Dama ko Daidai?
Saboda alzheimer da sauran nau'in nakasa suna shafi ikon kwakwalwa don yin hukunci da kuma tunawa da bayanin , sukan gabatar da wasu matakan da suka dace ga dangi da masu kula da su. Wadannan sun haɗa da wadannan:
1. Sanarwa da Magana game da ganewar Dementia ga Mutumin
Wasu bincike sun gano cewa fiye da rabin mutanen da ke da lalatawa ba a gaya musu abin da aka gano su ba.
Likitoci na iya damuwa game da abinda mutum yayi, kuma ba sa so ya haifar da baƙin ciki a cikin haƙuri, zai yiwu kawai su yi watsi da tantancewar asali, ko kuma rage tasiri, suna cewa, "Kuna da matsala da ƙwaƙwalwarka."
Duk da yake sha'awar kauce wa rashin lafiya da haƙuri da iyalansu ya fahimci, ba mu daina fadawa mutumin da ciwon daji cewa suna da mummunar ciwo kuma bazai iya aiki. A lalata, matakan farko suna ba da damar yin la'akari da al'amura na shari'a da na kudi don nan gaba, da kuma tattauna abubuwan da ake son kiwon lafiya tare da iyali.
Shawara da aka ba da shawara: 12 Amfanin Farko na Farko a Cutar
2. Gudanar da Shawarwarin
Ga yawancinmu, tuki yana da tabbaci na 'yancin kai. Za mu iya samun inda muke buƙatar tafiya, da kuma yin haka a duk lokacin da muke bukata ko so. Duk da haka, a cikin lalata, akwai lokaci lokacin da tuki ba shi da lafiya.
Yaushe zaka yanke hukuncin yana da haɗari?
Idan ka kawar da wannan damar da 'yancin kai, kana da yawa daga wannan mutumin. Amma, idan kun yi jinkiri da yawa kuma ƙaunataccenku ya ƙare har ya kashe wani saboda ta yi mummunan zabi kamar yadda ta kori, sakamakon yana da fili sosai ga duk wadanda suke ciki.
3. Tsaro a cikin Home
Mai ƙaunataccenku zai iya buƙatar ci gaba da rayuwa a gida, amma har yanzu tana da lafiya don yin haka?
Akwai hanyoyi da dama da za ku iya ɗaukar don inganta tsaro a gida, kuma kuna iya kawo wasu don taimakawa a gida , kuma.
Wataƙila ka yanke shawara cewa ta amintacce idan ta ɗauki makamin GPS, ko kuma idan kana da kyamara a cikin gida. Ko kuma, watakila ka yi amfani da na'urar da aka tsara ta hanyar lantarki don taimakawa ta lafiya ta dauki magunguna.
A wane lokaci ne zaka shafe sha'awar zama a gida a ƙoƙarinka don kare ta?
Shawara da aka ba da shawara: Tips don sanin lokacin da ya kamata a kula da kulawa da gida
4. Tsayar da Power of Attorney
Harkokin nagarta ya ƙunshi 'yancin yin yanke shawara. Dukanmu muna son shi, kuma, a cikin kula da mutum , muna so mu inganta da kuma kare wannan a wasu, da. Duk da haka, yayin da ciwon ci gaba ya ci gaba, wannan ƙarfin ya ɓace kuma ya zama lokacin yin la'akari da yin aiki (ko kunna) ikon lauya. Wannan yana nufin cewa an yanke shawarar yanke shawara na likita zuwa ga mutumin da suka gano akan ikon aikin lauya.
Yawanci, likita da masanin kimiyya, ko likitoci biyu, dole su ƙayyade cewa mutum bai iya shiga cikin yanke shawara na likita ba. Lokacin da wannan yanke shawara, da kuma layin da likitoci da masu ilimin kimiyyar suka zana, sun bambanta daga mutum zuwa mutum, tare da wasu likitoci suna kiyaye yanke shawara daidai fiye da wasu.
5. Yarda da magani da gwaji
A farkon farkon lalacewa, danginku zai iya fahimtar haɗari da amfanar magani. Amma, a matsayin ƙwaƙwalwar ajiyarsa da ƙaddamarwar aikinsa , wannan ƙwarewar yana iya ƙaruwa. Tabbatar cewa ya fahimci waɗannan batutuwa kafin ya rubuta takardar izini.
6. Gudanar da Magunguna a Abincin
A matsakaicin mataki na dementia , yana yiwuwa damuwa zai iya sa mutumin ya kasance da tsayayyar shan magani. Wasu masu kulawa sunyi ƙoƙarin kawar da wannan yaki ta hanyar rarraba kwayoyi da kuma ɓoye su a cikin abinci. Bincike ya nuna cewa wannan aikin-da ake kira "tsarin kwalliya" - ya kasance daidai ne, kuma wasu sun ji cewa yana da mahimmanci ga lafiyar mutumin.
Wasu suna jayayya cewa yana da rashin dacewa saboda yana "yaudara" mutum a cikin shan magani.
Wannan fitowar ta samo asali a tsawon shekaru kamar yadda za'a iya bude capsules na magani kuma magani ya yalwata cikin abinci ko abin sha na mutumin da ke da lalata. Har ila yau, akwai alamun da ke kawo magunguna, har ma da kayan da ake yi da kwayoyi wanda aka shafa a fata. Alal misali, ana iya yin nazarin jerin abubuwa na Ativan ta hanyar shafa shi kawai a kan wuyan mutumin.
Wasu suna jayayya cewa idan an kunna ikon lauya - wanda ya sa mutumin bai yarda da magunguna ba - kuma wanda aka zaba a matsayin ikon lauya ya rigaya ya yarda da amfani da shan magani, sanya magani a abinci zai iya samar da sauki don gudanar da shi.
7. Ayyukan jima'i
Tambayar lokacin da wani ya iya yin izinin yin jima'i lokacin da lalatawar ta samu labarai a rumfunan labarai a shekarar 2015. An zargi wani mutum da yin jima'i tare da matarsa, wanda ke da Alzheimer, kuma a ƙarshe an same shi ba laifi ba.
Amma, wannan tambaya na yarda a cikin lalata ya kasance ga mutane da yawa. Sakamakon ganewar ƙaddamarwa ba zai hana wani ya iya yarda ba, kuma mutane da yawa suna jayayya cewa yin jima'i abu ne mai mahimmanci don ci gaba da rayuwa mai kyau . Kalubale ta zo ne a san yadda za a kare 'yancin yin aiki da jima'i mai mahimmanci amma hana wani daga yin amfani da wani.
8. Lafiya
Shin kuna kwance ga ƙaunataccenku idan gaskiyar za ta damu da shi? Akwai masu sana'a a bangarori biyu na batun. Yawanci, ya fi dacewa don amfani da wasu fasahohi kamar ƙetarewa ta hanyar canza batun ko aiki mai mahimmanci , ko aikin farfadowa na gwaji . Alal misali, idan wani yana tambayar inda mahaifiyarsa ta (kuma ta mutu shekaru da yawa da suka wuce), farfadowa na tabbatarwa zai ba da shawarar cewa ka tambaye ta ta gaya maka game da mahaifiyarta, ko ka tambayi mata abin da yake ƙaunarta.
9. Gwajin Juyin Halitta Ga Abolipoprotein E (APOE) Gene
Kwayoyin halitta na iya haifar da tambayoyi masu yawa. Wadannan sun haɗa da wadanda za a bayyana sakamakon, abin da matakai na gaba ya kamata idan kuna gudanar da APOE, da kuma yadda za ku magance wannan bayani. Sakamakon ba dole ba ne ya nuna idan mutum zai ci gaba da ciwo; sun nuna kawai kasancewar kwayar halitta wadda ta haifar da haɗari. Saboda akwai sharudda da yawa game da gwajin kwayoyin halitta, kuma sakamakon ba ya haɗuwa kai tsaye zuwa sakamakon, Ƙungiyar Alzheimer ba ta bada shawarar gwajin kwayoyin gwajin ta APOE akai-akai a wannan lokaci.
10. Gwaje-gwaje na Blood da ke Bayyana Ci gaban Alzheimer
Akwai gwaje-gwaje na jini da aka ci gaba da bincike cewa an bayar da rahoton cewa sun kasance cikakke sosai a tsinkaye- shekaru a gaba - wanda zai ko ba zai ci gaba da lalata ba. Hakazalika gwajin gwajin APOE, waɗannan gwaje-gwajen sunyi tambayoyi game da abin da za su yi da wannan bayani.
11. Sarrafa Magungunan Antipsychotic
Magungunan antipsychotic, lokacin da aka yi amfani da su kamar yadda Gwamnatin Tarayya ta Tarayya ta amince da ita, za su iya magance halin da ake ciki, paranoia da hallucinations , don haka rage halin da zuciyar mutum take ciki da yiwuwar cutar kansa. Idan aka yi amfani da shi cikin lalata, wadannan magunguna na iya taimakawa a wasu lokutan don taimakawa wajen rage paranoia da hallucinations. Duk da haka, suna kuma haifar da haɗarin haɗari na illa masu tasiri - har ma da mutuwa - lokacin da aka yi amfani da su a cikin lalata. Yin amfani da antipsychotics ya kamata ba zata zama na farko ba lokacin da aka yanke shawarar yadda za a fi dacewa da amsa, da kuma rage, halin da ya shafi ƙalubalantar lalacewa.
12. Tsayawa Magungunan Dementia
Ana ba da magungunan ƙwayoyin magunguna tare da bege na rage jinkirin cutar. Kyakkyawan aiki ya bambanta, tare da wasu suna fuskantar sauyawar canji lokacin da aka fara amfani da waɗannan magunguna, yayin da yake da wuyar ganin duk wani tasiri a wasu. Tambayar yadda irin wannan magani zai taimaka, kuma lokacin da aka dakatar da shi, yana da wuyar amsawa saboda babu wanda ya san idan mutumin da ke da lalata yana iya zama mummunan rauni ba tare da magani ba, ko a'a. Idan an katse shi, tsoro shine mutum zai iya komawa ba zato ba tsammani da muhimmanci. Wasu suna tambayar idan suna bin kudi ne kawai ba tare da amfani ga kamfanonin ƙwayoyi ba, sun ba da cewa akwai yawancin lokaci don tasirin magani.
13. Ƙarshen Sakamakon Nasara
Yayinda mutane suke da lalatawa a kusa da ƙarshen rayuwarsu, akwai yanke shawara da dama da 'yan uwansu suke bukata. Wasu sun kasance a fili game da abubuwan da suke so tun kafin sun ci gaba da ciwo, kuma wannan yana iya sauƙaƙe aikin. Wasu kuma, ba su nuna abin da suke aikatawa ba ko kuma ba su so ba dangane da maganin likita, kuma wannan ya bar masu yanke shawara suna tunanin abin da suke tsammani mutumin zai so. Ƙarshen rayuwan yanke shawara sun hada da zaɓuɓɓuka irin su cikakkun code (yi CPR da wuri a kan iska mai ƙarfi) vs. Kada ka yi jinkiri , ciyar da buƙatu da IVs don hydration ko don maganin rigakafi .
Sources:
Alzheimer's Association. Tambayoyi na Jiki da Kulawa. Samun dama ga Janairu 22, 2016. http://www.alz.org/care/alzheimers-dementia-ethical-issues.asp
Alzheimer's Association. Nazarin Halitta. Samun shiga Janairu 23, 2016. http://www.alz.org/documents_custom/statements/Genetic_Testing.pdf
American Journal of Geriatric Pharmacotherapy. 2010 Afrilu 8 (2): 98-114. Tsarin madaidaiciya, hanyoyin samarwa, da kuma zaɓuɓɓuka na gwamnati don maganin magungunan kwakwalwa a cikin marasa lafiya tsofaffi tare da alamun halayyar halayyar kwakwalwa. http://www.ncbi.nlm.nih.gov/pubmed/20439060
Binciken Kwararre na Neurotherapeutics. 2012 Mayu, 12 (5): 557-67. Tambayoyi masu tasowa a cikin cutar Alzheimer: wani bayyani. http://www.ncbi.nlm.nih.gov/pubmed/22550984
Journal of Psychiatric Mental Health Nursing. 2010 Nov; 17 (9): 761-8. Gudanar da magani ga mazan tsofaffi: nazarin wallafe-wallafen da wallafe-wallafe. http://www.ncbi.nlm.nih.gov/pubmed/21040220
Ganawar Taro ta Musamman 2012. Alzheimer's Association / Mayo Clinic. Sharuɗɗa da Sharuɗɗa a Shawara. Marson, D. Maris 17, 2012. http://preview.alz.org/_cms/mnnd-handouts/downloads/202-LegalAndEthicalIssues-Part1.pdf