Kodi wokondedwa wanu amachira mwadzidzidzi asanamwalire? (Kuzindikira kwa Terminal) Tiyeni tiphunzire za izi.

Wokondedwa wanu, mwina kholo lokalamba, wakhala pabedi kwa nthawi yayitali chifukwa cha matenda aakulu, osazindikira aliyense kapena kulankhula ndi aliyense. Koma mwadzidzidzi, mwadzidzidzi, munthuyo amatsegula maso ake, amalankhula dzina lanu momveka bwino, nati, "Ndikufuna tiyi." Mungaganize bwanji? Ndizachibadwa kumva chisangalalo mbali imodzi, komanso mantha ndi mantha mbali inayo. Chochitika chodabwitsa ichi, koma chokhudza mtima kwambiri ndi chomwe timachitcha kuti "Terminal Lucidity."

Kodi Kuzindikira kwa Terminal ndi Chiyani?

Mwachidule, Kuzindikira kwa Terminal ndi kutaya mwadzidzidzi chidziwitso, mphamvu, ndi luso lolankhula, zomwe munthu wodwala amakumana nazo asanamwalire. Makamaka ndi matenda a dementia omwe amayamba chifukwa cha matenda amitsempha monga matenda a Alzheimer's , luso la munthu la maganizo limatayika mosalekeza. Ndi chinthu chopweteka kwambiri kuti okondedwa awo azionerera.

Koma kusinthasintha kumeneku ndi mpumulo wabwino komanso wakanthawi kuchokera ku ululu umenewo. Panthawiyo, timaona kuti munthuyo akuchita ngati kuti ndi "munthu wake wakale" kachiwiri. Koma, ndi kwa kanthawi kochepa chabe. Monga momwe dzinalo likusonyezera, mkhalidwe umenewu nthawi zambiri umakhala chizindikiro chakuti imfa ili pafupi kwambiri.

Izi si matenda odziwika bwino. Ndipo si aliyense amene akumwalira amene ali ndi vutoli. Ngakhale madokotala ndi anamwino omwe amagwira ntchito ndi odwala omwe akumwalira amangoona zochitikazi kangapo pantchito zawo. Koma kwa aliyense amene akuona izi, ndi kukumbukira komwe sadzaiwala.

Kodi zizindikiro za kudzuka kwachilendo kumeneku ndi ziti?

Izi zikachitika, munthuyo amayamba kuchita zinthu zomwe sankatha kuchita chifukwa cha matenda ake. Izi nthawi zambiri zimatenga mphindi zochepa mpaka maola angapo. Pa nthawiyi, mudzamva ngati wokondedwa wanu wabwerera ku umunthu wake wakale. Mungakhale ndi mwayi wolumikizana naye mwanjira yomwe simunaganizepo kuti mungakhale nayo, kuti mulankhule mawu achikondi.

Kodi vutoli lidzakhalapo kwa nthawi yayitali bwanji? Kodi imfa yayandikira?

Kwa munthu amene ali ndi matenda a dementia, kuzindikira bwino kumeneku nthawi zambiri kumakhala chenjezo lakuti imfa yayandikira. Koma palibe amene anganeneretu chiwerengero chenicheni cha masiku kapena masabata. Kawirikawiri, madokotala amaona kuti zochitikazi zimachitika m'masiku kapena milungu ingapo yomaliza ya moyo.

Nthawi zina imfa siichitika nthawi yomweyo munthu akangodzuka. Imatha kuchitika patatha masiku, milungu, kapena miyezi ingapo. Izi n'zosokoneza pang'ono, koma chofunika kumvetsetsa ndichakuti imfa iyenera kuyembekezeredwa pambuyo pa chochitikachi.

Chifukwa chiyani izi zikuchitika? Kodi pali kufotokozera kwa sayansi?

Kunena zoona, ngakhale akatswiri azachipatala sanapezebe chifukwa chenicheni cha izi. Koma amakhulupirira kuti izi zikugwirizana ndi kusintha kwina komwe kumachitika muubongo. Kafukufuku wokhudza momwe ubongo umagwirira ntchito pafupi ndi imfa akuwonetsa kuti ubongo ukasowa mpweya, ziwalo zina zaubongo mwadzidzidzi zimayamba kugwira ntchito kwambiri . Kugwira ntchito kumeneku kungatilole kuti tipezenso mphamvu zina zamaganizo zomwe zidatayika kale.

Mwachitsanzo, kafukufuku wina wasonyeza kuti zochitika zapafupi kufa, monga kulephera kwa mtima, zingayambitse kuwonjezeka kwadzidzidzi kwa ntchito ya ubongo m'mafunde a gamma, zomwe zimagwirizanitsidwa ndi kukhala maso ndi kukumbukira.

Koma kafukufukuyu akadali pachiyambi. Pali zambiri zomwe sitikudziwa zokhudza kumveka bwino kwa zinthu kuposa zomwe tikudziwa.

Ngati mukuona izi, kodi muyenera kusintha chithandizo chanu?

Iyi ndi mfundo yofunika kwambiri. Pamene wokondedwa wanu akuoneka kuti akuchira mwadzidzidzi, nthawi zambiri amaganiza kuti, 'O, tsopano akuchira,' ndikuyesera kusintha chithandizo kuti ayesere kumuchiritsa. Mwina banja likuganiza kuti wodwalayo sakuzindikira chifukwa cha mankhwala ochepetsa ululu omwe akupatsidwa, ndipo ngati asiya kumwa mankhwalawo, adzatha kukhalabe ndi chikumbumtima.

Musasiye kumwa mankhwala ochepetsa ululu kapena mankhwala ena otonthoza omwe dokotala wanu wakupatsani pazifukwa zilizonse . Mankhwalawa amagwiritsidwa ntchito pongochepetsa ululu wanu. Kumva mpumulo kumeneku ndi kwakanthawi. Izi zikutanthauza kuti matendawa akukulirakulira. Chifukwa chake, ndikofunikira kwambiri kutsatira ndondomeko ya chithandizo ya dokotala wanu molondola .

Kodi ndingasamalire bwanji wokondedwa wanga panthawiyi?

• Khalani nawo: Apatseni chikondi ndi kukoma mtima zomwe akufunikira panthawiyo. Aloleni alankhule zomwe akufunikira kukambirana. Mvetserani zomwe akunena.
• Khalani osavuta: Khalani osavuta kukambirana komanso osakakamiza. Yesetsani kusalankhula zinthu zomwe zimawapangitsa kumva chisoni kapena kupsinjika maganizo.
• Pangani nthawi ino kukhala yapadera: Nenani mawu osavuta monga "Ndimakukondani kwambiri," kapena mawu otonthoza omwe mukumva kuti muyenera kuwanena asananyamuke. Izi zidzakusangalatsani nonse awiri.

Kodi ndimadzisamalira bwanji?

• Dzikhululukireni: Ndi zachilendo kusadziwa choti muchite kapena choti muganize panthawiyi. Musamve chisoni nazo. Palibe chabwino kapena choipa apa.
• Chisoni chikhalepobe:Kulira munthu amene ali ndi matenda a dementia n'kovuta kwambiri. Chifukwa timamusowa akadali ndi moyo. Akabwerera mwadzidzidzi ku njira zawo zakale kenako n’kuzimiririkanso, chisoni chimakhala chachikulu. Dzipatseni nthawi yothana ndi malingaliro amenewa.
• Landirani chimwemwe: Musalole kuti chisoni ichi chikuchotsereni chimwemwe cholankhulanso nawo. Zikumbukiro zimenezi zidzakhala mphamvu yaikulu kwa inu ngakhale mutatsanzikana.
• Pezani thandizo kwa ena: Lankhulani ndi mnzanu wodalirika kapena wachibale wanu za izi. Ngati kuli kofunikira, funani thandizo kwa mlangizi.

Kodi mukufuna kulankhula ndi dokotala?

Inde. Ngati wokondedwa wanu akukumana ndi vuto lotere, onetsetsani kuti mwadziwitsa dokotala kapena ogwira ntchito yosamalira anamwino omwe akumusamalira.

Ichi si chizindikiro chakuti akuchira. Koma musachione ngati "chachitika chabe." Gulu lachipatala likudziwa za vutoli, lotchedwa Terminal Lucidity. Angakuthandizeni kuthana ndi vutoli. Ngakhale kuti lingamveke ngati tsoka, si chozizwitsa. Chifukwa limakupatsani mwayi wolumikizana ndi wokondedwa wanu komaliza, mwayi womwe mumaganiza kuti simudzaupezanso. Ngakhale kuti zingakhale zopweteka, zingakhale mphatso yamtengo wapatali.