Akuti anthu opitirira 70% omwe ali ndi matenda a Alzheimer adzakhala ndi chisokonezo cha kugona kwa usiku. Ogwira ntchito amalimbikitsa njira zosiyanasiyana zothana ndi vutoli, kuyambira mankhwala mpaka kusintha tsiku ndi tsiku.
N'chifukwa Chiyani Anthu Akuvutika Maganizo?
Ochita kafukufuku sadziwa kwenikweni chifukwa chake anthu omwe ali ndi matenda a Alzheimer ali ndi kukhumudwa.
Ofufuza ena amanena kuti kusokonezeka kugona kumakhudzana ndi vuto lopuma, zomwe zimafala kwa anthu omwe ali ndi matenda a Alzheimer's. Kafukufuku wanena kuti 30% mpaka 70% mwa odwala omwe ali ndi matenda a Alzheimer ali ndi kupuma kosokonezeka. Kupuma kosalala ndi chizindikiro cha magulu omwe amachititsa kuti mpweya usapume. Kugonana ndi matenda obisala ndi chitsanzo chofala kwambiri cha matendawa.
Mu njira zomwe sizikumveka bwino, matenda a Alzheimers amawonekeranso kuti amachititsa kuti thupi liziyenda bwino. Thupi la Circadian, dongosolo lachibadwa la thupi, liri ndi udindo wololeza ubongo kuti ukhale wotonthoza usiku ndi kukondwerezedwa masana. Anthu omwe ali ndi matenda a Alzheimers amavutika kwambiri kugona usiku, komanso amavutika kukhala maso nthawi yamasana. Kafukufuku wa 2007 wofalitsidwa mu nyuzipepala ya zachipatala Gerontology inapeza kuti anthu omwe ali ndi matenda a Alzheimers amakhala ndi chiwopsezo chochepa cha thupi, chomwe chikhoza kusokoneza chikhalidwe chozungulira.
Amaganiziranso kuti matenda a ubongo, kapena kutupa mu ubongo, angakhudze komanso kuyimba.
Kugonana kovuta nthawi zambiri kumaphatikizana ndi kuwonjezeka kwa zizindikiro monga kusokonezeka , kusokonezeka komanso kubwereza , monga kutsanzira mawu ndi zochita za wosamalira, madzulo ndi usiku.
Chodabwitsa ichi chimatchedwa sundowning . Malingana ndi Alzheimer's Association, sundowning ingayambidwe chifukwa cha kutopa ndi kulephera kusiyanitsa chowonadi ndi maloto.
Kodi N'chiyani Chikhoza Kulepheretsa Kusokonezeka Kogona?
Asanapite ku mankhwala kabati, osamalira angathe kuyesa njira zotsatirazi:
- Ngati mukuganiza kuti kupuma kumakhala kosavuta, ganizirani njira yabwino yopitiramo mpweya wabwino. Njira imeneyi imaphatikizapo kugwiritsa ntchito makina omwe amapatsa wodwalayo mitsinje yopitirira. Kafukufuku wasonyeza kuti mankhwalawa ndi opambana pakati pa odwala a Alzheimer's.
- Gwiritsani ntchito ndondomeko ya tsiku ndi tsiku , kuika nthawi zokha kudzuka m'mawa ndi kugona usiku.
- Thandizani kuchita masewero olimbitsa thupi tsiku ndi tsiku, koma sungani maola anayi musanayambe kugona ntchito zowonjezera.
- Sungani TV ndi mafilimu ena monga makompyuta osachepera, makamaka mkati mwa ora lachinayi usanagone.
- Ikani kuwala kwa usiku ndikupatsani "chinthu chosinthika," chomwe chimathandiza munthu kusintha kuchokera tsiku ndi usiku. Chinthuchi chingakhale bulangeti, chovala kapena ngakhale nyama yophimba, koma muzigwiritsa ntchito usiku wokha.
- Kusiyiratu kugwiritsa ntchito ndudu, zakumwa za khofi ndi mowa.
- Limbikitsani kutuluka kwa dzuwa tsiku ndi tsiku.
- Mankhwala ena akhoza kuwonjezereka, choncho lankhulani kwa dokotala kapena wamankhwala za mankhwala omwe angasokoneze tulo. Taganizirani kusintha mankhwala kapena ndondomeko ya mankhwala, kuti musapereke mankhwala madzulo.
Kodi Mankhwala Angathandize Kuthana ndi Matenda a Kugona?
Mndandanda wa mankhwala omwe amachititsa matenda okhudza kugona ndi wambiri, ndipo umakhala ndi mankhwala osokoneza bongo kuyambira tricyclic anti-depressants, monga Pamelor kapena Aventyl (nortiptyline), ku mapiritsi ogona achikhalidwe monga Ativan (lorazepam). Aricept (donepezil), mankhwala omwe amavomerezedwa kuti athe kuchepetsa matenda a Alzheimer's, amasonyezanso kuti kuwonjezera mpweya wa okosijeni kwa odwala omwe ali ndi vuto la kupuma kwa kugonana kwa Alzheimer.
Melatonin , hormone yokhayokha, nthawi zina imagwiritsidwa ntchito ndi cholinga chothandizira kugona mu anthu omwe ali ndi matenda a maganizo.
Mankhwalawa ali ndi zotsatira zoyenera kukambirana ndi dokotala asanayambe kulandira chithandizo.
Malingana ndi Alzheimer's Association, kugwiritsa ntchito mankhwala opangitsa kuti tulo tizipewa. Mankhwala ogona amagwirizanitsidwa ndi " chiopsezo chowonjezeka cha kugwa ndi kupasuka, chisokonezo ndi kuchepa kwa kuthekera kusamalira nokha." Akatswiri amalangiza kuti ngati mankhwalawa amagwiritsidwa ntchito, mankhwala ochepetsetsa kwambiri amafunikira kugwiritsidwa ntchito.
Mankhwala ambiri ogona angakhale ozoloŵera, akatswiri amalimbikitsanso kumwa mankhwala osokoneza bongo atatha kukhala ndi thanzi labwino.
Zotsatira:
Chong, MS, ndi. al. "Kupitiliza Kupanikizika Kwambiri kwa Mpweya Kumapatsirana Tsiku Lililonse Kusagona M'mitenda Odwala Matenda Osavuta Kwambiri A Alzheimer's With Sleep Sleep Disordered Breathing." Journal ya American Geriatrics Society. 55. 4. May 2006. 777-781. 28 May 2008. (kulembetsa).
Harper, DG, ndi. al. "Kusokonezeka kwa Mtengo Wozungulira wa Circadian mu Kukalamba ndi Matenda a Alzheimer." The American Journal of Geriatric Psychiatry. 13. 5. May 2005. 359-368. 28 May 2008.
Klegeris, Andis, ndi. Al .. "Kuwonjezeka kwa Matenda Aakulu a Matenda a Khungu la Alzheimerali Odwala Ngati N'zotheka Kuwonetsa Matenda Ovuta Kwambiri Okhudza Matenda Ovutika: Meta-Analysis." Gerontology. 53. 1. 2007. 7-11. 28 May 2008.
Moraes, W., et. al. "Donepezil Zimapangitsa Kulepheretsa Kugonana Kugonana M'chifuwa cha Alzheimer: Phunziro Loyang'aniridwa ndi Chipinda Chachiwiri, Chokhala ndi Chipangizo Chokhazikika." British Journal of Chest Diseases. 133. 3. Mar. 2008. 677-683. 28 May 2008.
McCurry, SM, ndi. al. "Usiku Wamisala Kulimbana ndi Matenda ndi Maphunziro a Matenda a Alzheimer: Mlandu Wosasinthika, Wolamuliridwa." Journal ya American Geriatrics Society. 53. 5. May 2005. 793-802. 28 May 2008. (kulembetsa).
"Kusagona ndi Sundowning." Kukhala ndi Matenda a Alzheimer . 16 Oct 2007. Alzheimer's Association. 28 May 2008.
"Kuvutika Kwambiri Kugona." Matenda a Kugona Kwa Nthano Mapulani Ofufuza . 2003. Ma Institutes of Health. 28 May 2008.
"Mankhwala Othandizira Kusinthana." Matenda a Alzheimer: Matenda . 26 Nov. 2007. Alzheimer's Association. 28 May 2008.