Ukuqaphela Ingozi Nezimpendulo Ekucabangeni Okuzibulala
Yini okufanele uyenze uma othile onesifo so-Alzheimer noma enye ingqondo ekhuluma ngokuzibulala? Kufanele usabele kanjani? Imiphi imibuzo okufanele uyibuze? Yisiphi isinyathelo okufanele uthathe?
Ukwazi Izingozi Zezingozi
Ngokusho kocwaningo olwanyatheliswa ku- Alzheimer's & Dementia: I-Journal of the Alzheimer's Association , idatha evela eMnyangweni wezeMpi yabhekwa futhi kwacaca ukuthi ingozi yokuzibulala kwabantu kubantu abangaphezu kweminyaka engama-60 yayihlobene nalokhu okulandelayo:
- Ukuxilongwa kwamuva kwe-dementia
- Umjaho waseCaucasia
- Umlando wokucindezeleka
- Umlando wezokwelapha esibhedlela
- Imigomo yemithi yokulwa nokucindezeleka noma yokulwa nokukhathazeka
Ucwaningo lwesibini lubonise ezinye izinkinga ezimbili zokuzibulala kubantu abanesifo sengqondo sokucindezeleka: ukusebenza okuphezulu kwengqondo ekudemeni kwengqondo kanye nemizamo yokuzibulala yangaphambilini.
Indlela ejwayelekile kakhulu yokuzibulala (73%) yayiyisibhamu ekutadisheni kwe-VA; Kodwa-ke, kubantu abahlala ezindaweni, izibhamu zazingatholakali futhi cishe ziningi ngokweqile izidakamizwa, zizenzele, noma zifinyelele ekuphakameni.
Labo abavunyelwe ukungena ekhaya labahlengikazi babe nomngcipheko ophansi wokuzibulala, mhlawumbe ngenxa yokuthi isifo sabo singase sithuthuke kuze kube sesikhathini esilandelayo futhi lesi sikhungo sanikeze ukuqondiswa nokwanda kwabasebenzi.
Olunye ucwaningo lwathola ukuthi ngemva kokuthola ukugula komqondo ngesikhathi sokubeletha, ingozi yokuzibulala yanda kokubili amadoda nabesifazane.
Ukuhlola Ingozi Yokucindezeleka Ngokwe-Dementia
Ukuqaphela ukuthi kungenzeka ukucindezeleka kubantu abane-dementia kubalulekile ekuvimbeleni nasekuphenduleni imizwa yokuzibulala ekudemeni kwengqondo.
Amaphesenti angamashumi amabili nanhlanu kuya kumahlanu abantu abanesifo sengqondo se-dementia bakhula ukucindezeleka. Ukuhlola ukucindezeleka, isibonelo, ngokusebenzisa i- Cornell Screen for Depression in Dementia , futhi ukuqaphela izimpawu zokucindezeleka ekudemeni komqondo kubaluleke kakhulu ngoba ukucindezeleka kwandisa ingozi yokuzibulala.
Ukwelapha ukucindezeleka, kuzo zonke izindlela ezingezona izidakamizwa kanye nemithi yokucindezeleka kungenza umehluko omkhulu emkhakheni wokuphila komuntu futhi kunciphise ingozi yokuzibulala.
Ukuphendula Izinsolo Zokuzibulala Emuntwini Onomqondo We-Dementia
Hlola Ingozi: Ukukhathazeka kwakho kokuqala kungenxa yesimo samanje. Ingabe lo muntu uhlala yedwa noma ingabe uhlala ekhaya labahlengikazi? Ingabe unomlando wokuzilimaza yena noma abanye? Ingabe ukucindezeleka kwakhe kwamenza wakha isinqumo esibi ? Ingabe imizwa yakhe ibonisa ukudumazeka ngokuxilongwa kwakhe, noma ingabe uzimisele ngokuqeda ukuphila kwakhe? Abanye abantu benza izitatimende ngokulungele ukuya ekhaya ezulwini abangalingani nokufuna ukuphelisa impilo yabo. Le mibuzo kanye nabanye ingakusiza ukuba uhlole ukuthi ingozi enkulu kangakanani enokuzilimaza.
Ukunquma ukuthi uhlelo luye lwathuthukiswa yini: Mbuze ukuthi unqunywe yini ohlelweni lokuzilimaza futhi uma kunjalo, yilophi uhlelo.
Hlola ikhono lokufeza uhlelo: Umuntu angase abe nesifiso futhi ahlele uhlelo lokufa, kodwa uma engenalo ikhono-engokomzimba noma yengqondo-ukufeza lolu hlelo, ingozi iyancipha.
Thuthukisa Uhlelo Lokuphepha Kanye: Ngisho noma umuntu one-Alzheimer noma enye ingqondo engase ibe nememori emifushane , uhlelo lokuphepha lungase lusetshenziswe.
Isu sokuphepha lapho ubeka khona ngokubhala ukuthi uma lowo muntu ezwa ukuthi usesengozini ukuzilimaza, uzokwazisa umuntu futhi athathe izinyathelo ezithile zokuvimbela ukuzilimaza.
Bika Izinsolo Zokuzibulala Kumhlengikazi: Kubaluleke kakhulu ukuthi udokotela ngamunye aziswe nganoma yisiphi isifiso sokuzibulala umuntu angase abe nakho. Udokotela angakwazi ukuhlola ukuthi ngabe imithi efana ne-anti-depressant ingase ibe nenzuzo kumuntu futhi uma ngabe ezinye izinhlelo zokwelapha zidinga ukuthuthukiswa.
Yazisa Ummeli Wabahlali: Uma ungumnakekeli womndeni, qiniseka ukuthi ubika ukukhathazeka kwakho ngokucindezeleka nokuzibulala kulungu lomndeni noma omunye umuntu oqokwe njengomgcini noma amandla ezokwelapha ummeli .
Ungacabangi ukuthi bayazi. Bangase baqonde isimo futhi bakwazi ukusiza ekunqumeni izinyathelo ezilandelayo. Ngokomthetho, ukwandisa ingozi yakho yezinhlawulo, izikhalazo noma izigwegwe uma ungazise ngokugcwele ummeli ohlalayo ngokukhathazeka okukhulu, okukhonjwe.
Ukwandisa Ukwengamela Nokusekelwa: Uma lo muntu ehlala endaweni efana nekhaya lokuhlengikaza noma isikhungo sokusiza esikusizayo, cabanga ukusetha uhlelo lokuqhuba amasheya angu-15 kulowo muntu ukuqinisekisa ukuphepha kwabo. Uma lo muntu ehlala ekhaya, uhlele ukuvakashelwa okuphindaphindiwe ngamalungu omndeni, usizo lokunakekelwa kwezempilo ekhaya, amavolontiya kanye nabafundisi. Uma ubungozi bokuzibulala buphakeme, kungase kudingeke uthintane nesibhedlela sengqondo ukuze uhlale unesifo sokugula noma isilungiselelo sokugula. Imithi kanye nezinhlelo zokwelashwa zingalungiswa lapho. Ezinye izibhedlela zinesimiso sokuhlala esibhedlela esifushane lapho abantu beza khona amahora amaningana ngosuku emasontweni ambalwa ukusekela nokululekwa.
Cabanga Ukululekwa: Kuvame ukutholakala kwempilo yengqondo kanye nezinsizakalo zesikhungo ezingasiza ukunikeza ukwelulekwa okusekelayo kumuntu obhekene nokucindezeleka kanye / noma ukuveza imibono mayelana nokuzibulala. Ikakhulukazi ekuqaleni kwezinyathelo zokudangala komqondo, umuntu angase azuze ezinsizakalweni zokululekwa.
Izwi kusuka
Ngezinye izikhathi, ungase uzizwe ungenalutho noma ungaqiniseki ukuthi ungayiphendula kanjani imizwa yakho, ngakho kungasiza ukukhumbula ukuthi akudingeki ukwenze wedwa. Qinisekisa ukuthi uxoxisana namanye amalungu omndeni, imithombo yomphakathi kanye nemithombo ye-intanethi, kanye nabanye ochwepheshe bezempilo (ngaphezu komdokotela) njengoba usebenza ndawonye ukuthuthukisa uhlelo ukuqinisekisa ukuphepha nokuthuthukisa ikhwalithi yokuphila komthandekayo wakho.
Imithombo:
I-Alzheimer's & Dementia: I-Journal ye-Alzheimer's Association. Umqulu 7, Issue 6, Amakhasi 567-573, November 2011. Izibikezelo zokuzibulala ezigulini ezinezinkinga zokugula komzimba. http://www.alzheimersanddementia.com/article/S1552-5260(11)00093-8/abstract
Association American for Geriatric Psychiatry. 16: 3, Mashi 2008, Isibhedlela-Ukutholakala Dementia kanye nokuzibulala: A Longitudinal Study Ukusebenzisa I-Prospective, Nationwide Register Data. http://www2f.biglobe.ne.jp/~boke/Erlangsen%20dementia.pdf
Amanothi Okunakekelwa Kwesikhathi Eside: Ukunakekelwa Kwemitholampilo nokuguga. 2013; 21 (6): 28-34. Izinselele Ezihlobene Nokubhekana Nokuzibulala Kwengozi Ezikhathini Zokunakekelwa Kwesikhathi Eside. https://www.managedhealthcareconnect.com/article/challenges-kuhlanganiswa-managing-suicide-risk-long-term-care-facilities?i=8fb671f704
Ukucindezeleka kwe-Dementia ne-Geriatric Cognitive Disorders. 2002; 14 (2): 101-3. Ukuzibulala phakathi kweziguli ze-Alzheimer's disease: inhlolovo yeminyaka eyishumi. http://www.ncbi.nlm.nih.gov/pubmed/12145457
I-Journal of the Associations of Physicians of India. Okthoba 2011 Vol. 59. Ukucindezeleka ezigulini ze-Dementia: Izinkinga nezinselelo zoMdokotela. http://www.japi.org/october_2011/06_ra_depression_in_dementia.pdf