Momwe Mungasamalire Kusadziletsa mu Dementia

Kusadziletsa kumakhala kofala pakakalamba palokha ndipo kumachitika mwa ambiri mwa odwala omwe amakhala ndi vuto la misala nthawi ina. Ngakhale sizovuta ngati mkwiyo, kupsa mtima, kukwiya, kapena kugwa, kusadziletsa kumakukhumudwitsani inu ndi wokondedwa wanu ndipo ndicho chifukwa chachikulu chomwe anthu omwe ali ndi matenda amisala amachoka panyumba ndikupita kumalo ena.

Pali mitundu yambiri ya kusadziletsa komwe achikulire angakumane nayo. Mitundu ina imakhudzana ndi zomwe zimayambitsa anatomical ndi zamankhwala; mitundu iyi imayesedwa bwino ndikuchiritsidwa ndi urologist kapena dokotala wina. Pachifukwa ichi, ngati malingaliro awa alephera kuthana ndi kusadziletsa, ndikofunikira kukambirana vutoli ndi dokotala. (Dziwani, komabe, kuti nthawi zambiri mankhwala omwe amalembedwa amatha kukulitsa kulingalira ndi kukumbukira!)

Ngati wokondedwa wanu ali ndi vuto la mkodzo akamatsokomola, kupopera, kapena kuseka, atha kutero kupanikizika . Kupsinjika kwa nkhawa kumakhala kofala kwa azimayi achikulire ndipo kumachitika chifukwa chofooketsa kapena kuwonongeka kwa minofu ya chikhodzodzo yomwe imagwira mkodzo. Kusefukira kosagwirizana kumachitika pamene chikhodzodzo sichitha kwathunthu. Zimakhala zachilendo mwa amuna omwe ali ndi prostate yotambalala, ngakhale imatha kuchitika kwa akazi. Minofu ya chikhodzodzo imatambasulidwa ndipo imatha kutuluka kapena kuphipha. Pomaliza, ngati wokondedwa wanu ali ndi chikhumbo champhamvu, mwadzidzidzi chofuna kukodza, ayenera kuthamangira ku bafa, ndipo sikuti zimangofika nthawi yake limbikitsani kusadziletsa (amatchedwanso chikhodzodzo chopitirira muyeso ). Nthawi zina anthu amakhala ndi vuto locheperako lomwe limabweretsa kufulumira kwamikodzo kapena maulendo obwera ku bafa popanda kudziletsa kwenikweni. Ndipo, anthu ena ali ndi chisakanizo cha mitundu yosiyanasiyana ya kusadziletsa.

M'maganizo, mavuto anayi akuluakulu amatha kuyambitsa kapena kupititsa patsogolo kusadziletsa. Imodzi ndikuti, momwe ma lobes am'mbali am'mbali ndi zoyera zimalumikizidwa ndi matenda amisala, kuthekera kwawo kuthana ndi chikhodzodzo sikulephera, ndipo samatha kugwira mkodzo wawo mosasamala kanthu momwe amayeserera. Chachiwiri ndichakuti, chifukwa cha zovuta zokumbukira, amatha kuyiwala kugwiritsa ntchito chimbudzi asanayende ulendo wautali kapena kukwera galimoto, kapena akhoza kuyiwala kusintha komwe amamwa madzi asanachitike. Akhozanso kuiwala kapena kuganiza molakwika kuti atenga mkodzo wawo kwa nthawi yayitali bwanji, makamaka ngati kutha kwawo kusunga mkodzo kwatha pazaka zambiri. Chachitatu ndichakuti anthu ena omwe ali ndi matenda a dementia samangodandaula akamakodza zovala zawo kapena malo ena osayenera. Kusasamala kwa ukhondo kumatha kuwonedwa koyambirira kwa iwo omwe ali ndi vuto lakuthwa kwapambuyo monga frontotemporal dementia, kapena ali pachiwopsezo chachikulu cha matenda amisala. Pomaliza, ngati wokondedwa wanu sangathe kuyenda mwachangu pazifukwa zilizonse, zimapangitsa kuti zikhale zovuta kwambiri kuti akafike ku bafa munthawi yake.

Kusadziletsa kwamatenda kumatha kukhala chifukwa cha zovuta zomwe aliyense angakhale nazo, monga kutsegula m'mimba, koma ndizofala pamatenda amisala munthawi zochepa komanso zowopsa pazifukwa zomwezi zakusowa kwamikodzo. Kuwongolera matumbo kumakhala kovutirapo ndipo anthu omwe ali ndi vuto la misala sangathe kugwira ndowe zawo. Angaiwale kugwiritsa ntchito chimbudzi kusuntha matumbo awo asanapite ulendo. Chifukwa chakulephera kwa lobe kutsogolo, sangasamale ngati angaipitse zovala zawo. Ndiponso, ngati kuyenda kwawo kuli kovuta, sangakhale ndi mwayi wopita kuchimbudzi nthawi.

Funso Lofunika:

Sindikudandaula kuti akapanda kukasamba nthawi yake ndikudzithira dothi, koma tsopano akundilimbana ndikamamuyesa kuti asambe.

• Kusadziletsa kumakhala kofala m'matenda amisala. Pamene munthuyo safuna kutsukidwa nthawi zambiri zimawonetsa zovuta zakutsogolo kwa lobe.

© Andrew E. Budson, MD, 2021, maumwini onse ndi otetezedwa.

Budson AE, Solomon PR. Kutayika Kokumbukira, Matenda a Alzheimer, & Dementia: Upangiri Wothandiza wa Madokotala, Kusindikiza Kwachiwiri, Philadelphia: Elsevier Inc., 2016.