Ukudandatheka kwi- dementia , ngelixa ixhaphake, kudla ngokunyanga. Njengoko iimpawu zokudandatheka ekuphefumuleni komzimba ziphathwa kwaye zinciphisa, umgangatho wobomi ngokubanzi ukhula.
Ukudandatheka kwesifo se-Alzheimer kunye nezinye iingxaki ezinxulumene nazo zinokuphathwa ngokusetyenziswa kweendlela ezininzi eziwela kweyodwa kwiindidi ezimbini: iindlela ezingekho iziyobisi kunye neyeza.
Amanyathelo angenelelo angaphumelela ngakumbi kumntu omnye kunomnye, kodwa iindlela ezingezizo zonyango kufuneka zijongwe ngokubanzi phambi kokuqhubeka nokusetyenziswa kweyeza.
Izindlela ezingezangezoMida
Izindlela ezininzi ezingezizo iziyobisi ziye zabonisa impumelelo ekuphatheni ukudandatheka kwengqondo. Iingenelelo zezi ndlela, ngaphezu kokuphucula imizwa, ziquka ukungabikho kwemiphumo emibi kunye nokusebenzisana kwezidakamizwa, kunye nokukwazi ukuphucula ukuqonda kunye nokunyuka komzimba nokwengqondo.
Izibonelelo zokuzivocavoca umzimba zizininzi. Ekuphuculeni umgangatho wokuzithemba kunye nokulala ukunyusa izinga lamandla, ukusetyenziswa ngokufanelekileyo kunokunceda abantu abanomdla wokugula ngengqondo. Njengenzuzo eyongeziweyo, uphando oluthile lubonise ukuba ukuvivinya umzimba kungaphinda kuphucule ukusebenza kwengqondo kubantu abanomdla wokugula komzimba.
Kwabanye abantu, inxalenye yokudakumba kukungabikho kwenjongo.
Ukunika abantu ithuba lokwenza into ebalulekileyo kubo kunye nokuhambelana neminqweno yabo inokuthintela impilo yabo yengqondo nengqondo.
Uluhlu lweMidlalo yeqela
Olunye uphando olwenziwa ngabantu abadala abaye bafumanisa ukuba banexinzelelo kunye nomqondo wokugula komzimba bafumanisa ukuba ukudandatheka kuyehla emva kweeseshoni zonyango zomculo.
Ukongezelela, ukuphuculwa kancinci kwenkcazo-ngokukodwa kwi- short-term-recall ability-kwaphawulwa kwakhona emva kweeseshoni zonyango .
Ukongeza Ukwakhiwa kwiSuku
Ukuba nesimiso kunye neshedyuli yomhla kunokukhuthaza ukuvakalelwa kwabantu. Ukongezelela, umsebenzi ohleliweyo wengqondo onjengomdlalo okanye iklasi inokubonelela into ekhangele phambili kwimini. Kulabo abaneengxaki zomdangatye-phakathi kwexesha , ngamanye amaxesha isakhiwo sendawo yolondolozo lwangumntu omdala sinokunceda.
Ukucebisa ngabanye
Ngokukodwa kulabo abasemagqabini okuqala, ukululekwa ngonyango kunokuba luncedo kakhulu. Kukho ukuvakalelwa kwintlungu kunye nokulahleka emva kokuxilongwa kwe-dementia, kwaye ukucebisa kunokuncedisa umntu ekusebenziseni loo mvakalelo nasekuphuhliseni iindlela zokujamelana nomngeni weengqondo.
Intsebenziswano yeNtlalo
Abanye abantu abanomdemokhrasi bavame ukuzihlukanisa, oku kunokunyusa amathuba okuphuhlisa uxinzelelo okanye ukukhuphaza isimo sengqondo esele sezantsi. Nangona intsebenziswano yentlalontle inokubangela ukhathaza abantu abathile abadandathekileyo, ukukhuthazwa kweentlalo ezintle kunokubanceda kwaye bakhuthaze abo abaneengqondo zokuxeka nokuxinezeleka.
Amaqela enkxaso
Amacandelo enkxaso anganceda abantu abanobunzima bokutshintshwa kwe- diagnosis ye-dementia entsha .
Ngamanye amaxesha, kunokukhuthaza ukuva kwabanye ukuba bajamelana njani nemingeni yomdemokhrasi. Ukusebenzisana nabanye kwiqela kunokunciphisa imizwa yokuba yedwa kunye nokuzihlukanisa.
Mayeza
Nangona uphando oluthile lubuza ukuphumelela kweemithi ezixhatshazelisayo, ezininzi izidandlululo ziye zisetyenziswa ngabantu abajongene nokudakumba kwengqondo.
I-Serotonin Reuptake Inhibitors (i-SSRIs) ikhethi ye-anti-depressant ye-anti-depressant ye-anti-depressant eyaziwa rhoqo kubantu abane-dementia ababonisa iimpawu zokudakumba. Ii-SSRI ziba neempembelelo ezimbalwa kunye negalelo lokunciphisa ukusebenzisana namanye amayeza abantu abangathatha.
La mayeza anokuba luncedo kwabanye abantu abaneempawu zokuxhalabisa. Ezinye i-SSRI ezidumile ziquka i-citalopram HBr (Celexa), i-sertraline (iZoloft), i-escitalopram (Lexapro), kunye ne-fluoxetine (i-Prozac).
Amachiza anesifo esiphathekayo angasetyenziswa ukuba ahlale echazwe kubantu abanentsholongwane yokugula nokudandatheka yi-mirtazapine (Remeron). I-Remeron ingaba nempembelelo yecala yokuvuselela ukutya, ngoko ke le ngonyango ingasetyenziswa xa ukulahlekelwa kwesisindo nokudakumba kuphawuliwe.
Ukongezelela, ezinye izidandlululo ezifana ne-trazodone (Deseryl) zinokukunceda ukulungiselela ubuthongo kunye nokuphatha iimpawu zokudakumba.
Kubalulekile ukukhumbula ukuba imithi nganye ineempembelelo kwaye isebenza ngokwahlukileyo kubantu abahlukahlukeneyo. Nangona ezinye iziphumo zempembelelo zingaba nesimo esihle, ezifana nokunceda umntu alele ubuthongo ebusuku okanye ashukumise ukutya kwabo emini, abanye bangabangela ukudideka, ukuwa kunye nokusebenzisana kwezidakamizwa . Buza udokotela wakho ukuba unemibuzo malunga nokusetyenziswa kwamachiza ukuphatha ukudandatheka kwi-dementia.
ILizwi
Ukudandatheka kwabantu abahlala nomdemokhrasi akuqhelekanga, kodwa kukho ezinye iindlela ezingekhoyo-pharmacologic kunye neyeza ezinokuba luncedo ekuphuculeni umgangatho wobomi. Qinisekisa ukuvakalisa iimvakalelo okanye ukugqithwa kwengcinezelo kumgqirha ukuze uxoxe ngendlela enokwenzeka ngayo unyango nenkxaso.
Imithombo:
I-Alzheimer's Association. Uxinzelelo kunye ne-Alzheimer's. > https://www.alz.org/care/alzheimers-dementia-depression.asp
I-American Academy ye-Neurology. Ngaba ii-SSRI zoKuNciphisa kwiZiGulane kunye neDementia ziphinda zihlaziywe kwakhona?
Iziganeko zoNonophelo lwexesha elide. 2009 ngoFebhuwari 2; 17 (2): 29-36. Unyango lwengxaki yoxinzelelo kubantu abadala kunye ne-Dementia. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3147175/
> Chu, H., Yang, C., Lin, Y., Ou, K., Lee, T., O'Brien, A. kunye noKuu, K. (2013). Impembelelo yoLwabiwo lweMigca yoLuntu kwiNgcinezelo kunye noCognition kubantu abakhulileyo abane-Dementia: Isifundo esiLawulayo esingaphendulwanga. Uphando lwezoBomi kwi-Nursing , 16 (2), iphe.209-217.
IYunivesithi yaseTexas. Ukunyangwa koxinzelelo kwizigulane ezine-Dementia. www.utexas.edu/pharmacy/divisions/pharmaco/.../bassinger05-04-12.pdf