Iimpawu zoMdinga

Isifo sengqondo sokugula ngengqondo sifumaneka kangcono ngegama laso lesibili - ukugula komzimba. Umonakalo wengqondo yomntu ozisa umntu kwindawo ekhethekileyo. Le ngxaki, njengengqondo yokugula komzimba (i-dementia) ihamba kunye nokuphulwa kombono wenyaniso, ingqondo, inkulumo, imemori kunye neminye imisebenzi.

Iintlobo zomqondo weengqondo

Ngethuba lokuhlaselwa kwesigxina somqondo weengqondo, isifo sinepropati ekhokelela ekugqibeleni ukupheliswa kwesicwangciso sentlalo. Uhlobo oluqhelekileyo lwengqondo ye-dementia lukhulu, aluvumelekanga.

Ukubeka ingqondo yengqondo kwiindlela ezilandelayo:

• ukuphazamiseka kwengqondo ehambisana nezifo ze-neurological, okanye nge-cardiovascular (oku kuquka isifo se-Alzheimer, i-atherosclerosis yeenqwelo ze-cerebral,);
• ukuphazamiseka kwengqondo kunye nokuxhatshazwa (olu hlobo lwenzeka xa kwenzeka ukusetyenziswa kakubi kotywala okanye, umz.
• ukuphazamiseka kwengqondo ehambelana nezitho zangaphakathi (olu hlobo luquka, umzekelo, ukungafihleki kwe-hepatic kunye ne-renal failure);
• ukuguga komqondo ngokwemvelaphi yobunzima be-thyroid;
• ukuphazamiseka kwengqondo okuhambisana nokusilela kwe-thiamine;
• ukuphazamiseka kwengqondo ehambelana nokutyhelwa kweziyobisi;
• ukuphazamiseka kwengqondo kwimvelaphi yezifo ezithathelwanayo zesifo (ingqondo, i-meningitis), i-hydrocephalus, i-tumor tumors, i-HIV.

Izimbangela ze-dementia zihlala kwiintlobo ezahlukeneyo. Ekuguga oku kudla ngokusetyenziswa kakubi kwamachiza, kwaye eso sifo siphumelela ngokukhawuleza.

Iimpawu zoMdinga

Kulula kakhulu ukuphawula iimpawu zomqondo weengqondo, okokuqala ekulula kakhulu, kwaye ngokugqithiseleyo nokunyuka ngakumbi, ukuphazamisa ubomi bentlalo yomntu. Uphawu oluqhelekileyo lulibala, nto leyo enye yeempawu zokuqala zengqondo. Izimpawu ezisele zikwahlukileyo phakathi kwezi zinto zilandelayo:

1. Ukulibala kukhula: umntu uqale ukhohlwe into edala, kwaye ngoko kwenzeka ntoni ngoku. Ixesha elidlulileyo liye lacinywa kancane.
2. Iingxaki malunga nokuqhelanisa: abantu abaneengxaki zokugula ngengqondo, abaxhomekeke kakuhle kwaye banokulahleka ngokulula kwindawo eqhelekileyo.
3. Ubunzima ngokucwangcisa: kunzima umntu ukuba acinge ishedyuli ngokwakhe okanye acwangcise ukuqesha kwangaphambili.
4. Ukuphazamiseka kokucinga: umsebenzi weentetho kunye nenkumbulo iyancipha.
5. Ubunzima kwizinto zobomi bemihla ngemihla: indoda ihamba ngokukhawuleza ukuba ingakwazi ukugqoka okanye idle imfoloko, ngenxa yokuba idibanisa ukuxhomekeka komqondo kunye nokungabi nongcolileyo, ukungabikho nto.
6. Ukuguquka kokuziphatha kunye neempawu zobuntu. Ngokuqhelekileyo kukho ukulala, ukukhankanya, ukunyanzela, ukunyaniseka okukhulu.

Kukho iimpawu zokuqala ozifunayo ukuqala iprophylaxis esebenzayo, ukwenzela ukuba ungagcini lesi sifo.

Ukuthintelwa kwengqondo

Ukuthintela kubalulekile ekuqaleni, kuba oku kunokuyeka ngokupheleleyo isi sifo. Okokuqala, isethi yamanyathelo kufuneka ifake indlela yokuphila enempilo kunye nesondlo esifanelekileyo, nto leyo eyanciphisa kakhulu umngcipheko we-cerebral ischemia, uxinzelelo lwegazi, i-heart pathologies kunye nesifo sikashukela, esheshayo zonke zikhokelela ekuphuhlisweni kwesi sifo. Xa unyango lweengqondo, ngokuqhelekileyo kusetyenziswe iziyobisi, ukuphumelela kwezinto ezibonakaliswe klinikhi, kunye nezo zinto zimele ziphumelele:

• inhibitors ye-cholinesterase;
• abaphikisana nabamkeli be-NMDA;
• iziyobisi ngezenzo ze-neurotrophic;
• holinomimetiki.

Ngokufikelela ngexesha elifanelekileyo kumgqirha, kunokwenzeka ukuphucula kakhulu imeko yesigulane, ukumisa, ukulibazisa okanye ukuphilisa eso sifo. Into ephambili ayiyikugqithisa umthwalo osisigxina, ngenxa yokuba kuya kufuneka uhlawule iimpazamo.