Kodi amayi anu okalamba, abambo, agogo anu, kapena agogo anu ayamba kuiwala zinthu? Kapena mwaona kusintha kwa khalidwe lawo kapena kalankhulidwe kawo? Tikaona chinthu chonga ichi, mantha oyamba omwe amabwera m'maganizo mwathu ndi akuti, "O, kodi munthuyu nayenso akuyamba kudwala matenda a dementia?" Nthawi zambiri, timaganiza choncho ndipo timamva chisoni, koma timasiya, poganiza kuti ndi chinthu chomwe sichingathe kuchiritsidwa. Komabe, ndikukuuzani nkhani yofunika kwambiri lero. Nthawi zina, kuiwalaku sikungakhale matenda a dementia, koma vuto lina lomwe lingachiritsidwe ndikuwongoleredwa.
Kodi vuto limeneli lomwe limaganiziridwa molakwika kuti ndi matenda a dementia ndi liti?
Kafukufuku waposachedwapa wapeza kuti pakati pa 10% ndi 13% ya odwala omwe apezeka ndi matenda a dementia ali ndi vuto lina lachipatala. Vutoli limagwirizana mwachindunji ndi chiwindi, chomwe ndi chiwalo chofunikira kwambiri m'thupi lathu.
Mwachidule, izi ndi zomwe zimachitika:
1. Kuwonongeka kwa chiwindi (Cirrhosis): Chiwindi chili ngati fakitale m'thupi lathu. Chiwindi chimagwira ntchito zambiri zofunika monga kugaya chakudya chomwe timadya, kupanga mapuloteni omwe thupi limafuna, ndikuchotsa poizoni m'magazi. Komabe, chifukwa cha zifukwa zosiyanasiyana (monga kumwa mowa mopitirira muyeso, matenda ena opatsirana ndi mavairasi, chiwindi chamafuta chomwe chimayamba chifukwa cha matenda a shuga), chiwindi chimawonongeka, minofu ya zipsera imapangika mkati mwake, ndipo ntchito yake imachepa pang'onopang'ono. Ichi ndi chomwe timachitcha kuti cirrhosis mu mankhwala.
2. Hepatic Encephalopathy: Popeza tsopano fakitale ya chiwindi sikugwira ntchito bwino, poizoni wopangidwa m'thupi, makamaka zinthu monga ammonia, samasefedwa bwino ndikuchotsedwa. Ma poizoni amenewa amasonkhana m'magazi ndipo amapita mwachindunji ku ubongo ndi kuyenda kwa magazi. Ubongo ukalephera kuthana ndi poizoniyu, magwiridwe antchito a maselo a ubongo amayamba kusokonekera. Ichi ndichifukwa chake timatcha Hepatic Encephalopathy .
Izi zikutanthauza kuti ubongo umasokonezeka chifukwa cha vuto la chiwindi. Chifukwa zizindikiro zake zimafanana kwambiri ndi matenda amisala, madokotala nthawi zina amatha kuziphonya.
N’chifukwa chiyani zinthu ziwirizi zimagwirizana chonchi?
Zizindikiro za matenda a Dementia ndi Hepatic Encephalopathy zimafanana kwambiri. Ndicho chifukwa chake nthawi zambiri zimasokonezedwa. Tiyeni timvetse kusiyana kumeneku momveka bwino.
| Chizindikiro | Momwe zimawonekera mu dementia | Momwe zimaonekera mu Hepatic Encephalopathy |
|---|---|---|
| Kukumbukira ndi kusamala | Kukumbukira kumachepa pang'onopang'ono komanso kosatha. Matendawa amakula pakapita nthawi. | Kukumbukira ndi nthawi yoganizira zinthu zimasinthasintha. Masiku ena umakhala bwino, ndipo masiku ena umasokonezeka kwambiri. N'zovuta kwambiri kukhalabe woganizira. |
| Kachitidwe ka kugona | Pakhoza kukhala kusintha kwina mu tulo. | Magonedwe anu amasokonekera kwambiri. Mumakhala ndi tulo tsiku lonse ndipo simungathe kugona usiku. |
| Khalidwe ndi umunthu | Mungaone kusintha kwa umunthu wanu pakapita nthawi. Mungamve ngati simulinso munthu amene munkamukonda kale. | Mwadzidzidzi kukwiya, kukwiya, kapena kukhala chete kwambiri. Kusintha kwa khalidwe kungaonekere mwachangu. |
| Makhalidwe a thupi | Kawirikawiri, pamakhala makhalidwe ochepa apadera a thupi kumayambiriro. | Zizindikiro zake ndi monga kugwedezeka kwa manja pamene manja atambasulidwa, fungo labwino kapena losasangalatsa mpweya, komanso khungu ndi maso achikasu (jaundice). |
N’chifukwa chiyani kuli kofunika kwambiri kudziwa izi?
Tangoganizirani kufunika kodziwa kusiyana kumeneku, chifukwa mankhwala ndi kupita patsogolo kwa matendawa pa matenda awiriwa n’zosiyana kwambiri.
Matenda amisala nthawi zambiri amakhala opitirira muyeso, osasinthika. Komabe, matenda a chiwindi ndi matenda omwe amatha kuthetsedwa ndi chithandizo choyenera, kuthetsa zizindikiro, ndikubwerera ku moyo wabwinobwino.
Iyi ndiye mfundo yofunika kwambiri apa.Matenda a chiwindi ndi matenda ochiritsika! Madokotala amatha kuchiza chiwindi ndikupereka mankhwala apadera kuti achepetse poizoni m'magazi. Chithandizochi chikayamba, zizindikiro zomwe zasokoneza ntchito ya ubongo zimatha pang'onopang'ono. Wodwalayo amatha kuganiza bwino ndikukumbukiranso.
Sikuti kokha, kuzindikira msanga matenda a chiwindi kumathandizanso kupewa matenda ena oopsa, chifukwa ngati sachiritsidwa, matenda a chiwindi amatha kukhala matenda oopsa monga khansa ya chiwindi .
Ndiye tiyenera kuchita chiyani?
Mukamaliza kuwerenga nkhaniyi, funso lalikulu lomwe lili m'maganizo mwanu ndi lakuti, "Titani tsopano?" Chomwe chiyenera kuchitika n'chosavuta kwambiri.
1. Ngati mukukayika, pitani kwa dokotala nthawi yomweyo: Ngati wina m'banja mwanu, makamaka munthu wokalamba, akukumana ndi zizindikiro monga kuiwala kapena kusintha kwa khalidwe, musamangoganiza kuti ndi 'Dementia'. Pitani kwa dokotala wa banja lanu nthawi yomweyo ndipo mukambirane za vutoli.
2. Funsani za chiwindi: Mukalankhula ndi dokotala wanu, musaope kutchula zizindikiro izi ndikufunsa kuti, "Dokotala, kodi zizindikirozi zingayambitsidwe ndi vuto la chiwindi? Kodi sitiyeneranso kuchita mayeso a chiwindi?"
3. Kutumiza kwa katswiri woyenera: Dokotala wanu adzakutumizani kwa katswiri wa chiwindi/gastroenterologist kapena katswiri wa mitsempha ngati pakufunika kutero.
4. Musaope mayeso: Mayeso oyesera momwe chiwindi chikuyendera ndi osavuta. Nthawi zambiri, zambiri zimapezeka kudzera mu zinthu monga mayeso a magazi (Mayeso a Ntchito ya Chiwindi) ndi ultrasound scan .
Kumbukirani, ndi udindo wathu kusamalira thanzi la okondedwa athu. Musalole kuti mawu akuti dementia akuopseni kuti mupewe matenda ochiritsika. Kuzindikira matenda molondola ndi gawo loyamba komanso lofunika kwambiri pa chithandizo choyenera.
Uthenga Wopita Nawo Kunyumba
- Sikuti kuiwala konse komwe kumachitika ndi ukalamba ndi matenda a dementia.
- Matenda a chiwindi otchedwa hepatic encephalopathy, omwe amayamba chifukwa cha matenda a chiwindi otchedwa cirrhosis, angayambitsenso kuiwala zinthu.
- Vutoli, lotchedwa Hepatic Encephalopathy, lingathe kuchiritsidwa kwathunthu ndi chithandizo choyenera chamankhwala.
- Ngati munthu wamkulu m'banja mwanu akuvutika ndi vuto la kuiwala kapena kusintha kwa khalidwe, pitani kwa dokotala ndipo mukamuyezetse momwe chiwindi chake chimagwira ntchito.
- Kuzindikira matenda molondola kungapulumutse moyo ndikukweza moyo wabwino.
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