Ukucindezeleka kweGeriatric (Ukudangala Kwabantu Abadala)

-Delile

• Izimbangela zokudangala ngokweqile
• Izimpawu zokudangala ngokweqile
• Ukuxilongwa kokucindezeleka okwenzeka ngezikhathi ezithile
• Ukwelashwa kokudangala ngokweqile
• Ukuphila nokudangala ngokweqile

Ukudangala ngokweqile

Ukudangala ngokweqile ukugula ngengqondo nangokomzwelo okuthinta abantu abadala. Imizwa yokudabuka nezimo ezithile “eziluhlaza” ngezikhathi ezithile kuyinto ejwayelekile. Kodwa-ke, ukucindezeleka okuhlala njalo akuyona ingxenye ejwayelekile yokuguga.

Abantu abadala asebekhulile kungenzeka ukuthi bahlupheke ukucindezeleka kwe-subsyndromal. Lolu hlobo lokudangala aluhlangabezani njalo nenqubo egcwele yokudangala okukhulu. Kodwa-ke, kungaholela ekucindezelekeni okukhulu uma kushiywe kungalashwa.

Ukudangala kubantu abadala kunganciphisa ikhwalithi yempilo, futhi kwandisa ingozi yokuzibulala. Funda ukuze ufunde ngezimpawu ozozibuka nezindlela zokwelashwa.

Izimbangela zokudangala ngokweqile

Asikho isizathu esisodwa sokudangala kunoma yiliphi iqembu leminyaka. Olunye ucwaningo lukhombisa ukuthi kungaba nokuxhumana kofuzo nalesi sifo. Kodwa-ke, izici zebhayoloji, ezenhlalo nezengqondo konke kudlala indima ekucindezelekeni kubantu abadala.

Ucwaningo luphakamisa ukuthi okulandelayo kungaba nomthelela ekucindezelekeni:

• amazinga aphansi amakhemikhali asemqoka we-neurotransmitter ebuchosheni (njenge-serotonin ne-norepinephrine)
• umlando womndeni wokucindezeleka
• izehlakalo zokuphila ezihlukumezayo, njengokuhlukunyezwa noma ukushona kothandekayo

Izinkinga ezihambisana nokuguga zingaba nomthelela ekucindezelekeni kubantu abadala. Lezi zinkinga zingafaka:

• ukuhamba okulinganiselwe
• ukuzihlukanisa
• ebhekene nokufa
• ukusuka emsebenzini uye ekubeni umhlalaphansi
• ubunzima bezezimali
• ukusetshenziswa kabi kwezidakamizwa isikhathi eside
• ukufa kwabangani nabathandekayo
• ubufelokazi noma isehlukaniso
• izimo zezokwelapha ezingamahlalakhona

Izimpawu zokudangala ngokweqile

Izimpawu zokudangala ziyefana kunoma iliphi iqembu lobudala. Zingafaka:

• ukudabuka
• imizwa yokungabi yilutho
• ukucasuka
• ukukhathala
• ukukhala
• ukunganaki
• ukungahlaliseki
• ukungabi nokuhlushwa
• ukuhoxa
• izinkinga zokulala
• izinguquko ekudleni
• imicabango yokuzibulala
• izinhlungu zomzimba nezinhlungu

Ukudana imvamisa kuyimbangela yezinhlungu zomzimba kubantu abadala ezingachazwanga ngezinye izimo zezokwelapha.

Ukuxilongwa kokucindezeleka okwenzeka ngezikhathi ezithile

Ukuxilongwa okufanelekile kokucindezeleka okwenzeka esikhathini esidlule kungaba nzima. Iphoyinti lokuqala lokuxhumana nabantu abadala asebekhulile ngokuvamile lingudokotela wabo ojwayelekile. Uma besendaweni yokuhlala abasiziwe, abasebenzi abanakekelayo bangazibona izimpawu zokucindezeleka.

Isazi sezempilo yengqondo sizohlola izimpawu zakho, imizwa, ukuziphatha, imisebenzi yansuku zonke, nomlando wezempilo womndeni. Bazobuza:

• kunini uzizwa ucindezelekile
• yini eyaletha ukucindezeleka
• uma uke wabhekana nokudangala esikhathini esedlule

Umuntu kufanele akhombise izimpawu zokucindezeleka okungenani amasonto amabili ukuze atholakale enaleso simo.

Ungasebenzisa futhi lesi sikali samahhala sokudangala esikwi-inthanethi. Kungaba wusizo ekunqumeni ukuthi wena noma othandekayo udinga usizo. Kodwa-ke, lokhu akufanele kusetshenziswe njengokufaka esikhundleni sokuxilongwa okusemthethweni kusuka kuchwepheshe ofanele wezempilo yengqondo.

Ukwelashwa kokudangala ngokweqile

Njengoba nje ukucindezeleka kungenasizathu esisodwa, akukho ukwelashwa okukodwa okusebenzela wonke umuntu. Ukuthola ukwelashwa okufanelekile kokudangala kuthatha isikhathi. Ukwelashwa okujwayelekile kubandakanya inhlanganisela yokwelashwa, imithi, nezinguquko zendlela yokuphila.

Imithi esetshenziselwa ukwelapha ukucindezeleka ihlanganisa:

• i-serotonin reuptake inhibitors ekhethiwe (SSRIs)
• i-serotonin-norepinephrine reuptake inhibitors ekhethiwe (SNRIs)
• izidakamizwa ze-tricyclic
• i-monoamine oxidase inhibitors (MAOIs)
• bupropion
• umabhebhana

Izinguquko zokuphila ezisetshenziselwa ukwelapha ukucindezeleka zifaka:

• ukwandisa umsebenzi womzimba
• ukuthola umdlalo wokuzilibazisa omusha noma intshisekelo
• ukuvakashelwa njalo nomndeni nabangane
• ukulala ngokwanele nsuku zonke
• ukudla ukudla okunomsoco

Izindlela zokwelashwa eziningi zingasiza futhi umuntu osekhulile onokudangala. Ukwelashwa kwezobuciko inqubo lapho uveza khona imizwa yakho ngobuciko. Ku- ukwelashwa kwengqondo, ukhuluma endaweni yangasese nomelaphi oqeqeshiwe.

Ukuphila nokudangala ngokweqile

Ukudangala ngokweqile kungadala izinkinga ezihambisana nokuguga. Akulula ngaso sonke isikhathi ukuxilonga, kepha ukwelashwa okufanele kungakhuphula kakhulu izinga lakho lempilo.

Uma ukhathazekile ngokuthi othile omaziyo kungenzeka ukuthi ucindezelekile, yazi ukuthi umndeni nabathandekayo bangaba nomthelela omkhulu ekunakekelweni kwabantu abadala. Khuthaza ukwelashwa futhi unikeze ukusekela ukusiza othandekayo wakho aphile impilo ephelele, ejabulisayo.