Nzira Yokuziva Nayo uye Kugamuchira Nekusatenda muDhementia
Kusatenda kunowanzovapo mune chirwere cheAlzheimer uye mamwe marudzi ehutano hwemangara . Dzimwe nguva, inogona kuva chiratidzo chokutanga chenyevero che-kana kunyange chikonzero chekuda-kuora mwoyo. Asi chii chaicho kusava nehanya, uye zvakasiyana sei nekuora mwoyo?
Chii Chisingadi?
Kusava nehanya ndiko kusava nehanya kana kufarira kunogona kuonekwa mumunhu kunosangana (mafungiro), mufambiro uye kugona.
Kusatendeseka ndechimwe chezviratidzo zvekuora mwoyo, asi zvinogona kuitika pasina kuora mwoyo zvakare.
Zvakakosha kuziva kuti kusava nehanya hakuna kufanana nekuora mwoyo. Vanhu vasina hanya havawanzova nemanzwiro ekusuwa kana kusatenda. Vanogona kungozviratidza kana kuti vanonzwa vasina kufarira, vasingafariri, kana kusagadzikana.
Mitatu Mitatu Yokusava Nehanya muDementia
Kufarira kusava nehanya: Rudzi urwu rwekusava nehanya runosanganisira kusava nemanzwiro, kuonekwa kwevasina hanya, uye kusavapo kwekunzwira tsitsi. Munhu wacho angaita seasina hanya nezvevamwe kana kuti haana chaanoshuva chaakashandisa kukukwazisa. Anogona kuonekwa asingatambudziki mupfungwa, asingawanzoratidzi kufara kana kusuruvara pamusoro pezvinoitika kune iye. "Akanaka" zvinoreva maitiro uye manzwiro.
Kusava nehanya kwekuita : Kusabatwa muzviito zvinosanganisira kusagadzikana kwemuviri uye mabasa akasiyiwa asina kukwana. Mumwe munhu ane hanya nehutsika angave asina kutenderera zvakanyanya kumba uye asingateereri mabasa akadai sekuchengetedza imba kana kuchenesa, kunyange zvazvo ari mumuviri anokwanisa kuzviita.
Kuziva kusanzwisisiki: Kusanzwisisa kwepfungwa kunosanganisira kusava nekutanga kutaura nemafungiro epfungwa, uye kusavapo kwekufarira kune mamwe mabasa. Kana uri kutarisana nekusaziva, iwe unogona kuda kukurudzira mukukurukurirana uye unogona kuonekwa "wakadzingwa" uye usina kufarira pane zviri kuitika zvakakupoteredza.
Kusanzwisisa uye Dhementia
Kutsvakurudza kwakaratidza kuti kusava nehanya kwakanyanya kuwedzererwa mukati memoyo. Kunyanya, kumwe kuongororwa kwakawana kuti 56 muzana yevadzidzi vanobatana neAlzheimer's diagnosis vakanga vasingafariri, asi 72 muzana yevatori vechikamu nehutungamiri hwemagariro ehutungamiri hwematongerwo enyika hwakaratidza kusava nehanya. Kusanzwisisa kwakajairikawo mukufambira mberi kweupricyrus palsy uye vascular dementia .
Kuwedzera kusava nehanya kwakave kwakabatana nekuderera kwekushanda (sekuita mumabasa ekugara kwezuva nezuva ) uye mukucherechedza kune avo vane demoentia. Uhu hwevaya vanoratidza kusava nehanya hunoratidzawo hukuru hunochinja, kusanganisira hukuru hwekurohwa , neurofibrillary tangles, uye nyaya yakachena inochinja.
Kusanzwisisa kwakasungirirwa kukurudzirwa kwemaitiro evanhu kune avo vane chirwere chePasinson . Ukama pakati peParkinson nekusava nehanya kunogona kunge kwakaoma, zvakadaro, sezvo chimiro chechiso chepamusoro chiratidzo chePalinson.
Imwe tsvakurudzo yakawanawo kuti kune avo vane kuora mwoyo kwakagadzikana, kuvapo kwekusava nehanya kwakange kuchiratidza kufambira mberi kwekutengesa kwemwoyo. Mune mamwe mazwi, kusava nehanya kwaiva mungozi yekuwedzera kukanganisa kugadzirisa.
Kunyange zvazvo kusava nehanya kazhinji hakusi kwakaoma kukunda semamwe maitiro anorwadza muhutano hwemararamiro (akadai hooding , paranoia kana kushungurudzika ), zvinogona kukanganisa hutano hwehupenyu hwomunhu, kuchengeteka uye mano okurarama ari oga.
Kusanzwisisa Pasina Dhementia?
Mukutaura, kuvapo kwekusava nehanya kwakave kwakabatanidzwa nechepakati chekugogodza. Somuenzaniso, kumwe kutsvakurudza kwakaona kuti kusava nehanya nevanhu vakwegura vakwegura vane kugadziriswa kwemazuva ose kwakabatanidzwa nehutano hunoenderana nekuongorora kwepfungwa, pasinei nekugumburwa muchikamu che "chinowanzo" chekucherechedza.
Zvisinei, kumwe kutsvakurudza kunoratidza kuti kusava nehanya hakuna kuwanzana kune vakwegura vakuru vose, kusanganisira avo vane cognition avo vasina kusimba uye avo vasina kusimba cognition.
Kutaura Nevasina Hanya muDementia
Kufanana nemimwe miitiro yakaoma yekuora mwoyo, kusafarira kunofanira kutanga kuonekwa uye kurapwa nemishonga isiri yemishonga.
Mabasa ega ega
Imwe tsvakurudzo yakaratidza kuti kusava nehanya muhutano hwemararamiro kunogona kubudirira kubudirira kuburikidza nekupindira kwakarongwa. Semuenzaniso, imwe yongororo yakawana musiyano mukuru muhutano hwekusava nehanya mumusha unochengetedza vagari vane dhementia avo vaibatanidzwa mumabasa kamwe kamwe pavhiki kwemwedzi gumi, zvichienzaniswa neboka revagari vasiri ivo vaisabatanidzwa mumabasa iwayo.
Kupa uye kubatanidza munhu mumabasa anokosha zvakakosha kuti uchengetedze kusava nehanya. Yeuka kuti zvinorehwa kune mumwe munhu zvinogona kunge zvisina zvazvinobatsira kune zvinotevera. Nokudaro, nzira inogadziriswa nevanhu ndeyekuti inofanirwa kuziva uye kutarisa zvinodiwa nemumwe munhu.
Mitambo
Kubatanidzwa kwemitambo mumabasa ekurapa kwave kuchibatanidzwa nekuderedza kusateerera. Mitambo yezvirongwa inowanzodzokera kumwana uye inogona kukurudzira zvakasimba kurwisa kusava nehanya.
Kuyeuka
Vanhu vane chirwere chepfungwa chinowanzotambura nekusurukirwa uye kusuruvara , izvo zvinogona kuita kuti kusava nehanya. Kutora maminetsi mashomanana kutaura nemwoyo wose nemumwe munhu kunogona kubatsira pakudzivisa kusafarira. Kuyeuka kunogona kuva nzira inobatsira yekuwedzera kubatanidzwa uye kuderedza kusava nehanya.
Mimhanzi uye Art
Kutsvakurudza kwakaratidzawo kuti mimhanzi uye unyanzvi inzira dzakakosha dzekuita nemumwe munhu ane dhementia uyo anoita seasingafariri. Iwe uchada kutsvakurudza izvo mimhanzi yake yaanoda yave iri muhupenyu hwake hwose uye kuwana zvinyorwa zvenziyo idzi kumutamba.
Iva Flexible
Kana tichitsvaka nzira yakarurama yebasa rekuvhara kusava nehanya, zvinokosha kuti tishandise uye tongorore kana basa iri kupa nguva dzekubudirira uye mufaro kune munhu, kana kana zvakanyanya kuderera uye zvinoda kuputsika kana kuchinjwa mberi kwake .
Mishonga
Pakupedzisira, kunyange zvazvo kusina kushandisa mishonga kunowanzodiwa, tsvakurudzo yakave yakaratidzawo chimwe chinhu kubva kune acetylcholinesterase inhibitors pakuvandudza kusava nehanya muhutano hwekuora mwoyo.
Shoko Rinobva
Kana tikacherechedza zviratidzo zvekusatenda mukati medu kana mudiwa, zvingabatsira kuongorora kana zvimwe zviratidzo zvekuora mwoyo kwemazuva aripo. Kutanga kuongororwa kwekuora mwoyo kwemazuva ano kwakakosha pakurapwa kwepakutanga uye kuronga kwemazuva anotevera.
Uyezve, kunzwisisa manzwiro ekuita kusava nehanya nehutano hwemararamiro kunogona kubatsira nechinangwa chekupa hupenyu huri kune avo vanorarama nehutano hwemararamiro.
Sources:
Alzheimer Society Canada. Kusateerera. http://www.alzheimer.ca/en/Living-with-dementia/Understanding-behaviour/Apathy
Archives of Neurology. 2009 Jul; 66 (7): 888-893. Kusanzwisisika Chiratidzo Chekuita uye Shamwari Dzakanaka muPreotemoral Dementia neAlzheimer's Disease. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2875777/
Cleveland Clinic. Kana Usina Kusava Nehanya Iwe Unogona Kuva Pangozi Nekuda Kwemhirizhonga. June 2, 2014. http://health.clevelandclinic.org/2014/06/does-mom-have-apathy-she-might-be-at-risk-for-dementia/
Nyaya yeGeriatric Psychiatry 2012; 20 (2): 104-122. Pharmacologic kurapwa kwevasina hanya mukuora mwoyo. http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0034284/
> Lanctôt, K., Agüera-Ortiz, L., Brodaty, H., et al (2017). Kusanzwisisa kunobatanidza nehutano hwehutano hwehutano: Kufambira mberi munguva pfupi uye zvamangwana. Alzheimer's & Dementia , 13 (1), pp.84-100.
Psychiatry. February 2015, Bhuku 30, Nyaya 2, Mapeji 251-257. Kushaya hanya mumusha unochengetedza vagari vane demoentia: Zviwanikwa kubva kumasumbu-randomised trial trial. http://www.europsy-journal.com/article/S0924-9338(14)00022-4/abstract
> Richard, E., Schmand, B., Eikelenboom, P., uye al. (2012). Zviratidzo zvekusava Nehanya Zvinosanganiswa neKupfuurira kubva Mukusaziva Kwakagadzikana Kwemapfungwa kuAlzheimer's Disease muZvamwe Vasina Kuora Musoro. Dementia uye Geriatric Cognitive Disorders , 33 (2-3), mapeji 204-209.
> Ruthirakuhan MT, Herrmann N, Abraham EH, Lanctôt KL. Kupindira mune zveparamende kwekusatenda muAlzheimer's disease (Protocol). Cochrane Database yekuongorora kwakagadziriswa 2016, Nyaya 5. Art. Kwete: CD012197. DOI: 10.1002 / 14651858.CD012197.