Impendulo emfushane
Ukuphindaphinda imibuzo kuvamile ku-dementia: umuntu uvame ukungakhumbuli ukuthi ubuzile, futhi umbuzo uvame ukuphatha ukukhathazeka. Phendulani ngokuthula nangamafuphi sengathi kuwukuqala, nimphendule umuzwa ongemuva kwawo, futhi ningalokothi nithi “usuvele ubuzile.” Bhalani impendulo lapho angayibona khona, nikhulume ngezehlakalo ngaphambi nje kwesikhathi, futhi nimnikeze umsebenzi omnandi. Ushintsho oluzumayo ludinga udokotela.
- Umuntu uvame ukungakhumbuli ukuthi ubuzile; akukwenzi ngenhloso.
- Umbuzo uvame ukufihla umuzwa, njengokukhathazeka ngokubonana nodokotela noma ukufuna ukuzizwa elondekile.
- Phendulani ngokuthula, ngamafuphi nangomusa, sengathi kuwukuqala. Ningalokothi nithi “usuvele ubuzile.”
- Inothi, ibhodi elimhlophe, iwashi noma ikhalenda elibonakalayo lingaphendula umbuzo esikhundleni senu.
- Khulumani ngezehlakalo ezicindezelayo ngaphambi nje kokuba zenzeke.
- Phumulani kancane uma nikudinga, futhi nishayele udokotela ngenguquko yanoma yiluphi uhlobo oluzumayo.
Kuleli khasi (izingxenye ezingu-9)
“Sizobona udokotela nini?” Ngemva kwemizuzu eyishumi: “Sizobona udokotela nini?” Ukuzwa umbuzo ofanayo kaningi kungenye yezingxenye ezidinisa kakhulu zokunakekela umuntu ophila ne-dementia. Kuvamile kakhulu, akwenziwa ngenhloso, futhi zikhona izindlela ezithulile zokuphendula ezenza usuku lube lula kunina nobabili.
Kungani umuntu one-dementia ebuza umbuzo ofanayo kaningi?
Kakhulu ngenxa yenkumbulo. I-dementia ithinta inkumbulo yesikhashana, ngakho umuntu uvame ukungakhumbuli ukuthi ubuzile, noma ukungayikhumbuli impendulo. I-Alzheimer’s Foundation of America ichaza ukubuza imibuzo kaningi njengokuvamile nokulindelekile.
Umbuzo uvame ukuphatha nomuzwa. I-Alzheimer’s Association ichaza ukuthi umbuzo ophindiwe ungase ubonise ukukhathazeka, isicelo sosizo, noma ukukhathazeka nokungaqiniseki, nokuthi umuntu uvame ukufuna induduzo nokujwayelekile. “Sizoya nini?” kungasho ngempela “Ngiyakhathazeka ngokuya.” Ukuzizwa ungenalutho olwenzayo, ukwesaba, umsindo nezinguquko enqubweni ejwayelekile zingaqala konke, futhi umbuzo ophindiwe ungaphinde ukhombise isidingo, njengethoyilethi (Family Caregiver Alliance).
Ngithini?
Phendulani ngokuthula nangamafuphi, sengathi kuwukuqala.
- Gcinani impendulo ifushane futhi ifana. “Udokotela ngehora lesibili ntambama. Ngizohlala nani.” Impendulo engashintshi ilula ukuyamukela.
- Phendulani umuzwa. “Nizibuza ngodokotela. Kuyintambama yamuhla, futhi ngizoshayela. Akukho okudingeka nikwenze.”
- Sebenzisani izwi elifudumele nokuthinta okuthambile, uma ethanda ukuthinta. I-Alzheimer’s Association iluleka ukuhlala nizolile futhi ningasebenzisi izizathu zomqondo noma ukuphikisana.
- Nikezani impendulo ayifunayo, kaningi njengoba kudingeka. I-Alzheimer’s Association ithi niyiphinde kaningi njengoba ebuza.
Yini okufanele ngiyigweme?
- “Usuvele ungibuzile lokho.” I-Family Caregiver Alliance iluleka ukungakhombi ukuthi usanda kubuza. Akunakumsiza akhumbule, futhi kungazwakala njengokukhuzwa.
- Izincazelo ezinde. Amazwi amaningi anikeza okuningi okufanele kukhohlwe.
- Ukuphefumula kakhulu ngokungabekezeli, ukujikisa amehlo noma ithoni ebukhali. I-National Institute on Aging iluleka isineke nokungabonisi ukucasuka. Lokho kunzima; bhekani isigaba sokuphumula ngezansi.
Amathuluzi alula aphendula umbuzo esikhundleni senu
Ngenkathi umuntu esakwazi ukufunda, impendulo ebhaliwe angayibona ivame ukusiza kakhulu kunebikiwe.
| Ithuluzi | Indlela yokulisebenzisa |
|---|---|
| Inothi ngezinhlamvu ezinkulu | “Udokotela namuhla ngo-2 ntambama. UMary uzoshayela.” Libeke lapho ebuka khona kakhulu |
| Ibhodi elimhlophe | Uhlelo lwanamuhla ngemigqa emithathu noma emine; sulani nibhale kabusha njalo ekuseni |
| Iwashi elikhulu elinosuku nedethi | Lisiza ku-“Namuhla ngusuku luni?” ne-“Sekuyisikhathi?” |
| Ikhalenda | Phawulani usuku ngalunye oluphelile; zungezisani ukuvakashela okulandelayo |
| Izithombe ezijwayelekile | Isithombe somuntu ozofika singaphendula “Ubani ozovakashela?” |
Le mibono ivela ku-Alzheimer’s Association nase-Alzheimer’s Los Angeles. Khombani enothini ngobumnene (“Ake sibheke ibhodi ndawonye”) kunokuthi “Ngikubhalele lokho.”
Mtsheleni ngezehlakalo eduze nesikhathi
Ukukhuluma ngokubonana noma uhambo ezinsukwini ezizayo kungaba amahora emibuzo ekhathazekile. I-Family Caregiver Alliance ne-Alzheimer’s Los Angeles ziphakamisa ukukhuluma ngezinhlelo, ikakhulukazi ezicindezelayo njengokuvakashela udokotela noma ukugeza, ngaphambi nje kokuba zenzeke. Bese nisho ukuthi kuzokwenzekani okulandelayo, isinyathelo esisodwa ngesikhathi.
Imisebenzi engaphambukisa ukunaka
Uma sekuphendulwe futhi umuzwa wamukelwe, umsebenzi othulile, ojabulisayo ungasiza, ikakhulukazi uma ukuzizwa ungenalutho olwenzayo kuyimbangela yemibuzo. Yonke imithombo engenhla iphakamisa ukuphambukisela entweni umuntu ayithandayo.
- Umdlalo omfushane, olula ndawonye. Amapheya ezithombe agcina izithombe ziyabonakala, ngakho akukho okufanele kukhunjulwe.
- Umsebenzi ojwayelekile. Ukusonga amathawula, ukuhlunga amasokisi noma ukulungisa itafula. Hlungani ndawonye uyinguqulo esesikrinini.
- Khulumani ngento ayithandayo. Amakhadi engxoxo anikeza imibuzo evulekile engenazimpendulo ezilungile.
- Umculo, uhambo noma ukudla okuncane. I-National Institute on Aging ibala lokhu phakathi kwezindlela ezilula zokuphambukisa ukunaka.
- Ukuma kancane okuthulile. Hlalani ndawonye, nibuke ngefasitela, noma nizame isikhathi esabelwanayo se-ukuphefumula okuthulile.
Uma ebuyela embuzweni, phendulani futhi, ngomusa. Lokho kulungile.
Funani amaphethini
I-Alzheimer’s Association iphakamisa ukuqaphela ukuthi imibuzo iza ngezikhathi ezithile zosuku, eduze kwabantu abathile noma ezindaweni ezithile. Uma ihlale iqala ngaphambi kokufika kwezivakashi, noma ntambama sekuhwalala, ningahlela kusengaphambili: inothi mayelana nokuvakasha, umsebenzi ojwayelekile olungile, igumbi elithule kakhulu. Umhlahlandlela wethu wokuthi imisebenzi ethulile yasentambama ungasiza uma kusihlwa kunzima kakhulu.
Zinakekeleni
Ukuphendula umbuzo ofanayo ngokwesikhathi sama-20 kuyadinisa. Uma nizwa ukubekezela kwenu kuphela futhi umuntu ephephile, ngenani kwelinye igumbi imizuzu embalwa niphefumule, njengoba i-Alzheimer’s Los Angeles iphakamisa. I-National Institute on Aging ikhuthaza abanakekeli ukucela usizo futhi bacabange ngokunakekela kwesikhashana (respite care). Eminye imibono isemhlahlandlelweni wethu we-ukuzinakekela kwabanakekeli.
Kufanele ngishayele nini udokotela?
Shayelani udokotela wakhe masinyane uma imibuzo, ukudideka noma indlela yokuziphatha kushintsha ngokuzumayo noma kuba kubi kakhulu emahoreni noma ezinsukwini. I-National Institute on Aging ithi indlela yokuziphatha eshintsha ngokuzumayo noma ngokushesha, ikakhulukazi ngemva kokusulelwa noma ushintsho lomuthi, kufanele ibikwe kudokotela ngokushesha. I-Dementia Australia ichaza ukuthi ukusulelwa, imithi, ukuphelelwa amanzi emzimbeni, ubuhlungu noma ukuqumba kungabangela i-delirium, ukudideka okuzumayo, okukhulu okudinga ukwelashwa okusheshayo. Shayelani inombolo yezimo eziphuthumayo yendawo yakini uma othile esengozini.
Imibuzo evamile
Kungani ubaba wami one-dementia eqhubeka ebuza umbuzo ofanayo?
I-dementia ithinta inkumbulo yesikhashana, ngakho angase angakhumbuli ngempela ukuthi ubuzile noma ukuthi uzwile impendulo. Kaningi umbuzo uphatha nomuzwa, njengokukhathazeka ngokuzokwenzeka okulandelayo noma isidingo sokuqinisekiswa. Ukuphendula lowo muzwa kuvame ukusiza kakhulu kunokuphinda amaqiniso.
Kufanele ngimtshele ukuthi usuvele ubuzile?
Cha. Akunakumsiza akhumbule futhi kungazwakala njengokulungiswa. Izinhlangano ze-dementia ziluleka ukuphendula ngokuthula njalo, sengathi kuwukuqala, futhi nigcine impendulo ifushane.
Ingabe ukubhala impendulo kuyasiza?
Kungasiza, ngenkathi umuntu esakwazi ukufunda. Inothi, ibhodi elimhlophe elinohlelo lwanamuhla, iwashi elikhulu noma ikhalenda lapho ebukela khona kaningi kumvumela ukuthi ahlole impendulo yena ngokwakhe. Khombani kuyo ngobumnene kunokuthi “Sengikutshelile.”
Kufanele ngikhulume nini ngokubonana nodokotela noma ngokuphuma?
Eduze nesikhathi. Ukukhuluma ngokuvakashela udokotela noma uhambo ezinsukwini ezizayo kungaba amahora emibuzo ekhathazekile. Mtsheleni ngaphambi nje kwesikhathi, ngokuthula, ngalokho okuzokwenzeka okulandelayo.
Ukuphinda umbuzo kuba isizathu sokushayela udokotela nini?
Uma imibuzo, ukudideka noma indlela yokuziphatha kushintsha ngokuzumayo noma kuba kubi kakhulu emahoreni noma ezinsukwini, shayelani udokotela wakhe masinyane. Ukusulelwa, umuthi omusha, ubuhlungu, ukuqumba noma ukuphelelwa amanzi emzimbeni kungabangela ukudideka okuzumayo okubizwa ngokuthi i-delirium, okudinga ukunakekelwa okusheshayo.
Imithombo
Sixhumanisa nezinhlangano nezifundo leli khasi eliklanyelwe kuzo. Lunye lwahlolwa lapho leli khasi libuyekezwa.
- Repetition · Alzheimer's Association
- Caregiver's Guide to Understanding Dementia Behaviors · Family Caregiver Alliance
- Alzheimer's Caregiving: Managing Personality and Behavior Changes · National Institute on Aging
- Communicating With Someone Who Has Alzheimer's Disease · National Institute on Aging
- Navigating Difficult Behaviors · Alzheimer's Foundation of America
- Caregiver Tip Sheets: Repeating · Alzheimer's Los Angeles
- Delirium · Dementia Australia