Mmene Mungadziwire ndi Kuyankha Anthu Opanda Chidwi mu Dementia
Kusaganizira kaŵirikaŵiri kulipo mu matenda a Alzheimer ndi mitundu ina ya matenda a dementia . Nthawi zina, zikhoza kukhala chizindikiro chochenjeza choyamba-kapena ngakhale chiopsezo cha-dementia. Koma kodi kunyalanyaza kwenikweni ndi kotani, ndipo kumasiyana bwanji ndi kuvutika maganizo?
Kodi Kupanda Kumanya N'kutani?
Kusayanjanitsika ndiko kusowa chidwi kapena kukhudzidwa komwe kungawonedwe pamakhudzidwa ndi munthu (maganizo), khalidwe ndi kuzindikira.
Kusasamala ndi chimodzi mwa zizindikiro zambiri za kuvutika maganizo, komabe zingatheke popanda kuvutika maganizo.
Ndikofunika kuzindikira kuti kusasamala sikuli kofanana ndi kuvutika maganizo. Anthu osasamala samakhala ndi chisoni kapena kuthetsa chiyembekezo. Iwo angangowoneka kapena kumverera osakhudzidwa, osatayidwa, kapena osatulutsidwa.
Mitundu itatu Yopanda Chidwi mu Dementia
Kusakondana: Kusamvetsetsa kotere kumaphatikizapo kusowa mtima, mawonekedwe a kusayanjanitsika, ndi kusowa chifundo. Munthuyo angamawoneke kuti asasamalire za ena kapena kusowa chikondi chimene adakugwiritsani ntchito. Angathe kuoneka ngati alibe maganizo, osasangalatsa chisangalalo kapena chisoni pa zomwe zikuchitika pafupi naye. "Wokonda" amatanthawuza kumverera ndi maganizo.
Kusamvetsetsana kwa makhalidwe: Kusayera mu makhalidwe kumaphatikizapo kusagwira ntchito ndi ntchito zomwe zatsala zosatha. Wina amene akusowa chidwi ndi khalidwe sangathe kuyendayenda kwambiri panyumba ndikunyalanyaza ntchito monga kusunga nyumba kapena kuchapa, ngakhale kuti ali wokhoza kuchitapo kanthu.
Kusamvetsetsana Maganizo: Kusamvetsetsa maganizo kumaphatikizapo kusowa kwa kulankhula ndi kulingalira, komanso kusowa chidwi kwa ntchito zina. Ngati muli ndi chidwi chosamvetsetsa, mungafunike kuyambitsa kukambirana ndipo mungaoneke ngati "zonyedwa" ndipo simukukondwera ndi zomwe zikuchitika pozungulira inu.
Kusasamala ndi Dementia
Kafukufuku wasonyeza kuti kusowa chidwi kumakhala kofala kwambiri m'maganizo. Mwachidziwitso, kafukufuku wina anapeza kuti 56 peresenti ya ophunzira omwe ali ndi matenda a Alzheimers sankagwirizana, pamene 72 peresenti ya omwe ali ndi matenda a maganizo a frontotemporal amasonyeza chisamaliro. Kupanda chidwi kumakhalanso kofala m'kupita patsogolo kwa supranuclear palsy ndi matenda a maganizo a m'mimba .
Kuwonjezeka kwa chidwi kumayenderana ndi kuchepa kwa ntchito (monga ntchito za tsiku ndi tsiku ) komanso kuzindikiritsa anthu omwe ali ndi matenda a maganizo. Ubongo wa anthu omwe amasonyeza chisamaliro umasonyezanso kusintha kwakukulu, kuphatikizapo atrophy kwambiri , matenda a ubongo, ndi nkhani zoyera zisintha.
Kusasamala kumagwirizana ndi chitukuko cha matenda a 'dementia' kwa omwe ali ndi matenda a Parkinson . Ubale pakati pa Parkinson ndi osasamala ukhoza kukhala wovuta, komabe, chifukwa chowonetsa nkhope yamaso ndi chizindikiro chimodzi cha Parkinson.
Kafukufuku wina adawonanso kuti mwa iwo omwe ali ndi vuto lodziŵa kulingalira , kupezeka kwa osasamala kunali kutsogolo kwa chiwerewere. Mwa kuyankhula kwina, kusasamala kunali pangozi yowonjezera chidziwitso chowonjezereka.
Ngakhale kuti kusamvetsera nthawi zambiri sikuli kovuta kuthana ndi zovuta zina zomwe zimakhala zovuta m'maganizo (monga kulemba , kupweteka kapena kusokonezeka ), zingakhudze moyo wa munthu, chitetezo ndi kuthekera kuti akhale moyo wodziimira.
Kusasamala Popanda Kuchita Maganizo?
Kawirikawiri, kupezeka kwa chidwi sikugwirizanitsidwa ndi kugwiritsidwa ntchito kochepa. Mwachitsanzo, kafukufuku wina anapeza kuti kusakhudzidwa ndi akuluakulu omwe ali ndi chidziwitso chodziwikiratu kunayanjanitsidwa ndi kuyesayesa koyipa pa mayesero a chidziwitso, ngakhale kuti akugwera mu "chikhalidwe" cha kuzindikira.
Komabe, kafukufuku wina akusonyeza kuti kusamvetsetsa n'kofala kwa akulu akulu onse, kuphatikizapo omwe akudziŵa bwino ndi omwe ali osowa kuzindikira.
Kuyankha Anthu Opanda Chidwi mu Dementia
Mofanana ndi makhalidwe ambiri ovuta a chikhalidwe cha anthu odwala matenda a maganizo, kusamvetsetsana kumafunika kudziwika ndikuyamba kuchiritsidwa ndi njira zopanda mankhwala.
Ntchito Zokha
Kafukufuku wina wasonyeza kuti kusowa chidwi kwa chiwongolero cha maganizo kumachepetsedwa mwa njira zothandizira. Mwachitsanzo, kafukufuku wina anapeza kusiyana kwakukulu pakati pa anthu osamvetsetsa kunyumba za anthu okalamba omwe ali ndi chifuwa chachikulu chaumtima omwe ankachita ntchito kamodzi pa sabata kwa miyezi khumi, poyerekeza ndi gulu la anthu omwe sankachita nawo ntchitoyi.
Kupereka ndi kumuthandiza munthuyo pazochita zofunikira ndikofunika kuti asamamve chidwi. Kumbukirani kuti zomwe zimapindulitsa munthu mmodzi zingakhale zopanda phindu kwa lotsatira. Choncho, njira yoyenera munthu ndiyomwe iyenera kuti idziwe ndikugwirizanitsa zofuna za munthu aliyense.
Masewera
Kuphatikizidwa kwa masewera olimbitsa thupi kumathandizanso kuchepetsa kusamvera. Zomwe zimakumbukira masewera nthawi zambiri zimabwereranso ku ubwana ndipo zimapangitsa kuti anthu asamvetse bwino.
Kuzikumbukira
Anthu omwe ali ndi matenda a 'dementia' nthawi zambiri amavutika ndi kusungulumwa komanso kukhumudwa , zomwe zingabweretse chidwi. Kutenga maminiti pang'ono kuti mukambirane moona mtima ndi wina kungathandize kuchepetsa chidwi. Kuwongolera kungakhale njira yowonjezera yowonjezera chiyanjano ndikuchepetsa chidwi.
Nyimbo ndi Art
Kafukufuku wasonyeza kuti nyimbo ndi luso ndi njira zabwino zogwirira munthu wogwidwa ndi matenda a 'dementia' amene amaoneka kuti alibe chidwi. Mudzafuna kufufuza zomwe nyimbo zomwe amakonda kwambiri pamoyo wake ndikupeza nyimbo zojambula.
Khalani Wovuta
Pofunafuna ntchito yoyenera kuti athetse chidwi, ndikofunika kuti mukhale osinthasintha ndikuwonetsetsa ngati ntchitoyi ikupereka nthawi yeniyeni ndi chimwemwe kwa munthuyo, kapena ngati yowopsya kwambiri ndipo iyenera kuthyoledwa kapena kusintha kwa iye .
Mankhwala
Potsirizira pake, ngakhale kuti njira zopanda mankhwala ndizofunika kwambiri, kafukufuku wasonyeza kuti amapindula ndi acetylcholinesterase inhibitors pofuna kukonzanso anthu osamva.
Mawu Ochokera
Tikawona zizindikiro za kusamvera mwaife kapena wokondedwa, zingakhale zothandiza kufufuza ngati zizindikiro zina za dementia zilipo. Kusanthula koyamba kwa matenda a dementia n'kofunika kwambiri pa chithandizo chakumayambiriro ndi kukonzekera zam'tsogolo.
Kuwonjezera apo, kumvetsetsa momwe mungayankhire kwa osasamala muumtima waumphawi kungathandize ndi cholinga chopatsa moyo wabwino kwa iwo okhala ndi chifuwa chachikulu.
Zotsatira:
Alzheimer Society Canada. Kusasamala. http://www.alzheimer.ca/en/Living-with-dementia/Understanding-behaviour/Apathy
Archives of Neurology. 2009 Jul; 66 (7): 888-893. Pulogalamu Yopanda Chidziwitso ndi Makhalidwe Otsatira pa Frontotemporal Dementia ndi Matenda a Alzheimer's. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2875777/
Clinical Cleveland. Ngati Muli ndi Chisamaliro Inu Mukhoza Kukhala Pangozi Chifukwa cha Dementia. June 2, 2014. http://health.clevelandclinic.org/2014/06/does-mom-have-apathy-she-might-be-at-risk-for-dementia/
Journal of Geriatric Psychiatry 2012; 20 (2): 104-122. Pharmacologic chithandizo cha kusowa mtima m'maganizo. http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0034284/
> Lanctôt, K., Agüera-Ortiz, L., Brodaty, H., et al (2017). Kusasamala komwe kumakhudzana ndi matenda osokoneza bongo: Mapambidwe atsopano komanso kutsogolo. Alzheimer's & Dementia , 13 (1), pp.84-100.
Psychiatry. February 2015, Voliyumu 30, Ndime 2, masamba 251-257. Kusasamala kwa anthu okalamba omwe ali ndi chifuwa chaumphawi: Zotsatira za mayesero osagwiritsidwa ntchito mwachisawawa. http://www.europsy-journal.com/article/S0924-9338(14)00022-4/abstract
> Richard, E., Schmand, B., Eikelenboom, P., et al. (2012). Zizindikiro za Kusayanjanitsidwa Ndizogwirizana ndi Kuwonjezeka kwa Kulephera Kwambiri Koganizira za Matenda a Alzheimer's In Non-Depressed Subjects. Dementia ndi Matenda Odziŵa Matenda Okhudzidwa, 33 (2-3), pp.204-209.
> Ruthirakuhan MT, Herrmann N, Abraham EH, Lanctôt KL. Mapulogalamu opatsirana mankhwala osamvera mu Alzheimer's disease (Protocol). Dongosolo la Cochrane la Zosintha Zowonongeka 2016, Nkhani 5. Zojambula. Ayi: CD012197. DOI: 10.1002 / 14651858.CD012197.