Kana uine mumwe munhu mumhuri yako ari kurwara nechirwere cheAlzheimer , kungava amai vako, baba, ambuya, kana tete, pamwe unoziva kuti vanokanganwa zvinhu zvishoma nezvishoma. Ndicho chiratidzo chikuru chechirwere ichi. Asi, pamusoro pekurasikirwa nendangariro dzavo, unogona kunge wakaona shanduko huru mumaitiro avo. Dzimwe nguva vanoshaya zororo, vanotsamwa, vanosuruvara, kana kuti vanongoramba vachifamba-famba husiku vasina kurara. Paunoona zvinhu izvi, unofanirawo kunzwa kusuruvara zvikuru. Nhasi tiri kutaura nezvemamwe marapirwo, kana kuti ``Adjunct Treatments``, anopiwa kune matambudziko ehunhu nepfungwa anoitika pamwe nekurasikirwa nendangariro muchirwere cheAlzheimer.
Zvichitaurwa zviri nyore, kana chirwere cheAlzheimer chikakuvadza masero etsinga muuropi, hachingokanganisi ndangariro chete asiwo zvikamu zvinodzora maitiro edu. Ndosaka matambudziko aya achiitika.
- Kutsamwa
- Hukasha
- Kunetseka
- Kunyengera (kutenda muzvinhu zvisipo)
- Kuora mwoyo
- Kuona zvinhu zvisingaonekwe kana kunzwa zvinhu zvisingaonekwe (Hallucinations)
- Kushaya hope
- Kusagadzikana
Zviratidzo izvi zvinogona kushungurudza murwere uye iwe, muchengeti. Vanachiremba vanowanzokurudzira kuti utange waedza kugadzirisa zviratidzo izvi nekuchinja mararamiro uye kurapwa kwemaitiro usati washandisa mishonga. Unofanirawo kutanga waona kana paine chimwe chikonzero chekuchinja maitiro (semuenzaniso, hutachiona, dambudziko rekuona kana kunzwa, kana mhedzisiro yemumwe mushonga).
Asi dzimwe nguva mishonga ndiyo sarudzo yakanakisisa. Mishonga yakawanda yatiri kutaura nezvayo pano haibvumirwi zvakananga nechirwere cheAlzheimer. Vanachiremba vanonyora mishonga iyi "isina kutaurwa." Kureva kuti, mushonga unotenderwa kune chimwe chirwere (senge kuora mwoyo) unopihwa nekuti ruzivo rwachiremba runoratidza kuti ungave wakakodzerawo matambudziko ehunhu hwemurwere weAlzheimer.
Zvinobatsira pakurara
Vanhu vazhinji vane matambudziko ekurara pavanenge vachikura.Zvinoitika. Asi zvinowanzoitika kune varwere vane Alzheimer's. Nekuda kwekuchinja kwehuropi, vanomuka kakawanda husiku uye vanenge vakaneta masikati.
Chinhu chinonyanya kukosha ndechekuedza kurara usina mushonga, pane kushandisa mapiritsi ekurara. Nekuti mapiritsi ekurara anopiwa varwere vane Alzheimer dzimwe nguva anogona kuva nengozi.
Kana kuchinja mararamiro ako kusingakubatsiri kurara, uye kuramba wakamuka husiku kuchikunetsa, chiremba wako ngaakupe mushonga wakaita seuyu:
- Suvorexant (Belsomra): Uyu ndiwo mushonga wega unotenderwa neUS FDA wezvinetso zvekurara zvine chekuita nechirwere cheAlzheimer. Uri weboka remishonga inonzi ``Orexin inhibitors.'' Zvichitaurwa zviri nyore, unoshanda nekuvhara kemikari muuropi hwedu inoratidza kuti "yava nguva yekumuka." Zvisinei, mushonga uyu unogona kukonzera migumisiro yakadai sekufamba-famba uchirara, kuora mwoyo, uye kurara masikati.
- Mamwe Mishonga Inonyaradza: Chiremba wako anogona kukupa mamwe mapiritsi ekurara, akadai se`Eszopiclone (Lunesta)` kana `Zolpidem (Ambien).` Zvisinei, kutora izvi kunogona kukonzera kuti uite zvinhu zvisingawanzoitiki paunenge wakarara (sekudya kana kutyaira wakarara). Zvinogonawo kukonzera kuvhiringidzika masikati, kurasikirwa nekurangarira, uye njodzi yakakura yekurasikirwa nepfungwa dzako uye kudonha.
Zvakakosha: Mapiritsi ekurara anofanira kushandiswa kwenguva pfupi chete. Anogona kukukonzera dzungu uye kurara nyore nyore. Kana maitiro ako ekurara adzokera pane zvakajairika, unofanira kutaura nachiremba wako woedza kurega kuatora.
Uyewo, mamwe mapiritsi ekurara (ane antihistamines, semuenzaniso diphenhydramine) aunogona kutenga kubva kuzvitoro zvemishonga haana kukodzera varwere veAlzheimer zvachose . Anogona kukanganisa kutaurirana pakati pemasero etsinga muuropi, zvichiita kuti ndangariro nehunyanzvi hwekufunga zviwedzere kuipa.
Mishonga Inorwisa Kushushikana & Mishonga Inodzivirira Kushushikana
Kushungurudzika kwepfungwa kunowanzoitikawo nechirwere cheAlzheimer. Kuti murwere anzwe zviri nani, chiremba anogona kunyora mishonga yekudzora kushungurudzika. Mishonga iyi haingobatsiri chete nekuora mwoyo, asiwo nekuzvidya mwoyo, matambudziko ekurara, kusagadzikana, uye kuona zvinhu zvisipo.
| Rudzi rwemushonga | Mienzaniso |
|---|---|
| SSRIs (Selective Serotonin Reuptake Inhibitors) (Mishonga inowanzoshandiswa, yakachengeteka) | Citalopram (Celexa), Sertraline (Zoloft), Escitalopram (Lexapro) |
| SNRIs (Serotonin-Noradrenaline Reuptake Inhibitors) | Venlafaxine (Effexor), Duloxetine (Cymbalta) |
| Mishonga Isingawanzoitiki Yekuora Mwoyo | Mirtazapine (Remeron), Trazodone (Desyrel) |
Yambiro: Mishonga yekare yekuora mwoyo, yakadai se tricyclic antidepressants (semuenzaniso, amitriptyline) uye SSRI dzakadai separoxetine (Paxil), haikurudzirwi kuvanhu vane chirwere cheAlzheimer. Inogona kukanganisa zvakanyanya ndangariro nehunyanzvi hwekufunga.
Dzimwe nguva vanachiremba vanopa mishonga yenguva pfupi inonzi benzodiazepines (semuenzaniso, Lorazepam (Ativan), Diazepam (Valium)) kurapa kuzvidya mwoyo, kusagadzikana, uye hunhu hwehasha. Zvisinei, izvi zvinogonawo kukonzera hope, dzungu, kuvhiringidzika, uye njodzi yakakura yekudonha.
Mishonga inorwisa kuzvidya mwoyo (mishonga yekurapa kuzvidya mwoyo kwakanyanya nematambudziko epfungwa)
Mamwe matambudziko ehunhu anokonzerwa nechirwere cheAlzheimer anogona kuva nengozi kumurwere kana kuvachengeta. Semuenzaniso, hutsinye hwakanyanya, kuedza kuzvikuvadza ivo kana vamwe, uye kuona kana kunzwa zvinhu zvisipo. Muzviitiko zvakadaro, mishonga yekurwisa pfungwa inogona kushandiswa senzira yekupedzisira, kana pasina imwe sarudzo .
Mishonga iyi inofanira kushandiswa nokungwarira kukuru, pasi pekutarisirwa kwachiremba. Nekuti njodzi dzingapfuura mabhenefiti, nyanzvi dzinokurudzira kuishandisa chete kana pasina dzimwe nzira dzakashanda.
Usati watanga mushonga uyu,
- Kugadzira nzvimbo yakanyarara
- Kujaira tsika
- Kuita maekisesaizi emuviri
Unofanira kuedza zvinhu zvakadaro.
Mishonga yekurwisa pfungwa (semuenzaniso, `Risperidone (Risperdal)`, `Quetiapine (Seroquel)`, `Olanzapine (Zyprexa)`) inoshandiswa ku:
- Kana murwere ari munzvimbo yekuzvipinza munjodzi kana kuzviisa panjodzi kune vamwe.
- Kana dambudziko rehunhu richiita kuti zvisakwanise kupa kurapwa kwakakodzera.
- Kana uine chimwe chirwere chepfungwa (semuenzaniso schizophrenia ) pamusoro pechirwere cheAlzheimer.
Mumishonga iyiPane njodzi yakakura. Kureva kuti, inowedzera njodzi yekurohwa nestroke uye kufa muvarwere vakwegura vane chirwere cheAlzheimer. Pamusoro pezvo, zvinokonzera hope dzakakomba uye zvinowedzera njodzi yekudonha. Pamusoro pezvo, zvimwe zvacho zvinogona kudzivirira kushanda kwemishonga inovandudza ndangariro nekufunga muchirwere cheAlzheimer, zvichideredza kubatsirwa kwemishonga iyoyo.
Mamwe marapirwo ekuwedzera
Kuwedzera kune mishonga yataurwa pamusoro apa, mimwe mishonga dzimwe nguva inoshandiswa "isina zita".
- Mishonga yekurwisa pfari: Mishonga yekurwisa pfari yakadai seCarbamazepine neGabapentin dzimwe nguva inoshandiswa kudzora kutsamwa kwevarwere vane Alzheimer's.
- Mishonga yeAnti-Parkinson's: Mimwe mishonga inoshandiswa kurapa chirwere cheParkinson's iri kudzidzwa kuti ionekwe kana ichigonawo kubatsira nezviratidzo zveAlzheimer's.
Mharidzo Yekuenda Nayo Kumba
- Chirwere cheAlzheimer hachisi chekungokanganwa chete, asi matambudziko ehunhu nepfungwa anokonzerwa nacho ndiwo mamwe ezvirwere.
- Usati washandisa mishonga yezvinetso izvi, iva nechokwadi chekuyedza nzira dzisiri dzemishonga dzakadai sekugadzira nzvimbo yakanyarara, kuchengetedza maitiro ezuva nezuva, uye kutaura nerudo nemutsa .
- Mishonga inenge yese yataurwa munyaya ino ine migumisiro yakaipa uye njodzi dzakakomba. Haifanirwe kutombotanga kana kuregwa pasina kurairwa nachiremba.
- Kana ukaona shanduko yakangoerekana yaitika mumaitiro emurwere, panogona kunge paine chimwe chikonzero chemuviri (semuenzaniso, chirwere chemudumbu). Saka, tanga waona chiremba wako wokurukura nezvazvo.
- Kuchengeta mudiwa wako ibasa rinoda pfungwa dzakawanda. Saka, chengetedzawo hutano hwepfungwa dzako. Usazeza kukumbira rubatsiro kana uchida rubatsiro.
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