Chabwino Kapena Cholakwika?
Chifukwa chakuti Alzheimer's ndi mitundu ina ya dementia imakhudza ubongo kuti athe kupanga zisankho ndi kukumbukira zambiri , nthawi zambiri amapereka zovuta zosiyanasiyana za makhalidwe abwino kwa mamembala ndi osamalira. Izi zikuphatikizapo zotsatirazi:
1. Kudziwitsa ndi kufotokoza kufotokoza kwa Dementia kwa Munthu
Kafukufuku wina anapeza kuti anthu oposa theka la anthu omwe ali ndi chifuwa chachikulu chaumtima sakudziwa kuti ali ndi matenda a dementia.
Madokotala akhoza kudera nkhawa za momwe munthuyo amachitira ndipo, posafuna kuti awonetsere kuvutika maganizo kwa wodwalayo, akhoza kungosiya kukambirana za matendawa, kapena kunena kuti, "Muli ndi vuto linalake la kukumbukira kwanu."
Ngakhale kuti chilakolako chofuna kukhumudwitsa wodwala ndi banja lawo n'chachidziwikire, sitimapitirira kukawuza munthu yemwe ali ndi khansara kuti ali ndi chotupa choipa komanso kuti sichikhoza kugwira ntchito. Polimbana ndi maganizo aumphawi, magawo oyambirira amapereka mpata wokhala ndi nkhani zalamulo ndi zachuma m'tsogolomu, ndipo akambirane zokondweretsa zamankhwala ndi banja.
Zokuthandizani kuwerenga: 12 Ubwino wa Kuzindikira Kwambiri mu Dementia
2. Kutha Kusankha Zochita
Kwa ambiri a ife, kuyendetsa galimoto ndi chizindikiro chenicheni cha ufulu. Titha kufika kumene tikufunikira kuti tipite, ndipo tichite izi pamene tikufunikira kapena tikufuna. Komabe, mu matenda a maganizo, pakubwera nthawi yomwe kuyendetsa galimoto sizitetezedwa panonso.
Ndi liti pamene mumaganiza kuti ndizoopsa kwambiri?
Ngati mutachotsa luso limenelo ndi ufulu wanu, mukuchotsapo kutali ndi munthuyo. Koma, ngati mukuchedwa motalika kwambiri ndipo wokondedwa wanu akumaliza kupha munthu chifukwa chosankha bwino pamene akuyendetsa, zotsatira zake zimakhala zomvetsa chisoni kwa onse okhudzidwa.
3. Chitetezo m'nyumba
Wokondedwa wanu angafune kuti apitirize kukhala pakhomo, koma kodi akadali otetezeka kuti achite zimenezo?
Pali zowonjezereka zomwe mungachite kuti muteteze chitetezo kunyumba, ndipo mungathe kubweretsanso ena kuthandiza kunyumba .
Mwinamwake mwasankha kuti ali otetezeka ngati akuvala GPS, kapena ngati muli ndi kamera kunyumba. Kapena, mwinamwake mumagwiritsa ntchito makina othandizira kuti azitenga mankhwala ake mosamala.
Kodi ndi nthawi iti yomwe mumapitirira kulakalaka kukhala pakhomo poyesera kumuteteza?
Zokuthandizani kuti muwerenge: Zomwe Mungachite Kuti Mudziwe Nthawi Yopereka Chithandizo Chakusamalira Odwala
4. Kuchita Mphamvu ya Woweruza
Kudzilamulira kumaphatikizapo ufulu wodzipangira okha. Tonsefe timafuna, ndipo, pokhala ndi chisamaliro cha munthu , tikufuna kulimbikitsa ndi kuteteza izi kwa ena, komanso. Komabe, ngati ubongo wa maganizo umayamba, mphamvuyi imatha ndipo imakhala nthawi yokambirana (kapena kuyambitsa) mphamvu ya woweruza milandu. Izi zikutanthawuza kuti zosankha zachipatala za munthuyo zimaperekedwa kwa munthu yemwe amamuzindikira pa mphamvu ya wolemba milandu.
Kawirikawiri, dokotala ndi katswiri wa zamaganizo, kapena madokotala awiri, ayenera kudziwa kuti munthu sangathe kutenga nawo mbali pazochita zachipatala. Nthawi ya chisankho ichi, ndi mzere umene madokotala ndi akatswiri a maganizo amagwira, amasiyana kuchokera kwa munthu ndi munthu, ndi madokotala ena omwe akusungira zisankho nthawi yaitali kuposa ena.
5. Chivomerezo cha Chithandizo ndi Zilonda za M'chipatala
Kumayambiriro kwa chifuwa cha dementia, membala wanu akhoza kumvetsa kuopsa ndi phindu la mankhwala. Koma, monga kukumbukira kwake ndi kugwirira ntchito kwake kumachepa, izi zimatha kusokoneza. Onetsetsani kuti amamvetsa bwino nkhaniyi asanayambe mawonekedwe a chilolezo.
6. Kubisa Mankhwala mu Zakudya
Pazigawo za pakati pa umfungo wa maganizo , ndizotheka kuti chifuwa chachikulu chaumtima chikhoza kumupangitsa munthu kukhala wosagwiritsidwa ntchito pomwa mankhwala. Ena osamalira anayesera kuthetseratu nkhondoyi pobisa mapiritsi ndikubisala mu chakudya. Kafukufuku amasonyeza kuti chizoloŵezi chotchedwa "covert administration" -chikhala chofala, ndipo ena amaona kuti ndizofunika kuti munthu akhale ndi moyo wabwino.
Ena amanena kuti sizolondola chifukwa chakuti "kumunyengerera" munthuyo kutenga mankhwala.
Magaziniyi yasintha kwa zaka zambiri pamene makapisozi amatha kutsegulidwa ndipo mankhwalawa amakhetsa chakudya kapena zakumwa za munthu yemwe ali ndi matenda a maganizo. Palinso mankhwala omwe amapereka mankhwala, komanso ngakhale mankhwala omwe amamwa mankhwala pakhungu. Mwachitsanzo, mlingo wamtundu wa Ativan ukhoza kuperekedwa mwa kungowamba pamutu pake.
Ena amati ngati mphamvu ya woweruza milandu yakhazikitsidwa - zomwe zimapangitsa munthuyo kuti asalole kuvomereza mankhwala- ndipo munthu amene wasankhidwa ngati mphamvu ya woweruzayo atavomereza kale kugwiritsa ntchito mankhwala, kuika mankhwalawo kumadya kungapereke njira yosavuta kuti muziyang'anira.
7. Zogonana
Funso loti wina angathe kuvomereza kugonana pamene ali ndi dementia akugwedeza makanema mu 2015. Bambo wina adatsutsidwa kuti agonana ndi mkazi wake, yemwe anali ndi Alzheimer's, ndipo pomaliza anapezeka kuti alibe mlandu.
Koma, funso ili lovomerezeka m'maganizo la anthu limakhalabe kwa ambiri. Kuzindikira kuti matenda a dementia sikulepheretsa munthu kuti avomereze, ndipo ambiri amanena kuti kugonana ndi chinthu chofunika kwambiri kuti akhalebe ndi moyo . Chovuta chimadza podziwa momwe mungatetezere ufulu wokhala ndi zochitika zogonana zogwira mtima koma kupewa wina kuti atenge mwayi wina.
8. Kuchiza Mankhwala
Kodi kunama kwa wokondedwa wanu kumakhala kovuta pamene choonadi chingamuvutitse? Pali akatswiri kumbali zonse ziwiri. Kawirikawiri, ndi bwino kugwiritsa ntchito njira zina monga kusokonezeka pogwiritsa ntchito kusintha kwa phunziro kapena ntchito yothandiza , kapena kuyesa mankhwala ovomerezeka . Mwachitsanzo, ngati wina akufunsa komwe amayi ake ali (ndipo anamwalira zaka zambiri zapitazo), chithandizo chovomerezeka chikhoza kumupempha kuti akuuzeni zambiri za amayi ake, kapena kumufunsa zomwe amamukonda.
9. Kuyezetsa kwa majeremusi kwa Apolipoprotein E (APOE) Gene
Kuyezetsa magazi kumayambitsa mafunso ambiri. Izi zimaphatikizapo kwa omwe zotsatira zidzaululidwa, zomwe ziyenera kuchitika ngati mutanyamula APOE gene, ndi momwe mungapiririre ndidzidzidzi. Zotsatira sizikutanthauza ngati munthuyo adzalimbikitsa dementia; Amangoonetsa kuti kukhalapo kwa jini kumawonjezera ngozi. Chifukwa chakuti pali zokhudzana ndi zoyenera zokhudzana ndi ma genetic, ndipo zotsatira sizigwirizana mwachindunji ndi zotsatira, Alzheimer's Association sivomereza kuyesa kwa majini kwa gene APOE nthawi zonse panthawi ino.
Mayesero a Magazi Amene Amalongosola Kukula kwa Alzheimer's
Pali mayesero a magazi opangidwa ndi kufufuza omwe atchulidwa kuti angakhale olondola molondola-zaka zambiri pasadakhale-omwe adzathe kapena sadzakhala ndi dementia. Mofananamo ndi kuyesedwa kwa majeremusi APOE, mayeserowa amachititsa mafunso kuti azichita chiyani ndi zomwezo.
11. Kugwiritsa ntchito mankhwala oletsa antipsychotic
Mankhwala oletsa antipsychotic, akamagwiritsidwa ntchito monga boma la Federal Drug Administration, amatha kuchiritsa matenda a psychosis, paranoia ndi zokopa , motero amachepetsa nkhawa ya munthu ndi kuthekera kwake kudzivulaza. Pamene amagwiritsidwa ntchito muumtima waumphawi, mankhwalawa nthawi zina amathandiza kuchepetsa kuperewera kwa magazi ndi kuwonetsa. Komabe, amachititsa kuti chiopsezo chachikulu chiwonongeke- ngakhale kuphatikizapo imfa - akagwiritsidwa ntchito m'maganizo. Kugwiritsidwa ntchito kwa antipsychotics sikuyenera kukhala njira yoyamba podziwa momwe mungayankhire bwino, ndi kuchepetsa, makhalidwe ovuta mu chifuwa chaumtima.
12. Kuchepetsa Mankhwala a Dementia
Mankhwala a Dementia amaperekedwa ndi chiyembekezo chochepetsa kuchepa kwa matendawa. Kuchita bwino kumasiyanasiyana, ndipo ena amawona kusintha kwakukulu pamene mankhwalawa ayambitsidwa, pamene kuli kovuta kuwona zotsatira zina mwa ena. Funso la kuchuluka kwa mankhwalawa kumathandizira, ndipo pamene liyenera kuimitsidwa, ndi kovuta kuyankha chifukwa palibe amene amadziwa ngati munthu yemwe ali ndi chifuwa chachikulu cha mthupi angakhale ovuta kwambiri popanda mankhwala, kapena ayi. Ngati izo zatha, mantha ndi kuti munthuyo akhoza kuchepa mwadzidzidzi ndi kwambiri. Ena amafunsa ngati akungopereka ndalama mopanda malire kwa makampani osokoneza bongo, popeza kuti nthawi zambiri amatha kugwiritsa ntchito mankhwala osokoneza bongo.
13. Mapeto a Zosankha Zamoyo
Monga anthu omwe ali ndi chifuwa chachikulu chakumapeto kwa moyo wawo, pali zosankha zambiri zomwe okondedwa awo ayenera kuzichita. Ena akhala akudziwika bwino za zokonda zawo nthawi yayitali asanakhale ndi matenda a dementia, ndipo izi zikhoza kuchepetsa ndondomekoyi. Ena, ngakhale, sananene zomwe akuchita kapena sakufuna mwachipatala, ndipo izi zimachititsa osankha zochita akuganiza zomwe akuganiza kuti munthuyo angafune. Mapeto a zosankha za moyo ndikuphatikizapo machitidwe monga code-full (do CPR ndi malo pa mpweya wabwino) vs. Musayimbenso , kudyetsa zida zamagulu ndi IVs kwa hydration kapena antibiotics .
Zotsatira:
Alzheimer's Association. Malamulo ndi Zosamalira. Idafika pa January 22, 2016. http://www.alz.org/care/alzheimers-dementia-ethical-issues.asp
Alzheimer's Association. Mayeso a Zachibadwa. Idafika pa January 23, 2016. http://www.alz.org/documents_custom/statements/Genetic_Testing.pdf
American Journal of Geriatric Pharmacotherapy. 2010 Apr; 8 (2): 98-114. Njira zina zowonjezera, njira yobweretsera, komanso njira zothandizira odwala matenda a psychotropic kwa okalamba omwe ali ndi makhalidwe komanso maganizo a chiwerewere. http://www.ncbi.nlm.nih.gov/pubmed/20439060
Akatswiri Ofufuza za Neurotherapeutics. 2012 May; 12 (5): 557-67. Zokambirana za matenda a Alzheimer's disease: mwachidule. http://www.ncbi.nlm.nih.gov/pubmed/22550984
Journal of Nursing Psychoatric Mental Health. 2010 Nov; 17 (9): 761-8. Kusungira mankhwala kwa akuluakulu: kubwereza kwa mabuku ndi maphunziro ofalitsidwa. http://www.ncbi.nlm.nih.gov/pubmed/21040220
Msonkhano wa Malingaliro a Dementia 2012. Alzheimer's Association / Mayo Clinic. Malamulo ndi Makhalidwe Abwino mu Dementia. Marson, D. March 17, 2012. http://preview.alz.org/_cms/mnnd-handouts/downloads/202-LegalAndEthicalIssues-Part1.pdf