Ingabe othandekayo wakho ukhohlwa konke? Ake sixoxe nge-Dementia! (Dementia)

Ingabe umama wakho osekhulile, ubaba, ugogo, noma u-anti wakho ukhohlwa izinto? Ingabe ubuza umbuzo ofanayo ngokuphindaphindiwe? Ingabe wenza ngenkani noma ngokukhathazeka kunangaphambili? Ngezinye izikhathi sicabanga ukuthi lezi zinto ziyizingxenye ezivamile zokuguga, kodwa azihlali zinjalo. Lesi simo singaba ukuqala kwesimo esibizwa ngokuthi i-dementia. Ngakho-ke ake sixoxe ngalokhu namuhla, njengokungathi sikhuluma nomngane, ngaphandle kokuzizwa sithwele kanzima.

Kuyini ngempela 'i-Dementia'?

Kalula nje, i-dementia ayisona isifo esisodwa. Iyiqoqo lezimpawu ezibangelwa izifo ezahlukene. Into eyinhloko eyenzekayo kulokhu ukuthi amangqamuzana ethu obuchopho ayonakele futhi ukuxhumana phakathi kwawo, okungukuthi, ukushintshana kwemiyalezo, kuyalahleka. Cabanga ngobuchopho bethu njengehhovisi enkampanini enkulu. Ingxenye ngayinye isebenza ngokwehlukana. Kukhona ingxenye yokukhumbula, ingxenye esiza ngenkulumo, kanye nengxenye yokwenza izinqumo. Ku-dementia, ukuxhumana phakathi kwalezi zingxenye kuyalahleka, futhi umsebenzi wehhovisi lonke uba yisiphithiphithi.

Ngenxa yalokho , ikhono lokucabanga, inkumbulo, kanye nekhono lokucabanga liyancipha kuze kube yilapho bengakwazi ukwenza imisebenzi yabo yansuku zonke bebodwa.

Uyini umehluko phakathi kwe-dementia nokuguga okuvamile?

Lena inkinga abantu abaningi abanayo. Ake sikuqonde kahle lokhu.

Ingabe i-dementia kanye ne-Alzheimer kuyinto efanayo?

Cha. Lena futhi indawo lapho abantu abaningi bedideka khona. Cabanga 'nge-dementia' njengesigaba esikhulu esibizwa ngokuthi 'izithelo'. 'I-Alzheimer's' ifana 'nomango' kuleso sigaba sezithelo. Okusho ukuthi, phakathi kwezimbangela eziningi ze-dementia , imbangela evame kakhulu neyinhloko yisifo se-Alzheimer's . 70%-80% yeziguli ze-dementia zinalesi simo. Kodwa ngaphandle kwalokhu, kunezinye izimbangela ezingaba ngu-50 ezingathinta i-dementia.

Yiziphi izinhlobo eziyinhloko kanye nezimbangela ze-dementia?

Ngaphezu kwesifo i-Alzheimer's, kunezinye izinhlobo eziningana eziyinhloko ze-dementia.

1. I-Vascular Dementia: Lokhu kubangelwa ukuvaleka noma ukulimala kwemithambo yegazi eholela ebuchosheni. Izimo ezifana nomfutho wegazi ophakeme, isifo sikashukela, i-cholesterol ephezulu, kanye nesifo sohlangothi zandisa ingozi.

2. I-Lewy Body Dementia (LBD): Lesi simo sibangelwa ukuqongelela kwamaprotheni angajwayelekile abizwa ngokuthi "imizimba ye-Lewy" ngaphakathi kwamangqamuzana obuchopho. Ngaphezu kokulahlekelwa yinkumbulo, izimpawu ezifana nobunzima bokuhamba, ukuthuthumela (okufana nezimpawu zikaParkinson), ukozela emini, kanye nokubona izinto ezingekho zinhle kuvame kakhulu kulesi simo.

3. I-Frontotemporal Dementia (FTD): Lesi yisimo lapho ingaphambili nezinhlangothi zobuchopho zonakele khona. Lokhu kubangela ushintsho ekuziphatheni, ebuntwini, nasekukhulumeni, kunokuba kubangele inkumbulo. Umuntu owayezolile kakhulu ngaphambili angase abe nolaka noma abe namahloni ngokuzumayo. Noma angase abe ngumuntu okhuluma kakhulu.

4. I-Mixed Dementia: Abanye abantu bangase babe nezinhlobo ezimbili noma ngaphezulu ze-dementia ngesikhathi esisodwa. Isibonelo, isifo se-Alzheimer kanye ne-vascular dementia zingase zibe khona kanye kanye.

Yiziphi izimpawu okufanele siziqaphele?

Bheka ukuthi ukhona yini emndenini wakho onalezi zimpawu. Ungesabi ukukubiza ngokuthi yi-dementia ngoba nje unesinye noma ezimbili, kodwa uma ziqhubeka, kubalulekile ukufuna iseluleko sezokwelapha.

• Ukulahlekelwa yinkumbulo yesikhashana: Ukukhohlwa okwashiwo esikhathini esifushane esidlule, ukubuza umbuzo ofanayo kaninginingi, ukukhohlwa ukuthi izinto zikuphi.
• Izinkinga zokuxhumana: Ubunzima bokuthola amagama afanele, ukuma phakathi nengxoxo, ubunzima bokuqonda lokho abanye abakushoyo.
• Ukulahleka ngisho nasezindaweni ozijwayele: Ukungakwazi ukuthola indlela yakho ngisho nasedolobhaneni noma edolobheni lakini.
• Ubunzima bokuqedela imisebenzi eyinkimbinkimbi: Izinto ezazilula ukuzenza, njengokulima ingadi, ukukhokha izikweletu, nokuphatha izindleko zasekhaya, manje azisasebenzi.
• Izinguquko ebuntwini nasekuziphatheni: ukukhathazeka, ukusola, ukucindezeleka, isifiso sokuba wedwa, noma ukuziphatha okungafanele.
• Ubunzima bokwenza izinqumo: Ukungakwazi ukucabanga ngokunengqondo nokukhetha phakathi kokuhle nokubi.
• Izinguquko ezindleleni zokulala: Ukungalali ebusuku kanye nokulala ngokweqile emini.
• Ukubona noma ukuzwa izinto ezingekho (Imibono Engaqondakali): Ukubona abantu noma izilwane ezingekho ngempela.

Ihlolwa kanjani i-dementia?

Ukuhlolwa okukodwa akukwazi ukusho ukuthi unesifo sokulahlekelwa yingqondo noma cha. Udokotela wakho uzokwenza izivivinyo eziningana zalokhu.

1. Ingxoxo: Udokotela ukhuluma nesiguli nomndeni bese ebuza ngezimpawu, ukuthi zaqala nini, kanye nanoma yiziphi ezinye izifo.

2. Ukuhlola inkumbulo kanye nekhono lokucabanga: Kunezindlela eziningana zokuhlola inkumbulo, njengokubuza imibuzo elula nokudweba izithombe.

3. Ukuhlolwa kwegazi: Hlola ezinye izimo ezingabangela izimpawu ezifana ne-dementia, njengokuntuleka kwe-vitamin B12 kanye nezinkinga ze-thyroid hormone.

4. Ukuskena kobuchopho: Ukuskena kwe-CT noma i-MRI kungahlola noma yikuphi ukushwabana kobuchopho, umonakalo obangelwa ukushaywa yisifo sohlangothi, noma izimila.

Ngemva kokubheka konke lokhu, udokotela ufinyelela esiphethweni sokuthi lokhu kuyisifo sengqondo esiwohlokayo, futhi uma kunjalo, uhlobo luni.

Ingabe ikhona indlela yokwelapha? Yini okufanele siyenze?

Ngeshwa, izinhlobo eziningi ze-dementia azikwazi ukwelashwa ngokuphelele. Kodwa-ke, izimpawu zingalawulwa, ukuqhubeka kwesifo kungancishiswa, futhi ikhwalithi yokuphila kwesiguli kanye nomndeni waso ingathuthukiswa.

Lezi zinto zibalulekile ekwelapheni:

• Izinhlobo zemithi:Kwezinye izinhlobo ze-dementia, njenge-Alzheimer's, kunemithi (njenge-'Cholinesterase inhibitors', i-'Memantine') engasiza ekuthuthukiseni amakhono okukhumbula nokucabanga futhi inciphise ukuqhubeka kwezimpawu. Udokotela wakho angase futhi akunikeze imithi yokusiza ukuphatha izinto ezifana nokukhungatheka nokucindezeleka. Ungalokothi usebenzise le mithi ngaphandle kweseluleko sikadokotela wakho.
• Ukwelashwa Komsebenzi: Udokotela wezokwelapha angasiza isiguli ukuba senze imisebenzi yaso ngokuzimela ngangokunokwenzeka, enze indawo yasekhaya iphephe esigulini, futhi afundise izivivinyo ezilula ezithuthukisa inkumbulo.
• Izinguquko endleleni yokuphila: Ukudla okulinganiselayo, ukuvivinya umzimba njalo , ukuhlala uxhumana nabantu, kanye nokulawula izifo ezifana nomfutho wegazi nesifo sikashukela kubaluleke kakhulu.

Izinto ongazenza njengomnakekeli womuntu onesifo sokulahlekelwa yingqondo

Ukunakekela umuntu onesifo sokulahlekelwa yingqondo akulula. Kuyisibopho esikhulu. Khumbula lezi zinto ukuze zikusize.

• Yiba nesineke: Ungathukutheli uma becela noma besho into efanayo ngokuphindaphindiwe. Abazenzi lezo zinto ngenxa yenzondo.
• Khuluma kalula: Khuluma ngokucacile ngemisho emifushane nelula. Unganikezi imiyalelo eminingi ngesikhathi esisodwa.
• Dala isimiso esiqhubekayo: Beka isikhathi esivumelanayo sezinto ezifana nokudla, ukugeza, nokulala. Lokhu kuzonciphisa ukudideka kwabo.
• Cabanga ngokuphepha: Gcina izinto eziyingozi njengemimese nomentshisi kude. Qaphela ngoba zingase zihambe zodwa bese zilahleka.
• Zicabangele: Ngesikhathi unakekela isiguli, cabanga ngempilo yakho yengqondo neyomzimba. Uma ukhathele, cela usizo kwamanye amalungu omndeni. Uma kudingeka, funa ukwelulekwa.