Ingabe utshwala bubangela ukulahlekelwa yinkumbulo? (Isifo Sokuphazamiseka Kwengqondo Esihlobene Notshwala) Ake sifunde ngakho!

Ingabe wena noma othile omaziyo uphuza utshwala obuningi? Ingabe ngezinye izikhathi uyakhohlwa izinto, bese wenza imisebenzi eyayilula manje ibonakala inzima? Uma kunjalo, lokhu kuyinto engicabanga ukuthi izoba yinto ebaluleke kakhulu kuwe. Namuhla sikhuluma ngomonakalo obangelwa ukuphuza utshwala ngokweqile ebuchosheni bethu kanye nokulahlekelwa yinkumbulo okubangelwa yiwo (i-Alcohol-Related Dementia) .

Kuyini i-Dementia ehlobene notshwala?

Kalula nje, i-Alcohol-Related Dementia uhlobo lwe-dementia oluvela lapho ubuchopho bakho bonakaliswe iminyaka eminingi yokuphuza kakhulu. Abanye abantu baphinde bakubize ngokuthi ``Alcohol-Induced Dementia'' noma ``Alcoholic Dementia'', kodwa lawo magama asephelelwe yisikhathi.

Ingxenye engcono kakhulu ukuthi uma uyeka ukuphuza utshwala, ukusebenza kobuchopho bakho kungathuthuka ngezinga elithile. Lokho kusho ukuthi nakuba kungase kungabi yinto elungisekayo ngokuphelele, kungavimba isimo ukuba singabi sibi kakhulu.

Khuluma nodokotela wakho ngokuthi uphuza utshwala obungakanani. Ungabi namahloni okucela usizo uma unenkinga yokuyeka. Ukusebenzisa utshwala kuyisifo, hhayi umuntu omubi. Kukhona ukwelashwa kwaso.

Kuyini Ukulimala Kobuchopho Okuhlobene Notshwala (i-ARBD)?

Ukulimala Kobuchopho Okuhlobene Notshwala (ARBD) yinoma yiluphi uhlobo lomonakalo ebuchosheni olubangelwa ukuphuza utshwala ngokweqile. Isifo sengqondo esibangelwa utshwala siwuhlobo olubi kakhulu lwe-ARBD.

Utshwala lungase lungabi yinkinga uma luphuzwa ngokulinganisela. Kodwa-ke, lapho uphuza kakhulu, uphuza kakhulu, futhi uphuza kakhulu , kulapho ingozi yakho yokuthola i-ARBD inkulu khona.

Ziyini izimpawu zesifo sengqondo esibangelwa utshwala?

Izimpawu ze-dementia ezibangelwa utshwala zifana kancane nezezinye izinhlobo ze-dementia. Ekuqaleni, ungase ubhekane nezinto ezifana nalezi:

• Ukulahlekelwa yinkumbulo : Ungakhohlwa amagama, ubuso, kanye nemicimbi. Ungakhohlwa kokubili izenzakalo zakamuva (inkumbulo yesikhathi esifushane) kanye nezenzakalo zesikhathi eside (inkumbulo yesikhathi eside).
• Ubunzima ngemisebenzi yansuku zonke : Ngisho nemisebenzi elula njengokulima iba yinto engenakucatshangwa, futhi ukwenza izinqumo kuba nzima.
• Ubunzima bokugxila: Kunzima ukuqhubeka ucabanga ngento eyodwa.
• Izinkinga zolimi : Ungase usebenzise amagama angalungile lapho ukhuluma, noma ungase ulingeke ukuba ukhulume kancane kunangaphambili.
• Izinguquko ekuziphatheni nasebuntwini : Ungase uthukuthele ngokuzumayo, ucasuke, usole abanye (ukwesaba), noma ungase ubone noma uzwe izinto ezingekho (ukungaboni).
• Ukunciphisa ukuqonda kwendawo : Ubunzima bokuqonda ukuthi useduze kangakanani nezinto ezikuzungezile. Lokhu kungaholela ekulahlekelweni yibhalansi nokuwa ngenkathi uhamba, ukungqubuzana nezinto, kanye nobunzima bokwenza imisebenzi ebucayi njengokubopha izintambo zakho zezicathulo.

Lezi zimpawu zivame ukukhula kancane kancane, kodwa abanye abantu babhekana nalezi zinguquko ngokuzumayo. Izinkinga zenkumbulo zivame ukuvela ngaphambi kwezinye izimpawu. Uhlobo lwezimpawu ozizwayo luzoncika ekutheni yiziphi izingxenye zobuchopho ezilimele utshwala.

Izigaba ze-dementia ebangelwa utshwala

I-Dementia yisimo lapho ukusebenza kobuchopho bakho, noma ukwehla kwengqondo, kwehla khona. Odokotela bahlukanisa i-dementia ebangelwa utshwala ngezigaba ezine eziyinhloko, kuye ngokuthi isimo sibucayi kangakanani:

1. Ukukhubazeka okuncane kokuqonda: Kulesi simo, izimpawu azizimbi kangako. Kungase kube nezinkinga ezithile ngenkumbulo nokucabanga okunengqondo. Kodwa-ke, usengenza izinto ezifana nokushayela, ukuhamba ezindaweni ozijwayele, nokwenza imisebenzi yakho yasekhaya ngaphandle kobunzima obukhulu.
2. Isifo sokulahlekelwa yingqondo esihlobene notshwala esigabeni sokuqala: Kulesi sigaba, ukusebenza kobuchopho kusanciphile kancane, futhi izimpawu ziya zibonakala kakhulu. Inkumbulo iyancipha kakhulu. Abantu baqala ukukhohlwa izenzakalo zakamuva, amagama, nolwazi olubalulekile. Lezi zimpawu zingathinta impilo yansuku zonke, ngakho-ke bangadinga usizo oluvela kumalungu omndeni ukuze benze eminye imisebenzi.
3. Isifo sengqondo esihlobene notshwala esisesigabeni esiphakathi: Ukusebenza kobuchopho kwehla kakhulu, futhi izimpawu ziba zimbi kakhulu. Kungase kube nzima ukukhuluma noma ukuhamba kahle. Ungase ungaziboni izindawo ozaziyo, umndeni wakho, noma ngisho nomakhelwane bakho.
4. Isifo sengqondo esihlobene notshwala esisesigabeni sokugcina: Lesi yisigaba esibi kakhulu. Ukusebenza kobuchopho kwehla kakhulu. Ungase ungakwazi ukukhuluma, ukuhamba, noma ukwenza umsebenzi wakho. Uvame ukudinga ukunakekelwa okuqhubekayo.

Kodwa nansi into ebalulekile: Isifo sengqondo esibangelwa utshwala, ngokungafani nesifo i-Alzheimer's, asigcini nje ngokuba sibi kakhulu uma uyeka ukuphuza.Lokho kusho ukuthi umonakalo ebuchosheni ngeke uqhubeke ngale kwalelo qophelo. Kodwa-ke, uma uqhubeka nokuphuza utshwala, ungalimaza kakhulu ubuchopho futhi uqhubeke ngokushesha kulezi zigaba.

Yini ebangela i-dementia ebangelwa utshwala?

Isizathu esiyinhloko salokhu ukuphuza utshwala ngokweqile nokuphuza njalo .

Ukuphuza iziphuzo ezidakayo, ubhiya, noma ingilazi yewayini ngezikhathi ezithile akudali ukuwohloka kwengqondo. Ngokwezincomo zezokwelapha, amadoda akufanele aphuze iziphuzo ezingaphezu kwezimbili ngosuku noma iziphuzo ezingaphezu kweziyi-14 ngesonto. Abesifazane akufanele baphuze iziphuzo ezingaphezu kwesisodwa ngosuku noma ngaphansi kweziyi-7 ngesonto.

Inani elijwayelekile lotshwala yileli:

• Ama-ounces angu-12 (cishe amamililitha angu-355) kabhiya anokuqukethwe kotshwala okungu-5%
• Ama-ounces angu-5 (cishe amamililitha angu-148) ewayini aqukethe u-12% wotshwala
• Ama-ounces angu-1.5 (cishe amamililitha angu-44) otshwala (utshwala) aqukethe cishe u-40% wotshwala

Ukuphuza utshwala ngokweqile kulimaza imizwa nemithambo yegazi ebuchosheni. Ngokuhamba kwesikhathi, lo monakalo uyaqongelela futhi amangqamuzana emizwa akhethekile abizwa ngokuthi ama-neurons aqala ukufa. Lawa ma-neurons abalulekile ukuze ubuchopho bethu bucabange futhi bulawule umzimba. Uma la ma-neurons ebhujiswa utshwala, imisebenzi elawulwa yileyo ngxenye yobuchopho iyanyamalala kancane kancane.

Yiziphi izinto ezibangela ingozi?

Isifo sokuwohloka komqondo esibangelwa utshwala sivame kakhulu kubantu abaneminyaka ephakathi kuka-40 no-50 asebephuze kakhulu iminyaka eminingi. Kodwa-ke, singase senzeke kunoma yimuphi ubudala uma uphuza ngaphezu kwesilinganiso esiphephile. Sivame kakhulu kubantu abanenkinga yokusebenzisa utshwala.

Yiziphi izinkinga ze-dementia ezibangelwa utshwala?

Inkinga enkulu kakhulu ukulimala kobuchopho. Lokhu kungabangela izinguquko ezihlala njalo ebuntwini bakho, endleleni ocabanga ngayo, kanye nendlela osebenzisa ngayo umzimba wakho. Ezinye izinkinga zingaba yingozi ngisho nangokwengeziwe.

Izinkinga zingafaka:

• Ukuwohloka kwempilo yomzimba iyonke.
• Izifo (isib. i-pneumonia , izifo zesikhumba ).
• Ezinye izimo zezokwelapha ezibangelwa utshwala, njenge-Wernicke-Korsakoff syndrome.
• Ukuquleka .
• Ubunzima bokuphefumula.
• Ubunzima bokugwinya.

Ngokuhamba kwesikhathi, ungase ulahlekelwe ukulawula umzimba wakho futhi ungakwazi ukwenza umsebenzi wakho. Lokhu kungandisa ingozi yakho yokuthi:

• Izilonda zombhede .
• Ukuphelelwa amanzi emzimbeni noma ukungondleki kahle.
• Ukuwa, ukwaphuka, kanye nokunye ukulimala okubuhlungu.
• Ukungakwazi ukulawula ukuchama (ukungakwazi ukuzibamba umchamo) kanye nokungakwazi ukulawula ukuhamba kwamathumbu (ukungakwazi ukuzibamba kwamathumbu).
• Ukubola kwamazinyo , izimbobo, kanye nezinye izinkinga zamazinyo.

Abantu abanesifo sengqondo esibangelwa utshwala nabo basengozini enkulu yokulimala kobuchopho okubuhlungu. Ukusetshenziswa kotshwala okungaphephile kwandisa ingozi yokuwa, izingozi zezimoto, kanye nokunye ukulimala ekhanda. Lezi zingozi zingalimaza kakhulu ubuchopho futhi zibhubhise ama-neurons. Lokhu kungasheshisa ukuqhubeka kwesifo sengqondo.

Ungayithola kanjani i-dementia ebangelwa utshwala? (Ukuxilongwa)

Udokotela angasithola lesi simo ngezindlela eziningana. Isinyathelo sokuqala ukwenza ukuhlolwa okuphelele komzimba kanye nokuhlolwa kwezinzwa. Udokotela uzokhipha ezinye izimo ezingase zibangele izimpawu ezifanayo.

Udokotela wakho uzokubuza imibuzo ukuze aqonde impilo yakho kanye nempilo yakho yansuku zonke. Bangase futhi bakhulume nelungu lomndeni ukuthola nganoma yiziphi izinguquko ongase ungaziboni. Udokotela wakho angase akubuze ngalokhu:

• Ukukwazi ukwenza imisebenzi yakho evamile.
• Ukusetshenziswa kotshwala .
• Thatha umuthi manje.
• Ulwazi lwezokwelapha lwangaphambilini `(Umlando wezokwelapha)`.
• Izinguquko esimweni sengqondo, ekuziphatheni, ebuntwini, kanye nendlela ozizwa ngayo.
• Ukudla okunempilo.
• Isimo sempilo iyonke.

Tshela udokotela wakho iqiniso ngokuthi uphuza kangaki. Ngeke bakwahlulele noma bakuphathe kabi. Bafuna ukuqonda imbangela yezimpawu zakho futhi bakusize.

Udokotela angase asebenzise izivivinyo ezinjengalezi ukuze ahlole i-dementia ebangelwa utshwala:

• Ukuhlolwa kwegazi .
• Ukuhlolwa kobuchopho nge -MRI (Magnetic Resonance Imaging).
• Ukuhlolwa kwengqondo.
• `I-CT scan (i-Computed Tomography scan)`.
• "Iskeni se-PET (iskeni se-Positron Emission Tomography)".
• Ukuhlolwa komchamo.

Kungenziwa nezinye izivivinyo ukuze kubhekwe izimpawu zezinye izimo zezokwelapha ezibangelwa utshwala. Isibonelo:

• I-cardiomyopathy ehlobene notshwala.
• I-hepatitis ehlobene notshwala.
• I-cirrhosis yesibindi.

Yiziphi izindlela zokwelapha i-dementia ebangelwa utshwala?

Udokotela wakho angase ancome ukwelashwa okuzosiza ekulawuleni izimpawu zakho, kodwa okwamanje ayikho indlela yokulungisa ngokuphelele umonakalo owenziwe ebuchosheni ngenxa yotshwala.

Udokotela wakho angakusiza ukuthi uyeke ukuphuza utshwala ngokuphephile. Ukuyeka utshwala ngokuzumayo kungabangela izinkinga ezinkulu, njenge-"cold turkey", izimpawu zokuhoxa, kanye ne-delirium tremens (DT). I-"DT" yisimo esibi esenzeka uma uyeka ukuphuza utshwala ngokuzumayo, futhi sidinga ukwelashwa okuphuthumayo.

Kungase kudingeke uhlale esibhedlela noma esikhungweni sokwelapha ukuze uqiniseke ukuthi uphephile ngenkathi ujwayela ukuphila ngaphandle kotshwala.

Ezinye izindlela zokwelapha ongase uzidinge:

• Ukwelashwa Kokuziphatha Kokuqonda (i-CBT): Ukukhuluma nomeluleki wezempilo yengqondo kungakusiza uqonde ukucindezeleka kwakho, ukukhathazeka, kanye nemizwa. Kungakusiza futhi ukwakha amandla engqondo owadingayo ukuze uhlale kude notshwala.
• Imithi: Ayikho imithi ethile yokwelapha i-dementia ebangelwa utshwala. Kodwa-ke, udokotela wakho angase ancome eminye imithi esetshenziselwa ezinye izinhlobo ze-dementia. Imithi efana ne-naltrexone ne-acamprosate nayo inganikezwa ukwelapha inkinga yokusebenzisa utshwala.
• Ukusekelwa kokudla okunempilo: Uma unesifo sokungondleki kahle noma untula amavithamini, ungase udinge izithasiselo zokudla okunempilo.
• Amaqembu okusekela: Lena yindlela enhle yokuxhumana nabanye abaqonda isimo sakho. Udokotela wakho angakutshela ngamaqembu afanele wena nomndeni wakho.

Iyini inkomba yokuwohloka komqondo okubangelwa utshwala?

Isifo sokuwohloka komqondo esibangelwa utshwala asibathinti bonke ngendlela efanayo. Okwamanje akukho ukwelashwa kwanoma yiluphi uhlobo lwesifo sokuwohloka komqondo.Ngakho-ke, kufanele ulindele ukuthi izinguquko endleleni ocabanga futhi osebenzisa ngayo umzimba wakho zizoba zaphakade. Kodwa noma kufanele ujwayele izinguquko ezintsha, usengumuntu ofanayo.

Ingakanani iminyaka yokuphila komuntu onesifo sengqondo esibangelwa utshwala?

Lesi simo singathinta ukuthi uphila isikhathi esingakanani (isikhathi sokuphila). Kodwa kunzima ukusho isikhathi esithile esifanele wonke umuntu.

Kuncike ezintweni eziningana:

• Uzoyeka yini ukuphuza utshwala?
• Ubukhulu bomonakalo wobuchopho.
• Yiziphi izingxenye zobuchopho ezilimele?
• iminyaka yakho.
• Impilo yakho iyonke.

Uma unezinye izimo zempilo ezibangelwa utshwala, zingathinta nokuphila kwakho. Kunzima ukusho ngqo ukuthi yisiphi isimo esingase sikuthinte kakhulu. Into ebaluleke kakhulu ukuhlala uphephile futhi ube nezindlela zokuphatha izimpawu zakho.

Udokotela wakho angakusiza ukuthi ubeke amathemba anengqondo ngokusekelwe empilweni yakho kanye nesimo sakho esithile.

Kufanele ngimbone nini udokotela?

Uma unezinkinga zokukhumbula noma zokucabanga, bona udokotela. Bazonquma ukuthi lezi zinkinga zibangelwa yi-dementia ebangelwa utshwala noma esinye isimo. Ungamfihli udokotela wakho izimpawu zakho noma indlela ozizwa ngayo. Khumbula, abazami ukukuhlazisa noma ukukwenza uzizwe unamahloni. Kodwa-ke, badinga ukwazi ukuthi uzizwa kanjani nokuthi ubhekene nani ukuze bakuxilonge kahle futhi bakuphathe kahle.

Kuzodingeka ubone udokotela wakho ukuze ahlolwe njalo. Bazoqapha izinguquko ebuchosheni bakho futhi balungise ukwelashwa kwakho njengoba kudingeka.