Ngaba umntu omthandayo uyaxhalaba ngokuhlwa? Masithethe ngeSundown Syndrome!

Mhlawumbi uqaphele ukuba ootatomkhulu noomakhulu bakho abadala benza ngendlela eyahlukileyo ngokuhlwa. Umntu obephilile emini ngequbuliso uqala ukuba nexhala, umsindo, okanye usizi njengoko ilanga litshona. Le yinto eyenzeka kubantu abaninzi, ingakumbi abo balahlekelwa yinkumbulo. Namhlanje siza kuthetha ngemeko ebizwa ngokuba yi "Sundown Syndrome."

Yintoni iSundowning? "Sundowning" okanye "Sundowning Syndrome"?

Ngamafutshane, ukutshona kwelanga kuxa abantu abanesifo sika-Alzheimer okanye ezinye izifo zengqondo (imeko etshintsha kancinci inkumbulo, indlela yokucinga, kunye nokuziphatha) befumana utshintsho kwindlela abaziphatha ngayo, abacinga ngayo, kunye neemvakalelo zabo njengoko imini iqhubeka okanye njengoko ilanga litshona. Yiyo loo nto ibizwa ngokuba yi-"sundowning." Nangona kunjalo, le meko yokudideka, okanye i-delirium njengoko oogqirha beyibiza njalo, ngamanye amaxesha inokwenzeka nangaliphi na ixesha losuku. Kodwa ixhaphake kakhulu ngokuhlwa.

Oku kukwabizwa ngokuba "yingxaki yokubhideka kwasemini." Kuqikelelwa ukuba malunga nama-20% abantu abanesifo sika-Alzheimer baya kuba nale meko ngaxa lithile ebomini babo.

Zeziphi iindlela zokuziphatha neemvakalelo ezinokubonwa kule meko yokutshona kwelanga?

Ezinye zeendlela zokuziphatha ezibonwa ngexesha lokutshona kwelanga zisenokuba zezo zihambelana nelo xesha losuku. Ngokufanayo, ezinye iindlela zokuziphatha ezinokubonwa nangaliphi na ixesha kumntu onesifo sengqondo zinokuba zibonakala ngakumbi ngeli xesha. Makhe sijonge ukuba zeziphi ezi mpawu.

Iindlela zokuziphatha ezibonakalayo:

• Ukuhambahamba: Ukuhambahamba ngaphandle kokuhlala kwindawo enye.
• Ukushukuma: Ukushukuma ubuyela umva uhleli kwindawo enye.
• Ukuzulazula: Ukuhamba ungenalo indawo engqondweni . Ungade ulahleke.
• Ubundlobongela: Izinto ezifana nomsindo ngequbuliso nokushukumisa iingalo nemilenze yakho.
• Umthunzi: Ukulandela umnakekeli wakho naphi na apho aya khona.
• Ukulila ngaphandle kwesizathu: Ukuqala ukulila nangona ungaziva ulusizi.
• Ukungalali: Ukungakwazi ukulala ebusuku.
• Ukukhwaza: Ukuqala ngequbuliso ukukhwaza.

Iimvakalelo ezinokwenzeka:

Kunye nezi ndlela zokuziphatha, banokuba neemvakalelo ezahlukeneyo.

• Usizi
• Ixhala
• Uloyiko
• Ukuphazamiseka
• Ukungazinzi
• Ukucaphuka

Iimeko zengqondo ezinokwenzeka:

Ngamanye amaxesha, le meko inokubangela ukuba bacinge izinto ezinje:

• Ukudideka
• Ukurhanela abanye ngokungeyomfuneko (i-Paranoia)
• Ukubona okanye ukuva izinto ezingezizo zokwenyani, ukukhohlisa kunye nokubona izinto ezingekhoyo

Yintoni eyenza le meko ibe mandundu?

Eyona nto ibangela ukuba ukutshona kwelanga kube kubi kakhulu kukungakwazi ukulala ngokwaneleyo . Oko kukuthi, ukungalali ngokwaneleyo ebusuku. Ngaphandle koko, oogqirha bathi kukho ezinye izizathu ezininzi ezinokwenza le meko ibe mandundu. Makhe sibone ukuba zeziphi:

• Ukuphazamiseka komjikelo wendalo wokulala nokuvuka komzimba wethu (iindlela zeCircadian): Cinga ngako, sinewotshi yendalo emzimbeni wethu. Yiyo esigcina siphaphile emini kwaye silele ebusuku. Ezi ngxaki zivela xa le wotshi iphazamisekile.
• Ukungalali okanye ezinye iingxaki ezinxulumene nokulala: Iingxaki zokulala ezifana nokungakwazi ukulala ebusuku okanye ukuba nengxaki yokuphefumla.
• Usulelo emzimbeni: Umzekelo, into efana nosulelo lomchamo.
• Ukuphelelwa ngamanzi emzimbeni.
• Iziphumo ebezingalindelekanga zamanye amayeza.
• Ukungakwazi ukuqonda umahluko phakathi kwehlabathi lokwenyani namaphupha.
• Ezinye izifo zomzimba.
• Ukuba neentlungu emzimbeni.
• Ukudinwa/ukudinwa imini yonke.
• Ingqondo igxile kwizinto ezininzi imini yonke, nto leyo ebangela ukuba ingqondo ilahlekelwe kukuphumla kwayo (i-Overstimulation).
• Izibane eziphantsi endlwini ngokuhlwa.

Khawucinge nje, umakhulu wethu uchithe usuku lonke ebukele iTV, ethetha nabantu abaninzi, kwaye xa ukukhanya kukhanya ngokuhlwa, ngequbuliso akakwazi ukuqonda okumngqongileyo aze axhalabe. Yiloo nto kanye eyenzekayo.

Le meko iza kuhlala ixesha elingakanani?

I-Sundown Syndrome idla ngokuqala phakathi ukuya ekupheleni kwesifo sika-Alzheimer . Inokuhlala ixesha elide logama nje kukho izinto ezibangela esi sifo .

Singanceda/sinyanga njani le meko yokutshona kwelanga?

Eyona nto ingcono onokuyenza kukufumana into ebangela esi sifo uze usinyange. Nangona kunjalo, kukho ezinye iindlela zokunciphisa iimpawu zale meko.

Izinto onokuzenza ngaphandle kwamayeza:

Nazi izinto omele uzizame kuqala:

• Unyango lokukhanya: Ukukhanya okukhanyayo emini, ngamanye amaxesha kusetyenziswa izibane ezikhethekileyo, kunokunceda ekulawuleni i-circadian rhythms yethu.
• Unyango lomculo: Ukubenza bamamele iingoma ezindala ezizolisa ingqondo kwaye bazithanda.
• Utshintsho kwindalo esingqongileyo:
• Gcina izinto abaziqhelileyo , ezifana neefoto zosapho, kwindawo abanokuzibona kuyo. Oku kuya kunciphisa ukudideka ezingqondweni zabo.
• Qinisekisa ukuba igumbi labo likhanya kakuhle emini. Yenza igumbi libe mnyama ebusuku xa belele.
• Ukuba umntu omthandayo unxiba iiglasi okanye izixhobo zokuva, zigcine zikufutshane . Basenokuba bakhathazekile ngokungakwazi ukubona okanye ukuva kakuhle.

Ukuba kuyimfuneko, yeyiphi iyeza elinikwayo?

Ngamanye amaxesha, oogqirha banokunika amayeza okulawula ezi ndlela zokuziphatha kunye neemvakalelo.

• Amayeza okudakumba
• Amayeza okulwa nokuxhalaba
• Ii-Antipsychotics: Kufuneka ulumke kakhulu xa usebenzisa ezi zinto, kuba ukuzisebenzisa ixesha elide kunokukhokelela kwiingozi ezifana nestroke .
• I-Melatonin yokukunceda ulale: Le yi-hormone ekunceda ulale.

Eyona nto ibalulekileyo kukuba onke la mayeza afanele asetyenziswe kuphela phantsi kwengcebiso kagqirha.

Nazi ezinye izinto ezinokukunceda unyamekele isigulana ebusuku:

Ukuba nguwe onyamekela umntu omthandayo, zama ezi zinto ukuze umncede alale ngoxolo ebusuku:

• Gcina igumbi labo lokulala lithule kwaye lingenangxolo . Cima ingxolo enkulu efana neTV kunye nerediyo.
• Yidla umculo ozolileyo nothambileyo .
• Bafundele incwadi .
• Zibandakanyeni kumsebenzi olula – yityani isidlo esilula kunye, yenzani iphazili elula, okanye nibukele inkqubo yeTV abayithandayo.
• Misela imikhwa emihle yokulala (ucoceko ebuthongweni): Lala ngexesha elifanayo nakwindawo enye yonke imihla.

Eyona ndlela ilungileyo yokunceda umntu omthandayo kukufumanisa ukuba yintoni kanye kanye ebangela ukuziphatha kwakhe. Umzekelo, ukuba akakwazi ukulala ebusuku, kusenokwenzeka ukuba ebexakeke kakhulu imini yonke kwaye akafumananga thuba lokuphumla. Kwimeko enjalo, unyango lusenokuba lula usuku lwakhe, ukucwangcisa usuku lwakhe ngabantu abambalwa, kwaye angabi nengxolo ingako.

Yintoni enokwenziwa ukuthintela okanye ukunciphisa ukutshona kwelanga?

Zininzi izinto onokuzenza ukuthintela ukutshona kwelanga nokunciphisa ubukhali bemeko. Zama ezi:

• Jonga ukuba umntu omthandayo angalala na ubusuku bonke .
• Musa ukunika iziselo ezine-caffeine (ezifana nekofu neti) emva kwesidlo sakusasa.
• Kuphephe ukunika umntu utywala.
• Banike ilanga elaneleyo emini. Babeke kufutshane nefestile, okanye ubakhuphele ngaphandle ithutyana ukuba kunokwenzeka.
• Bavumele benze umthambo yonke imihla. Nokuba uhamba nje kancinci kuya kuba luncedo.
• Ukuba kufuneka ulale emini, yigcine ingqengqelo emfutshane, kwaye ukwenze oko kwangethuba emini .
• Cwangcisa imisebenzi ethile imini yonke, kodwa ungagqithisi. Ingqondo yakho nayo ifuna ukuphumla.

Ndifanele ndimbone nini ugqirha ngale nto?

Wakuba nje uqalile ukubona iimpawu zeSundowning, kungcono ukubona ugqirha ngokukhawuleza ukuze wenze isicwangciso sonyango. Bona ugqirha wosapho lwakho, okanye bona ugqirha wabantu abadala .

Khumbula, umntu omthandayo one-Down syndrome usenokungakwazi ukukuxelela naziphi na iingxaki okanye iintlungu anazo (umzekelo, iintlungu ezivela kusulelo lomchamo). Ngoko ke, nguwe omele uthethe nogqirha egameni lakhe kwaye umncede afumane uvavanyo olufunekayo.

Ingaba iSandawini ikwafika nakwabo bangenaso isifo sika-Alzheimer?

Ewe. Nangona i-Down syndrome ixhaphake kakhulu kubantu abanesifo sika-Alzheimer kunye ne-dementia, inokubakho nakwabanye abantu abadala .

Ngaba oku kungenzeka nakusasa?

Ayingabo bonke abantu abafumana ukutshona kwelanga abaneempawu ezifanayo okanye abafumana iimpawu ezifanayo. Kwabanye, oku kungaphumli kusenokwenzeka kusasa endaweni yokuba kwenzeke ngokuhlwa.

Kubalulekile ukuzinyamekela nawe!

Ukunyamekela umntu onesifo sengqondo esixhalabisayo okanye isifo se-Alzheimer kunokuba nzima kakhulu. Ukuba umntu omthandayo naye unesifo sengqondo esixhalabisayo, ezi mvakalelo zinokuba nzima nangakumbi. Nangona kunjalo, kukho izinto onokuzenza ukunceda ukunciphisa iimpawu zesifo sengqondo esixhalabisayo (utshintsho kwindawo okuyo, amayeza athile). Kukwakho namaqela enkxaso anokunceda abanakekeli babantu abane-Alzheimer's. Ukuba unengxaki yokumelana nale meko, nceda ucele uncedo. Akunyanzelekanga ukuba ujongane nezi zinto wedwa.

Ngoko ke, nazi ezona zinto zibalulekileyo ekufuneka sizikhumbule:

• I-Sundown Syndrome luphawu lwezifo ezifana ne-dementia, ayisosifo esahlukileyo.
• Kubaluleke kakhulu ukuzama ukuchonga izinto ezithile ezibangela le meko.
• Kufuneka uqale uzame ukulawula le meko ngeendlela ezingezizo ezamayeza .
• Kubalulekile ukufuna iingcebiso zonyango, ingakumbi ukuba usebenzisa amayeza.
• Kubalulekile ukuzinyamekela nokuzifunela uncedo, kunye nokunyamekela isigulana. Kuphela xa uphilile apho unokunyamekela kakuhle umntu omthandayo.

Ndiyathemba ukuba olu lwazi luza kukunceda. Ukuba unemibuzo engaphezulu, ungathandabuzi ukuthetha nogqirha.

"I-Sundown syndrome, i-dementia, i-Alzheimer's, ukunakekelwa kwabantu abadala, ukungazinzi, iingxaki zokulala, ukuphazamiseka kwenkumbulo