Kulungile Noma Okungalungile?
Ngenxa yokuthi izinhlobo ze- Alzheimer kanye nezinye izinhlobo zengqondo ye-dementia zithinta ikhono lobuchopho ukwenza izinqumo futhi zikhumbule ulwazi , zivame ukwethula izinkinga ezihlukahlukene zokuziphatha ezinamalungu omndeni nabanakekeli. Lokhu kufaka lokhu okulandelayo:
1. Ukukwazisa nokuchaza ukuxilongwa kwe-Dementia kuMuntu
Olunye ucwaningo lwathola ukuthi abangaphezu kwesigamu sabantu abane- dementia abatshelwa ukuthi bahloliswe yi-dementia.
Odokotela bangase bakhathazeke ngokuphendula komuntu futhi, bengathandi ukususa ukucindezeleka ngokomzwelo esigulini sabo, bangase bayeke ukuxoxa ngokuxilongwa, noma behlehlise umthelela, bethi, "Unenkinga encane ngememori yakho."
Ngenkathi isifiso sokugwema ukuhlukumeza isiguli kanye nomndeni wabo siyaqondakala, asiyeki ngokweqile sitshele umuntu onomdlavuza ukuthi une-tumor ebulalayo futhi engase ingasebenzi. E-dementia, izigaba zokuqala zinikeza ithuba lokunakekelwa kwezindaba zomthetho nezomnotho esikhathini esizayo, futhi uxoxe ngokuthandwayo kwezokwelapha nomndeni.
Okuphakanyisiwe ukufunda: Izinzuzo ezingu-12 zokutholwa kokuqala ku-Dementia
2. Ukushayela Izinqumo
Kwabaningi bethu, ukushayela kuyisibonakaliso esiqinisekile sokuzimela. Singathola lapho sidinga khona, futhi senze lokhu noma nini lapho sidinga noma sifuna. Nokho, ekudemeni kwengqondo, kufika isikhathi lapho ukushayela kungaphephile nakakhulu.
Unquma nini ukuthi kuyingozi kakhulu?
Uma ususa lelo khono nokuzimela, uthatha okuningi kude nalowo muntu. Kodwa, uma unqikaza isikhathi eside futhi othandekayo wakho ekugcineni ebulala omunye umuntu ngoba wenza ukukhetha okumbi njengoba eqhuba, imiphumela iyabhubhisa bonke abahilelekile.
3. Ukuphepha ekhaya
Othandekayo wakho angase afune ukuqhubeka nokuhlala ekhaya, kodwa usephephile ukwenza kanjalo?
Kukhona izinyathelo eziningana ongazithatha ukuze uthuthukise ukuphepha ekhaya, futhi ungaletha nabanye ukusiza ekhaya , futhi.
Mhlawumbe unqume ukuthi uphephile uma egqoka indawo ye-GPS, noma uma unekhamera ekhaya. Noma, mhlawumbe usebenzisa i- dispenser ye-medication ehlelwe nge - elekthronikhi ukumsiza ukuthi athathe imithi yakhe ngokuphepha.
Ngabe usuphikisa isifiso sakhe sokuhlala ekhaya ngomzamo wakho wokumvikela?
Okuphakanyisiwe ukufundwa: Amathiphu Wokukwazi Uma Isikhathi Sokunakekelwa Kwekhaya Kwabanakekeli
4. Ukwenza Amandla Ommeli
Ukuzimela kuhilela ilungelo lokwenza izinqumo zethu. Sonke siyayifuna, futhi, ekunakekelweni komuntu siqu , sifuna ukukhuthaza nokuvikela lokhu kwabanye, futhi. Kodwa-ke, njengoba ukucindezeleka kwengqondo kuqhubekela phambili, leli khono liyaqina futhi kuba yisikhathi sokucabangela ukwenza (noma kusebenze) amandla ommeli. Lokhu kusho ukuthi izinqumo zokwelapha zomuntu zinikezwa kumuntu abazihloniphe emandleni egqwetha lommeli.
Ngokujwayelekile, udokotela nesazi sengqondo, noma odokotela ababili, kufanele banqume ukuthi lowo muntu akakwazi ukuhlanganyela ezinqumweni zezokwelapha. Isikhathi salesi sinqumo, nomugqa odokotela nodokotela bezokwelapha abawudwebayo, uhluka kusuka komuntu kuya komuntu, kanye nodokotela abathile abalondoloza isinqumo isikhathi eside kunabanye.
5. Isivumelwano sokwelashwa kanye nezivivinyo zomtholampilo
Ekuqaleni kwe-dementia, ilungu lomndeni wakho cishe liqonda izingozi nezinzuzo zokwelapha. Kodwa, njengoba inkumbulo yakhe kanye nokusebenza kwakhe okusebenzayo kwehla, le khono liyahluma. Qinisekisa ukuthi uyaziqonda ngempela lezi zinkinga ngaphambi kokuba abonise ifomu lesicelo.
6. Ukufihla Imithi Ekudleni
Ezigabeni eziphakathi komqondo wokugula komqondo , kungenzeka ukuthi ukuwohloka komqondo kungase kubangele ukuthi umuntu angamelana nokuphuza imithi. Abanye abanakekeli baye bazama ukuqeda le mpi ngokufihla amaphilisi futhi bafihle ekudleni. Ucwaningo lubonisa ukuthi lo mkhuba obizwa ngokuthi "ukuphathwa kwe-covert" -kujwayelekile, futhi abanye banomuzwa wokuthi kuyadingeka ukuze kube nenhlalakahle yomuntu.
Abanye bathi akufanelekile ngokomthetho ngoba "kumkhohlisa" lowo muntu ukuthi athathe imithi.
Le nkinga ishintshile eminyakeni edlule njengama-capsules amachiza angavulwa futhi izidakamizwa zifafazwe ekudleni noma ekuphuzeni komuntu onesifo sengqondo sokugula. Kukhona futhi ama-patches ahambisa imithi, futhi ngisho nama-prescription lotions ahlutshiwe esikhumbeni. Isibonelo, umthamo we-Ativan ungasetshenziswa ngokumchofoza nje entanyeni yomuntu.
Abanye bathi uma amandla ommeli asetshenzisiwe-okuyinto eyenza umuntu angakwazi ukuvuma imithi- futhi umuntu oqokwe njengamandla ommeli usevele avumile ukusetshenziswa kwemithi, ukubeka imithi ekudleni kunganikeza indlela elula ukuyilawula.
7. Umsebenzi wobulili
Umbuzo wokuthi uma umuntu ekwazi yini ukuvuma umsebenzi wezocansi uma enesifo sengqondo sezulu ahlasela ama-newsstand ngo-2015. Indoda yayisolwa ngokuba nomsebenzi wobulili nomkakhe, owayene-Alzheimer, ekugcineni watholakala enecala.
Kodwa, lo mbuzo wemvume e-dementia uhlala abaningi. Ukuxilongwa komqondo wecala akuvimbeli umuntu ukuba akwazi ukuvuma, futhi abaningi bathi umsebenzi wezocansi uyinto ebaluleke kakhulu yokugcina izinga lokuphila . Inselelo ifika ngokukwazi ukuthi ukuvikela kanjani ilungelo lokuhlanganyela emisebenzini yobulili ewusizo kodwa uvimbele othile ukuba asebenzise omunye.
Ukukhohliswa Kwezokwelapha
Ingabe ukulala nomngane wakho othandekayo lapho iqiniso liyocindezela kuye? Kukhona ochwepheshe kuzo zombili izinkinga zenkinga. Ngokuvamile, kungcono ukusebenzisa amanye amasu afana nokuphazamiseka ngokusebenzisa ushintsho lwezindaba noma umsebenzi onenjongo , noma uzame ukwelashwa okuqinisekisiwe . Isibonelo, uma othile ebuza ukuthi unina (futhi ushonele eminyakeni eminingi edlule), ukwelashwa okuqinisekisiwe kungasikisela ukuthi umcele ukuthi akutshele kabanzi ngomama wakhe, noma umbuze ukuthi yini ayithandayo ngaye.
9. Ukuvivinya nge-Genetic ye- Apolipoprotein E (APOE) Gene
Ukuvivinya ngezifo kungabangela imibuzo eminingi yokuziphatha. Lokhu kufaka phakathi ukuthi imiphumela izovezwa bani, yiziphi izinyathelo ezilandelayo okufanele zibe yilo uma uphatha i-APOE gene, nokuthi ungabhekana kanjani nalolu lwazi. Imiphumela ayikhombisi ukuthi umuntu uzokuthuthukisa u-dementia; bamane bakhombise ukuthi kukhona isakhi sofuzo okwenza kube yingozi enkulu. Ngenxa yokuthi kunezinto eziningi zokuziphatha eziphathelene nokuhlolwa kofuzo, futhi imiphumela ayihlanganisi ngokuqondile nomphumela, i-Alzheimer's Association ayincoma ukuhlolwa kwezakhi zofuzo ze-APOE njalo ngalesi sikhathi.
10. Izivivinyo zegazi ezibikezela ukuthuthukiswa kwe-Alzheimer's
Kukhona ukuhlolwa kwegazi okwakhiwe futhi kucwaningwe okuye kwabikwa ukuthi kungenzeka ukuthi kunembile kakhulu ekubikezelweni- eminyakeni engaphambi kwesikhathi-okuzokwenza noma ngeke kuhlakulele ukuwohloka komqondo. Ngokufanayo nokuhlolwa kwegciwane le-APOE, lezi zivivinyo zibuza imibuzo mayelana nokuthi yini okumelwe ikwenze ngalolo lwazi.
11. Ukulawula Imithi Yokulwa Ne-Antipsychotic
Imishanguzo ye-Antipsychotic, lapho isetshenziswe njengegunya le-Federal Drug Administration, ingaphatha kahle ingqondo, i-paranoia kanye nama- hallucinations , ngaleyo ndlela ukunciphisa ukucindezeleka ngokomzwelo nokukwazi ukuzilimaza. Uma isetshenziselwa ukuwohloka komqondo, le mithi ingasiza ngezikhathi ezithile ukunciphisa i-paranoia kanye nama-hallucinations. Kodwa-ke, nazo zandisa ingozi yemiphumela emibi-ngisho nokufaka ukufa-uma isetshenziselwa ukuwohloka komqondo. Ukusetshenziswa kwe-antipsychotics akufanele neze kube yindlela yokuqala ekunqumeni ukuthi ungayiphendula kanjani kangcono, futhi unciphise, ukuziphatha okuyinselele ekudemeni kwengqondo.
12. Ukuvimbela imithi yokwelapha
Imithi ye-dementia inqunywe nethemba lokunciphisa ukuqhubeka kwesifo. Ukuphumelela kuyahlukahluka, abanye bebona ushintsho oluphawulekayo uma le mithi iqalwa, kuyilapho kunzima ukubona noma yimuphi umthelela kwabanye. Umbuzo wokuthi lolu hlobo lwemithi lusiza kangakanani, futhi uma kufanele lubekwe, kunzima ukuphendula ngoba akekho owaziyo uma umuntu onesifo sengqondo somqondo obangelwa ukuwohloka komqondo angase abe kakhulu kakhulu ngaphandle kwemithi, noma cha. Uma sekuphelile, ukwesaba ukuthi umuntu angase ahlasele ngokuzumayo futhi ngokuphawulekayo. Abanye babuza ukuthi bavele bekhokha imali ngokungenasidingo ezinkampanini ezidakamizwa, ngoba kunesimo esilinganiselwe sokusebenza kwezidakamizwa.
13. Ukuphela Kwezinqumo Zokuphila
Njengabantu abane-dementia ngasekupheleni kokuphila kwabo, kunezinqumo eziningana abathandekayo babo abadinga ukuzenza. Abanye baye bacacile kakhulu ngezintandokazi zabo isikhathi eside ngaphambi kokuba bahlakulele ingqondo, futhi lokhu kunganciphisa kakhulu inqubo. Kodwa-ke, abanye, abazange babonise ukuthi benzani noma bangayifuni ngokwemithi yokwelashwa, futhi lokhu kushiya abenzi bokuqagela ukuqagela lokho bacabanga ukuthi umuntu angafuna. Izinqumo zokuphela kokuphila zihlanganisa izinketho ezifana nekhodi egcwele (yenza i-CPR kanye nendawo ngesimo seventi) ngokumelene Ningavuseleli , nondla izifiso zethubhu kanye ne- IVs ye-hydration noma ye- antibiotics .
Imithombo:
I-Alzheimer's Association. Izinkinga Zokuziphatha Nokuziphatha. Kufinyelelwe ngoJanuwari 22, 2016. http://www.alz.org/care/alzheimers-dementia-ethical-issues.asp
I-Alzheimer's Association. Ukuhlolwa kwe-Genetic. Kufinyelelwe ngoJanuwari 23, 2016. http://www.alz.org/documents_custom/statements/Genetic_Testing.pdf
I-American Journal ye-Geriatric Pharmacotherapy. 2010 Ngo-Apr; 8 (2): 98-114. Izindlela ezihlukile, izindlela zokulethwa, kanye nokukhethwa kokuphatha kwemithi yengqondo ye-psychotropic ezigulini ezikhulile ezinezimpawu zokuziphatha nokucindezeleka kwengqondo. http://www.ncbi.nlm.nih.gov/pubmed/20439060
Ukubuyekeza kobuchwepheshe be-Neurotherapeutics. 2012 Meyi; 12 (5): 557-67. Izinkinga zokuziphatha ezithombeni zesifo se-Alzheimer: ukubuka konke. http://www.ncbi.nlm.nih.gov/pubmed/22550984
I-Journal of Nursing Health Psychoatric Nursing Health. 2010 Nov; 17 (9): 761-8. Ukuphathwa kwemithi yokwelapha kubantu abadala: ukubuyekezwa kwezincwadi nezifundo ezishicilelwe. http://www.ncbi.nlm.nih.gov/pubmed/21040220
Umhlangano weNgqungquthela Yengqondo Ye-Dementia 2012. I-Alzheimer's Association / iMayo Clinic. Izinkinga zomthetho nezokuziphatha e-Dementia. Marson, D. Mashi 17, 2012. http://preview.alz.org/_cms/mnnd-handouts/downloads/202-LegalAndEthicalIssues-Part1.pdf