Inofungidzirwa kuti kusvika ku70% yevanhu vane chirwere cheAlzheimer vachasangana nekuvhiringidzwa kwekurara kweusiku. Vashandi vanokurudzira nzira dzakasiyana-siyana dzekugadzirisa nzira, kubva pamishonga kusvika kuchinje mumagadziro ezuva nezuva.
Nei Kurara Kunetseka Kunoitika?
Vatsvakurudzi havasi kunyatsoziva kuti nei vanhu vane chirwere cheAlzheimer vachikanganiswa nehope.
Vamwe vatsvakurudzi vanotaura kuti kuvhiringidzika kwehope kunobatanidza nematambudziko ekufema, izvo zvinowanzoitika kune vanhu vane chirwere cheAlzheimer. Zvidzidzo zvakashuma kuti 30% kusvika ku70% yevarwere vane chirwere cheAlzheimer vane kufema-kushungurudzika kufema. Kufema-kuora mwoyo kupfurikidza ndiko kunyorerwa kweboka revhiringidzi rinokonzera kufema kwemaitiro panguva yekurara. Kurara kwepabhesi ndiyo muenzaniso unowanzozivikanwa wechirwere ichi.
Munzira dzisinganzwisiswi zvachose, chirwere cheAlzheimer chinoratidzika sechinokanganisa munhu we circadian rhythm. Circadian rhythm, iyo yemazuva ekugadzirisa kwemuviri wemutumbi, inokonzera kubvumira uropi kuti izorore usiku uye kuti inokurudzirwa masikati. Vanhu vane chirwere cheAlzheimer vanoona zvakaoma kurara usiku uye pamwe chete, vachaomerwa kuramba vakamuka masikati. Chidzidzo che2007 chakabudiswa mupepanhau rezvechiremba Gerontology chakawana kuti vanhu vane chirwere cheAlzheimer vanove nekuwedzera kwekushisa kwemuviri wepanyama, chimwe chinhu chinogona kuvhiringidza chitarisiko chakakwana chepakati.
Inofungidzirwawo kuti neuroinflammation, kana kuvhiringidzika muuropi, inogonawo kukanganisa rwiyo rwechirevo.
Dambudziko rekurara rinowanzobatanidzwa nekuwedzera kwezviratidzo zvakadai sekugunun'una , kusavhiringidzika uye kunyange kudzokorora , zvakadai sokufananidza mazwi omutarisiri nemabasa, panguva yemanheru uye nguva dzeusiku.
Ichi chinoshamisa chinonzi kunonzi sundowning . Maererano neAlzheimer's Association, sundowning inogona kukonzerwa nekuneta uye kusakwanisa kusiyanisa chokwadi kubva pakurota.
Chii Chingaderedza Kuora Kwekuvhiringidza?
Usati waenda kune mishonga hurumende, vatarisi vanogona kuedza mamwe emhando dzinotevera:
- Kana kufema kunetseka kufema kunofungidzirwa, funga kuti chirwere chinoramba chichienderera mberi chiri nani. Iko kurapa kunosanganisira kushandiswa kwemashini inopa murwere nemhepo inogara ichienderera mberi. Dzidzo dzakaratidza chirwere ichi kuti chibudirire pakati pevarwere veAlzheimer's disease.
- Gara pane purogiramu yemusi wega, kuisa nguva nguva dzose yekumuka mangwanani uye kurara usiku.
- Tsigira chiitiko chezuva nezuva chekuita muviri , asi chengetedza maawa mana usati wambarara kune mamwe mabasa akanyarara.
- Chengetera TV uye zvimwe zvakasununguka zvinyorwa zvakadai semakombiyuta kusvika zvishoma, kunyanya mukati maawa mana nguva isati yarara.
- Gadzira chiedza cheusiku uye kupa "chinhu chekuchinja," chinobatsira munhu kuchinja kubva masikati kusvika usiku. Chinhu ichi chinogona kuva bhandi, chinhu choupfeko kana kunyange mhuka yakagadzirwa, asi shandisai chete usiku.
- Chiremera kushandiswa kwemidzanga, zvinodhaka newainiin uye nedoro.
- Kurudzira kuti zuva rionekwe zuva.
- Mimwe mishonga inogona kukura, saka taura nachiremba kana mishonga nezvemishonga inogona kunge ichivhiringidza kurara. Funga kuchinja mishonga kana purogiramu yemishonga, kuti urege kupa mishonga manheru.
Inogona Mishonga Inobatsira Kubata Matambudziko Okurara Here?
Nyaya yemishonga inobata zvirwere zvekurara yakareba, uye inosanganisira zvinodhaka kubva kune tricyclic vanodzvinyirira, zvakadai saPamelor kana Aventyl (nortiptyline), kumapiritsi ehombodo dzakadai seAtivan (lorazepam). Aricept (donepezil), mushonga unenge watobvumirwa kupedza chirwere cheAlzheimer's disease kwenguva pfupi, wakaratidzwawo kuwedzera kukanganiswa kweokisijeni mune varwere vane kuputika kwehutano hwakakonzerwa neAlzheimer's.
Melatonin , hormone inowanzoberekwa, inowanzoshandiswawo nechinangwa chekuita kurara kune vanhu vane demoenti.
Mishonga imwe neimwe inogona kuve nemigumisiro inofanira kuongororwa nachiremba asati atanga kurapwa.
Maererano neAlzheimer's Association, kushandiswa kwemishonga kunobatsira kurara kunofanira kudziviswa. Mishonga yokurara inobatanidza ne " ngozi yakawanda yekuwira uye kuputika, kuvhiringidzika uye kuderera mukukwanisa kuzvitarisira iwe pachako." Nyanzvi dzinopa zano kuti kana mishonga yakadaro inoshandiswa, chikamu chiduku zvikuru chemishonga chinodiwa chinofanira kushandiswa.
Sezvo mishonga yakawanda yehope inogona kuva tsika-kuumba, nyanzvi dzinokurudzirawo kubuda kunze kwezvinodhaka mushure mokuwana chirongwa chekurara zvakanaka.
Sources:
Chong, MS, et. al. "Kuenderera mberi Kunakidza Kushandiswa Kwemhepo Kunopedza Kuita Zuva Ramasikati Kurara Muvarwere Nezvishoma Kuwedzera Kwirwere HweAlzheimer Nokurara Kunetseka Kunoputika." Nyaya yeAmerican Geriatrics Society. 55. 4. May 2006. 777-781. 28 May 2008. (kubhadhara).
Harper, DG, uye. al. "Kuvhiringidzwa Kwemagumisiro eCycadian Rhythm mukukwegura uye kuAlzheimer's Disease." The American Journal of Geriatric Psychiatry. 13. 5. May 2005. 359-368. 28 May 2008.
Klegeris, Andis, uye. al .. "Kuwedzera kweCore Body Temperature yeAlzheimer's Disease Patients as A Indicator Possible of Chronic Neuroinflammation: A Meta-Analysis." Gerontology. 53. 1. 2007. 7-11. 28 May 2008.
Moraes, W., et. al. "Donepezil Inovandudza Kuvhiringidza Kubata KweApnea muAlzheimer Disease: Chidzidzo Chine Chefu-Chirema, Chidzidzo Chetsika." British Journal yeChest Diseases. 133. 3. Mar. 2008. 677-683. 28 May 2008.
McCurry, SM, uye. al. "Nighttime Insomnia Treatment uye Dzidzo yezvirwere zveAlzheimer: A Randomized, Controled Trial." Nyaya yeAmerican Geriatrics Society. 53. 5. May 2005. 793-802. 28 May 2008. (kubhadhara).
"Kusarara uye Sundowning." Kurarama neAlzheimer's Disease . 16 Oct 2007. Alzheimer's Association. 28 May 2008.
"Kurara-Kunetseka Kuputika." Dambudziko reHororo Rokurara Purogiramu Yotsvaga 2003. National Institutes of Health. 28 May 2008.
"Kurapwa Kwekurara Kwekuchinja." Dambudziko reAlzheimer: Zvirwere . 26 Nov. 2007. Alzheimer's Association. 28 May 2008.