Nzira yekugadzirisa kana nyaradzo yekutarisira yakakodzera kune waunoda
Dhementia chirwere chinotyisa chine utano chinobvisa zvigaro zvezviyeuchidzo, mazano, uye kuzvimirira. Ichi chinyorwa chinopa muongororwo wekukonzera kwemtementia uye zviratidzo, uye maitiro ekugadzirisa kana kuchengetedza kwepfungwa uye / kana kuti hospice zvakakodzera kuora mwoyo kwemurwere.
Dhementia Inokonzera Zviratidzo uye Zviratidzo
Dhementia ishoko rinowanzoreva kunowedzera kushandiswa kwehutano hwehuro hwemunhu hunokonzerwa nekukuvara kana zvirwere.
Maererano neAlzheimer's Association, inofungidzirwa kuti makumi matanhatu kusvika ku80 muzana yehutano hwemangwana inobva kuAlzheimer's disease -iyo inowanzove yakawanda uye inowanzozivikanwa zvikuru yehutano hwemhetima. IAlzheimer inoitika apo mapuroteni asina kukwana anoisa muuropi anoparadza masero munzvimbo dzinodzora pfungwa dzedu nemafungiro epfungwa.
Chimwe chechipiri chinowanzojairika chema dementia ndechekushaya simba kwemumwoyo , maererano neAlzheimer's Association. Izvi zvinogona kuguma nekurohwa kana zvimwe zvinokuvadza kana chimiro chinoderedza kana kuvhara kuputika kweropa kuuropi.
Zvimwe zvirwere zvinogona kukonzera chirwere chemazuva ano zvinosanganisira chirwere chePasinson, chirwere chaHuntington , uye chirwere cheCreutzfeldt-Jakob .
Pasinei nokuti chii chinokonzera, vanhu vane dhementia vanogona kuratidza zviratidzo zvakasiyana-siyana, zvakadai se:
- • kurasikirwa mupfungwa, kunyanya kusanganisira kukanganisa kwavo kwenguva pfupi pakutanga
- • mutauro / kutaurirana zvinetso, zvakadai sokutaura chinhu kana kuwana izwi rakakodzera pane chimwe chinhu
- • kuchinja mune mufambiro kana unhu, zvakadai sekudzora manzwiro avo, kuwedzera kukurumidza kana kusakwanisa kugadzirisa zvinetso
Zvichienderana nekuoma kwekuora mwoyo kwevanhu, vamwe vanhu vangave vasina kukwanisa kufunga zvakanaka zvakakwana kuti vaite Zvekuita zveMazuva Ose-zvinyorwa zvinoda kuitwa nguva dzose kuitira kuti zvishande-zvakadai sokupfeka, kushamba kana kudya.
Ndeipi Rudzi rwekuchengetedzwa kwepamwechete rwakakodzera Rurefu rweMweya?
Kunyatsotarisirwa kwakakodzera kune varwere vane dambudziko rekushaya mungozi kana murwere uye / kana mutano wehutano wehutano (s) wemurwere achifunga kuti vanoda kutsvaga kunyaradzwa kwevarwere uye hupenyu hwehupenyu.
Kubvira pakuchengetwa kwekuchengetwa kwevakafambisa ndiyo inonyanya kugadzirisa kuchengetedza kurapa, asi murwere anofanira kusangana nenzira dzakasiyana-siyana kuitira kuti akwanise kupiwa Medicare hospice zvakanakira nekuongororwa kwekuora mwoyo. Kunyanya, vanachiremba vaviri vanofanira kuvimbisa kuti murwere ane chirwere chinokonzera hupenyu uye kutarisira hupenyu kwemwedzi mitanhatu kana kuti mashomanana.
ICenter for Medicare neMedicaid Services yakagadza hupenyu-tarisiro yehupenyu maererano nekenza kuongororwa, asi kusiyana nekenza, iyo inowanzoita kuderera kuderera, kuora mwoyo kwemazuva mazhinji kwakanyanya kuoma kufanotaura. Dhementia murwere angaratidza nguva yekudzikama yakasimba inotevera kutevedza, panguva iyo iye achavandudza nekuita zvakanaka kwenguva.
Saka, kubatsira vanachiremba vanofungidzira tarisiro yehupenyu hwevanhu vane chirwere chekushaya mhirizhonga, National Hospice nePalliative Care Organisation yakagadzira mirayiridzo iyo masangano ekurapa anoshandisa senzira yekugamuchirwa. Iyi mitemo inoshandisa "Functional Assessment Staging Tool" kuti ienzanise kuoma kwechirwere chemurwere.
Kuti akwanise kubhadhara varwere, murwere anofanirwa kuenzana kana kupfuura "danho rechinomwe," zvinoreva kuti murwere:
- • haagoni kuzvipfekedza
- • haagoni kufamba pasina rubatsiro
- • haagoni kushamba zvakanaka pasina rubatsiro
- • hazvirevi zvemuti nehombodo
- • haakwanisi kutaura kana kubata kukurukurirana kunobatsira
Zvirwere zvepabonde-zvakadai sezvipatara zvakawanda, zvirwere zvinowanzoitika (semuenzaniso, zvirwere zvekuvhenekera , urwere hwehutachiona), aspiration pneumonia (inokonzerwa nokuchera zvokudya kana mvura), zvinokonzera maronda paganda uye / kana kuramba kudya- rubatsiro rubatsiro kurarama kweupenyu kwemazana matanhatu kana kuti mashoma.
Zvakadini kana dambudziko reMweya Risingakodzeri Kuchengetwa Kwechipatara?
Kana iwe nevemhuri yako munoda kunyaradza kuchengetwa kune munhu waunoda ane chirwere chekuita nehutano, asi iye haasati aonana nechipatara chinokodzera, iwe unofanirwa kuita kuti zvaunoda zvizivikanwe nachiremba wevamwe varwere uye nevamwe vapeji vehutano.
Nhaurirano pamusoro pesimba rekurapa (s) rinogona kubatsira kudzivisa miedzo isingakoshi uye nzira.
Mukuwedzera, kuumba hukuru hwehutano hwehutano uye Do Not Resuscitate (DNR) kurongedza kunogona kubatsira kuchengetedza pane zvese zvisingadiwi.
Mamwe mahofisi ehutano ehutano uye emisha anopa "bhulogi" zvirongwa zvevanhu vasingasangane nevakapiwa chirwere chekuchengetedza, kana kune avo vanoda kuchirapa uye vasina kugadzirira kusarudza kunyaradzwa chete. Aya mapurogiramu anokwanisa kubatsira varwere kuchinja kuve nyore nyore kubva kumagariro ehutano ehutano kusvika kuchipatara kutarisirwa kana zvasvika. Semuenzaniso, Hospice yeMupata muSanta Clara County, California, inopa chirongwa chekushandura kuti ipe rubatsiro rwemagariro uye rwechokwadi kuvarwere nemhuri uye kubatsira kuziva kuti kuwanika kune hospice kungave kwakakodzera.
> Sources:
> Diane Meier, MD, Elizabeth McCormick, MD naRuth Lagman, MD "Hospice: Philosophy yekutarisira nekushandiswa kwakakodzera muUnited States." http://www.uptodate.com/contents/hospice-philosophy-of-care-and-appropriate-utilization-in-the-united-states
> Marie-Florence Shadlen, MD naEric B. Larson, MD "Dhementia syndromes." www.uptodate.com