Ngakhale kukumbukira kukumbukira ndi kuganiza zolakwika ndizo zizindikiro zake, matenda a Alzheimers amachititsanso mavuto ena, kuphatikizapo nkhawa. Anthu ambiri omwe ali ndi Alzheimer, makamaka m'madera oyambirira ndi apakatikati a matendawa, amavutika maganizo, mantha, komanso mantha.
Nkhawa ingachulukitse nsautso kwa onse omwe ali ndi matendawa ndi osamalira, koma njira zingapo zamagwiridwe ndi mankhwala zimathandiza.
Kuzindikira Nkhawa
Nkhawa pakati pa anthu omwe ali ndi Alzheimer ndi ovuta kuzindikira. Zizindikiro zoterezi zimaphatikizapo kudandaula kwakukulu, kudzichepetsa, kutukuta, ndi kugunda kwa mtima. Koma nkhawa mu Alzheimer ikhoza kutenga mitundu ina. Kuchotsa pakati pa anthu kapena kuchepetsa kuchita nawo ntchito zosangalatsa-zomwe zimagwirizanitsidwa ndi kuvutika maganizo- kungasonyezenso nkhaŵa. Nkhawa ya Alzheimer imachitika pamodzi ndi kupsinjika mtima ndi kukwiya.
Kupsa mtima kwapsa mtima kapena otsatira am'banja kapena osamalira malo omwe amadziwika kuti ndi amthunzi amatha kuchitika chifukwa munthuyo sadziwa bwinobwino zomwe angachite kapena kuyembekezera-kapena zomwe akuyembekezera. Mungamve munthu wina amene ali ndi matenda a 'dementia' akulira kapena kufuula mobwerezabwereza , ndipo izi zingakhalenso chizindikiro cha nkhawa.
Njira Zotsatira
Mukazindikira zizindikiro za nkhawa, Alzheimers's Association ikuyesa kuyesa kuzindikira chomwe chimayambitsa. Zingakhale zomwe zimachitika ku matenda a Alzheimers kapena kusatsimikizika kwa tsogolo.
Nkhaŵa ingaphatikize kuopa kukhala yekha kapena mavuto ena, monga nkhawa zachuma. Kusintha nthawi zambiri kumakhala vuto, monga wosamalira watsopano, kuchipatala, kapena kuyenda. Ziwalo za tsiku ndi tsiku , monga kusamba kapena kusintha zovala , zingayambitse nkhawa.
Mukamudziwa kumeneku, mungayese kuchepetsa zotsatira zake.
Ndi bwino kuyamba ndi osakhala mankhwala osokoneza bongo. Mankhwalawa ali ndi zotsatirapo, ndipo popeza anthu ambiri omwe ali ndi Alzheimer ali okalamba, amatha kumwa mankhwala ena, kuonjezera chiopsezo cha kuyanjana kwa mankhwala .
Nthawi zina kusokoneza kapena kutumizira chidwi cha munthuyo ndikwanira. Pewani kukhala okangana kapena okhudzidwa kwambiri. Kuphweka chilengedwe ndi chizoloŵezi cha tsiku ndi tsiku kungathandizenso. Njira zina zothandiza zimaphatikizapo kulola mpumulo ndi bata pakati pa zochitika zomwe zingakhale zosautsa ndikuonetsetsa kuti pali kuwala kokwanira madzulo kuti athetse chisokonezo komanso kuchepa . Ntchito zowonetsedwa- nyimbo zozoloŵera, ziweto , kuyenda, kapena maseŵera olimbitsa thupi- zingakhalenso zotsitsimula.
Pomalizira pake, akatswiri akulangiza kusamalira osowa chithandizo - kupyolera mu chithandizo, kulemekeza , komanso kwa iwo amene akusamalira munthu panyumba, pogwiritsira ntchito zina zothandizira kusamalira pakhomo .
Mankhwala (Mankhwala) Chithandizo
A FDA sanavomereze mankhwala alionse omwe amadziwidwa ndi nkhawa ya Alzheimer. Mankhwala osokoneza bongo-monga Ativan (lorazepam) -wapeza njira zamsana. Komabe, amatha kusokoneza thupi ndikusokoneza chisokonezo komanso kukhumudwa. Ngati munthuyo ali ndi nkhawa ndi kuvutika maganizo, zingathandize kugwiritsa ntchito mankhwala opatsirana pogonana, monga serotonin re-uptake inhibitors (SSRIs) monga Prozac (fluoxetine) kapena Zoloft (sertraline).
Desyrel (trazodone), yomwe imakhudza serotonin koma si SSRI, ingakhale yopindulitsa.
Matenda a Alzheimers amachititsa kuti anthu asagwiritse ntchito mankhwalawa, omwe ndi mankhwala omwe amabweretsa mauthenga pakati pa maselo a ubongo. Chifukwa cha zizindikiro za khalidwe, njira yowonongeka, yomwe imakhudzidwa m'malingaliro ndi maganizo (kuphatikizapo nkhawa), ndi yofunika kwambiri.
Mankhwala osiyanasiyana omwe amadziwika kuti cholinesterase inhibitors , omwe amatsutsana ndi kutayika kwa ziwalo za m'mimba, amathandiza kuchepetsa chidziwitso cha matenda a Alzheimer's. Kuwunika kwa 2007 ku The Consultant Pharmacist- kufotokoza kafukufuku wa "zidziwitso zosiyana siyana" za zizindikiro za khalidwe la Alzheimer - zinkatsimikiziranso kuti zizindikiro zowonongeka zitha kupindula ndi khalidwe labwino komanso malingaliro.
Wolemba mabuku wina dzina lake Lisa J. Miller ananena kuti Aricept (donepezil) , omwe amaphunzira kwambiri mankhwalawa, amasonyeza "zotsatira zabwino kwambiri." Koma adanena kuti zopindulitsa zinali "zovuta kuwonetsa" zizindikiro zosavuta. Kuphatikizanso, zotsatira za mankhwala enieni zimasiyana munthu ndi munthu.
Mwa njira zochiritsira zosagwiritsidwe ntchito , Ginkgo biloba, mtengo womwe umatalika kwambiri ku China chifukwa cha mankhwala ake, wasonyeza malonjezo ena. Kafukufuku wina wa ku Ulaya amasonyeza kuti ginkgo imapereka ubwino wodzinso ndi khalidwe, kuphatikizapo kuthetsa nkhawa.
> Zotsatira:
> Alexopoulos GS, DV Jeste, H. Chung, D. Carpenter, R. Ross, JP Docherty. "Katswiri wa Consensus Guideline Series. Kuchiza kwa Dementia ndi Kusokonezeka Kwake." Mau Oyamba: Njira, Ndemanga ndi Chidule. " Medical Journal yapamwamba. Jan. (2005) 6-22.
> "Ntchito Zothandizira Alzheimer" ALZInfo.org . 2008. Fisher Center ya Alzheimer's Research Foundation.
> "Zizindikiro za Zizolowezi." ALZ.org . 20 Mar 2008. Association of Alzheimer's Association.
> "Dementia: Mankhwala Osokoneza Ubongo". Alzheimer.org.uk . Mar 2004. Alzheimer's Society [UK].
> Mazza M., A. Capuano, P. Bria, S. Mazza. "Ginkgo Biloba ndi Donepezil: Kuyerekezera ndi Chithandizo cha Alzheimer's Dementia mu Phunziro Lopanda Kuphatikizidwa Lachiwiri Lopanda Malo." European Journal of Neurology . 13: 9 (2006) 981-5.