Ese inzoga zitera kwibagirwa? (Dementia iterwa n'inzoga) Reka tuyigireho!

Ese wowe cyangwa umuntu uzi unywa inzoga nyinshi? Hari igihe wibagirwa ibintu, ugakora imirimo yoroshye ubu ikagaragara nk'igoye? Niba ari byo, iki ni ikintu mbona kizaba ingenzi cyane kuri wewe. Uyu munsi turimo kuvuga ku byago kunywa inzoga nyinshi bishobora guteza ubwonko bwacu ndetse no kubura kwibuka bitera (Dementia ifitanye isano n'inzoga) .

Dementia iterwa n'inzoga ni iki?

Mu magambo make, indwara yo kwiheba iterwa n'inzoga ni ubwoko bw'indwara yo kwiheba ibaho iyo ubwonko bwawe bwangiritse bitewe n'imyaka myinshi umaze unywa inzoga nyinshi. Hari n'abandi bayita "Dementia iterwa n'inzoga" cyangwa "Dementia iterwa n'inzoga", ariko ayo mazina ni ay'igihe gito.

Igishimishije ni uko iyo uhagaritse kunywa inzoga, imikorere y'ubwonko bwawe ishobora kuzamuka ku rugero runaka. Ibyo bivuze ko nubwo bishobora kudakira burundu, bishobora guhagarika iyo ndwara ngo irusheho kuba mbi.

Vugana na muganga wawe ku ngano y'inzoga unywa. Ntugatinye gusaba ubufasha niba ufite ikibazo cyo kureka. Kunywa inzoga ni indwara, si umuntu mubi. Hariho uburyo bwo kuyivura.

Kwangirika k'ubwonko bifitanye isano n'inzoga (ARBD) ni iki?

Kwangirika k'ubwonko bifitanye isano n'inzoga (ARBD) ni ubwoko ubwo aribwo bwose bw'ibyangiritse ku bwonko buterwa no kunywa inzoga nyinshi. Indwara yo kwibagirwa iterwa n'inzoga ni yo ndwara ikomeye cyane ya ARBD.

Inzoga zishobora kuba zitari ikibazo iyo uzinyoye mu rugero. Ariko, uko unywa inzoga nyinshi, uko unywa inzoga nyinshi, n'uko unywa inzoga nyinshi , ni ko ibyago byo kurwara indwara ya ARBD byiyongera.

Ni ibihe bimenyetso by'indwara yo kwiheba iterwa n'inzoga?

Ibimenyetso bya dementia iterwa n'inzoga bisa gato n'iby'ubundi bwoko bwa dementia. Mu ntangiriro, ushobora guhura n'ibintu nk'ibi:

• Gutakaza kwibuka : Ushobora kwibagirwa amazina, amasura, n'ibyabaye. Ushobora kwibagirwa ibintu biherutse kubaho (kwibuka by'igihe gito) n'ibyabaye mu gihe kirekire (kwibuka by'igihe kirekire).
• Ingorane mu mirimo ya buri munsi : Ndetse n'imirimo yoroshye nko guhinga iba idashobora kwiyumvirwa, kandi gufata ibyemezo biragorana.
• Kugorwa no kwibanda ku bintu: Biragoye gukomeza gutekereza ku kintu kimwe.
• Ibibazo by'ururimi : Ushobora gukoresha amagambo atari yo mu gihe uvuga, cyangwa ushobora kugerageza kuvuga make ugereranije na mbere.
• Impinduka mu myitwarire no mu miterere : Ushobora kurakara mu buryo butunguranye, guhangayika, gukeka abandi (paranoia), cyangwa ushobora kubona cyangwa kumva ibintu bitabaho (hallucinations).
• Kugabanuka k'ubusobanuro bw'ahantu : Kugorwa no gusobanukirwa uburyo uri hafi y'ibintu bikukikije. Ibi bishobora gutuma utakaza uburinganire no kugwa mu gihe ugenda, ukagongana n'ibintu, ndetse bikakugora gukora imirimo yoroshye nko gufunga imigozi y'inkweto zawe.

Ibi bimenyetso akenshi bikura buhoro buhoro, ariko hari abantu bahura n'izi mpinduka mu buryo butunguranye. Ibibazo byo kwibuka bikunze kugaragara mbere y'ibindi bimenyetso. Ubwoko bw'ibimenyetso ubona bizaterwa n'ibice by'ubwonko byangiritse kubera inzoga.

Ibyiciro byo kwiheba biterwa n'inzoga

Dementia ni indwara aho imikorere y'ubwonko bwawe, cyangwa igabanuka ry'ubushobozi bwo gutekereza, igabanuka. Abaganga bagabanya dementia iterwa n'inzoga mu byiciro bine by'ingenzi, bitewe n'uburemere bw'iyo ndwara:

1. Ubumuga bwo mu mutwe buciriritse: Muri iki gihe, ibimenyetso ntabwo bikabije cyane. Hashobora kubaho ibibazo bimwe na bimwe mu kwibuka no gutekereza mu buryo bwumvikana. Ariko, ushobora gukomeza gukora ibintu nko gutwara imodoka, kugenda ahantu bimenyerewe, no gukora imirimo yawe bwite nta ngorane nyinshi.
2. Indwara yo kwibagirwa iterwa n'inzoga mu gihe cyo hambere: Muri iki cyiciro, imikorere y'ubwonko iracyagabanuka gato, kandi ibimenyetso biragaragara cyane. Kwibuka biragabanuka cyane. Abantu batangira kwibagirwa ibintu biherutse kubaho, amazina, n'amakuru y'ingenzi. Ibi bimenyetso bishobora kugira ingaruka ku buzima bwa buri munsi, bityo bashobora gukenera ubufasha bw'abagize umuryango wabo kugira ngo bakore imirimo imwe n'imwe.
3. Indwara yo kwiheba iterwa n'inzoga iri hagati mu cyiciro cya kabiri: Imikorere y'ubwonko irushaho kugabanuka, kandi ibimenyetso bikarushaho gukomera. Bishobora kugorana kuvuga cyangwa kugenda neza. Ushobora kutamenya ahantu menyanye, umuryango wawe, cyangwa ndetse n'abaturanyi bawe.
4. Indwara yo kwibagirwa iterwa n'inzoga mu gihe cya nyuma: Iki ni cyo cyiciro gikomeye cyane. Imikorere y'ubwonko iragabanuka cyane. Ushobora kudashobora kuvuga, kugenda, cyangwa gukora akazi kawe bwite. Akenshi ukeneye kwitabwaho buri gihe.

Ariko hari ikintu cy'ingenzi: Indwara yo kwibagirwa iterwa n'inzoga, bitandukanye n'indwara ya Alzheimer, ntabwo irushaho gukomera iyo uhagaritse kunywa inzoga.Ibyo bivuze ko kwangirika k'ubwonko kutazongera kurenza iyo ngingo. Ariko, iyo ukomeje kunywa inzoga, ushobora kwangiza ubwonko cyane kandi ukanyura muri izi ntambwe vuba.

Ni iki gitera indwara yo kwiheba iterwa n'inzoga?

Impamvu nyamukuru ibi ni ukunywa inzoga nyinshi kandi kenshi .

Kunywa inzoga, inzoga cyangwa ikirahure cya divayi rimwe na rimwe ntibitera indwara yo kwiheba. Dukurikije inama z'abaganga, abagabo ntibagomba kunywa ibinyobwa birenga bibiri ku munsi cyangwa ibinyobwa birenga 14 ku cyumweru. Abagore ntibagomba kunywa ibinyobwa birenga kimwe ku munsi cyangwa ibinyobwa birenga 7 ku cyumweru.

Ingano isanzwe y'inzoga ni:

• Agarama 12 (hafi mililitiro 355) z'inzoga zifite 5% by'inzoga
• Garama 5 (hafi mililitiro 148) za divayi irimo alcool 12%
• Agarama 1.5 (hafi mililitiro 44) z'inzoga zirimo alcool ingana na 40%

Kunywa inzoga nyinshi byangiza imitsi n'imitsi y'amaraso mu bwonko. Uko igihe kigenda gihita, iyi ndwara irakomeza kwiyongera, uturemangingo twihariye tw'imitsi twitwa neuron dutangira gupfa. Utwo tunyangingo ni ingenzi kugira ngo ubwonko bwacu butekereze kandi bugenge umubiri. Iyo utwo tunyangingo twangijwe n'inzoga, imikorere igenzurwa n'icyo gice cy'ubwonko igenda ishira buhoro buhoro.

Ni ibihe bintu bishobora gutera ibyago?

Indwara yo kwibagirwa iterwa n'inzoga ikunze kugaragara cyane ku bantu bari hagati y'imyaka 40 na 50 bamaze imyaka myinshi banywa inzoga nyinshi. Ariko, ishobora kubaho mu myaka iyo ari yo yose iyo unyoye inzoga nyinshi. Ikunze kugaragara cyane ku bantu bafite ikibazo cyo kunywa inzoga.

Ni izihe ngorane ziterwa no kwiheba bitewe n'inzoga?

Ingorane ikomeye ni ukwangirika k'ubwonko. Ibi bishobora guteza impinduka zidashira ku miterere yawe, uburyo utekereza, n'uburyo ukoresha umubiri wawe. Hari ingorane zimwe na zimwe zishobora no kwica.

Ingorane zishobora kuba zirimo:

• Kugabanuka k'ubuzima bw'umubiri muri rusange.
• Indwara zandurira mu mubiri (urugero: umusonga , indwara z'uruhu ).
• Izindi ndwara ziterwa n'inzoga, nka Wernicke-Korsakoff syndrome.
• Indwara zo mu mutwe .
• Kugorwa no guhumeka.
• Kugorwa no kumira.

Uko igihe kigenda gihita, ushobora kubura ubushobozi bwo kugenzura umubiri wawe kandi ntushobore gukora akazi kawe. Ibi bishobora kongera ibyago byo:

• Ibisebe byo mu buriri .
• Kubura amazi mu mubiri cyangwa imirire mibi.
• Gugwa, kuvunika, n'izindi mvune ziteye inkeke.
• Kudashobora kugenzura ikoreshwa ry'inkari (kunanirwa kwihagarika inkari) no kudashobora kugenzura ikoreshwa ry'amara (kunanirwa kwihagarika amara).
• Kubora kw'amenyo , umwobo, n'ibindi bibazo by'amenyo.

Abantu bafite ikibazo cyo kwibagirwa bitewe n'inzoga nabo bafite ibyago byinshi byo gukomereka mu bwonko. Gukoresha inzoga mu buryo butekanye byongera ibyago byo kugwa, impanuka z'imodoka, n'izindi mvune zo mu mutwe. Izi mpanuka zishobora kwangiza ubwonko cyane no gusenya uturemangingo tw'ubwonko. Ibi bishobora kwihutisha iterambere rya diyabete.

Ni gute wasuzuma indwara yo kwiheba iterwa n'inzoga? (Isuzuma)

Umuganga ashobora gusuzuma iyi ndwara mu buryo butandukanye. Intambwe ya mbere ni ugusuzuma umubiri wose no gupima ubwonko. Muganga azakuraho izindi ndwara zishobora gutera ibimenyetso nk'ibyo.

Muganga wawe azakubaza ibibazo kugira ngo asobanukirwe ubuzima bwawe n'ubuzima bwawe bwa buri munsi. Ashobora kandi kuvugana n'umuntu wo mu muryango kugira ngo amenye impinduka ushobora kutabona. Muganga wawe ashobora kukubaza ibi bikurikira:

• Kuba ushobora gukora ibikorwa byawe bisanzwe.
• Ikoreshwa ry'inzoga .
• Fata umuti ubu ngubu.
• Amakuru y'ubuvuzi yabanje `(Amateka y'ubuvuzi)`.
• Impinduka mu byiyumvo, imyitwarire, imiterere, n'uko wiyumva.
• Imirire.
• Imiterere y'ubuzima muri rusange.

Bwira muganga wawe ukuri ku nshuro unywa. Ntibazagucira urubanza cyangwa ngo bagufate nabi. Barashaka gusobanukirwa icyateye ibimenyetso byawe no kugufasha.

Umuganga ashobora gukoresha ibizamini nk'ibi kugira ngo amenye indwara yo kwiheba iterwa n'inzoga:

• Gupima amaraso .
• Ikizamini cya MRI (Magnetic Resonance Imaging) cy'ubwonko.
• Ibizamini byo mu mutwe.
• `Isuzuma rya CT (Isuzuma rya Computed Tomography)`.
• "Isuzuma rya PET (Isuzuma rya Positron Emission Tomography)".
• Ibipimo by'inkari.

Hari n'ibindi bizamini bishobora gukorwa kugira ngo harebwe ibimenyetso by'izindi ndwara ziterwa n'inzoga. Urugero:

• Indwara z'umutima ziterwa n'inzoga.
• Hepatite iterwa n'inzoga.
• Kurwara indwara yo mu mwijima.

Ni ubuhe buryo bwo kuvura indwara yo kwiheba iterwa n'inzoga?

Muganga wawe ashobora kukugira inama yo kugufasha mu kugabanya ibimenyetso byawe, ariko nta buryo bwo gusubiza burundu ingaruka mbi zatewe n'inzoga ku bwonko.

Muganga wawe ashobora kugufasha guhagarika kunywa inzoga mu buryo butunguranye. Kureka inzoga mu buryo butunguranye bishobora gutera ingorane zikomeye, nko "gucika intege mu gihe cy'ubukonje", ibimenyetso byo kureka kunywa inzoga, no kubura ubwenge (DT). "DT" ni indwara ikomeye ibaho iyo uhagaritse kunywa inzoga mu buryo butunguranye, kandi isaba ubuvuzi bwihutirwa.

Ushobora kuba ukeneye kuguma mu bitaro cyangwa mu kigo cyita ku barwayi barembye kugira ngo umenye neza ko uri mu mutekano mu gihe uzaba umenyereye kubaho udafite inzoga.

Ubundi buryo bwo kuvura ushobora gukenera:

• Ubuvuzi bw'imyitwarire mu bwenge (CBT): Kuganira n'umujyanama mu by'ubuzima bwo mu mutwe bishobora kugufasha gusobanukirwa imihangayiko yawe, imihangayiko, n'ibyiyumvo byawe. Bishobora kandi kugufasha kongera imbaraga zo mu bwenge ukeneye kugira ngo wirinde inzoga.
• Imiti: Nta miti yihariye ihari yo kuvura indwara yo kwiheba iterwa n'inzoga. Ariko, muganga wawe ashobora kukugira inama yo kuvura izindi ndwara zo kwiheba. Imiti nka naltrexone na acamprosate ishobora no gutangwa kugira ngo ivure ikibazo cyo kunywa inzoga.
• Inkunga y'imirire: Niba ufite imirire mibi cyangwa udafite vitamine, ushobora gukenera inyongeramusaruro.
• Amatsinda yo gushyigikira: Ubu ni uburyo bwiza bwo kuvugana n'abandi basobanukiwe n'uburwayi bwawe. Muganga wawe ashobora kukubwira amatsinda akubereye wowe n'umuryango wawe.

Ni iki giteganyijwe ku ndwara yo kwibagirwa iterwa n'inzoga?

Indwara yo kwibagirwa iterwa n'inzoga ntigira ingaruka kuri bose kimwe. Kugeza ubu nta muti uhari wo kuvura ubwoko ubwo aribwo bwose bw'indwara yo kwibagirwa.Rero, ugomba kwitega ko impinduka mu buryo utekereza n'uburyo ukoresha umubiri wawe zizahoraho. Ariko nubwo ugomba kumenyera impinduka nshya, uracyari umuntu umwe.

Ni iki cyizere cy'ubuzima bw'umuntu ufite ikibazo cyo kwibagirwa giterwa n'inzoga?

Iyi ndwara ishobora kugira ingaruka ku gihe umara (igihe utegereje kubaho). Ariko biragoye kuvuga igihe runaka gikwiriye buri wese.

Biterwa n'ibintu byinshi:

• Ese uzareka kunywa inzoga?
• Uburemere bw'ibyangiritse mu bwonko.
• Ni ibihe bice by'ubwonko byangiritse?
• imyaka yawe.
• Ubuzima bwawe muri rusange.

Niba ufite izindi ndwara ziterwa n'inzoga, zishobora no kugira ingaruka ku buzima bwawe. Biragoye kuvuga neza indwara ishobora kukwibasira cyane. Ikintu cy'ingenzi ni ukwirinda no kugira uburyo bwo kwicungira ibimenyetso byawe.

Muganga wawe ashobora kugufasha kwitega ibintu bifatika bitewe n'ubuzima bwawe n'imimerere yawe.

Ni ryari ngomba kujya kwa muganga?

Niba ufite ibibazo byo kwibuka cyangwa gutekereza, gana muganga. Azamenya niba ibyo bibazo biterwa no kwibagirwa bitewe n'inzoga cyangwa indi ndwara. Ntugahishe muganga wawe ibimenyetso byawe cyangwa uko wumva umeze. Wibuke ko batagerageza kugutera isoni cyangwa ngo bagutere isoni. Ariko, bagomba kumenya uko wumva umeze n'ibyo uhura na byo kugira ngo bagusuzume neza kandi bakuvure.

Uzakenera kujya kwa muganga wawe kugira ngo agusuzumishe buri gihe. Bazakurikirana impinduka mu bwonko bwawe kandi bahindure uburyo bwo kuvura uko bikenewe.