Njengoba abantu abane- dementia behluleka ukuya ezinkathini ezisheshayo , bajwayele ukutheleleka. Ukutheleleka okuvamile kungumphefumulo we- pneumonia . Uma umthandi wakho ecatshangwa ukuthi uthuthukisayo, ungase ubuzwe umbuzo wokuthi ufuna ama-antibiotic alawulwa yini. Lo mbuzo ungamangaza imindeni ethile ngoba bangase bacabange ukuthi ama-antibiotic asetshenziswa njalo uma ukutheleleka kubonakala.
Kodwa-ke, kunezikhathi lapho odokotela bengase bangasikhulumi ukwelashwa kwama-antibiotic.
Ama-antibiotic anikezwa kanjani kubantu?
Amanye ama-antibiotic anikezwa njengamaphilisi emlonyeni, kanti amanye asesimweni sokujola (ukudubula). Uhlobo olunamandla kunazo zonke lwe-antibiotics lunikezwa ngaphakathi (IV). Amanye alawo ma-antibiotic e-IV adinga ukuhlolwa kwegazi njalo futhi ahlinzeke esibhedlela, nakuba amanye amakhaya asebekhulile (kufaka phakathi izindawo zokunakekelwa ezincane kanye nokuhlala isikhathi eside) akwazi ukuhlinzeka ngama-antibiotic e-IV.
Ngenxa yokudideka ekupheleni kwesifo se-dementia, abantu abane-IVs bangase bavinjelwe (mhlawumbe ngokwemvelo noma ngokusebenzisa imithi eqinile yokuthula) ngoba bangase bangaqondi isizathu se-IV bese bezama ukuyikhipha.
Ingabe Ama-Antibiotics Esikhathini Esizayo Sengqondo Dementia?
Ukubuyekezwa kocwaningo ngama-antibiotics kusikisela ukuthi ama-antibiotic angase asetshenziswe ngokweqile ku-dementia ephakeme. Ucwaningo olulodwa lwaluthola abahlali basekhaya labahlengikazi abanesifo sengqondo sokuphelelwa yisifo sengqondo ngesikhathi esifushane futhi bathola ukuthi phakathi kwalabo abafa, amaphesenti angaphezu kuka-40 athola ama-antibiotic emavikini amabili okugcina okuphila, iningi lalo liyi-intravenously.
Ucwaningo lubonisa ukuthi izinqumo mayelana nokuphatha i-pneumonia ngama-antibiotics kufanele zixhomeke emgomweni wokunakekelwa. Ucwaningo oluqhathanisa abahlali basekhaya labahlengikazi abane-dementia ephakeme abathola ukuthi ama-antibiotics athuthukisa amazinga okusinda kodwa wehla izinga lokududuza. Ngakho-ke, basikisela ukuthi kulabo abanomgomo wokunakekelwa kokududuzeka, ama-antibiotic kufanele agodliwe noma anikezwe ngomlomo kuphela, futhi kulabo abanomgomo wokukhulisa impilo, ama-antibiotic kufanele alawulwe ngokungafanele.
Kodwa, ingabe bayasebenza ngempela? Ngokwezifundo eziningi, impumelelo yama-antibiotic ezinyathelweni ezidlulile zokudangala komqondo ngenxa ye-pneumonia ayibuzayo. I-Journal of American Medical Directors yanyathelisa ucwaningo oluthola ukuthi ama-antibiotic, uma esetshenziselwa abantu abane-dementia kanye nezifo zokuphefumula ezifana ne-pneumonia, impilo enwetshiwe, kodwa ngokwesilinganiso kuphela ngezinsuku ezimbalwa kuphela. Labacwaningi babonisa ukuthi ukukhathazeka ukuthi ama-antibiotic ekupheleni kwesifo se-dementia asanda kuqhubeka isikhathi eside sokufa, kunokuba baphathe kahle ngempumelelo ukutheleleka.
Izinketho
Uma othandekayo wakho esekhaya labahlengikazi , ungase ukwazi ukuthola ama-antibiotic e-IV alawulwa yi-IV ngqo kule ndawo. Inzuzo yalokhu ukuthi othandekayo wakho akudingeki enze ushintsho esimweni esingakajwayelekile esibhedlela. Ezinye izikhungo zinezikhono, kanti ezinye azikho. Ilungu lomndeni wakho lingakwazi ukuthatha imithi yokwelapha ngomlomo (ngomlomo), kodwa ngokuvamile imithi yokulwa nomlomo ayinamandla kakhulu ekulwa nomoya wokuphefumula.
Abanye abantu, lapho bebhekene nesinqumo sokusebenzisa noma ukuvimbela ama-antibiotiki, bangase bakhethe ukunakekelwa kwezilonda noma ukunakekelwa kwe-hospice ukuze babasize ngenqubo yokwenza izinqumo, futhi bahlangabezane nomgomo wokunakekelwa kokududuzwa othandekayo wabo.
Inzuzo Yeziqondiso Eziphathelene Nezokwelapha
Kungaba usizo ukubuza imibuzo yakho oyithandayo mayelana nezintandokazi zabo zezokwelapha ngaphambi kokunciphisa umzimba nangokwengqondo ukuze ube nokuthula kwengqondo, wazi ukuthi uqinisekisa ukuthi izifiso zabo zenziwa.
KUKHULUMA
** Sicela uqaphele ukuthi ulwazi olufakwe kulewebhusayithi futhi oluxhunyiwe kokubili futhi kusuka kule sayithi alulona iseluleko sezokwelapha futhi luyisiqondiso nolwazi kuphela. Ngenze konke okusemandleni ukubika ulwazi olunempilo olunempilo nokucwaningwa ngokwesayensi, kodwa lokhu akulona esikhundleni sokunakekela nokuqondiswa udokotela. **
Imithombo:
I-Archives of Medicine yangaphakathi. 2008 Febhuwari 25; 168 (4): 357-362. Amaphethini Wokusetshenziswa Kwemithi Elwa Namagciwane Ngaphakathi Kwabahlengikazi Basekhaya Abahlali abanezibalo ezinzulu. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2670184/
I-New England Journal of Medicine, Okthoba 15, 2009. I-Clinical Course of Advanced Dementia. http://www.nejm.org/doi/full/10.1056/NEJMoa0902234#t=IsihlokoIsihloko
I-Archives of Medicine yangaphakathi. 2010 Jul 12; 170 (13): 1102-7. Ukusinda nokududuzeka ngemuva kokwelashwa kwe-pneumonia ekudemeni kwengqondo ephezulu. http://www.ncbi.nlm.nih.gov/pubmed/20625013
I-Journal ye-American Geriatrics Society. Umqulu 54, Issue 2, 290-295, ngoFebhuwari 2006. Ukutholakala Nokuphathwa Kwe-Pneumonia Ekhunjelwe Abahlali Besikhathi Eside Ukunakekelwa Ukubulala Nge-Dementia Ephakeme. http://onlinelibrary.wiley.com/doi/10.1111/j.1532-5415.2005.00524.x/abstract
I-Journal ye-American Medical Directors Association. 2012 Feb; 13 (2): 156-61. Ama-antibiotics nokufa ezigulini ezinokutheleleka okuphansi kokuphefumula nokucindezeleka okukhulu. http://www.ncbi.nlm.nih.gov/pubmed/21450193