Yog tias koj muaj ib tug neeg hauv koj tsev neeg uas raug kev txom nyem los ntawm Alzheimer 's Disease, txawm tias nws yog koj niam, txiv, pog, lossis phauj, tej zaum koj paub tias lawv maj mam tsis nco qab tej yam. Qhov ntawd yog cov tsos mob tseem ceeb ntawm tus kab mob no. Tab sis, ntxiv rau qhov poob lawv lub cim xeeb, koj yuav tau pom cov kev hloov pauv loj hauv lawv tus cwj pwm. Qee zaum lawv tsis so, npau taws, tu siab, lossis tsuas yog taug kev ib puag ncig thaum hmo ntuj tsis tau pw tsaug zog. Thaum koj pom cov no, koj yuav tsum tu siab heev. Hnub no peb tab tom tham txog kev kho mob ntxiv, lossis "Kev Kho Mob Ntxiv", uas tau muab rau cov teeb meem kev coj cwj pwm thiab kev puas siab puas ntsws uas tshwm sim ntxiv rau kev poob nco hauv Alzheimer's tus kab mob.
Hais yooj yim xwb, thaum tus kab mob Alzheimer ua rau cov hlwb hlwb puas tsuaj, nws tsis yog tsuas yog cuam tshuam rau kev nco xwb tab sis kuj cuam tshuam rau cov feem uas tswj peb tus cwj pwm. Qhov no yog vim li cas cov teeb meem no tshwm sim.
- Kev ntxhov siab
- Kev Ua Phem
- Kev ntxhov siab
- Kev ntseeg tej yam uas tsis muaj tiag (kev ntseeg tej yam uas tsis muaj tiag)
- Kev Nyuaj Siab
- Pom tej yam uas tsis pom los yog hnov tej yam uas tsis pom (Hallucinations)
- Tsis tsaug zog
- Kev tsis so
Cov tsos mob no tuaj yeem ua rau tus neeg mob thiab rau koj, tus neeg saib xyuas koj ntxhov siab heev. Cov kws kho mob feem ntau pom zoo kom koj sim tswj cov tsos mob no ua ntej los ntawm kev hloov pauv hauv lub neej thiab kev kho tus cwj pwm ua ntej siv tshuaj. Koj yuav tsum xub txiav txim siab seb puas muaj lwm yam ua rau muaj kev hloov pauv hauv tus cwj pwm (piv txwv li, kev kis kab mob, teeb meem pom kev lossis hnov lus, lossis kev phiv ntawm lwm yam tshuaj).
Tiam sis qee zaum tshuaj yog qhov kev xaiv zoo tshaj plaws. Ntau cov tshuaj uas peb tab tom tham txog ntawm no tsis tau pom zoo tshwj xeeb rau tus kab mob Alzheimer. Cov kws kho mob sau cov tshuaj no "tsis muaj daim ntawv lo." Ntawd yog, cov tshuaj uas tau pom zoo rau lwm yam mob (xws li kev nyuaj siab) raug muab vim tias tus kws kho mob qhov kev paub qhia tias nws kuj tseem yuav tsim nyog rau cov teeb meem kev coj cwj pwm ntawm tus neeg mob Alzheimer.
Cov khoom pab pw tsaug zog
Muaj ntau tus neeg muaj teeb meem pw tsaug zog thaum lawv laus zuj zus.Nws tshwm sim. Tab sis nws feem ntau tshwm sim ntawm cov neeg mob Alzheimer's. Vim yog kev hloov pauv ntawm lub hlwb, lawv sawv ntau zaus thaum hmo ntuj thiab nkees thaum nruab hnub.
Qhov tseem ceeb tshaj plaws yog sim pw tsaug zog yam tsis siv tshuaj, es tsis txhob siv tshuaj pw tsaug zog. Vim tias cov tshuaj pw tsaug zog uas muab rau cov neeg mob Alzheimer's qee zaum tuaj yeem ua rau muaj kev phom sij.
Tsuas yog tias kev hloov pauv hauv lub neej tsis pab koj tsaug zog, thiab kev tsis tsaug zog thaum hmo ntuj yog qhov teeb meem heev, koj tus kws kho mob yuav sau ntawv kom noj tshuaj zoo li no:
- Suvorexant (Belsomra): Qhov no yog tib yam tshuaj uas tau pom zoo los ntawm US FDA rau cov teeb meem pw tsaug zog uas cuam tshuam nrog tus kab mob Alzheimer. Nws yog ib pawg tshuaj hu ua "Orexin inhibitors." Hais yooj yim, nws ua haujlwm los ntawm kev thaiv cov tshuaj hauv peb lub hlwb uas qhia tias "nws yog lub sijhawm sawv." Txawm li cas los xij, cov tshuaj no tuaj yeem ua rau muaj kev phiv xws li kev taug kev pw tsaug zog, kev nyuaj siab, thiab kev tsaug zog thaum nruab hnub.
- Lwm Cov Tshuaj Tswm Cem: Koj tus kws kho mob yuav sau ntawv kom koj noj lwm cov tshuaj pw tsaug zog, xws li 'Eszopiclone (Lunesta)' lossis 'Zolpidem (Ambien).' Txawm li cas los xij, kev noj cov no tuaj yeem ua rau koj ua tej yam txawv txawv thaum koj pw tsaug zog (xws li noj mov lossis tsav tsheb thaum koj pw tsaug zog). Lawv kuj tseem tuaj yeem ua rau koj tsis meej pem thaum nruab hnub, tsis nco qab, thiab muaj feem yuav poob koj qhov sib npaug thiab ntog.
Tseem ceeb heev: Cov tshuaj pw tsaug zog tsuas yog siv rau lub sijhawm luv tshaj plaws xwb . Lawv tuaj yeem ua rau koj kiv taub hau thiab yooj yim tsaug zog. Thaum koj tus cwj pwm pw tsaug zog rov qab mus rau qhov qub, koj yuav tsum tham nrog koj tus kws kho mob thiab sim tsis txhob noj lawv.
Tsis tas li ntawd xwb, qee cov tshuaj pw tsaug zog (muaj cov tshuaj antihistamines, piv txwv li diphenhydramine) uas koj tuaj yeem yuav tau ntawm cov khw muag tshuaj tsis haum rau cov neeg mob Alzheimer li . Lawv tuaj yeem cuam tshuam kev sib txuas lus ntawm cov hlab ntsha hauv lub hlwb, ua rau lub cim xeeb thiab kev xav tsis zoo.
Cov Tshuaj Antidepressants & Cov Tshuaj Tiv Thaiv Kev Ntxhov Siab
Kev nyuaj siab kuj yog ib qho uas tshwm sim ntau heev nrog tus kab mob Alzheimer. Yuav kom tus neeg mob lub siab zoo dua, tus kws kho mob yuav sau ntawv kom noj cov tshuaj antidepressants. Cov tshuaj no tsis yog tsuas yog pab tau rau kev nyuaj siab xwb, tab sis kuj pab tau rau kev ntxhov siab, teeb meem pw tsaug zog, kev ntxhov siab, thiab kev pom kev tsis tseeb.
| Hom tshuaj | Piv txwv |
|---|---|
| Cov Tshuaj SSRIs (Cov Tshuaj Xaiv Serotonin Rov Qab Los) (Cov tshuaj siv ntau, muaj kev nyab xeeb) | Cov tshuaj no muaj xws li Citalopram (Celexa), Sertraline (Zoloft), Escitalopram (Lexapro) |
| Cov tshuaj Serotonin-Noradrenaline Reuptake Inhibitors (SNRIs) | Venlafaxine (Effexor), Duloxetine (Cymbalta) |
| Cov Tshuaj Antidepressants Atypical | Mirtazapine (Remeron), Trazodone (Desyrel) |
Ceeb Toom: Cov tshuaj antidepressants qub dua, xws li tricyclic antidepressants (piv txwv li, amitriptyline) thiab SSRIs xws li paroxetine (Paxil), tsis pom zoo rau cov neeg uas muaj tus kab mob Alzheimer's. Lawv tuaj yeem ua rau lub cim xeeb thiab kev xav tsis zoo.
Qee zaum cov kws kho mob sau ntawv kom noj cov tshuaj luv luv hu ua benzodiazepines (piv txwv li, Lorazepam (Ativan), Diazepam (Valium)) los kho kev ntxhov siab, kev tsis so, thiab kev coj cwj pwm nruj. Txawm li cas los xij, cov no kuj tuaj yeem ua rau tsaug zog, kiv taub hau, tsis meej pem, thiab muaj feem ntau dua ntawm kev ntog.
Cov tshuaj tiv thaiv kev puas siab puas ntsws (tshuaj rau kev ntxhov siab hnyav thiab teeb meem kev puas siab puas ntsws)
Qee qhov teeb meem kev coj cwj pwm uas tshwm sim nrog tus kab mob Alzheimer's tuaj yeem ua rau tus neeg mob lossis lawv cov neeg saib xyuas muaj kev phom sij. Piv txwv li, kev ua phem heev, sim ua rau lawv tus kheej lossis lwm tus raug mob, thiab pom lossis hnov tej yam uas tsis muaj. Hauv cov xwm txheej zoo li no, cov tshuaj tiv thaiv kev puas siab puas ntsws yuav raug siv ua qhov kawg, yog tias tsis muaj lwm txoj kev xaiv .
Cov tshuaj no yuav tsum tau siv nrog kev ceev faj heev, nyob rau hauv kev saib xyuas ze ntawm tus kws kho mob. Vim tias qhov kev pheej hmoo yuav ntau dua li qhov zoo, cov kws tshaj lij pom zoo kom siv lawv tsuas yog thaum tsis muaj lwm txoj kev xaiv ua haujlwm.
Ua ntej pib noj tshuaj no,
- Tsim kom muaj ib puag ncig uas nyob ntsiag to
- Siv rau ib txoj kev ua neej niaj hnub
- Koom nrog kev ua ub ua no
Koj yuav tsum sim ua tej yam zoo li ntawd.
Cov tshuaj tiv thaiv kev puas siab puas ntsws (piv txwv li, Risperidone (Risperdal)), Quetiapine (Seroquel), Olanzapine (Zyprexa)) yog siv los ua cov hauv qab no:
- Yog tias tus neeg mob nyob rau hauv qhov xwm txheej uas yuav ua rau lawv tus kheej lossis lwm tus muaj kev phom sij.
- Yog tias qhov teeb meem tus cwj pwm ua rau nws tsis tuaj yeem muab kev kho mob tsim nyog.
- Yog koj muaj lwm yam kab mob hlwb (piv txwv li, schizophrenia ) ntxiv rau tus kab mob Alzheimer's.
Hauv cov tshuaj noMuaj ib qho kev pheej hmoo loj heev. Qhov ntawd yog, nws ua rau muaj kev pheej hmoo ntawm kev mob stroke thiab kev tuag rau cov neeg laus uas muaj tus kab mob Alzheimer's. Tsis tas li ntawd, lawv ua rau tsaug zog heev thiab ua rau muaj kev pheej hmoo ntawm kev ntog. Tsis tas li ntawd, qee qhov ntawm lawv tuaj yeem tawm tsam qhov kev ua ntawm cov tshuaj uas txhim kho kev nco thiab kev xav hauv tus kab mob Alzheimer's, txo qhov txiaj ntsig ntawm cov tshuaj ntawd.
Lwm yam kev kho mob ntxiv
Ntxiv rau cov tshuaj uas tau hais los saum toj no, qee zaum lwm cov tshuaj kuj raug siv "tsis muaj daim ntawv lo" (off-label).
- Cov tshuaj Anticonvulsants: Cov tshuaj Antiepileptic xws li Carbamazepine thiab Gabapentin qee zaum siv los tswj kev ntxhov siab rau cov neeg mob Alzheimer's.
- Cov tshuaj tiv thaiv kab mob Parkinson: Qee cov tshuaj siv los kho tus kab mob Parkinson tab tom raug kawm kom pom tias lawv puas tuaj yeem pab nrog cov tsos mob Alzheimer.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kab mob Alzheimer's tsis yog hais txog kev tsis nco qab xwb. Cov teeb meem kev coj cwj pwm thiab kev puas siab puas ntsws uas los nrog nws kuj yog ib feem ntawm tus kab mob no.
- Ua ntej yuav siv tshuaj kho cov teeb meem no, nco ntsoov sim ua tej yam uas tsis siv tshuaj xws li tsim kom muaj ib puag ncig uas nyob ntsiag to, ua neej niaj hnub, thiab hais lus zoo thiab muaj kev hlub .
- Yuav luag txhua yam tshuaj uas tau hais hauv tsab xov xwm no muaj cov kev mob tshwm sim loj heev thiab muaj kev pheej hmoo. Tsis txhob pib lossis tsum tsis txhob noj yam tsis tau kev qhia los ntawm kws kho mob.
- Yog koj pom tus neeg mob tus cwj pwm hloov pauv sai sai, tej zaum yuav muaj lwm yam ua rau lub cev (piv txwv li, muaj kab mob hauv txoj hlab zis). Yog li, ua ntej mus ntsib koj tus kws kho mob thiab tham txog qhov ntawd.
- Kev saib xyuas tus neeg koj hlub yog ib txoj haujlwm uas xav tau kev pab ntau. Yog li ntawd, saib xyuas koj txoj kev noj qab haus huv ntawm lub hlwb thiab. Tsis txhob yig thov kev pab yog tias koj xav tau.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus