Uma unomuntu emndenini wakho ohlushwa yisifo i -Alzheimer 's Disease, kungaba ngumama wakho, ubaba, ugogo, noma u-anti wakho, cishe uyazi ukuthi kancane kancane bayakhohlwa izinto. Leso yisibonakaliso esiyinhloko salesi sifo. Kodwa, ngaphezu kokulahlekelwa yinkumbulo yabo, kungenzeka ukuthi uke wabona izinguquko ezinkulu ekuziphatheni kwabo. Ngezinye izikhathi bayaphazamiseka, bathukuthele, badabuke, noma baqhubeke nje behamba ebusuku bengalali. Uma ubona lezi zinto, kumelwe futhi uzizwe udabuke kakhulu. Namuhla sikhuluma ngemithi yokwelapha eyengeziwe, noma "Imithi Yokwelapha Engeziwe", enikezwa izinkinga zokuziphatha nezengqondo ezenzeka ngaphezu kokulahlekelwa yinkumbulo esifweni i-Alzheimer's.
Kalula nje, lapho isifo i-Alzheimer silimaza amangqamuzana ezinzwa ebuchosheni, asithinti nje kuphela inkumbulo kodwa futhi nezingxenye ezilawula ukuziphatha kwethu. Yingakho lezi zinkinga zenzeka.
- Ukucasuka
- Ulaka
- Ukukhathazeka
- Ukukhohlisa (ukukholelwa ezintweni ezingekho)
- Ukucindezeleka
- Ukubona izinto ezingabonakali noma ukuzwa izinto ezingabonakali (Hallucinations)
- Ukungalali
- Ukungahlaliseki
Lezi zimpawu zingaba nzima kakhulu esigulini nakuwe, wena mnakekeli. Odokotela bavame ukuncoma ukuthi uqale uzame ukulawula lezi zimpawu ngokushintsha indlela yokuphila kanye nokwelashwa kokuziphatha ngaphambi kokusebenzisa imithi. Kufanele futhi uqale unqume ukuthi kukhona yini esinye isizathu sokushintsha kokuziphatha (isibonelo, ukutheleleka, inkinga yombono noma yokuzwa, noma umphumela omubi womunye umuthi).
Kodwa ngezinye izikhathi imithi iyindlela engcono kakhulu. Imithi eminingi esikhuluma ngayo lapha ayivunyelwe ngqo isifo i-Alzheimer's. Odokotela banikeza le mithi "engavunyelwe." Okusho ukuthi, umuthi ovunyelwe esinye isimo (njengokucindezeleka) unikezwa ngoba ulwazi lukadokotela lubonisa ukuthi ungase ufanelekele nezinkinga zokuziphatha zesiguli i-Alzheimer's.
Izinsiza zokulala
Abantu abaningi banezinkinga zokulala njengoba bekhula.Kuyenzeka. Kodwa kuvame kakhulu kubantu abane-Alzheimer's. Ngenxa yokushintsha kobuchopho, bavuka njalo ebusuku futhi bakhathele emini.
Into ebaluleke kakhulu ukuzama ukulala ngaphandle kwemithi, kunokusebenzisa amaphilisi okulala. Ngoba amaphilisi okulala anikezwa iziguli ezine-Alzheimer's ngezinye izikhathi angaba yingozi.
Uma nje ukushintsha indlela yokuphila kungakusizi ulale, futhi ukuhlala uphapheme ebusuku kuyinkinga enkulu, udokotela wakho angakunikeza umuthi onjengalona:
- I-Suvorexant (i-Belsomra): Lona umuthi kuphela ovunyelwe yi-US FDA wezinkinga zokulala ezihlobene nesifo i-Alzheimer's. Ungowesigaba semithi ebizwa ngokuthi "i-Orexin inhibitors." Kalula nje, usebenza ngokuvimba ikhemikhali ebuchosheni bethu ekhombisa ukuthi "sekuyisikhathi sokuvuka." Kodwa-ke, lo muthi ungabangela imiphumela emibi njengokuhamba ubuthongo, ukucindezeleka, kanye nokulala emini.
- Ezinye Izitho Zokulalisa: Udokotela wakho angase akunike amanye amaphilisi okulala, njenge-`Eszopiclone (Lunesta)` noma i-`Zolpidem (Ambien).` Kodwa-ke, ukuthatha lokhu kungabangela ukuthi wenze izinto ezingavamile ngenkathi ulele (njengokudla noma ukushayela ulele). Kungabangela nokudideka emini, ukulahlekelwa yinkumbulo, kanye nengozi eyengeziwe yokulahlekelwa ibhalansi yakho nokuwa.
Kubaluleke kakhulu: Amaphilisi okulala kufanele asetshenziswe isikhathi esifushane kakhulu . Angakwenza ube nesiyezi futhi ulale kalula. Uma indlela yakho yokulala isibuyele esimweni sayo esijwayelekile, kufanele ukhulume nodokotela wakho uzame ukuyeka ukuwaphuza.
Futhi, amanye amaphilisi okulala (aqukethe ama-antihistamine, isibonelo i-diphenhydramine) ongawathenga ngaphandle kwemithi ekhemisi awafaneleki nhlobo ezigulini ze-Alzheimer's . Angaphazamisa ukuxhumana phakathi kwamangqamuzana ezinzwa ebuchosheni, okwenza inkumbulo kanye namakhono okucabanga abe mabi.
Imithi Yokudambisa Ukucindezeleka Nemithi Yokulwa Nokukhathazeka
Ukucindezeleka kuvame kakhulu nesifo i-Alzheimer's. Ukuze kuthuthukiswe isimo sengqondo sesiguli, udokotela angase anikeze imithi yokucindezeleka. Le mithi ingasiza hhayi kuphela ngokucindezeleka, kodwa futhi nangokukhathazeka, izinkinga zokulala, ukucasuka, kanye nokubona izinto ezingekho.
| Uhlobo lwesidakamizwa | Izibonelo |
|---|---|
| Ama-SSRI (Ama-Selective Serotonin Reuptake Inhibitors) (Imithi evame ukusetshenziswa, ephephile) | I-Citalopram (i-Celexa), i-Sertraline (i-Zoloft), i-Escitalopram (i-Lexapro) |
| Ama-SNRI (ama-Serotonin-Noradrenaline Reuptake Inhibitors) | I-Venlafaxine (i-Effexor), i-Duloxetine (i-Cymbalta) |
| Ama-Antidepressants Angavamile | I-Mirtazapine (Remeron), i-Trazodone (i-Desyrel) |
Isexwayiso: Ama-antidepressant amadala, njenge-tricyclic antidepressants (isb., i-amitriptyline) kanye ne-SSRIs njenge-paroxetine (Paxil), awanconywa kubantu abanesifo i-Alzheimer's. Angalimaza kakhulu amakhono okukhumbula nokucabanga.
Ngezinye izikhathi odokotela banikeza imithi yesikhashana ebizwa ngokuthi i-benzodiazepines (isb., i-Lorazepam (Ativan), i-Diazepam (Valium)) ukwelapha ukukhathazeka, ukungahlaliseki, kanye nokuziphatha okunolaka. Kodwa-ke, lokhu kungabangela ukozela, isiyezi, ukudideka, kanye nengozi ephezulu yokuwa.
Ama-antipsychotics (imithi yokukhathazeka okukhulu nezinkinga zengqondo)
Ezinye izinkinga zokuziphatha ezenzeka ngesifo i-Alzheimer's zingaba yingozi esigulini noma kubanakekeli baso. Isibonelo, ulaka olukhulu, imizamo yokuzilimaza bona noma abanye, kanye nokubona noma ukuzwa izinto ezingekho. Ezimweni ezinjalo, imithi yokulwa nesifo sengqondo ingasetshenziswa njengesisombululo sokugcina, uma kungekho enye indlela .
Le mithi kufanele isetshenziswe ngokucophelela okukhulu, ngaphansi kokuqashwa okuseduze kukadokotela. Ngenxa yokuthi izingozi zingase zibe zinkulu kunezinzuzo, ochwepheshe batusa ukuyisebenzisa kuphela uma kungekho ezinye izinketho ezisebenze kahle.
Ngaphambi kokuqala lo muthi,
- Ukudala indawo ezolile
- Ukujwayela inqubo evamile
- Ukuzibandakanya emsebenzini womzimba
Kufanele nakanjani uzame izinto ezinjalo.
Imithi yokulwa nesifo sengqondo (isib., `Risperidone (Risperdal)`, `Quetiapine (Seroquel)`, `Olanzapine (Zyprexa)`) isetshenziselwa:
- Uma isiguli sisesimweni sokuzifaka engozini noma sizifake engozini kwabanye.
- Uma inkinga yokuziphatha ikwenza kube nzima ukunikeza ukwelashwa okudingekayo.
- Uma unesinye isifo sengqondo (isib. i-schizophrenia ) ngaphezu kwesifo i-Alzheimer's.
Kule mithiKukhona ingozi enkulu. Okusho ukuthi, kwandisa ingozi yokushaywa yisifo sohlangothi nokufa ezigulini esezikhulile ezinesifo i-Alzheimer's. Ngaphezu kwalokho, zibangela ukozela okukhulu futhi zandisa ingozi yokuwa. Ngaphezu kwalokho, ezinye zazo zingamelana nesenzo semithi ethuthukisa inkumbulo nokucabanga esifweni i-Alzheimer's, inciphise inzuzo yaleyo mithi.
Ezinye izindlela zokwelapha ezengeziwe
Ngaphezu kwemithi eshiwo ngenhla, eminye imithi ngezinye izikhathi isetshenziswa "ngaphandle kwelebula".
- Imithi Yokulwa Nokuxhuzula: Imithi yokulwa nesifo sokuxhuzula efana neCarbamazepine kanye neGabapentin ngezinye izikhathi isetshenziswa ukulawula ukukhungatheka ezigulini ezine-Alzheimer's.
- Imithi Yokulwa neParkinson: Eminye imithi esetshenziswa ukwelapha isifo sikaParkinson iyahlolwa ukuze kubonakale ukuthi ingasiza yini ngezimpawu ze-Alzheimer's.
Umlayezo Wokuya Nawe Ekhaya
- Isifo i-Alzheimer's asigcini nje ngokulahlekelwa yinkumbulo. Izinkinga zokuziphatha nezengqondo ezihambisana naso nazo ziyingxenye yalesi sifo.
- Ngaphambi kokusebenzisa imithi yalezi zinkinga, qiniseka ukuthi uzama izindlela ezingezona ezemithi njengokudala indawo ezolile, ukugcina inqubo yansuku zonke, nokukhuluma ngothando nangomusa .
- Cishe yonke imithi okukhulunywe ngayo kulesi sihloko inemiphumela emibi kanye nezingozi ezinkulu. Akufanele iqalwe noma iyekwe ngaphandle kweseluleko sikadokotela.
- Uma ubona ushintsho oluzumayo ekuziphatheni kwesiguli, kungase kube nenye imbangela engokomzimba (isib., ukutheleleka komgudu womchamo). Ngakho-ke, qala ngokubona udokotela wakho bese nixoxa ngakho.
- Ukunakekela othandekayo wakho kuwumsebenzi odinga ingqondo eningi. Ngakho-ke, nakekela nempilo yakho yengqondo. Unganqikazi ukucela usizo uma uludinga.
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