Yu go mɔs dɔn notis se yu granpa ɛn granma dɛn we dɔn ol kin biev difrɛn we smɔl na ivintɛm. Sɔmbɔdi we bin de fayn insay di de kin bigin fɔ wɔri, vɛks, ɔ sɔri wantɛm wantɛm we di san de go dɔŋ. Dis na tin wae kin apun to bɔrku pipul, mɔr di wan dɛm wae nɔr kin mɛmba ɔltɛm. Tide wi go tɔk bɔt wan sik we dɛn kɔl "Sundown Syndrome."
Wetin na Sundowning? ``Sɔndɔwn`` ɔ ``Sɔndɔwn Sindrom``?
Fɔ tɔk am simpul wan, wae di san de go dɔŋ na wae pipul dɛm wae gɛt Alzaima sik ɔr ɔda dis maynia sik (wan tin wae kin chenj smɔl smɔl aw dɛn de mɛmba, aw dɛn de tink, ɛn aw dɛn de biev) kin gɛt chenj na dɛn bihayvya, aw dɛn de tink, ɛn aw dɛn de fil as di de de go ɔr as di san de go dɔŋ. Dis na di rizin we mek dɛn kɔl am "sundowning." Bɔt dis kayn kɔnfyushɔn, ɔ delirium lɛk aw dɔktɔ dɛn kin kɔl am, kin apin sɔntɛnde ɛni tɛm pan di de. Bɔt i kin apin mɔ na ivintɛm.
Dɛn kin kɔl dis bak "let-de kɔnfyushɔn." Dɛn se lɛk 20% pan di pipul dɛm wae gɛt Alzaima sik go gɛt dis sik sɔm tɛm na dɛn layf.
Us bihayvya ɛn filin wae yu kin si pan dis kayn pwɛl hat sik?
Sɔm pan di bihayvya dɛm we dɛn kin si we di san de go dɔŋ kin bi fɔ da tɛm de. Semweso, sɔm kayn bihayvya wae yu kin si ɛnitɛm pan pɔrsin wae gɛt dis maynia sik kin de mɔr dis tɛm. Lɛ wi tek tɛm luk wetin na dɛn kwaliti dɛn ya.
Di we aw pɔsin kin biev we pɔsin kin si:
- Pacing: Fɔ muv rawnd we yu nɔ de na wan ples.
- Rɔk: Rɔk bak ɛn go bifo we yu sidɔm na wan ples.
- Wandering: Fɔ waka we yu nɔ tink bɔt usay yu go go . Yu kin ivin lɔs.
- Vaylɛns: Tin dɛn lɛk fɔ vɛks wantɛm wantɛm ɛn wev yu an ɛn yu fut.
- Shadowing: Fɔ fala di pɔsin we de kia fɔ yu ɛnisay we dɛn go.
- Kray fɔ natin: Fɔ bigin kray ivin we yu nɔ fil bad.
- Inshɔmnia: Nɔ kin ebul fɔ slip na nɛt.
- Yelling: Fɔ bigin fɔ ala wantɛm wantɛm.
Di tin dɛn we pɔsin kin fil:
Apat frɔm dɛn kayn we ya, dɛn kin gɛt difrɛn filin dɛn bak.
- Sɔri-at
- Wɔri
- Fred
- Agiteshɔn
- We pɔsin nɔ de rɛst
- Di we aw pɔsin kin vɛks
Di tin dɛn we pɔsin kin tink bɔt:
Sɔntɛnde, dis kayn tin kin mek dɛn tink lɛk dis:
- Kɔnfyus
- Fɔ sɔprayz ɔda pipul dɛn we nɔ nid (Paranoia) .
- Fɔ si ɔ yɛri tin dɛm wae nɔr rial, delusion ɛn hallucinations
Wetin de mek dis tin wɔs?
Di men rizin we mek we di san de go dɔŋ kin wɔs na we pɔsin nɔ de slip fayn . Dat min se, nɔ fɔ slip fayn na nɛt. Apat frɔm dat, dɔktɔ dɛn se sɔm ɔda rizin dɛn de we kin mek dis sik wɔs. Lɛ wi si wetin dɛn bi:
- Disrɔpshɔn pan wi bɔdi in natura slip-wek saykl (Circadian rhythms): Tink bɔt am, wi gɛt natura klok na wi bɔdi. Na wetin de mek wi wek na de ɛn slip na nɛt. Dɛn prɔblɛm dɛn ya kin apin we dɛn ambɔg dis klok.
- Nɔr kin slip ɔr ɔda kayn prɔblɛm wae kin kam wit slip: Prɔblɛm wae kin kam pan slip lɛk wae yu nɔr kin ebul fɔ slip na nɛt ɔr yu kin gɛt prɔblɛm fɔ blo.
- Infεkshכn na di bכdi: fכ egzampl, sכmtin lεk infεkshכn na di urinary tract.
- Di wata we nɔ de na di bɔdi.
- Di sayd ɛfɛkt dɛn we sɔm mɛrɛsin dɛn kin gɛt.
- Nɔ ebul fɔ ɔndastand di difrɛns bitwin di rial wɔl ɛn drim.
- Ɔda sik dɛn we pɔsin kin gɛt na in bɔdi.
- Fɔ gɛt pen na yu bɔdi.
- Taya/taya ɔl di de.
- di maynd de fכs pan bכku tin dεm tru di de, we de mek di maynd lכs in rεst (Overstimulation).
- Low layt na di os na ivintɛm.
Imajin, wi grani bin spɛn di wan ol de bifo di TV, de tɔk to bɔku pipul dɛn, ɛn we di layt dak na ivintɛm, wantɛm wantɛm i nɔ kin ebul fɔ ɔndastand di tin dɛn we de arawnd am ɛn i kin wɔri. Dis na jɔs wetin kin apin.
Aw lɔng dis tin go las?
Bɔrku tɛm, di Sundown Syndrome kin bigin na di midul to let stej fɔ Alzaima sik . I kin kɔntinyu fɔ de as lɔng as di trig dɛn we wi dɔn tɔk bɔt de.
Aw wi kin ɛp/trit dis kɔndishɔn we di san de go dɔŋ?
Di bɛst tin fɔ du na fɔ fɛn di ɔndalayn trig ɛn trit am. Bɔt ɔda we dɛn de fɔ ridyus di sayn dɛm fɔ dis sik.
Tin dɛn we yu kin du we yu nɔ tek mɛrɛsin:
Dis na di tin dɛn we yu fɔ tray fɔs:
- Layt tɛrapi: If wi de nia brayt layt insay di de, sɔntɛnde wi kin yuz spɛshal layt, dat kin ɛp fɔ mek wi ritm dɛn we wi de du ɔltɛm.
- Miusik tɛrapi: Fɔ mek dɛn lisin to ol siŋ dɛm we de mek dɛn maynd kol ɛn we dɛn lɛk.
- Di chenj dɛn we de apin na di envayrɔmɛnt:
- Kip tin dɛn we yu sabi , lɛk famili foto dɛn, na say we dɛn go si dɛn. Dis go mek di kɔnfyushɔn we de na dɛn maynd nɔ bɔku.
- Mek shɔ se dɛn rum gɛt layt fayn fayn wan insay di de. Mek di rum dak na nɛt we dɛn de slip.
- If yu pɔsin we yu lɛk wɛr glas ɔ tin fɔ yuz fɔ yɛri, kip am usay i izi fɔ rich . Dɛn kin wɔri se dɛn nɔ go ebul fɔ si ɔ yɛri fayn.
If nid de, us mɛrɛsin dɛn kin gi?
Sɔntɛnde, dɔktɔ dɛn kin gi dɛn mɛrɛsin fɔ kɔntrol dɛn abit ɛn filin ya.
- Mɛrɛsin dɛn we de mek pɔsin nɔ fil bad
- Mɛrɛsin dɛn we de mek pɔsin nɔ wɔri
- Antisaykotiks: Yu nid fɔ tek tɛm bad bad wan we yu de yuz dɛn tin ya, bikɔs if yu yuz dɛn fɔ lɔng tɛm, dat kin mek yu gɛt prɔblɛm dɛn lɛk strok .
- Melatonin fɔ ɛp yu fɔ slip: Dis na ɔmon we de ɛp yu fɔ slip.
Di tin we impɔtant pas ɔl na dat, dɛn fɔ jɔs yuz ɔl dɛn mɛrɛsin ya ɔnda dɔktɔ in advays.
Na sɔm tin dɛn ya we go ɛp yu fɔ kia fɔ di pɔsin we sik na nɛt:
If na yu de kia fɔ yu pɔsin we yu lɛk, tray dɛn tin ya fɔ ɛp dɛn fɔ slip fayn na nɛt:
- Kip dɛn bedrum kwayɛt ɛn nɔ gɛt nɔys . Ɔf lawd nɔys dɛn lɛk TV ɛn redio.
- Put sɔm myuzik we nɔ gɛt wanwɔd ɛn we saf .
- Rid dɛn wan buk .
- Engage in wan simpul aktiviti – it smɔl snek togɛda, du wan izi pazl, ɔ wach wan TV sho we dɛn lɛk.
- Mek yu gɛt gud abit fɔ slip (slip hygiene): Go slip di sem tɛm ɛn na di sem ples ɛvride.
Di bɛst we fɔ ɛp di pɔsin we yu lɛk na fɔ no di rayt tin we de mek dɛn biev. Fɔ ɛgzampul, if dɛn nɔ ebul fɔ slip na nɛt, i kin bi bikɔs dɛn dɔn tu bizi ɔl di de ɛn dɛn nɔ gɛt chans fɔ rɛst. If na so i bi, di tritmɛnt kin bi fɔ mek dɛn de simpul, plan dɛn de arawnd smɔl pipul dɛn, ɛn nɔ gɛt bɔku nɔys.
Wetin dɛn kin du fɔ mek di san nɔ go dɔŋ ɔ fɔ mek di san nɔ go dɔŋ?
Bɔku tin dɛn de we yu kin du fɔ mek di san nɔ go dɔŋ ɛn fɔ mek di sik nɔ bad. Tray dɛn tin ya:
- Si if di pɔsin we yu lɛk kin slip ɔl di nɛt .
- Nɔ gi drink dɛn we gɛt kafinɛ (lɛk kɔfi ɛn ti) afta yu it brɛf.
- Nɔ gi wi rɔm.
- Gi dɛn bɔku san layt insay di de. Siddon dɛn nia winda, ɔ kɛr dɛn go na do fɔ smɔl tɛm if i pɔsibul.
- Mek dɛn du sɔm ɛksesaiz ɛvride. Ivin fɔ waka fɔ shɔt tɛm go du.
- If yu fɔ slip insay di de, stɔp fɔ slip fɔ shɔt tɛm, ɛn du am ali di de .
- Plan fɔ du sɔm tin dɛn ɔl di de, bɔt nɔ fɔ du am pasmak. Yu maynd nid fɔ rɛst bak.
Ustɛm a fɔ go to dɔktɔ bɔt dis?
As yu bigin fɔ notis di sayn dɛm fɔ Sundowning, i bɛtɛ fɔ go to dɔktɔ kwik kwik wan fɔ mek yu gɛt tritmɛnt plan. Si yu famili dɔktɔ, ɔ go to dɔktɔ we de mɛn pipul dɛn we dɔn ol .
Mɛmba se, di pɔsin we yu lɛk we gɛt Daun sindrom nɔ go ebul fɔ tɛl yu bɔt ɛni prɔblɛm ɔ pen we dɛn de gɛt (fɔ ɛgzampul, pen we dɛn gɛt frɔm di urinary tract infection). So, yu fɔ bi di wan we go tɔk to di dɔktɔ fɔ dɛn ɛn ɛp dɛn fɔ du di tɛst dɛn we dɛn nid.
Yu tink se Sandawini kin kam bak to di wan dɛm we nɔ gɛt Alzaima sik?
Yɛs. Pan ɔl we Daun sindrom kin bɔku pan pipul dɛm wae gɛt Alzaima ɛn dis maynia sik, e kin apun to ɔda ol pipul dɛm bak .
Dis kin apin na mɔnin bak?
Nɔto ɔlman wae kin gɛt di sem kayn sik ɔr kin gɛt di sem kayn sik. Fɔ sɔm pipul dɛn, dis kayn we aw dɛn nɔ kin rɛst kin apin na mɔnin instead na ivintɛm.
I impɔtant fɔ tek kia ɔf yusɛf bak!
Fɔ kia fɔ pɔrsin wae gɛt dis maynia sik ɔr Alzaima sik kin tranga. If yu pɔrsin wae yu lɛk gɛt dis maynia sik bak, dɛn filin ya kin tranga pasmak. Bɔt sɔm tin dɛn de we yu kin du fɔ ɛp fɔ ridyus di sayn dɛm fɔ dis maynia sik (chenj na yu say, sɔm mɛrɛsin dɛm). Sɔpɔt grup dɛn de bak wae kin ɛp pipul dɛm wae de kia fɔ pipul dɛm wae gɛt Alzaima. If yu de tray tranga wan fɔ bia wit di prɔblɛm, duya tray fɔ ɛp yu. Yu nɔ nid fɔ dil wit dɛn tin ya yu wan.
So, na di impɔtant tin dɛn we wi fɔ mɛmba:
- Sundown Syndrome na wan sayn fɔ sik lɛk dis maynia sik, nɔto wan ɔda sik.
- I rili impɔtant fɔ tray fɔ no sɔm patikyula tin dɛn we kin mek pɔsin gɛt dis sik.
- Yu fɔ tray fɔs fɔ kɔntrol dis sik wit we dɛn we nɔ de tek mɛrɛsin .
- I rili impɔtant fɔ go to dɔktɔ, mɔ if yu de tek mɛrɛsin.
- E fayn fɔ kia fɔ yusɛf ɛn fɛn ɛp fɔ yusɛf, ɛn bak fɔ kia fɔ di pɔsin we sik. Na if yu wɛl nɔmɔ yu go ebul fɔ kia fɔ di pɔsin we yu lɛk gud gud wan.
A op se dis infɔmeshɔn go ɛp yu. If yu gɛt ɛni ɔda kwɛstyɔn, nɔ shem fɔ tɔk to dɔktɔ.
`Sundown syndrome, dementia, Alzheimer’s, kia fɔ ol pipul dɛm, nɔr kin rεst, nɔr kin slip fayn, nɔr kin mɛmba fayn
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