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    홈 / 시사 / 칼럼

subject 좋은 뉴스, 나쁜 뉴스, 환장할 뉴스

우스갯소리에 이런 이야기가 있다.

좋은 뉴스- 남편이 사장이 됐다네. /나쁜 뉴스- 남편 사무실에 비서가 예쁜 여자라네.
환장할 뉴스- 남편이랑 그 비서가 해외출장을 간다?

이걸 갈수록 늘어나는 치매유병률로 바꿔 말한다면

좋은 뉴스- 이제 우리나라도 백세 수명이 멀지않았다는 군. /나쁜 뉴스- 백세까지 사는 건 좋은데 갈수록 치매유병률이 높아지고 있다는 군. /환장할 뉴스-유전자검사를 해보니 나도 80세쯤에는 치매에 걸린다는군.

얼마 전 WHO에서 한국인의 수명을 남자 73.9세, 여자 80.8세, 전체 평균은 77세로 발표하였다. 20세기 초반에 인류의 평균수명이 50대였다는 걸 생각하면 놀라운 발전이다. 그러나 그런 경이적인 발전의 그늘로 대두되는 것이, 나날이 늘어나는 치매유병률이 아닐까?

20세기 초만 해도 인간은 치매가 걸리기까지 살아남지 못했다. 그러나 집안 어르신 중에 장수하셨던 분들이 당시에 ‘노망’이라고 하던 치매를 앓다가 돌아가셨던 기억은 있을 것이다. 치매에 관한 통계를 보면 65세 이상의 노인 5%가 심한 치매, 15%는 경도의 치매, 80세 이상의 노인은 20%가 심한 치매를 앓고 있다고 한다. 게다가 85세 이상의 노인들은 47%가 치매라고 한다.

결국 이 말은 백세 장수시대라고 좋아들 하지만 85세가 넘으면 절반이 이미 자기가 아닌, 정신을 잃은 병자의 상태로 생명을 유지할 것이라는 추측이 가능하게 된다. 다시 말해서 인간은 온갖 질병과 싸워서 마침내 백세 장수시대를 열었지만 이제 우리는 죽음에 이르기까지 꽤 오랫동안 치매 상태로 지내야 하는 가혹한 현실과 맞닥뜨린 것이다.

치매가 어떤 질병보다 무서운 이유는 치매 상태가 되면 이미 사람을 사람답게 규정하는 기본행위들을 하지 못하게 되어 주위 사람들을 심각한 고통 속으로 몰아넣으면서도, 현대의학의 발전으로 생명은 여전히 유지하고 있다는 점이다.

눈이 팽팽 돌 만큼 빠르게 흘러가는 현대에서 치매노인이 있는 집안은 이중삼중의 고통 속에 내동댕이쳐진다. 이미 정상적인 판단을 잃은 그 어른이 돌아가실 때까지 그래도 인간적인 존엄성을 지켜드리면서 병구완이 가능해야 하고, 따뜻했던 엄마나 다정했던 아버지가 주신 모든 기억들이 하나하나 부서져야 하는, 하여 형제간에도 여태 당연했던 우애들이 부단한 노력 없이는 유지하기 어려워진다는 점이 치매와 맞닥뜨린 가족들의 눈물겨운 고통이다.

다행히 이제 눈부신 의학의 발전으로 치매의 치료법도 조금씩 진보를 보이고 있다. 그러나 그 치료법이 상용될 때까지는 인력과 재정의 엄청난 투자가 있어야 할 것으로 추측되고, 지금 사용되는 치료제의 경우 치매상태의 완치를 기대하기보다 현재 상태에서 더 나쁘게 진행되는 것을 막아 주거나 혹은 진행을 느리게 해주는 것으로, 그나마 여명이 많지 않은 노인들에게 다행한 일이라고 할 수 있다.

따라서 현재 치매에 대한 의료계의 최선의 대처방식은 예방과 조기발견, 조기치료이다.

치매를 유발하는 원인으로 지목되는 것은 뇌세포에 산소를 공급하는 뇌혈류의 원활치 못한 흐름으로 인한 뇌세포의 기능정지에 있다. 그렇다면 치매의 예방도 그런 쪽으로 접근이 가능할 것이다.

치매를 예방하기 위해 우리가 할 수 있는 세 가지 방안을 제시하고자 한다.

첫째는 몸의 전신 상태를 할 수 있는 한 좋은 상태로 유지해야 하는데 고혈압, 당뇨병 등의 만성질환이 있는 사람은 이를 적극적으로 치료해야 한다.

둘째는 몸의 활력을 증진시킴으로써 혈류의 흐름을 원활하게 해야 한다. 노년까지 지속할 수 있는 운동으로 매일 한 시간 정도 걷기를 권장하고 있다. 걷기는 경제적으로 어려운 사람도 마음만 먹으면 할 수 있는 좋은 운동으로 고혈압이나 당뇨병도 걷기만으로 증상이 어느 정도 개선된다고 한다.

셋째는 다양한 사람들과의 지속적인 교류이다. 사람들과의 긍정적인 사회활동은 우리의 뇌를 운동하게 함으로써 치매 예방효과가 있다고 한다.

생활습관을 모범적으로 개선하고, 이전과 달리 기억력이 떨어졌다고 느껴지면 치매에 관한 진단을 빨리 받아 치료에 들어가는 것이 치매로부터 스스로를 지키는 방책이다. 이것이 나쁜 뉴스를 좋은 뉴스로 바꾸는 지혜일 것이다.

권선진_twojin29@freechal.com
서울동작구 보건소장

25호 (2006.6.26)

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