Nini ukumisa iAricept, i-Namenda & Excelon kwi-Alzheimer's
Mfa nekiso; Nguwe oyintloko kumncedi wakho, kwaye ufuna ukubonelela ngononophelo olungcono. Oku kuquka ukuqwalasela ukuba yiyiphi imithi ayifumanayo kwaye ingaba kufuneka iqhubeke. Kakade ke, ezi zigqibo zenziwa ngokubambisana nodokotela wakhe, kodwa emva kokuba ugqirha unikezela isisombululo seengcebiso zabo, mhlawumbi uya kukubuza ukuba uluvo lwakho.
Ngoko, wenzeni?
Izinzuzo zoMilwa
Amayeza anqunyelwe abantu abaneengqondo ngokunyaniseka ukuqhubela phambili okanye ukuphucula ukusebenza kwengqiqo ngexesha. Uphando lubonisile ukuba kukho inzuzo evela kula mayeza, nangona ayiphilisi isifo.
Ukunyangwa kwezifo zeAlzheimer
Kukho iintlobo ezimbini zemithi echanekileyo yokuphatha isifo se-Alzheimer.
- Aricept (donepezil): Ivunyiwe ukuba i-Alzheimer elula, ephakathi kunye ne-Alzheimer
- I-Exelon (rivastigmine): Ivunyiwe ukuba i-Alzheimer ilula
- URazadyne (galantamine): Uvunyelwe ukuba u-Alzheimer ulungelelanise
I-Namenda (i-memantine) yinye imithi esetyenziselwa ukuzama ukunciphisa ukunyuka kwengqondo komzimba kwaye ivunyiwe ukuba isetyenziswe kwisimo esilinganiselweyo kwisifo esibi se-Alzheimer.
Ukuyeka iMida
Cinga ukuyeka unyango xa omnye okanye zombini kwezi zinto zilandelayo zivela:
Imiphumela
Ukuba kukho imiphumo emibi kakhulu okanye iyanciphisa umgangatho wobomi kumntu, kuqwalaselwa ngokuthe ngqalelo ekunqumeni ukunyusa amayeza.
AkukhoNcedo
Ukuba isigulane okanye umthandayo uye wayeza kwiyeza ixesha elide kwaye ngoku ukukhula kwakhe komzimba kuye kwaqhubekela phambili ukuya kwiiyure ezizayo, oogqirha kunye nabasokhemisti ngamanye amaxesha baya kuncomela ukuyeka unyango xa kungekho nzuzo ebonakalayo.
Esi sigqibo sinokuthi, ngamanye amaxesha, senziwe xa umntu ekhetha ukunakekelwa kwe-hospice , kodwa ngamanye amaxesha kuthathwa njengolukhetho nje kuphela ukuba inzuzo ebonakalayo incinane okanye ayikho.
Ufanelekile ukuba unyango lupheliswe njani?
- Yeka imithi kancane
- Yeka imithi enye ngexesha
Xa uyeka unyango, qaphela umthandayo okanye isiguli ngokusondeleyo. Ukuba uqala ukubona ukuhla kwenani lokuqonda okanye ukuziphatha, ungathanda ukucela udokotela ukuba aqalise kwakhona iyeza.
Ukuba ukwehla okuphawulekayo ekusebenzeni kuqhubeka emva kokuyeka, ukuqalisa kwakhona amayeza kungekudala kunokunyusa amathuba okuba umntu ebuyela ngasekuqaleni kwakhe (ngaphambi kokumisa amanqanaba) ekusebenzeni.
Uphando luboniswe ntoni?
Akuzange kubekho uphando oluninzi oluqhutyelwe ekumiseni amayeza kunyango lweengqondo. Nangona kunjalo, uphando oluthile lubonakala lubonisa ukuba abantu abanomdemokhrasi weemithi bayeka ukuhlaselwa ekuqondeni nasekuziphatheni ngokukhawuleza.
Olunye uphando lwaqhathanisa abahlali basekhaya labahlengikazi abanesifo sengqondo sokugula komzimba ababefumana imithi ye-inhibitor imishanguzo yokunyangwa kwengqondo kwabanye abahlali basekhaya labahlengikazi abaye bayeka i-cholinesterase inhibitors.
Abaphandi bafumanisa ukuba abo baphiywe imithi baye bafumana imingeni engakumbi yokuziphatha njengemibuzo yokuphindaphinda nokukhathazeka kwezempilo rhoqo. Eli qela liye lathatha inxaxheba kwimisebenzi engaphantsi kwemisebenzi xa kuthelekiswa nalabo babesemachiza abo.
Yenza isigqibo soQeqesho
Kwimeko yam yeklinikhi, ndibone uluhlu lweziphumo emva kokuba unyango lwe-dementia luyeke. Ngamanye amaxesha, kukho ukuhla kwe-operation njengoko kuchaziwe ngasentla emva kokuyeka amayeza; Nangona kunjalo, bekukho nezinye iimeko apho kwakukho utshintsho oluncinane, ukuba kukho, emva kokuba imithi yokugula ngengqondo iphelile.
Ingundoqo kukuba amalungu entsapho kufuneka azi ukuba kunokwenzeka ukuhla kwezinto kunye nokwenza isigqibo kunye nodokotela wabo othandekayo.
ILizwi
Omnye ugqirha uphakamise umbuzo olandelayo xa uqikelela ukuba okanye ungayiyeki unyango ukunyangwa kwesifo se-Alzheimer:
"Ngaba kukho into eyenzekayo kulobu bomi obuhle kwaye ungaphuthelwa ukuba igalelo liyekile?" (UDkt. Gene Lammers)
Isigqibo sokuqhubeka okanye ukuyeka unyango kwi-Alzheimer's disease kufanele sibe yinto esekelwe kwiminqweno yomntu ngamnye kunye nokusebenza kwayo. Mhlawumbi ucamngca umbuzo ongentla apha uya kuba luncedo ukucacisa amanyathelo akho alandelayo njengoko ufuna umdla wakho omthandayo.
Imithombo:
WaseMerika ugqirha. 2011 Juni 15; 83 (12): 1403-1412. Unyango lwe-Alzheimer's disease. http://www.aafp.org/afp/2011/0615/p1403.html
I-American Journal ye-Geriatric Pharmacotherapy. 2009 kuMatshi; 7 (2): 74-83. Impembelelo yokuyeka ukuchithwa kwe-inhibitor therapy kwiimpawu zokuziphatha kunye nemizwelo yabogulayo basekhaya abanesifo sengqondo. http://www.ncbi.nlm.nih.gov/pubmed/19447360
BC Medical Journal, Vol. 53, No. 8, Oktobha 2011, iphepha (ama) 404-408. I-Cholineterase inhibitors. http://www.bcmj.org/articles/cholinesterase-inhibitorsphealey_stop_medication_2007-0314.ppt - IDND
Healey, P. Matshi 14, 2007. Ingaba kukho ixesha lokumisa imithi ethile ye-dementia? phealey_stop_medication_2007-0314.ppt - IDND
Ulawulo lweeNdedeenerational Disease Management. 1.3 (Juni 2011): p191. Buza Iingcali: Ubeka nini i-inlinitor ye-cholinterase kwisifo se-Alzheimer? http://www.futuremedicine.com/doi/abs/10.2217/nmt.11.30
I-New England Journal of Medicine. 2012; 366: 893-903. I-Donepezil kunye neMemantine yeZifo eziLungeleleneyo zeAlzheimer's. http://www.iranneurology.com/component/content/article/224-donepezil-and-memantine-for-moderate--severe-alzheimers-disease.html
Isiphelo soBomi / IsiGqeba soLwazi lwezeMfundo ePalliative. Ukufuna amaMilly Care Care. Kufumaneka ngoFebruwari 16, 2014. http://www.eperc.mcw.edu/EPERC/FastFactsIndex/ff_174.htm