Kushungurudzika muhutano hwekuora mwoyo , panguva yakajeka, kunowanzogadziriswa. Sezvo zviratidzo zvekuora mwoyo muhutano hwemararamiro zvichibatwa nekuderera, hupenyu hwomunhu hunowedzera.
Kuora mwoyo mune chirwere cheAlzheimer uye zvimwe zvinetso zvakakonzerwa zvinogona kurapwa uchishandisa nzira dzakawanda dzinowira mune rimwe remapoka maviri: kwete kushandiswa kwezvinodhaka uye mishonga.
Zvimwe zvinopindira zvinogona kuva zvakakosha kune mumwe munhu kupfuura imwe, asi zvisiri izvo zvinodhaka zvinowanzofanira kuedzwa vasati vaenderera kushandiswa kwemishonga.
Kwete-Mishonga Inosvika
Nzira dzakasiyana-siyana dzisiri yezvinodhaka dzakaratidza kubudirira mukurapa kuora mwoyo muhutano hwemweya. Kubatsirwa kwezvirevo izvi, kunze kwekunatsiridza mafungiro, zvinosanganisira kusabatwa kwemigumisiro uye kushandiswa kwemishonga, pamwe chete nekukwanisa kugadziridzwa kugadziriswa uye kuwedzerwa muviri uye mupfungwa.
Zvibereko zvekurovedza muviri kwekutambudzika kune zvakawanda. Kubva pakuvandudza mararamiro ekuzviremekedza uye kurara kuwedzerwa simba remhepo, kurovedza muviri kunogona kubatsira vanhu vane dhementi. Sezvakawedzerwa kubatsirwa, kumwe kutsvakurudza kwakaratidza kuti muviri wekurovedza muviri unogonawo kugadzirisa kusangana kwemagariro kune avo vane demoentia.
Kune vamwe vanhu, chikamu chekuora mwoyo ndekushaikwa kwechinangwa.
Kupa vanhu mukana wekuita chimwe chinhu chakakosha kwavari uye kufanana nezvinodiwa navo kunogona kuva kurapa kwehupenyu hwavo hwepfungwa nehutano.
Boka Music Therapy
Imwe tsvakurudzo yakaitwa nevanhu vakwegura avo vakaonekwa kuti vane kuora mwoyo uye kuora mwoyo kwakawana kuti kuora mwoyo kwakaderera mushure memasangano emakamu ekurapa.
Kuwedzeresa, kuwedzera kunonzwisisika mukugunun'una-kunyanya mukukwanisa kwenguva pfupi yekuyeuka -kwakanyatsotaurwawo zvichitevera miviri yechirongwa chechiremba.
Kuwedzera Maitiro kuZuva
Kuva netsika uye purogiramu yezuva kunogona kukurudzira kunzwa kwekutonga kuvanhu. Uyezve, chirongwa chepfungwa chinenge chakaitwa semutambo kana kirasi inogona kupa chimwe chinhu chaunotarisira mukati mezuva. Kune avo vane pakati pematsetse emagariro evanhu, dzimwe nguva chimiro chesimba rekuchengetedza zuva rinogona kubatsira.
Kupa mazano kune mumwe nomumwe
Kunyanya kune avo vari mumatanho ekutanga ekutenda pfungwa, kurapa kurapa kunogona kubatsira. Panogona kuva nemanzwiro ekusuwa uye kurasikirwa mushure mekutsvaga kwekutsvaga kwema dementia, uye kupa mazano kunogona kubatsira mumwe mukugadzirisa manzwiro aya uye mukukudziridza nzira dzekutarisana nedambudziko rekushaya mungozo.
Social Interaction
Vamwe vanhu vane chirwere chekuita nehutano hwemararamiro vanowanzozviparadzanisa ivo, izvo zvinogona kuwedzera mukana wekuvandudza kuora mwoyo kana kuwedzeredza mafungiro akave ari pasi. Kunyangwe kushamwaridzana kwekugara kwevanhu kunogona kuve kuneta kune vamwe vanhu vakaora mwoyo, mafungiro akanaka evanhu vanogona kubatsira uye kukurudzira avo vane demoenti uye kuora mwoyo.
Support Groups
Mapoka ekutsigira anogona kubatsira kune vanhu vari kurwisana nekugadziriswa kwekutsvaga kwekutsvaga kwemaonero evanhu.
Dzimwe nguva, zvinogona kukurudzira kunzwa kune vamwe kuti vari kurarama sei nezvinetso zvekuora mwoyo kwemweya. Kuwirirana nevamwe vari muboka kunogonawo kuderedza manzwiro okusurukirwa uye kuparadzana.
Mishonga
Kunyange zvazvo dzimwe tsvakurudzo dzichibvunza kubudirira kwemishonga yekurwisa zvinodhaka, zvirwere zvinodhaka zvinowanzoshandiswa kune vanhu vari kurwara nekuora mwoyo muhutano hwemweya.
Sarudzo yeSerotonin Reuptake Inhibitors (SSRIs) isirasi yemishonga inodzvinyirira iyo inogara yakanyorerwa vanhu vane demoentia vanoratidza zviratidzo zvekuora mwoyo. SSRI inowanzova nemigumisiro shoma uye inopera mukana wokubatana nemamwe mishonga iyo vanhu vangave vachitora.
Iyi mishonga inogonawo kubatsira kune vamwe vanhu vane zviratidzo zvekuzvidya mwoyo. Dzimwe dzinonzi SSRIs dzinosanganisira citalopram HBr (Celexa), sertraline (Zoloft), escitalopram (Lexapro), uye fluoxetine (Prozac).
Chirwere chinopesana nemishonga chinodzvinyirira chinogona kuwanzirwa kune vanhu vane dambudziko rekuora mwoyo uye kuora mwoyo mirtazapine (Remeron). Remeron inogona kuva nemigumisiro yechiratidzo yekukurudzira chido, naizvozvo mishonga iyi inogona kushandiswa kana kuora kwekuora uye kuora mwoyo kunoonekwa.
Uyezve, mamwe anodzvinyirira akadai se trazodone (Deseryl) anogona kubatsira kubatsira kurara pamwe nekubata zviratidzo zvekuora mwoyo.
Zvakakosha kuyeuka kuti mishonga imwe neimwe ine migumisiro yechirwere uye inoshanda zvakasiyana nevanhu vakasiyana-siyana. Kunyange zvazvo zvimwe zvikamu zvinogona kuve zvakanaka, zvakadai sokubatsira mumwe munhu kurara zviri nani usiku kana kuti kukurudzira chido chavo masikati, vamwe vanogona kukonzera kuwedzera kuvhiringidzika, kuwira uye kushandiswa kwemishonga . Tsvaga chiremba wako kana une mibvunzo pamusoro pekushandiswa kwemishonga yekurapa kuora mwoyo mukati memoyo.
Shoko Rinobva
Kuora mwoyo kune vanhu vanorarama nehutano hwemararamiro hachisiwo kazhinji, asi pane dzimwe nzira dzisina-pharmacologic uye mishonga inogona kubatsira kuvandudza hupenyu hwehupenyu. Iva nechokwadi chekushuma manzwiro kana kuonekwa kwekuora mwoyo kune chiremba kuitira kuti ukurukure zvakakosha kurapwa uye kutsigirwa.
Sources:
Alzheimer's Association. Kuora mwoyo uye Alzheimer's. > https://www.alz.org/care/alzheimers-dementia-depression.asp
American Academy of Neurology. Ko, maSRRIs ekudengenyeka mune varwere neDementia inodzorerwazve here?
Annals of Long-term Care. 2009 February 2; 17 (2): 29-36. Mishonga yekudzvinyirira mune vanhu vakwegura neDhementia. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3147175/
> Chu, H., Yang, C., Lin, Y., Ou, K., Lee, T., O'Brien, A. uye Chou, K. (2013). The Impact of Group Music Therapy on Depression and Cognition in Older Persons With Dementia: A Randomized Controlled Study. Tsvakurudzo yezvinyorwa zvekurapa, 16 (2), mapeji 209-217.
Yunivhesiti yeTexas. Kurapa Kwekuora Mwoyo muvarwere neDementia. www.utexas.edu/pharmacy/divisions/pharmaco/.../bassinger05-04-12.pdf