Wake wambona umuntu osekhulile njengonyoko, ubaba, noma ugogo nomkhulu wakho ngokuzumayo eqala ukukhuluma nomuntu endaweni lapho kungekho muntu khona? Noma, uhlala ukhathazeka ngokuthi othile uzoza ukuzomhlupha noma ukweba izinto zakhe? Kuvamile ukuzizwa ushaqekile, wesaba, futhi udabuke uma ubona izinto ezinjengalezi. Kodwa empeleni lokhu kuyingxenye yesifo uqobo. Othandekayo wakho akayena "ohlanyayo," uyagula. Ake sikuqonde lokhu.
Kuyini 'i-Dementia-Related Psychosis'?
La mazwi azwakala esabisa kancane, akunjalo? Ake sihlukanise lokhu ngamagama alula futhi siqonde.
Okokuqala, iyini i-Dementia?
Kalula nje, i-dementia yigama elijwayelekile lezimo ezahlukahlukene ezibangelwa izinguquko ebuchosheni. Abanye odokotela bayibiza nangokuthi "isifo sokuzwa." Kulesi simo, amakhono okucabanga, inkumbulo, kanye namakhono okuxazulula izinkinga ancipha kancane kancane. Ekugcineni, ungase ungakwazi ukwenza imisebenzi yansuku zonke wedwa.
Kunezinhlobo eziningana zesifo sokulahlekelwa yingqondo. Isifo i-Alzheimer's, esesizwile ngaso sonke, siwuhlobo oluyinhloko nolwaziwa kakhulu. Ngaphezu kwalokho:
- I-Lewy body dementia
- I-Frontotemporal Dementia
- I-dementia yemithambo yegazi
Kunezinye izinhlobo ezifana nalezi.
Ngakho-ke kuyini 'i-Psychosis'?
I-Psychosis yisimo sengqondo lapho umuntu engakwazi khona ukuhlukanisa phakathi kwalokho okungokoqobo nalokho okungekho . Sinezici ezimbili eziyinhloko:
1. Ukukhohlisa: Lezi yizinto ezingelona iqiniso nhlobo, kodwa umuntu ukholelwa kakhulu. Isibonelo, angase akholelwe ngokuqinile ukuthi "umuntu osendlini owebile ukudla kwami ungidlisa ushevu" noma "othile uyeza ebusuku antshontshe imali yami." Kungakhathaliseki ukuthi uchaza iqiniso kangakanani, kunzima ukushintsha leyo nkolelo.
2. Ukuphupha izinto ezingekho: Lokhu ukubona, ukuzwa, ukuzwa, noma ukuhogela into engekho ngempela. Isibonelo, ukubuza ukuthi "Ubani osekhoneni" lapho kungekho muntu egumbini, noma ukuzwa othile ekhuluma nawe lapho kungekho muntu okhulumayo.
"Uma izinto ezinjengalezi zenzeka kothandekayo wakho, ungacabangi ukuthi 'uyahlanya.' Bayagula. Ubuchopho babo abusebenzi kahle. Lokhu kuyingxenye yesifo uqobo. Kubalulekile ukuthi sikuqonde lokho futhi sibasize."
Okusho ukuthi, 'i-Dementia-Related Psychosis' yilapho lezi zimpawu zokuzibona udidekile noma ukubona izinto ezingekho kanye ne-dementia zivela khona.
Yiziphi izimpawu eziyinhloko zalesi simo?
Uma i-dementia kanye ne-psychosis kuhlangana, izimpawu ezahlukahlukene zingavela. Ake sibheke lezi ngokucacile etafuleni.
| Isigaba sezici | Incazelo kanye nezibonelo ezivamile eSri Lanka |
|---|---|
| Izimpawu ze-dementia (ukwehla kokusebenza kobuchopho) | - Ukulahlekelwa yinkumbulo: ukukhohlwa igama lengane yakho, ukukhohlwa ukuthi idlile noma cha. - Ukunganaki: ukungakwazi ukuqhubeka nento eyodwa, ukukhohlwa okuthile phakathi nengxoxo. - Ubunzima bokukhuluma: Ukusebenzisa amagama angajwayelekile njengokuthi 'lolo ketshezi' engilazini yamanzi. |
| Izimpawu ze-psychosis (Ukungakwazi ukubona iqiniso) | - Ukukhohlisa: Izinkolelo eziqinile njengokuthi "Izingane zami zizama ukweba umhlaba wami", "Abantu bomndeni wami bangiphoqa ngeziphonso". - Ukuphupha izinto ezingekho: Ukubona/ukuzwa umuntu ofile engena endlini ekhuluma, ukubona izilwane zihamba ezindongeni. |
| Izinkinga zokuziphatha ezibangelwa yilokhu | - Ulaka: Intukuthelo engazelelwe, imizamo yokukhahlela ngesandla. - Ukukhathazeka: Ukuzizwa ungenaso isifiso futhi wesaba njalo. - Ukungalali: Ukuhambahamba endlini ebusuku ungalali. - Ukunganaki: Ukungabi nasithakazelo noma isifiso sanoma yini. |
Ukubona kanjani lokhu ngqo?
Uma othandekayo wakho enalezi zimpawu, into yokuqala okufanele uyenze ukubona udokotela , ngoba ngezinye izikhathi lezi zimpawu zingabangelwa ezinye izifo.
Cabanga nje, lapho umuntu osekhulile eba nokutheleleka komgudu womchamo (UTI), kungabangela nezinto ezifana nokungahlaliseki kanye nokubona izinto ezingekho. Ngakho into yokuqala udokotela ayenzayo ukuhlola ukuthi zikhona yini ezinye izimbangela ezinjalo.
Khona-ke, ukuxilonga isifo kufana nomsebenzi wobunhloli. Udokotela uzokubuza imibuzo eminingi, wena muntu onakekela isiguli.
“Angikaze ngibone isiguli ngingedwa,” kusho omunye uchwepheshe. “Ngihlala ngikhuluma nomuntu osinakekelayo. Kungaba indoda, umfazi, noma ingane.”
Udokotela angase abuze imibuzo efana nale:
- "Sekuphele cishe izinyanga ezi-3-4 selokhu ngakubona okokugcina wena nonyoko. Izinto zihamba kanjani manje?"
- "Ingabe wena noma yena nibonile okuthile okungajwayelekile noma okuhlukile muva nje?"
- "Mhlawumbe Mama, uthi ubona futhi uzwa izinto ongaziboni noma ongazizwa?"
Le mibuzo ibuzwa ukuze kuqondwe isimo. Ngezinye izikhathi iziguli zizama ukufihla izimpawu zazo ngenxa yokwesaba ukucwaswa umphakathi. Ngakho-ke , kubaluleke kakhulu ukutshela udokotela lokho okubonayo nokuzwayo ngaphandle kokufihla lutho .
Ingabe ngidinga yomibili imithi? Kwenziwa kanjani ukwelashwa?
Lona umbuzo obaluleke kakhulu. Akukabikho ikhambi eliphelele le-dementia. Ngakho-ke, ukwelashwa kokuqala kwe-'Dementia-Related Psychosis' akuyona imithi.
Eqinisweni, ngezinye izikhathi uma lezi zinkolelo-mbono noma ukukhohlisa kungamkhathazi isiguli noma abanye, asikho isidingo sokuzelapha.
Cabanga ngomama wakho ebona isithombe sakhe esibukweni bese esaba, "Kukhona omunye umuntu ekamelweni." Ukube wawumboze isibuko ngendwangu ngaleso sikhathi, ngabe leyo nkinga ibingeke ixazululwe? Esinye isiguli sacabanga ukuthi othile wayelunguza ngefasitela. Kwakungenjalo. Lapho ikhethini lefasitela lehliswa, inkinga yaxazululwa.
Izinto ezilula njengalezi yizo okufanele uzizame kuqala.
- Ukuguqulwa kwendawo: Ukususa izinto endaweni ezungezile ezenza isiguli sesabe noma sikhathazeke (isib. ukuvala izibuko, ukushintsha amabhalbhu okukhanya akhipha izithunzi).
- Ukuqondisa Okuzolile: Uma isiguli siqala ukucasuka ngenkathi sikhuluma ngenkolelo-ze, zama ukusikhipha kuleso simo sengqondo ngokusho into enothando, "O, ngicela uyeke lokho, ake siphuze itiye, akunjalo?"
Kuphela uma lezi zindlela zingaphumeleli, futhi isimo sesiguli sisezingeni eliyingozi kuye noma kwabanye, lapho udokotela eyonquma khona ukumnika imithi.
Okubalulekile: Ayikho imithi ethile evunyelwe isimo esithi `Dementia-Related Psychosis`. Odokotela basebenzisa imithi esetshenziselwa ezinye izifo zengqondo. Le mithi ayisebenzi kuwo wonke umuntu. Ingaba futhi nengozi enkulu yemiphumela emibi. Ngakho-ke , odokotela bazonikeza le mithi kuphela ngemva kokucabangisisa kahle futhi uma kungekho okunye abangakwenza.
Ukuphila nalesi simo kuyinselele. Kodwa-ke, ukuqonda ukuthi lokhu kuyingxenye yesifo nokunakekela umuntu ngomusa, isineke, nothando kungaletha impumuzo enkulu kokubili esigulini nakuwe.
Umlayezo Wokuya Nawe Ekhaya
- `I-Dementia-Related Psychosis` iwukubonakaliswa okuvamile kwe-dementia uqobo lwayo. Akuyona "into ephambene", kuyisimo sezokwelapha.
- Ukukhohlisa kanye nokubona izinto ezingekho yizimpawu eziyinhloko.
- Uma nje ubona izimpawu ezinjengalezi, qiniseka ukuthi ubona udokotela ukuze anqume ezinye izimbangela, njengokutheleleka komgudu womchamo.
- Ukwelashwa akuqali ngemithi. Zama izinto ezilula kuqala, njengokudala indawo ezolile yesiguli nokusiphazamisa.
- Imithi isetshenziswa kuphela uma kungekho ezinye izinketho futhi ngaphansi kokuqondisa okuqinile kukadokotela.
- Uthando lwakho, isineke, nokuqonda kwakho kuyimithi engcono kakhulu ongayinika othandekayo wakho kulolu hambo.
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