Indlela yokunquma lapho ukunakekelwa induduzo kufaneleka othandekayo
I-dementia yisimo esibucayi sezokwelapha esibamba izisulu zezinkumbulo zabo, amandla abo, nokuzimela. Lesi sihloko sinikeza umqondo ozwakalayo wezimbangela nezimpawu ze-dementia, nokuthi unganquma kanjani ukuthi ukunakekelwa kwezinhlungu kanye / noma ukubeletha kufanelekile ngesiguli sengqondo sokugula komqondo.
I-Dementia Causes and Symptoms
I-Dementia yigama elivamile elisho ukuwohloka okuphelele endleleni ubuchopho bomuntu obusebenza ngayo ngenxa yokulimala noma izifo.
Ngokusho kwe-Alzheimer's Association, kulinganiselwa ukuthi amacala angu-60 kuya kwangu-80 e-dementia amacala avela esibhedlela i-Alzheimer's- uhlobo oluvame kakhulu futhi olujwayele kakhulu ukuwohloka komqondo. I-Alzheimer ivela lapho amaprotheni angavamile epholile ebuchosheni abhubhisa amaseli ezindaweni ezilawula imemori yethu nemisebenzi yengqondo.
Inhlobo yesibili ejwayelekile yokudemeka komzimba yi-dementia ye- vascular , ngokwe-Alzheimer's Association. Lokhu kungabangela ukushaywa noma ukulimala noma isimo esinciphisa noma esivimba ukugeleza kwegazi ebuchosheni.
Ezinye izifo ezingabangela ukucindezeleka komzimba zihlanganisa nesifo sikaParkinson, isifo sikaHuntington nesifo seCreutzfeldt-Jakob .
Kungakhathaliseki imbangela yayo, abantu abane-dementia bangabonisa izimpawu ezihlukahlukene, njenge:
- • ukulahlekelwa inkumbulo, ikakhulukazi okubandakanya inkumbulo yabo yesikhashana ekuqaleni
- • ubunzima bezinkulumo / zokuxhumana, njengokubiza igama noma ukuthola igama elifanele okuthile
- • izinguquko ekuziphatheni noma ngobuntu, njengokulawula imizwelo yabo, ukukhungatheka noma ukungakwazi ukuxazulula izinkinga
Kuye ngokuthi ubuchopho buka-dementia bunzima kangakanani, abanye abantu bangase bangakwazi ukucabanga kahle ngokwanele ukwenza imisebenzi ye-Daily Living -sksk edingekayo ukuba iyenze njalo ukuze isebenze-njengokugqoka, ukugeza noma ukudla.
Ngabe ukunakekelwa kwe-Palliative kulungele iziguli zesifo se-dementia?
Ukunakekelwa kwe-palliative kufanele iziguli ezinomqondo wokugula kwengqondo uma isiguli kanye / noma umenzi wesinqumo sezempilo wegulane enquma ukuthi bafuna ukugxila ekududeni nesiguli sempilo.
Njengoba ukunakekelwa kwe-hospice kuyisisusa esiyinhloko sokunakekelwa kwezinwele, kepha isiguli kumele sihlangabezane nemigomo ehlukahlukene ukuze sikwazi ukuthola usizo lwe- Medicare esibhedlela ngokuthola ukuxilongwa komqondo. Ngokukodwa, odokotela ababili kumele baqinisekise ukuthi isiguli sinesifo sokunciphisa impilo kanye nokuphila isikhathi esingangezinyanga eziyisithupha noma ezimbalwa.
Izikhungo ze-Medicare neMediicaid Services zakha isakhi sokulinda ukuphila okuhlobene nomdlavuza, kodwa ngokungafani nomdlavuza, okuyinto elandela ukuwohloka okuqhubekayo, ukucindezeleka komzimba kunzima kakhulu ukubikezela. Isiguli esibhekene nesifo sengqondo somzimba singase sikhombise isikhathi sokuncipha okuqhubekayo okulandelwa yi-upswing, lapho ezokwenza khona ngcono futhi enze kahle isikhathi.
Ngakho-ke, ukusiza odokotela balinganisela isikhathi sokuphila kweziguli ezibangelwa ukugula komqondo, i-National Hospice ne-Palliative Care Organization yakha iziqondiso ezenziwa yi-ejensi yokubhedlela. Le mihlahlandlela isebenzisa "Ithuluzi Lokuhlola Ukusebenza Lokusebenza" ukulinganisa ukucindezeleka kwengqondo yesiguli.
Ukuze afanelekele ukunakekelwa esibhedlela, isiguli kufanele siphumelele noma ngaphezulu "isigaba sesikhombisa," okusho ukuthi isiguli:
- • angeke agqoke yena
- • awukwazi ukuhamba ngaphandle kosizo
- • ayikwazi ukugeza kahle ngaphandle kosizo
- • ayinakuqhathaniswa nomchamo nesitokisi
- • akakwazi ukukhuluma noma ukubamba ukuxhumana okunenjongo
Izinkinga zezokwelapha-ezifana nezifo eziningi zokwelashwa, izifo ezithathelwanayo (isib. Ukutheleleka kwamagciwane , ukutheleleka kwegazi), ukuphefumula kwe-pneumonia (okubangelwa ukukhethwa ukudla noma uketshezi), izilonda ezicindezelayo esikhumbeni kanye / noma ukwenqaba ukudla ezinyangeni eziyisithupha noma ezimbalwa.
Kuthiwani uma isiguli se-Dementia singafanelanga ukunakekelwa kwe-Hospice?
Uma wena nomndeni wakho nifisa ukunakekelwa komuntu othandekayo obhekene nokuphefumula komqondo, kodwa engakutholi ukufaneleka kwesifo esibhedlela, kufanele wenze izifiso zakho zizwakale odokotela kanye nabanye abahlinzeki bezempilo.
Izingxoxo mayelana nokuqina kwanoma yikuphi ukwelashwa kungasiza ekugwemeni izivivinyo nezinqubo ezingadingekile.
Ngaphezu kwalokho, ukudala i- directive ukunakekelwa kwezempilo kanye ne- Do Not Resuscitate (DNR) oda kungasiza ekuvikeleni kunoma yikuphi ukungenelela okungadingeki.
Amanye ama-ejensi ezempilo e-hospice nasekhaya ahlinzeka izinhlelo "zebhuloho" kubantu abangahlangani nezidingo zokufaneleka iziguli, noma kulabo abafisa ukunakekelwa kwezokwelashwa okwelashwa futhi bengakulungele ukukhetha ukunakekelwa kwezokududuza kuphela. Lezi zinhlelo zingasiza iziguli ukuba zishintshe kalula kusuka ezinhlobonhlobo zokunakekelwa kwezempilo zendabuko kuya ekunakekelweni kwezibhedlela uma kufaneleka. Isibonelo, i-Hospice of the Valley eSanta Clara County, California, inikeza uhlelo lwayo lokuThuthukisa ukuhlinzeka ngokusekelwa ngokomzwelo nangokweseka iziguli kanye nemindeni kanye nokusiza ekutholeni ukuthi ukungena ku-hospice kungase kulungele yini.
> Imithombo:
> Diane Meier, MD, Elizabeth McCormick, MD noRuth Lagman, MD "Isibhedlela: Ifilosofi yokunakekelwa nokusetshenziswa okufanele e-United States." http://www.uptodate.com/contents/hospice-philosophy-of-care-and-appropriate-utilization-in-the-united-states
> Marie-Florence Shadlen, MD no-Eric B. Larson, MD "Imizwa ye-Dementia syndromes." www.uptodate.com