UngakuLawula njani ukungahambi kakuhle kwiDementia

Ukungakwazi ukuzibamba kuqhelekile ebudaleni ngokwabo kwaye kwenzeka kwisininzi sezigulana ezinesifo sengqondo esixhalabisayo ngamanye amaxesha. Nangona kungenangxaki njengomsindo, ubundlongondlongo, ukuphazamiseka, okanye ukuwa, ukungakwazi ukuzibamba kuyabacaphukisa wena kunye nomntu obathandayo kwaye sesona sizathu siphambili sokuba abantu abanesifo sengqondo esixhalabisayo bagqibe ukushiya amakhaya abo baye kwiziko.

Kukho iintlobo ezahlukeneyo zokungahambisani nabantu abadala abadala. Ezinye iintlobo zinxulumene nezizathu zokwakheka nezonyango; ezi ntlobo zivavanywa ngcono kwaye zinyangwa ngugqirha womchamo okanye ngomnye ugqirha. Ngesi sizathu, ukuba ezi ngcebiso zisilele ukusombulula ingxaki yokungasebenzi kakuhle, kubalulekile ukuxoxa ngengxaki nogqirha. (Qaphela, nangona kunjalo, amaxesha amaninzi amayeza amiselweyo anokukubi ngakumbi ukucinga kunye nenkumbulo!)

Ukuba umntu wakho omthandayo uvuza umchamo xa ekhohlela, ethimla, okanye ehleka, banokuba nako ukungakwazi ukuzibamba koxinzelelo . Uxinzelelo lokungakwazi ukuzibamba luxhaphake kakhulu kubafazi abadala kwaye kubangelwa bubuthathaka okanye ukonakala kwimisipha yesinyi ebambe umchamo. Ukuchaphazeleka okungafunekiyo kwenzeka xa isinyi singabinanto ngokupheleleyo. Kuqhelekile kumadoda ane-Prostate eyandisiweyo, nangona inokwenzeka nakwabafazi. Imisipha yesinyi iyolulwa kwaye inokuvuza okanye i-spasm. Okokugqibela, ukuba umntu omthandayo unamandla, ngesiquphe umnqweno wokuchama, kufuneka abaleke aye kwigumbi lokuhlambela, kwaye akasoloko ekwenza ngexesha abanalo Khuthaza ukungazinzi (ekwabizwa ngokuba isinyi kakhulu ). Ngamanye amaxesha abantu banendlela ethe kratya yale ngxaki ekhokelela kungxamiseko lomchamo okanye uhambo oluya rhoqo kwigumbi lokuhlambela ngaphandle kokungangqinelani. Kwaye, abanye abantu banomxube wezi ntlobo zahlukeneyo zokungakwazi ukuzibamba.

Kwi-dementia, iingxaki ezine eziphambili zinokubangela okanye zenze mandundu ukungalawuleki. Enye yeyokuba, njengoko ii-lobes zangaphambili zomntu kunye nokunxibelelana kwemicimbi emhlophe kuye konakala kwisifo sengqondo esixhalabisayo, amandla abo okulawula isinyi akasebenzi kakuhle, kwaye abanamandla okugcina umchamo wabo nokuba bazama kangakanani na. Okwesibini kukuba, ngenxa yeengxaki zememori, banokulibala ukusebenzisa indlu yangasese ngaphambi kokuhamba uhambo olude okanye ukuhamba ngenqwelo-mafutha, okanye banokulibala ukuhlengahlengisa ukufunxeka kwabo ulwelo ngaphambi kwesehlo esinjalo. Banokulibala okanye bagwebe ngokungafanelekanga ukuba bangawubamba nini umchamo, ngakumbi ukuba amandla abo okubamba umchamo anciphile kule minyaka idlulileyo. Okwesithathu kukuba abanye abantu abanesifo sengqondo esixhalabisayo abanakukhathazeka xa bechama kwiingubo zabo okanye kwezinye iindawo ezingafanelekanga. Oku kusilela kwenkxalabo ngococeko kunokubonwa kwangoko kwabo banesifo sokungasebenzi kakuhle njenge-dementia ye-frontotemporal, okanye kwinqanaba elibi laso nasiphi na isifo sengqondo esixhalabisayo. Okokugqibela, ukuba umntu omthandayo akanako ukuhamba ngokukhawuleza nangasiphi na isizathu, kuya kwenza kube nzima ngakumbi kubo ukufikelela kwigumbi lokuhlambela ngexesha.

Ukungakwazi ukuzibamba kwesisu kungakho ngenxa yeengxaki umntu anokuba nazo, ezinje ngesifo sorhudo, kodwa kuyinto eqhelekileyo kwisifo sengqondo esixhalabisayo kumanqanaba aphakathi nangqwabalala ngenxa yezizathu ezifanayo zokuba ukungabikho komchamo kuqhelekile. Ukulawulwa kwamathumbu kuphazamisekile kwaye abantu abanesifo sengqondo esixhalabisayo abakwazi ukubamba ilindle labo. Basenokulibala ukusebenzisa indlu yangasese ukuhambisa amathumbu abo ngaphambi kokuba bathathe uhambo. Ngenxa yokungasebenzi ngokungqalileyo kwe-lobe, abanokungakhathali ukuba bangcolisa impahla yabo. Kwaye kwakhona, ukuba ukuhamba kwabo kuphazamisekile, baya kuba mancinci amathuba okuba bafike kwindlu yangasese ngexesha.

Umbuzo ophambili:

Andinangxaki nokucoca xa engenzi kwindlu yokuhlambela ngexesha kunye nomhlaba, kodwa ngoku uyalwa nam xa ndizama ukumhlamba.

• Ukungakwazi ukuzibamba kuqhelekile kwisifo sengqondo esixhalabisayo. Xa umntu engafuni ukucocwa ngokubanzi ibonisa iingxaki zomsebenzi we-lobe ongaphambili.

© Andrew E. Budson, MD, 2021, onke amalungelo agciniwe.

UBudson AE, uSolomon PR. Ukuphulukana neMemori, isifo se-Alzheimer's, kunye nesifo sengqondo esixhalabisayo: Isikhokelo esiSebenzayo soGqirha, uHlelo lwesi-2, iPhiladelphia: Elsevier Inc., 2016.