Kusokonezeka maganizo m'maganizo, ngakhale nthawi zambiri, kumakhala kosavuta. Pamene zizindikiro za kuvutika maganizo m'maganizo zimatengedwa ndi kuchepa, umoyo wa munthu umawonjezeka.
Kuvutika maganizo mu matenda a Alzheimer ndi zovuta zina zokhudzana ndi matendawa zingagwiritsidwe ntchito pogwiritsa ntchito njira zingapo zomwe zimagwera m'magulu awiri: njira zopanda mankhwala ndi mankhwala.
Njira zina zingakhale zothandiza kwa munthu mmodzi kuposa wina, koma njira zopanda mankhwala ziyenera kuyesedwa kaye asanayambe kugwiritsa ntchito mankhwala.
Njira Zosagwiritsa Ntchito Mankhwala
Njira zingapo zosagwiritsira ntchito mankhwala zasonyeza kuti zimapambana pochiza matenda ovutika maganizo. Phindu la njira izi, kuphatikizapo kusintha maganizo, zimaphatikizapo kupezeka kwa zotsatirapo ndi kuyanjana kwa mankhwala, komanso zomwe zingatheke kuti adziwitse bwino ndikuwonjezereka ntchito zakuthupi ndi zamaganizo.
Mapindu olimbitsa thupi ndi ochuluka. Kuchokera pa kukonzanso zizoloŵezi za kudzikonda ndi kugona kumawonjezera mphamvu zamagetsi, kuchita masewero olimbitsa thupi kungathandize anthu omwe ali ndi matenda a maganizo. Monga phindu lapadera, kafukufuku wina wasonyeza kuti kuchita masewera olimbitsa thupi kungathandizenso kuti anthu omwe ali ndi matenda a maganizo azimasuka.
Kwa anthu ena, mbali ya kuvutika maganizo ndi kupanda cholinga.
Kupatsa anthu mpata wochita chinthu chofunikira kwa iwo komanso chokhudzana ndi zofuna zawo kungakhale kothandiza kwa maganizo awo ndi maganizo awo.
Gulu la Music Music
Kafukufuku wina wopangidwa ndi achikulire omwe anapezeka kuti ali ndi matenda a maganizo ndi a maganizo aumtima adapeza kuti kuvutika kunachepetsedwa pambuyo pa magawo a magulu a nyimbo.
Kuonjezerapo, kusintha pang'ono kwa kuzindikira-makamaka mwachangu-kukumbukira luso-kunanenedwanso potsatira machitidwe opanga ma ARV .
Kuwonjezera Maonekedwe kwa Tsiku
Kukhala ndi chizoloŵezi ndi ndondomeko ya tsiku kungathandize kuti anthu azidziletsa. Kuphatikizanso apo, zochitika zomwe zimaganiziridwa monga masewera kapena kalasi zingapereke chinachake choyembekezera tsiku. Kwa iwo omwe ali ndi pakati pa masewero a maganizo , nthawizina mapangidwe a malo akuluakulu osamalira anthu tsiku ndi tsiku angakhale opindulitsa.
Uphungu waumwini
Makamaka kwa omwe ali m'mayambiriro a chiwerengero cha dementia, uphungu wothandizira ukhoza kukhala wowothandiza kwambiri. Mwina pangakhale kumva chisoni ndi kutayika pambuyo pozindikira kuti munthu ali ndi matenda a dementia, ndipo uphungu ungathandize munthu kuthana ndi malingaliro awo ndikukhala ndi njira zothetsera vuto la maganizo aumtima.
Kuyanjana kwa Anthu
Anthu ena omwe ali ndi chifuwa chachikulu chaumtima amayamba kudzipatula okha, zomwe zingapangitse kukhala ndi mwayi wovutika maganizo kapena kuwonjezera maganizo omwe ali otsika kale. Ngakhale kusagwirizana pakati pa anthu ndi anthu kungakhale kotopetsa kwa anthu ena omwe ali opsinjika maganizo, zosangalatsa zabwino zokhudzana ndi chikhalidwe zingathandizenso ndi kulimbikitsa omwe ali ndi matenda a maganizo aumtima ndi kuvutika maganizo.
Magulu Othandizira
Magulu othandizira angakhale othandiza anthu omwe akulimbana ndi kusintha kwa matenda atsopano a matenda a maganizo.
Nthawi zina, zimakhala zolimbikitsa kumva kuchokera kwa ena momwe akulimbana ndi mavuto a chifukwatu. Kuyanjana ndi ena mu gulu kungachepetsere kusungulumwa ndi kudzipatula.
Mankhwala
Ngakhale kuti kafukufuku wina amafunsa kuti mankhwala opatsirana bwino amawathandiza bwanji, ambiri amagwiritsidwa ntchito kwa anthu omwe akuvutika maganizo chifukwa cha matenda a maganizo.
Sewero Serotonin Reuptake Inhibitors (SSRIs) ndi kalasi ya mankhwala oponderezedwa omwe nthawi zambiri amaperekedwa kwa anthu omwe ali ndi matenda a maganizo omwe amasonyeza zizindikiro za kuvutika maganizo. SSRI nthawi zambiri imakhala ndi zotsatira zochepetsetsa komanso kuchepa kwa mwayi wogwirizana ndi mankhwala omwe anthu angakhale nawo.
Mankhwalawa angathandizenso anthu ena omwe ali ndi zizindikiro za nkhawa. Ma SSRI ambiri amadziwika ndi citalopram HBr (Celexa), sertraline (Zoloft), escitalopram (Lexapro), ndi fluoxetine (Prozac).
Mankhwala omwe amachititsa kuti anthu azivutika maganizo ndi mirtazapine (Remeron). Remeron ikhoza kukhala ndi zotsatira zoyambitsa chilakolako, choncho mankhwalawa angagwiritsidwe ntchito ngati kulemera ndi kuvutika maganizo kukudziwikiratu.
Kuonjezera apo, mankhwala ena opatsirana pogonana monga trazodone (Deseryl) angathandize kuthandizira kugona komanso kuchiritsa matenda.
Ndikofunika kukumbukira kuti mankhwala onse ali ndi zotsatirapo ndipo amagwira ntchito mosiyana ndi anthu osiyanasiyana. Ngakhale zotsatira zina zingakhale zabwino, monga kuthandiza wina kugona bwino usiku kapena kukondweretsa chilakolako usana, ena angayambitse chisokonezo, kugwa ndi mankhwala . Funsani dokotala ngati muli ndi mafunso okhudza kugwiritsa ntchito mankhwala ochiza matenda ovutika maganizo.
Mawu Ochokera
Kuvutika maganizo pakati pa anthu okhala ndi chifuwa chachikulu ndizochilendo, koma pali njira zina zopanda mankhwala komanso mankhwala omwe angakuthandizeni kusintha moyo. Onetsetsani kuti munenepo maganizo kapena kuwonetsa maganizo kwa dokotala kuti mukambirane za chithandizo ndi thandizo.
Zotsatira:
Alzheimer's Association. Kusokonezeka maganizo ndi Alzheimer's. > https://www.alz.org/care/alzheimers-dementia-depression.asp
American Academy of Neurology. Kodi SSRI ya Kuvutika Maganizo kwa Odwala ndi Dementia iyenera Kubwerezedwa?
Zambiri za Chisamaliro cha Nthawi Zakale. 2009 February 2; 17 (2): 29-36. Kuchiza kwa Kuvutika Maganizo kwa Okalamba ndi Dementia. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3147175/
> Chu, H., Yang, C., Lin, Y., Ou, K., Lee, T., O'Brien, A. ndi Chou, K. (2013). Impact of Group Music Therapy pa Kupsinjika Maganizo ndi Kuzindikira kwa Okalamba Amene Ali ndi Chifuwa cha Dementia: Phunziro Lophunzitsidwa Losavuta. Kafukufuku Wachilengedwe Kwa Achikulire , 16 (2), pp.209-217.
Yunivesite ya Texas. Kuchiza kwa Kuvutika maganizo kwa Odwala ndi Dementia. www.utexas.edu/pharmacy/divisions/pharmaco/.../bassinger05-04-12.pdf