Sundowning in Dementia: Kuyini? Yikuphi Usizo Lokungena Kwezidakamizwa?

Kuyini ukuthungwa komhlaba?

I-Sundowning, ebizwa nangokuthi i-sundown syndrome, ukukhathazeka okwenyuka nokukhathazeka okungenzeka ukuthi abanye abantu abane- dementia (futhi ngezinye izikhathi abanye abangenakho ukucindezeleka) ngokuvamile babonisa ngemuva kwentambama nakusihlwa. Ukuziphatha kwe-Sundowning kufaka ukuphumula, ukuwa , ukukhamuluka, ukukhala , ukuzulazula , ukuzulazula , ukwesaba, ukuguquka kwemizwelo, i- paranoia, ukucubungula nokuthunjwa .

Ngezinye izikhathi i-Sundowning ibonakala ikhula ngokushesha ngokuhlwa. Othandekayo wakho kungenzeka enze kahle ntambama bese ebonakala engumuntu ohlukile njengoba ilanga liyehla. Isibonelo, uma umuntu enakekelwa ekhaya elikhulelwe, abasebenzi abasebenza ngosuku lokuhamba bangase bahlathulule lo muntu ngokuhluke ngokuphelele kunokushiya kusihlwa ngenxa yokuziphatha kwe-sundowning. Ngakho-ke, izindlela ezihlukahlukene zabanakekelwayo ngezikhathi ezahlukene zosuku zingadingeka.

Ukunciphisa

I-Alzheimer's Association ilinganisela ukuthi cishe abantu abangu-20% abane- Alzheimer's sundowning ukuziphatha. Kodwa-ke, ucwaningo oluthile lunikeze leyo nombolo njengama-66%, ikakhulukazi kubantu abane-dementia abahlala ekhaya.

Ngisiphi Isigaba Sokudemeza Kungenzeka Ukuziphatha Kokuhlwanyela?

Ukuziphatha kwe-Sundowning, kanye nezinye izimo eziyinselele, ngokuvamile zivame ukukhula phakathi kwezigaba eziphakathi komqondo we-dementia futhi zanda njengoba isifo siqhubeka.

Yini Ebangelwa Ukusihlwa?

Kunemibono eminingana mayelana nokuthi yiziphi izinto ezibangela ukuguquka kwelanga. Lokhu kufaka lokhu okulandelayo:

Yikuphi ukungenelela okumelwe kusetshenziswe ukusiza eSundowning?

Izindlela ezenziwe ngabanye kumuntu ngamunye kuyindlela engcono kakhulu yokuphendula, ukuvimbela nokunciphisa ukushona kwelanga. Ezinye izindlela ezingezona izidakamizwa ezingasiza zifaka lokhu okulandelayo:

Imithi Ekhona

Abanye odokotela baye banikezela imithi ukuba "iqede" lezi ziphatha. Imithi kufanele ibe yinto yesibili emva kokungenelela kokungenzi izidakamizwa. Imithi akufanele inikezwe ukunciphisa umthwalo womnakekeli kodwa kunalokho kumele igxile ekunciphiseni ukucindezeleka komuntu.

I-Melatonin , i- acetylcholineterase inhibitors kanye nemithi yokulwa nokulwa nokulwa nokulwa nokulwa nokulwa nokubulala imithi yonke ibonise inzuzo ethile kwabanye abantu abanokuziphatha kwe-sundowning kwizifundo zocwaningo.

Imithombo:

I-Alzheimer's Association. Izinkinga zokulala nokuSundowning. https://www.alz.org/care/alzheimers-dementia-sleep-issues-sundowning.asp

I-Alzheimer Society Canada. Ngo-Okthoba 11, 2012. I-Sundowning. http://www.alzheimer.ca/en/Living-with-dementia/Understanding-behaviour/Sundowning

> Abakhazikhazi N, Trinkle D, iNdodana SJ, Kim KY. Isifo se-Sundown kubantu abane-dementia: Isibuyekezo. 2011; 8 (4). http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3246134/.

I-National Institute yokuguga. Juni 2013. Isikhungo soMnyango WezeMfundo Nokudlulisa Izifo. Amathiphu Wokunakekelwa Kwe-Alzheimer: Ukuhlwa. http://www.nia.nih.gov/sites/default/files/caregivingtips_sundowning-final_13jun24_0.pdf