Ingabe othile emndenini wakho, mhlawumbe umama wakho, ubaba, noma ugogo nomkhulu, uqala ukukhohlwa izinto? Ingabe ngezinye izikhathi banenkinga yokuthola amagama? Sivame ukucabanga ngakho njengengxenye evamile yokuguga. Kodwa-ke, ngezinye izikhathi kungaba uphawu lokuthile okuyinkimbinkimbi kakhulu. Namuhla sikhuluma ngohlangothi oluhlukile kancane lwe-dementia, isifo sokulahlekelwa yinkumbulo. Leso yisimo esibizwa ngokuthi 'i-dementia exubile.'
Kuyini i-Mixed Dementia?
Kalula nje, i-mixed dementia yilapho ubuchopho bomuntu buthinteka khona yizinhlobo ezimbili noma ngaphezulu ze-dementia ngesikhathi esisodwa. Ngokuqondile, yilapho kwenzeka khona izinguquko zobuchopho ezingaphezu kweyodwa ngesikhathi esisodwa.
Okuvame kakhulu kulezi yi-mixed dementia, okuyinhlanganisela yesifo i-Alzheimer's kanye ne-vascular dementia . Kodwa-ke, isifo i-Alzheimer's singahambisana nezinye izimo, njenge-dementia ene-Lewy bodies (DLB) noma i-dementia ehlotshaniswa nesifo i-Parkinson's. Ngezinye izikhathi, zonke izinhlobo ezintathu ze-dementia zingenzeka ndawonye.
Indlela lesi simo esiba sibi ngayo ngokuhamba kwesikhathi (izigaba zesifo)
Njengezinye izinhlobo ze-dementia, i-mixed dementia iyisimo esiqhubekayo esingahlukaniswa ngezigaba eziyisikhombisa eziyinhloko.
1. Ukusebenza okuvamile: Lapho isifo siqala, ungase ungabi nazimpawu. Ukusebenza kobuchopho kungase kube okuvamile ngokuphelele.
2. Ukulahlekelwa inkumbulo okuncane: Esigabeni sesibili, uqala ukubona ukulahlekelwa inkumbulo okuncane kakhulu. Ungase ukhohlwe izinto. Lokhu kungase kubonakale njengengxenye evamile yokuguga.
3. Ukulahlekelwa inkumbulo okuncane: Esigabeni sesithathu, uqala ukubona izimpawu zokuqala ze-dementia. Ungase ube nobunzima bokukhumbula izinto nokuthola amagama okuchaza okuthile.
4. Ukukhubazeka kwenkumbulo okumaphakathi: Ukulahlekelwa yinkumbulo kuba sobala kakhulu kulesi sigaba. Kuqala ukuphazamisa imisebenzi yansuku zonke, njengokukhokha izikweletu nokuhlela izinto.
5. Ukukhubazeka kwenkumbulo okulinganiselwe: Ngisho nemisebenzi yansuku zonke iba yinselele. Ungadinga usizo ngemisebenzi yakho siqu, njengokugeza nokugqoka.
6. Ukukhubazeka okukhulu kwenkumbulo: Kudinga usizo olukhulu ukwenza imisebenzi yansuku zonke. Ngisho nokukhuluma nabanye kungaba nzima.
7. Ukulahlekelwa yinkumbulo okukhulu: Kulesi sigaba, ngisho nemisebenzi eyisisekelo efana nokuhamba nokukhuluma ingase ingenzeki. Kuleli qophelo, kungase kudingeke ukunakekelwa amahora angu-24 ngosuku.
Ubani osengozini enkulu yokuthola lesi simo?
Kunezici eziningana eziyinhloko ezibangela ingozi yokuthola i-dementia exubile. Futhi, izici ezibangela ingozi ziyahlukahluka kuye ngohlobo lwe-dementia oluhilelekile. Ake sibheke lezi kuthebula.
| Isici / Uhlobo lwe-dementia | Izinto Eziyingozi |
|---|---|
| Izici eziyinhloko zengozi | Ukuguga (ikakhulukazi labo abaneminyaka engaphezu kuka-75 ubudala), umfutho wegazi ophakeme, ukulimala kwemithambo yegazi ebuchosheni. |
| Izingozi ezihlobene nesifo i-Alzheimer's | Umlando womndeni, amathonya ezakhi zofuzo, ukulimala ekhanda, isifo senhliziyo, isizungu, ukucindezeleka okungalashwanga. |
| Izingozi ezihlobene nokuwohloka kwemithambo yegazi | Ukuguga, i-atherosclerosis, ukushaya kwenhliziyo okungajwayelekile (i-atrial fibrillation), ukusebenzisa utshwala ngokweqile, i-cholesterol ephezulu, umlando wokuhlaselwa yinhliziyo noma isifo sohlangothi, ukukhuluphala ngokweqile, ukubhema, isifo sikashukela esingalawuleki. |
| Izingozi ezihlobene ne-Lewy Body Dementia (DLB) | Ukuguga, umlando womndeni wesifo se-DLB noma i-Parkinson, kanye nomlando womndeni wesifo sokuziphatha kwe-REM. |
Ziyini izimpawu ze-mixed dementia?
Izimpawu ze-dementia exubile zingahluka kakhulu kumuntu nomuntu. Lokhu kungenxa yokuthi lesi simo singabangelwa izinhlobo eziningi ze-dementia, ezingalimaza izingxenye ezahlukene zobuchopho. Izimpawu ziyinhlanganisela yezinhlobo ze-dementia onayo.
Cabanga nje, uma umuntu enesifo i-Alzheimer's kanye ne-vascular dementia, angase abhekane nokulahlekelwa yinkumbulo okuhlobene ne-Alzheimer's kanye nokucabanga kancane okuhlobene ne-vascular dementia.
Ezinye izimpawu ezivamile yilezi:
- Izinguquko zokuziphatha
- Ukudideka ngisho nasezindaweni ezijwayelekile
- Ukucindezeleka
- Ubunzima bokwenza imisebenzi yansuku zonke (njengokugqoka)
- Ubunzima bokwenza izinqumo
- Ubunzima bokukhumbula izenzakalo zakamuva noma ezedlule
- Ubunzima bokusebenzisa ulimi
- Ukukhohlwa
- Ukucasuka
- Izinguquko zesimo sengqondo
- Ubunzima ngokulinganisela komzimba kanye nokunyakaza
- Izinguquko zobuntu
Udokotela uhlonza kanjani lokhu?
Uma ngikhuluma iqiniso, ukuxilonga i-mixed dementia kuyinselele kancane, ngoba kunzima ukulinganisa ngokunembile izinguquko ezicutshini zobuchopho bomuntu ophilayo. Lezi zinguquko zingabonakala ngokucacile kuphela uma ubuchopho buhlolwa ngesikhathi sokuhlolwa kwesidumbu.
Ngokuvamile, udokotela uxilonga uhlobo olulodwa lwe-dementia (isib. i-Alzheimer's) ngokusekelwe ezimpawini, kodwa kamuva ukuhlolwa kwesidumbu kuqinisekisa ukuthi yi-dementia exubile.
Uma wena noma othile emndenini wakho enezimpawu ze-dementia, kungumqondo omuhle ukwenza uhlu lwazo bese uya kudokotela wakho. Uma ubonisa izimpawu ezihambisana nezinhlobo ezimbili noma ngaphezulu ze-dementia, udokotela wakho angase asole ukuthi une-dementia exubile.
Ukuhlolwa okulandelayo kuvame ukusetshenziselwa ukuxilongwa:
- Ukuhlolwa kwegazi
- Ukuskena kobuchopho
- Ukuhlolwa kwengqondo
- Ukuhlolwa okuphelele ngokomzimba
- Ukuhlolwa kwe-neurological
- Ukubukeza umlando wezokwelapha wakho nowomndeni wakho
Yiziphi izindlela zokwelapha lokhu?
Njengezinye izinhlobo ze-dementia, ayikho ikhambi le-dementia exubile. Akukho futhi umuthi ongavimba lesi sifo ukuthi singabi sibi kakhulu. Kodwa-ke, kunezindlela zokwelapha ezingasiza ekulawuleni izimpawu futhi zenze impilo ibe lula.
- Imithi: Uma i-mixed dementia yakho ihlobene nesifo i-Alzheimer's, udokotela wakho angase akunike imithi efana ne-cholinesterase inhibitors, esetshenziselwa ukwelapha izimpawu ze-Alzheimer's. Futhi, uma une-vascular dementia, udokotela wakho angase akunike imithi yokulawula izinto ezifana nomfutho wegazi ophakeme.
- Izinguquko zendlela yokuphila: Ezinye izinguquko zendlela yokuphila zingasiza ekunciphiseni izimpawu.
- Ukuzivocavoca umzimba
- Ukulalela umculo opholile
- Izindlela zempilo yengqondo njengokuzindla
- Ukuchitha isikhathi nomndeni nabangane
- Ezinye Izindlela Zokwelapha:Izinto ezifana nokwelashwa kwengqondo kanye nokwelashwa ngokomsebenzi kungasiza ekuthuthukiseni imisebenzi yansuku zonke, ulimi, inkumbulo, kanye namakhono okuxazulula izinkinga.
Into ebaluleke kakhulu ukukhuluma nodokotela wakho ngaphambi kokuqala noma yikuphi ukwelashwa bese ulandela imiyalelo yakhe.
Ungaphila kanjani nalesi simo?
Nakuba kungekho ikhambi elihlala njalo le-mixed dementia, kunezinto eziningi ezingenziwa ukuthuthukisa ikhwalithi yokuphila kwesiguli.
- Yenza izinto zibe lula ukuzikhumbula: Bhala phansi ama-aphoyintimenti, izinto okufanele zenziwe, njll.
- Yenza ukukhokha izikweletu kube lula: Setha izinkokhelo zezikweletu ngokuzenzakalelayo. Cela usizo lwelungu lomndeni noma umngane omethembayo.
- Lala kahle: Lala uvuke ngesikhathi esifanayo nsuku zonke. Nciphisa i-caffeine, njengetiye nekhofi, kusihlwa.
- Jabulela impilo: Yenza izinto ozithandayo. Yiba nobudlelwano nabantu. Uma uhlala wedwa, mema abanye.
- Cela usizo: Cela usizo emndenini nakubangani ngezinto ezifana nokulima, ukushayela, nokuphatha ukudla. Akukho namahloni okucela usizo.
- Thola usizo lochwepheshe: Uma kudingeka, ungathola usizo ezinkonzweni zokunakekelwa kwasekhaya noma ezinhlanganweni zomphakathi.
Umlayezo Wokuya Nawe Ekhaya
- I-Mixed dementia yilapho izinhlobo ezimbili noma ngaphezulu ze-dementia zithinta ubuchopho bomuntu ngesikhathi esisodwa.
- Izimpawu ziyahlukahluka kumuntu nomuntu futhi zincike ohlotsheni lwesifo sokulahlekelwa yingqondo isiguli esinaso.
- Ngenxa yokuthi lokhu kuyinkimbinkimbi ukuxilonga, kubaluleke kakhulu ukubona udokotela ofanelekayo ngokushesha nje lapho kuvela izimpawu.
- Nakuba kungekho ikhambi elihlala njalo lalokhu, imithi, izindlela zokwelapha, kanye nezinguquko endleleni yokuphila kungakusiza ukuthi ulawule izimpawu zakho futhi uphile impilo engcono.
- Kubaluleke kakhulu ukuthi isiguli sithole uthando, ukwesekwa, nokuqonda okuvela emndenini nakubangane.
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