Isifo se-Alzheimer's Treatment
Ukuxilongwa kulapha, kwaye isifo se-Alzheimer's disease . Unokuziva utyhafile, ukhungathekile, ukhululiwe, okanye unokungenakufuna ukukholelwa. Ngoko ke ntoni? Nangona kungekho nonyango ye-Alzheimers ngeli xesha, kukho iindlela ezininzi zokunyanga iimpawu . Izinyango zokwelapha ziquka unyango lweziyobisi kunye nezindlela ezingezizo iziyobisi, ezifana nokuguqulwa kokuziphatha nokusingqongileyo.
Ulwaphulo lweziyobisi kwiimpawu zokuqonda
Abaphuculisi bezengqondo bazama ukuphucisa ukunyuka kweempawu ze- Alzheimer .
Nangona la mayeza enjengokuphucula iinkqubo zengcamango kwabanye abantu, ukusebenza ngokubanzi kuhluka kakhulu. Abaphuculisi bezinto ezinokwakheka kwengqondo kufuneka bahlolwe rhoqo ngeziphumo ezibi kunye nokusebenzisana namanye amayeza.
Iiklasi ezimbini zamachiza ziye zavunywa yi-US Food and Drug Administration ukuze unyango lweempawu zengqondo ze-Alzheimer. Ziquka ii-inhibitors ze-cholinesterase kunye ne-N-methyl D-aspartate (NMDA).
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Ngaba i-Depakote kufuneka isetyenziswe ukuphatha ukunyanzelisa kwi-Alzheimer's?
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Ingaba unyango lwe-Snoezelen Uncedo kwi-Alzheimer's's Disease?
Iklasi ye-1: i-Cholineterase Inhibitors
Ii-inhibitors ze-Cholineterase zenza ngokuthintela ukuphuka kwe-acetylcholine kwingqondo. I-Acetylcholine yikhemikhali eququzelela unxibelelwano lweeselfowuni kwimiba yememori , ukufunda kunye nezinye iinkqubo zokucinga. Uphando lwezenzululwazi lufumene amanqanaba aphantsi e-acetylcholine kwiibongo zabantu abane-Alzheimer's, ngoko nethemba kukuba ngokukhusela okanye ukwandisa amanqanaba e-acetylcholine ngokusebenzisa la mayeza, ukusebenza kwengqondo kuya kuzinzisa okanye kuphuculwe.
Abaphandi baqikelela ukuba malunga nama-50 ekhulwini abantu abane-Alzheimer abathatha i-cholinesterase inhibitors, ukunyuka kweempawu ze-Alzheimer kubambezeleka kwiinyanga ezintandathu ukuya kwezi-12.
Kukho imithi emithathu ye-inhibitor ye-cholinterase njengamanje ivunyiwe kwaye imiselwe ukuphatha isifo se-Alzheimer:
- I-Aricept (i-donepezil) : Iyavunyelwa ukuba ibe ne-Alzheimer elula , enokulinganisela kunye ne-Alzheimer
- I-Exelon (rivastigmine) : Ivunyiwe ukuba i-Alzheimer ilula
- URazadyne (galantamine): Uvunyelwe ukuba u-Alzheimer ulungelelanise
Ingqalelo, iCognex (i-tacrin) yayidlulileyo i-FDA ivunyelwe ukuba i-Alzheimer ilula ibe i-Alzheimer; Nangona kunjalo, ayithengiswa kwakhona ngumenzi walo ngenxa yokuba ibangele imiphumo ebalulekileyo.
Iklasi yesi-2: I-N-Methyl D-Aspartate (NMDA) ii-Antagonists
I-Namenda (i-memantine) yiyodwa yilwelisi kule klasi, kwaye ivunyiwe ukuba imodareyitha ibe yinkqubo yokumodareyitha. I-Namenda ibonakala isebenza ngokulawula i- glutamate (i-amino acid) kwiqondo. Amanqanaba aqhelekileyo e-glutamate aququzelela ukufunda, kodwa ukugqithisa okuninzi kunokubangela ukuba iisilini zeeseli zife.
I-Namenda iye yasebenza ngokukhawuleza ukuphuculwa kweempawu kwisifo se-Alzheimer's later.
Izidakamizwa ezidibeneyo
Ngo-2014, i-FDA ivume iNamzaric, edibanisa i-factpezil kunye ne-memantine-esinye isilwanyana ukusuka kwiklasi nganye ngasentla.
Utyunjwe ukuba ulungelelanise isifo esiyingozi se-Alzheimer's disease.
Ulwaphulo lweMichiza yeendlela zokuziphatha, isqondo kunye neengqondo (BPSD)
Iyeza zengqondo zisebenza ngamanye amaxesha ukunyanga iimpawu zokuziphatha, iingqondo kunye neemvakalelo zesifo se-Alzheimer. Ezi zimpawu zinokuquka ukuxinezeleka kwengqondo , ukuxinezeleka, ukuxhalaba , ukulala , ukuguqulwa , ukuguquka , kunye nokuziphatha okucelomngeni , ngoko kubaluleke kakhulu ukuchonga nokunyanga kubalulekile.
Iklasi yeyeza zengqondo ziqulethwe ngama-antidepressants, iyeza-anti-anxiety, i- antipsychotics , i- mood stabilizers , kunye namayeza okulala (ngamanye amaxesha abizwa ngokuba iipilisi zokulala okanye i- hypnotics ). La mayeza angasebenza kodwa angakhokelela kwimiphumo emibi. I-Psychotropics isetyenziswa ngokubambisana nezinye iindlela ezingezizo iziyobisi okanye emva kokuzama iindlela zokungabikho kweziyobisi kunye nokuzifumana zingenako.
Izindlela ezingekho phantsi kweziyobisi zokuziphatha, iiSikthilogical and Symptoms Symptoms
Izindlela ezingekho phantsi kweziyobisi zijolise ekuphatheni iimpawu zokuziphatha, iingqondo kunye neemvakalelo ze-Alzheimer ngokutshintsha indlela esiyiqondayo kunye nokusebenzisana nomntu ono-Alzheimer's.
Ezi ndlela ziyabona ukuba ukuziphatha ngokuqhelekileyo kuyindlela yokuthetha nabo abane-Alzheimer's. Injongo yeendlela ezingezizo iziyobisi ukuqonda intsingiselo yokuziphatha okucelomngeni nokuba kutheni bakhona.
Izindlela ezingekho phantsi kweziyobisi kufuneka zizame phambi kokusebenzisa imishanguzo ye-psychotropic, kuba ayinayo imiphumo emibi okanye ukusebenzisana ngamachiza.
Uvavanyo lokuziphatha
Ukuchonga indlela ethile yokuziphatha kwaye uqaphele oko kubonakala kukubangela ukuziphatha . Ngokomzekelo, ukuba isitya senza ukuba umthandi wakho athukuthele , zama ukuhlamba endaweni. Okanye uzame ukuhambisa ishati ngexesha elithile lemihla. Kunokuba asebenzise amayeza xa umntu ecasulwa okanye ephazamiseka, indlela engeyiyo yonyango izama ukuqonda ukuba kutheni iyakhathazeka . Mhlawumbi bafuna ukusebenzisa indlu yokuhlambela, basentlungu , okanye bacinga ukuba balahlekelwa into. Phawula oko kwenzekayo phambi kokuziphatha, zama izinto ezahlukeneyo ngexesha elilandelayo, kwaye ulandele iziphumo.
Uyakwazi ukuphepha ukuziphatha okuphazamisayo ngokuguqula indlela ozijonga ngayo.
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Ngaba i-Mood Stabilizers Inceda Ukunciphisa Ukunyanzeliswa Nokunyanzeliswa Kwemfuno Yengqondo?
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Isifundo sigqininisa indlela ye-MEND yokuguqula izifo ze-Alzheimer's
Umzekelo, ukuba umhlobo wakho ucela ukuba abone unina (othe wafa iminyaka emininzi), mcele ukuba akuxelele ngaye, kunokumnyanzela ukuba aphelelwe ngumama. Oku kuthiwa yonyango yokuqinisekisa , kwaye inokusebenza ngokucokisa umntu othukutheleyo.
Abantu abaphila ngengqondo yokuxwada kwemvakalelo banokuziva banesizungu okanye bexakeke ngamanye amaxesha, kwaye basenokungakwazi ukuthetha ngokucacileyo le mvakalelo. Ukunikezela ngamathuba okubandakanya uluntu nabanye, ukwenza imisebenzi eqhelekileyo efana nokulungiswa kwamaphepha okanye ukuhlamba izitya, okanye ukucula kunye neengoma zabo ezizithandayo kunokuphucula imizwelo kunye nokunciphisa iimvakalelo zokungazinzi nokukhupha.
Ngamanye amaxesha, iimpawu ezicelomngeni okanye iimvakalelo ezibangelwa abantu abaneengxaki zokugula komzimba zibangelwa ukungafumaneki ngokwaneleyo. Ukunyuka nokuhamba, ukuthatha inxaxheba eklasini yomsebenzi we-aerobic, okanye ukwenza uqeqesho oluthile lunokukunceda ukuhlangabezana nale mfuno.
Yazi Oko Ukulindele
Izwi eliqhelekileyo elithi "ulwazi ngamandla" linyani apha. Ukwazi okumele ulindele njengoko ukuqhubeka kwe-Alzheimer kunokukunceda uqonde ukuziphatha kwaye uqaphele umthombo wayo njengesifo, kunokuba umntu. Oku kunokwenza imfesane kunye nokunciphisa ukukhungatheka.
Izindlela ezingekho phantsi kweziyobisi zeMisebenzi yokuCocnitive
Ezinye iindlela ezingezizo iziyobisi zijolise ekusebenzeni kwengcamango yomntu onesifo se-Alzheimer. Umzekelo, ukuzivocavoca umzimba- ngaphezu kweemfuno zeentlanganiso kunye nokunciphisa ezinye zeempawu zokuziphatha okanye iimvakalelo zesifo sengqondo-kunokukwazi ukuphucula ukuqonda kwabanye abantu. Ngokufanayo, ukuhlala ngokwengqondo kubonakaliswe kukunceda ekugcineni imemori kunye nezakhono zokucinga ekudemeni kwengqondo. Ngelixa ezi ndlela zingayi kuphilisa isifo se-Alzheimers, zisenokuba negalelo elincinci.
Iinkqubo ezongezelelweyo kunye nezinye
Ekubeni amayeza anenzuzo encinane ekuphatheni i-Alzheimers, abaninzi baye baphendukela kwezinye iindlela zokunyanga . I-jury isaphuma kwiindlela ezininzi, kwaye uphando luqhubekayo. Abanye abantu baye babika ukuphuculwa kwenkcazo ngezokwelapha ezifana neoli yonkcocon , kodwa uphando luselindeleke ukuba luphumelele.
Ukuba unomdla wokuzama ukunyanga okanye unyango oluthile, kufuneka uxoxe nabo nodokotela wakho, kuba abanye banako ukusebenzisana namanye amayeza okanye kunokubangela iziphumo ezimbi ezibi.
Uvavanyo lweZliniki
Kukho uninzi lwezilingo eziqhubekayo zeklinikhi ezilawulwa ngokugqithiseleyo ukuvavanya unyango olutsha lwe-Alzheimer's disease. Ezinye izilingo zivulekile kwaye ziyabhalela abantu abane-Alzheimer okanye ezinye iintlobo zengqondo yokuthatha umthambo ukuze bathathe inxaxheba kuzo. Uluhlu olupheleleyo lwezilingo zeekliniki lunokufumaneka kwiikliniki ze -.gov.
Imibuzo Yokubuza Ugqirha Wakho
Ukufunda nge-Alzheimer's disease kunokuziva kunzima ngamanye amaxesha. Ngenxa yoko, xa udibana nodokotela wakho, kunokuba luncedo ukuba nemibuzo ibhalwe phantsi phambi kokuqeshwa. Oku kufanele kubandakanye ukubuza malunga nayiphi na unyango oluchazwe ngasentla ukuba unomdla ekuphandeleni, kunokuba uzenzele wena ngokwakho.
Unganqikazi ukubuza ugqirha wakho malunga nezigqibo ezithile, ezifana nokuba uhlala ukhuselekile ukuqhuba imoto okanye uhlala wedwa . Ugqirha wakho unokubonelela ngolu vavanyo lwenjongo yokukwazi ukuqhubeka ngokuqhubekayo le mi sebenzi, kunye nokucebisa izibonelelo zoluntu ezinokukunceda, njengee-arhente zezempilo zasekhaya okanye amaqela okuxhasa i-Alzheimer.
Ukongezelela, ukuba unenkxalabo yeempawu ezifana nokungazinzi, ukukhathazeka, okanye ukuhlaziywa , oku kufuneka kuxoxwe nodokotela wakho. Unokuba ugxininise ekuhloleni izakhono zakho zokucinga (ukucinga nokukhumbula imemori) kwaye unganakuzibuza ngokuthe ngqo malunga nalezi zibonakaliso zokuziphatha nezengqondo ze-Alzheimer's . Nangona kunjalo, ukuchongwa okufanelekileyo kunye nokunyangwa kwezi mpawu kunokuphucula umgangatho wobomi kwi-Alzheimer's .
ILizwi
Nangona kungekho nonyango okwangoku isifo se-Alzheimer, khuthazwa. Abaphandi bahlala bezama ukufumana unyango olululo nangendlela yokukhusela. Kuye kwafundwa okuninzi malunga nendlela u-Alzheimer echaphazela ngayo ingqondo, kwaye olu lwazi olwandayo luyaqhubeka luchukumisa iingcinga ezintsha ekuphuhlisweni kwonyango, unyango kunye nokukhusela.
Kubaluleke kakhulu, musa ukungahoyi ukuba usebenze ngamandla karhulumente njengoko uhlangabezana nale sifo. I-Alzheimer isifo apho ngelanga kunzima ukuzihlukanisa, kodwa oku akunakunceda. Asikwazi "ukulungisa" isifo se-Alzheimer okwamanje, kodwa sinokunika inkxaso, ulwazi kunye nokukhuthazwa ngokujoyina kunye.
Imithombo:
I-Alzheimer's Association. Iimpawu zokulahlekelwa kweMemori. > http://www.alz.org/alzheimers_disease_standard_prescriptions.asp.
Amaziko eZwelonke wezeMpilo eMelika. Isizwe seSizwe sokuguga. "I-Alzheimer's Disease's Medicine Fact Sheet." http://www.nia.nih.gov/Alzheimers/Publications/medicationsfs.htm
Amaziko eZwelonke wezeMpilo eMelika. Isizwe seSizwe sokuguga. "Amachiza Okunyanga I-AD Izimpawu kunye Neengxaki." http://www.nia.nih.gov/Alzheimers/Publications/CaringAD/medical/medicines.htm