Indlela yokuchonga nokuphendula ukungabi nandaba kwi-Dementia
Ukungabi nantluko kudla ngokufumaneka kwi- Alzheimer's disease kunye nezinye iintlobo zokugula komqondo . Ngamanye amaxesha, kungabonakalisa isibonakaliso sokuqala-okanye nokuba ngumngcipheko we-dementia. Kodwa yiyiphi into engeyiyo, kwaye ihluke njani ekudakaleni?
Kuyintoni Ukunganakwa?
Ukunganakwa kukuba ukungabi nentshisekelo okanye intshukumo engabonwa kwintsipheko yomntu (imizwa), ukuziphatha nokuqonda.
Ukunganakwa ngenye yeempawu zokudakumba, kodwa kunokuvela ngaphandle kokudandatheka.
Kubalulekile ukuqaphela ukuba ukunganakwa akufani nokuxinezeleka. Abantu abangenakunamdla abavakalayo abanemiva yokudabuka okanye yokuphelelwa ithemba. Bangase babonakale okanye bazive bengathandeki, bachithekile, okanye bangabandakanyi.
Iintlobo Ezintathu Zokungabi Nengqondo kwiDementia
Ukunganakwa kwengqondo: Olu hlobo lokunganakwa luquka ukungabikho kwemvakalelo, ukubonakala kokungakhathaleli, nokungabikho kovelwano. Umntu angabonakala engakhathaleli ngabanye okanye engenakho ukufudumala awayekusebenzisa ukukubulisa. Unokubonakala ngathi ayithintekanga ngokomzwelo, akafanekanga kubonakalisa ulonwabo okanye intlungu ngenxa yezinto ezenzeka kuye. "Impembelelo" ibhekisela kwisimo sengqondo kunye neemvakalelo.
Ukunganakwa kokuziphatha: Ukunganakwa kwimilinganiselo kubandakanya ukungasebenzi kwaye imisebenzi engashiyikanga. Omnye onokungahloneli ngokuziphatha angenakuhambahamba kakhulu ekhaya aze azinake imisebenzi efana nokugcinwa kwendlu okanye ukuhlamba, nangona ekwazi ukuzenza.
Ukungaqondakali kwengqiqo: Ukungaqondakali kwengqondo kubandakanya ukungabikho kokuthetha nentetho yengqondo, nokungabikho komdla kwimisebenzi yabanye. Ukuba unengxaki yokuqonda, ungadinga ukuqhutyelwa kwingxoxo kwaye ungabonakala "ukhutshwe" kwaye ungathandeki kwinto eyenzeka malunga nawe.
Ukunganakwa kunye neDementia
Uphando luye lwabonisa ukuba ukunganakwa kubonakala kunomdla wokuphefumula komzimba. Ngokukodwa, uphando oluthile lufumene ukuba i-56 ekhulwini yabathathi-nxaxheba be-Alzheimer's diagnosis babengafuni, kodwa i-72 ekhulwini yabathathi-nxaxheba abane- dementia yangaphambili yabonisa ukunganakwa. Ukungabi nantoni kuqhelekileyo kwintlupheko ye-superranuclear kunye ne -dementia ye-vascular dementia .
Ukunganakwa okuye kwandelana nokunciphisa ukusebenza (njengemisebenzi yokuphila kwansuku zonke ) kunye nokuqondisisa kulabo abaneengqondo. Ubulumko balabo abonisa ukunganakwa bubonisa ukutshintsha okukhulu, kuquka i- atrophy enkulu, i-neurofibrillary tangles, kunye neenguqu ezimhlophe .
Ukunganakwa kuye kwahlanganiswa nokuphuhliswa kwengqondo kweso sifo se-Parkinson . Ulwalamano phakathi kweParkinson kunye nokunganakwa lungabunzima, nangona kunjalo, ekubeni ibonakaliso ebusweni besibonakaliso sisinye uphawu lweParkinson.
Olunye uphando lufumanise ukuba kulabo abanokukhubazeka okucacileyo , ukungabikho kokunganakwa kwaba yi-predictor of progress to the dementia. Ngamanye amazwi, ukunganakwa kwakunomngcipheko wokwehla kwengqondo.
Nangona ukungaxhasi kunzima ukuba kunzima ukujamelana nazo njengeminye imingeni yokuziphatha engqondweni (njengokwenza i- hoarding , paranoia okanye ukutshatyalaliswa ), inokuchaphazela umgangatho ngamnye wobomi, ukhuseleko kunye nokukwazi ukuhlala ngokuzimela.
Ukunganakwa Ngaphandle Kwemfuno?
Ngokuqhelekileyo, ubukho bokunganakwa buye buhambelana nokusebenza kwengqondo engaphantsi. Ngokomzekelo, uphando oluthile lufumanise ukuba ukunganakwa kubantu abadala asebekhulile kunye nokuqatshelwa okuqhelekileyo kwadibaniswa nokusebenza kakubi kwiimvavanyo zengqondo, nangona ziwela kwisigaba "sesigqirha" sokuqonda.
Nangona kunjalo, olunye uphando lubonisa ukuba ukunganakwa akuqhelekanga kubadala abadala ngokubanzi, kubandakanywa nalabo abanokuqonda kwabo kunye nabangenakho ukuqonda.
Ukuphendula Ukungahloneli Ngabantu
Njengazo ezininzi iimingeni ezicelomngeni ekudemeni kwengqondo, ukunganakwa kufuneka kuqala kubonwe kwaye kuphathwe ngeendlela ezingekho zeyeza.
Imisebenzi eyenziwa ngabanye
Olunye uphando luye lwabonisa ukuba ukunganakwa kwengqondo kuyanciphisa ngempumelelo ngamanyathelo angenelelo. Ngokomzekelo, uphando oluthile lufumene umehluko omkhulu kumgangatho wokunganakwa kwabahlali basekhaya abahlengikazi abanomdla wokugula komzimba ababandakanyeka kwimisebenzi kanye ngeveki kwiinyanga ezili-10, xa kuthelekiswa neqela labahlali ababengabandakanyekanga kule mi sebenzi.
Ukunikela kunye nokubandakanya umntu kwimisebenzi enentsingiselo kubalulekile ukukhusela ukunganakwa. Khumbula ukuba into enentsingiselo kumntu oyedwa ayinokuba nengqiqo kulandelayo. Ngaloo ndlela, indlela ejoliswe ngumntu ku funeka ukuba ikwazi ukuchonga nokujolisa iimfuno zomntu ngamnye.
Midlalo
Ukubandakanywa kwezemidlalo kwimisebenzi yokwelapha kuye kwaxhunyaniswa nokunciphisa ukungaboni. Izikhumbuzo zezemidlalo zihlala zibuyela kumntwana kwaye zingaba nefuthe elinamandla lokulwa nokunganakwa.
Ukukhumbuza
Abantu abanesifo sengqondo somzimba bahlala bejamelana nokulondeka kunye nokunyamezela , oku kunokubangela ukuba banganakwa. Ukuthatha imizuzu embalwa ukuthetha ngokunyanisekileyo nomntu kunokunceda ekunciphiseni ukunganakwa. Ukukhunjulwa kungayindlela efanelekileyo yokwandisa ukubandakanyeka nokunciphisa ukunganakwa.
Umculo kunye nezobugcisa
Uphando luye lwabonisa ukuba umculo kunye nobugcisa ziindlela ezifanelekileyo zokubandakanyeka nomntu onomdemokhrasi obonakala engenamdla. Uyakufuna ukuphanda oko umculo wakhe ozithandayo uphile kuwo ubomi bakhe kwaye ufumane ukurekhoda kwezi ngoma ukuze udlalele yena.
Yiba neFlexible
Xa ukhangele uhlobo olulungileyo lomsebenzi wokugweba ukunganakwa, kubalulekile ukuba uguquguquke kwaye uvavanye ukuba umsebenzi unikezela ixesha lokuphumelela kunye nolonwabo kumntu, okanye ukuba lukhulu kakhulu kwaye kufuneka luphulwe okanye luhlengahlengele phambili .
Mayeza
Ekugqibeleni, nangona iindlela ezingekho iziyobisi zikhethwa, uphando luye lubonisa inzuzo ethile kwi- acetylcholinesterase inhibitors ekuphuculeni ukunganakwa kwengqondo.
ILizwi
Xa sibona iimpawu zokunganakwa kwethu okanye othandekayo, kunokuba luncedo ukuphonononga ukuba ngaba ezinye iimpawu zengqondo zikhona. Ukuxilongwa kwangaphambili kwengqondo yokubaluleka kubalulekile ekuphuleni kwangaphambili kunye nokucwangciswa kwexesha elizayo.
Ukongezelela, ukuqonda indlela yokuphendula ukunganakwa kwimiqondo yengqondo kunokunceda ngenjongo yokubonelela ngomgangatho wobomi kulabo abaphila ngengqondo yokugula.
Imithombo:
Alzheimer Society Canada. Ukunganakwa. http://www.alzheimer.ca/en/Living-with-dementia/Ukuqonda-nhaviour /Apathy
IiNqoloba zeNewurology. 2009 Julayi; 66 (7): 888-893. Ukungahambi kakuhle Kwimiba yeMbonakalo kunye neMibutho yokuziphatha kwi-Frontotemporal Dementia ne-Alzheimer's's disease. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2875777/
Kliniki yaseCleveland. Ukuba Unokungabi Namazwi Unokuba Usemngciphekweni Wokumelana Neengxaki. Juni 2, 2014. http://health.clevelandclinic.org/2014/06/does-mom-have-apathy-she-might-be-at-risk-for-dementia/
Umbhalo we-Geriatric Psychiatry 2012; 20 (2): 104-122. Ukwelashwa kwe-Pharmacologic yokunganakwa kwengqondo. http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0034284/
> Lanctôt, K., Agüera-Ortiz, L., Brodaty, H., et al (2017). Ukunganakwa okuhambelana neengxaki ze-neurocognitive: Inkqubela yexesha elizayo kunye nezikhokelo ezizayo. I-Alzheimer & Dementia , 13 (1), iphe.84-100.
Psychiatry. NgoFebruwari 2015, uMqulu 30, iNqaku 2, iphepha 251-257. Ukunganakwa kwabahlali basekhaya abahlengikazi abaneengqondo: Iziphumo ezivela kwilingo elilawulwa ngokungahleliwe. http://www.europsy-journal.com/article/S0924-9338 .14)00022-4/abstract
> Richard, E., Schmand, B., Eikelenboom, P., et al. (2012). Iimpawu zokunganakwa zidibaniswa nokuqhubela phambili kwiMpilo yokuLungisa ingqondo e-Alzheimer's in Sub-Non-Depressed Subjects. I-Dementia ne-Geriatric Disorders Disorders , 33 (2-3), iphe.204-209.
> Ruthirakuhan MT, Herrmann N, Abraham EH, Lanctôt KL. Ukungenelela kwe-Pharmacological yokunganakwa kwi-Alzheimer's disease (Protocol). I-Cochrane Database yeeNkqubo zoVavanyo 2016, Inkcazo 5. Ubugcisa. Hayi: CD012197. INGXELO: 10.1002 / 14651858.CD012197.