Nangona ukulahlekelwa kweememori kunye nokucinga okungaphumeleli yizinto eziphawulekayo, isifo sika-Alzheimer senza nezinye iingxaki, kuquka ukuxhalabisa. Oluvakalelo lokungakhathazeki, ukwesaba kunye nokukhathazeka kwenzeka kubantu abaninzi abane-Alzheimer's, ngokukodwa ngexesha lokuqala nesigaba esiphakathi kwesi sifo.
Ukuxhalabisa kunokunyusa uxinzelelo kubo bonke abanesifo kunye nabaxhasi babo, kodwa izicwangciso ezininzi zezobisi kunye nezokuziphatha zinganceda.
Ukuqaphela Ukukhathazeka
Ukuxhalabisa phakathi kwabo abane-Alzheimers kunzima ukuyiqonda. Iimpawu ezixhalabileyo ziquka ukukhathazeka ngokweqile, ukunyaniseka, ukujuluka, kunye nenhliziyo yentliziyo. Kodwa ukuxhalabisa kwi-Alzheimer kungathatha ezinye iifom. Ukurhoxiswa kwezenhlalakahle okanye ukunciphisa ukubandakanyeka kwimisebenzi enokuzonwabisa-kanye nokuxinezeleka- kunokubonisa ukuxhalabisa. Uxinzelelo lwe-Alzheimer luvame ukuqhutyana kunye nokudandatheka kunye nokugwenxa.
Ukuthukuthela ngokukrakra okanye ukulandela ilungu losapho okanye abanonophelo ukusuka kwigumbi ukuya kwigumbi (eyaziwa nangokuthi isithunzi) kungenzeka ngenxa yokuba umntu akayiqondi ngokucacileyo into enokuyenza okanye ayikulindele-okanye oko kulindeleke kuye. Unokuva umntu onomdemokhrasi ekhala okanye ekhwaza ngokuphindaphindiweyo , kwaye oku kuya kuba ngumqondiso wokuxhalabisa.
Indlela yokuziphatha
Emva kokuba uqaphele iimpawu zokuxhalabisa, i-Alzheimer's Association iyacebisa ukuzama ukuchonga isizathu. Kungaba yindlela yokusabela kwi-Alzheimer okanye ukungaqiniseki kwekamva.
Ukuxhalabisa kunokubandakanya ukwesaba ukuba yedwa okanye uxinzelelo oluthile, njengeengxaki zemali. Utshintsho luvame ukuba yingxaki, njengomnakekeli omtsha, esibhedlele, okanye ukuhamba. Iimpawu zemihla ngemihla , ezifana nokuhlamba okanye ukutshintsha iimpahla , zingabangela ukuxhalabisa.
Emva kokuba ufumanisa imithombo, ungazama ukunciphisa impembelelo yabo.
Kukulungele ukuqala ngokungenazo iziyobisi, ukuphathwa kolawulo. Izidakamizwa zinemiphumo emibi, kwaye ekubeni abaninzi abantu abane-Alzheimers bekhulile, banokuthatha amanye amayeza, ukwandisa umngcipheko wokusebenzisana kwezidakamizwa .
Ngamanye amaxesha ukuphazamiseka okanye ukuhanjisa ingqalelo yomntu kwanele. Gwema ukuba neengxaki okanye ukuxhatshazwa. Ukunciphisa imeko kunye nemigangatho yemihla ngemihla kunokunceda. Amanye amacebo aluncedo afaka ukuvumela ukuphumla nokuthula phakathi kwezinto ezinokubangela uxinzelelo kwaye uqinisekise ukuba kukho ukukhanya okwaneleyo kusihlwa ukunciphisa amandla okudideka nokuhlwa . Imisebenzi eyenziwe- umculo oqhelekileyo, izifuyo, ukuhamba, okanye ukuzivocavoca -nokunceda ukuthoba.
Ekugqibeleni, iingcali zicebisa ukunakekela abanonophelo-ngokuxhasa, ukunyamekela , kunye nalabo abasengomntu ekhaya, ngokusebenzisa ukongezwa kweenkonzo zonyango okanye ukunakekelwa kwosuku lomdala .
Amachiza (amayeza) unyango
I-FDA ayizange ivume naliphi na iziyobisi ngokukodwa kwi-Alzheimer's anxiety. Amachiza amaninzi okuxhatshazwayo-anjenge-Ativan (lorazepam) -sisombululo sexesha elifutshane. Nangona kunjalo, zinokubangela ukungaqiniseki ngokomzimba kunye nokwandisa ukudideka kunye nokukhubazeka kwememori. Ukuba umntu unenkxalabo kunye nokuxinezeleka, kunokukunceda ukusebenzisa izidandlululo, umzekelo, i-serotonin ekhethayo kwakhona inhibitors (SSRIs) njengeprozac (i-fluoxetine) okanye i-Zoloft (sertraline).
I-Desyrel (i-trazodone), echaphazela i-serotonin kodwa ayikho i-SSRI, inokunceda.
Isifo se-Alzheimer siphazamisa i-neurotransmitters, eziyimichiza ezithwala imiyalezo phakathi kweeseli zengqondo. Ngeempawu zokuziphatha, inkqubo ye-cholinergic, echaphazelekayo kwimvakalelo kunye nemvakalelo (kuquka ukuxhalaba), kubaluleke kakhulu.
Iziyobisi ezahlukahlukeneyo ezibizwa ngokuba yi- cholinesterase inhibitors , eziphikisana nokulahlekelwa yi-nelinteristic neurotransmitters, zenza uncedo lokunciphisa ingqalelo yengxaki ye-Alzheimer's disease. Uphononongo luka-2007 kwi -Consultant Pharmacist- uphononongo uphando malunga "neentlobo eziphuculweyo" zokubonakalisa iimpawu zokuziphatha ze-Alzheimer-kugxininisa ukuba i-inlinesite ye-cholinterase ingakwazi ukuzuza ukuziphatha kunye neengxaki zengqondo.
Umlobi ofundwayo uLais J. Miller wabika ukuba iAricept (dopepezil) , eyona nto ifundwa kakhulu kule miyeza, ibonisa "eyona miphumo emihle." Kodwa waqaphela ukuba iingeniso "zinzima ukubonakalisa iimpawu" ezinobungqina. Ukongezelela, iimiphumo ezithile zemithi ziyahluka ukusuka kumntu kumntu.
Phakathi kwezinye iindlela zokwelapha , i-Ginkgo biloba, umthi omde oxabisekileyo eChina ngenxa yezilwanyana zonyango, ubonise isithembiso esithile. Ezinye izifundo zaseYurophu zibonisa ukuba i-ginkgo inokubonelela ngezibonelelo ezinokuqonda kunye nokuziphatha, kubandakanywa nokunciphisa ukuxhalabisa.
> Imithombo:
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> "Imisebenzi yeAlzheimer 's Therapeutic" ALZInfo.org . 2008. I-Centre ye-Fisher ye-Alzheimer's Research Foundation.
> "Iimpawu zokuziphatha." ALZ.org . 20 uMatshi 2008. UMbutho we-Alzheimer's.
> "I-Dementia: Izidakamizwa ezisetyenziselwa ukukhusela iimpawu zokuziphatha." Alzheimers.org.uk . Ngo-2004 uMbutho we-Alzheimers [UK].
> Mazza M., A. Capuano, P. Bria, S. Mazza. "UGinkgo Biloba kunye noDonepezil: Ukuthelekiswa kwonyango lwe-Alzheimer's Dementia kwiSifundo esiPhezulu esiPhezulu esiPhakathi. I-European Journal ye-Neurology . 13: 9 (2006) 981-5.