Mumwe munhu mumhuri mako, zvichida amai vako, baba, kana sekuru nasekuru, anotanga kukanganwa zvinhu here? Dzimwe nguva vanonetseka here kuwana mashoko? Tinowanzofunga nezvazvo sechinhu chakajairika chekukura. Zvisinei, dzimwe nguva zvinogona kuva chiratidzo chechimwe chinhu chakaoma. Nhasi tiri kutaura nezverutivi rwakasiyana zvishoma rwechirwere chepfungwa, chirwere chekurasikirwa nendangariro. Ikoko chirwere chinonzi 'mixed dementia.'
Chii chinonzi Mixed Dementia?
Zvichitaurwa zviri nyore, mixed dementia inyaya yekuti uropi hwemunhu hunokanganiswa nemarudzi maviri kana anopfuura edementia panguva imwe chete. Zvakanyanya kunaka, inyaya yekuti uropi huchichinja kupfuura rumwe panguva imwe chete.
Chinonyanya kuoneka pakati peizvi i mixed dementia, inova musanganiswa wechirwere cheAlzheimer ne vascular dementia . Zvisinei, chirwere cheAlzheimer chinogonawo kuperekedzwa nezvimwe zvirwere, zvakaita se dementia ine Lewy bodies (DLB) kana dementia ine chekuita nechirwere cheParkinson. Dzimwe nguva, marudzi ese matatu e dementia anogona kuitika pamwe chete.
Kuipa kwechirwere ichi nekufamba kwenguva (zvikamu zvechirwere)
Kufanana nedzimwe mhando dzechirwere chepfungwa, chirwere chepfungwa chakasanganiswa chirwere chinoenderera mberi chinogona kukamurwa kuita matanho makuru manomwe.
1. Kushanda zvakanaka: Kana chirwere ichi chatanga, ungasaona zviratidzo. Kushanda zvakanaka kwehuropi kunogona kunge kwakajairika.
2. Kurasikirwa nendangariro zvishoma: Padanho rechipiri, unotanga kuona kurasikirwa nendangariro kudiki. Ungakanganwa zvinhu. Izvi zvingaita sechikamu chenguva dzose chekukwegura.
3. Kurasikirwa nendangariro zvishoma: Padanho rechitatu, unotanga kuona zviratidzo zvekutanga zvekushaya pfungwa. Ungave uchinetseka nekurangarira zvinhu uye kuwana mazwi ekutsanangura chimwe chinhu.
4. Kukanganisika kwendangariro kuri pakati nepakati: Kukanganisika kwendangariro kunonyanya kuoneka padanho iri. Kunotanga kukanganisa mabasa ezuva nezuva, akadai sekubhadhara mabhiri uye kuronga zvinhu.
5. Kukanganisika kwepfungwa zvishoma: Kunyange mabasa ezuva nezuva anova dambudziko. Ungangoda rubatsiro pamabasa ako ega, akadai sekugeza nekupfeka.
6. Kukanganisika kukuru kwendangariro: Kunoda rubatsiro rwakawanda pakuita mabasa ezuva nezuva. Kunyangwe kutaura nevamwe kungave kwakaoma.
7. Kurasikirwa nendangariro zvakanyanya: Padanho iri, kunyangwe mabasa ekutanga akadai sekufamba nekutaura angasakwanisika. Panguva ino, kutarisirwa kungadiwa maawa makumi maviri nemana pazuva.
Ndiani ari panjodzi huru yekuva nechirwere ichi?
Kune zvinhu zvakawanda zvinokonzera njodzi yekusangana nechirwere chepfungwa chakasanganiswa. Zvakare, zvinhu zvinokonzera njodzi zvinosiyana zvichienderana nerudzi rwechirwere chepfungwa chinobatanidzwa. Ngatizvitarisei mutafura.
| Chinhu / Rudzi rwechirwere chepfungwa | Zvinhu Zvinokonzera Njodzi |
|---|---|
| Zvinhu zvikuru zvinokonzera njodzi | Kukwegura (kunyanya avo vane makore anopfuura makumi manomwe nemashanu ekuberekwa), BP yakakwira, kukuvara kwetsinga dzeropa muuropi. |
| Njodzi dzinobatanidzwa nechirwere cheAlzheimer | Nhoroondo yemhuri, mafungire emuviri, kukuvara mumusoro, chirwere chemwoyo, kusurukirwa, kuora mwoyo kusina kurapwa. |
| Njodzi dzinobatanidzwa ne vascular dementia | Kukwegura, atherosclerosis, kurova kwemoyo kusina kurongeka (atrial fibrillation), kushandisa doro zvakanyanya, cholesterol yakawandisa, nhoroondo yekurohwa nemoyo kana sitiroko, kufuta, kusvuta, chirwere cheshuga chisingadzoreki. |
| Njodzi dzine chekuita neLewy Body Dementia (DLB) | Kukwegura, nhoroondo yemhuri yechirwere cheDLB kana Parkinson, uye nhoroondo yemhuri yeREM sleep behavior disorder. |
Ndezvipi zviratidzo zve mixed dementia?
Zviratidzo zve mixed dementia zvinogona kusiyana zvikuru kubva pamunhu nemunhu. Izvi zvinodaro nekuti chirwere ichi chinogona kukonzerwa nemhando dzakasiyana dze dementia, izvo zvinogona kukuvadza zvikamu zvakasiyana zveuropi. Zviratidzo izvi musanganiswa wemhando dze dementia dzaunadzo.
Fungidzira, kana munhu aine chirwere cheAlzheimer ne vascular dementia, anogona kurasikirwa nendangariro nekuda kweAlzheimer uye kufunga zvishoma nezvishoma nekuda kwe vascular dementia.
Zvimwe zviratidzo zvakajairika ndeizvi:
- Kuchinja kwemaitiro
- Kuvhiringidzika kunyange munzvimbo dzinozivikanwa
- Kuora mwoyo
- Kuomerwa nekuita mabasa ezuva nezuva (akadai sekupfeka)
- Kuoma kuita zvisarudzo
- Kuomerwa nekurangarira zviitiko zvechangobva kuitika kana zvekare
- Kuoma kushandisa mutauro
- Kukanganwa
- Kutsamwa
- Kuchinja kwemanzwiro
- Kuoma kwemuviri kuenzana uye kufamba
- Kuchinja kwehunhu
Chiremba anoongorora sei izvi?
Kutaura chokwadi, kuongorora chirwere chepfungwa chakasanganiswa kwakaoma zvishoma, nekuti zvakaoma kuyera nemazvo shanduko dziri muuropi hwemunhu mupenyu. Shanduko idzi dzinongoonekwa chete kana uropi hwaongororwa panguva yekuongorora chitunha.
Kazhinji, chiremba anoongorora rudzi rumwe rwechirwere chepfungwa (semuenzaniso Alzheimer's) zvichibva pazviratidzo, asi gare gare kuongororwa kwechitunha kunosimbisa kuti chirwere ichi ipfungwa dzakasanganiswa.
Kana iwe kana mumwe munhu mumhuri yako aine zviratidzo zvechirwere chepfungwa, zvakanaka kunyora pasi zviratidzo zvacho woenda kunoona chiremba wako. Kana uri kuratidza zviratidzo zvinoenderana nemarudzi maviri kana anopfuura echirwere chepfungwa, chiremba wako anogona kufungidzira kuti une chirwere chepfungwa chakasanganiswa.
Miedzo inotevera ndiyo inowanzoshandiswa pakuongorora chirwere ichi:
- Kuongororwa kweropa
- Kuongororwa kwehuropi
- Kuongororwa kwepfungwa
- Kuongororwa kwemuviri kwakakwana
- Kuongororwa kwetsinga
- Kuongorora nhoroondo yako neyemhuri yako yehutano
Ndezvipi zvinorapwa izvi?
Kufanana nedzimwe mhando dzechirwere chepfungwa, hapana mushonga wechirwere chepfungwa chakasanganiswa. Hakunawo mushonga unogona kudzivirira chirwere ichi kuti chisanyanya kuipa. Zvisinei, kune mishonga inogona kubatsira kudzora zviratidzo uye kuita kuti hupenyu huve nyore.
- Mishonga: Kana chirwere chako cheAlzheimer chakasanganiswa chine chekuitawo nechirwere cheAlzheimer, chiremba wako anogona kukupa mishonga yakaita secholinesterase inhibitors, inoshandiswa kurapa zviratidzo zveAlzheimer. Uyewo, kana uine vascular dementia, chiremba wako anogona kukupa mishonga yekudzora zvinhu zvakaita seBP.
- Kuchinja mararamiro: Kuchinja mararamiro kunogona kubatsira kuderedza zviratidzo.
- Kurovedza muviri
- Kuteerera mimhanzi inonyaradza
- Nzira dzehutano hwepfungwa dzakadai sekufungisisa
- Kupedza nguva nemhuri neshamwari
- Mamwe Marapirwo:Zvinhu zvakaita sekurapa kwepfungwa (psychotherapy) uye kurapwa kwebasa (occupational therapy) zvinogona kubatsira kuvandudza mabasa ezuva nezuva, mutauro, ndangariro, uye hunyanzvi hwekugadzirisa matambudziko.
Chinhu chinonyanya kukosha kutaura nachiremba wako usati watanga chero kurapwa uye kutevedzera mirairo yake.
Ndingararama sei nemamiriro ezvinhu aya?
Kunyange hazvo pasina mushonga wechigarire wechirwere chepfungwa chakasanganiswa, pane zvakawanda zvinogona kuitwa kuti hupenyu hwemurwere huve nani.
- Ita kuti zvinhu zvive nyore kurangarira: Nyora pasi nguva dzekusangana nevamwe, zvinhu zvekuita, nezvimwewo.
- Ita kuti kubhadhara mabhiri kuve nyore: Gadzirira kubhadhara mabhiri otomatiki. Tsvaga rubatsiro kubva kumunhu wemhuri waunovimba naye kana shamwari.
- Rara zvakanaka: Enda kunorara womuka panguva imwe chete zuva nezuva. Deredza kunwa caffeine, senge tii nekofi, manheru.
- Nakidzwa nehupenyu: Ita zvinhu zvaunofarira. Iva neushamwari nevamwe. Kana uchigara wega, koka vamwe.
- Kumbira rubatsiro: Kumbira rubatsiro kumhuri neshamwari nezvinhu zvakaita sekurima, kutyaira, uye kutakura zvekudya. Hapana kunyara kukumbira rubatsiro.
- Wana rubatsiro rwenyanzvi: Kana zvichidikanwa, unogona kuwana rubatsiro kubva kumasangano ekuchengeta varwere mudzimba kana kumasangano emunharaunda.
Mharidzo Yekuenda Nayo Kumba
- Kukanganisika kwepfungwa (mixed dementia) zvinoreva kana mhando mbiri kana kupfuura dzedementia dzichikanganisa uropi hwemunhu panguva imwe chete.
- Zviratidzo zvinosiyana kubva pamunhu kuenda kune mumwe uye zvinoenderana nerudzi rwechirwere chepfungwa chinokonzerwa nemurwere.
- Nekuti izvi zvakaoma kuona, zvakakosha kuona chiremba ane hunyanzvi kana zviratidzo zvangoonekwa.
- Kunyange hazvo pasina mushonga wekusingaperi weizvi, mishonga, marapirwo, uye shanduko dzemararamiro zvinogona kukubatsira kudzora zviratidzo zvako uye kurarama hupenyu huri nani.
- Zvakakosha zvikuru kuti murwere awane rudo, rutsigiro, uye kunzwisisa kubva kumhuri neshamwari.
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