
ghnaapakasakti chikitsa

ghnaapakasakti chikitsa anedi vruddhulaku salaha ivvadaaniki mariyu maddatu ivvadaaniki upayoginchabadutundi, mariyu idhi medadulo gayapadina rogulu mariyu "algimers mariyu itara rakaala abhignaa vyaadhulu unnatlu kanipinche vaaritho jokyam chesukune saanketikata."
algimers ledhaa chittavaikalyam yokka konni (itara) roopaalanu kaligi unnatlu kanipinche vaaripai drushti saarinchina "glenner town square" anae swatantra pradarsana project gurinchi 2018 arp vyaasam. glenner yokka lakshyam "1953 mariyu 1961 madhya samvatsaraalanu sangrahinchadam, tadwara project paalgonevaaru 10 nundi 30 samvatsaraala vayassunu gurthuku tecchukune samayamlo prasaantamgaa tirigi vastaaru," mana balamaina ghnaapakaalu erpadataayi."
american psychological association (apa) memory therapyni "jeevita charitrala upayogam-vraatapuurvaka, moukhika ledhaa rendoo-manasika sreyassunu meruguparachadaaniki" gaa nirvachinchindi. eee chikitsanu tarachugaa vruddhulatho upayogistaaru."eee rakamaina chikitsa jokyam roogi manchi manasika aarogyaanni kapadukovadamlo sahayapade lakshyamtho vyakti yokka jeevitam mariyu anubhavalanu gouravistundi.
ghnaapakasakti chikitsapai ekkuva parisoedhana vruddha samaajamtho, mukhyamgaa niraasatoe badhapaduthunna vaaritho jarigindi, ayithe konni adhyayanalu itara vruddhula namuunaalanu pariseelinchaayi.
vividha samskrutulatoe kuudina aneka rangaalalo parisoedhana mariyu amalu prayatninchabadindi.
japan, united kingdom, usa vantivi.
ghnaapakasakti.
ghnaapakasaktini "gatamlo thana ghnaapakaalanu gurthuchesukovadaaniki ishtapuurvaka ledhaa ishtapuurvaka charya ledhaa prakriya" gaa varninchaaru. maroe maatalo cheppalante, idhi okari jeevita sanghatanalanu gurtuchesukovadam mariyu tirigi anubhavinchadam kaligi untundi. indulo konni jeevita sanghatanalanu gurthuchesukogalige vidhamgaa chekkuchedarani sweeyacharitraatmaka ghnaapakasakti untundi.ghnaapakasakti prakriya yokka ardhavantam anedi gurtuchesukuntunna ghnaapakaalu entha ardhavantamainavo daanipai aadharapadi untundi. eee ghnaapakaalanu marinta ardhavantamgaa cheyadaaniki vividha margalu emitante, sanghatana yokka praamukhyatanu soochinche prasnalanu adagadam alaage gatam nundi chaaritraka saamagrini upayoginchadam.
webster samarpinchina vargeekaranato sahaa vividha manasika vidhulaku ghnaapakasakti upayogapadutundi. webster yokka memory functionla scale (rfs) loe prajalu gurthuchesukovadaaniki enimidi kaaranaalu unnaih visugu taggimpu, chedhu punarujjeevanam, maranam kosam siddham, sambhaashana, gurtimpu, saannihityam nirvahana, samasya parishkaram mariyu bodhinchadam/teliyajeyadam. manastatvavettalu prabhavam mariyu edurkovataniki naipunhyaalanu meruguparachadaaniki chikitsagaa ghnaapakasaktini upayoginchadaanni chuusaaru, ayithe eee chikitsa yokka prabhavam charchinchabadindi. iteevali dayta nundi, krinda vivarinchina vidhamgaa, chikitsa vruddha samaajamlo saanukuula mariyu shaashwata phalitaalanu kaligi unnatlu kanipistundi.
vividha rakaala ghnaapakaalu undavacchu. rendu pradhana uparakaalu intrapersonal mariyu interpersonal reminescence. intrapersonal abhignaa vaikharini teesukuntundi mariyu vyaktigatamgaa sambhavistundi. vyaktula madhya sambhaashana anedi samuuha-aadhaarita chikitsa. ghnaapakasaktini moodu nirdishta rakaluga vibhajinchavachhuh samacharam, moolyaankanam mariyu obsessive. okari gatamlooni kathalanu tirigi cheppadanni aasvaadinchadaaniki samachara ghnaapakasakti cheyabadutundi. athani ledhaa aame jeevitam mariyu sambandhaalapai aasakti laeni vyaktiki sahayam cheyadaaniki kooda eee rakanni upayoginchavacchu. manchi ghnaapakaalanu gurthunchukune saamarthyam vaaru santoshamgaa undataaniki emi chestaro gurthunchukovadaaniki sahaayapadutundi. moolyaankanam ghnaapakasakti anedi pradhana rakam ghnaapakasakti chikitsa, endukante idhi daa. robbert butler yokka jeevita sameeksha. eee prakriyaloo okari jeevitamantaa ghnaapakaalanu gurtuchesukovadam mariyu eee kathalanu itarulatoe panchukovadam untaayi. tarachugaa idhi samuuha chikitsalo jarugutundi. evarainaa deerghakaalam konasage aparaadha bhavana yokka ottidini vadilinchukovaalsina avasaram vachinappudu obsessive memory sambhavistundi. eee samasyala dwara panicheyadam dwara vaaru tamatho taamu saantigaa undataaniki veelu kalpistundi. priyamaina vyakti maranaanni edurkovadamlo prajalaku sahaayapadataaniki kooda ghnaapakasaktini upayoginchaaru. priyamaina vyakti jeevitam gurinchi kathalanu panchukovadam dwara vaaru premapoorvaka ghnaapakaalanu gurthunchukogalaru mariyu maranamtho saantini pondagalaru.
paddhati.
ghnaapakasakti chikitsanu tarachugaa nursing home ledhaa "geriatric health facility" loe upayogistaaru."ghnaapakasakti chikitsa yokka nirmaanam chaalaa bhinnamgaa untundi. oka document sessionlo, oka chikitsakudu 1920-1960la nundi ververu paatalanu vaayinchaadu mariyu yea paatalu pratidhvanistaayo ledhaa pratyeka ardhaanni kaligi unnayo rogulanu adigadu. adhe therapist nundi maroka sessionlo, paalgonevaaru chaayaachitraalanu panchukunnaru mariyu chitraalu vaariki enduku mukhyamainavi anae daani gurinchi chuupimchaaru mariyu chepparu.
manasika parisoedhana mukhyamgaa prabhaavavantamaina rendu rakaala ghnaapaka chikitsalanu gurtinchindihi samagra mariyu sadhana.
ghnaapakasakti yokka charitra.
1950la chivarilo ghnaapakasaktini pratikuula lakshanamgaa chuusaaru, idhi tarachugaa manasika ksheenataku daariteestundi. eric ericson manasika saamaajika abhivruddhi yokka enimidi dasalanu thana bhavananu pravesapettaadu, indulo okari jeevitam yokka purogati mariyu jananam nundi maranam varaku abhivruddhi untundi. chivari dasalo, chivari yuktavayassu anie piluvabade, samagrata verses samagrata anae aalochananu teesukuvacchindi. niraasa. eee dasalo, okaru chanipoye mundu santruptigaa thana jeevitaanni tirigi chudatam chaalaa mukhyam. 1963loe daa. robbert butler jeevita sameeksha mariyu ghnaapakasakti yokka praamukhyata chuttoo unna klishtamaina amsaalapai oka kaagitaanni prachurinchaadu. reminiscence therapy yokka kadalikanu praarambhinchina ghanata butler kuu dakkutundi. eee praantamloo tadupari purogati 1971loe charless levis chetha cheyabadindi. levis ghnaapakasakti yokka modati prayogaatmaka adhyayananni srushtinchagaligaadu. levis ghnaapakasakti nundi sambhavinche evaina abhignaa maarpulanu alaage prajalu tamanu taamu elaa grahistaaro chudalanukunnaru. taruvaati samvatsaraallo eee praantam parisoedhanaku chaalaa prachuryam pondinanduna eee prayogam viluvainadigaa niroopinchabadindi. taruvaati samvatsaraallo, ghnaapakasakti yokka vidhulu mariyu prayojanaalapai ghnaapakasakti parisoedhana kendrikrutamai undhi. 1978loe aarogya mariyu saamaajika bhadrata vibhagam "dhi reminiscence aids project" anae prajectunu praarambhinchindi. eee project oka chikitsa prakriyagaa ghnaapakasaktini praarambhinchadaaniki cheyabadindi. chivaraku 1980laloe, ghnaapakasakti chikitsanu samsthalu gurtinchaayi mariyu samuuha chikitsagaa upayoginchadam praarambhinchaayi. eee kaalamlo, eee chikitsa prakriyaloo sikshana pondina nipunula sankhya perigindi. ghnaapakasakti chikitsa eee roeju varaku parisoedhana yokka praantamgaa konasaagindi. iteevala ghnaapakasakti chikitsapai aneka adhyayanalu jariginappatikee, butler mariyu ericson eee pani rangamtho atyanta anubandhinchabadina iddaru parisoedhakulu.
ghnaapakasakti siddhaantaalu.
upasamharana siddhaantam.
kontamandi chikitsakulu mariyu parisoedhakulu ghnaapakasaktiloo upasamharana siddhaantaanni upayogistaaru mariyu roogi saamaajika baadhyatala nundi vaidolagadampai drushti pedutundi. saamaajika jeevitaaniki dhooramgaa eee udyamam prothsahinchabadutundi, tadwara roogi (chaalaa sandarbhaallo oka vruddhudu) jeevita mugimputho mudipadi unna vegavantamaina maarpulaku tamanu taamu siddham chesukovacchu. itarulatoe paraspara charya nundi vaidolagadamlo, upasamharana siddhaantam atyanta saktivantamaina mariyu maranaanni pannu vidhinche vibhajana kosam vyaktini siddham cheyadaanni lakshyamgaa pettukundi. eee chikitsanu upayoginchadamlo aasha emitante, maranam vachinappudu, adhi saadhaaranamgaa anukunnanta baadhaakaramainadi ledhaa baadhinche anubhavam kaadu. ghnaapakasakti siddhaantam yokka upasamharana amsamlo palgone bhayapade rogulugaa undataaniki badulugaa ikapai bhayapadakapovachhu, conny vaari mugimpunu kalisinappudu adhikaram pondavacchu anae bhavana odaarpunistundi.
aham samagrata siddhaantam.
aham samagrata siddhaantam anedi vyakti thana jeevitam mariyu vijayaalanu venakki tirigi chusinappudu neraverchadam mariyu vijayam yokka bhavanni kaligi undatampai aadharapadi untundi. aham samagratanu saadhinchina vyakti vaari maranaanni edurkonadamto vachhe anischitini bhayapadakudadu. aham samagrata siddhaantam yokka vijayavantamaina sandarbhamlo roogi maranam yokka sambhaavyatatoo saantigaa untaadu. eee siddhaantam eric ericson yokka abhivruddhi dasala nundi abhivruddhi cheyabadindi, dheenilo chittasuddhi verses niraasa anedi taruvaati jeevita manasika abhivruddhiki keelakamaina dasha.
konasagimpu siddhaantam.
upasamharana mariyu aham-samagrata vruddhulaku ledhaa maranam yokka avakaasamtoe vyavaharinchadamlo sahayapade saadhanaalanu andinchavacchu, ayithe ghnaapakasakti siddhaantam yokka nijamaina ardhaanni puurtigaa ardham chesukovadaniki prayatnistunnappudu konasagimpu siddhaantam marinta lothaina antardrushtulanu andistundi anie bhaavistaaru. linn nundi vacchina oka bhaagam konasagimpu anae bhavananu uttamamgaa vivaristundi "vyaktulu oka dasha nundi maroka dasaku velli vaari jeevitaallo maarpulanu edurkontunnappudu, vaaru tama gataanni gurtuchesukovadam dwara maarpulanu kramabaddheekarinchadaaniki mariyu ardham chesukovadaniki prayatnistaaru. idhi konasagimpu yokka mukhyamaina bhavanni andistundi mariyu anusarananu sulabhataram chestundi. maarpu anedi vyakti yokka grahinchina gatamto mudipadi untundi, idhi antargata manasika lakshanaalalo mariyu saamaajika pravartana mariyu saamaajika paristhitulalo konasaagimpunu utpatti chestundi."ghnaapakasakti anedi jeevita konasagimpu siddhaantam antataa sambhavinche maarpulaku anugunamgaa vyaktulu maaradaaniki remot memarini samarthavantamgaa upayoginchaalsina oka yantraamgaanni andistundi. eee rakamaina ghnaapakasaktiloo ghnaapakasakti prakriyalu sambhavistaayi, idhi saadhaaranamgaa ksheeninche chivari ghnaapakasakti vyavastha. eee vyavastha yokka tarachugaa vyayamam cheyadam saadhaarana abhignaa paniteerunu meruguparustundani parisoedhanaloo kanugonabadindi.
ghnaapakasakti chikitsa.
paalgonevaaru vaari gatam nundi episodic ghnaapakaalanu swaraparamgaa gurtuchesukovadam dwara ghnaapakasakti chikitsa jeevita sanghatanalanu upayoginchukuntundi. idhi prajalaku vaari jeevita sanghatanala paramgaa konasagimpu bhavanni andinchadaaniki sahaayapadutundi. memory therapy anedi oka samuuha nepadhyamlo, vyaktigatamgaa ledhaa jantagaa chikitsa yokka lakshyanni batti jaragavacchu, eee aakruteekaranalalo memory therapy kooda nirmanatmakamga ledhaa nirmanatmakamga undochu. ghnaapakasakti chikitsa yokka praadhamika lakshyam abhignaa ghnaapakasakti bhaagaalanu balopetam cheyadam ayithe, dviteeya lakshyam vyaktigata abhivruddhi ledhaa vyaktula madhya abhivruddhini prothsahinchadam kaavacchu. eee vyaktigata avasaralu chikitsa samuuha nepadhyamlo nirvahinchabadutundaa ledhaa oka abhyaasakuditho ontarigaa nirvahinchabadutundaa anie nirnayistaayi. ghnaapakaalu kalakramanusaranga puttukatho praarambhamai, pradhana, mukhyamaina jeevita sanghatanalapai drushti saaristaayi. drushti anedi pratibimbam, kevalam gurthu chesukovadam kaadu. ghnaapakasakti chikitsa chaayaachitraalu, gruha vastuvulu, sangeetam ledhaa vyaktigata recordinglu vanti suuchanalanu upayoginchavacchu.
ghnaapakasakti chikitsa yokka anuvartanaalu.
ghnaapakasakti chikitsanu pradhanamgaa vruddha rogulalo upayogistaaru, idhi kontavaraku vruddhulalo prabalamgaa unna maandyam vanti saadhaarana rugmatalaku upayoginchabadutunna ghnaapakasakti chikitsa kaaranamgaa kaavacchu. idhi tarachugaa nursing homelalo ledhaa sahayaka jeevana soukaryaalalo upayoginchabadutundi, endukante idhi okari jeevitamlo konasagimpu bhavanni andistundi mariyu anduvalla eee rakamaina parivartanalaku sahaayapadavachhu. deerghakaalika paristhithulatho badhapaduthunna rogulu ghnaapakasakti chikitsa nundi kooda prayojanam pondavacchu, endukante vaaru tarachugaa samajikamga mariyu bhavodvegaparamga baadhapadataaru. pravartanaa, saamaajika mariyu abhignaa samasyalatho sahaa itara samasyalanu ghnaapakasakti chikitsanu upayoginchi parishkarinchaaru. samuuha ghnaapakasakti chikitsa sessionlu samuuhamloo saamaajika sambandhaalu mariyu snehaanni balopetam cheyadaaniki daariteeyavacchani adhyayanalu kanugonnayi.
manasika aarogyam mariyu jeevita merugudala.
aneka adhyayanalu mottam prabhaavampai ghnaapakasakti chikitsa yokka prabhavalanu pariseelinchaayi. oka parisoedhakula brundam aatmahatyala daddurlaku pratispandanagaa oka samaajamlo ghnaapakasakti chikitsanu amalu chesindi. parisoedhakulu vruddhula kosam sthaanika community centerlo vruddhulaku (pradhanamgaa mahilalu) chikitsa andinchaaru. group reminance therapy session tarvaata nirvahinchina prasnaapatram, paalgonevaarilo 97.3% matlade anubhavanni aasvaadinchaarani, 98.7% itarula maata vinadaanni aasvaadinchaarani, 89.2% reminance therapytho pani chese samuuham vaari rojuvaaree jeevitamlo sahaayapadutundani bhaavinchindani, mariyu 92.6% kaaryakramamlo konasaagaalani korukunnarani velladinchindi. perigina jeevita santrupti mariyu aatmagouravam yokka gatamlo nivedinchabadina prabhaavaalaku vaari phalitaalu maddatu istayani parisoedhakulu suuchistunnaaru. 12 vaaraala samagra ghnaapakasakti chikitsa kosam vaaraaniki oka session tarvaata, taivaanlooni samsthaagata vruddhulu niyantrana samuuhamtoe poliste aatmagouravam mariyu jeevita santruptilo gananeeyamaina perugudalanu anubhavinchaarani maroka adhyayanam choopinchindi. ayithe, konni paristhitulalo chittavaikalyam unnavaarilo jeevana naanhyata, ghnaanam, communication mariyu bahusha manasika sthithini meruguparachagaladani konni aadharalu unnaayi, ayithe anni prayojanaalu chinnavi. eee thedaalanu ardham chesukovadaniki mariyu yea rakamaina arty nundi evaru ekkuvagaa prayojanam pondutaaro telusukovadaaniki marinta parisoedhana avasaram. iteevali cochrane sameeksha (2018) prakaram, konni paristhitulalo chittavaikalyam unnavaarilo ghnaapakasakti chikitsa jeevana naanhyata, ghnaanam, communication mariyu bahusha manasika sthithini meruguparustundi, ayithe anni prayojanaalu chinnavi.
edurkogala naipunyaalu.
ghnaapakasakti chikitsa yokka saanukuula prabhavalu perigina sahinche naipunhyaala phalitamgaa unnayani kontamandi parisoedhakulu abhiprayapaddaru. mukhyamgaa, eee parisoedhakulu ghnaapakasakti chikitsa panichestundani vaadistaaru, endukante idhi kotta paristhitulanu samarthavantamgaa edurkovataniki mariyu edurkovataniki roogi saamarthyaanni penchutundi.
sweeya-saanukuula ghnaapakaalu sameekarinchadam mariyu vasatini edurkovadam dwara merugaina manasika sreyassuku sambandhinchinavi, ayithe sweeya-pratikuula ghnaapakaalu rendu rakalanu edurkovadam dwara vaari pratikuula sambandhaala dwara manasika sreyassunu taggistaayi. sammilita mariyu vasati kaliginche sahanam anedi rakshanaatmaka yantraamgaalu, dheeni dwara sweeya sthirathvam mariyu okari jeevitaaniki ardhaanni sthaapistundi.
vaayidya ghnaapakasakti chikitsa rendu adanapu rakalanu parishkarinchadaaniki veelu kalpistundihi samasya kendrikruta sahanam mariyu bhavodvega kendrikruta sahanam. samasyanu kendrikarinche samasyanu parishkarinchadaaniki vislaeshanhaatmaka vidhaanamtho paristhitini maarchadaaniki lakshya-aadhaarita prayatnamlo vyakti palgontadu. bhavodvega kendrikruta sahanam vyaktigata perugudalapai drushti pettadam dwara ottidi yokka saanukuula vivaranalanu srushtinchadaaniki sahaayapadutundi,
ottidini srushtinchadamlo okari swantha paatraku baadhyatanu angeekarinchadaaniki mariyu eee ottidini parishkarinchaalane korikanu mariyu ottidi gurinchi chaalaa teevramgaa undakapovadam dwara ledhaa ottidi yokka saanukuula amsaalanu vetakadam dwara ottidi nundi tananu taanu dhooram chesukovadaniki rogiki sahaayapadutundi.
depression.
aneka adhyayanalu vaidyaparamgaa niraasaku guraina vruddhulalo ghnaapakasakti chikitsa yokka prabhavanni pariseelinchaayi. vruddhulalo nispruha lakshanaalanu tagginchadaaniki ghnaapakasakti chikitsa chaalaa prabhaavavantamaina margamani eee parisoedhana suuchistumdi. samagra mariyu vaayidya ghnaapakasakti chikitsa palgonevari prabhavanni deerghakaalikamgaa gananeeyamgaa tagginchadam dwara maandyam lakshanaalanu meruguparachadaaniki sahaayapadindi. 12 vaaraala samagra ghnaapakasakti chikitsa tarvaata, samsthaagata vruddha anubhavagnulu nispruha lakshanaalalo gananeeyamaina taggudalanu anubhavinchaarani maroka adhyayanam kanugondi. nispruha lakshanaalatoo unna peddavaallu tarachugaa chedhu ghnaapakaalanu refreshes cheyadaaniki, visugunu tagginchadaaniki mariyu webster yokka vargeekarana nundi maranaaniki siddham kaavadaaniki (sambhaashana, bodhana/samacharam, saannihityam nirvahana, samasya parishkaram, gurtimpu) oka maargamgaa gurtuchesukuntaru. eee anveshana kaaranamgaa, parisoedhakulu, niraasaku guraina peddavaallu ippatike gurthuchesukunte, pratikuula margallo unnappatikee, vaaru eee kaaryakalaapaalato soukaryavantamgaa untaaru kabatti ghnaapakasakti chikitsaku manchi abhyardhulanu tayaaru chestaarani nirdhaarinchaaru. cancer thoo badhapaduthunna rogulalo kooda nispruha lakshanaalanu tagginchadaaniki kooda ghnaapakasakti chikitsa sahaayapadavachhu.
chittavaikalyam.
chittavaikalyamtho badhapaduthunna peddavaaripai ghnaapakasakti chikitsa yokka prabhavalanu kooda parisoedhakulu adhyayanam chesaaru. mukhyamgaa, adhyayanalu chittavaikalyam unna vruddhulaku ghnaapakasakti chikitsa yokka rendu pradhana prayojanaalapai drushti sarinchaih merugaina abhignaa paniteeru mariyu jeevana naanhyathalo merugudala (merugaina bhavodvegalu mariyu mottam aanandam/manasika sthithipai drushti pettadam).
2007loe jarigina oka adhyayanamlo 102 mandhi chittavaikalyam unna vruddhulalo ghnaapakasakti chikitsa abhignaa mariyu prabhaavavantamaina paniteeru rendintinee elaa prabhaavitam chesindo chuusaaru. pareekshaku mundu mariyu pareeksha tarvaata sweeya-nivedika roopakalpananu upayoginchi ghnaapakasakti chikitsa yokka prabhavanni nirnayinchadaaniki adhyayanam pramaanaalanu upayoginchindi. abhignaa paniteeru kosam, adhyayanam minee-mental state examination (mmse) nuu upayoginchindi. prabhaavita paniteeru kosam parisoedhakulu vruddhaapya maandyam scale short phaaram (zii. dii. ess. eff) nuu upayoginchi chittavaikalyam unna vruddhula vyaktigata abhiprayanni vaari sreyassu sthithi gurinchi mariyu chittavaikalyam (sii. ess. dii. dii) loe maandyam kosam carnell scalenu vislaeshimchadaaniki vaari samrakshakulu roogi bhavodvegamga elaa unnado vislaeshimchaaru. yaadruchchika adhyayanam pareekshaku mundu mmse mariyu csdd skorlu rendintiloonuu gananeeyamaina merugudalalanu kanugondi, idhi ghnaapakasakti chikitsa anedi chittavaikalyam unna vruddhulaku abhignaa mariyu bhavodvega vidhulu rendintikee sahaayapadatamlo saanukuula prabhavanni chooputundani prothsaahaka sanketam.
ghnaapakasakti chikitsa dwara merugudala chudadamlo oka prasna emitante, upayoginchabadutunna vaastava chikitsa rakam (konni vishayaala gurinchi gurtuchesukovadam) valla labhalu unnaya ledhaa thootivaari thoo saamaajika paraspara charyala perugudala ghnaanam mariyu mottam manasika sthithilo purogatiki kaaranamavutundaa. 2008loe jarigina oka adhyayanamlo dheenini pariseelinchaaru, ghnaapakasakti chikitsato chikitsa pondina prayogaatmaka samuuhaanni mariyu rojuvaaree vishayaala gurinchi samuuha sambhaashanhalu chese niyantrana samuuhaanni upayoginchaaru. adhyayanaaniki mundu chittavaikalyam sthaayini nirnayinchadaaniki mmse upayoginchabadindi, mariyu 2007 adhyayanam vale, rendu samuuhaalapai ghnaapakasakti mariyu sambhaashana chikitsalu rendinti yokka abhignaa mariyu prabhava prabhava prabhavanni pariseelinchindi. ghnaanam kosam samuuhaalaku naalugu-amsaala shabda spashtata pareeksha ivvabadindi. palgonevari manasika sthithi, rojuvaaree jeevita naanhyata mariyu chikitsapai aasaktini anchanaa vaeyadaaniki, adhyayanam thodai-shiki pariseelana rating scale (tors) nuu upayoginchindi, mariyu vaari mottam anandampai sweeya-nivedika kosam, paalgonevaaru seyint mariana aasupatri yokka vruddha chittavaikalyam rogula decare muulyaankana pattikanu teesukunnaru. ghnaapakasakti yokka phalitaalu 2007 adhyayanamtho ekibhavinchayi, ghnaapakasakti samuuham pareekshanu post cheyadaaniki mundu marinni padaalanu gurtuchesindi. ayithe, niyantrana sambhaashana samuuham, pareekshaku mundu nundi post varaku gurthuku techukunna padaalaloo taggudalanu chusindi, idhi saanukuula abhignaa prabhaavaaniki kaaranamayye vaastava ghnaapaka chikitsa rakam, kevalam thotivaaritho yea sambhaashanhaku kaadu anae vaadanaku maddatu istundi. chivaraku, adhyayanam niyantranapai ghnaapakasakti samuuham kosam tors mariyu decare muulyaankana pattika skorlu rendintiloonuu merugudalalanu choopinchindi, antey paalgonevaaru santoshamgaa unnaaru, rojuvaaree jeevita naanhyatanu meruguparicharu mariyu chikitsaku marinta shraddhaga unnaaru, prii-treatment mariyu verses controll group phalitaalato poliste.
oka adhyayanam rendu rakaala chittavaikalyam unna vyaktula kosam ghnaapakasakti chikitsanu chusindi algimers vyaadhi mariyu vascular chittavaikalyam. algimers vyaadhi unnavaaru ventane jokyam chesukunna tarvaata niyantrana samuuhamtoe poliste upasamharanalo gananeeyamaina merugudalanu anubhavinchaaru (kabatti vaaru takkuva upasamharinchukunnaaru mariyu itarulatoe ekkuva sambhaashinchaaru). vascular dementiatho badhapaduthunna paalgonevaaru jokyam chesukunna ventane mariyu 6 nelala phaalo up tarvaata niyanthranatho poliste upasamharana mariyu abhignaa paniteerulo gananeeyamaina merugudala chuupimchaaru. kalakramena eee prabhavalanu nirvahinchadaaniki nirantara jokyam avasaram kaavacchu, mukhyamgaa algimers vyaadhi unna vruddhulalo, 6 nelala tarvaata upasamharanalo merugudala kanipinchaledu.
chittavaikalyam unnavaaripai ghnaapakasakti chikitsa yokka prabhavalanu anveshinchina oka adhyayanamlo, ghnaapakasakti chikitsanu pondina paalgonevaaru lakshyam-nirdesita samuuha karyakalapallo ledhaa nirmaanaatmaka khaalii samayamlo palgonna vaari kante gananeeyamgaa ekkuva sreyassunu anubhavinchaarani kanugonnaru. algimers vyaadhitho badhapaduthunna 88 yella vyakti yokka cases-studdy vyaktigata ghnaapakasakti chikitsa tarvaata merugaina abhignaa paniteerunu anubhavinchinatlu choopinchindi.
phalitaalanu.
ghnaapakasakti chikitsaku guraina rogulalo maarpulanu anchanaa vaeyadaaniki vividha pravartanaa charyalu upayoginchabadataayi mariyu iteevala, chikitsa tarvaata medadu imaging madimpulo bhaagamgaa undatam praarambhinchindi.
pravartanaa moolyaankanam.
rogulapai ghnaapakasakti chikitsa phalitaanni kolavadaniki upayoginche atyanta tarachugaa unde lakshanaalu
neuroimaging.
vascular dementia unna rogulalo, dwaipaakshika puurva singulate mariyu edama diguva taatkaalika lobe loe cartical glucose metabolismlo gananeeyamaina perugudala, ivi varusaga saamaajika paraspara charya mariyu remot memarylaku mukhyamaina praantaalu. algimers vyaadhi unna vruddha rogipai oke photan emission computed tomographyni upayoginchadam valla medadu yokka frontal lobku ekkuva rakta pravaham velladaindi, eee vyaadhi unnavaarilo idhi ksheenistundi. idhi moolyaankanam cheyabadina pravartanaa lakshanaalalo saanukuula maarpulatoe jatacheyabadindi.
prabhava karakalu.
mottammeeda, saanukuula phalitaalu ghnaapakasakti chikitsa phalitamgaa kanipistaayi, ayithe vividha sthaayilalo. memory therapy roopam, sessionla formatt (group verses vyaktigata setting), puurti chesina sessionla sankhya, roogi nivasinche pradaesam, aarogyam, vayassu mariyu vyakti lingam, mariyu vyakti vaari jeevitamlo pedda maarpulaku kaaranamayye evaina sanghatanalanu anubhavinchinatlayithe, vividha kaaranaala valla phalitaallo vaividhyam untundani bhaavistunnaaru.
itara jeevita sameeksha mariyu saadhaarana ghnaapakasaktitoo polchinappudu jeevita-sameeksha chikitsa manasika sreyassupai balamaina saanukuula prabhavalanu chooputundani ghnaapakasakti chikitsa roopaalapai chesina moolyaankanamlo kanugonabadindi. eee chikitsa yokka paddhatulu mariyu uddesyam yokka perigina vyavastheekarana kaaranamgaa, jeevita sameeksha ghnaapakasakti chikitsato poliste ekkuva saanukuula prabhavalanu utpatti chestundani bhaavinchabadindi. ghnaapakasakti chikitsa yokka prayojanaalu chikitsa yokka aakruti nundi swatantramgaa sambhavistaayi. chikitsa chinna ledhaa pedda samoohaalalo vyaktigata praatipadikana nirvahinchabadutundaa ledhaa anedaanilo pravartanalo merugudala sambhavistundi. chikitsa karyakramam yokka tarachudanam mariyu vyavadhi ghnaapakasakti yokka prabhavanni maarchinatlu anipinchadu.
aneka nirdishta samuuhaalu ghnaapakasakti chikitsa yokka prabhavalanu adhyayanam cheyadaaniki lakshyamgaa pettukoobaddaayi mariyu vaati gatamlo unna paristhiti mariyu daanitoe anubandhinchabadina samasyala aadhaaramgaa vividha charyalanu upayoginchi moolyaankanam cheyabaddaayi. vaari depression ratinglo unnavaaru chikitsa praarambhaaniki mundu takkuva nispruha lakshanaalanu pradarsinche vaaritho poliste vaari lakshanaala merugudala raetu ekkuvagaa chuupimchaaru, ayinappatikee maandyam sthaayilalo merugudalalu kanipinchaayi. adhyayanaalannintilo, ghnaapakasakti chikitsa chittavaikalyam unna rogulanu sanukoolamgaa prabhaavitam chesindi, mukhyamgaa vascular dementia, cartical glucose metabolism perugudala vanti saamaajika paraspara charya mariyu remot memarylaku mukhyamaina praantaalalo vividha charyalanu upayoginchi moolyaankanam cheyabadindi. algimers vyaadhi unnavaaru gatamlo charchinchinatlugaa, medadulooni praantaalaku rakta pravahanni meruguparicharu mariyu muulyaankana pravartana lakshanaalalo saanukuula maarpulu chesaaru. kushtu vyaadhi unna rogulalo, maandyam unnavaarilo goppa saanukuula prabhavalu kanipinchaayi, conny ghnaapakasakti chikitsa chittavaikalyam ledhaa abhignaa skorla dasanu prabhaavitam cheyaledu.
praarambhamlo ghnaapakasakti vruddhula kosam uddesinchabadindi. ayithe, eee chikitsa vaari jeevitapu prarambha dasalalo kooda peddalaku viluvaina saadhanamgaa niroopinchabadindi. vruddhulalo, jeevitam mariyu aatma santrupti merugudala, aatmagouravam, saamaajika prameyam perugudala, idhi saamaajika paristhitulanu edurkovataniki vaari saamardhyamlo merugudala, ontaritanam mariyu paraayeekarananu tagginchadaaniki daariteesindi. adanamgaa, nispruha lakshanaalu, manasika lakshanaalu, manasika sreyassu, aham-samagrata, jeevitamlo ardham/prayojanam, naipunhyam, abhignaa paniteeru, saamaajika samaikyata, maranam kosam tayari annee chikitsa mugisina tarvaata merugudalalu choopinchaayi. tadupari depression samayamlo, manasika aarogyam, sreyassu, aham-samagrata, abhignaa paniteeru, marana tayari vanti itara suuchikalu annee mundastu chikitsa nundi meruguparachabadaali. vruddhulalo kanipinche merugudalalato polchadagina merugudalalu chinna vayassu brocketlanu kaligi unna adhyayanaalalo kanugonabaddayi. maandyamlo merugudalalu streelu mariyu purushulu iddariloo sambhavistaayi. ghnaapakasakti chikitsa yokka prabhavalapai purushulu mariyu mahilala madhya tulanaatmaka vislaeshanhaloo lingaala madhya chikitsa vijayamlo vyatyaasaaniki etuvanti aadharalu kanipinchaledu. samuuha kendraala nundi nivaasitulu mariyu vistruta samajalalo nivasinche vaaritho kuudina samoohaalalo ghnaapaka chikitsa nirvahinchabadindi. iteevali vislaeshanhalu chikitsa samayamlo vyaktulu nivasistunna samajam yokka rakam madhya ghnaapakasakti nundi phalitaalalo etuvanti thedaalu levani suuchistunnaayi, idhi samuuha gruhalu ledhaa samrakshana kendraalalo nivasinche vaaru eee kaaryakramaala nundi takkuva prayojanam pondaarane munupati phalitaalaku viruddhamgaa undhi. vividha pradhana jeevita sanghatanalanu anubhavinchina vaaru nispruha lakshanaalu mariyu aandolanalo taggudalatoe sahaa merugaina manasika sthirathvaanni chuupimchaaru. samsthaagata vruddha purusha anubhavagnulu aatmagouravam mariyu jeevita santruptini penchaaru mariyu laeni vaaritho poliste 12 vaaraala ghnaapakasakti chikitsa kaaryakramamlo palgonna niraasa lakshanaalalo taggudala chuupimchaaru.
saaraamsam.
mottammeeda, ghnaapakasakti chikitsa anedi vruddhulaku vijayavantamgaa mariyu santoshamgaa sahaayapadataaniki chavakaina mariyu sambhaavya prayojanakaramaina vidhanam. idhi vaariki mottam jeevita santrupti mariyu edurkovataniki naipunhyaalanu andistundani, alaage niraasa mariyu chittavaikalyam lakshanaalanu meruguparachadaaniki kooda sahaayapadutundani telustondi.

