Ngaba kukho umntu kusapho lwakho, mhlawumbi umama wakho, utata, okanye utatomkhulu, oqala ukulibala izinto? Ngaba ngamanye amaxesha banengxaki yokufumana amagama? Sihlala sicinga ngayo njengenxalenye eqhelekileyo yokwaluphala. Nangona kunjalo, ngamanye amaxesha inokuba luphawu lwento enzima ngakumbi. Namhlanje sithetha ngecala elahlukileyo kancinci le-dementia, isifo sokulahlekelwa yinkumbulo. Loo meko ibizwa ngokuba yi-'mixed dementia'.
Yintoni iMixed Dementia?
Ngamafutshane, i-mixed dementia ithetha ukuba ingqondo yomntu ichatshazelwa ziintlobo ezimbini okanye ngaphezulu ze-dementia ngaxeshanye. Ngokuchanekileyo, kuxa kukho utshintsho olungaphezu kolunye lwengqondo oluvela ngaxeshanye.
Eyona ixhaphakileyo kwezi yi-mixed dementia, eyindibaniselwano yesifo sika-Alzheimer kunye ne-vascular dementia . Nangona kunjalo, isifo sika-Alzheimer sinokuhamba nezinye iimeko, ezifana ne-dementia ene-Lewy bodies (DLB) okanye i-dementia enxulunyaniswa nesifo sika-Parkinson. Ngamanye amaxesha, zonke ezi ntlobo zintathu ze-dementia zinokwenzeka kunye.
Indlela le meko eba mandundu ngayo ngokuhamba kwexesha (amanqanaba esi sifo)
Njengezinye iintlobo ze-dementia, i-mixed dementia yimeko eqhubekayo enokwahlulwahlulwa ibe ngamanqanaba asixhenxe aphambili.
1. Ukusebenza okuqhelekileyo: Xa isifo siqala, usenokungabi nazimpawu. Ukusebenza kobuchopho kusenokuba yinto eqhelekileyo ngokupheleleyo.
2. Ukulahlekelwa yinkumbulo okuncinci: Kwinqanaba lesibini, kuqalisa ukulahleka kwenkumbulo okuncinci kakhulu. Usenokulibala izinto. Oku kunokubonakala ngathi yinxalenye eqhelekileyo yokwaluphala.
3. Ukulahlekelwa yinkumbulo kancinci: Kwinqanaba lesithathu, uqala ukuqaphela iimpawu zokuqala zesifo sengqondo esixhalabisayo. Usenokuba nobunzima bokukhumbula izinto nokufumana amagama achaza into ethile.
4. Ukukhubazeka okuphakathi kwenkumbulo: Ukulahlekelwa yinkumbulo kuya kucaca ngakumbi kweli nqanaba. Kuqala ukuphazamisana nemisebenzi yemihla ngemihla, njengokuhlawula amatyala kunye nokucwangcisa izinto.
5. Ukuphazamiseka kwenkumbulo okuphakathi: Nemisebenzi yemihla ngemihla iba ngumceli mngeni. Ungadinga uncedo ngemisebenzi yakho, efana nokuhlamba nokunxiba.
6. Ukuphazamiseka okukhulu kwenkumbulo: Kufuna uncedo oluninzi ukwenza imisebenzi yemihla ngemihla. Nokuthetha nabanye abantu kunokuba nzima.
7. Ukulahlekelwa yinkumbulo enzulu: Ngeli nqanaba, nemisebenzi esisiseko efana nokuhamba nokuthetha isenokungenzeki. Okwangoku, ukhathalelo lunokufuneka iiyure ezingama-24 ngosuku.
Ngubani osengozini enkulu yokuhlaselwa yile meko?
Kukho izinto ezininzi ezibangela umngcipheko wokuba ne-mixed dementia. Kwakhona, izinto ezibangela umngcipheko ziyahluka ngokuxhomekeke kuhlobo lwe-dementia ebandakanyekayo. Makhe sijonge ezi kwitheyibhile.
| Izinto/Uhlobo lwesifo sengqondo esixhalabisayo | Izinto Ezinobungozi |
|---|---|
| Izinto eziphambili ezibangela umngcipheko | Ukwaluphala (ingakumbi abo baneminyaka engaphezu kwama-75 ubudala), uxinzelelo lwegazi oluphezulu, umonakalo kwimithambo yegazi engqondweni. |
| Iingozi ezinxulumene nesifo sika-Alzheimer | Imbali yosapho, iimpembelelo zemfuza, ukwenzakala entloko, isifo sentliziyo, ukuba wedwa, ukudandatheka okunganyangwanga. |
| Iingozi ezinxulumene ne-vascular dementia | Ukwaluphala, i-atherosclerosis, ukubetha kwentliziyo okungahambelaniyo (i-atrial fibrillation), ukusetyenziswa kotywala ngokugqithisileyo, i-cholesterol ephezulu, imbali yokuhlaselwa sisifo sentliziyo okanye istroke, ukutyeba kakhulu, ukutshaya, isifo seswekile esingalawulekiyo. |
| Iingozi ezinxulumene neLewy Body Dementia (DLB) | Ukwaluphala, imbali yosapho yesifo se-DLB okanye sikaParkinson, kunye nembali yosapho yesifo sokuziphatha kwe-REM. |
Zithini iimpawu ze-mixed dementia?
Iimpawu ze-mixed dementia zingahluka kakhulu kumntu nomntu. Oku kungenxa yokuba le meko inokubangelwa ziintlobo ezahlukeneyo ze-dementia, ezingonakalisa iindawo ezahlukeneyo zobuchopho. Iimpawu ziyindibaniselwano yeentlobo ze-dementia onayo.
Khawucinge nje, ukuba umntu unesifo se-Alzheimer's kunye ne-vascular dementia, unokufumana ukulahleka kwenkumbulo okunxulunyaniswa ne-Alzheimer's kunye nokucinga kancinci okunxulunyaniswa ne-vascular dementia.
Ezinye zeempawu eziqhelekileyo zezi:
- Utshintsho kwindlela yokuziphatha
- Ukudideka nakwiindawo eziqhelekileyo
- Uxinzelelo
- Ubunzima bokwenza imisebenzi yemihla ngemihla (njengokunxiba)
- Ubunzima bokwenza izigqibo
- Ubunzima bokukhumbula iziganeko zakutshanje okanye ezidlulileyo
- Ubunzima bokusebenzisa ulwimi
- Ukulibala
- Ukucaphuka
- Utshintsho lweemvakalelo
- Ubunzima ngokulinganisela komzimba kunye nokuhambahamba
- Utshintsho kubuntu
Ugqirha uyixilonga njani le nto?
Inyaniso kukuba, ukufumanisa isifo sengqondo esixutyiweyo kunzima kancinci, kuba kunzima ukulinganisa ngokuchanekileyo utshintsho kwizicubu zengqondo zomntu ophilayo. Olu tshintsho lunokubonwa ngokucacileyo kuphela xa ingqondo ihlolwa ngexesha lokuhlolwa kwesidumbu.
Rhoqo, ugqirha uxilonga uhlobo oluthile lwesifo sengqondo esixhalabisayo (umz. isifo sika-Alzheimer) ngokusekelwe kwiimpawu, kodwa kamva uhlolo lwesidumbu luqinisekisa ukuba yi-mixed dementia.
Ukuba wena okanye umntu osapho lwakho uneempawu ze-dementia, kungcono ukuba wenze uluhlu lwazo uze uye kugqirha wakho. Ukuba ubonisa iimpawu ezihambelana neentlobo ezimbini okanye ngaphezulu ze-dementia, ugqirha wakho unokurhanela ukuba une-dementia exutyiweyo.
Ezi mvavanyo zilandelayo zisetyenziswa kakhulu ekuxilongeni isifo:
- Uvavanyo lwegazi
- Iiskeni zobuchopho
- Uvavanyo lwengqondo
- Uvavanyo olupheleleyo lomzimba
- Uvavanyo lwe-neurological
- Ukuphonononga imbali yakho neyentsapho yakho yezonyango
Zithini iindlela zonyango zoku?
Njengezinye iintlobo zesifo sengqondo esixhalabisayo, akukho nyango lwesifo sengqondo esixutyiweyo. Akukho nyango lunokuthintela esi sifo ukuba singabi mandundu. Nangona kunjalo, kukho unyango olunokunceda ukulawula iimpawu nokwenza ubomi bube lula.
- Amayeza: Ukuba i-mixed dementia yakho inxulumene nesifo se-Alzheimer, ugqirha wakho unokukunika amayeza afana ne-cholinesterase inhibitors, asetyenziselwa ukunyanga iimpawu ze-Alzheimer. Kwakhona, ukuba unesifo se-vascular dementia, ugqirha wakho unokukunika amayeza okulawula izinto ezifana noxinzelelo lwegazi oluphezulu.
- Utshintsho kwindlela yokuphila: Utshintsho oluthile kwindlela yokuphila lunokunceda ekunciphiseni iimpawu.
- Ukuzilolonga
- Ukumamela umculo ozolileyo
- Iindlela zempilo yengqondo ezifana nokucamngca
- Ukuchitha ixesha nosapho kunye nabahlobo
- Ezinye iindlela zonyango:Izinto ezifana ne-psychotherapy kunye nonyango lomsebenzi zinokunceda ukuphucula imisebenzi yemihla ngemihla, ulwimi, inkumbulo, kunye nezakhono zokusombulula iingxaki.
Eyona nto ibalulekileyo kukuthetha nogqirha wakho ngaphambi kokuba uqalise naluphi na unyango kwaye ulandele imiyalelo yakhe.
Ndingaphila njani nale meko?
Nangona kungekho nyango luhlala luhleli lwe-mixed dementia, zininzi izinto ezinokwenziwa ukuphucula umgangatho wobomi besigulana.
- Yenza izinto zibe lula ukuzikhumbula: Bhala phantsi amadinga, izinto ekufuneka zenziwe, njl.
- Yenza kube lula ukuhlawula amatyala: Seta iintlawulo zebhili ngokuzenzekelayo. Cela uncedo kwilungu losapho okanye umhlobo othembekileyo.
- Lala kakuhle: Lala uvuke ngexesha elifanayo yonke imihla. Nciphisa i-caffeine, efana neti nekofu, ngokuhlwa.
- Yonwabela ubomi: Yenza izinto ozithandayo. Yiba nobudlelwane nabanye abantu. Ukuba uhlala wedwa, mema abanye abantu.
- Cela uncedo: Cela uncedo kusapho nakubahlobo ngezinto ezifana nokulima igadi, ukuqhuba, nokuphatha ukutya. Akukho ntloni ukucela uncedo.
- Fumana uncedo lobuchwephesha: Ukuba kuyimfuneko, ungafumana uncedo kwiinkonzo zokhathalelo lwasekhaya okanye kwimibutho yoluntu.
Umyalezo Wokuya Ekhaya
- I-Mixed dementia ithetha ukuba iintlobo ezimbini okanye ngaphezulu ze-dementia zichaphazela ingqondo yomntu ngaxeshanye.
- Iimpawu ziyahluka kumntu nomntu kwaye zixhomekeke kuhlobo lwesifo sengqondo esixhalabisayo esinaso isigulana.
- Ngenxa yokuba oku kunzima ukuxilonga, kubaluleke kakhulu ukubona ugqirha ofanelekileyo kwangoko xa kuvela iimpawu.
- Nangona kungekho nyango luhlala luhleli loku, amayeza, unyango, kunye notshintsho kwindlela ophila ngayo kunokukunceda ulawule iimpawu zakho kwaye uphile ubomi obungcono.
- Kubaluleke kakhulu ukuba isigulana sifumane uthando, inkxaso, kunye nokuqonda kusapho nakubahlobo.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho