Ngati muli ndi kholo lokalamba, agogo, kapena wokondedwa wanu amene akudwala matenda a Alzheimer, mwina munakumanapo ndi mkwiyo mwadzidzidzi, kukwiya, komanso kukwiya. Mungavutikenso kuwaona akunyozana, akugwedeza manja awo, komanso akuyendayenda popanda kukhala pamalo amodzi. Mungamvenso kuti simungakwanitse nthawi zina ngati izi, osadziwa choti muchite. Lero, tikambirana za mankhwala omwe angathandize kuwongolera makhalidwe amenewa.
Kodi kusokonezeka kumeneku komwe kumachitika mu matenda a Alzheimer's ndi kotani?
Matenda a Alzheimer si matenda okha omwe amayambitsa kuiwala kukumbukira. Kusintha komwe kumachitika muubongo chifukwa cha matendawa kungayambitsenso kusintha kwakukulu mu khalidwe la munthu. Kusakhazikika maganizo ndi chimodzi mwa zizindikiro zazikulu.
Mwachidule, izi ndi zomwe zimachitika:
- Kukhala wankhanza pakamwa: kumangokhalira kukuwa, kutukwana ena.
- Kukhala wankhanza mwakuthupi: kumenya ena, kuwakankhira, kuwaponyera zinthu.
- Kusakhazikika: Kuyenda pang'onopang'ono, kusakhazikika, kusakhazikika.
Matendawa ndi ovutitsa kwambiri wodwalayo komanso anthu ngati inu amene mumamusamalira. Mankhwala osiyanasiyana akhala akugwiritsidwa ntchito kuyambira kale kuti athetse khalidwe lamtunduwu. Komabe, ali ndi chiopsezo chachikulu cha zotsatirapo zoyipa. Komabe, tsopano pali mankhwala amakono omwe avomerezedwa pachifukwa ichi, ndipo zotsatirapo zake zimakhala zochepa. Rexulti ndi imodzi mwa mankhwala otere.
Kodi mankhwala otchedwa Rexulti amagwira ntchito bwanji?
Rexulti ndi mankhwala a m'badwo wachitatu oletsa matenda amisala. Chabwino, kodi mawuwa akumveka ovuta pang'ono? Tiyeni tisunge mosavuta.
Ubongo wathu umalamulira malingaliro, khalidwe, ndi malingaliro kudzera mu mankhwala otchedwa neurotransmitters . Dopamine ndi serotonin ndi awiri mwa mauthenga akuluakulu. Mu matenda a Alzheimer's, mauthenga awa amatha kusalinganika. Rexulti imagwira ntchito pothandiza kubwezeretsa dopamine ndi serotonin muubongo. Izi zingathandize kusintha maganizo ndi khalidwe.
Chofunika kwambiri ndichakuti izi sizili ngati mankhwala akale, ndipo chifukwa chakuti zimagwira ntchito mosamala kwambiri ndi mankhwala a muubongo, palibe chiopsezo chochuluka cha zotsatirapo zoyipa monga kunjenjemera ndi kuuma kwa minofu.
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Rexulti ndi piritsi loperekedwa kamodzi patsiku. Likhoza kumwedwa musanadye kapena mutadya.
Dokotala wanu nthawi zambiri amakuyambitsani ndi mlingo wochepa kwambiri.Kenako, mlingo umawonjezeka pang'onopang'ono kutengera momwe thupi lanu limayankhira, mankhwala ena omwe mukumwa, komanso momwe chiwindi ndi impso zanu zikugwirira ntchito. Mlingo wapamwamba kwambiri wa tsiku ndi tsiku ndi pafupifupi mamiligalamu atatu.
Chofunika kwambiri ndikumwa mankhwala panthawi yoyenera, pa mlingo woyenera, monga momwe dokotala wanu akukulangizirani. Kumwa mankhwala nthawi zonse tsiku lililonse kumakupatsani zotsatira zabwino kwambiri. Zingatenge milungu ingapo kapena mwezi umodzi kuti mankhwalawo awonetse zotsatira zake. Choncho, musasiye kumwa pakati, kuganiza kuti, "Palibe kusiyana pakadali pano." Musasiye kumwa mankhwalawo kapena kusintha mlingo popanda kufunsa dokotala wanu.
Kodi mumadziwa bwanji ngati mankhwalawo akugwira ntchito?
Mungaone kusintha kwabwino kwa khalidwe la wokondedwa wanu patatha milungu ingapo mutayamba kumwa mankhwala. Kusintha kumeneku kudzaonekera pang'onopang'ono.
| Kusintha kwabwino kungaonekere |
|---|
| - Kuchepa kwa kufuula ndi kutukwana. |
| - Kuchepa kwa kukwiya kwa thupi. |
| - Kupereka chithandizo chowonjezereka posamalira mwana (monga kudyetsa, kusambitsa). |
| - Kugona bwino pang'ono. |
| - Kusonyeza chidwi chokhala ndi banja kapena kutenga nawo mbali pazochitika zina. |
| - Ponseponse, zimathandiza kuti kusamalira wodwalayo kukhale kosavuta. |
Nthawi yomwe muyenera kumwa mankhwalawa imasiyana malinga ndi munthu aliyense. Anthu ena angapindule nayo pakapita nthawi yochepa. Ena angafunike kumwa kwa nthawi yayitali. Izi zidzasankhidwa ndi dokotala wanu. Ngati simukuwona kusintha kulikonse patatha miyezi ingapo, uzani dokotala wanu za izi.
Zotsatirapo zake ndi momwe mungathanirane nazo?
Monga mankhwala ena aliwonse, Rexulti ingayambitse mavuto ena mwa anthu ena. Komabe, si aliyense amene amawapeza. Tiyeni tiwone zina mwa mavuto omwe amapezeka kawirikawiri komanso zomwe mungachite nazo.
| Zotsatira zoyipa zofala | Momwe mungayang'anire |
|---|---|
| Kulemera, kugona, chizungulire | Kuti muchepetse kunenepa, idyani ndiwo zamasamba ndi zipatso zambiri. Chitani masewera olimbitsa thupi osavuta monga kuyenda tsiku lililonse. Ngati mukumva tulo, funsani dokotala wanu ndipo imwani mankhwala musanagone usiku. Ngati mukumva chizungulire, musadzuke mwadzidzidzi chifukwa chokhala pansi kapena kugona. |
| Akathisia (kusakhazikika) | Izi zitha kuchitika kumayambiriro kwa chithandizo. Kuyenda ndi kuchita masewera olimbitsa thupi pang'ono kungathandize kuchepetsa vutoli. Chepetsani tiyi ndi khofi chifukwa zingathandize kukulitsa vutoli. |
| Zizindikiro zofanana ndi kuzizira | Izi nthawi zambiri zimatha patatha masiku ochepa. Ngati zikupitirira, uzani dokotala wanu. |
| Pakamwa pouma, kudzimbidwa | Ngati pakamwa panu pauma, imwani madzi ambiri. Kudzimbidwa kungapewedwe podya zakudya zokhala ndi ulusi wambiri (sipinachi, kale, zipatso) ndikumwa madzi ambiri. |
Chofunika kwambiri: Kuphatikiza apo, ngati mukukumana ndi zizindikiro zoopsa monga kutentha thupi kwambiri, kuuma kwa minofu, kusokonezeka kwakukulu, kapena mayendedwe osazolowereka, dziwitsani dokotala wanu nthawi yomweyo kapena pitani ku Dipatimenti Yodzidzimutsa (ETU) ya chipatala chapafupi.
Ndi mayeso ati omwe ayenera kuchitidwa panthawi ya chithandizo?
Dokotala wanu akamalemba mankhwala awa, angakupatseni mayeso a magazi kuti aone zinthu zina m'thupi lanu. Izi zimachitika kuti aone ngati mankhwalawo ndi oyenera kwa inu komanso ngati pali chiopsezo cha zotsatirapo zake.
- Kulemera ndi kuzungulira kwa chiuno: Kulemera kumayesedwa musanayambe komanso panthawi ya chithandizo.
- Kuchuluka kwa Magazi Onse (CBC): Kumayesa kuchuluka kwa maselo oyera ndi ofiira m'magazi.
- Kuyesa magazi mosala kudya: Kuyeza kuchuluka kwa cholesterol ndi shuga (shuga m'magazi kapena HbA1c).
- Kuthamanga kwa Magazi: Yesani nthawi zonse.
- Kuyesa kwa AIMS: Uku si kuyesa, koma kuyang'aniridwa ndi dokotala. Kumafufuza mayendedwe osazolowereka a thupi (tardive dyskinesia).
Kodi izi zingayambitse kuyanjana ndi mankhwala ena?
Inde, iyi ndi mfundo yofunika kwambiri. Mankhwala ena omwe mukumwa angawonjezere kapena kuchepetsa mphamvu ya Rexulti. Ngati mphamvuyo yawonjezeka, chiopsezo cha zotsatirapo zake chimawonjezeka. Ngati yachepa, mankhwalawo sadzakhala othandiza kwambiri.
Mwachitsanzo, mankhwala ena opha mavairasi (monga fluconazole, ketoconazole), maantibayotiki (monga clarithromycin), ndi mankhwala ochepetsa nkhawa (monga fluoxetine, paroxetine) angafunike kusintha mlingo wa mankhwalawo akamwedwa ndi mankhwalawa. Pakhoza kukhalanso ndi mavuto ndi mankhwala ena a khunyu (monga phenytoin).
Choncho, uzani dokotala wanu za mankhwala onse omwe wokondedwa wanu akumwa. Izi sizikutanthauza mankhwala akumadzulo okha, komanso mankhwala a Ayurvedic, mankhwala achikhalidwe, mavitamini, mankhwala azitsamba, ndi zina zotero. Izi zithandiza dokotalayo kukonzekera dongosolo lotetezeka la chithandizo.
Uthenga Wopita Nawo Kunyumba
- Makhalidwe olakwika omwe amayamba chifukwa cha matenda a Alzheimer ndi ovuta kwa wodwala komanso osamalira odwala, koma pali mankhwala omwe alipo.
- Rexulti (Brexpiprazole) ndi mankhwala enieni omwe dokotala amatipatsa kuti athetse vutoli.
- Imwani mlingo wolembedwa pa nthawi yolembedwa monga momwe dokotala wanu wanenera. Musasiye kumwa mankhwala kapena kusintha mlingo pazifukwa zilizonse popanda kufunsa dokotala wanu.
- Dziwani zotsatirapo zake. Ngati mukuona zizindikiro zachilendo kapena ngati zotsatirapo zake zikukuvutitsani, uzani dokotala wanu nthawi yomweyo.
- Ndikofunikira kwambiri kuuza dokotala wanu za mankhwala ena onse (kuphatikizapo mankhwala a Ayurvedic ndi achikhalidwe) omwe wodwala wanu akugwiritsa ntchito.
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