Ukuqhathaniswa kobuhlungu kubantu abane-Dementia
Ochwepheshe balinganisela ukuthi abantu abangaba ngu-50% abanesifo sengqondo sokuphefumula komzimba banezinhlungu njalo, futhi ukuthi ubuhlungu bungase bukhuphuke njengoba ukuwohloka komqondo kwabo kuqhubeka ngezigaba kamuva.
Izimbangela Zobuhlungu
Ngenkathi i-dementia ngokwayo ingabangeli ubuhlungu emzimbeni, ngokuvamile kunezinye izimo kubantu abane-dementia abangela ubuhlungu.
Iningi lama-dementia amacala asebadala asebekhulile, futhi leli qembu elidala linomthelela omkhulu we- osteoarthritis , ukutheleleka kwe-urinary tract, ukuwa kanye nezilonda zomshoshaphansi- konke okubangelwa ubuhlungu obukhulu. Ngokomunye udokotela, (uDkt. John Mulder) wonke umuntu oneminyaka engama-25 unesifo esithile samathambo ezinhlangothini, okungenzeka ukuthi kubangele ubuhlungu bomzimba nobuhlungu.
Olunye ucwaningo lubonisa ukuthi abantu abane-dementia bangase babhekane nobuhlungu obuhlukile kunelabo abakwazi ukuqonda kwabo, kanti abanye banomuzwa wokuthi kuncishisiwe ukunciphisa ubuhlungu. Ucwaningo luye lwavunywa ukuthi abantu abane-dementia banengozi enkulu yokuphathwa ngaphansi kobuhlungu.
Indlela Ongcono Yokuhlola Ubuhlungu E-Dementia
Buza lo muntu:
Emphakathini jikelele, izinga elimukelweyo lobuhlungu bokulinganisa ukumane umbuze umuntu ngobuhlungu babo. Lokhu kuyinkimbinkimbi kakhulu kumuntu onokuhlupha komqondo ngenxa yokukhubazeka kancane kancane kokuqonda nokukwazi ukuthola igama .
Kodwa-ke, ucwaningo luphakamisa ukuthi ekuqaleni nasezindaweni eziphakathi , abantu abaningi basakwazi ukukhomba ngokunembile nokuveza ubuhlungu babo; ngakho-ke, kufanele babuzwe. Ezingxenyeni zamuva zokudangala komqondo, kuba nzima kakhulu ukuba umuntu abonise ubuhlungu bawo.
Sebenzisa ama-Scal Scales:
Ukucela umuntu ngokudideka ukukala ubuhlungu babo ngesilinganiso esingu-1 kuya ku-10 akusona umkhuba omuhle, njengomthetho, ngoba kuningi lokukhetha nokuchazwa okuningi kakhulu okushiwo yinombolo ngayinye.
Ithuluzi lokuhlola elifanelekile kakhulu ebuhlungu ubukhulu bomzimba, lapho umuntu ekhomba khona ubuso obufanekisela kahle indlela abazizwa ngayo ngobuhlungu babo. Ubuso buvela ekuthokozeni kakhulu ngokudabukisa kakhulu nokukhala.
Enye indlela elula ukubuza ubuhlungu obunakho: kancane, kancane noma okuningi.
Elinye ithuluzi elivame ukusetshenziselwa ukuhlolwa kobuhlungu ku-Advanced Dementia (PAINAD) Scale. Leli thuluzi lakhiwa ngabacwaningi kwi-Veteran Affairs njengendlela yokuhlola ngokunembile ubuhlungu kubantu abaphethwe yi-dementia ekupheleni kwesikhathi. Kudinga ukuthi izindawo ezilandelayo zihlolwe:
- Ingabe ukuphefumula kwakhe kwasebenza noma kwazola?
- Ingabe ubiza noma ukhale?
- Ingabe ubonisa ukubonakala kwesibindi noma ukuqubuzana?
- Luyini ulimi lomzimba? Lokhu kubandakanya ukuhamba, ukushaya, ukushaya nokuxosha
- Ingabe uyakwazi ukukhuluma? Ungakwazi yini ukuzola futhi uphazamise?
Buza Othandekayo:
Ngenxa yokuthi i-dementia ithinta ikhono lokukhulumisana, kungaba usizo kakhulu ukubuza othile owazi umuntu onomqondo ozwakalayo ngobuhlungu bawo. Cabangela ukubuza le mibuzo:
- Kuyini ukuziphatha kwakhe okujwayelekile?
- Ubukeka kanjani uma ebuhlungu?
- Ukuziphatha kwakhe kuguquka kanjani lapho engakhululekile?
- Yini oyitholile ukuthi iyamsiza uma ezwa ubuhlungu?
- Yimiphi ukulimala okudala okwamanje okhathazayo?
Ezinye izimpawu zobuhlungu ku-dementia
Isici esibucayi ekuhloleni ubuhlungu yilwazi lokuziphatha komuntu okujwayelekile nokusebenzisana nabanye. Lolu lwazi luvame ukuhlinzekwa kangcono ngumndeni, ngubani ongaphendula imibuzo mayelana nemimoya kanye nokuziphatha okujwayelekile, ukuhamba komzimba, umlando wesikhathi eside wezinhlungu nokuphendula imithi yobuhlungu.
Qaphela ukuthi lezi zici ezilandelayo eziyinselele zingaba izibonakaliso zobuhlungu:
- Ukuqalekisa
- Ukuhlanganiswa
- Ukunganaki nokushiya emisebenzini kanye nokusebenzisana
- Ukuba Isondlo Esiphezulu (kubonakala kunzima ukujabulisa)
- Ukuthuka
- Ukuphumula
- Ukuphindaphinda ama-Behaviors noma amazwi
Izinselelo zokuPhathwa Kwezinhlungu
Uma unakekela umuntu onesifo sokuwohloka komqondo, inselele eyodwa ukuthola ukuthi ubuhlungu- noma esinye isidingo ezifana nesizungu, isithukuthezi , indlala, noma isidingo sokusebenzisa indlu yokugezela- kubangela ukucindezeleka komuntu.
Okukhathazeka okwesibili ukuthi uma abanakekeli abanomsebenzi abaqapheli ekuhloleni nasekuphuleni ubuhlungu, lo muntu angase abizwe ngokuthi uyakhathazeka noma ucindezelekile futhi unqunywe umuthi we- psychotropic esikhundleni sokubhekana nobuhlungu obangela leyo mizwa.
Indlela Ehlukile Yokubhekana Nezinhlungu
- Ukushisa
- Ukuphazamiseka
- Ukushisa
- Cold
- Ukubeka esikhundleni
- I-Pet Therapy
- Umculo
- I-Acupuncture
- Aromatherapy
- I-Over-the-Counter Creams njenge-Biofreeze
Ukwelapha Ukulawulwa Kwezinhlungu
Nakuba izindlela ezingezona izidakamizwa zibalulekile, abantu abaningi bazoqhubeka bezuza emithonjeni enqunyiwe yemilenze. Uma uke wakhipha ezinye izimbangela zokuziphatha (njengokulamba, ukuzithemba kanye nesidingo sokuzivocavoca), futhi uzimisele ukuthi lowo muntu cishe ubhekene nosizi, ukuthola imithi yesidakamizwa sobuhlungu kuwumqondo omuhle.
Qaphela izidakamizwa zobuhlungu eziyalelwe ku-PRN (njengoba kudingeka). Ngenxa yokuthi umuntu onesifo sengqondo sokugula komzimba angakwazi ukuveza kahle ubuhlungu bakhe, noma angase angaqapheli ukunyuka kancane kancane ekuhluphekeni kuze kube yilapho esebuhlungu kakhulu, imithi ye-PRN ubuhlungu cishe iholela ebuhlungu obulawulwa kahle. Kungakhathaliseki ukuthi lowo muntu akawuceli ngakho akawutholi, noma uwuthola kamuva kunokuba bekufanelekile futhi ubuhlungu bakhe bube ngaphezu kwalokho okujwayelekile ukulawulwa yimithi kanye nomthamo owunqunyiwe. Uma kunokwenzeka, ukuhleleka komuthi wemithi ebuhlungu kungcono kumuntu onesifo sengqondo somqondo.
Nakuba amalungu omndeni angase akhulume ukukhathazeka ngokuthi kungenzeka ukuthi umlutha wezokwelapha umuthi, lokhu akuyona into ebalulekile ekukhathazeni ukufuna izidakamizwa akuvamile kubantu abane-dementia. Ukwengeza, abaningi bayabaluleka izinga lempilo elingase lithuthuke ngokulawulwa okwanele kobuhlungu.
Imithombo:
Uhlelo Lwezemfundo Nokuqeqesha Dementia. Ukuphathwa Kwezinhlungu KuMuntu onokuDementia. Kufinyelelwe ngo-Februwari 5, 2016. http://www.alzbrain.org/pdf/handouts/2049.%20MANAGEMENT%20OF%20PAIN%20IN%20PERSONS%20WITH%20DEMENTIA.pdf
Mulder, J., et al. Ubuhlungu ku-Elder ongenokukhubazeka. 2015. http://www.michigan.gov/documents/lara/1aPain_AssessmentManagement_with_Elders_Expreiencing_Cognitive_Loss_484079_7.pdf
I-Texas Tech University Health Sciences Centre. Ubuso Buhlungu Ubukhulu. Januwari 2011. http://www.ttuhsc.edu/provost/clinic/forms/ACForm3.02.A.pdf
US Pharmist. 2014; 39 (3): 39-43. Ukuphathwa Kwezinhlungu ku-Dementia. http://www.uspharmacist.com/content/c/47338/
I-Warden V, i-Hurley AC, i-Volicer L. Ukuthuthukiswa nokuhlaziywa kwengqondo kwengqondo yokuhlolwa kobuhlungu ekungenikeni okuphezulu kwe-dementia (PAINAD). J Am Med Dir Assoc . 2003; 4: 9-15. http://www.amda.com/publications/caring/may2004/painad.cfm
Zeitschrift Fur Gerontologie U-Geriatrie. 2015 Feb; 48 (2): 176-83. Uhlobo kanye nenkambo yezimpawu eziboniswa ezigabeni ezibulalayo nezifayo ngabantu abane-dementia emakhaya asebekhulile. http://www.ncbi.nlm.nih.gov/pubmed/25119700