Ingabe Oyithandayo Ubona Izimbungulu Ezingekho Ngempela?
Yiziphi izinhlawulo?
Ama-hallucinations ayimibono engalungile yendawo yomuntu ehilela okungenani enye yezinzwa ezinhlanu:
- Kubukeka
- I-Auditory
- Thinta
- Hlonipha
- Ukudla
I-hallucinations ejwayelekile kakhulu ihlolisisa futhi ibukwa emvelweni. Ezinye izimiso zinezinkathazo ezikhathazayo futhi ezicindezelayo, njengokubona izimbungulu zikhwela ezindongeni. Ezinye zingaba mnandi futhi ziqiniseke, njengokubona i-puppy ekhanda ehlezi esihlalweni ngaphesheya kwekamelo.
Ama-hallucinations, nakuba ayengamanga, avela wangempela kakhulu kumuntu obabonayo.
Kungani Abanye Abantu abane-Dementia behluleka?
Ama-hallucinations angathuthuka ekudemeni kwengqondo ngenxa yezinguquko ebuchosheni ngenxa yesifo. Zivame ukwenzeka ngezigaba kamuva zesifo se-Alzheimer nezinye izinhlobo ze-dementia .
Ngenkathi ubuchopho buguquka obuhlobene nokudemeka kwengqondo kungenzeka ukuthi yiyona imbangela yokucubungula, kunezinye izimbangela ezikhona, kuhlanganise nemithi, imvelo evuselela ngokweqile, izinguquko esimisweni noma sundowning , ukuwohloka kokukhathazeka nokukhathazeka kusihlwa.
Ngokuthakazelisayo, olunye ucwaningo lwathola ukuthi ukucubungula kwakuhlotshaniswa nesilinganiso esisheshayo sokuncipha kwengqondo kubantu abanesifo se-Alzheimer uma kuqhathaniswa nalabo abane-Alzheimer kodwa ngaphandle kwemigomo. Olunye ucwaningo lubonisa ukuhlanganiswa nokucindezeleka komqondo kodwa hhayi ngokuqhubekayo.
Yeka ukuthi Ziyiziphi Izingqikithi Ezijwayelekile Ekudemeni?
Ukulinganiswa kuyahluka. Ucwaningo luye lwaphetha ukuthi noma yikuphi okuvela ngamaphesenti angu-12 kuya ku-53% abantu abanesifo se-Alzheimer bahlakulela imibono. Ukusabalala kwama-hallucinations kuyahlukahluka ngezinhlobo ezahlukene zokuphefumula komqondo. E-Lewy umzimba we-dementia, isibonelo, cishe amaphesenti angu-65 kuya kuma-80% abantu abanenkinga yokugula.
Ukuhlukanisa phakathi kwama-hallucinations kanye nokungaqondi kahle okungaqondakali
Omunye umsebenzi womtholampilo ekunakekeleni umuntu onesifo sokuwohloka komqondo ukuhlola ukuthi ngabe lowo muntu unobulungiswa beqiniso yini noma ngabe ukulahlekelwa kokuzwa noma okubonakalayo kumvimbela ukuba angakutholi ulwazi oluqondakalayo futhi amenze angacacise kahle.
Ngamanye amazwi, ingabe "ukucabangela" ngenxa yephutha elibukwayo elibonakalayo ngoba ukukhanya kwakumpofu futhi wayengaboni ngokucacile? Noma, ingabe ubona ngempela ukucabangela lapho ebona into engekho ngokuphelele? Ukwenza lokhu kuzimqoka kubalulekile ukwazi ukuthi uphendule kanjani ngokufanele.
Ngokuthakazelisayo, olunye ucwaningo luye lwathola ukuthi izinguquko zamakhono we-visuospatial zihambisana nengozi ekhulayo yokuthuthukisa ukucubungula kwe-Lewy emzimbeni wengqondo.
Kufanele Uphendule Kanjani Ama-Hallucinations?
Ake sicabange ukuthi isiguli noma othandekayo nge-Alzheimer's disease bekulokhu ekhanda ngomuntu ngaphandle kwefasitela lakhe futhi uzizwa esaba futhi ecindezelekile. Yini ongayenza ukuze usize? Kufanele usabele kanjani ekukhathazeni kwakhe?
Kubantu abaningi abanesifo sokuwohloka komqondo, ukucabangela kungokoqobo njengokwenyama yethu, ngakho-ke ukuphikisana nomuntu ngakho ukuze kubakhombise ukuthi akunakwenzeka ukuthi kuphumelele.
Eqinisweni, kungase kwandise ukukhungatheka kwakhe nokukhathazeka ngoba uvele ulalele ukukhathazeka kwakhe.
Qinisekisa iQiniso
Qinisekisa ukuthi kakade ayikho indoda eduze kwewindi lakhe. Ingabe kwakukhona iwashi iwindi lapho ugeza ngaphandle kwefasitela lakhe? Ingabe kukhona izinyathelo ezingaphandle kwewindi lakhe? Ungavumeli ukuthi kungenzeka ukuthi uze ukwazi ukuthi kungenzeka ukuthi i-hallucination yenzeke ngempela.
Nikeza Ukuqinisekiswa
Vumela isiguli sakho ukuthi uzoyeka ekamelweni lakhe njalo futhi uzovumela abasebenzi bezokuphepha bazi ukuthi uyakhathazeka ukuze aqinisekise ukuphepha kwakhe.
Lungisa indawo
Mbonise ukuthi ifasitela ikhiyiwe futhi idonse umthunzi phansi.
Mhlawumbe ukukhanya ebusuku kwakuzosiza ukumqinisekisa naye. Uma ukucabangela kuqhubeka, mhlawumbe ungase ulungise isimo sombhede wakhe ukuze angabhekene nefasitela.
Gcina izindlela
Kakhulu ngangokunokwenzeka, gcina isabelo somsebenzi nesigqugquzeli somuntu onomdemokhrasi ohlala esikhungweni.
Sebenzisa iziphazamiso
Ngezinye izikhathi, umculo otholile, ukwelapha isilwane noma ukuhamba ekamelweni elikhanyayo kungasiza ekunciphiseni ukuhlanzwa.
Ingabe Imithi Iwusizo Ngezinkolelo Zokudangala?
Umbuzo oyinhloko mayelana nokuthi ukucubungula kufanele kuphathwe ngemithi yilokhu: Ingabe ukucabangela okucindezela umuntu? Ingabe ayithinta kabi izinga lakhe lokuphila? Uma kunjalo, kungase kudingeke ukuba ucabange ngemithi yokwehlisa ukucubungula. Uma kungenjalo, akusikho isidingo sokwelapha ukucubungula.
Uma izinkolelo ziphikelela futhi zicindezela, odokotela bavame ukubeka imishanguzo yokulwa ne-antipsychotic ngenhloso noma ukunciphisa noma ukuqeda imibono. Imishanguzo ye-Antipsychotic ivame ukuphumelela ngokuphumelelayo ekuphatheni amacilongo kanye ne- paranoia kanye nokukhohlisa ; Kodwa-ke, ukuqaphela kufanele kusetshenziswe ngaleli klasi lemithi ngoba kungabangela imiphumela emibi kakhulu futhi kuhlotshaniswa nesilinganiso esiphakeme sokufa kubantu abane-dementia. Okuphawulayo, i- Lewy yomqondo wengqondo yomzimba ithwala ingozi ephezulu kakhulu yemiphumela emibi emibi elwa namagciwane e-antipsychotic.
Ukuhlola i-Delirium njengesisusa se-Hallucinations
Kunezimbangela eziningana zokubangela ukuhlukumezeka kwengqondo, kodwa okubaluleke kakhulu yi-delirium. I-Delirium yanda ngokuphawulekayo kokudideka okuvame ukubangelwa ukutheleleka noma imithi noma ukusebenzisana kwemithi . Umuntu onesifo sokuwohloka komqondo obhekene nokuqalwa okungazelelwe kwemibono kufanele ahlolwe udokotela ngezizathu ezingase zitholakale ze-delirium.
Izwi kusuka
Ama-Hallucinations angethusa kakhulu ukuzwa, ngakho-ke qiniseka ukuthi unikeza ukuqinisekiswa nokubekezela kumthandekayo wakho ngalesi sikhathi. Kungase kube usizo ukulandelela isikhathi sezindinganiso zokuzama ukuthola ukuthi kukhona yini iphethini mayelana nokuthi kwenzekani.
Okokugcina, unganqikazi ukuvumela udokotela ukwazi nganoma yimiphi imibono eyakhayo ukuze akwazi ukuhlola imbangela futhi anqume indlela yokwelashwa engcono kakhulu.
Imithombo:
I-Alzheimer's Association. Ama-Hallucinations, i-Delusions ne-Paranoia. April 2017. > https://www.alz.org/national/documents/topicsheet_hallucinations.pdf
I-Alzheimer Society. I-British Columbia. Ukwehliswa nokuqedwa. NgoNovemba 8, 2017. > http://alzheimer.ca/en/bc/Living-with-dementia/Caring-forome-one/Understanding-symptoms/Iziphakamiso-
> Bergh, S. noSelbæk, G. (2012). Ukusabalalisa kanye nenkambo yezibonakaliso ze-neuropsychiatric ezigulini ezinokuphefumula komqondo. Norsk Epidemiologi , 22 (2).
> Chaudhury, S. (2010). Ama-Hallucinations: Izici kanye nokuphathwa kwemitholampilo. I-Industrial Psychiatry Journal , 19 (1), p.5.
> Hallikainen, I., Hongisto, K., Välimäki, et al. (2018). Ukuthuthukiswa Kwezimpawu Ze-Neuropsychiatric Eziguleni Zase-Alzheimer Ngesikhathi Ukulandelwa Kweminyaka emihlanu: Kuopio ISifundo Se-ALSOVA. Umagazini Wezifo Zama- Alzheimer , 61 (4), pp.1367-1376.
> Lewy Body Dementia Association. Ukwelashwa Kwamaminithi Okuphuthumayo Kwokwama Psychosis. https://www.lbda.org/node/473