Chii Chinonzi Sundowning?
Sundowning, iyo inonziwo sundown syndrome, ndiyo kuwedzera kunetseka uye kushungurudzika kwekuti vamwe vanhu vane dambudziko rekuita (uye dzimwe nguva vamwe vasina dhementia) vanowanzoratidza mumaawa masikati nemanheru. Kuzvibata kwekudzivirira kunosanganisira kusagadzikana, kunowira , kudanidzira, kuchema , kufamba-famba , kusvetuka , kutyisa, kufungidzira, kufungidzira, paranoia, kukanganisa uye mumvuri .
Sundowning dzimwe nguva inoita sokuti inokura pakarepo manheru. Mudiwa wako angave achiita zvakanaka masikati uye zvinoita sokuti ari munhu akasiyana sezuva. Semuenzaniso, kana mumwe munhu akatarisirwa mumusha unochengetedza vakwegura, vashandi vanoshanda pazuva rekushandura vanogona kutsanangura munhu uyu zvakasiyana zvakasiyana nekuchinja kwemanheru nekuda kwekudzivirira kwezuva. Nokudaro, nzira dzakasiyana-siyana nevakachengetedza panguva dzakasiyana dzezuva dzinogona kudiwa.
Kupararira
IAlzheimer's Association inofungidzira kuti vanenge 20% yevanhu vane Alzheimer's sundowning behavior. Zvisinei, kumwe kutsvakurudza kwakaisa nhamba iyoyo yakakwirira se66%, kunyanya kune vanhu vane dhementia vanogara pamba.
Ndeapi Muitiro weDhementia Unowanzogadzirisa Maitiro?
Maitiro ekudzivirira, pamwe nemamwe mafungiro akaoma, kazhinji anowedzera mukati mezvikamu zvepakati chekushaya pfungwa uye owedzerwa sezvo chirwere chinowedzera.
Chii Chinokonzera Sundowning?
Iko kune mazano akawanda ezvo zvinokonzera kusviba. Izvi zvinosanganisira zvinotevera:
- Kuneta
- Over-stimulation
- Boredom
- Kusurukirwa
- Mishonga inopfeka sezvinoitika zuva racho
- Kurwara kusingaperi kweArthritis kana zvimwe zvirwere
- Chiedza chinochinja pakuwa uye munguva yechando
- Kuchengeta mupfungwa, kuneta kana kupisa
- Shadows kubva kumahwindo uye mapofu sezvinoita manheru
- Nzara
- Unmet needs
Ndezvipi Zvinyorwa Zvinofanira Kushandiswa Kubatsira muSundowning?
Nzira dzakasarudzwa kune munhu mumwe nomumwe ndiyo nzira yakanakisisa yekupindura nayo, kudzivirira uye kuderedza kuderedza zuva. Dzimwe nzira dzisiri dzechirwere dzinogona kubatsira dzinosanganisira zvinotevera:
- Bright light therapy
- Zvinhu zvakarongwa
- Vakachengetedza vakachengetedza
- Yakapedzisira yatapura terevhizheni / mafirimu
- Careerver education
- Kurara utsanana
- Inopinda
- Snacks
- Zvinokanganisa
- Music therapy
- Kusangana zvinodiwa zvenyama zvakadai sekurwadziwa, nzara, nyota
- Kuchengetedza mapofu akavhara kuderedza mithunzi inotyisa
- Kuchengetedza kwakanaka kwemukati
- Kuderedza kukurudzira
- Kuchinja chiitiko
Mishonga inokwanisika
Vamwe vanachiremba vakanyorerawo mishonga "kubvisa" maitiro aya. Mishonga inofanirwa kuva yega yechipiri mushure mekunge kusina kupindira mune zvinodhaka kwakaedzwa. Mishonga haifaniri kupiwa kupa kuderedza mutoro wevanotarisira asi kunofanira kuisa pfungwa pakuderedza kushungurudzika kwomunhu wacho.
Melatonin , acetylcholinesterase inhibitors uye antipsychotic mishonga yose yakaratidza zvimwe zvingabatsira kune vamwe vanhu vane maitiro ekudzivirira kwekutsvaga mune zvidzidzo zvekutsvakurudza.
Sources:
Alzheimer's Association. Kurara Nenyaya uye Sundowning. https://www.alz.org/care/alzheimers-dementia-sleep-issues-sundowning.asp
Alzheimer Society Canada. Gunyana 11, 2012. Sundowning. http://www.alzheimer.ca/en/Living-with-dementia/Understanding-behaviour/Sundowning
> Khachiyants N, Trinkle D, Mwana SJ, Kim KY. Sundown syndrome muvanhu vane chirwere chekuora mwoyo: An update. 2011; 8 (4). http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3246134/.
National Institute on Aging. June 2013. Dambudziko reAlzheimer Education and Referral Center. Kuchengetedza kweAlzheimer Mazano: Kuchinjwa. http://www.nia.nih.gov/sites/default/files/caregivingtips_sundowning-final_13jun24_0.pdf