Cishe uke waphawula ukuthi ogogo nomkhulu bakho asebekhulile benza ngendlela ehlukile kancane kusihlwa. Umuntu owayephilile emini ngokuzumayo uqala ukukhathazeka, ukuthukuthela, noma ukudabuka njengoba ilanga lishona. Lokhu kuyinto eyenzeka kubantu abaningi, ikakhulukazi labo abalahlekelwe yinkumbulo. Namuhla sizokhuluma ngesimo esibizwa ngokuthi "i-Sundown Syndrome."
Kuyini iSundowning? "Sundowning" noma "Sundowning Syndrome"?
Kalula nje, ukushona kwelanga yilapho abantu abanesifo i-Alzheimer's noma ezinye izifo zokulahlekelwa yingqondo (isimo esishintsha kancane kancane inkumbulo, ukucabanga, nokuziphatha) bebhekana nezinguquko ekuziphatheni kwabo, ekucabangeni, nasemizweni yabo njengoba usuku luqhubeka noma njengoba ilanga lishona. Yingakho kubizwa ngokuthi "ukushona kwelanga." Kodwa-ke, lesi simo sokudideka, noma ukuphambuka njengoba odokotela besibiza kanjalo, ngezinye izikhathi singavela nganoma yisiphi isikhathi sosuku. Kodwa kuvame kakhulu kusihlwa.
Lokhu kubizwa nangokuthi "ukudideka kwasemini." Kulinganiselwa ukuthi cishe abantu abangu-20% abanesifo i-Alzheimer's bazobhekana nalesi simo ngesikhathi esithile empilweni yabo.
Yikuphi ukuziphatha nemizwa okungabonakala kulesi simo sokucindezeleka?
Ezinye zezindlela zokuziphatha ezibonakala ngesikhathi sokushona kwelanga zingase zibe yileso sikhathi sosuku. Ngokufanayo, ezinye izindlela zokuziphatha ezingabonakala nganoma yisiphi isikhathi kumuntu onesifo sokulahlekelwa yingqondo zingase zibonakale kakhulu ngalesi sikhathi. Ake sibheke ukuthi ziyini lezi zimpawu.
Ukuziphatha okubonakalayo:
- Ukuhambahamba: Ukuhambahamba ngaphandle kokuhlala endaweni eyodwa.
- Ukudlikiza: Ukudlikiza emuva naphambili ngenkathi uhleli endaweni eyodwa.
- Ukuzulazula: Ukuhamba ungenalo ulwazi lokuthi uya kuphi . Ungase ulahleke.
- Ubudlova: Izinto ezifana nokuthukuthela ngokuzumayo nokuvayizisa izingalo nemilenze yakho.
- Ukufihla: Ukulandela umnakekeli wakho noma ngabe uya kuphi.
- Ukukhala ngaphandle kwesizathu: Ukuqala ukukhala ngisho noma ungazizwa udabukile.
- Ukungalali: Ukungakwazi ukulala ebusuku.
- Ukumemeza: Ukuqala ukumemeza ngokuzumayo.
Imizwa engaba khona:
Kanye nalezi zindlela zokuziphatha, bangase babe nemizwa ehlukahlukene.
- Usizi
- Ukukhathazeka
- Ukwesaba
- Ukucasuka
- Ukungahlaliseki
- Ukucasuka
Izimo zengqondo ezingaba khona:
Ngezinye izikhathi, lesi simo singabenza bacabange izinto ezinjengalezi:
- Ukudideka
- Ukusola abanye ngokungadingekile (ukwesaba)
- Ukubona noma ukuzwa izinto ezingezona ezangempela, ukukhohlisa kanye nokubona izinto ezingekho
Yini eyenza lesi simo sibe sibi kakhulu?
Isizathu esiyinhloko sokuthi kungani ukushona kwelanga kubi kakhulu ukungalali kahle . Okusho ukuthi, ukungalali ngokwanele ebusuku. Ngaphandle kwalokho, odokotela bathi kunezinye izizathu eziningana ezingenza lesi simo sibe sibi kakhulu. Ake sibone ukuthi ziyini:
- Ukuphazamiseka komjikelezo wemvelo wokulala nokuvuka komzimba wethu (imigqi ye-Circadian): Cabanga ngakho, sinewashi lemvelo emzimbeni wethu. Yilona elisigcina siphapheme emini futhi silele ebusuku. Lezi zinkinga zivela lapho leli washi liphazamiseka.
- Ukungalali noma ezinye izinkinga ezihlobene nokulala: Izinkinga zokulala njengokungakwazi ukulala ebusuku noma ukuba nenkinga yokuphefumula.
- Ukutheleleka emzimbeni: Isibonelo, into efana nokutheleleka komgudu womchamo.
- Ukuphelelwa amanzi emzimbeni.
- Imiphumela emibi yemithi ethile.
- Ukungakwazi ukuqonda umehluko phakathi kwezwe langempela namaphupho.
- Ezinye izifo zomzimba.
- Ukuba nobuhlungu emzimbeni.
- Ukukhathala/ukukhathala usuku lonke.
- Ukuvusa inkanuko ngokweqile: Ingqondo igxile ezintweni eziningi phakathi nosuku futhi ingqondo ayikwazi ukuphumula.
- Ukukhanya okuphansi endlini kusihlwa.
Cabanga nje, ugogo wethu uchithe usuku lonke phambi kwe-TV, ekhuluma nabantu abaningi, futhi lapho ukukhanya kuncipha kusihlwa, ngokuzumayo akasakwazi ukuqonda indawo emzungezile futhi uqala ukukhathazeka. Yilokho okwenzekayo nje.
Lesi simo sizohlala isikhathi esingakanani?
I-Sundown Syndrome ivame ukuqala phakathi nesigaba esiphakathi kuya kwesekugcineni sesifo i-Alzheimer's . Ingaqhubeka uma nje kukhona izinto ezibangela lokhu kuphazamiseka okukhulunywe ngakho ngenhla.
Sisisiza/siselapha kanjani lesi simo sokushona kwelanga?
Into engcono kakhulu ongayenza ukuthola imbangela eyisisekelo bese uyelapha. Kodwa-ke, kunezinye izindlela zokunciphisa izimpawu zalesi simo.
Izinto ongazenza ngaphandle kwemithi:
Lezi yizinto okufanele uzizame kuqala:
- Ukwelashwa ngokukhanya: Ukuchayeka ekukhanyeni okukhulu emini, ngezinye izikhathi kusetshenziswa izibani ezikhethekile, kungasiza ekulawuleni imigqi yethu ye-circadian.
- Ukwelapha ngomculo: Ukubenza balalele izingoma ezindala ezizolisa ingqondo futhi abazithandayo.
- Izinguquko zemvelo:
- Gcina izinto abazijwayele , njengezithombe zomndeni, endaweni lapho bengazibona khona. Lokhu kuzonciphisa ukudideka kwabo kwengqondo.
- Qiniseka ukuthi igumbi labo likhanya kahle emini. Yenza igumbi libe mnyama ebusuku uma belele.
- Uma othandekayo wakho egqoka izibuko noma izinsiza zokuzwa, zigcine ziseduze . Angase akhathazeke ngokungakwazi ukubona noma ukuzwa kahle.
Uma kudingeka, yimuphi umuthi onikezwayo?
Ngezinye izikhathi, odokotela bangase banikeze imithi yokulawula lokhu kuziphatha nemizwa.
- Imithi yokucindezeleka
- Imithi yokulwa nokukhathazeka
- Ama-antipsychotic: Kudingeka uqaphele kakhulu uma usebenzisa lawa, ngoba ukusetshenziswa isikhathi eside kungaholela ezingozini ezifana nesifo sohlangothi .
- I-Melatonin yokukusiza ulale: Lena yi-hormone ekusiza ulale.
Into ebaluleke kakhulu ukuthi yonke le mithi kufanele isetshenziswe kuphela ngaphansi kweseluleko sikadokotela.
Nazi ezinye izinto ezingakusiza ukunakekela isiguli ebusuku uma uyolala:
Uma kunguwe onakekela othandekayo wakho, zama lezi zinto ukuze umsize alale ngokuthula ebusuku:
- Gcina igumbi labo lokulala lithule futhi lingenamsindo . Cima imisindo emikhulu njenge-TV nomsakazo.
- Dlala umculo ozolile nothambile .
- Bafundele incwadi .
- Zibandakanyeni emsebenzini olula – yidlani ukudla okulula ndawonye, yenzani iphazili elula, noma nibukele uhlelo lwe-TV abaluthandayo.
- Yakha imikhuba emihle yokulala (ukuhlanzeka kokulala): Lala ngesikhathi esifanayo nasendaweni efanayo nsuku zonke.
Indlela engcono kakhulu yokusiza othandekayo wakho ukuthola ukuthi yini ngempela ebangela ukuziphatha kwakhe. Isibonelo, uma engakwazi ukulala ebusuku, kungenzeka ukuthi ubematasa kakhulu usuku lonke futhi akazange athole ithuba lokuphumula. Kuleso simo, ukwelashwa kungaba ukwenza usuku lwakhe lube lula, ukuhlela usuku lwakhe ngabantu abambalwa, nokuba nomsindo omncane.
Yini engenziwa ukuvimbela noma ukunciphisa ukushona kwelanga?
Kunezinto eziningana ongazenza ukuze uvimbele ukushona kwelanga nokunciphisa ubukhali besimo. Zama lezi:
- Bona ukuthi othandekayo wakho angalala yini ubusuku bonke .
- Gwema ukunikeza iziphuzo ezine-caffeine (njengekhofi netiye) ngemva kokudla kwasekuseni.
- Gwema ukunikeza utshwala.
- Banike ukukhanya kwelanga okwanele emini. Babeke eduze kwefasitela, noma ubakhiphele ngaphandle isikhashana uma kungenzeka.
- Benze bavivinye umzimba nsuku zonke. Ngisho nokuhamba ibanga elifushane kuzokwenza.
- Uma kufanele ulale emini, gcina ulale isikhashana, bese ukwenza kusenesikhathi .
- Hlela imisebenzi ethile phakathi nosuku, kodwa ungenzi ngokweqile. Ingqondo yakho nayo idinga ukuphumula.
Kufanele ngimbone nini udokotela ngalokhu?
Uma nje uqala ukubona izimpawu zeSundowning, kungcono ukubona udokotela ngokushesha ngangokunokwenzeka ukuze wakhe uhlelo lokwelashwa. Bona udokotela womndeni wakho, noma bona udokotela wezifo zasebekhulile .
Khumbula, othandekayo wakho one-Down syndrome angase angakwazi ukukutshela nganoma yiziphi izinkinga noma ubuhlungu anabo (isibonelo, ubuhlungu obuvela ekuthelelekeni komgudu womchamo). Ngakho-ke, kufanele ube nguwe okhuluma nodokotela egameni lakhe futhi umsize athole izivivinyo ezidingekayo.
Ingabe iSandawini iza kulabo abangenaso isifo i-Alzheimer's?
Yebo. Nakuba i-Down syndrome ivame kakhulu kubantu abanesifo i-Alzheimer's kanye ne-dementia, ingenzeka nakwabanye abantu asebekhulile .
Ingabe lokhu kungenzeka ekuseni futhi?
Akuwona wonke umuntu obhekana nokushona kwelanga onezimpawu ezifanayo noma obhekana ngendlela efanayo. Kwabanye, lokhu kungaphumuli kungase kwenzeke ekuseni kunokuba kwenzeke kusihlwa.
Kubalulekile ukuzinakekela nawe!
Ukunakekela umuntu onesifo sokulahlekelwa yingqondo noma i-Alzheimer's kungaba yinto ekhungathekisayo. Uma othandekayo wakho enesifo sokulahlekelwa yingqondo, le mizwa ingaba nkulu nakakhulu. Kodwa-ke, kunezinto ongazenza ukuze usize ekunciphiseni izimpawu zokulahlekelwa yingqondo (izinguquko endaweni okuyo, imithi ethile). Kukhona namaqembu okusekela angasiza abanakekeli babantu abane-Alzheimer's. Uma ubhekene nobunzima bokubhekana nalesi simo, sicela uxhumane nosizo. Akudingeki ubhekane nalezi zinto wedwa.
Ngakho-ke, nazi izinto ezibaluleke kakhulu okudingeka sizikhumbule:
- I-Sundown Syndrome iyisibonakaliso sezifo ezifana ne-dementia, hhayi isifo esihlukile.
- Kubaluleke kakhulu ukuzama ukuthola izimbangela ezithile zalesi simo.
- Kufanele uqale uzame ukulawula lesi simo ngezindlela ezingezona ezemithi .
- Kubalulekile ukufuna iseluleko sezokwelapha, ikakhulukazi uma uthatha imithi.
- Kubalulekile ukuzinakekela nokuthola usizo, kanye nokunakekela isiguli. Uma nje uphilile ungamnakekela kahle othandekayo wakho.
Ngiyethemba ukuthi lolu lwazi luzokusiza. Uma uneminye imibuzo, ungangabazi ukukhuluma nodokotela.
'I-Sundown syndrome, i-dementia, i-Alzheimer's, ukunakekelwa kwasebekhulile, ukungaphumuli, izinkinga zokulala, ukukhubazeka kwenkumbulo
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