Sundowning: Oviungura vyombepo komatango

Omazeva omengi ye muna otjitjitwa tjimwe: omuhuka u kara nawa, posi yokutja omatango tji ye ya, omundu ngu nomutjise wokuzemba u uta okurunduruka, okurikenda, okuripura ovizeu poo okuyumana. Eye ma yenene okukaendaenda, okupura kutja ma “yarukire konganda” nandarire tji e ri ponganda, poo okuyumana tjimanga. Ihi potuingi tji isanewa Sundowning.

Kape notjiṋa tjimwe uriri tji tji yama, posi omarundurukiro momuano weyuva, mondjuwo nomoviungura mbi mo yandja mape ya ye vatere omatango ye rire omapozu. Orupa ndwi ru wongerisa omiano vyokutjita okuza ku National Institute on Aging na Alzheimer’s Association. Kaye ri omaronga woutjitu. Oviraisiro tji vi ri ovipe, tji vya tjitwa tjimanga poo tji mavi rire ouvi, hungira nondohotora yomundu ngo.

Sundowning otjikwaye?

Sundowning okurunduruka, okuyumana, okuripura ovizeu poo okuzuva navi tji ku uta poo tji ku rira ouvi eyuva tji ri yenda okukahita, komatango. National Institute on Aging (NIA) i tja okur wearya tjinene ku yenena okueta okurunduruka komatango.

Otjikwaye tji tji yenena okurira okurunduruka komatango ouvi?

Oviṋa ovingi mavi kara norupa, potuingi pamwe. Alzheimer’s Association i tamuna oviṋa tjimuna:

• okur wearya kombunda yeyuva arihe;
• oruveze orupe poo ndu ru rikurira;
• “owatche worutu” ndji hi ri nawa, ndji tjita kutja omundu a rare omutenya nu a penduke ouṱuku;
• ondjerera onḓiṱi nozondjimbi, mbi mavi rikurire;
• okuzuva ombameno poo ombiri yovandu mbe ri popezu;
• okuhepa ozombuṱu ozonḓiṋe, otjiṋa tji tji tjitwa potuingi kovandu ovanene.

NIA wina i tamuna oviṋa mbi eta okuyumana, tjimuna ouyehame, omutima omuvi poo ombiri, ozombuṱu ozonḓiṱi, ombundo, ombosiro onyingi poo ovandu ovengi, nomiti tjiva poo omiti mbi hi nokuyenda pamwe.

Me yenene vi okurongerisa eyuva kutja omatango ye rire omapozu?

Oviungura ovinanḓengu vi twa komuhuka nu omatango ye kare omapozu nu ye tjiukwa. NIA na Alzheimer’s Association ayevari ve ronga omitjise vyeyuva mbi ri tjingee. Otjihorera tjeyuva, tji mo yenene okurundurura:

Omapu tjiva okuza kozondjiviro:

• Ondjerera yeyuva. NIA i tja rongerisa oruveze pendje poo porutjito eyuva arihe.
• Okunyandera eyuva arihe, posi ka tjinene. Kara nomasa worutu eyuva arihe nokuhina okurongerisa oviungura ovingi, NIA mai tja.
• Ovinwa komatango. Yanda omalovu noviṋa mbi nomasa tjimuna okofi poo okola komatango (NIA). Alzheimer’s Association wina i tamuna omakaya.
• Ozombuṱu. Yanda ozombuṱu ozonde nokurarara komatango (NIA). Alzheimer’s Association i tja ṱiza ozombuṱu zomutenya tji okurara ouṱuku ku ri ouzeu.

Ohunga nokutunga eyuva ndi ri tjingee, tara oviungura vyomitjise vyeyuva arihe.

Me yenene vi okutjita kutja ondjuwo i kare nombepo komatango?

Ṱiza ombosiro, weda ondjerera nu kara noviṋa mbi tjiukwa popezu.

• Ondjerera ombwa. Alzheimer’s Association i tja ondjuwo i kare nondjerera ombwa komatango. Munika ondjuwo ozondjimbi ngunda a ze hi ye ya.
• Ombosiro onḓiṱi. Zepa poo ṱiza oterereke noradio, nu ṱiza ovayenda poo oviungura vyonganda ovingi oruveze ndwi. Alzheimer’s Association i tja ṱiza oviṋa mbi eta ombosiro komatango tjimuna oterereke, oviungura vyonganda nomizumbi ominene.
• Oviṋa mbi huhumiṋa. NIA i tja omizumbi vyombepo noviṋa noviperendero mbi suverwa vi kare mondjuwo.
• Okutarera ouhupise. Alzheimer’s Association i tja tara ouyehame, ondjara, onyota, ombundo, omatundu nge ura, okur wearya, omitjise nomikova vyomukova, nu kara nondjuwo moupyu mbu ri nawa.
• Omuinyo woye omuini. Ovandu ve zuva ombiri. NIA i tja ritiza nu kondja okusuva tji ozongendo zoye maze yenene okuweda ombiri.

Oviungura viṋe vyombepo mbi matu yenene okutjita komatango?

Toorora oviungura mbi tjiukwa, mbi hi nokuhakahana nu mbi ri uriri okuyarwa. Alzheimer’s Association i tja oviungura vyombepo tjimuna omizumbi vyombepo, oviperendero poo otjimuvi tji wa suvera, nokukaenda pamwe kutja okurunduruka ku rire okupu. NIA i tja okurya okaṱiṱi poo okunwa, otjiprograma tjoterereke tji wa suvera, omizumbi, okukaenda, okuresa, poo otjiungura otjiṱiṱi tjonganda tjimuna okuzara ozombanda.

Omayuva wokurora:

1. Zara ozombanda pamwe. NIA i tja otjiungura hi otjiṱiṱi tjonganda. Ozoutaera ze ri uriri okupukurwa, notjiungura tji nomaherero omapaturuke.
2. Nyanda omizumbi mbi wa suvera. Ovizumbi mbi tjiukwa okuza kouṱiṱi, nombosiro onḓiṱi. Okutoora pamwe ku yenena. Omayuva warwe mo oviungura vyomizumbi.
3. Tarera oviperendero. Embo roviperendero, poo oviperendero oviṱiṱi vyeṱunḓu mu Photo Pairs noviperendero tji vya raisiwa, mavi eta ehungi eṱiṱi.
4. Kaenda okaṱiṱi. Motjikunino, moruveze rwopopezu poo mondjira yondjuwo, ngunda ku hi ya zorerwa.
5. Rya okaṱiṱi nu mu nwe pamwe. Otjiṋa otjiṱiṱi, otjipyu nu tji hi noviṋa mbi nomasa, potjiti pamwe.
6. Okusasaneka nombepo. Picture Pairs nozoṱaera ine noviperendero tji vya raisiwa vi ri uriri okuuta nokuyarwa.
7. Okutjita ozombara. Coloring motjivaho poo porutuu, nokuhina ondando yokumana.
8. Okutarera nokuhungira. Conversation Cards ve yandja otjiperendero nepuro ndi ri uriri. Okutarera uriri ku yenena.
9. Okusuva okaṱiṱi. Calm Breathing okusuva okuṱiṱi nu okuzikira ku mo utu nokuyarura omuini.
10. Oviungura vyomake. Okutoorora ozombandi poo ozosokisi, okutyara eṋanga etarazu, poo okukwatera otjiṋa tji tji tjiukwa. Tara oviungura vyomazuviro.

Yanda ovinyando ovipe, omayenda omengi noviṋa mbi hepa okuzemburuka tjinene poo okuripurira ko komatango. Vi undjira komuhuka.

Hi sokutjita vi indu okurunduruka tji kwa utu?

Kara nombepo, yandja omazeva omatendero, nu u vyarurire ko nombepo. NIA i tja hungira nombepo, puratena kozongendo zomundu, yanda omar disputo, mu raera kutja u ri mondjeverero, nu ungurisa okukwata nombepo tji tji mu vatera. Okuzambo rora okumutjaera komurungu: okurya okaṱiṱi, okunwa, omizumbi poo okukaenda.

Alzheimer’s Association i tja omambo tjimuna “Ove u ri mondjeverero mba” na “Mbi nombahemena kutja wa hihamwa,” nu i rongo okuweda ondjerera, okuritiza nokutjiza oviṋa mbi eta ombosiro. O hinga omundu mokona, o mu tumbisa popezu tjinene, o mu ṋiṋikiza poo o mu pata.

Omundu tje rira nomazenge, NIA i rongo okukara kokure ku ri mondjeverero ngandu omazenge tji ye ya pokuyarura. Motjiponga, ŋuna onomora yomeyama, tjimuna 112, nu u kahurura kutja omundu ngo u nomutjise wokuzemba.

Omikanda vyetu ohunga nokuvatera okuhungira na tji ve tja kako vi nomambo omengi omapozu.

Me yenene vi okumuna imbi mbi eta ouzeu?

Tjanga okaṱiṱi kouṱiṱiṱiṱi kuṋa kuṱa kuvari. Alzheimer’s Association i tja tjanga imbi mbi tjitwa komurungu yoviṋa vya Sundowning kutja u mune imbi mbi eta ouzeu. Tjanga oruveze okurunduruka tji kwa uta, imbi mbya tjitwa moure owomba komurungu, ozombuṱu, ovikurya novinwa, ovayenda, ombosiro nondjerera. Twa embo ndi kondohotora. NIA i tja okutjanga omarundurukiro womitjise ku vatera ovatarere novandu vouhaku okumuna omuano.

Me sokukahaka ruṋe kondohotora ohunga na Sundowning?

Hakaena nondohotora yomundu ngo okurunduruka tji ku ri okupe, tji kwa rire ouvi tjimanga, poo tji ku ya pamwe nomarundurukiro warwe. NIA i tja omarundurukiro womitjise nge tjitwa tjimanga poo nge runduruka tjimanga, tjinenenene kombunda yomutjise poo omarundurukiro omape moviti, ye sokuraerwa kondohotora tjimanga.

Pura ondohotora i tare oviṋa mbi mavi tjiti omatango ye rire omauzeu. Alzheimer’s Association i tamuna ouzeu worutu tjimuna omitjise vyomomeva womahundju, okuhinokukara nouvara komatundu, omaṱupa nge hi nokusuva nawa nokusuva ouzeu ouṱuku, nu i tja pura kutja oruveze ruṋe meyuva ndu ri oruwa komuti auhe. NIA i tamuna ouyehame, ombundo nozondjira ozombi zoviti poo omiti mbi hi nokuyenda pamwe otjoviṋa mbi eta okuyumana.

Alzheimer’s Association i tja omiano mbi hi noviti potuingi vi toororwa rutenga kouzeu wokurara mbu notjina na Alzheimer, nu omiti vyokuyumana komatango vi sokuripuurwa uriri tji mbi hi ya ungura, kombunda yokuripura oumba nozondjira ozombi. Ondyero ndjo i ri nondohotora. O uta, o yeka poo o rundurura omuti ngamwa auhe, otjiyameto tjokurara poo otjiwedero nokuhina omaronga woutjitu.

Me yenene vi okutuurunga omatango omuini?

Omatango mape ya ye rire oruveze oruzeu tjinene komutjevere. Tji mo yenene, ningira omuṋepo weṱunḓu, epanga poo omuvatere ngu suta a tare ko omatango omayuva tjiva motjivike, nandarire koure owomba imwe. Embo retu ndi okuritjevera omuini otjomutjevere ri nomiano vyokusuva na o-Helpline ya Alzheimer’s Association ndji ri uriri, 24/7.