Impendulo emfushane
Esigabeni sokugcina se-dementia, imisebenzi igxile ezinzwa nenkampani yakho: ukudlala umculo amthandayo, ukubambana ngezandla, ukuhlikihla isandla kancane, ukufunda ngokuzwakalayo, ukubuka izithombe, imisindo yemvelo nokuhlala eduze kwefasitela noma ngaphandle. Lokhu kusebenza ebhedini noma esihlalweni. Gcinani izikhathi zifushane, qaphelani ubuso nezandla ukuze nibone induduzo, futhi nikhumbule ukuthi ukuba khona kuwumsebenzi uqobo.
- Ukuxhumana kusenokwenzeka. Esigabeni sokugcina, umhlaba uzwakala kakhulu ngezinzwa.
- Umculo, ukuthinta okuthambile, amazwi ajwayelekile nezinto ezithambile zokubamba kuvame ukufinyelela abantu lapho amagama engasafinyeleli.
- Cishe yonke imibono lapha isebenza kumuntu osebhedini noma esihlalweni.
- Qaphelani induduzo nokungakhululeki ebusweni, ezandleni nasekuphefumuleni, futhi nime ngokushesha uma kukhona uphawu lokukhathazeka.
- Gwemani izinto ezincane futhi nikeze ukudla noma into yokuphuza kuphela njengoba ithimba lokunakekela liluleka, ngoba ukuginya kungaba yingozi.
Kuleli khasi (izingxenye ezingu-6)
Esigabeni sokugcina se-dementia, umuntu angase akhulume kancane kakhulu, adinge usizo ekunakekelweni konke kwansuku zonke futhi achithe isikhathi esiningi ebhedini noma esihlalweni. Kungazwakala sengathi akusekho okungenziwa ndawonye. Kukhona. I-Alzheimer’s Association iphawula ukuthi ingxenye ethile yobuntu bomuntu ingase ihlale, nokuthi kulesi sigaba umhlaba uzwakala kakhulu ngezinzwa. Umculo, ukuthinta, izwi elijwayelekile nenkampani yakho ethulile kusengaletha induduzo nezikhathi zokuxhumana.
Yimiphi imisebenzi esizayo esigabeni sokugcina se-dementia?
Imisebenzi elula yezinzwa nenkampani ethulile kusiza kakhulu esigabeni sokugcina. I-Alzheimer’s Association iphakamisa ukudlala umculo amthandayo, ukufunda izingxenye zezincwadi ezibalulekile kuye, ukuhlikihla i-lotion enephunga amthandayo esikhumbeni, nokuhlala ngaphandle ndawonye ngosuku olumnandi. I-National Institute on Aging yengeza ukuxoxa izindaba, ukubonisa izithombe, ukuthinta okuthambile noma ukuhlikihla, nomculo, umsindo omhlophe noma imisindo yemvelo, futhi ithi ukuba khona kwakho kuwodwa kungathulisa.
I-Alzheimer’s Foundation of America iphawula ukuthi abantu abasesigabeni sokugcina bavame ukuba nesidingo esikhulu sokubamba okuthile eduze ukuze baduduzeke, futhi iphakamisa imisebenzi elula yezinzwa, ukwelula okuthambile, ukunyakazisa isikhafu, umculo, ukuvakasha kwezilwane, ukuthinta komuntu nobuciko obungenamthetho.
Imisebenzi yomuntu osebhedini noma esihlalweni
- Dlalani umculo wakhe. Khethani izingoma zeminyaka yakhe yobusha, zokholo lwakhe noma zomndeni wakhe. Gcinani umsindo uphansi futhi nihlale eduze. Ngisho namanje, abanye abantu bashaya umunwe noma bahlabelele kancane. Buka imisebenzi yomculo.
- Bambani izandla. Ukubamba nje isandla, ngokuhlikihla kancane ngesithupha, kuyisenzo. Qalani nisho ukuthi nenzani.
- Mhlikihleni isandla kancane. Fudumezani i-lotion encane ezintendeni zenu bese nimhlikihla kusuka esihlakaleni kuya ezinhlokweni zeminwe. Khethani i-lotion engenaphunga, noma ephunga ayelithanda njalo uma isikhumba sakhe sikuvumela.
- Fundani ngokuzwakalayo. Inkondlo ayithanda, ingxenye yencwadi ayithande kakhulu, imibhalo engcwele noma ikhasi lezemidlalo. Isigqi sezwi lenu sibaluleke kakhulu kunamagama.
- Xoxani indaba. Khulumani ngohambo lomndeni noma usuku abeshada ngalo. Anidingi ukuphendulwa.
- Bonisani izithombe. Bambani isithombe esisodwa esikhulu ngesikhathi ekuphakameni kwamehlo bese nisichaza ngokufudumele. Gwemani ukubuza ukuthi ubani osithombeni.
- Nikezani okuthile okuthambile ukuthi akubambe. Indwangu encane yokuhlanza eyisongiwe, isikwele sefleece noma isilwane esithambile. I-NIA iphakamisa ukunikeza umuntu indwangu yokuhlanza ukuthi ayibambe ngesikhathi ethuthwa, ukuze kube nokuncane ukuthi anibambe noma abambe ifenisha.
- Dlalani imisindo yemvelo. Imvula, amagagasi noma ingoma yezinyoni ngomsindo ophansi kungathambisa igumbi elinomsindo.
- Lethani ngaphandle ngaphakathi. Vulani amakhethini, beka indawo yokuphakela izinyoni ngaphandle kwefasitela, noma nilethe izimbali ezintsha noma amaqabunga ambalwa ukuze abuke futhi athinte.
- Phumani ngaphandle. Uma umuntu engahlala esitulweni esinamasondo, imizuzu embalwa emthunzini ngosuku olumnene kungaba muhle.
- Hlikihlani izinwele zakhe noma nikeze indwangu efudumele. Ukunakekela okuhamba kancane, okuthambile nendwangu yokuhlanza efudumele yezandla nobuso kungazwakala njengokunakekelwa.
- Nyakazani kancane nomculo. Nyakazisani isikhafu esilula ndawonye, noma nigudluze izandla ngesigqi sengoma. Ukwelula nokunyakaza kwamalunga, cela i-physiotherapist noma umhlengikazi akubonise izindlela ezivikelekile kuqala.
- Yenzani ubuciko obungenamthetho. Phalazani upende ongenabuthi ephepheni elikhulu ngesiponji noma ngesandla, esiqondiswa yesandla senu. Akukho mphumela ofanele.
- Amukelani ukuvakasha kwezilwane. Isilwane esifuywayo esithulile embhedeni noma ethangeni, uma umuntu ayethanda izilwane futhi indawo ikuvumela.
- Phefumulani kancane ndawonye. Hlalani eduze niphefumule kancane futhi ngokuzwakalayo. Ukuphefumula okuthulile kungalinganisa isivinini senu nobabili, futhi nina niyaqala futhi niyayeka.
- Yibani khona nje. Hlalani eduze, hlabelelani kancane, lukani noma nifunde ngokuthula. Ukuba khona kwanele.
Indlela yokwabelana ngomsebenzi kulesi sigaba
- Sondelani ngaphambili. Shoni igama lakhe negama lenu, futhi nikhulume kancane nangokuthambile ngaphambi kokuthinta.
- Nikezani into eyodwa ngesikhathi. Valani i-TV ngaphambi kokudlala umculo. Yenzani isinzwa esisodwa ngesikhathi.
- Gcinani kufushane. Imizuzu embalwa ingaba yanele. Izikhathi ezimfushane eziningana usuku lonke zingcono kunesikhathi esisodwa eside.
- Qinisekisani ukuthi unethezekile kuqala. Hlolani ukuthi umuntu usekelwe kahle. I-NIA iphakamisa ibhodi lasethangeni ukuze kuphumule izingalo kusekelwe nengxenye engenhla yomzimba lapho ehleli.
- Qaphelani impendulo. Izandla ezikhululekile, ubuso obuthambile, ukubheka emehlweni noma ukuhlabelela kancane kuphakamisa induduzo. I-NIA iphawula ukuthi ukububula, ukufinyela ubuso, ukuvikela ingxenye yomzimba noma ukungaphumuli okuzumayo kungaba izimpawu zobuhlungu. Misani, futhi nitshele ithimba lokunakekela.
Umhlahlandlela osheshayo ngokwenzwa
| Inzwa | Imibono | Ukunakekela |
|---|---|---|
| Ukuzwa | Umculo amthandayo, izwi lenu lifunda, imisindo yemvelo | Gcinani umsindo uphansi; umsindo owodwa ngesikhathi |
| Ukuthinta | Ukuhlikihla isandla, ukubambana ngezandla, indwangu ethambile, indwangu efudumele | Buzani noma nimemezele kuqala; hlolani ukuthi isikhumba asinabuhlungu noma asinamanxeba |
| Ukubona | Izithombe, izimbali, ukubuka ngefasitela, ividiyo yemvelo ehamba kancane | Bambani izinto ekuphakameni kwamehlo; ukukhanya okuhle, akukho kukhanya okubukhali |
| Iphunga | I-lotion amthandayo, izimbali ezintsha, ikhofi ephekwa eduze | Gwemani amaphunga aqinile; hlolani ukungezwani komzimba (allergies) nokuphefumula |
| Ukunambitha | Ukunambitha okuncane kwesinambitheko amthandayo | Kuphela ukudla nezakhiwo zokudla ithimba lokunakekela elithi ziphephile |
Ukuphepha kulesi sigaba
Ukuginya kungaba nzima esigabeni sokugcina, futhi i-NIA iyaxwayisa ukuthi lokhu kukhulisa ingozi yokuvaleka kwendlela yomoya uma kudliwa noma kuphuzwa (choking). Ningashiyi izinto ezincane ezifinyelelwayo, futhi nikeze ukudla noma into yokuphuza kuphela ngezakhiwo nezindawo ithimba lokunakekela elizincoma. Hlolani isikhumba ngobumnene ngesikhathi semisebenzi yokuthinta, ngoba isikhumba singalimala noma sibe nezibazi kalula. Ukuze nithole okwengeziwe ngemibono yezinzwa evikelekile, buka imisebenzi yezinzwa.
Nizinakekele nani
Ukunakekela esigabeni sokugcina kudinga kakhulu emzimbeni nasemizweni, kungaba ekhaya noma ngesikhathi sokuvakasha endaweni yokunakekela. Amathimba okunakekela abagulayo ekupheleni kokuphila (hospice) nokunakekelwa kokuthuthuzela (palliative care) angasiza ngenduduzo, ukusekela nokuhlela, futhi i-NIA ibabala njengomthombo wosizo. Ukuvakasha okufushane, okuthule kuyafaneleka; buka ukuvakashela umuntu one-dementia. Uma niholela amaqembu, imisebenzi yamaqembu endaweni yokunakekela inemibono yokuguqula izikhathi. Futhi sicela nifunde ukuzinakekela komnakekeli: ukuphumula kuyingxenye yokunakekela kahle.
Imibuzo evamile
Yimiphi imisebenzi ongayenza nomuntu one-dementia yesigaba sokugcina osebhedini?
Dlalani umculo amthandayo, bambani isandla sakhe, nimhlikihle isandla kancane nge-lotion, nimfundele encwadini noma emthandazweni amthandayo, nimbonise izithombe, noma nidlale imisindo yemvelo ethambile. Vulani amakhethini ukuze abone ngaphandle. Izikhathi ezifushane, ezithule ezinento eyodwa ngesikhathi zivame ukusebenza kangcono.
Ingabe abantu abane-dementia yesigaba sokugcina basakwazi ukujabulela umculo?
Abaningi bayakwazi. I-Alzheimer's Association iphawula ukuthi ngisho nasesigabeni sokugcina, umuntu angase akwazi ukushaya isigqi noma ahlabelele ngengoma yobuntwana. Khethani umculo ayewuthanda esemncane futhi nigcine umsindo uphansi.
Ngingazi kanjani ukuthi uyakujabulela ukwenza lokhu?
Qaphelani izimpawu ezincane: amahlombe akhululekile, ubuso obuthambile, ukubheka emehlweni, ukuhlabelela kancane, ukucindezela isandla noma ukuphefumula kancane. Ukufinyela ubuso, ukuhoxa, ukungaphumuli noma ukububula kungasho ukungakhululeki noma ubuhlungu. Uma nibona lokhu, misani futhi nitshele ithimba lokunakekela uma kuqhubeka.
Ingabe kuyafaneleka ukumvakashela uma esengasangazi?
Yebo. I-National Institute on Aging iphawula ukuthi ukuba khona nje kungathulisa, nokuthi ukuthinta, umculo nezindaba kusengaletha induduzo ku-dementia esezingeni eliphezulu. Izwi lakho nokuthinta kwakho kungase kuhlale kwaziwa ngisho noma igama lakho lingasaziwa.
Imithombo
Sixhumanisa nezinhlangano nezifundo leli khasi eliklanyelwe kuzo. Lunye lwahlolwa lapho leli khasi libuyekezwa.
- Late-Stage Alzheimer's & Dementia Caregiving · Alzheimer's Association
- Care in the Last Stages of Alzheimer's Disease · National Institute on Aging
- Therapeutic Activities for 3 Main Stages of Alzheimer's disease · Alzheimer's Foundation of America
- Activities for dementia · NHS
- Music / Art Therapy, Alzheimer's & Dementia · Alzheimer's Association