Indlela Yokuqaphela Nokuphendula Ngaphandle Kokunganaki Ngokwempi
Ukunganakwa ngokuvamile kuvame ukugula kwesifo se-Alzheimer kanye nezinye izinhlobo ze-dementia . Ngezinye izikhathi, kungaba uphawu oluyisixwayiso sokuqala-noma ngisho nengozi yokudemeka. Kodwa yikuphi ukunganakwa, futhi kuhluke kanjani ekucindezelekeni?
Kuyini Ukunganakwa?
Ukunganakwa kungabikho isithakazelo noma isisusa esingabonakala ekuthinteni komuntu (isimo sengqondo), ukuziphatha nokuqonda.
Ukunganakwa kungenye yezimpawu eziningi zokucindezeleka, kodwa kungenzeka ngaphandle kokucindezeleka.
Kubalulekile ukuqaphela ukuthi ukunganakwa akufani nokucindezeleka. Abantu abangenandaba nabo ngokuvamile abanemizwa yokudabuka noma yokuphelelwa ithemba. Bangase bavele bavele noma bazizwe bengathandeki, bexoshwa, noma bengabanjwanga.
Izinhlobo Ezintathu Zokungabi Nandaba Ngokwemvelo
Ukunganaki okubuhlungu: Lolu hlobo lokunganakwa luhilela ukungabi nemimoya, ukubonakala kokungakhathaleli, nokungabi khona nozwela. Umuntu angase avele ukuthi angakhathaleli ngabanye noma alahlekelwe ukufudumala ayekusebenzisa ukukubingelela. Angase abonakale engathinteki ngokomzwelo, engavamile ukubonisa injabulo noma ukudabuka ngalokho okwenzeka kuye. "Uthonya" kubhekisela kumzwelo kanye nemizwelo.
Ukunganaki kokuziphatha: Ukunganaki ekuziphatheni kuhlanganisa ukungasebenzi nokusebenza okushiywe kungapheli. Umuntu obhekene nokunganaki ukuziphatha angase angahambi kakhulu ekhaya futhi azinaki imisebenzi efana nokugcina indlu noma ukuhlanza izingubo, ngisho noma ekwazi ngokomzimba ukwenza.
Ukungaqapheli kwengqondo: Ukunganakwa kwengqondo kubandakanya ukuntuleka kokukhuluma nenhloso yengqondo, nokungabi nentshisekelo emisebenzini yabanye. Uma ubhekene nokunganakwa kwengqondo, ungase udinge ukuthutha engxoxweni futhi ungase uvele "ukhonjiswe" futhi ungathandeki kulokho okwenzeka kuwe.
Ukunganakwa kanye ne-Dementia
Ucwaningo luye lwabonisa ukuthi ukunganaki kubonakala kunesifo sokuwohloka komqondo. Ngokuqondile, ucwaningo olulodwa lwathola ukuthi amaphesenti angama-56 abahlanganyeli abathintekayo abane-Alzheimer's diagnosis ayengenandaba, kanti amaphesenti angu-72 abahlanganyeli abane- dementia yangaphambili ayengabonakali . Ukunganakwa nakho kuvame ekuthuthukeni kwe-supranuclear kanye ne- mental dementia .
Ukwehluleka okwandisiwe kuhlotshaniswa nokwehla kokusebenza (njengemisebenzi yokuphila kwansuku zonke ) nokuqondiswa kulabo abane-dementia. Ubuchopho balabo abonisa ukunganakwa kubonisa nezinguquko ezinkulu, kuhlanganise ne- atrophy enkulu, izikhwama ze-neurofibrillary, nezinguquko ezimhlophe .
Ukunganakwa kuye kwahlanganiswa ekuthuthukiseni ukucindezeleka kwengqondo kulabo abanesifo sikaParkinson . Ubuhlobo phakathi kukaParkinson nokunganakwa kungase kube nzima, kodwa, njengoba kubonakala ubuso obubuso besibonakaliso esisodwa seParkinson.
Olunye ucwaningo lwathola ukuthi kulabo abanokukhubazeka okuncane okungaqondakali , ukungabikho kokunganaki kwakungumqondo wokuqhubekela phambili ekudemeni kwengqondo. Ngamanye amazwi, ukunganaki kwakuyingozi yokunciphisa ukuqonda kwengqondo.
Nakuba ukunganakwa ngokuvamile kungekuhle kunzima ukubhekana nezinye izinselelo ezinzima ekudemeni kwengqondo (njengokubheka ama- paranoia noma ukuhlukumezeka ), kungathinta izinga lomuntu, ukuphepha nokukwazi ukuhlala ngokuzimela.
Ukunganakwa Ngaphandle Kwemfucuza?
Ngokuvamile, ukuba khona kokunganakwa sekuhlotshaniswa nokusebenza okungezansi kwengqondo. Isibonelo, isifundo esisodwa sithole ukuthi ukunganaki kubantu abadala asebekhulile abanezinkinga ezijwayelekile ezihlotshaniswa nokusebenza okubi kakhulu ekuvivinyweni kokucubungula, naphezu kokuwela esigabeni "esijwayelekile" sokuqashelwa.
Kodwa-ke, olunye ucwaningo luveza ukuthi ukunganakwa akuyona into engavamile kubantu abadala asebekhulile, kuhlanganise nalabo abanokuqonda kwabo okuqinile nalabo abanokukhubazeka okungaqondakali.
Ukuphendula Ukungabi Nandaba Ngokwempi
Njengazo zonke izinselelo eziyinselele ekudemeni kwengqondo, ukunganaki kufanele kuqala kubonakale futhi kuphathwa ngezindlela ezingekho kwemithi.
Imisebenzi eyenziwa ngabanye
Olunye ucwaningo luye lwabonisa ukuthi ukunganakwa komqondo wokunciphisa amandla kunganciphisa ngempumelelo ngokungenelela okuhleliwe. Isibonelo, isifundo esisodwa sathola umehluko omkhulu ezingeni lokunganakwa kwabantu abahlala ekhaya labahlengikazi abanesifo sengqondo sokungaboni kahle komqondo ababandakanyeka emisebenzini kanye ngesonto izinyanga ezingu-10, uma kuqhathaniswa neqembu labahlali abangazange bahileleke kulezo zenzo.
Ukunikela nokufaka umuntu emisebenzini enenjongo kubalulekile ukuvala ukungazwani. Khumbula ukuthi okubalulekile kumuntu oyedwa kungase kungabi nalokho okulandelayo. Ngakho-ke, indlela yokugxila komuntu kuyadingeka ukuthi ikwazi ukukhomba nokukhomba izithakazelo zomuntu ngamunye.
Ezemidlalo
Ukufakwa kwezemidlalo emisebenzini yokwelashwa kuye kwahlanganiswa nokunciphisa ukunganaki. Izinkumbulo zezemidlalo zivame ukubuyela emuva ebuntwaneni futhi zingase zihlinzekele ngokuqinile ukulwa nokunganaki.
Ukukhumbula
Abantu abane-dementia bavame ukulwa nomuntu onesizungu nokukhathazeka , okungabangela ukunganaki. Ukuthatha imizuzu embalwa ukuxoxa ngobuqotho nomuntu kungasiza ekunciphiseni ukunganaki. Ukukhumbula kabusha kungaba yindlela ephumelelayo yokwandisa ukubandakanyeka nokunciphisa ukunganaki.
Umculo no-Art
Ucwaningo luye lwabonisa ukuthi umculo nobuciko yizindlela eziphumelelayo zokubandakanya othile onomqondo owohloka komqondo obonakala engenandaba. Uzofuna ukucwaninga ukuthi umculo wakhe oyintandokazi ube yiphi kulo lonke impilo yakhe futhi uthole ukurekhoda kwalezi zingoma zokudlala ngaye.
Yiba Flexible
Uma ufuna uhlobo olulungile lomsebenzi wokugwema ukunganaki, kubalulekile ukuba uguquguquke futhi uhlole uma umsebenzi uhlinzeka izikhathi zokuphumelela nenjabulo kumuntu, noma uma kunzima kakhulu futhi kudinga ukuphulwa noma ukulungiswa kuye .
Imithi
Okokugcina, nakuba izindlela ezingezona izidakamizwa zivame ukukhethwa, ucwaningo lubuye lubonise inzuzo ethile kuma- inhibitors e- acetylcholinesterase ekuthuthukiseni ukunganaki ekudemeni kwengqondo.
Izwi elivela
Uma siqaphela izimpawu zokunganakwa kithi noma othandekayo, kungasiza ukuhlola uma kukhona ezinye izimpawu zokudemuka komqondo. Ukuxilongwa kwesifo sengqondo sokuqala kwengqondo kubalulekile ekunakekeleni kanye nokuhlela esikhathini esizayo.
Ukwengeza, ukuqonda indlela yokuphendula ukunganakwa komqondo wokungaboni kahle kwengqondo kungasiza ngenjongo yokuhlinzeka izinga lokuphila kulabo abaphila nokuphefumula komqondo.
Imithombo:
I-Alzheimer Society Canada. Ukunganakwa. http://www.alzheimer.ca/en/Living-with-dementia/Understanding-behaviour/Apathy
I-Archives ye-Neurology. 2009 Julayi; 66 (7): 888-893. Ukungahloniphi Amaphrofayli Okumangalisayo Nezici Zokuziphatha Ekudleni Kwempi Ye-Frontotemporal Ne-Alzheimer's. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2875777/
Umtholampilo waseCleveland. Uma Ungenasizathu Sokunganaki Ungase Usengozini Yokudinga Imfucuza. Juni 2, 2014. http://health.clevelandclinic.org/2014/06/does-mom-have-apathy-she-might-be-at-risk-for-dementia/
I-Journal ye-Geriatric Psychiatry 2012; 20 (2): 104-122. Ukwelashwa kwe-Pharmacologic yokunganaki ekudemeni kwengqondo. http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0034284/
> Lanctôt, K., Agüera-Ortiz, L., Brodaty, H., et al (2017). Ukunganakwa okuhambisana nokuphazamiseka kwengqondo: inqubekelaphambili yamuva kanye nezinkombandlela ezizayo. I-Alzheimer's & Dementia , 13 (1), iphe.84-100.
I-Psychiatry. February 2015, Umqulu 30, Issue 2, Amakhasi 251-257. Ukunganaki kwabantu abahlala ekhaya labahlengikazi abane-dementia: Imiphumela evela esilingo esilawulwa ngokungahleliwe. http://www.europsy-journal.com/article/S0924-9338(14)00022-4/abstract
> Richard, E., Schmand, B., Eikelenboom, P., et al. (2012). Izimpawu Zokungabi Nandaba Zihambisana Nokuthuthukiswa Kokukhubazeka Okujulile Emagciwane E-Alzheimer's in Sub-Non-Depress Subjects. Ukuhlukunyezwa kwe-Dementia ne-Geriatric Cognitive , 33 (2-3), iphe.204-209.
> Ruthirakuhan MT, uHerrmann N, Abraham EH, uLictôt KL. Ukungenelela kwamakhemikhali kokunganaki kwesifo se-Alzheimer's (Protocol). Database Cochrane Yokuhlolwa Okuhlelekile 2016, Issue 5. Art. Cha: CD012197. I-DOI: 10.1002 / 14651858.CD012197.