Uma Umuntu One-Dementia Ecela Njalo Ukuya Ekhaya

“Ngifuna ukuya ekhaya.” Emindenini eminingi lokhu kungenye yezinto ezinzima kakhulu ukuzizwa, ikakhulukazi uma umuntu enimnakekelayo ehlezi egumbini lakhe lokuhlala. Kuvamile, kungenzeka kunoma yisiphi isigaba se-dementia, futhi zikhona izindlela ezithulile, ezisebenzayo zokuphendula. Leli khasi lichaza ukuthi la mazwi avame ukusho ukuthini, ukuthi nithini, imisebenzi engasiza ngaleso sikhathi, nokuthi nigcine kanjani ukulondeka.

Kungani umuntu one-dementia ecela njalo ukuya ekhaya?

Ngokuvamile, “ikhaya” lingumuzwa kunendawo. I-Alzheimer’s Society ilichaza njengomuzwa winduduzo nokuphepha, noma ikhaya lasendulo, hhayi indlu uqobo. I-dementia ingenza amagumbi avamile abonakale engajwayelekile, futhi umuntu angazizwa ephila esikhathini sangaphambilini sempilo, lapho ikhaya lalingenye indlu yobuntwana noma indawo ayekhulisela kuyo izingane zakhe.

La mazwi angaphinda abe uphawu lokuthi okunye akulungile njengamanje: ulambile, uyomile, udinga ithoyilethi, unobuhlungu, uyashisa noma uyabanda kakhulu, udiniwe, uyedwa, uyesaba, noma ukhathazwa umsindo. I-National Institute on Aging ibala ubuhlungu, umsindo, ukuzizwa uyedwa, izinguquko ezinsukwini zansuku zonke nemithi phakathi kwezimbangela zokuphazamiseka.

Ngithini uma ecela ukuya ekhaya?

Phendulani umuzwa, hhayi amagama. I-Family Caregiver Alliance iyaluleka ukuthi ningazami ukumkholisa ukuthi uyaphutha: imizwa yakhe iyiqiniso, ngakho phendulani kuqala ngokududuza nokuqinisekisa, bese nimholela kancane kwenye into.

Amazwi avame ukusiza:

• Qambani umuzwa. “Kuzwakala sengathi nilangazelela ikhaya.”
• Qinisekisani. “Nilondekile lapha, futhi ngihlezi nani.” I-Alzheimer’s Association iphakamisa amazwi alula athi “Nilondekile lapha.”
• Memani izinkumbulo. “Ngitshelani ngekhaya lenu. Ikhishi lenu belinjani?” Ukubuza ngesikhathi esidlule kuvame ukuba lula kunemibuzo nganamuhla.
• Nikezani into eniyenza ndawonye. “Ake siphuze inkomishi yetiye kuqala,” noma “Ningangisiza ngala mathawula?”

Izwi elifudumele nesandla engalweni, uma ethanda ukuthintwa, kungasho okungaphezu kwamagama.

Yini okufanele ngiyigweme?

• Ukuphikisana noma ukuchaza. “Nihlala lapha manje” noma “Leli yikhaya lenu iminyaka engu-40” kumcela ukwamukela into i-dementia eyenza kube nzima ukuyamukela, futhi kungazwakala njengokutshelwa ukuthi uyaphutha.
• Ukubuza ukuhlola. “Anikhumbuli?” noma “Likuphi ikheli?” kwengeza ingcindezi.
• Ukuvimba umnyango ngolaka. Uma eqonda ngaphandle, hlalani nizolile futhi nihambe naye. Uhambo olufushane ndawonye luvame ukuthulisa lesi sifiso.
• Ukushesha. Mnikeze isikhathi sokukhuluma ngekhaya ngaphambi kokushintsha isihloko.

Imisebenzi engasiza ngaleso sikhathi

Ngemva kokuyamukela umuzwa, umsebenzi othulile, ojwayelekile ungaphambukisa ukunaka ngaphandle kokuwuchitha.

1. Bukani izithombe zekhaya nezomndeni. Phendulani amakhasi nikhulume (“Bheka leyo ngadi”) kunokubuza imibuzo. Efonini noma ethebulethini, Amapheya ezithombe zomndeni aguqula izithombe zomndeni wenu zibe umdlalo othambile wokufanisa, futhi izithombe ziyahlala kudivayisi yenu.
2. Khulumani ngekhaya. Amakhadi engxoxo anikeza imibuzo evulekile mayelana namakhaya, amakhishi, omakhelwane nezinsuku zemikhosi, engenazimpendulo ezilungile.
3. Dlalani umculo amthandayo. I-National Institute on Aging ibala umculo othulisayo phakathi kwezindlela zokuthulisa ukuphazamiseka. Buka imisebenzi yethu yomculo.
4. Nikezani ukudla okuncane noma into yokuphuza. Indlala nokoma kungabonakala njengokungaphumuli. Inkomishi yetiye noma into ayithandayo iyisiko elincane lokuzizwa usekhaya.
5. Hambani uhambo olufushane noma hlalani ngaphandle. Ukunyakaza nokukhanya kwemini kuyasiza, ikakhulukazi ekuseni.
6. Mnikeze umsebenzi ojwayelekile. Ukusonga izingubo ezigeziwe, ukuhlela izinkezo noma ukunisela izitshalo kungabuyisa umuzwa wokunakekela ikhaya.
7. Yenzani konke kuhambe kancane. Vala i-TV, nciphisani umsindo nokukhanya okukhulu, futhi nizame ukuma kancane ndawonye nenza ukuphefumula okuthulile.

Uma umbono owodwa ungasebenzi, zamani omunye kamuva. Ukuhlala nithule ndawonye nakho kuyisiphetho esihle.

Hlolani isizathu eningasilungisa

I-Alzheimer’s Society iphakamisa ukugcina irekhodi elifushane lokuthi ukucela kwenzeka nini, njengangaphambi kokudla, ngemva kwezivakashi, noma ekuqaleni kokuhlwa. Amaphethini enza kube lula ukuhlela kusenesikhathi.

Ingabe kulungile ukutshela amanga amancane?

Lokhu kuyimpikiswano yangempela, futhi imindeni enomusa ifinyelela ezindaweni ezahlukene. I-Alzheimer’s Society ithi alukho impendulo eyodwa elungile: amanga angenza abanye abantu bakholwe kancane, ngakho nenze isinqumo ngokuthi yini engcono kakhulu kumuntu futhi niqhubeke ngendlela efanayo. Umqondisi ohlanganyela nabanye we-Penn Memory Center ubona ukuthi iqiniso yilo elikhethwa kuqala, futhi amanga amancane amukeleka kuphela uma umuntu engakwazi ukuliqonda iqiniso elithile, nokuthi akufanele nihlekise ngendlela abona ngayo izinto.

Abanakekeli abaningi bathola ukuthi indlela esesilinganisweni iyasebenza: ukududuza okuqotho nokuphambukisa ukunaka kuqala (“Sizohlala lapha namhlanje ebusuku, futhi ngiseduze nani”), ngaphandle kokuphikisana ngokuthi ikhaya liphi.

Kuthiwani uma kwenzeka njalo ntambama noma kusihlwa?

Ukungaphumuli okuqala noma okwanda ntambama kuvame ukubizwa ngokuthi i-sundowning. I-National Institute on Aging iphakamisa uhlelo olunganqamuki, ilanga nomsebenzi nsuku zonke, ukulala kancane emini ephuzile, nokungabi nekhafini noma utshwala ngasekupheleni kosuku. Ukukhanyisa amalambu ngaphambi kokuhlwa nakho kungasiza. Umhlahlandlela wethu wokuthi imisebenzi ethulile yasentambama unolwazi oluningi.

Ukumgcina elondekile uma ezama ukuphuma

Ukucela ukuya ekhaya kungaholela ekuzulweni. I-Alzheimer’s Association ilinganisa ukuthi abayisithupha kwabayishumi abaphila ne-dementia bazozula okungenani kanye.

Lungiselelani kusenesikhathi:

• Isongo lesandla elinegama lakhe nenombolo yakho yocingo, namalebula ezingutsheni zakhe. I-National Institute on Aging ikhuluma ngohlelo lwe-MedicAlert nolwe-Alzheimer’s Association Safe and Found, okungase kubize imali. Lezi yizibonelo zase-United States; ezweni lakini, buzani enhlanganweni yendawo ye-Alzheimer’s noma ye-dementia ukuthi ikhona yini inkonzo efanayo.
• Ibhele lomnyango noma i-alamu, namalokhi abekwe phezulu noma phansi. Ningalokothi nibophe umuntu endlini eyedwa.
• Isithombe sakamuva esisondele, nohlu lwezindawo angaya kuzo, njengekhaya lakudala noma indawo ayesebenza kuyo.
• Tshelani omakhelwane enibathembayo, futhi nibanike inombolo yenu.

Uma ephela: qalani ukumfuna ngokushesha; i-Alzheimer’s Association ithi abantu abaningi bathola emamayeleni angu-1.5. Uma nisengamtholanga emizuzwini engu-15, shayelani inombolo yezimo eziphuthumayo yendawo yakini, nitshele ukuthi umuntu une-dementia. Shayelani lenombolo masinyane uma othile esengozini.

Kufanele ngishayele nini udokotela?

Shayelani udokotela wakhe masinyane uma ukucela noma ukudideka kuqala 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 ihlolwe ngokushesha. Ukudideka okuzumayo kungaba i-delirium, i-NHS ithi idinga usizo oluphuthumayo; ukusulelwa endleleni yomchamo kuyimbangela evamile kubantu asebekhulile.

Kuyasiza futhi ukusho iphethini eqhubekayo ekuhlolweni okulandelayo, ngoba ubuhlungu, isimo sengqondo esiphansi, izinkinga zokulala noma imiphumela emibi yemithi konke kungaba nengxenye.