Momwe mungasankhire ngati chisamaliro cha chitonthozo chili choyenera kwa wokondedwa wanu
Dementia ndi chithandizo chamankhwala chokhwima chomwe chimawombera anthu omwe amawaganizira, zida zawo, ndi ufulu wawo. Nkhaniyi ikufotokoza mwachidule zomwe zimayambitsa matenda a dementia, komanso momwe mungasankhire ngati chisamaliro cha palliative ndi / kapena chipatala n'choyenera kwa wodwalayo.
Dementia Zimayambitsa ndi Zisonyezo
Dementia ndi mawu omveka bwino omwe amasonyeza kuti ubongo wa munthu umagwira ntchito chifukwa chovulala kapena matenda.
Malingana ndi Alzheimer's Association, pafupifupi 60 mpaka 80 peresenti ya matenda a dementia amachokera ku matenda a Alzheimer's - omwe amadziwika bwino kwambiri komanso omwe amadziwika bwino kwambiri ndi a dementia. Alzheimer imachitika pamene mapuloteni osadziwika amakhala mu ubongo amawononga maselo m'madera omwe amayang'anira kukumbukira kwathu ndi maganizo athu.
Chifukwa chachiwiri cha dementia ndi matenda a dementia , malinga ndi Alzheimer's Association. Izi zikhoza kuchitika chifukwa cha kupwetekedwa kapena kuvulazidwa kapena chikhalidwe chomwe chimachepetsa kapena kutsegula kutuluka kwa magazi ku ubongo.
Matenda ena omwe angayambitse matenda a dementia ndi matenda a Parkinson, matenda a Huntington , ndi matenda a Creutzfeldt-Jakob .
Mosasamala kanthu za chifukwa chake, anthu omwe ali ndi chifuwa chachikulu akhoza kusonyeza zizindikiro zosiyanasiyana, monga:
- • kukumbukira kukumbukira, makamaka makamaka kukumbukira nthawi yayake
- • kutanthauzira chinenero / kulankhula, monga kutchula chinthu kapena kupeza mawu olondola pa chinachake
- • kusintha kwa makhalidwe kapena umunthu, monga kulamulira maganizo awo, kukhumudwa kapena kuthetsa mavuto
Malinga ndi kuvutika kwaumphawi, anthu ena sangathe kuganiza bwino kuti achite Zochita za Daily Living -sasks zomwe zimafunika kuti zichitike nthawi zonse kuti zigwire ntchito monga kuvala, kusamba kapena kudya.
Kodi ndi liti pamene kusamalidwa kwapakati kumayenera odwala matenda a dementia?
Kusamalidwa bwino n'koyenera kwa odwala matenda a maganizo pamene wodwala komanso / kapena wothandizira chisankho cha wodwalayo akuganiza kuti akufuna kuika maganizo pa chitsimikizo cha wodwalayo komanso moyo wake.
Popeza chisamaliro cha odwala ndizofunikira kwambiri kuti munthu asamalidwe bwino, wodwalayo ayenera kukwaniritsa zofunikira zosiyanasiyana kuti athe kupeza mankhwala a Medicare hospice ndi matenda a maganizo. Mwapadera, madokotala awiri ayenera kutsimikizira kuti wodwalayo ali ndi matenda olepheretsa moyo ndi kuyembekezera moyo kwa miyezi sikisi kapena yochepa.
Centers for Medicare ndi Medicaid Services inakhazikitsa chigawo choyembekezera moyo mogwirizana ndi matenda opatsirana khansa, koma mosiyana ndi khansa, yomwe imakhala ikuchepa kwambiri, chifuwa chachikulu cha matenda a maganizo ndi chovuta kwambiri kulosera. Wodwala wodwala matenda a 'dementia' akhoza kusonyeza nthawi yowonjezereka ikutsatiridwa ndi kukwera, pamene iye adzakonza ndi kuchita bwino kwa kanthawi.
Choncho, kuthandiza madokotala kuyerekezera kuti moyo wa anthu odwala matenda a maganizo, moyo wa anthu odwala matenda a maganizo, bungwe la National Hospice ndi Palliative Care Organization linakhazikitsa malangizo omwe mabungwe othandizira anthu ogwira ntchito kuzipatala amagwiritsa ntchito monga momwe angavomerezedwe. Zotsatira izi zimagwiritsa ntchito "Chida Choyang'anira Kugwiritsa Ntchito" pofuna kuchepetsa kuvutika kwa maganizo kwa wodwalayo.
Kuti ayenerere kupita kuchipatala, wodwala ayenera kuwerengera kapena "pamwamba pa seveni", kutanthauza kuti wodwalayo:
- • sangathe kuvala yekha
- • sangathe kuyenda popanda thandizo
- • sangathe kusamba bwino popanda thandizo
- • sizitsutsana ndi mkodzo ndi chotupa
- • sangathe kuyankhula kapena kugwirizanitsa bwino
Matenda a zachipatala-monga matenda ambirimbiri opatsirana, matenda opatsirana (monga matenda opatsirana m'mitsempha , matenda a magazi), aspiration chibayo (chifukwa chodya zakudya kapena madzi), zilonda zachangu pakhungu kapena / kapena kukana kudya ya miyezi isanu ndi umodzi kapena yochepa.
Nanga bwanji ngati Wodwala Odwala Matenda Odwala Matendawa Sagwirizana ndi Thandizo Labwino?
Ngati inu ndi banja lanu mukufuna kutonthozedwa kwa wokondedwa amene akudwala matenda a dementia, koma sakukumana ndi odwala, muyenera kudziwitsa odwala komanso othandizira ena.
Zokambirana zokhudzana ndi chithandizo chilichonse chingathandize kupeŵa mayesero ndi njira zosafunikira.
Kuonjezera apo, kulangiza malangizo apamwamba a zaumoyo ndi Do Not Resuscitate (DNR) kungathandize kuteteza zopanda pake.
Mabungwe ena ogwira ntchito kuchipatala ndi apanyumba amapereka mapulogalamu a anthu omwe sagwirizane ndi zofunikira zothandizira odwala, kapena omwe akukhumba chithandizo chamankhwala ochizira komanso osakonzekera chisamaliro chokha. Mapulogalamuwa angathe kuthandiza odwala kusintha mosavuta kuchokera ku zitsanzo zamankhwala zowonongeka kupita kuchipatala mukangoyenera. Mwachitsanzo, Hospice ya Valley ku Santa Clara County, California, amapereka ndondomeko ya kusintha kwapadera kuti athe kuthandiza odwala komanso mabanja komanso kuwathandiza kuti adziwe ngati akuloledwa kupita kuchipatala.
> Zotsatira:
> Diane Meier, MD, Elizabeth McCormick, MD ndi Ruth Lagman, MD "Hospice: Malingaliro a chisamaliro ndi ntchito yoyenera ku United States." http://www.uptodate.com/contents/hospice-philosophy-of-care-and-appropriate-utilization-in-the-united-states
> Marie-Florence Shadlen, MD ndi Eric B. Larson, MD "Dementia syndromes." www.uptodate.com