Ukuba unomzali osele ekhulile, utatomkhulu okanye umntu omthandayo onesifo sika-Alzheimer, kusenokwenzeka ukuba ukhe waziva ngequbuliso, uphazamisekile, kwaye unomsindo. Usenokukhathazwa kukubabona bethetha kakubi, bejika iingalo zabo, kwaye behambahamba ngaphandle kokuhlala kwindawo enye. Usenokuziva ungenakunceda ngamaxesha anje, ungakwazi ukuqonda ukuba wenze ntoni. Namhlanje, siza kuthetha ngamayeza anokunceda ukulawula ezi ndlela zokuziphatha.
Yintoni le ngxaki eyenzeka kwisifo sika-Alzheimer?
Isifo sika-Alzheimer asisosifo esibangela ukulahlekelwa yinkumbulo nje kuphela. Utshintsho olwenzeka engqondweni kunye nesi sifo lunokubangela utshintsho olukhulu kwindlela umntu aziphethe ngayo. Ukucaphuka yenye yeempawu eziphambili.
Kalula nje, nantsi into eyenzekayo:
- Ukuba ndlongondlongo ngamazwi: ukusoloko ukhwaza, uthuka abanye.
- Ukuba ndlongondlongo ngokwasemzimbeni: ukubetha abanye, ukubatyhala, ukubaphosa izinto.
- Ukungazinzi: Ukuzila ukudla, ukungazinzi, ukungazinzi.
Le meko ibangela uxinzelelo olukhulu kumguli nakwabo banjengani abamnyamekelayo. Amayeza ahlukeneyo asetyenziswa ukususela mandulo ukulawula olu hlobo lokuziphatha. Nangona kunjalo, anomngcipheko omkhulu weziphumo ebezingalindelekanga. Nangona kunjalo, ngoku kukho amayeza anamhlanje avunyiweyo ngale njongo, aneziphumo ebezingalindelekanga ezimbalwa. I-Rexulti yenye yamayeza anjalo.
Lisebenza njani eli yeza libizwa ngokuba yiRexulti?
I-Rexulti liyeza lesizukulwana sesithathu lokunyanga izifo zengqondo. Kulungile, ngaba eli gama livakala liyinkimbinkimbi? Masiligcine lilula.
Iingqondo zethu zilawula iimvakalelo, ukuziphatha, kunye neengcinga ngokusebenzisa ii-chemical messengers ezibizwa ngokuba zii-neurotransmitters . I-Dopamine kunye ne-serotonin zezona zimbini zezona zithunywa ziphambili. Kwisifo sika-Alzheimer, ezi zithunywa zinokungalungelelani. I-Rexulti isebenza ngokunceda ukubuyisela ibhalansi ye-dopamine kunye ne-serotonin engqondweni. Oku kunokuphucula imeko-bume kunye nokuziphatha.
Eyona nto ibalulekileyo kukuba oku akufani namayeza amadala, kwaye ngenxa yokuba kusebenza ngobuchule ngakumbi neekhemikhali zobuchopho, akukho mngcipheko mkhulu weziphumo ebezingalindelekanga ezinje ngokungcangcazela kunye nokuqina kwemisipha.
Ndingayisebenzisa njani le yeza?
I-Rexulti yipilisi ethathwa kanye ngemini. Ingathathwa ngaphambi okanye emva kokutya.
Ugqirha wakho uza kukuqalisa ngedosi ephantsi kakhulu.Emva koko, idosi inyuswa kancinci kancinci ngokusekwe kwindlela umzimba wakho osabela ngayo kuyo, amanye amayeza owasebenzisayo, kunye nendlela ezisebenza ngayo isibindi sakho kunye nezintso. Idosi ephezulu yemihla ngemihla imalunga neemiligram ezi-3.
Eyona nto ibalulekileyo kukuthatha amayeza ngexesha elifanelekileyo, ngedosi efanelekileyo, njengoko ugqirha wakho ekuxelela. Ukuwathatha rhoqo yonke imihla kuya kukunika iziphumo ezilungileyo. Kungathatha iiveki ezimbalwa okanye inyanga ukuba amayeza abonise iziphumo zawo. Ngoko ke, ungayeki ukuwathatha phakathi, ucinge, "Akukho mahluko okwangoku." Ungaze uyeke ukuthatha amayeza okanye utshintshe idosi ngaphandle kokubonisana nogqirha wakho.
Uyazi njani ukuba iyeza liyasebenza?
Ungaphawula utshintsho oluhle kwindlela umntu omthandayo aziphatha ngayo emva kweeveki ezimbalwa eqalile ukusebenzisa amayeza. Olu tshintsho luya kubonakala kancinci kancinci.
| Utshintsho oluhle luyabonakala |
|---|
| - Ukuncipha kokukhwaza nokuthuka. |
| - Ukuncipha kokuxhalaba komzimba. |
| - Ukunika inkxaso engakumbi xa unyamekela umntwana (umz., ukumtyisa, ukumhlamba). |
| - Uphuculo oluthile ebuthongweni. |
| - Ukubonisa umdla wokuba kunye nosapho okanye ukuthatha inxaxheba kweminye imisebenzi. |
| - Lilonke, kwenza kube lula ukunyamekela isigulana. |
Ixesha olidingayo ukulithatha eli yeza liyahluka kumntu nomntu. Abanye abantu banokuzuza kulo kwixesha elifutshane. Abanye banokufuna ukulithatha ixesha elide. Oku kuya kugqitywa ngugqirha wakho. Ukuba awuboni tshintsho emva kweenyanga ezimbalwa, xelela ugqirha wakho ngalo.
Iziphumo ebezingalindelekanga kunye nendlela yokuzilawula?
Njengalo naliphi na iyeza, iRexulti inokubangela iziphumo ebezingalindelekanga kwabanye abantu. Nangona kunjalo, ayinguye wonke umntu ozifumanayo. Makhe sijonge ezinye zezona ziphumo bezingalindelekanga ziqhelekileyo kunye nento onokuyenza ngazo.
| Iziphumo ebezingalindelekanga eziqhelekileyo | Indlela yokulawula |
|---|---|
| Ukunyuka kobunzima, ukozela, isiyezi | Ukuze ulawule ukutyeba, yitya imifuno neziqhamo ezininzi. Yenza umthambo olula njengokuhamba yonke imihla. Ukuba uziva ulele, buza ugqirha wakho kwaye uthathe amayeza ngaphambi kokuba ulale ebusuku. Ukuba uziva unesizungu, musa ukuvuka ngequbuliso xa uhleli okanye ulele phantsi. |
| U-Akathisia (ukungazoli) | Oku kungenzeka kwangethuba kunyango. Ukuhambahamba kunye nokuzilolonga kancinci kunokunceda ekunciphiseni oku. Nciphisa iti kunye nekofu kuba zinokunyusa le mpembelelo. |
| Iimpawu ezifana nokubanda | Ezi zifo zihlala ziphela kwiintsuku ezimbalwa. Ukuba ziyaqhubeka, xelela ugqirha wakho. |
| Umlomo owomileyo, ukuqhina kwesisu | Ukuba umlomo wakho womile, sela amanzi amaninzi. Ukuqhina kwesisu kunokuthintelwa ngokutya ukutya okunefayibha eninzi (isipinatshi, ikale, iziqhamo) kunye nokusela amanzi amaninzi. |
Kubaluleke kakhulu: Ukongeza, ukuba ufumana naziphi na iimpawu ezinzima ezifana nomkhuhlane ophezulu, ukuqina kwemisipha, ukudideka okukhulu, okanye iintshukumo ezingaqhelekanga nezingenakulawuleka, yazisa ugqirha wakho ngoko nangoko okanye uye kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane.
Zeziphi iimvavanyo ekufuneka zenziwe ngexesha lonyango?
Xa ekunika eli yeza, ugqirha wakho unokuyalela uvavanyo lwegazi ukuze kujongwe izinto ezithile emzimbeni wakho. Oku kwenzelwa ukujonga ukuba eli yeza likulungele na kwaye kukho umngcipheko weziphumo ebezingalindelekanga.
- Ubunzima kunye nobubanzi besinqe: Ubunzima bujongwa ngaphambi nangexesha lonyango.
- Ubalo lweGazi olupheleleyo (CBC): Lujonga inqanaba leeseli zegazi ezimhlophe nezibomvu egazini.
- Uvavanyo lwegazi lokuzila ukutya: Jonga amanqanaba e-cholesterol kunye neswekile (i-glucose egazini okanye i-HbA1c).
- Uxinzelelo lwegazi: Jonga rhoqo.
- Uvavanyo lwe-AIMS: Olu asilovavanyo, kodwa luvavanyo olujongwa ngugqirha. Lujonga iintshukumo zomzimba ezingaqhelekanga (tardive dyskinesia).
Ngaba oku kungabangela ukusebenzisana namanye amayeza?
Ewe, eli linqaku elibaluleke kakhulu. Amanye amayeza owasebenzisayo anokunyusa okanye anciphise ukusebenza kweRexulti. Ukuba ukusebenza kwayo kuyanda, umngcipheko weziphumo ebezingalindelekanga uyanda. Ukuba iyancipha, iyeza aliyi kusebenza kangako.
Umzekelo, ezinye ii-antifungal (umz., i-fluconazole, i-ketoconazole), ii-antibiotics (umz., i-clarithromycin), kunye ne-antidepressants (umz., i-fluoxetine, i-paroxetine) zinokufuna ukulungiswa kwedosi xa zisetyenziswa kunye nale mayeza. Kunokubakho iingxaki ngamanye amayeza e-epilepsy (umz., i-phenytoin).
Ngoko ke, xelela ugqirha wakho ngazo zonke amayeza asetyenziswa ngumntu omthandayo. Oku akuthethi nje kuphela amayeza aseNtshona, kodwa namayeza e-Ayurvedic, amayeza esintu, iivithamini, iimveliso zezityalo, njl. Oku kuya kunceda ugqirha ukuba acwangcise isicwangciso sonyango esikhuselekileyo.
Umyalezo Wokuya Ekhaya
- Iindlela zokuziphatha eziphazamisayo ezibangelwa sisifo sika-Alzheimer zinzima kakhulu kumguli nakubanakekeli, kodwa kukho unyango olufumanekayo.
- I-Rexulti (iBrexpiprazole) liyeza elithile elimiselwe ngugqirha ukulawula le meko.
- Sela idosi emiselweyo ngexesha elimiselweyo njengoko kuyalelwe ngugqirha wakho. Musa ukuyeka ukuthatha amayeza okanye utshintshe idosi nangasiphi na isizathu ngaphandle kokubonisana nogqirha wakho.
- Qaphela iziphumo ebezingalindelekanga. Ukuba ufumana naziphi na iimpawu ezingaqhelekanga okanye ukuba iziphumo ebezingalindelekanga ziyakukhathaza, xelela ugqirha wakho ngoko nangoko.
- Kubaluleke kakhulu ukuxelela ugqirha wakho ngazo zonke ezinye iindlela zonyango (kuquka amayeza e-Ayurvedic kunye namayeza esintu) asetyenziswa sisigulana sakho.
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