Zviitiko zvinobatsira Upenyu Hutarisire muKuchengetedza Zvivako
Misha yevanamukoti inowanzofungidzirwa sekusarudzwa kwekupedzisira, asi dzimwe nguva inodiwa, kuitira kutarisira vanhu vane dhementi . Ruzhinji rwevanhu vanoda kugara mumusha kwenguva yakareba sezvinobvira, uye vamwe vangangodaro vakabvunza mhuri yavo kuti vasatumire kumusha unotarisira vakwegura. Imwe kutya ndeyekuti mudikanwi angaderera, uye pakupedzisira anofa, nokukurumidza mune imwe nzvimbo kupfuura zvaaigona kumba.
Izvi zvakarurama here?
Mhinduro shomanana: Inogumira. Inopindura kwenguva refu? Pane kuongororwa kushoma pamubvunzo uyu, asi kune zvimwe zvikonzero zvinoita kuti kuderera uye rufu muhutano hwemangara huve nyore kuitika.
Relevant Research
Maererano nematare akaumbwa muna 2017, chirwere cheAlzheimer uye kukanganisa kwemazuva ano ndicho chechitanhatu chinokonzera rufu muUnited States. Saka, vanhu vane dementia vanofa kupi?
Chimwe chidzidzo chakabudiswa mu Journal of the American Geriatrics Society chakabatanidza vanhu vanopfuura 4 000 vakwegura vakange vadzidza kwemakore anenge mashanu. Vatsvakurudzi vari muongororo iyi vakaona kufa kwevatori vechikamu uye vakaona kuti inenge hafu (46%) yevaya vane demoentia vakafa kumba, asi 19% vaiva mumusha wakwegura uye 35% vakapinda muchipatara pavakafa.
Zvisinei, imwe yedzidzo yapfuura yakabudiswa muna 2005 yakawana kuti 2/3 yevakafa inotaura nezvekuora mwoyo kunoitika mumusha wevanotarisira.
Chidzidzo chechitatu kubvira muna 2013 chakaongorora 378 vagari vomunharaunda vanochengetwa uye vakawana kuti avo vane chirwere cheAlzheimer's disease - vachienzanisa neavo vane mamwe marudzi ehutano hwemagumisiro uye avo vane mwoyo yehutano -kukurumidza kupona kwenguva yakareba.
Izvi zvinotaridzika se-counter-intuitive pakutanga asi zvinogona kutsanangurwa nekunzwisisa kuti dzimba dzekuyamwisa dziri kutarisira vanhu vari kurwara zvakanyanya ikozvino kupfuura munguva yakapfuura, saka zvichida avo vane mimwe mitemo kunze kweAlzheimer vanogona kunge vakaderera upenyu husingaperi.
Zviitiko zvakabatanidzwa neKuparara Kwakawanda kwekufa muDhementia
Kunyange zvazvo zvakaoma kutsvaga tsvakurudzo inotarisa apo vanhu vane dementia vachafa nokukurumidza, kune zvimwe zvishoma izvo zvakabatanidzwa nehupenyu hurefu huri muhutano hwehutano.
Zvinosanganisira zvinotevera:
- Kunyanya kuwanda kwepamusoro: Zvinoshamisa, apo maundi mapaundi ari pakati pezera redu makore anowedzera dambudziko redu rekudzivirira chirwere chemangwana, mamwe mapaundi muvanhu vakwegura vane chirwere chekuita nehutano hwemweya kunobatanidza nehuwandu hwekufa mumisha yevanamukoti. Kurasikirwa kwehuwandu muhutano hwemararamiro, kunyange kune vanhu vanorema, vanofanira kuonekwa nekufunganya nekuda kwekubatanidzwa uku pamwe nehuwandu hwekufa kwekufa.
- Kugadzirisa Antipsychotic Mishonga Inobatanidza neHuman Interaction Programs : Kune simba rakasimba rekuderedza kushandiswa kwemishonga yekurwisa mishonga yevanhu vanorwara nehutano hwemagariro evanhu vanochengetedza dzimba, uye senyika, takaita kufambira mberi kukuru munzvimbo ino. Zvisinei, kumwe kutsvakurudza kunotaura kuti hazvina kukwana. Izvozvo zvakawana kuti kuderedza kushandiswa kwakabatanidzwa nehupo hwekuwedzera hukama hwemagariro kwakagadzirisa hupenyu hwehupenyu muzvivako. Kungorambidza kurapwa kwechirwere chepfungwa pasina kuwedzera mamwe maitiro kwakaguma nekuwedzera kwemaitiro akaoma uye manzwiro akaenzana nehutano hwemweya uye haana kusimbisa kuponeswa kwehupenyu.
- Kubudirira Kurapa Kwekuita uye Mafungiro ePfungwa Maitiro eDementia : Chimwe chidzidzo chevanhu vane chirwere chekuora mwoyo mukati memaimba ekuchengetedza vanofananidza nekufa kwehuwandu hwevanhu vanowana mishonga inorwisa zvinodzvinyirira kune avo vaigamuchira mishonga inorwisa antipychotic. Vakaona kuti kufa kwevakafa kwakasanganiswa kwete kana munhu asiri kuwana mushonga kana kuti mushonga wavakawana, asi kana kana mushonga wacho usina kubudirira mukuvandudza BPSD yavo. Mune mamwe mazwi, vanhu vari mumapoka maviri (avo vanodzvinyirira uye avo vane antipsychotics) vakararama kwenguva refu kana maitiro avo uye zviratidzo zvepfungwa zvekuora mwoyo kwemazuva nekuvandudzwa nemishonga.
Zvimwe Zvinosanganiswa Nengozi Inowedzera Yokufa muDhementia
Kusiyana neizvi, kutsvakurudza kwakabatanidza zvinhu izvi nehuwandu hwekufa kune mumwe munhu ane dhementia.
- Dhaririamu : Kuvapo kwezvokudya muvanhu vane dambudziko rekuora mwoyo kwakabatanidzwa nehuwandu hwekufa kwekufa. Chimwe chikonzero chinowanzovhiringidzika chekuparamu ndicho chirwere.
- Kupera uye Hip Fractures : Vanhu vane chirwere chekushaya mungozi vane ngozi yakawanda yekuwa uye kuputika kuputika, uye iyo ngozi, iyo yakazoita, inobatanidza nehuwandu hwekufa.
- Zvinomanikidzwa Zvirwere: Decubitus ulcers (inonziwo "maronda emubhedha" inowedzera mukana wekufa kune avo vanorarama nehutano hwekuora mwoyo.
- Kusakwanisa Kuita ADLs : Sezvo kuora mwoyo kunofambira mberi, kukwanisa kuita mabasa ezuva nezuva sekupfeka, kushamba, kudya kana kufamba kunoderera. Uku kuderera kunobatana nehuwandu hwekufa.
- Pumumonia : Kukurudzira pneumonia kunowedzera ngozi yekufa kune vanhu vane chirwere chepfungwa.
- Zera : Kuva nemakore makumi mashanu kana kupfuura kunosangana nehuwandu hwepamusoro hwekufa kubva kuAlzheimer's disease.
Sources:
> Ballard, C., Orrell, M., YongZhong, et al. (2016). Kukanganisa kweAntipsychotic Review uye Nonpharmacological Intervention pamusoro peAntipsychotic Use, Neuropsychiatric Symptoms, uye Kufa kune Vanhu vane Dhementia Kurarama Mumisha dzevachengeti: A Factorial Cluster-Randomized Chirongwa Chine Utano uye Utano hwevanhu vane Dhementia (WHELD) Program. American Journal of Psychiatry , 173 (3), pp.252-262.
> Cereda, E., Pedrolli, C., Zagami, A., Vanotti, A., Piffer, S., Faliva, M., Rondanelli, M. naCaccialanza, R. (2013). Chirwere cheAlzheimer uye kufa kwezvizvarwa zvekugara kwenguva refu. Archives of Gerontology uye Geriatrics , 56 (3), mapeji 437-441.
> de Souto Barreto, P., Cadroy, Y., Kelaiditi, E., Vellas, B. uye Rolland, Y. (2017). Kufananidzira kwehutano hwemuviri-mass index pamusoro pekufa kune vakwegura vakuru vane dambudziko rekushaya hutano vanogara mumisha yevanamukoti. Clinical Nutrition , 36 (2), pp.423-428.
> Hicks, K., Rabins, P. uye Black, B. (2010). Zvinyorwa zvekufa muImba yevachengeti Vagari Vane Chido Chokuwedzera. American Journal yeAlzheimer's Disease & Other Dementiasr , 25 (5), pp. 439-445.
> Huang, T., Wei, Y., Moyo, P., Harris, I., Lucas, J. na Simon-Wastila, L. (2015). Kuratidzirwa Zviratidzo Zvokuita uye Kufa muMedare Inobatsira Muimba dzekuchengetedza dzimba dzine chirwere cheAlzheimer pamwe neDhementias Related. Nyaya yeAmerica Geriatrics Society , 63 (9), pp.1757-1765.
> Mitchell, S., Miller, S., uye al. (2010). The Advanced Dementia Prognostic Tool: A Score Risk to Estimate Survival In Home Nursing Vagari vane Advanced Dementia. Nhoroondo yeHurwa uye Chiratidzo Chekuita , 40 (5), pp.639-651.
> Seitz, D., Gill, S., Gruneir, A., et al .. (2014). Migumisiro yeDementia pamigumisiro yePostoperative yeVakuru Vakura neHura Fractures: Chidzidzo chevanhu. Nyaya yeAmerican Medical Directors Association , 15 (5), pp.334-341.