Kwenzekani enkumbulweni yakho? (Isifo Sokuphazamiseka Kwemithambo Yegazi)? Ake sixoxe ngalokhu!

Ingabe wena noma othile emndenini wakho ngezinye izikhathi uyakhohlwa izinto? Noma uzizwa sengathi ukuziphatha kwakho kushintshe ngendlela engalindelekile? Nakuba ungase ucabange ukuthi lezi zinto ziyizimo ezivamile ezihambisana nokuguga, ngezinye izikhathi lokhu kungaba yinto okufanele ukhathazeke ngayo kancane. Namuhla sizokhuluma ngesifo sokulahlekelwa yinkumbulo esibangelwa ukwehla kokugeleza kwegazi kuya ebuchosheni. Yilokhu esikubiza ngokwezokwelapha ngokuthi (i-Vascular Dementia) .

Kuyini i-Vascular Dementia? Kalula nje...

Kalula nje, i-Vascular Dementia yisimo esenzeka lapho imithambo yegazi ehambisa igazi ebuchosheni yonakele futhi ezinye izingxenye zobuchopho zingatholi igazi elanele . Njengoba wazi, ubuchopho bethu budinga nomoya-mpilo kanye nezakhamzimba ukuze busebenze kahle. Lokhu kutholakala egazini. Ngakho-ke, lapho ukugeleza kwegazi kuncipha, amangqamuzana obuchopho ayalimala. Lo monakalo yiwona obangela ukusebenza kwengqondo yethu, okungukuthi, indlela esicabanga ngayo, inkumbulo, njll., ukuthi iphazamiseke. Lesi simo singaba sibi kakhulu kangangokuthi asikwazi ukwenza imisebenzi yansuku zonke. Imbangela enkulu yalokhu (Stroke) , okusho ukukhubazeka.

I-Vascular Dementia ingenye yezinhlobo ezivame kakhulu ze-dementia kubantu abaneminyaka engaphezu kwengu-65. Ezinye izifundo ziphakamisa ukuthi phakathi kuka-5% no-10% wabantu abane-dementia bane-dementia yemithambo yegazi kuphela. Kodwa-ke, ivame ukubonakala kanye nesifo i-Alzheimer's . Kulesi simo, sikubiza ngokuthi i-mixed dementia , okusho ukuthi kunezimbangela ezingaphezu kweyodwa ze-dementia.

Odokotela ngezinye izikhathi basebenzisa igama elithi Vascular Cognitive Impairment (VCI) esikhundleni seVascular Dementia ngoba izinguquko ekucabangeni ezibangelwa ukulimala kwale mithambo yegazi zingahluka ngobukhulu kusukela ekukhohlweni okuncane (okubizwa ngokuthi iMild Cognitive Impairment (MCI)) kuya ekuwohlokeni okukhulu kwengqondo.

Uma kutholakala ukuthi unesifo sokulahlekelwa yingqondo, kungase kuzwakale sengathi impilo yakho ishintsha ngokuzumayo. Wena nabathandekayo bakho ningase nesabe okuzayo. Kodwa khumbula, isifo sokulahlekelwa yingqondo semithambo yegazi asibathinti bonke ngendlela efanayo. Ngakho-ke, sebenzisana nethimba lakho lezokunakekelwa kwempilo ukuze uthole isiqondiso futhi nixoxe ngalokho okufanele nikulindele phakathi nalolu hambo.

Ziyini lezi zimpawu?

Manje ungase ucabange, 'Kulungile, pho yiziphi izimpawu ze-vascular dementia?' Empeleni, izimpawu zingahluka kumuntu nomuntu. Uyazi ukuthi kungani? Izingxenye ezahlukene zobuchopho bethu zilawula izinto ezahlukene. Ngakho-ke, izimpawu ziyahlukahluka kuye ngokuthi iyiphi ingxenye yobuchopho eyonakele kanye nobukhulu bomonakalo.

Cabanga nje, abanye abantu bangase babe nenkumbulo embi kakhulu . Abanye bangase babe nobunzima bokuhamba nokugcina ibhalansi . Abanye bangase babe nobunzima bokwakha nokuqonda amagama lapho bekhuluma (i-aphasia nayo iyisimo esifana nalesi).

Ngaphezu kwalokho, ungabona izici ezilandelayo:

• Kuba nzima ukugxila kokuthile , ukulandela imiyalelo, ukucabanga ngokunengqondo, ukuhlela izinto, ukuhlela, nokuqeda umsebenzi.
• Ukushintsha kwesimo sengqondo . Mhlawumbe uzizwa udangele (njengokucindezeleka), noma uthukuthela kalula.
• Ungase uqaphele izinguquko ebuntwini nasekuziphatheni . Ungase uzizwe sengathi awuseyena umuntu ofana nalowo owawunguye ngaphambili.
• Ukungabi nandaba kungakhula.
• Kungase kube nokudideka , ikakhulukazi ebusuku (okwaziwa nangokuthi i-Sundown Syndrome).
• Ungase ungakwazi ukulawula ukuhleka noma ukukhala kwakho ngaphandle kwesizathu (lokhu kubizwa ngokuthi i-Pseudobulbar Affect).
• Kungaba nzima ukulawula umchamo kanye nendle (lesi simo sibizwa ngokuthi ukungakwazi ukuzibamba).
• Kungaba nzima ukubamba izinto ezincane noma ukwenza imisebenzi ebucayi, njengezandla nezinyawo ezithuthumelayo.
• Izinkinga zokulala nazo zingase zibe khona.

Into ebaluleke kakhulu ukuthi uma wena noma othile omaziyo enalezi zimpawu, kufanele nakanjani ubone udokotela futhi ucele iseluleko.

Ingabe zikhona izimo ezahlukene zalokhu futhi?

Akukho sigaba esithile se-vascular dementia. Lokhu kungenxa yokuthi kuthinta wonke umuntu ngendlela ehlukile, futhi lesi sifo siqhubeka ngamazinga ahlukene. Kuya ngokuthi yiziphi izingxenye zobuchopho ezithintekile nokuthi umonakalo ungakanani.

Ngokuvamile, izimpawu zikhula kancane kancane ngokuhamba kweminyaka. Kodwa-ke, ngemva kokuhlaselwa yisifo sohlangothi esikhulu, izimpawu zingavela ngokuzumayo. Ngezinye izikhathi, izimpawu zingase zibonakale zithuthuka isikhathi esifushane. Kodwa-ke, uma uhlaselwa yisifo sohlangothi esiningi, isimo sakho singaba sibi kakhulu.

Ngisho noma i-vascular dementia ihambisana nolunye uhlobo lwe-dementia, njengesifo i-Alzheimer's, indlela izimpawu ezikhula ngayo ingahluka.

Kungani lokhu kwenzeka? Yiziphi izizathu?

Imbangela eyinhloko yesifo sokuwohloka kwemithambo yegazi ukulimala kwemithambo yegazi ebuchosheni, noma ukuvaleka okuphelele noma okuyingxenye kokugeleza kwegazi ebuchosheni . Lapho ukugeleza kwegazi kuncipha ngale ndlela, izingxenye zobuchopho azitholi umoya-mpilo nezakhamzimba ezizidingayo. Ngaphandle kwazo, amangqamuzana obuchopho aqala ukufa.

Ezinye zezimbangela eziyinhloko ze-Vascular Dementia yilezi:

• I-atherosclerosis ukuqina noma ukuncishiswa kwemithambo yegazi ebuchosheni. Lokhu kungathinta nemithambo yegazi emincane ehambisa igazi ebuchosheni. Lesi simo sibizwa ngokuthi i-ischemic stroke .
• Umthambo wegazi uyaqhuma bese uphuma igazi ngaphakathi kobuchopho. Isibonelo, isimo esibizwa ngokuthi i-Hemorrhagic Stroke .

Yiziphi izinto ezibangela ingozi?

Kunezici ezithile ezingabangela ukulimala kwale mithambo yegazi kanye nokukhula kwesifo sokuwohloka kwemithambo yegazi. Lezi yizi:

• Lokhu kubizwa ngokuthi i-atrial fibrillation (Afib).
• Isifo sikashukela .
• Isifo senhliziyo .
• Umfutho wegazi ophezulu (i-Hypertension).
• Izinga le-cholesterol ephezulu egazini ((i-Hyperlipidemia)).
• Njengoba ngike ngaba nokushaya okukodwa noma ngaphezulu ngaphambilini.
• Ukukhula kweminyaka , ikakhulukazi kulabo abaneminyaka engaphezu kwengu-60 ubudala.
• Ukubhema .

Ingabe kunezinhlobo ezahlukene ze-Vascular Dementia?

Yebo, odokotela basebenzisa amagama ahlukene ukuchaza i-vascular dementia, kuye ngokuthi inani kanye nohlobo lwemithambo yegazi ethintekile, nokuthi izimpawu ziqala kanjani. Ezinye zazo zifaka:

• (I-Post-stroke Dementia): Yilapho i-vascular dementia ingavela khona ngemva kwe-stroke. Yilapho izicubu zobuchopho ezilawula imisebenzi yazo yokucabanga engaphezu kweyodwa zonakaliswa yi-stroke. Ubunzima bolimi nezinkinga zenkumbulo zivame. Kodwa-ke, izimpawu zincike ekutheni iyiphi ingxenye yobuchopho ethintekile yi-stroke. Lezi zinkinga zokucabanga kumele zivele ngokushesha ngemva kwe-stroke noma zingakapheli izinyanga eziyisithupha, futhi akufanele zibe ngcono, ukuze odokotela bahlukanise lokhu ngokuthi (I-Post-stroke Dementia).
• (I-Multi-infarct Dementia): "I-Infarct" ifana ne-(Stroke). Ngakho-ke i-(Multi-infarct) isho ukuthi eziningi (Strokes) zithinta ukugeleza kwegazi ezingxenyeni ezahlukene zobuchopho. Izimpawu ezibangelwa yilokhu (Strokes) zivame ukubonakala njengoba zenzeka. Ngakho-ke, izinguquko ekhonweni lokucabanga zenzeka kancane kancane (okungukuthi, isimo siba sibi ngokuzumayo ngokuhamba kwesikhathi).
• (Isifo sikaBinswanger) (Isifo Sokuwohloka Kwemithambo Yegazi Esingaphansi Kwe-Subcortical): Lokhu kubangelwa ukucinana kwemithambo yegazi emincane kuyo yonke into emhlophe yobuchopho ngenxa ye-atherosclerosis ngokuhamba kwesikhathi. Izimpawu aziveli ngokuzumayo, kodwa zikhula kancane kancane ngokuhamba kwesikhathi.
• I-Mixed Dementia: Uma izimpawu ze-dementia zibangelwa yizimbangela ezingaphezu kweyodwa, odokotela bayibiza ngokuthi i-Mixed Dementia. Inhlanganisela evame kakhulu ebonakala nge-Vascular Dementia yisifo i-Alzheimer's. Kodwa-ke, ingenzeka nakwezinye izimo ze-Neurodegenerative.

Ingabe lokhu kuyinto evela ezizukulwaneni ngezizukulwane?

I-Vascular dementia ayiyona i-genetic ngqo . Kodwa-ke, ezinye zezimo ezibangela lokhu, njengomfutho wegazi ophakeme nesifo senhliziyo, zingase zivele emindenini.

Kodwa-ke, kunezinhlobo ezimbili ezingavamile kakhulu ze-Vascular Dementia, ezibangelwa ukushaywa yisifo sohlangothi okubangelwa izinguquko (ezibizwa ngokuthi izinguquko) ezizakhini ezithile zofuzo. Zombili lezi zithinta kakhulu imithambo yegazi emincane endabeni emhlophe yobuchopho. Ziyi:

• (I-CADASIL):Igama eliphelele lalokhu lithi (Cerebral Autosomal Dominant Arteriopathy with Subcortical Infarcts and Leukoencephalopathy). (CADASIL) kwenzeka lapho omunye wabazali enalesi simo, bese ingane isizuza njengefa ((Autosomal Dominant Inheritance) Lokhu kubizwa kanjalo). Izimpawu ezithile ze-(CADASIL) yi-migraines kanye ne-stroke ephindaphindayo.
• (CARASIL): Igama eliphelele lalokhu lithi (Cerebral Autosomal Recessive Arteriopathy with Subcortical Infarcts and Leukoencephalopathy). Ukuze i-(CARASIL) ibe khona, bobabili abazali kumele babe ngabathwali balesi simo, futhi ingane izosizuza njengefa ((Autosomal Recessive Inheritance)). Izimpawu ezivame kakhulu ze-(CARASIL) ukuqina kwemilenze nobunzima bokuhamba.

Ukubona kanjani lokhu ngqo?

Ukuze uqiniseke ukuthi une-dementia yemithambo yegazi, udinga ukuhlolwa nguchwepheshe . Ngoba kunezinhlobo eziningi ze-dementia, futhi izimpawu zalokhu zingafana nezimpawu zezinye izifo.

Udokotela wakho uzokwenza lezi zinto:

• Ngibuza ukuthi izimpawu zakho zaqala kanjani.
• Buza ngezifo zakho zangaphambilini.
• Bazobheka ukuthi imiphi imithi oyiphuzayo njengamanje, njengoba eminye imithi ingabangela izimpawu ezifana ne-dementia.
• Buza ngezifo emndenini wakho.

Ngemva kwalokho, cishe uzokwaziswa ukuthi wenze izivivinyo eziningana ezahlukene. Lokhu kungafaka phakathi ukuhlolwa kwegazi, ukuskena kobuchopho, kanye nokuhlolwa kokusebenza kobuchopho. Kuzodingeka futhi ubone ochwepheshe be-dementia, njengodokotela bezinzwa kanye nodokotela bezifo zasebekhulile, ukuze uthole ukuxilongwa.

Ukuhlolwa kwegazi/kwesikhwehlela (Ukuhlolwa kwelebhu)

Ukuhlolwa kwegazi kusetshenziselwa ukuhlola ezinye izimo ezibangela izimpawu ze-dementia, njengokutheleleka, ukuvuvukala emzimbeni, i-hypothyroidism, kanye nokuntuleka kwamavithamini (ikakhulukazi i-vitamin B12).

Ngezinye izikhathi, odokotela benza ukupompa komgogodla ukuhlola uketshezi lomgogodla (i-CSF) ukuze bahlole izimo ezifana nezimo zokuzivikela komzimba kanye nezifo eziwohlokayo.

Ukuhlolwa kwezithombe zobuchopho

Udokotela wakho angase a-ode ukuhlolwa kobuchopho okufana nalokhu:

• (I-Computed Tomography - CT) kanye (I-Magnetic Resonance Imaging - MRI): Lokhu kuhlolwa (kwe-Scan) kubheka izinto ezifana nesifo sohlangothi, ukopha, isimila, noma ukwakheka koketshezi ebuchosheni. Odokotela bakhetha ukwenza ukuhlolwa (kwe-MRI) ukuze babone ukuthi kukhona yini (i-Vascular Dementia).
• (Iskeni se-Amyloid PET):Lolu uhlobo olukhethekile lwe-PET scan. Lubheka ukubekwa okungajwayelekile kweprotheni ebizwa ngokuthi i-amyloid ebuchosheni. Lokhu kuyinto evame ukubonwa kwisifo i-Alzheimer's. Odokotela ngezinye izikhathi batusa lolu vivinyo uma besola ukuthi unesifo i-Alzheimer's.

Ukuhlolwa kwe-neuropsychological

Kulesi sivivinyo, udokotela wakho uzosebenzisa izivivinyo ezibhaliwe nezisekelwe kukhompyutha ukuze ahlole amakhono akho engqondo. Lokhu kufaka phakathi:

• Ikhono lokuxazulula izinkinga.
• Ikhono lokufunda.
• Ikhono lokwenza izinqumo.
• Amandla enkumbulo.
• Ikhono lokuhlela.
• Ikhono lokucabanga ngokunengqondo.
• Ikhono lolimi.

Ochwepheshe bezengqondo abaqeqeshwe ngokukhethekile (ababizwa ngokuthi ososayensi bezengqondo) babheka imiphumela yalezi zivivinyo bese bezama ukuqonda kangcono ubudlelwano phakathi kwempilo yobuchopho bakho kanye nekhono lakho lokucabanga (elibizwa ngokuthi i-Cognition).

Ungaqinisekisa kanjani i-Vascular Dementia?

Odokotela basebenzisa lezi zindlela zokuxilonga i-Vascular Dementia:

• Ukuhlolwa kwe-neuropsychological kuyadingeka ukuqinisekisa ukuthi kukhona yini i-dementia noma i-MCI.
• Kumelwe kube nobufakazi obuvela ekuhlolweni kobuchopho (ngokuvamile i-MRI) bokuthi uke waba nesifo sohlangothi muva nje, noma ukuthi unezinye izinguquko zemithambo yegazi ebuchosheni bakho ezihambisana nobunzima bakho bokuqonda.
• Kumelwe kube nobufakazi bokuthi azikho ezinye izici ezibangela ukwehla kwamandla okucabanga.

Lezi zindlela zokuhlola yizona ezivame kakhulu ukukhombisa ukuthi i-Mild Cognitive Impairment (MCI) noma i-dementia ibangelwa ukulimala kwemithambo yegazi hhayi yinoma yisiphi esinye isizathu.

Yiziphi izindlela zokwelapha lokhu?

Ngeshwa, ayikho ikhambi le-vascular dementia. Uma ubuchopho sebulimele, kunzima ukububuyisela ngokuphelele. Esikhundleni salokho, umgomo oyinhloko wokwelashwa kwe-vascular dementia ukulawula izici eziyingozi nokuvimba noma ukunciphisa umonakalo owengeziwe . Kuphinde kusize abantu ukuba babhekane nobunzima obubangelwa ukulimala kobuchopho futhi bathole izindlela ezintsha zokwenza izinto.

Imithi

Ngokungafani nesifo i-Alzheimer's, okwamanje azikho imithi evunyelwe ngqo yi-FDA ye-Vascular Dementia. Kodwa-ke, odokotela bangakunikeza imithi ebizwa ngokuthi i-Cholinesterase Inhibitors ye-Vascular Dementia. Izifundo zibonisa ukuthi lokhu kungandisa ukugeleza kwegazi ebuchosheni futhi kuthuthukise amakhono okucabanga.

I-Memantine ingenye imithi evunyelwe isifo i-Alzheimer's futhi ingasiza nasekuwohlokeni kwemithambo yegazi.

Udokotela wakho angase futhi akunike eminye imithi yokulawula izici zakho eziyingozi zokushaywa yisifo sohlangothi. Isibonelo, imithi yomfutho wegazi ophakeme, i-cholesterol ephezulu, nesifo sikashukela.

Ukuvuselelwa kanye nokuhlela ukunakekelwa kusengaphambili

Kungase kudingeke ukuthi usebenzisane nochwepheshe abahlukahlukene ukuze uphathe izimpawu zakho ze-Vascular Dementia. Isibonelo, abelaphi bezomzimba kanye nabelaphi bezomsebenzi bangakusiza ukuthi uthuthukise amakhono akho omzimba futhi uthole izindlela ezintsha zokwenza imisebenzi yansuku zonke. Umelaphi wenkulumo nolimi angakusiza ufunde ezinye izindlela zokukhuluma, ukugwinya, kanye nokuxhumana.

Abanye ochwepheshe abangakusiza yilaba:

• Abelaphi bokuzilibazisa.
• Ochwepheshe bokudla ababhalisiwe.
• Izazi zengqondo noma odokotela bengqondo.
• Izisebenzi zezenhlalakahle zezokwelapha.
• Abaphathi bokunakekelwa kwasebekhulile.

Laba ochwepheshe basebenza nawe kanye nabathandekayo bakho ukuqinisekisa ukuthi uthola izinga elifanayo lokunakekelwa elihambisana nezidingo zakho kanye nemigomo yakho. Baphinde bakweluleke wena nomndeni wakho ngokuhlela ukunakekelwa kwesikhathi esizayo, okuhlanganisa nezinqumo zezezimali kanye nezempilo. Bangaphinde bathumele izinkomba zokunakekelwa okudambisa ubuhlungu noma i-hospice lapho isimo siba sibi kakhulu.

Ingabe ikhona indlela yokugwema lokhu?

Kunezici ezithile eziyingozi ezingathinta lesi simo, njengobudala bakho noma izici zofuzo, ongeke ukwazi ukuzishintsha. Kodwa-ke, kunezinye izici eziningi eziyingozi ongazilawula ukuze uzame ukuvimbela lesi simo - ikakhulukazi lezo ezilimaza imithambo yegazi yakho. Nazi ezinye izinyathelo ongazithatha:

• Gcina amazinga akho omfutho wegazi, i-cholesterol, kanye noshukela egazini (i-glucose) emazingeni afanele . Lokhu kudinga ukusebenzisana eduze nodokotela wakho.
• Zigcine unesisindo esinempilo .
• Vivinya umzimba njalo . Zama ukwenza okungenani imizuzu engama-30 ngosuku.
• Yidla ukudla okunempilo kwenhliziyo , njengokudla kwaseMedithera noma ukudla kwe-DASH.
• Yeka ukubhema .
• Nciphisa ukusetshenziswa kotshwala .
• Lawula ukucindezeleka kwakho .
• Hamba uyohlolwa njalo kwezokwelapha bese uthatha imithi oyinikezwe udokotela njengoba nje uyalelwe.

I-Vascular dementia ihlukile kwezinhlobo eziningi ze-dementia ngoba ingavinjelwa kakhulu . Uma unezinye zalezi zici eziyingozi, khuluma nodokotela wakho ngalokho ongakwenza ukuze uzilawule.

Yini ongayilindela uma uphila nalesi simo?

I-Vascular Dementia ingaba yimbi kakhulu ngokuhamba kwesikhathi. Lezi zinguquko zingenzeka ngokuzumayo noma kancane kancane. Uhambo lwawo wonke umuntu luhlukile. Ukwelashwa kungasiza ekulawuleni ukuqhubeka kwesifo. Ngokubambisana, wena nodokotela wakho nizokwakha uhlelo lokwelapha olungcono kakhulu lwezimpawu zakho kanye nesigaba sesifo.

Thola ukwesekwa kwabathandekayo bakho phakathi nalesi sikhathi. Ndawonye, ​​ningakha uhlelo oluhlonipha ikhwalithi yempilo yenu kanye nezifiso zenu njengoba i-dementia iqhubeka.

Uzokwazi ukwenza umsebenzi wakho wedwa isikhathi esingakanani?

Umuntu onesifo sokuwohloka kwemithambo yegazi angadinga usizo ngezinye zezinto azenzayo nsuku zonke. Isibonelo, ukuphatha imithi, ukukhokha izikweletu, nokulungisa ukudla. Othandekayo wakho onalesi simo angase akwazi ukwenza izinto eziningi eyedwa. Kodwa-ke, kuye ngokuthi yimaphi amakhono athintekile, kungase kungabi kuphephile ngaye ukuhlala yedwa. Abanye abantu abanesifo sokuwohloka kwemithambo yegazi bangadinga ukunakekelwa okukhethekile okuvela ezikhungweni ezikhethekile ekunakekeleni abantu abanesifo sokuwohloka kwemithambo yegazi.

Injani impilo?

Isikhathi sokuphila somuntu onalesi simo sinqunywa ubukhulu besifo. I-Vascular Dementia iyahlukahluka ngobukhulu, futhi ithinta wonke umuntu ngendlela ehlukile.

Abantu abanesifo sokulahlekelwa yingqondo emithanjeni yegazi banobude besikhathi sokuphila obufushane kunalabo abanesifo i-Alzheimer's. Lokhu kungenxa yokuthi abantu abanesifo sokulahlekelwa yingqondo emithanjeni yegazi banamathuba amaningi okufa ngenxa yokuhlaselwa yisifo sohlangothi noma ukuhlaselwa yinhliziyo kunangenxa yokulahlekelwa yingqondo ngokwayo.

Ziyini izimpawu zezikhathi zokugcina?

Kunzima ukusho ngqo ukuthi yiziphi izimpawu zokugcina ze-vascular dementia. Ngezinye izikhathi kuyasiza kakhulu ukucabanga ngokuthi i-dementia imthinte kanjani othandekayo wakho wonke. Ekupheleni kwe-dementia, izobe isithinte kakhulu izici eziningi zokuphila komuntu omthandayo. Bazodinga ukunakekelwa kwesikhathi esigcwele kanye nokusekelwa.

Izimpawu zesigaba sokugcina noma sokugcina zingafaka:

• Ukulahlekelwa inkumbulo okukhulu.
• Ubunzima bomzimba obenza kube nzima ukwenza imisebenzi yansuku zonke njengokudla, ukugeza, nokugqoka ngaphandle kosizo .
• Cishe ukulahlekelwa ngokuphelele ikhono lolimi.
• Ukudabuka, ukungabi nandaba nanoma yini ((Ukunganaki)).
• Ukuphupha izinto ezingekho kanye nokukhohlisa .
• Ukungahlaliseki, intukuthelo, noma ukukhathazeka.

Ithimba lezokwelapha lomuntu omthandayo, umhlengikazi wokunakekelwa okubucayi, noma umhlinzeki wokunakekelwa kobuhlungu yibo abantu abangcono kakhulu ongababuza ngezikhathi. Bangakutshela ukuthi yiziphi izimpawu okufanele uzibheke, ukuze uthole umbono oqondile wokuthi yini ongayilindela.

Kufanele ngimbone nini udokotela?

Uma wena noma umnakekeli wakho nibona ukuthi izimpawu zenu ziya ziba zimbi kakhulu, noma uma kuvela izimpawu ezintsha, qiniseka ukuthi ubona udokotela wakho.Udokotela wakho noma ithimba lezokunakekelwa kwempilo lizohlola noma yiziphi izinguquko futhi lenze izinguquko ohlelweni lwakho lokwelashwa uma kudingeka.

Uma wena noma othandekayo wakho ene-Vascular Dementia, khumbula ukuthi awuwedwa. Cishe wonke umuntu uke wathinteka uhlobo oluthile lwe-dementia ngesinye isikhathi. Ukwazi ukuthi unesifo sakho kukunika isikhathi sokulungiselela nokuhlela ikusasa. Ungafunda ngohlobo lokunakekelwa ongaludinga nokuthi ungathanda ukuthola kuphi lolo kunakekelwa. Ithimba lakho lonke lezokunakekelwa kwempilo likulungele ukukusiza.

Into Ebaluleke Kakhulu - Umyalezo Ohamba Nawo Ekhaya

Kulungile, ngakho-ke, kusukela kulokho esikhulume ngakho (i-Vascular Dementia), nazi ezinye zezinto ezibaluleke kakhulu okudingeka uzikhumbule:

• I-Vascular Dementia yisimo lapho ukulahlekelwa inkumbulo kwenzeka khona ngenxa yokuncipha kokugeleza kwegazi ebuchosheni .
• Imbangela eyinhloko yalokhu ukulimala kwemithambo yegazi, njengesifo sohlangothi .
• Izimpawu zingahluka kumuntu nomuntu . Ukulahlekelwa yinkumbulo, ubunzima bokuhamba, kanye nezinguquko zokuziphatha kuvamile.
• Nakuba kungelapheki ngokuphelele, ukuqhubeka kwalesi sifo kungalawulwa ngokulawula izici eziyingozi .
• Kubaluleke kakhulu ukulawula izinto ezifana nomfutho wegazi ophakeme, isifo sikashukela, i-cholesterol ephezulu, kanye nokubhema.
• Uma unezimpawu, kubalulekile ukufuna iseluleko sezokwelapha ngokushesha .
• Awuwedwa, ungathola ukwesekwa nokunakekelwa okufanele .

Ngiyethemba ukuthi lolu lwazi luwusizo kuwe. Hlala uphilile!

` Ukuwohloka kwemithambo yegazi, ukulahlekelwa yinkumbulo, ukujikeleza kwegazi ebuchosheni, ukukhubazeka, ukuwohloka kwemizwa, impilo yabantu asebekhulile, izifo zobuchopho