Kuwanda kwehurombo muvanhu vane Dementia
Nyanzvi dzinofungidzira kuti vanenge 50% yevanhu vane chirwere chepfungwa chinokonzera kurwadziwa nguva dzose, uye marwadzo iwayo angangowedzera apo dhementi yavo inopfuurira kusvika pamatanho ekupedzisira.
Zvinokonzera Njodzi
Kunyange zvazvo chirwere chemaitiro pachacho chisingaiti chinorwadza mumuviri, pane dzimwe nguva mimwe mitemo kune vanhu vane chirwere chepfungwa chinokonzera marwadzo.
Ruzhinji rwemangwana edamentia rwevanhu vakuru, uye iri boka rezera rinotakura dambudziko guru re osteoarthritis , urinary tract infections, kuwira uye zvirwere zvinoshungurudza-zvose zvinogona kukonzera kurwadziwa kukuru. Maererano neimwe chiremba, (Dr. John Mulder) vose vanopfuura makore makumi maviri nemashanu vane imwe chirwere cheArthritis muzvibatanidza, izvo zvinogona kukonzera musuru uye maronda ekurwadza.
Imwe tsvakurudzo inoratidzika inoratidza kuti vanhu vane chirwere chekuita nehutano hwemararamiro vanogona kurwadziwa zvakasiyana kune avo vane kugona kwavo kugadzikana, asi vamwe vanofunga kuti inongova nyore kuderedza kuratidza kurwadziwa. Dzidzo dzakawanda dzakabvumirana kuti vanhu vane dhementia vane njodzi yakakura yekutungamirirwa kwekutambudzika.
Nzira Yakanakisisa Yokuongorora Nhamo muDementia
Kumbira Munhu:
Munharaunda yakawanda, mutemo unogamuchirwa wekutambura kwepamuviri ndeye kungomubvunza munhu nezvekutambudzika kwavo. Izvi zvinowedzera zvakaoma mumunhu ane chirwere chepfungwa chekushaya dambudziko kubva pamusana pekukanganisa zvishoma nezvishoma kwekugogodza uye kushandiswa kwemashoko .
Zvisinei, kutsvakurudza kunoratidza kuti munguva yekutanga uye kunyange mukati mezvikamu zvepakati , vanhu vazhinji vachiri kukwanisa kunyatsoziva nekuratidza marwadzo avo; saka, vanofanira kubvunzwa. Mune zvikamu zvekare zvekushaya pfungwa, zvinova zvakaoma kuti munhu aratidze kurwadziwa kwavo.
Shandisa Pain Scales:
Kukumbira munhu mune imwe nyonganyonga kuverenga marwadzo avo pachiyero che1 kusvika kune gumi haisi tsika yakanaka, sekutonga, nokuti kune zvisarudzo zvakawanda uye kududzirwa kwakasiyana siyana kwezvingareva nhamba imwe neimwe.
Chimwe chinhu chakakodzera chekuongorora pakurwadziwa ndiko kutarisana kwemaziso, apo munhu anongedzera kune chiso chinonyatsomiririra manzwiro avanoita pamusoro pemarwadzo avo. Zviso zvinotanga kubva pakufara kwazvo kusvika kusuruvara zvikuru nekuchema.
Imwe nzira iri nyore ndeyokubvunza kubvunzwa kwakawanda kwavanoita: zvishoma, zvishoma kana zvakawanda.
Chimwe chimwe chinhu chinowanzoshandiswa ndiKuongorora Kwepfungwa mu Advanced Dementia (PAINAD) Scale. Ichi chigadzirwa chakagadzirwa nevatsvakurudzi veVeteran Affairs senzira yekunyatsoongorora marwadzo kune vanhu vane nguva yakareba yekuora mwoyo. Zvinoda kuti nzvimbo dzinotevera dziongororwa:
- Kufema kwake kwakashanda here kana kuti kunodzikama?
- Ari kuchema kana kuchema here?
- Ari kuratidzira chiso chemaziso kana grimacing here?
- Ko mutauro wemuviri chii? Izvi zvinosanganisira kupfugama, kumanikidzwa kwakasimba, kuputira kunze uye kubvisa
- Anonyaradza here? Unogona here kugadzikana uye kumuvhiringidza?
Bvunza Munhu Waunoda:
Nokuti dementia inokanganisa kukwanisa kukurukura, zvinogona kubatsira zvikuru kubvunza mumwe munhu anoziva munhu ane chirwere chepfungwa pamusoro pekutambudzika kwavo. Funga kubvunza mibvunzo iyi:
- Ndezvipi zvaanoita?
- Anoratidzika sei seanorwadziwa?
- Unhu hwake hunochinja sei kana asinganzwisisi?
- Chii chawawana kuti chinomubatsira iye paanenge achitambura?
- Ndezvipi kukuvara kwekare kunomutambudza?
Zvimwe Zviratidzo zveHurwa muDementia
Chimwe chinhu chinonyanya kukosha pakuongorora marwadzo nderuzivo rwemamiriro ehupenyu hwemunhu uye kushamwaridzana nevamwe. Idzi ruzivo runowanikwa zvakanaka nemhuri, ndiani anokwanisa kupindura mibvunzo pamusoro pemafungiro evanoita uye mafambiro, kutsika kwomuviri, nhoroondo yehupenyu hwehurombo uye kupindura mishonga inorwadza.
Iva nechokwadi kuti zvinotevera zvinetso zvakaoma zvese zvinogona kuva zviratidzo zvekutambudzika:
- Kutuka
- Combativeness
- Kusatenda uye Kubviswa kubva kumabasa nekubatana
- Kuva High Maintenance (inoita seoma kuifadza)
- Wandering
- Kusagadzikana
- Kudzokorora Maitiro Kana Mashoko
Zvinetso Mukutambudzika Kwemarwadzo
Kana uchitarisira mumwe munhu ane dhementia, imwe dambudziko nderokuona kana kurwadziwa-kana chimwe chidikanwi sekusurukirwa, kusuruvara , nzara, kana chido chekushandisa imba yekugezera- chiri kuita kuti munhu ashungurudzike.
Chimwe chekuda kuziva ndezvekuti kana vadzidzisi vezvemhizha vasingachenjeri pakuongorora nekurapa marwadzo, munhu wacho angave akanyorwa sekuzvidya mwoyo kana kuora mwoyo uye kunyorerwe chirwere chepothytropic pane kugadzirisa marwadzo ari kukonzera manzwiro iwayo.
Nzira Dzakasiyana Dzokurwadziwa
- Massage
- Kuvhiringidzika
- Heat
- Cold
- Positioning
- Pet Therapy
- Music
- Acupuncture
- Aromatherapy
- Over-the-Counter Creams seBoofreeze
Kurapa Kwekurwadziwa Kwemarwadzo
Kunyange zvazvo zvisingaiti zvekushandisa zvinodhaka zvakakosha, vanhu vazhinji vacharamba vachibatsirwa nemishonga inorondedzerwa inorwadza. Kana iwe wakaronga zvimwe zvinokonzera maitiro (zvakadai nenzara, kusuruvara uye kudiwa kwekuvhima), uye iwe wakagadza kuti munhu wacho anenge ari kurwadziwa, kuwana mishonga yemishonga yemarwadzo chinhu chakanaka.
Iva nehanya nemishonga inorwadza inorayirwa paPN (sezvinodiwa) hwaro. Nokuti munhu ane dhementia angasazokwanisa kuratidza marwadzo avo zvakanaka, kana kuti angave asingazivi kukura zvishoma nezvishoma mukushungurudzika kusvikira ashungurudzika, mishonga yePN kurwadziwa inowanzokonzera kurwadziwa kwakanyanya kutaridzika. Chero munhu wacho haazvikumbire saka haazvigadzi, kana kuti anozviwana gare gare pane zvaizove zvakanaka uye kurwadziwa kwake kunopfuura izvo zvinowanzogadziriswa nemishonga uye chirwere chakanyorwa. Kana zvichikwanisika, chirongwa chekugadzirisa chirwere chinorwadza chinonyanya kunaka kune munhu ane dhementia.
Kunyange zvazvo nhengo dzemhuri dzichiratidza kushungurudzwa kwekugona kunetseka nemishonga inorwadza, izvi kazhinji hachisi chinhu chinonyanya kukosha sezvo tsika dzekutsvaga zvinodhaka hazvishamisi kune vanhu vane dambudziko rekushaya mungozi. Uyezve, vazhinji vanokoshesa hupenyu hwehupenyu hunogona kuvandudza nekugadzirisa kurapa kwakakwana.
Sources:
Dementia Education & Training Program. Kutungamirirwa Kwemarwadzo muMunhu ane Dementia. Yakasvika musi waFebruary 5, 2016. http://www.alzbrain.org/pdf/handouts/2049.%20MANAGEMENT%20OF%20PAIN%20IN%20PERSONS%20WITH%20DEMENTIA.pdf
Mulder, J., et al. Marwadzo muCognitively Asina Mukana Mukuru. 2015. http://www.michigan.gov/documents/lara/1aPain_Assessment__Management_with_Elders_Expreiencing_Cognitive_Loss_484079_7.pdf
Texas Tech University Health Sciences Center. Zviso Zvokurwadziwa Kwakawanda. January 2011. http://www.ttuhsc.edu/provost/clinic/forms/ACForm3.02.A.pdf
US Pharmacist. 2014; 39 (3): 39-43. Pain Management mu Dementia. http://www.uspharmacist.com/content/c/47338/
Warden V, Hurley AC, Volicer L. Kubudirira uye kugadziriswa kwepfungwa kwehutano hwekurwadziwa mukukura kwema dementia (PAINAD). J Am Med Dir Assoc . 2003; 4: 9-15. http://www.amda.com/publications/caring/may2004/painad.cfm
Zeitschrift Fur Gerontologie Und Geriatrie. 2015 Feb; 48 (2): 176-83. Chimiro uye nzira yezviratidzo zvinoratidzwa mumagumo uye kufa kwevanhu vane dhementi mumisha yevachengeti. http://www.ncbi.nlm.nih.gov/pubmed/25119700