Sɛ wowɔ ɔwofo bi a ne mfe akɔ anim, nana, anaa wo dɔfo bi a ɔwɔ Alzheimer yare a, ebia woanya adwenemhaw mpofirim, ayɛ basaa, na abufuw. Ebia wobɛhaw wo nso sɛ wubehu sɛ wɔrekasa atia wɔn ho wɔn ho, wɔrebɔ wɔn nsa, na wɔrekyinkyin a wɔntra baabi biako. Ebia wobɛte nka nso sɛ wuntumi nyɛ hwee wɔ mmere te sɛ eyinom mu, na wuntumi nhu nea wobɛyɛ. Ɛnnɛ, yɛreka aduru bi a ebetumi aboa ma wɔadi saa nneyɛe yi so ho asɛm.
Dɛn ne saa basabasayɛ a ɛba wɔ Alzheimer yare mu yi?
Alzheimer yare no nyɛ yare bi a ɛma obi kae ade kɛkɛ. Nsakrae a ɛba amemene a ɛwɔ saa yare yi mu no nso betumi ama nsakrae kɛse aba obi nneyɛe mu. Basabasayɛ yɛ sɛnkyerɛnne atitiriw no mu biako.
Sɛ yɛbɛka no tiawa a, eyi ne nea ɛba:
- Sɛ́ wobɛka nsɛm a ɛyɛ basabasa: wobɛteɛteɛm bere nyinaa, adome afoforo.
- Honam fam basabasayɛ: afoforo a wobɛbɔ, piapia wɔn, nneɛma a wobɛtow agu wɔn so.
- Ahomegye: Pacing, ahomegye, ahomegye.
Saa tebea yi yɛ adwennwen kɛse ma ɔyarefo no ne wɔn a wɔte sɛ wo a wɔhwɛ no no. Wɔde nnuru ahorow adi dwuma fi tete de asiw suban a ɛte sɛɛ so. Nanso, asiane kɛse wom sɛ wobenya ɔhaw ahorow. Nanso, mprempren nnɛyi nnuru bi wɔ hɔ a wɔapene so ama saa atirimpɔw yi, a nsunsuanso bɔne kakraa bi na ɛwom. Rexulti yɛ nnuru a ɛte saa no mu biako.
Ɔkwan bɛn so na aduru a wɔfrɛ no Rexulti yi yɛ adwuma?
Rexulti yɛ awo ntoatoaso a ɛto so abiɛsa aduru a ekum adwene mu yare. Okay, so asɛmfua yi te sɛ nea ɛyɛ den kakra? Momma yɛmma ɛnyɛ mmerɛw.
Yɛn amemene nam nnuru a wɔfrɛ no neurotransmitters so di nkate, nneyɛe, ne nsusuwii ahorow so . Dopamine ne serotonin yɛ abɔfo atitiriw no mu abien. Wɔ Alzheimer yare mu no, saa abɔfo yi betumi ayɛ nea wontumi nkari pɛ. Rexulti yɛ adwuma denam boa a ɛboa ma dopamine ne serotonin dodow a ɛwɔ amemene no mu no san ba no so. Eyi betumi ama adwene ne nneyɛe atu mpɔn.
Ade a ɛho hia sen biara ne sɛ eyi nte sɛ nnuru dedaw, na esiane sɛ ɛne amemene mu nnuru yɛ adwuma yiye nti, asiane a ɛwɔ hɔ sɛ ebefi mu aba a emu yɛ den te sɛ wosow ne ntini a ɛyɛ den no sua.
Ɔkwan bɛn so na ɛsɛ sɛ mede saa aduru yi di dwuma?
Rexulti yɛ aduru a wɔde di dwuma pɛnkoro da biara. Wobetumi anom ansa na wɔadi anaasɛ wɔadi awie.
Mpɛn pii no, wo duruyɛfo no befi ase ama wo wɔ dodow a ɛba fam koraa so.. Afei, wɔde nkakrankakra ma dodow no kɔ soro a egyina sɛnea wo nipadua no yɛ n’ade, nnuru afoforo a wonom, ne sɛnea wo mmerɛbo ne w’asaabo reyɛ adwuma so. Dose a ɛsen biara a wɔde ma da biara no bɛyɛ miligram 3.
Nea ɛho hia sen biara ne sɛ wobɛnom aduru no wɔ bere a ɛfata mu, wɔ dodow a ɛfata mu, sɛnea wo duruyɛfo ka kyerɛ wo no. Sɛ wonom aduru no daa da biara a, ɛbɛma woanya nea eye sen biara. Ebetumi agye adapɛn kakraa bi anaa ɔsram biako ansa na aduru no ada ne nkɛntɛnso adi. Enti, nnyae sɛ wobɛfa no fã, nsusuw sɛ, "Nsonsonoe biara nni hɔ de besi nnɛ." Nnyae aduru no nom anaasɛ ɛnsesa dodow a wode ma no da a wonkɔ wo duruyɛfo nkyɛn.
Wobɛyɛ dɛn ahu sɛ aduru no reyɛ adwuma anaa?
Ebia wubehu nsakrae pa bi wɔ wo dɔfo no nneyɛe mu bere a woafi aduru no ase adapɛn kakraa bi akyi. Saa nsakrae yi bɛda adi nkakrankakra.
| Wobetumi ahu nsakrae pa |
|---|
| - a etew nteɛteɛm ne nnome mu. |
| - honam fam ahokeka a ɛso tew. |
| - a wode mmoa pii bɛma bere a worehwɛ abofra no (e.g., aduanma, aguare). |
| - a enya nkɔsoɔ bi wɔ nna mu. |
| - a woda anigyee adi se wobeka abusua anaase wode wo ho hye dwumadi afoforo mu. |
| - ne nyinaa mu no, ɛma ɛyɛ mmerɛw sɛ wɔbɛhwɛ ɔyarefo no. |
Bere tenten a ɛsɛ sɛ wonom saa aduru yi gu ahorow wɔ onipa biara mu. Ebia nnipa binom benya so mfaso wɔ bere tiaa bi mu. Ebia ɛho behia sɛ afoforo fa bere tenten. Wo duruyɛfo na obesi eyi ho gyinae. Sɛ woanhu nkɔso biara wɔ asram kakraa bi akyi a, ka ho asɛm kyerɛ wo duruyɛfo.
Nneɛma bɔne a efi mu ba ne sɛnea wobedi ho dwuma?
Te sɛ aduru biara no, Rexulti betumi de ɔhaw ahorow aba nnipa binom so. Nanso, ɛnyɛ obiara na onya bi. Ma yɛnhwɛ nneɛma bɔne a ɛtaa ba no bi ne nea wubetumi ayɛ wɔ ho.
| Nneɛma bɔne a ɛtaa ba | Sɛnea wobedi ho dwuma |
|---|---|
| Mu duru a ɛkɔ soro, nna a ɛyɛ den, adwenemhaw | Sɛnea ɛbɛyɛ a wubedi wo mu duru so no, di nhabannuru ne nnuaba pii. Yɛ apɔw-mu-teɛteɛ a ɛnyɛ den te sɛ nantew da biara da. Sɛ wote nka sɛ woada a, bisa wo duruyɛfo na nom nnuru ansa na woada anadwo. Sɛ wote nka sɛ wo ho ayɛ wo yaw a, nsɔre mpofirim mfi tenabea anaa da a wobɛda no mu. |
| Akathisia (ahomegye a wonni) . | Eyi betumi aba ntɛm wɔ ayaresa no mu. Ebia nantew ne apɔw-mu-teɛteɛ a emu nyɛ den bɛboa ma eyi so atew. To tii ne kɔfe ano hye efisɛ ebetumi ama saa nkɛntɛnso yi ayɛ kɛse. |
| Nsɛnkyerɛnne a ɛte sɛ atiridii | Mpɛn pii no, eyinom brɛ ase wɔ nna kakraa bi mu. Sɛ wɔkɔ so tra hɔ a, ka kyerɛ wo duruyɛfo. |
| Ano a ɛyɛ mmerɛw, akisikuru | Sɛ w’ano ayow a, nom nsu pii. Wobetumi asiw akisikuru ano denam nnuan a ahoɔdennuru wom a wobedi (akutu, kale, nnuaba) ne nsu pii a wɔnom so. |
Nea ɛho hia yiye: Nea ɛka ho no, sɛ wuhu sɛnkyerɛnne biara a emu yɛ den te sɛ atiridiinini kɛse, ntini a ɛyɛ den, adwene a ɛyɛ basaa kɛse, anaasɛ wo ho yɛ soronko a wuntumi nni so a, ka kyerɛ wo duruyɛfo ntɛm ara anaa kɔ ayaresabea a ɛbɛn wo no Dwumadibea a Ɛhwɛ Ntɛmntɛm (ETU) nkyɛn.
Nhwehwɛmu bɛn na ɛsɛ sɛ wɔyɛ bere a wɔreyɛ ayaresa no?
Sɛ wo duruyɛfo rekyerɛw saa aduru yi a, ebia ɔbɛhyɛ sɛ wɔnyɛ mogya mu nhwehwɛmu bi mfa nhwɛ nneɛma bi a ɛwɔ wo nipadua mu. Wɔyɛ eyi de hwɛ sɛ ebia aduru no fata wo ne sɛ ebia asiane wɔ hɔ sɛ ebefi mu aba anaa.
- Mu duru ne n’asen ntwemu: Wɔhwɛ sɛnea obi mu duru yɛ ansa na wɔasa no yare ne bere a wɔresa no yare.
- Complete Blood Count (CBC): Ɛhwɛ mogya mu nkwammoaa fitaa ne kɔkɔɔ dodow a ɛwɔ mogya no mu.
- Mogya mu nhwehwɛmu a wɔyɛ wɔ mmuadadi mu: Hwɛ srade ne asikre (mogya mu glucose anaa HbA1c) dodow.
- Mogya Nhyɛso: Hwɛ daa.
- AIMS sɔhwɛ: Eyi nyɛ sɔhwɛ, na mmom ɛyɛ nea oduruyɛfo no hwɛ. Ɛhwɛ sɛ nipadua no keka ne ho wɔ ɔkwan a ɛnteɛ so (tardive dyskinesia).
So eyi betumi ama wɔne nnuru afoforo adi nkitaho?
Yiw, eyi yɛ asɛm a ɛho hia paa. Nnuru afoforo bi a worenom betumi ama Rexulti no adwumayɛ akɔ soro anaasɛ ɛbɛtew. Sɛ wɔma nea etu mpɔn no yɛ kɛse a, asiane a ɛwɔ hɔ sɛ ebefi mu aba no yɛ kɛse. Sɛ ɛso tew a, aduru no rentumi nyɛ adwuma saa.
Sɛ nhwɛso no, nnuru bi a ekum fungal (sɛ nhwɛso no, fluconazole, ketoconazole), nnuru a ekum ɔyare mmoawa (sɛ nhwɛso no, clarithromycin), ne nnuru a ekum adwenemhaw (e.g., fluoxetine, paroxetine) betumi ahwehwɛ sɛ wɔyɛ nsakrae wɔ dodow mu bere a wɔde ka aduru yi ho no. Ebia ɔhaw ahorow nso wɔ nnuru bi a wɔde sa akisikuru (e.g., phenytoin) ho.
Enti, ka nnuru a wo dɔfo no renom nyinaa kyerɛ wo duruyɛfo. Eyi nkyerɛ sɛ ɛnyɛ Atɔe Famfo nnuru nko, na mmom Ayurveda nnuru, amanne kwan so nnuru, vitamin, nhabannuru, ne nea ɛkeka ho nso Eyi bɛboa oduruyɛfo no ma wayɛ ayaresa nhyehyɛe a ahobammɔ wom.
Nkrasɛm a Wɔde Kɔ Fie
- Suban a ɛhaw adwene a Alzheimer yare no de ba no yɛ asɛnnennen ma ɔyarefo no ne wɔn a wɔhwɛ no nyinaa, nanso ayaresa ahorow wɔ hɔ a wobetumi de adi dwuma.
- Rexulti (Brexpiprazole) yɛ aduru pɔtee bi a oduruyɛfo bi kyerɛw ma obi de siw tebea yi ano.
- Fa dodow a wɔakyerɛw ama wo no wɔ bere a wɔakyerɛw ama wo no mu sɛnea wo duruyɛfo kyerɛ no. Nnyae nnuru no nom anaasɛ nsakra dodow no esiane biribiara nti a wonkɔ wo duruyɛfo nkyɛn.
- Hwɛ nneɛma bɔne a efi mu ba no yiye. Sɛ wuhu sɛnkyerɛnne biara a ɛyɛ soronko anaasɛ sɛ nea efi mu ba no haw a, ka kyerɛ wo duruyɛfo ntɛm ara.
- Ɛho hia yiye sɛ wobɛka nnuru afoforo nyinaa (a Ayurvedic ne aduru a wɔde di dwuma wɔ amanne kwan so ka ho) a wo ɔyarefo no de redi dwuma no ho asɛm kyerɛ wo duruyɛfo.
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