Sundowning mu Dementia: Ndi Chiyani? Thandizo Liti Lopanda Mankhwala?

Kodi Sundowning N'chiyani?

Sundowning, yomwe imatchedwanso kuti sundown syndrome, ndi nkhawa yowonjezereka komanso kusokonezeka kumene anthu ena omwe ali ndi matenda a 'dementia' ndipo nthawizina ena omwe alibe chifuwa chachikulu cha thupi nthawi zambiri amasonyeza masana ndi madzulo. Zizolowezi za Sundowning zimaphatikizapo kupumula, kugwa , kufuula, kulira , kuyendayenda , kuyendayenda , mantha, kusinthasintha maganizo, kufotokozana, kukhumudwa komanso kusungunuka .

Nthaŵi zina Sundowning ikuwoneka ngati ikuyandikira madzulo. Wokondedwa wanu akhoza kukhala bwino madzulo ndipo kenako akuwoneka ngati munthu wosiyana ndi dzuwa. Mwachitsanzo, ngati wina akusamalidwa kunyumba yosungirako anthu okalamba, antchito omwe amagwira ntchito tsiku lomwelo akhoza kufotokoza munthu uyu mosiyana kwambiri ndi kusintha kwa madzulo chifukwa cha khalidwe la sundowning. Choncho, njira zosiyana ndi osowa zosamalira nthawi zosiyanasiyana zingakhale zofunikira.

Kutaya

Alzheimer's Association imayerekezera kuti pafupifupi 20 peresenti ya anthu omwe ali ndi khalidwe la Alzheimer's sundowning khalidwe. Komabe, kafukufuku wina wapereka chiwerengero chimenecho cha 66%, makamaka kwa anthu omwe ali ndi chifuwa chachikulu chakumidzi omwe amakhala pakhomo.

Kodi ndi chikhalidwe chiti cha dementia chomwe chimachititsa kuti anthu azisintha?

Zizolowezi za Sundowning, pamodzi ndi makhalidwe ena ovuta, nthawi zambiri zimakhala ndi magawo awiri a matenda a dementia ndikuwonjezeka pamene matendawa akupita.

Nchiyani Chimachititsa Kuti Sundowning?

Pali zifukwa zambiri zokhudzana ndi zomwe zimapangitsa kuti dzuwa liwonongeke. Izi zikuphatikizapo zotsatirazi:

Kodi Ndi Njira Ziti Zimene Zingagwiritsidwe Ntchito Pothandizira Ku Sundowning?

Njira zomwe zimadziwika payekha kwa munthu aliyense ndi njira yabwino kwambiri yothetsera, kuteteza ndi kuchepetsa kuchepa kwa dzuwa. Njira zina zosagwiritsira ntchito mankhwala zomwe zingakhale zothandiza zikuphatikizapo zotsatirazi:

Mankhwala Otheka

Madokotala ena adalangizanso mankhwala kuti "athetse" makhalidwe awa. Mankhwala ayenera kukhala njira yachiwiri pambuyo pokha popanda mankhwala omwe ayesedwa. Mankhwala sayenera kuperekedwa kuti achepetse mtolo wa wosamalira koma m'malo mwake ayenera kuyang'ana kuchepetsa kuvutika kwa munthuyo.

Melatonin , acetylcholinesterase inhibitors ndi mankhwala oletsa antipsychotic onse awonetsa phindu lina kwa anthu ena omwe ali ndi makhalidwe a sundowning mu kafukufuku.

Zotsatira:

Alzheimer's Association. Kugona ndi Kugonjetsa. https://www.alz.org/care/alzheimers-dementia-sleep-issues-sundowning.asp

Alzheimer Society Canada. October 11, 2012. Sundowning. http://www.alzheimer.ca/en/Living-with-dementia/Understanding-behaviour/Sundowning

> Kakhazikitsi N, Trinkle D, Mwana SJ, Kim KY. Matenda a Sundown anthu omwe ali ndi chifuwa chachikulu: Zosintha. 2011; 8 (4). http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3246134/.

National Institute on Aging. June 2013. Chipatala cha Alzheimer's Education and Referral Center. Zokuthandizani Kusamalirana ndi Alzheimer: Kutentha kwa dzuwa. http://www.nia.nih.gov/sites/default/files/caregivingtips_sundowning-final_13jun24_0.pdf