Zvakanaka kana Zvakaipa?
Nemhaka yeAlzheimer uye mamwe marudzi ehutano hwemagariro anokanganisa kukwanisa kwehuropi kuita zvisarudzo nekuyeuka ruzivo , vanowanzotaurira matambudziko akasiyana-siyana emitemo kune vemhuri uye vatarisiri. Izvi zvinosanganisira zvinotevera:
1. Kuzivisa nekutsanangura kuonekwa kweDementia kuMunhu
Imwe tsvakurudzo yakawana kuti inopfuura hafu yevanhu vane dementia havatauri nezvehutano hwavo hwekutsvaga.
Vanachiremba vangave vaine hanya nezvinoitwa nomunhu wacho, uye vasingadi kuunza kushungurudzika mupfungwa mumurwere wavo, vanogona kungosimuka pakukurukurirana nezvechirwere ichi, kana kuti kuderedza zvinetso, vachiti, "Iwe une dambudziko duku neyekuyeuka kwako."
Kunyange zvazvo chido chekudzivisa kushungurudza murwere nemhuri yavo kunonzwisisika, hatisi kudarika pamusoro pekuudza munhu ane kenza kuti vane chirwere chakaipa uye kuti hachigone kushanda. Mukudemenera, matanho ekutanga anopa mukana wekutarisira nyaya dzepamutemo uye dzezvemari yenguva yemberi, uye kurukura nezvekuda kwechiremba nemhuri.
Unofanirwa kuverenga: 12 Makomborero ekutsvaga kwekutanga muDementia
2. Kufambisa Zvisarudzo
Kune vazhinji vedu, kutyaira chiratidzo chechokwadi chekusununguka. Tinogona kuwana kwatinoda kuenda, uye ita izvi chero nguva yatinoda kana kuti tichida. Zvisinei, mukuora mwoyo, pane nguva inouya apo kutyaira hakuna kuchengeteka zvakare.
Unofunga rini kuti inokuvadza?
Kana iwe ukabvisa simba iroro uye kuzvimirira, iwe uri kutora zvakawanda kubva kune iyeye. Asi, kana iwe uchizeza kwenguva yakareba uye iwe waunoda anoguma achiuraya mumwe munhu nokuti akaita chisarudzo chisina kunaka sezvaanenge achidzinga, zvigumisiro zviri pachena zvinoparadza kune vose vanobatanidzwa.
3. Kudzivirirwa muImba
Mudiwa wako angada kuti arambe achigara pamba, asi iye achiri kuchengeteka here?
Pane zviverengero zvakawanda zvaungatora kuti uvandudze kuchengeteka kumba, uye iwe unogonawo kuunza vamwe kuti vabatsire kumba , zvakare.
Zvichida wakasarudza kuti akachengeteka kana akavhara GPS, kana uine kamera mumba. Kana, zvichida iwe unoshandisa purogiramu yemishonga inogadziriswa mishonga inobatsira kumubatsira kuchengetedza mishonga yake zvakanaka.
Panguva ipi iwe unowedzera kuda kwake kugara mumba kana uchiedza kumudzivirira?
Unofanirwa kuverenga: Mazano Ekuziva Kana Inguva Yekuchengetwa Kwekuchengetwa Kwemusha
4. Kuita Simba reGweta
Kuzvidzivirira kunosanganisira kodzero yekuita zvisarudzo zvedu. Isu tose tinozvida, uye, mumoyo wekutarisa , tinoda kukurudzira nekudzivirira izvi kune vamwe, pamwe chete. Zvisinei, sezvo kuora mwoyo kunofambira mberi, kukwanisa uku kunopera uye inova nguva yekufunga kugadzirisa (kana kushandisa) simba regweta. Izvi zvinoreva kuti zvisarudzo zvehutano hwemunhu zvinopiwa kune munhu wavanenge vamuona musimba repepeti.
Kazhinji, chiremba uye chiremba wepfungwa, kana vanachiremba vaviri, vanofanira kuziva kuti munhu wacho haakwanisi kutora chikamu pane zvisarudzo zvokurapa. Nguva yechisarudzo ichi, uye mutsetse uyo vanachiremba uye vanoongorora nezvepfungwa vanocherechedza, vanosiyana kubva kumunhu kusvika kune mumwe munhu, pamwe nevamwe vanachiremba vachichengetedza kugadzirisa kusarudzo kwenguva yakareba kupfuura vamwe.
5. Chibvumirano cheArape uye Clinical Trials
Mumazamu okutanga ekudengenyeka kwemweya, nhengo yemhuri yenyu inogona kunge inonzwisisa dambudziko nekubatsira kwekurapa. Asi, sezvo chiyeuchidzo chake nekushanda kwekushanda kunopera, iko kukwanisa kunopisa. Iva nechokwadi chokuti iye anonyatsonzwisisa nyaya idzi asati aita fomu yemvumo.
6. Kuvanza Mishonga Mukudya
Pakati pezvikamu zvepfungwa zvekushaya mungozo , zvinogona kuita kuti kuora mwoyo kwemuviri kunogona kuita kuti munhu asave nekushandisa mishonga. Vamwe vakatarisira vakaedza kubvisa hondo iyi nekuvhara mapiritsi nekuviga muzvokudya. Kutsvakurudza kunoratidza kuti chiitiko ichi- chinonzi "chivako chekuchengetedza" - chave chakajairika, uye vamwe vanofunga kuti zvakakosha kuitira hupenyu hwemunhu.
Vamwe vanopikisa kuti hazvina kukodzera nokuti hazvo "zvinonyengera" munhu kuti atore mishonga.
Iyi mharidzo yakachinja kwemakore sezvo mushonga wemishonga inogona kuvhurwa uye mushonga unoiswa muzvokudya kana kunwa kwemunhu ane dementia. Iko kunewo mapepa anounza mishonga, uye kunyange magwaro anogadziriswa anotsvaga paganda. Semuenzaniso, chirwere chetemiti cheAtivan chinogona kutarisirwa nekuchikungura pamutsipa wemunhu.
Vamwe vanopikisa kuti kana simba remupepeti rakagadziridzwa-iro rinoshandura munhu wacho asingakwanisi kubvuma mishonga- uye munhu akagadzwa semasimba ekupa gweta atobvumirana nemishonga yekushandisa, kuisa mishonga mukudya kunogona kupa nzira iri nyore kuti uitungamirire.
7. Kuita zvepabonde
Mubvunzo wekuti mumwe munhu anokwanisa kubvumirana nekuita zvepabonde kana vane dementia vachirova zvinyorwa zvemashoko muna 2015. Murume akapomerwa mhosva yekuita zvepabonde nemukadzi wake, uyo aiva neAlzheimer, uye pakupedzisira akawanikwa asina mhosva.
Asi, mubvunzo uyu wekubvumirana mukutsungirira kwemagariro kunoramba kune vakawanda. Kunyangwe kuongororwa kwehutano hwemagumisiro hakuiti kuti mumwe munhu arege kubvuma, uye vazhinji vanopikisa kuti kuita zvepabonde chinhu chinokosha zvikuru chekuchengetedza hupenyu hwehupenyu . Dambudziko rinouya mukuziva kuti ungadzivirire sei kodzero yekuita zvepabonde zvine chinangwa asi kudzivirira mumwe munhu kuti ashandise pane imwe.
8. Kurapa Kurapa
Unoreva nhema kune waunoda here kana chokwadi chiri kumumanikidza? Kune vadzidzisi pamativi ose maviri ezvo nyaya. Kazhinji, zvakanakisa kushandisa mamwe maitiro sekusavhiringidza kuburikidza nekushandurwa kwemashoko kana kuita basa rinobatsira , kana kuedza kurapwa kwekugadzirisa . Somuenzaniso, kana mumwe munhu ari kukumbira kuti amai vake varipi (uye akazofa makore mazhinji apfuura), chirongwa chekugadzirisa chinogona kuratidza kuti iwe umukudze kuti akuudze zvakawanda nezvaamai vake, kana kumubvunza kuti chii chaaida pamusoro pake.
9. Kuvepa Genetic for Apolipoprotein E (APOE) Gene
Kuongorora maitiro ekugadzirisa kunogona kuita kuti vanhu vakawanda vave nemibvunzo. Izvi zvinosanganisira kune avo zvigumisiro zvichazobudiswa, izvo zviito zvinotevera zvinofanira kuve kana iwe ukatakura APOE gene, uye kuti ungagadzirisa sei ruzivo urwu. Zvigumisiro hazvirevi kuti kana munhu wacho achakudziridza demoentia; zvinongoratidzira kuvepo kwejeni izvo zvinowedzera ngozi. Nemhaka yokuti kune mazano akawanda ehutano nezvekuongorora mazita, uye zvigumisiro hazvibatanidzi zvakananga nemigumisiro, Alzheimer's Association haina kukurudzira maitiro ekuongorora maAAPOE gene nguva dzose panguva ino.
10. Miedzo Yeropa Inofanotaura Kubudirira kweAlzheimer's
Pane kuongororwa kweropa kuve kwakagadzirwa nekutsvakurudzwa kwakave kwakataurwa kuti inogona kunge yakarurama chaizvo pakufanotaura-makore asati aitika- uyo achaita kana kuti haazokudziri mutezo wekutenda. Zvakafanana neAAPOE gene test, iyi miedzo inobvunza mibvunzo pamusoro pezvinofanira kuitwa nemashoko iwayo.
11. Kutarisira Antipsychotic Mishonga
Antipsychotic mishonga, iyo inoshandiswa seyakagamuchirwa neGerald Drug Administration, inogona kunyatsobata chirwere chepfungwa, paranoia uye maitiro , zvichiita kuti kuderedza kushungurudzika mupfungwa uye zvinogona kuzvikuvadza. Kana inoshandiswa mukudengenyeka kwemishonga, mishonga iyi inogona nguva nenguva kubatsira kubatsira kuderedza mhirizhonga uye kukanganisa. Zvisinei, vanoitawo kuwedzerwa ngozi yekuvhiringidza migumisiro yakaipa- kunyange kusanganisira rufu- kana inoshandiswa muhutano hwemweya. Kushandiswa kwe antipsychotics hakufaniri kumbova sarudzo yekutanga pakusarudza nzira yekuita nayo zviri nani, uye kuderedza, maitiro anorwadza muhutano hwekushaya utano.
12. Kuchengeta Dhementia Mishonga
Dhementia mishonga inorayirwa netariro yekuderedza kuwedzera kwechirwere chacho. Kubudirira kunopesana, nevamwe vachiona kuchinja kunooneka apo mishonga iyi inotanga, asi zvakaoma kuona chero zvakakanganisa kune vamwe. Mubvunzo wehuwandu hwemhando iyi yemishonga inobatsira, uye kana inofanira kumira, zvakaoma kupindura nokuti hakuna munhu anoziva kana munhu ane dhementia angave akaipisisa kunze kwemishonga, kana kwete. Kana ikabviswa, kutya ndiko kuti munhu wacho anogona kumira nokukurumidza uye zvakanyanya. Vamwe vanobvunza kana vari kungobhadhara mari pasina mari kumakambani emishonga, zvichipiwa kuti kune nguva yakareba nguva yekushanda kwemishonga.
13. Kuguma kweHupenyu Zvisarudzo
Sevanhu vane chirwere chemagumisiro pedyo nekuguma kwehupenyu hwavo, pane zvisarudzo zvakasiyana-siyana vavanoda ivo vanodikanwa kuita. Vamwe vave vakajeka pamusoro pezvavanofarira kwenguva yakareba vasati vatanga kukurudzirwa kwemagariro, uye izvi zvinogona kuita kuti zvinyatsogadziriswa. Vamwe, zvisinei, havana kuratidza zvavanoita kana vasingadi maererano nemishonga yekurapa, uye izvi zvinosiya vanoita zvisarudzo vachifungidzira zvavanofunga kuti munhu angada. Kuguma kwehupenyu husarudzo zvinosanganisira zvingasarudzwa se -full-code (do CPR uye nzvimbo panzvimbo yemhepo yakasvibirira) vs. Musadzokezve , kudyisa chido chekuda uye IVs ye hydration kana kuti maantibiotics .
Sources:
Alzheimer's Association. Maitiro uye Kutarisirwa. Yakasvika musi waJanuary 22, 2016. http://www.alz.org/care/alzheimers-dementia-ethical-issues.asp
Alzheimer's Association. Genetic Testing. Yakasvika musi waJanuary 23, 2016. http://www.alz.org/documents_custom/statements/Genetic_Testing.pdf
American Journal of Geriatric Pharmacotherapy. 2010 Apr; 8 (2): 98-114. Alternative formulations, nzira dzokuendesa, uye hutungamiri hunoshandiswa pakurapa kwepfungwa dzepfungwa mune vakwegura vakwegura vane maitiro uye mafungiro emagariro evanhu vane demoenti. http://www.ncbi.nlm.nih.gov/pubmed/20439060
Ongororo Ongororo yeNeurotherapeutics. 2012 May; 12 (5): 557-67. Nzira dzetsika muhutano hweAlzheimer: muongorororwo. http://www.ncbi.nlm.nih.gov/pubmed/22550984
Nyaya yeUkurapa Kwepfungwa dzePfungwa dzeMapfungwa. 2010 Nov; 17 (9): 761-8. Covert administration yemishonga kune vakwegura vakuru: kuongorora kwebhuku uye zvinyorwa zvakabudiswa. http://www.ncbi.nlm.nih.gov/pubmed/21040220
Musangano weMangariro Dementia Conference 2012. Alzheimer's Association / Mayo Clinic. Mitemo uye Matongerwo Enyaya muDementia. Marson, D. March 17, 2012. http://preview.alz.org/_cms/mnnd-handouts/downloads/202-LegalAndEthicalIssues-Part1.pdf