I hmangaih tak chu tlai lamah a lungkham em? Sundown Syndrome chungchang hi han sawi ila!

I pi leh pute tar tawhte hian tlai lamah an che danglam deuh tih i hre tawh ngei ang. Chhun lama dam tawh tu emaw chu ni tlak rualin a lungkham a, a thinrim a, a lungngai bawk. Hei hi mi tam tak, a bik takin hriatrengna lama harsatna nei te chunga thleng thin a ni. Vawiin hian "Sundown Syndrome" tih natna pakhat kan sawi dawn a ni.

Sundowning tih hi eng nge ni? ``Ni tlak`` nge ``Ni tlak Syndrome``?

A awlsam zawngin, ni tlak hi Alzheimer natna emaw, dementia dang emaw (hriatrengna, ngaihtuahna leh nungchang tidanglam zauh zauh) vei te chuan ni a lo kal zel emaw, ni a tla emaw chuan an nungchang, ngaihtuahna leh rilru put hmang a inthlak danglam thin hi a ni. Hei vang hian "sundowning" an ti a ni. Mahse, he buaina dinhmun, doctor-te’n an tih angin delirium hi a chang chuan nitin engtik lai pawhin a thleng thei a ni. Mahse tlai lamah a tam ber.

Hei hi "late-day confusion" an ti bawk. Alzheimer natna vei zinga 20% vel chuan an dam chhungin engtik lai pawhin he natna hi an tawk dawn niin an chhut.

Hetiang lungngaihna dinhmunah hian eng nungchang leh rilru natna nge hmuh theih?

Ni tlak laia hmuh theih thiltih ṭhenkhat chu ni khata chu hun laia thil awm dan bik a ni thei. Chutiang bawkin, dementia vei zinga engtik lai pawha hmuh theih nungchang thenkhat chu he hun lai hian a langsar zawk mai thei. Heng mizia te hi eng nge ni tih han thlir ila.

Thiltih hmuh theihte: 1.1.

• Pacing: Hmun khata awm lova inher kual.
• Rocking: Hmun khata thu chunga hma leh hnung lama rocking.
• Vakvai: Kalna tur hmun ngaihtuah lovin kal . I bo pawh a ni thei.
• Tharum thawhna: Thinrim thut leh kut leh ke vawrh ang chi thil.
• Shadowing: I enkawltu chu an kalna apiangah zui rawh .
• Chhan awm lova tap: Lungngaih loh lai pawhin tap tan.
• Mut theih lohna: Zana mut theih loh.
• Yelling: Au chhuah nghal mai tur.

Hriatthiamna awm thei:

Heng nungchangte rual hian rilru natna chi hrang hrang an tawng thei bawk.

• Lungngaihna
• Hlauhthawnna
• Hlau
• Agitation tih a ni
• Restlessness a awm
• Thinrimna (Iritability) a awm

Rilru dinhmun awm thei:

A châng chuan, he dinhmun hian hetiang thil hi a ngaihtuahtîr thei a ni:

• Rilru tibuai
• Midang rinhlelhna tul lo (Paranoia) .
• Thil tak tak ni lo hmuh emaw hriat emaw, delusions leh hallucinations

Eng thilin nge he dinhmun hi a tichhe zual?

Ni tlak nasat chhan ber chu mut theih lohna vang a ni . Chu chu zan mut mut tawk loh tihna a ni. Chu bakah chuan doctor-te chuan he natna hi tizual thei chhan dang engemaw zat a awm niin an sawi. Eng nge an nih i en ang u:

• Kan taksa natural sleep-wake cycle tihbuai (Circadian rhythms): Ngaihtuah teh, kan taksaah hian natural clock kan nei a. Chhun lamah min harh tir a, zanah min mut tir thintu a ni. Heng harsatnate hi he darkar hi tihbuai a nih hian a lo awm thin.
• Mut theih lohna emaw, mut kaihhnawih natna dang: Zan lama mut theih loh emaw, thawk harsatna emaw ang chi mut harsatna.
• Taksa chhunga natna hrik: Entirnan, zun kawng infection ang chi thil.
• Tui tlakchhamna (dehydration).
• Damdawi thenkhat side effects te.
• Khawvel tak tak leh mumang inthlauhna hrethiam thei lo.
• Taksa natna dang.
• Taksaah natna nei.
• Nilengin hah/chauhna.
• Nilengin rilru chu thil tam takah a innghat a, chu chuan rilru chu a chawlhna a hloh phah (Overstimulation).
• Zan lamah in chhungah lighting hniam tak a awm.

Ngaihtuah teh, kan pi chuan nilengin TV hmaah hun a hmang a, mi tam tak a bia a, tlai lama eng a thim chuan a chhehvel a hrethiam thei lo va, a lungkham ta thut mai. Hei hi thil thleng mai a ni.

Hetiang dinhmun hi eng chen nge a daih ang?

Sundown Syndrome hi Alzheimer natna vei lai atanga a tawp lam atanga tan a ni tlangpui . A chunga kan sawi tak trigger te hi a awm chhung chuan a awm reng thei.

He ni tlak lai hian engtin nge kan puih/enkawl?

A tha ber chu a hnuaia trigger awm chu zawng chhuakin enkawl hi a ni. Mahse, he natna lan chhuahna tihziaawmna tur kawng dang a awm bawk.

Damdawi tel lova i tih theih thilte:

Hengte hi enchhin hmasak tur chu a ni:

• Light therapy: Nitin êng êng tak kan hmuh hian, a châng chuan light bik hman hian kan circadian rhythm a tidanglam thei a ni.
• Music therapy: Rilru ti thlamuang thei leh an duh zawng hla hlui ngaihthlak tir.
• Environment inthlak danglamna: 1.1.
• Thil hriat lar tak tak , chhungkaw thlalak ang chite chu an hmuh theihna hmunah dah rawh. Hei hian an rilru buaina a tiziaawm ang.
• Nitin an room chu a eng tha hle tur a ni. Zanah an mut laiin pindan thim tir rawh.
• I hmangaih tak chuan glasses emaw, hearing aid emaw a vuah chuan, awlsam taka hmuh theihna hmunah dah rawh . Hmuh theih loh leh hriat thiam loh vangin an lungkham hle mai thei.

A tul chuan eng damdawi nge pek thin?

A châng chuan, doctor-te chuan heng nungchang leh rilru put hmangte thunun nân damdawi an pe thei a ni.

• Antidepressant damdawi te
• Antianxiety damdawi te
• Antipsychotics: Hengte hi i hman hunah fimkhur hle a ngai a , a chhan chu hun rei tak hman chuan stroke ang chi hlauhawmna a thlen thei a ni.
• Melatonin to help you sleep: Hei hi hormone pakhat a ni a, a mut theih nan a pui thei che a ni.

A pawimawh ber chu heng damdawi zawng zawng hi doctor thurawn ang chauha hman tur a ni.

Zanah i mut dawna damlo enkawl tura pui thei tur thil thenkhat chu hetiang hi a ni:

I hmangaih tak enkawltu i nih chuan zanah muang taka mut theih nan heng thilte hi han ti ve teh:

• An mutna pindan chu ngawi rengin thawm awm lovin dah rawh . TV leh radio ang chi thawm ri nasa tak takte chu off rawh.
• Music muang tak leh nem tak tak dah la .
• Lehkhabu chhiarsak rawh .
• Thil awlsam takah inhmang rawh – snack tlemte ei dun la, puzzle awlsam tak siam la, an duhzawng TV show en rawh.
• Mut dan tha (sleep hygiene) din rawh: Nitin hun khatah leh hmun khatah mut thin ang che.

I hmangaih tak tanpui dan tha ber chu an nungchang chhan dik tak hriatchhuah hi a ni. Entirnan, zanah an muhil thei lo a nih chuan nilengin an buai lutuk vang leh chawlh hahdamna hun an neih loh vang pawh a ni thei. Chutiang a nih chuan, enkawlna chu an ni tih awlsam te, mi tlem zawkte bula an ni ruahman te, leh thawm tlem zawk neih te a ni thei.

Ni tlak loh nan emaw, tihtlem nan emaw eng nge tih theih ang?

Ni tlak loh nan leh natna nasatzia tihziaawmna turin thil engemaw zat tih theih a awm. Hengte hi han ti ve teh:

• I hmangaih tak chu zankhuain a mu thei em tih en rawh .
• Chawhmeh ei zawhah caffeine awmna in tur (coffee leh tea ang chi) pek loh tur.
• Zu pek loh tur.
• Nitin ni êng tam tak pe rawh . Window bulah thuttir la, a theih chuan pawnah rei vak lo chhuah tir rawh.
• Nitin exercise engemaw zat tih tir rawh. Kea kal rei vak lo pawhin a ti thei ang.
• Nitin i mut a ngai a nih chuan, mut rei vak lovah khap la, ni hmasa berah ti rawh .
• Nilengin thil tih tur thenkhat ruahman la, mahse ti lutuk suh. I rilru pawhin chawlh a mamawh a ni.

Hemi chungchangah hian engtikah nge doctor ka hmuh ang?

Sundowning natna lan chhuah dan i hriat tan veleh doctor pan vat la, enkawlna tur ruahmanna siam a tha ber. I chhungkaw doctor hmu la, a nih loh leh geriatrician hmu rawh .

Down syndrome nei i hmangaih tak chuan harsatna emaw, natna emaw an neih (entir nan, zun kawng infection avanga natna) chu a hrilh thei lo mai thei tih hre reng ang che. Chuvang chuan an aiawha doctor biak tur leh a tul anga test an neih theih nana puitu tur chu nangmah i ni tur a ni.

Sandawini pawh hi Alzheimer natna nei lote hnenah a lo kal ve em?

Awle. Down syndrome hi Alzheimer natna leh dementia vei zingah a tam ber nachungin, kum upa lam dangte pawhin a vei thei bawk .

Zing lamah pawh hetiang hi a thleng thei ang em?

Ni tlak tawk zawng zawng hian symptom inang an nei vek lo va, an tawn dan pawh a inang vek lo. Mi thenkhat tan chuan he rilru hahdam lohna hi tlai lam ni lovin zing lamah a thleng thei a ni.

Nangmah pawh in enkawl a pawimawh!

Dementia emaw Alzheimer natna vei enkawl chu a buaithlak thei hle. I hmangaih tak pawhin dementia a vei a nih chuan heng rilru natna te hi a nasa lehzual thei a ni. Mahse, dementia symptoms (i chhehvel inthlak danglamna, damdawi thenkhat) tihziaawmna tura pui turin thil i tih theih a awm. Alzheimer’s vei enkawltute pui thei tur support group an awm bawk. I tuar chhuah i harsat chuan ṭanpuina dil rawh. Heng thilte chauh hi i hmachhawn a ngai lo.

Chuvangin, kan hriat reng tur pawimawh ber berte chu hetiang hi a ni:

• Sundown Syndrome hi natna hran ni lovin, dementia ang chi natna lan chhuahna a ni.
• Hetiang dinhmun thlentu tur bik (specific triggers) hriat tum hi a pawimawh hle.
• He natna hi damdawi ni lo hmanga control i tum hmasa tur a ni .
• Damdawi i ei a nih chuan damdawi lam thurawn lak a pawimawh hle .
• Mahni in enkawl a pawimawh a, nangmah tan tanpuina zawng a pawimawh a, chubakah damlo enkawl a pawimawh bawk. I dam that phawt chuan i hmangaih tak chu i enkawl tha thei ang.

He thu hi in tan a tangkai ngei ka beisei. Zawhna dang i neih chuan doctor biak hreh suh.

`Sundown syndrome, dementia, Alzheimer’s, kum upa lam enkawlna, hahdam lo, mut harsatna, hriatrengna lama harsatna