\\u00e4rt\\u00e4\\u00e4 puhetta on huomattavasti vaikeutunut tai h\\u00e4vinny\"}]},{\"kind\":\"block\",\"type\":\"list-item\",\"nodes\":[{\"kind\":\"text\",\"text\":\"raajat j\\u00e4ykistyv\\u00e4t ja k\\u00e4velykyky heikkenee ja h\\u00e4vi\\u00e4\\u00e4\"}]},{\"kind\":\"block\",\"type\":\"list-item\",\"nodes\":[{\"kind\":\"text\",\"text\":\"potilaalle tulee v\\u00e4hitellen virtsan- ja ulosteenpid\\u00e4tysongelmat\"}]},{\"kind\":\"block\",\"type\":\"list-item\",\"nodes\":[{\"kind\":\"text\",\"text\":\"joillakin potilailla ilmenee epileptisi\\u00e4 kohtauksia\"}]},{\"kind\":\"block\",\"type\":\"list-item\",\"nodes\":[{\"kind\":\"text\",\"text\":\"potilaan kyky sy\\u00f6d\\u00e4 itse h\\u00e4vi\\u00e4\\u00e4 v\\u00e4hitellen (nielemiskyky s\\u00e4ilyy pitk\\u00e4\\u00e4n)\"}]}]},{\"kind\":\"block\",\"type\":\"heading-two\",\"nodes\":[{\"kind\":\"text\",\"text\":\"Syvent\\u00e4v\\u00e4\\u00e4 tietoa loppuvaiheesta:\"}]},{\"kind\":\"block\",\"type\":\"paragraph\",\"nodes\":[{\"kind\":\"text\",\"text\":\"Taudin loppuvaiheen pituus on 1-5 vuotta. Yksinkertaistenkaan p\\u00e4\\u00e4ttely\\u00e4 ja muistamista vaativien teht\\u00e4vien suorittaminen ei yleens\\u00e4 onnistu itsen\\u00e4isesti. Potilas on laitostasoisen hoidon tarpeessa ja h\\u00e4nt\\u00e4 joudutaan jatkuvasti auttamaan h\\u00e4nen p\\u00e4ivitt\\u00e4isiss\\u00e4 toiminnoissaan: h\\u00e4nt\\u00e4 on sy\\u00f6tett\\u00e4v\\u00e4 (nielemiskyky s\\u00e4ilyy pitk\\u00e4\\u00e4n) ja hygieniasta on huolehdittava, sill\\u00e4 virtsan- ja ulosteenpid\\u00e4tyskyvyn s\\u00e4\\u00e4tely ei toimi. Puhuminen on vaikeaa, potilas toistaa sanoja ja \\u00e4\\u00e4nteit\\u00e4. Puheen ymm\\u00e4rt\\u00e4minen on hankalaa. Keho on entisest\\u00e4\\u00e4n j\\u00e4ykistynyt, k\\u00e4velykyky vaikeutuu ja viimein katoaa. Suun seudun pakkoliikkeit\\u00e4 saattaa esiinty\\u00e4 ja jotkut saavat epileptisia kohtauksia ja lihasnykimisi\\u00e4. Potilas ei en\\u00e4\\u00e4 tunne puolisoaan, lapsiaan eik\\u00e4 yleens\\u00e4k\\u00e4\\u00e4n l\\u00e4heisi\\u00e4\\u00e4n. Paikan ja ajan taju h\\u00e4vi\\u00e4v\\u00e4t.\"}]},{\"kind\":\"block\",\"type\":\"heading-two\",\"nodes\":[{\"kind\":\"text\",\"text\":\"Alzheimerin tauti omaisen kertomana: N\\u00e4k\\u00f6harhat ja tunnistaminen\"}]},{\"kind\":\"block\",\"type\":\"paragraph\",\"nodes\":[{\"kind\":\"text\",\"text\":\"\\\"Kun menin katsomaan laitoshoidossa olevaa \\u00e4iti\\u00e4ni, h\\u00e4n kuvitteli, ett\\u00e4 olin naapurin Liisa ja kyseli kovasti, mit\\u00e4 h\\u00e4nen tytt\\u00e4relleen (siis minulle) kuuluu. Puolisoaan h\\u00e4n sanoi milloin \\u201cis\\u00e4kseen\\u201d, milloin \\u201cveljekseen\\u201d. Yrit\\u00e4mme aina rauhallisesti korjata n\\u00e4m\\u00e4 virheet. Silloin \\u00e4iti naurahtaa ja toteaa, ett\\u00e4 niinh\\u00e4n se on. Hetken kuluttua h\\u00e4n saattaa kysy\\u00e4 jotakin televisiokuvalta tai alkaa seurustella kuvan kanssa.\\\" \\u201cOlimme vaimoni kanssa hississ\\u00e4, kun h\\u00e4n alkoi yht\\u00e4kki\\u00e4 tuijottaa peilist\\u00e4 n\\u00e4kyvi\\u00e4 kasvojaan ja kysyi, kuka tuo on?\\u201d\"}]},{\"kind\":\"block\",\"type\":\"heading-three\",\"nodes\":[{\"kind\":\"text\",\"text\":\"Tapahtumien tausta: Havaintotoiminnan h\\u00e4iri\\u00f6\"}]},{\"kind\":\"block\",\"type\":\"paragraph\",\"nodes\":[{\"kind\":\"text\",\"text\":\"Pitk\\u00e4lle edenneess\\u00e4 sairauden vaiheessa muistikuvat siirtyv\\u00e4t yh\\u00e4 kauemmaksi menneisyyteen, t\\u00e4ll\\u00f6in puolisosta saattaa tulla is\\u00e4 tai tytt\\u00e4rest\\u00e4 \\u00e4iti. Tunnistamisvaikeus voi selitty\\u00e4 my\\u00f6s niin, ett\\u00e4 potilaalla on havaintotoiminnan h\\u00e4iri\\u00f6, aivokuoren vaurioituessa sinne syntyv\\u00e4 kuva on rikkonainen ja puutteellinen, jolloin tunnistaminen saattaa tapahtua pelk\\u00e4st\\u00e4\\u00e4n \\u00e4\\u00e4nen perusteella.\"}]},{\"kind\":\"block\",\"type\":\"paragraph\",\"nodes\":[{\"kind\":\"text\",\"text\":\"Hoidon onnistuminen vaatii huolenpitoa l\\u00e4hiymp\\u00e4rist\\u00f6lt\\u00e4.\"}]},{\"kind\":\"block\",\"type\":\"paragraph\",\"nodes\":[{\"kind\":\"text\",\"text\":\"Hoitomahdollisuudet ovat parantuneet huomattavasti viimeisten kymmenen vuoden aikana. Vaikka tautiin ei ole parantavaa hoitoa, sen etenemiseen voidaan vaikuttaa.\"}]},{\"kind\":\"block\",\"type\":\"paragraph\",\"nodes\":[{\"kind\":\"text\",\"text\":\"Alzheimerin taudin hoidon tavoitteita ovat potilaan toimintakyvyn yll\\u00e4pit\\u00e4minen, h\\u00e4nen kotona asumisensa turvallinen jatkaminen, potilaan ja h\\u00e4nen l\\u00e4hiomaisensa jaksamisen tukeminen, laitoshoidon alkamisen siirt\\u00e4minen ja kaikkien osapuolten mahdollisimman hyv\\u00e4 el\\u00e4m\\u00e4nlaatu.\"}]},{\"kind\":\"block\",\"type\":\"paragraph\",\"nodes\":[{\"kind\":\"text\",\"text\":\"Hyv\\u00e4 yleishoito on hoidon perusta. Siihen kuuluvat mm. riitt\\u00e4v\\u00e4 lepo, monipuolinen ravinto, liikunta (ulkoilu, kuntoutus) ja hygieniasta huolehtiminen (mm. wc:ss\\u00e4 k\\u00e4ymisest\\u00e4 muistuttaminen).\"}]},{\"kind\":\"block\",\"type\":\"paragraph\",\"nodes\":[{\"kind\":\"text\",\"text\":\"L\\u00e4\\u00e4kehoidon rinnalla korostuu l\\u00e4\\u00e4kkeet\\u00f6n hoito: potilaan tilaan vaikuttavien virikkeiden m\\u00e4\\u00e4r\\u00e4 (mm. muistikuntoutus, toimiva yst\\u00e4v\\u00e4piiri), k\\u00e4yt\\u00f6sh\\u00e4iri\\u00f6it\\u00e4 aiheuttavien tilanteiden tunnistaminen ja niiden poistaminen, tapaturmavaaran v\\u00e4hent\\u00e4minen (kynnykset, turvaliedet, korotetut istuimet).\"}]},{\"kind\":\"block\",\"type\":\"paragraph\",\"nodes\":[{\"kind\":\"text\",\"text\":\"Alzheimerin tauti oli ensimm\\u00e4inen dementiasairaus, jonka oireiden hoitoon tuli tarjolle kohdennettu l\\u00e4\\u00e4kehoito. L\\u00e4\\u00e4kehoidolla voidaan hidastaa taudin oireiden etenemist\\u00e4 ja pit\\u00e4m\\u00e4\\u00e4n yll\\u00e4 sairastuneen toimintakyky\\u00e4. Alzheimer-l\\u00e4\\u00e4kkeet \\u00a0tehostavat hermosolujen v\\u00e4list\\u00e4 viestint\\u00e4\\u00e4 eli parantavat \\u00e4lyllist\\u00e4 suorituskyky\\u00e4, p\\u00e4ivitt\\u00e4ist\\u00e4 toimintakyky\\u00e4 ja yleisvointia\"}]},{\"kind\":\"block\",\"type\":\"paragraph\",\"nodes\":[{\"kind\":\"text\",\"text\":\"L\\u00e4\\u00e4kkeet hidastavat taudin etenemist\\u00e4, lievitt\\u00e4v\\u00e4t oireita ja auttavat potilasta selviytym\\u00e4\\u00e4n paremmin p\\u00e4ivitt\\u00e4isist\\u00e4 teht\\u00e4vist\\u00e4. N\\u00e4ill\\u00e4 l\\u00e4\\u00e4kkeill\\u00e4 on vaikutusta my\\u00f6s k\\u00e4yt\\u00f6soireisiin. L\\u00e4\\u00e4kkeet voivat v\\u00e4hent\\u00e4\\u00e4 k\\u00e4yt\\u00f6soireiden ilmaantumista, lievitt\\u00e4\\u00e4 jo olemassa olevia k\\u00e4yt\\u00f6soireita tai v\\u00e4hent\\u00e4\\u00e4 tarvetta ns. psyykenl\\u00e4\\u00e4kkeiden k\\u00e4ytt\\u00f6\\u00f6n. Mit\\u00e4 aikaisemmin sairaus todetaan, sit\\u00e4 varhemmin voidaan aloittaa l\\u00e4\\u00e4kehoito ja auttaa potilasta s\\u00e4ilytt\\u00e4m\\u00e4\\u00e4n el\\u00e4m\\u00e4nlaatunsa. Alzheimer-l\\u00e4\\u00e4kkeet\\u00a0helpottavat my\\u00f6s omaisen taakkaa ja rasitusta, ja antavat enemm\\u00e4n omaa aikaa omaiselle. Hyvi\\u00e4 tuloksia on saatu l\\u00e4\\u00e4kkeiden k\\u00e4yt\\u00f6st\\u00e4 erityisesti liev\\u00e4ss\\u00e4 ja keskivaikeassa Alzheimerin taudissa, mutta l\\u00e4\\u00e4kkeist\\u00e4 on todettu hy\\u00f6ty\\u00e4 my\\u00f6s taudin vaikeassa muodossa. Varhain aloitetun l\\u00e4\\u00e4kehoidon uskotaan antavan v\\u00e4hint\\u00e4\\u00e4n vuoden lis\\u00e4\\u00e4 aikaa asua kotona.\"}]},{\"kind\":\"block\",\"type\":\"paragraph\",\"nodes\":[{\"kind\":\"text\",\"text\":\"T\\u00e4ll\\u00e4 hetkell\\u00e4 Alzheimerin tautiin on Suomessa saatavilla nelj\\u00e4 eri reseptil\\u00e4\\u00e4kett\\u00e4: donepetsiili, galantamiini, rivastigmiini ja memantiini. Paras tuntemus oikean l\\u00e4\\u00e4kkeen valinnasta on Alzheimerin tautia hoitavilla erikoisl\\u00e4\\u00e4k\\u00e4reill\\u00e4, joilla on runsaasti erilaisia potilaskokemuksia. L\\u00e4\\u00e4kett\\u00e4 voidaan k\\u00e4ytt\\u00e4\\u00e4 tilanteissa, jossa potilaan vointia ja l\\u00e4\\u00e4kkeen ottoa ohjaa omainen tai muu hoitaja.\"}]},{\"kind\":\"block\",\"type\":\"paragraph\",\"nodes\":[{\"kind\":\"text\",\"text\":\"K\\u00e4yt\\u00f6ss\\u00e4 olevista Alzheimer- l\\u00e4\\u00e4kkeist\\u00e4 donepetsiili, rivastigniimi ja galantamiini tehostavat aivoissa ja muuallakin elimist\\u00f6ss\\u00e4 monin tavoin vaikuttavan asetyylikoliini -v\\u00e4litt\\u00e4j\\u00e4aineen toimintaa. N\\u00e4m\\u00e4 l\\u00e4\\u00e4kkeet on tarkoitettu liev\\u00e4n ja keskivaikea Alzheimerin taudin hoitoon. Kolinergiseen j\\u00e4rjestelm\\u00e4\\u00e4n vaikuttavien l\\u00e4\\u00e4kkeiden lis\\u00e4ksi markkinoilla on memantiini. Memantiini vaikuttaa aivoissa glutamaatti nimisen v\\u00e4litt\\u00e4j\\u00e4aineen aineenvaihduntaan. L\\u00e4\\u00e4ke on tarkoitettu keskivaikean ja vaikean Alzheimerin taudin hoitoon.\"}]},{\"kind\":\"block\",\"type\":\"heading-two\",\"nodes\":[{\"kind\":\"text\",\"ranges\":[{\"text\":\"Omaisen kokemuksia l\\u00e4\\u00e4kityksen vaihtamisesta ja lopettamisesta\",\"marks\":[{\"type\":\"bold\"}]}]}]},{\"kind\":\"block\",\"type\":\"paragraph\",\"nodes\":[{\"kind\":\"text\",\"text\":\"\\u201cKun \\u00e4iti\\u00e4ni oli hoidettu l\\u00e4hes kaksi vuotta Alzheimer-l\\u00e4\\u00e4kkeill\\u00e4, ja h\\u00e4nell\\u00e4 ilmenev\\u00e4\\u00e4 l\\u00f6ys\\u00e4\\u00e4 vatsaa pidettiin l\\u00e4\\u00e4kkeen aiheuttamana sivuvaikutuksena, p\\u00e4\\u00e4tettiin kokeilla toista valmistetta. Jo ensimm\\u00e4isin\\u00e4 p\\u00e4ivin\\u00e4 l\\u00e4\\u00e4kkeen vaihtamisen j\\u00e4lkeen ilmeni rauhattomuutta ja \\u00e4iti tuntui olevan koko ajan l\\u00e4hd\\u00f6ss\\u00e4 jonnekin, h\\u00e4n etsi rahapussiaan ja takkiaan. Y\\u00f6ksi h\\u00e4net oli kiinnitett\\u00e4v\\u00e4 magneettivy\\u00f6ll\\u00e4 s\\u00e4nkyyn.\"}]},{\"kind\":\"block\",\"type\":\"paragraph\",\"nodes\":[{\"kind\":\"text\",\"text\":\"Seuraavaksi p\\u00e4\\u00e4tettiin katsoa, miten l\\u00e4\\u00e4kehoidon kokonaan lopettaminen h\\u00e4neen vaikuttaisi. Nyt tilanne rauhoittui ja \\u00e4iti pysyi huoneessaan. Uutena asiana tulivat hallusinaatiot: y\\u00f6hoitaja kertoi, ett\\u00e4 h\\u00e4n oli puhunut koko y\\u00f6n, kysynyt ja vastannut, keskustellut itsens\\u00e4 kanssa aamuun asti. Her\\u00e4tty\\u00e4\\u00e4n h\\u00e4n kertoi saaneensa y\\u00f6ll\\u00e4 vieraan, tuntematon mies oli istunut h\\u00e4nen s\\u00e4nkyns\\u00e4 reunalla. Aamupalalla \\u00e4iti oli niin v\\u00e4synyt, ettei ollut l\\u00f6yt\\u00e4nyt lusikalla suutaan. P\\u00e4iv\\u00e4 oli kulunut uni-valve -tilassa, \\u00e4iti kertoi ajaneensa mm. raitiovaunulla maapallon ymp\\u00e4ri.\"}]},{\"kind\":\"block\",\"type\":\"paragraph\",\"nodes\":[{\"kind\":\"text\",\"text\":\"Kokeilujen j\\u00e4lkeen l\\u00e4\\u00e4k\\u00e4ri p\\u00e4\\u00e4tti palata vanhaan l\\u00e4\\u00e4kitykseen, h\\u00e4n pienensi annosta \\u2013 ja olo normalisoitui, rauhattomuus ja hallusinaatiot katosivat. My\\u00f6s vatsa tuli kuntoon.\\u201d\"}]},{\"kind\":\"block\",\"type\":\"paragraph\",\"nodes\":[{\"kind\":\"text\",\"text\":\"L\\u00e4\\u00e4kityksen peruskorvauksen my\\u00f6nt\\u00e4mist\\u00e4 varten potilas tarvitsee ns. B1-lausunnon, jonka kirjoittaa erikoisl\\u00e4\\u00e4k\\u00e4ri (neurologi, geriatri, kehitysvammal\\u00e4\\u00e4ketieteeseen perehtynyt l\\u00e4\\u00e4k\\u00e4ri). T\\u00e4ytetty kaavake l\\u00e4hetet\\u00e4\\u00e4n Kelan paikallistoimistoon. Jos l\\u00e4\\u00e4kekorvaus hyv\\u00e4ksyt\\u00e4\\u00e4n, potilas maksaa l\\u00e4\\u00e4kkeest\\u00e4\\u00e4n vain puolet, toisen puolen korvaa Kela.\"}]},{\"kind\":\"block\",\"type\":\"paragraph\",\"nodes\":[{\"kind\":\"text\",\"text\":\"L\\u00e4\\u00e4kkeit\\u00e4 voidaan k\\u00e4ytt\\u00e4\\u00e4 Alzheimerin taudin kaikissa vaiheissa, aina liev\\u00e4st\\u00e4 vaiheesta vaikeaan dementiaan. Peruskorvauksen voi n\\u00e4in saada taudin kaikissa vaiheissa. Hyv\\u00e4ksymisp\\u00e4\\u00e4t\\u00f6s ei kuitenkaan aina ole itsest\\u00e4\\u00e4n selv\\u00e4, sill\\u00e4 Kela on asettanut joitakin erityisehtoja. Alzheimer-l\\u00e4\\u00e4kkeet maksavat valmisteesta riippuen noin 80-120 euroa kuukaudessa.\"}]},{\"kind\":\"block\",\"type\":\"paragraph\",\"nodes\":[{\"kind\":\"text\",\"text\":\"Ep\\u00e4selviss\\u00e4 korvausasioissa voi k\\u00e4\\u00e4nty\\u00e4 Alzheimer-keskusliiton puoleen tai tiedustella asiaa dementianeuvojalta.\"}]},{\"kind\":\"block\",\"type\":\"heading-two\",\"nodes\":[{\"kind\":\"text\",\"ranges\":[{\"text\":\"Suuret l\\u00e4\\u00e4kekustannukset\",\"marks\":[{\"type\":\"bold\"}]}]}]},{\"kind\":\"block\",\"type\":\"paragraph\",\"nodes\":[{\"kind\":\"text\",\"text\":\"Lis\\u00e4korvausta suurista l\\u00e4\\u00e4kekustannuksista maksetaan seuraavasti: vuonna 2016 raja on 610,37 euroa. Jos l\\u00e4\\u00e4kekustannukset ovat t\\u00e4t\\u00e4 suuremmat, Kela korvaa ylimenev\\u00e4n osan. T\\u00e4t\\u00e4 varten on s\\u00e4\\u00e4stett\\u00e4v\\u00e4 apteekin kuitit tai pyydett\\u00e4v\\u00e4 apteekissa pit\\u00e4m\\u00e4\\u00e4n kirjaa l\\u00e4\\u00e4kemenoista.\"}]},{\"kind\":\"block\",\"type\":\"bulleted-list\",\"nodes\":[{\"kind\":\"block\",\"type\":\"list-item\",\"nodes\":[{\"kind\":\"block\",\"type\":\"paragraph\",\"nodes\":[{\"kind\":\"text\",\"text\":\"\"},{\"data\":{\"href\":\"https:\\/\\/www.terve.fi\\/artikkelit\\/nain-laakkeet-korvataan\"},\"kind\":\"inline\",\"type\":\"anchor\",\"nodes\":[{\"kind\":\"text\",\"text\":\"N\\u00e4in l\\u00e4\\u00e4kkeet korvataan\"}]},{\"kind\":\"text\",\"text\":\"\"}]}]}]},{\"kind\":\"block\",\"type\":\"paragraph\",\"nodes\":[{\"kind\":\"text\",\"ranges\":[{\"text\":\"Lis\\u00e4\\u00e4 tietoa Alzheimerin taudista osoitteessa \",\"marks\":[{\"type\":\"bold\"}]}]},{\"data\":{\"href\":\"http:\\/\\/www.alzheimerinfo.fi\\/\"},\"kind\":\"inline\",\"type\":\"anchor\",\"nodes\":[{\"kind\":\"text\",\"ranges\":[{\"text\":\"www.alzheimerinfo.fi\",\"marks\":[{\"type\":\"bold\"}]}]}]},{\"kind\":\"text\",\"text\":\"\"}]}]}"])</script><script>self.__next_f.push([1,"14:[\"Article\",\"Video\",\"Question\"]\n"])</script><script>self.__next_f.push([1,"4:[[[[\"$\",\"meta\",\"506248589552653\",{\"property\":\"fb:pages\",\"content\":\"506248589552653\"}],[\"$\",\"meta\",\"183586005024702\",{\"property\":\"fb:pages\",\"content\":\"183586005024702\"}],[\"$\",\"meta\",\"110605622314643\",{\"property\":\"fb:pages\",\"content\":\"110605622314643\"}]],null,null,false],[[\"$\",\"script\",null,{\"type\":\"application/ld+json\",\"dangerouslySetInnerHTML\":{\"__html\":\"$11\"}}],\"$undefined\"],[\"$\",\"$L12\",null,{\"content\":{\"id\":\"QXJ0aWNsZTpCSzZVeTZ4\",\"description\":\"Nämä ovan Alzheimerin taudin oireet. 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