Kukula kwa Chisoni Kwa Anthu Amene Ali ndi Dementia
Akatswiri amanena kuti pafupifupi anthu 50 pa 100 alionse odwala matenda a maganizo amakhala ndi ululu nthawi zonse, ndipo ululu umenewo umawonjezeka pamene chiwerewere chawo chimapita patsogolo.
Zimayambitsa Mavuto
Ngakhale kuti dementia yokha siimayambitsa ululu wamthupi, nthawi zambiri palinso zinthu zina mwa anthu omwe ali ndi matenda a maganizo omwe amachititsa ululu.
Matenda ambiri a dementia ali akuluakulu, ndipo gulu lakale limakhala ndi chiopsezo chachikulu cha matenda a osteoarthritis , matenda a mkodzo, kugwa ndi zilonda zapakati-zonse zomwe zimapweteka kwambiri. Malingana ndi dokotala wina, (Dr. John Mulder) aliyense wa zaka zoposa 25 ali ndi nyamakazi yambiri yamagulu, zomwe zimayambitsa kupweteka kwa minofu ndi mafupa.
Kafukufuku wina akuwoneka kuti anthu omwe ali ndi chifuwa chachikulu cha mthupi akhoza kumva zowawa mosiyana ndi omwe akudziwika bwino, pamene ena akuganiza kuti ndizochepa kuchepetsa kufotokoza ululu umenewo. Kawirikawiri kafukufuku wagwirizana kuti anthu omwe ali ndi chifuwa chachikulu chaumtima ali ndi chiopsezo chachikulu chochiritsidwa chifukwa cha ululu.
Mmene Mungayendetsere Kuyeza Matenda a Dementia
Funsani Munthuyo:
Kwa anthu ambiri, chikhalidwe chovomerezeka cha kupweteka kwa kupweteka ndi kungomufunsa munthuyo za ululu wawo. Izi ndi zovuta kwambiri kwa munthu amene ali ndi chifuwa chachikulu chifukwa cha kuchepa kwapang'ono pomwe kwa kuzindikira ndi kufufuza mawu .
Komabe, kafukufuku amasonyeza kuti kumayambiriro ndi ngakhale pakati , anthu ambiri adatha kuzindikira molondola ndi kuwonetsa ululu wawo; motero, ayenera kufunsidwa. M'masitepe a m'mbuyo mwake, kumakhala kovuta kuti munthu afotokoze ululu wawo.
Gwiritsani Ntchito Zopweteka Zowawa:
Kupempha munthu kukhala ndi chisokonezo kuti awononge ululu wawo pamlingo wa 1 mpaka 10 sizochita zabwino, monga lamulo, chifukwa pali kusankha kochuluka kwambiri komanso kutanthauzira kwambiri kwa zomwe nambala iliyonse ingatanthauze.
Chida choyenerera kwambiri choyesa kupweteka ndi nkhope yapamwamba, pomwe munthuyo akulozera nkhope yomwe ikuyimira momwe akumvera za ululu wawo. Maonekedwe amachokera ku chisangalalo kwambiri ndikudandaula kwambiri komanso kulira.
Njira yowonjezera ndiyo kufunsa momwe akumva kupweteka kwambiri: pang'ono, pang'ono kapena zambiri.
Chida china chomwe chimagwiritsidwa ntchito nthawi zambiri ndi Kuunika kwa Mavuto pa Advanced Dementia (PAINAD) Scale. Chida ichi chinapangidwa ndi ochita kafukufuku wamtundu wa Veteran Affairs ngati njira yowunikira molondola kupweteka kwa anthu omwe ali ndi matenda ovutika maganizo. Izi zimafuna kuti malo otsatirawa ayesedwe:
- Kodi kupuma kwake kunagwira ntchito kapena kumachepetsa?
- Kodi akufuula kapena akulira?
- Kodi akuonetsa nkhope yamaso kapena grimacing?
- Kodi thupi liri bwanji? Izi zikuphatikizapo kuyenda, kumenyana, kumenyana ndi kuchoka
- Kodi ali wotsimikizika? Kodi mungathe kumusokoneza ndi kumusokoneza?
Funsani Wokondedwa:
Chifukwa chakuti dementia imakhudza luso loyankhulana, zingakhale zothandiza kufunsa munthu yemwe amadziwa munthu yemwe ali ndi matenda a 'dementia' pa ululu wawo. Taganizirani kufunsa mafunso awa:
- Kodi khalidwe lake ndi lotani?
- Kodi amawoneka bwanji ngati akuvutika?
- Kodi khalidwe lake limasintha bwanji pamene samasuka?
- Kodi mwapeza kuti kumuthandiza bwanji pamene akuvutika?
- Kodi kuvulala kokalamba kumamuvutitsa bwanji?
Zizindikiro Zina za Chisoni mu Dementia
Chinthu chofunikira kwambiri poyesa kupweteka ndi kudziwa khalidwe labwino la munthu ndi kuyanjana ndi ena. Zambirizi zimaperekedwa bwino ndi banja, omwe angayankhe mafunso okhudza momwe amachitira ndi machitidwe, maimidwe a thupi, mbiri ya moyo wa ululu ndi kuyankha mankhwala opweteka.
Dziwani kuti zotsatirazi zotsatirazi zingakhale zizindikiro za ululu:
- Kutembereredwa
- Combativeness
- Kusasamala ndi kuchoka ku Ntchito ndi Kuyanjana
- Kukhala Osungiritsa Bwino (kuwoneka kovuta kusangalatsa)
- Kuthamanga
- Kupuma
- Kubwereza Zochita Kapena Mawu
Mavuto Otsogolera Mavuto
Pamene mukusamalira munthu wodwala matenda a maganizo, vuto lina ndikutulukira ngati zopweteka- kapena zosowa zina monga kusungulumwa, kukhumba , njala, kapena kusowa kofunikira kugwiritsira ntchito bafa-zimayambitsa vuto la munthuyo.
Chinthu chachiwiri chomwe chikudetsa nkhaŵa ndi chakuti ngati osowa alangizi sakhala tcheru poyesa ndi kuchiza ululu, munthuyo angatchulidwe ngati wodandaula kapena wopanikizika ndi kuuzidwa mankhwala osokoneza maganizo m'malo molimbana ndi ululu umene umayambitsa vutoli.
Njira Yina Yomwe Imayendera Kupweteka
- Kuchiza
- Kusokoneza
- Kutentha
- Cold
- Kuyika
- Pet Therapy
- Nyimbo
- Kupangidwanso
- Aromatherapy
- Zojambula Zoposa-Zomwe Zimaphatikizapo Zowonjezera
Kugwiritsa Ntchito Mankhwala Opweteka
Ngakhale kuti njira zopanda kugwiritsa ntchito mankhwala ndizofunika, anthu ambiri adzalandirabe mankhwala opweteka oyenera. Ngati mwasintha zina zomwe zimayambitsa makhalidwe (monga njala, kudzikuza ndi kufunika kochita masewera olimbitsa thupi), ndipo mwatsimikiza kuti munthuyo akuvutika, kupeza mankhwala kwa mankhwala opweteka ndi lingaliro labwino.
Samalani ndi mankhwala opweteka omwe amalamulidwa pa PRN (monga mukufunika). Chifukwa munthu yemwe ali ndi matenda a 'dementia' sangathe kufotokoza ululu wawo bwino, kapena sangadziwe kuti akuwonjezeka pang'ono pokha pokhapokha atapweteka kwambiri, mankhwala opweteka a PRN amachititsa kuti azivutika kwambiri. Mwina munthuyo samupempha kuti asaulandire, kapena amapeza nthawi yambiri kusiyana ndi mmene zinalili bwino komanso ululu wake sungathe kulamulidwa ndi mankhwala ndi mlingo womwe umayikidwa. Ngati n'kotheka, dongosolo lachidziwitso cha mankhwala opweteka ndilobwino kwa munthu amene ali ndi matenda a maganizo.
Ngakhale achibale angayesere kudandaula kuti akhoza kumwa mankhwala opweteka, izi sizinthu zofunika kwambiri chifukwa chizoloŵezi chofunafuna mankhwala si chachilendo kwa anthu omwe ali ndi matenda a maganizo. Kuonjezerapo, ambiri amayamikira khalidwe la moyo limene lingakonzedwe ndi kupweteka kokwanira.
Zotsatira:
Dementia Education & Training Program. Utsogoleri wa Chisoni mwa Munthu Amene Ali ndi Dementia. Inapezeka pa February 5, 2016. http://www.alzbrain.org/pdf/handouts/2049.%20MANAGEMENT%20OF%20PAIN%20IN%20PERSONS%20WITH%20DEMENTIA.pdf
Mulder, J., et al. Kupweteka kwa Okalamba Osowa Maganizo. 2015. http://www.michigan.gov/documents/lara/1aPain_Assessment__Management_with_Elders_Expreiencing_Cognitive_Loss_484079_7.pdf
Chitukuko cha sayansi ya sayansi ya Texas Tech University. Mavuto Ovuta. January 2011. http://www.ttuhsc.edu/provost/clinic/forms/ACForm3.02.A.pdf
US Pharmacist. 2014; 39 (3): 39-43. Ulamuliro Wowawa mu Dementia. http://www.uspharmacist.com/content/c/47338/
Warden V, Hurley AC, Volicer L. Kupititsa patsogolo komanso kuganizira bwino za kupweteka kwapwetekiti yapamwamba (PAINAD). J Am Med Dir Assoc . 2003; 4: 9-15. http://www.amda.com/publications/caring/may2004/painad.cfm
Zeitschrift Fur Gerontologie Und Geriatrie. 2015 Feb; 48 (2): 176-83. Mtundu ndi kayendedwe ka zizindikiro zomwe zimawonetsedwa pamapeto ndi kufa kwa anthu omwe ali ndi matenda a maganizo m'mabanja okalamba. http://www.ncbi.nlm.nih.gov/pubmed/25119700