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我丈夫生活在一个幻想的世界里。起初我以为这是为了掩盖他的失忆,但现在已经被夸大了,这让我很害怕。在他看来,他是一个世界各地的旅行者,每一次冒险都有着疯狂的故事。我们去的每一个地方(大部分在镇上),他都表示“那辆车总是停在我们前面,那个无家可归的人总是在这个拐角处,那个灯泡已经熄灭多年了,那个女士总是带着那辆婴儿车过马路,我们总是错过这盏灯”,等等。明白吗?如果我提到任何事情,比如一辆车上不寻常的油漆工作,他会很快指出他“总是”看到那辆车,而“我”是那个失去理智的人。特别值得关注的是,他下定决心要在附近找到一栋房子、一套公寓、一个墙上的洞!他会骑上自行车去找它的。我花了好几个小时开车带他穿过这个地区,寻找这个梦幻的地方,希望能找到它,或者让他放心,它根本不存在,但毫无结果。我担心他会受伤或迷路。他知道自己被诊断出患有老年痴呆症,但他确信这最多只是很轻微的。这些24/7错觉正常吗?有没有药物可以让他平静下来?他每天服用10毫克阿利西普。他总是喜欢编故事。怎么办?

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我会研究路易身体痴呆症,看看你能不能给他做个评估。我妈妈也做同样的事。瑟罗奎尔有助于消除错觉。我学会了在适当的时候点头和低语。这省去了很多争论。
(0)
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我太迷茫了。My husband was diagnosed with Alzheimer’s in April 2017.I was in denial until the Neurologist ordered 2 studies ( a PET & something else,which you’d think I’d remember because I’m a nurse,but at this point I can’t depend on myself to tell time.) Tests showed his brain was indicative of AD.He was hospitalized because I found him in the kitchen,standing with his forehead against the wall,eyes closed,unresponsive & rigid.I had to fight with both hands to move his foot ! It was as if he was glued to the tile ! It didn’t matter what I said or how loud I screamed,he remained mute with his eyes closed.I’ve never witnessed such behavior with him or any of my AD patients over my career as a nurse.The Neurologists in the hospital diagnosed him with Parkinson’s,the V.A. simply went along with the hospital,so I brought him to a highly recommended Neurologist who nixed the Parkinson’s & said he was quite certain it was due to his PTSD ( a Marine tanker in Vietnam ) which escalated since his retirement 8 yrs ago.He prescribed Psychotherapy,Memantine,& now Aricept.It’s a roller coaster.Often he seems fine,yet today he spoke only about 10 times in response to my questions.I’m not used to this.We were best friends & talked about everything & had fun whatever we did.He used to help around the house a lot....do dishes,clean bathrooms,dust,vacuum,hey,once a Marine,right ? We were a great team.Now he has lost his energy.The exterior of the house is suffering...he loved doing yard work...so now I hire people to help out.He seems unfazed by this when in the past he would “ supervise” contractors ! When we go shopping he cannot leave dogs or babies alone ! He’s always loved dogs,but when I saw him walking towards a Service dog,I had to ward him off which makes him angry.If there’s a baby in line behind us he’ll touch their toes & smile,telling the Mom that he just became a Grandpa & blah blah they could care less & I’m dying,trying to pull him away ! Before we go into stores I now have to announce,” If you talk or touch a dog or baby we are leaving immediately ! People do not want everyone touching their kids ! Would you want anyone touching Brooke ?? ( 6 mo granddaughter). He says,” No,I guess not.” But that’s soon forgotten.The Neuro said he can drive locally because it didn’t seem to be a problem for him.Last week we were 2 mins from our house & he told me to pull into the Deli parking lot to ask directions ! My jaw dropped ! I honestly thought he was joking ! My heart was racing ! He didn’t recognize anything ! I had to take Mom’s keys away 7 yrs ago & we all know how devastating that is for everyone.She bent the handle of the garage door trying to work it open at age 80.Now I’m faced with it again.I can’t bear it.He loves to go fishing & takes an annual trip with his buddies to the Salmon River.He thinks he’s going this Oct. He’s not.Yesterday he wanted to go get his hair cut & asked if I hid his keys.I did.I said you can’t drive today.You are shuffling around,barely walking.He said OK but snuck out this morning while I was asleep.I barely sleep.He is up all night,making coffee,peanut butter & jelly,comes back to bed,snores,gets back up,repeat.I took an ambien last pm so I could get some much-need d sleep.I’m a walking nightmare.I don’t care how so look anymore.I shower & wear clean clothes,but makeup & shopping for new clothes have gone by the wayside.He comes everywhere with me & I feel so pressured that I leave the store in a huff.He says he’s going to go look at something in Men’s Dept. but before I know it my name is coming over the loudspeaker or he shows up standing right next to me.I like to browse & he’s never had patience so I don’t enjoy shopping anymore.
总而言之,我不知道他现在处于什么阶段,我知道我需要帮助。我已经走到了尽头。我会一饮而尽。我为自己过去坚强时的软弱而生气。我为失去他而生气。这不是我想象中的退休。
泰尔
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汇报

这些听起来像是老年痴呆症的症状。有些人(并非所有人)表现出偏执和/或妄想。我母亲是5年前被诊断出的,我也看到了大多数类似的行为。她经常说她认识街上的陌生人,或者我们出去时她去过什么地方,而我知道她没有。当我们坐在车里的时候,我一直在跟自己开玩笑,就像一直在说的一样:街上那栋她讨厌的黄色房子,那棵可怕的诺福克岛棕榈树将要倒在邻居的房子上,那辆丑陋的橙色汽车就在拐角处“为什么有人想要一辆橙色汽车……”有时我试图在她看到这些“标记物”之前分散她的注意力,而其他日子我只是随波逐流。最糟糕的是,如果她看到一个很胖的人,她会评论他们,看看他们的大屁股;我感到羞愧。我总是要对周围的一切保持高度的观察力,并随时准备好转移她的注意力或改变她的方向。
她经历了相当长的一段时间,也经历了她称之为“毛骨悚然者”的过程,她认为这些人会进屋抓住她。她会告诉我她给他们做了些食物,然后他们就沿着道路上的雨水沟走了,或者她会说我需要保持安静,因为那些“人们”正在进行他们的健身散步(请注意,在她靠近运河的有栅栏的后院里)。
你不能与这种疾病争论或推理;只会让他们心烦意乱。她已经服用10毫克aricept和10毫克mementine 4年了。去年,医生给她补充了50毫克曲唑酮,以平息她的妄想症,因为她晚上拒绝在床上睡觉,而且会因为“爬行”而感到非常痛苦,她会躲在地板上的壁橱里。从特拉扎东开始,她就平静多了,不那么激动。
可怕的疾病,看着强壮、独立、充满活力的人在你面前基本上消失,变成他们曾经的脆弱、无助、困惑的外壳。现在我妈妈基本上处于一种状态,好像她还不到10岁。不停地问我是否应该打电话给她的父母去接她,她再也认不出自己的房子了,等等。现在最糟糕的是上厕所的习惯;并没有把脏纸放进马桶的概念。我必须把垃圾桶从厕所附近移开,让她把垃圾扔到马桶的屁股下面。最近一周,她有了一个新消息,她的食物中毒了!你恨这种病;和平与爱,献给你们所有人,与你们所爱的人一起坚持到底。一天一天。。。
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汇报

安理申不能治愈或减缓阿尔茨海默病的发展。它确实倾向于通过使大脑更加活跃来缓解一些症状。几年前,一位医生给我开了安利辛(Aricept),治疗由甲状腺功能减退引起的脑雾(现在通过甲状腺激素替代疗法治疗得很好)。我可以告诉你,我会在早上醒来梦见全新的小说。如果我能把它们写下来,我今天就成了著名作家了。我建议他不要服用安理申。从他的症状来看,可能会让他更糟。
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汇报

去看医生,给他检查尿路感染。妄想是痴呆症的一部分。有些药物会有帮助,而不是消除,但会有帮助。他是在看老年病学专家还是专门研究痴呆症的神经学家?全科医生没有接受治疗老年痴呆症症状的培训。
(3.)
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