Kusokonezeka ndi mawu omveka bwino pofotokozera kupitilira kwa thupi komanso kulankhula. Kuthamangitsidwa kawirikawiri kumakhala pakati pa magawo a pakati a matenda a Alzheimer ndi mitundu ina ya dementia ndipo ikhoza kuphatikizapo kupuma, kuyendayenda, kuzunza mawu , kukangana , kufuula ndi kulira , ndi kuyendayenda .
Kukula kwa Chisokonezo ku Dementia
Ziwerengero zimasiyanasiyana, koma kafukufuku wina amawonetsa kuti anthu oposa 80 peresenti ya anthu omwe ali ndi chifuwa chachikulu chakumtima amakhudzidwa.
Kafukufuku wina adatsimikiza kuti pafupifupi 68 peresenti ya anthu omwe ali ndi chifuwa chachikulu chaumtima omwe amakhala m'deralo adakhumudwa kwambiri. Kafukufuku wina anapeza kuti pakati pa anthu omwe ali ndi matenda a 'dementia' omwe anali osamalidwa kunyumba , pafupifupi 75 peresenti ya iwo anali ndi mavuto.
Mmene Mungayankhire pa Kusokonezeka
Fufuzani Chifukwa
Choyambitsa ndi chinthu chofunika kwambiri kuti muwone ngati mukuwona munthu yemwe ali ndi matenda a 'dementia' amene akugwedezeka . Tikudziwa kuti makhalidwe ambiri amene timawaona kuti ndi ovuta kwa munthu yemwe ali ndi chifuwa chachikulu chaumtima ndizovuta kuti alankhulepo. Muli ndi mlandu pozindikira kuti "chinachake" chiripo.
Choyambitsa chikhoza kuchoka ku kudzipweteketsa mpaka kupweteka mpaka kufunika kochita masewera olimbitsa thupi . Kafukufuku wina anapeza kuti kukhumudwa ndiko chifukwa cha nthawi zambiri zovuta ku nyumba zaukhondo omwe amakhala ndi matenda a maganizo. Izi zinali zowona makamaka chifukwa cha kusokonezeka kuphatikizapo khalidwe losagwira mtima (monga kupumula) komanso kusokoneza mawu (monga kuitana).
Zina zimaphatikizapo kusintha kwa chilengedwe, kusintha kosintha , osamalira osadziwika , mantha ndi kutopa. Onaninso izi zomwe zingayambitse:
Muzidziwonetsera Icho
Yankho lanu liyenera kukhala lofanana ndi munthu amene mukumugwira naye ntchito.
Mutatha kudziwa chifukwa chake, mukhoza kusankha yankho loyenera kwa munthu ameneyo. Zingakhale zophweka ngati kumuthandiza munthuyo kusintha maulendo chifukwa ali mu ululu, kapena akuyenda ndi iye chifukwa amamva kuti alibe nkhawa.
Momwe mumayankhira munthu yemwe akukwiya ayenera kudalira pa makhalidwe omwe akuwonetsa, zifukwa zomveka zomwe angagwedezeke, zomwe zakhala zikugwira bwino nthawi yakale pamene wakhumudwa, ndi umunthu wake, luso lake, zokonda zake ndi zosowa zake.
Zimene Kafukufuku Amanena Zimathandiza
Ngakhale munthu aliyense ali wosiyana, apa pali zochepa zofufuza zomwe zingayesedwe pofuna kuyesa pamene wokondedwa kapena wodwala akugwedezeka:
Kulankhula Zosowa Zokha
Kuonetsetsa kuti mwasamalira zosowa za wina amene ali ndi njala, wotopa, wotopa, wosungulumwa kapena wopweteka kwambiri. Kumbukirani kuti chisokonezocho chilipo chifukwa, ndipo zitsimikizirani kuti zitha kuwonetsa.
Kuimba ndi kumvetsera nyimbo zakhala zikuwonetsedwa kuti achepetse kusokonezeka komanso kukulitsa kuzindikira kwa anthu omwe ali ndi matenda a maganizo.
Musamanyalanyaze kufunika kwa kukhudza thupi. Chisamaliro chachikondi chachikondi chimapita kutali - kafukufuku wasonyeza kuti kukhudza thupi kumatha kuchepetsa kusokonezeka.
Chitani izi. Kuchita masewera olimbitsa thupi kungathandize kuchepetsa makhalidwe ovuta ndikuwongolera kulingalira, pakati phindu lina.
Kafukufuku wasonyeza kuti mankhwala othandizidwa ndi zinyama angathe kusintha maganizo ndi zakudya, komanso kuchepetsa makhalidwe okhumudwa kwa anthu omwe ali ndi matenda a maganizo.
Kafukufuku wochulukitsa kafukufuku adayesa ngati kugwiritsa ntchito nthawi yophunzitsa osowa (onse a m'banja ndi akatswiri) kumapangitsa kusiyana kulimbana ndi kuvutika kwa anthu omwe ali ndi matenda a maganizo. Kafukufuku amasonyeza kuti maphunziro kwa osowa chithandizo amathandiza wopereka chisamaliro komanso achibale ake omwe ali ndi chifuwa chaumphawi mwa kuchepetsa nkhawa za osamalidwa ndikuwathandiza kuti ayankhe bwino kwa mamembala awo, komanso kuchepetsa kusokonezeka kwa munthu yemwe ali ndi matenda a maganizo.
Mankhwala Othandiza
Yankho lalifupi? Pali nthawi zina pamene mankhwala a psychotropic angakhale othandiza komanso oyenera, koma sayenera kukhala chinthu choyambirira chimene mumayesa. Zitha kuchititsanso zotsatira zina zingapo komanso kuyanjana kwa mankhwala. Nthawi zambiri, kusokonezeka kwa munthu kumachepetsedwa mwa kugwiritsa ntchito njira zina zomwe tazitchula pamwambapa.
Ngati simungathe kudziwa chifukwa chake mukuvutikira ndipo mukumuvutitsa (mwachitsanzo, akukumana ndi mantha oopsa kapena okhumudwa kwambiri), mukhoza kufunsa dokotala ngati mankhwala angakhale oyenerera.
Zotsatira:
Alzheimer's Association. Nkhawa ndi Kupsinjika. Inapezeka pa November 22, 2013. http://www.alz.org/care/alzheimers-dementia-agitation-anxiety.asp
BMC Geriatrics. 2007; 7:27. Kusokonezeka ndi kusokonezeka kwa akuluakulu achikulire omwe ali ndi matenda a maganizo. http: //www.ncbi.nlm.nih.gov/pmc/articles/PMC2213647/ \
British Journal of Psychiatry. (2012) 201, 221-226. Antipsychotics mu chifuwa chaumphawi: kuchulukanso ndi khalidwe la mankhwala osokoneza bongo omwe amalembedwa ku UK. http://bjp.rcpsych.org/content/201/3/221.full.pdf
International Journal of Geriatric Psychiatry 2011 Jul; 26 (7): 670-8. Kuchita bwino kwa magulu a magulu otsutsana ndi khalidwe loopsya kwa okalamba omwe ali ndi matenda a maganizo.
International Journal of Geriatric Psychiatry. Vuto 22, Magazini 9, masamba 916-921, September 2007. Kukula ndi kugwirizana kwa khalidwe lokhumudwitsa kwa odwala m'mabanja okalamba achi Norway. http://onlinelibrary.wiley.com/doi/10.1002/gps.1766/abstract
The Journal of Neuropsychiatry ndi Clinical Neurosciences 2002; 14: 11-18. Kuwerengera Kukula kwa Chisokonezo M'madera Okhala ndi Anthu Okhala ndi Matenda a Alzheimer. http://neuro.psychiatryonline.org/article.aspx?articleID=101581
Sukulu ya zachipatala ku Chicago, Rosalind Franklin University. Odwala Zun, L. Agitated: Clinical mwachidule ndi kutanthauzira mavuto. fern_memc_2009_zun_agitated.pps