Ingabe umama wakho osekhulile, ubaba, ugogo, noma umkhulu wakho useqalile ukukhohlwa izinto? Noma ingabe uphawule ushintsho ekuziphatheni noma enkulumweni yabo? Uma sibona into efana nale, ukwesaba kokuqala okufika ezingqondweni zethu ukuthi, "O, ingabe lo muntu useqala ukuba ne-dementia naye?" Esikhathini esiningi, sicabanga kanjalo futhi sizizwe sidabukile, kodwa siyayeka, sicabanga ukuthi kuyinto engelapheki. Kodwa-ke, ngizonixoxela indaba ebaluleke kakhulu namuhla. Ngezinye izikhathi, lokhu kulahlekelwa yinkumbulo kungase kungabi yi-dementia, kodwa esinye isimo esingelapheka futhi sithuthukiswe.
Yisiphi lesi simo esibhekwa ngephutha njenge-dementia?
Ucwaningo olukhulu lwamuva nje luthole ukuthi phakathi kuka-10% no-13% weziguli ezitholakale zinesifo sengqondo empeleni zinesinye isimo sezokwelapha. Lesi simo sihlobene ngqo nesibindi, isitho esibaluleke kakhulu emzimbeni wethu.
Kalula nje, nakhu okwenzekayo:
1. Ukulimala kwesibindi (i-Cirrhosis): Isibindi sifana nefektri emzimbeni wethu. Isibindi senza imisebenzi eminingi ebalulekile njengokugaya ukudla esikudlayo, ukwenza amaprotheni adingwa ngumzimba, nokususa ubuthi egazini. Kodwa-ke, ngenxa yezizathu ezahlukahlukene (isibonelo, ukuphuza utshwala ngokweqile, ezinye izifo ezibangelwa amagciwane, isibindi esinamafutha esibangelwa isifo sikashukela), isibindi siyalimala, kwakheka izicubu zesilonda kuso, futhi umsebenzi waso uyehla kancane kancane. Yilokhu esikubiza ngokuthi i-cirrhosis kwezokwelapha.
2. I-Hepatic Encephalopathy: Njengoba imboni yesibindi ingasebenzi kahle, ubuthi obukhiqizwa emzimbeni, ikakhulukazi izinto ezifana ne-ammonia, abuhlungwa kahle futhi bususwe. Lawa ma-toxin aqoqana egazini bese eya ngqo ebuchosheni ngokuhamba kwegazi. Lapho ubuchopho bungakwazi ukuphatha lawa ma-toxin, ukusebenza kwamaseli obuchopho kuqala ukuphazamiseka. Yingakho sikubiza ngokuthi i-Hepatic Encephalopathy .
Lokhu kusho ukuthi ubuchopho budidekile ngenxa yenkinga yesibindi. Ngenxa yokuthi izimpawu zifana kakhulu ne-dementia, odokotela ngezinye izikhathi bangayiboni.
Kungani lezi zimo ezimbili zihlangene kangaka?
Izimpawu ze-Dementia kanye ne-Hepatic Encephalopathy zifana kakhulu. Yingakho zivame ukudidaniswa. Ake siqonde lo mehluko ngokucacile.
| Isibonakaliso | Indlela ebukeka ngayo ku-dementia | Indlela okubonakala ngayo ku-Hepatic Encephalopathy |
|---|---|---|
| Inkumbulo nokunaka | Inkumbulo iyancipha kancane kancane futhi unomphela. Lesi simo siba sibi kakhulu ngokuhamba kwesikhathi. | Inkumbulo kanye nesikhathi sokunaka siyashintshashintsha. Ngezinye izinsuku uphilile, kanti ngezinye izinsuku udidekile kakhulu. Kunzima kakhulu ukuhlala ugxile. |
| Iphethini yokulala | Kungase kube nezinguquko ezithile ebuthongweni. | Amaphethini okulala aphendukezelwe ngokuphelele. Ulala usuku lonke futhi awukwazi ukulala ebusuku. |
| Ukuziphatha kanye nobuntu | Ungase uqaphele izinguquko zobuntu bakho ngokuhamba kwesikhathi. Ungase uzizwe sengathi awuseyena umuntu ofana nowawunguye ngaphambili. | Ukuthukuthela, ukucasuka, noma ukuthula kakhulu kungabonakala ngokushesha. Izinguquko ekuziphatheni zingabonakala ngokushesha. |
| Izici zomzimba | Ngokuvamile zimbalwa izici zomzimba ezikhethekile ezigabeni zokuqala. | Izimpawu zifaka phakathi ukuthuthumela okuguquguqukayo lapho izingalo zeluliwe, iphunga elimnandi noma elibi emoyeni, kanye nokuphuzi kwesikhumba namehlo (i-jaundice). |
Kungani kubaluleke kangaka ukuqaphela lokhu?
Cabanga ukuthi kubaluleke kangakanani ukwazi lo mehluko, ngoba ukwelashwa kanye nokuqhubeka kwesifo salezi zimo ezimbili kuhluke ngokuphelele.
I-Dementia ivame ukuba yisimo esiqhubekayo nesingenakuguqulwa. Kodwa-ke, i-Hepatic Encephalopathy yisifo esingalawulwa ngokwelashwa okufanele, siqede izimpawu, futhi sibuyele empilweni evamile.
Leli yiphuzu elibaluleke kakhulu lapha.I-hepatic encephalopathy iyisimo esingelapheka! Odokotela bangelapha isibindi futhi banikeze imithi ekhethekile yokunciphisa izinga lobuthi egazini. Uma lokhu kwelashwa sekuqalile, izimpawu eziphazamise ukusebenza kobuchopho ziyanyamalala kancane kancane. Isiguli siyakwazi ukucabanga kahle futhi siphinde sithole inkumbulo yaso.
Akukhona lokho kuphela, ukutholakala kusenesikhathi kwe-cirrhosis yesibindi kusiza nokuvimbela ezinye izifo eziyingozi, ngoba uma ingelashwa, i-cirrhosis ingakhula ibe yizimo ezimbi njengomdlavuza wesibindi .
Ngakho-ke kufanele senzeni?
Ngemva kokufunda lesi sihloko, umbuzo omkhulu engqondweni yakho uthi, "Senzani manje?" Okudingeka kwenziwe kulula kakhulu.
1. Uma ungabaza, bona udokotela ngokushesha: Uma othile emndenini wakho, ikakhulukazi umuntu osekhulile, ebhekene nezimpawu ezifana nokulahlekelwa yinkumbulo noma ukushintsha kokuziphatha, ungamane nje ucabange ukuthi 'yi-Dementia'. Bona udokotela womndeni wakho ngokushesha bese ukhuluma ngakho.
2. Buza ngesibindi: Uma ukhuluma nodokotela wakho, ungesabi ukusho lezi zimpawu bese ubuza, "Dokotela, ingabe lezi zimpawu zibangelwa inkinga yesibindi? Akufanele yini nathi senze ukuhlolwa kokusebenza kwesibindi?"
3. Ukudluliselwa kuchwepheshe ofanele: Udokotela wakho uzokudlulisela kudokotela wezifo zesibindi/wesisu noma kudokotela wezinzwa uma kudingeka.
4. Ungesabi ukuhlolwa: Ukuhlolwa kokuhlola ukusebenza kwesibindi kulula kakhulu. Ngokuvamile, ulwazi oluningi lungatholakala ngezinto ezifana nokuhlolwa kwegazi (Ukuhlolwa Kokusebenza Kwesibindi) kanye nokuskena kwe-ultrasound .
Khumbula, kungumthwalo wethu ukunakekela impilo yabathandekayo bethu. Ungavumeli igama elithi dementia likwethuse ugweme isifo esingelapheka. Ukuxilongwa okufanele kuyisinyathelo sokuqala nesibaluleke kakhulu sokwelashwa okufanele.
Umlayezo Wokuya Nawe Ekhaya
- Akusikho konke ukulahlekelwa yinkumbulo okwenzeka ngokuguga okubangelwa yi-dementia.
- I-hepatic encephalopathy, isimo esibangelwa yi-cirrhosis yesibindi, singabangela nokulahlekelwa yinkumbulo.
- Lesi simo, esibizwa ngokuthi i-Hepatic Encephalopathy, singelapheka ngokuphelele ngokwelashwa okufanele.
- Uma umuntu omdala emndenini wakho ebhekene nokulahlekelwa yinkumbulo noma izinguquko zokuziphatha, bona udokotela bese uhlola ukusebenza kwesibindi sakhe.
- Ukuxilongwa okunembile kungasindisa impilo futhi kuthuthukise ikhwalithi yokuphila.
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