Nakuba ukulahlekelwa inkumbulo nokucabanga okukhubazekile yizimpawu zayo, isifo sika-Alzheimer senza nezinye izinkinga, kuhlanganise nokukhathazeka. Lezi zinkinga zokungajabuli, ukwesaba nokukhathazeka kwenzeka kubantu abaningi abane-Alzheimer's, ikakhulukazi ngezigaba zakuqala neziphakathi zesifo.
Ukukhathazeka kungakhuphula ukucindezeleka kokubili abanesifo kanye nabanakekeli babo, kodwa amasu amaningana wezokwelapha nokuziphatha angasiza.
Ukuqaphela Ukukhathazeka
Ukukhathazeka phakathi kwalabo abane-Alzheimer kungaba nzima ukubona. Izimpawu zokukhathazeka ezivamile zifaka ukukhathazeka ngokweqile, ubuhlungu, ukujuluka, nokushaya kwenhliziyo. Kodwa ukukhathazeka ku-Alzheimer kungathatha ezinye izinhlobo. Ukuhoxiswa kwezenhlalakahle noma ukunciphisa ukubandakanyeka emisebenzini enomusa-ehambisana nokucindezeleka- kungabonisa nokukhathazeka. Ukukhathazeka kwe-Alzheimer ngokuvamile kuvame ukuhambisana nokucindezeleka nokucasula.
Ukuthukuthela okuthukuthele noma amalungu omndeni alandelayo noma abanakekeli abasuka egumbini kuya ekamelweni (eyaziwa nangokuthi i-shadowing) kungenzeka ngenxa yokuthi umuntu akaqondi ngokugcwele ukuthi kufanele akwenze noma alindele-noma yini elindeleke kuye. Ungase uzwe othile onesifo sengqondo sokumemeza ekhala noma ekhala ngokuphindaphindiwe , futhi lokhu kungase kube uphawu lokukhathazeka.
Izindlela Zokuziphatha
Uma usubonile izimpawu zokukhathazeka, i-Alzheimer's Association incoma ukuzama ukuthola imbangela. Kungase kube ukusabela kokuxilongwa kwe-Alzheimer noma ukungaqiniseki kwekusasa.
Ukukhathazeka kungase kuhilele ukwesaba ukuba yedwa noma ukucindezeleka okuthile, njengokukhathazeka ngokwezimali. Ukushintsha ngokuvamile kuyinkinga, njengomnakekeli omusha, esibhedlela, noma ekuhambeni. Izingxenye zemihla ngemihla , njengokugeza noma ukuguqula izingubo , zingase zidale ukukhathazeka.
Uma uthola imithombo, ungazama ukunciphisa umthelela wabo.
Kungcono ukuqala nge- non-drug, management behavioral. Izidakamizwa zinemiphumela emibi, futhi njengoba abantu abaningi abane-Alzheimer bekhulile, kungenzeka ukuthi bathathe ezinye imithi, bakhulise ingozi yokusebenzisana kwezidakamizwa .
Ngezinye izikhathi ukuphazamiseka noma ukuqondisa ukunakekelwa komuntu kunokwanele. Gwema ukuxabana noma ukucindezela. Ukwenza lula imvelo kanye nomsebenzi wansuku zonke nakho kungasiza. Ezinye izindlela eziwusizo zihlanganisa ukuvumela ukuphumula nokuthula phakathi kwemisebenzi engabangela ukucindezeleka nokuqinisekisa ukuthi kukhona ukukhanya okwanele kusihlwa ukunciphisa amathuba okudideka nokushona kwelanga . Imisebenzi eyenziwe- umculo ojwayelekile, izilwane ezifuywayo , ukuhamba, noma ukuzivocavoca okulula-kungabuye kuthulise.
Okokugcina, ochwepheshe bayeluleka ukunakekelwa ngabanakekeli-ngokusekela, ukunakekelwa kwemiphefumulo , kanye nalabo abasakhathalela umuntu ekhaya, ngokusebenzisa ukusetshenziswa okungaphezulu kokunakekela ekhaya noma ukunakekelwa kwelanga lomdala .
Imithi (Imithi) Ukwelapha
I-FDA ayizange ivume noma imuphi umuthi ngokukhethekile ngokukhathazeka kwe-Alzheimer. Imithi ejwayelekile yokulwa nokukhathazeka-njenge-Ativan (lorazepam) -inezixazululo zesikhashana. Noma kunjalo, zingabangela ukungaqiniseki ngokomzimba futhi kukhulise ukudideka nokukhubazeka kwememori. Uma lo muntu enenkathazo nokucindezeleka, kungasiza ukusebenzisa izidakamizwa zokucindezeleka, isibonelo, i-serotonin e-re-uptake inhibitors (SSRIs) ekhethiwe njenge-Prozac (fluoxetine) noma i-Zoloft (sertraline).
I-Desyrel (i-trezodone), echaphazela i-serotonin kodwa akuyona i-SSRI, ingaba nenzuzo.
Isifo se-Alzheimer sichitha ama-neurotransmitters, okuyinto amakhemikhali athatha imiyalezo phakathi kwamangqamuzana obuchopho. Ngezimpawu zokuziphatha, uhlelo lwe-cholinergic, oluhilelekile emizweni nasemizweni (kuhlanganise nokukhathazeka), kubaluleke kakhulu.
Imithi ehlukahlukene eyaziwa ngokuthi i- cholinesterase inhibitors , ephikisana nokulahlekelwa yizinzwa ze-cholinergic, isisiza ukunciphisa umthelela wokucabangela wesifo se-Alzheimer. Ukubuyekezwa kuka-2007 ku- The Consultant Pharmacist- ukucaphuna ucwaningo "ngezingqinamba" ezihlukahlukene zokuthuthukisa izimpawu zokuziphatha ze-Alzheimer-kugcizelela ukuthi i-inhibitors ye-cholinesterase ingazuza izinkinga zokuziphatha kanye nezinkinga zokuzicabangela.
Umbhali wokufunda uLisa J. Miller wabika ukuthi u- Aricept (donepezil) , owaziwa kakhulu kule mithi, ubonisa "imiphumela emihle kunazo zonke." Kodwa wathi izinzuzo "kwakunzima ukubonisa izimpawu" ezincane. Ngaphezu kwalokho, imiphumela yemithi ethize ingahluka kusuka komunye nomuntu.
Phakathi kwezinye izindlela zokwelapha , uGinkgo biloba, isihlahla eside esabizwa eChina ngenxa yezokwelapha, siye sabonisa isithembiso esithile. Ezinye izifundo zaseYurophu ziphakamisa ukuthi i-ginkgo inganikeza kokubili izinzuzo zokuzicabangela nezokuziphatha, kuhlanganise nokunciphisa ukukhathazeka.
> Imithombo:
> Alexopoulos GS, DV Jeste, H. Chung, D. Carpenter, R. Ross, JP Docherty. "Uchungechunge Oluqondiswayo Lokubonisana Nezobuchwepheshe. Ukwelashwa Kwemfucuza Yezimo kanye nokuphazanyiswa Kwendlela Yokuziphatha. Isingeniso: Izindlela, Ikhombandlela kanye Nokufingqa." I-Medical Journal ye-Postgraduate. Jan. (2005) 6-22.
> "Imisebenzi yokwelapha ye-Alzheimer" ALZInfo.org . 2008. Isikhungo se-Fisher se-Alzheimer's Research Foundation.
> "Izimpawu Zokuziphatha." ALZ.org . 20 Mashi 2008. I-Alzheimer's Association.
> "I-Dementia: Izidakamizwa Ezisetshenziselwa Ukunciphisa Izimpawu Zokuziphatha." I-Alzheimers.org.uk . Mar 2004. i-Alzheimer's Society [UK].
> Mazza M., A. Capuano, P. Bria, S. Mazza. "I-Ginkgo Biloba no-Donepezil: Ukuqhathaniswa Nokwelashwa Kwe-Alzheimer's Dementia Kwisifundo Esingaqondakali Isikhathi Esibukhali Esiphezulu Sendawo Ye-Placebo." I-European Journal ye-Neurology . 13: 9 (2006) 981-5.