Ukucindezeleka ekudemeni kwengqondo , ngenkathi kuvamile, kuvame ukuphathwa kahle. Njengoba izimpawu zokucindezeleka ezinokuphefumula komzimba ziphathwa futhi zinciphisa, izinga lomuntu lomuntu livame ukwanda.
Ukucindezeleka kwesifo se-Alzheimer kanye nezinye izifo ezihlobene nazo kungaphathwa ngokusebenzisa izindlela eziningana eziwela kwesinye sezigaba ezimbili: izindlela ezingezona izidakamizwa nemithi.
Ukungenelela okuthile kungase kuphumelele kakhulu komunye umuntu kunomunye, kodwa izindlela ezingezona izidakamizwa kufanele zivivinywe ngaphambi kokuqhubeka nokusebenzisa imithi.
Izindlela ezingezona ezeMithi
Izindlela ezimbalwa ezingezona izidakamizwa ziye zabonisa impumelelo ekuphatheni ukucindezeleka ekudemeni kwengqondo. Izinzuzo zalezi zindlela, ngaphezu kokuthuthukiswa kwemizwelo, zibandakanya ukungabi khona kwemiphumela emibi kanye nokusebenzisana kwezidakamizwa, kanye nokukwazi ukuqinisekiswa kokwenza ngcono nokusebenza komzimba nokwengqondo.
Izinzuzo zokuzivocavoca umzimba zokucindezeleka ziningi. Kusukela ekuthuthukiseni imikhuba yokuzihlonipha nokulala ukukhulisa amazinga wamandla, ukuvivinya umzimba kungabasiza ngokucacile abantu abane-dementia. Njengenzuzo eyengeziwe, olunye ucwaningo luye lwabonisa ukuthi ukuzivocavoca umzimba kungathuthukisa nokusebenza kwengqondo kulabo abane-dementia.
Kwabanye abantu, ingxenye yokucindezeleka kungenalutho.
Ukunikeza abantu ithuba lokwenza okuthile okubalulekile kubo futhi okuhlobene nezithakazelo zabo kungabangela ukwelashwa kwempilo yabo engokomzwelo nengqondo.
I-Therapy Music Therapy
Olunye ucwaningo oluqhutshwa nabantu abadala oluye lathola ukuthi unezinkinga zombili nokucindezeleka komqondo bathola ukuthi ukucindezeleka kwehle ngemva kokuhlelwa kwemihlangano yeqembu lomculo.
Ukwengeza, ukuthuthukiswa okuncane kokuqonda-ikakhulukazi ikhono lokukhumbula isikhashana -nakho kwaphawula ngokulandela amaseshini wokwelashwa komculo .
Ukwengeza isakhiwo kuze kube yiSuku
Ukuba nesimiso kanye nesimiso sosuku kungakhuthaza umuzwa wokulawula abantu. Ukwengeza, umsebenzi wezingqondo ohleliwe onjengomdlalo noma ekilasini unganikeza okuthile okumele ubheke phambili phakathi nosuku. Kulabo abanesifo sengqondo se-mid-stage , ngezinye izikhathi isakhiwo sesikhungo sokunakekela abantu abadala singasiza.
Ukululekwa komuntu ngamunye
Ikakhulukazi kulabo abasesimweni sokuqala sokucindezeleka kwengqondo, ukwelulekwa ngokwezempilo kungasiza kakhulu. Kungase kube nemizwa yokudabuka nokulahlekelwa ngemuva kokuthola ukuhlushwa kwengqondo, futhi ukwelulekwa kungasiza umuntu ekucubunguleni leyo mizwa nasekuthuthukiseni izindlela zokubhekana nenselele yokucindezeleka komqondo.
Ukusebenzisana Komphakathi
Abanye abantu abane-dementia bavame ukuzihlukanisa, okungabandisa amathuba okuthuthukisa ukucindezeleka noma okwandisa isimo sengqondo esidlulile. Nakuba ukuxhumana komphakathi kunethuba lokukhathaza abantu abathile abacindezelekile, ukuvuselela okuhle komphakathi kungasiza futhi kukhuthaze labo abane-dementia nokucindezeleka.
Amaqembu asekela
Amaqembu asekela angaba usizo kubantu ababhekene nokulungiswa kwesifo sokugula komqondo okusha.
Ngezinye izikhathi, kungakhuthaza ukuzwa kwabanye ukuthi bayabhekana kanjani nezinselele zokucindezeleka komqondo. Ukusebenzisana nabanye eqenjini nakho kunganciphisa imizwa yokuzizwa yedwa nesizungu.
Imithi
Nakuba ucwaningo oluthile lubuza ukuphumelela kwemithi yokucindezeleka, izidakamizwa eziningana ziye zasetshenziswa kubantu ababhekene nokucindezeleka ekudemeni kwengqondo.
I-Serotonin Reuptake Inhibitors (i-SSRIs) ekhethiwe iyisigaba semithi yokucindezeleka ejwayele ukuqondiswa kubantu abane-dementia ababonisa izimpawu zokucindezeleka. Ama-SSRI ngokuvamile anezimpikiswano ezimbalwa futhi kunciphisa ithuba lokuxhumana neminye imithi abantu abangase bayithathe.
Le mithi ingaba usizo kwabanye abantu abanezimpawu zokukhathazeka. Amanye ama-SSRI adumile ahlanganisa i-citalopram HBr (Celexa), i-sertraline (i-Zoloft), i-escitalopram (i-Lexapro), ne-fluoxetine (i-Prozac).
Imithi ephikisana nokucindezeleka engase isetshenziswe njalo kubantu abane-dementia nokucindezeleka yi-mirtazapine (Remeron). I-Remeron ingaba nemiphumela emibi yokuvuselela ukudla, ngakho-ke le mithi ingase isetshenziswe uma ukulahlekelwa isisindo nokucindezeleka kubonakala.
Ukwengeza, ezinye izidakamizwa zokucindezeleka ezifana ne-trazodone (Deseryl) zingasiza ukusiza ukulala nokuphatha izimpawu zokucindezeleka.
Kubalulekile ukukhumbula ukuthi imithi ngayinye inemiphumela emibi futhi isebenza ngokuhlukile kubantu abahlukahlukene. Ngenkathi ezinye imiphumela emibi ingaba nomphumela omuhle, njengokusiza othile ukuba alale kangcono ebusuku noma kushukumise ukudla kwabo emini, abanye bangabangela ukudideka okukhulu, ukuwa kanye nokusebenzisana kwezidakamizwa . Bheka udokotela wakho uma unemibuzo mayelana nokusetshenziswa kwemithi yokwelapha ukucindezeleka ekudemeni kwengqondo.
Izwi elivela
Ukucindezeleka kubantu abaphila nokuphefumula komqondo akuvamile, kodwa kunezinye izindlela ezingekho-pharmacologic kanye nemithi engasiza ekuthuthukiseni izinga lokuphila. Qinisekisa ukubika imizwa noma ukubonwa kokucindezeleka kudokotela ukuze uxoxe ngokuphathwa kokwelashwa nokwesekwa.
Imithombo:
I-Alzheimer's Association. Ukucindezeleka kanye ne-Alzheimer's. > https://www.alz.org/care/alzheimers-dementia-depression.asp
I-American Academy ye-Neurology. Ingabe i-SSRIs yokucindezeleka ku-Patients with Dementia kufanele iphindwe kabusha?
Amanothi Wokunakekelwa Kwesikhathi Eside. 2009 Febhuwari 2; 17 (2): 29-36. Ukwelashwa Kokucindezeleka Kwabantu Abadala Abadinga Imfucuza. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3147175/
> Chu, H., Yang, C., Lin, Y., Ou, K., Lee, T., O'Brien, A. noCuu, K. (2013). Impact ye-Group Music Therapy on Ukucindezeleka nokuCognition kubantu asebekhulile abane-Dementia: Isifundo esilawulwa ngokungahleliwe. Ucwaningo Lwezinto Eziphilayo Ngosizo Lokuhlengikazi, 16 (2), pp. 209-217.
I-University of Texas. Ukwelapha Ukucindezeleka Kwabaguli abane-Dementia. www.utexas.edu/pharmacy/divisions/pharmaco/.../bassinger05-04-12.pdf