Kpekpe ɖe ŋuwò be nànɔ lãmesẽ me ne èle tsitsim: Amekae nye ame tsitsiwo ƒe dɔdala?

Ame tsitsi nye nusi bɔ ɖe mí katã dome. Ne míele tsitsim la, míaƒe ŋutilã kple susu va toa tɔtrɔ vovovowo me, eye dɔléle yeyewo ate ŋu ado mo ɖa. Eyata le ɣeyiɣi siawo tɔgbe me la, aleke gbegbe wòanyo be ɖɔkta si léa fɔ ɖe míaƒe hamemetsitsiwo ƒe lãmesẽkuxiwo ŋu nanɔ mía si? Emae nye eŋutinunyala bibi si ƒomevi ŋu míele nu ƒom tsoe egbea , si nye ‘Ame Tsitsiwo ƒe Dɔwɔla’ .

Ameka tututue nye ame tsitsiwo ƒe dɔdala?

Kpuie ko la, ame tsitsiwo ƒe dɔdala nye ɖɔkta si xɔ hehe tɔxɛ le ame tsitsiwo ƒe lãmesẽ ŋu, si fia be mía dadawo, mía fofowo, mía tɔgbuiwo, kple bubuawo. Ɣeaɖewoɣi la, wogayɔa wo be ‘Geriatric Medicine Doctors’. Wokpɔa dɔléle vovovo siwo dzɔna ne míele tsitsim la hedaa wo. Wokpena ɖe ŋuwò hã be nàwɔ ɖoɖo ɖe atikewɔwɔ ƒe ɖoɖo si awɔ dɔ nyuie na wò wu ŋu, to nuƒoƒo tso wò ŋutɔ wò nuhiahiãwo, nusiwo nèlɔ̃, kple nusiwo melɔ̃na o ŋu me. Ðe ema menye nu gã aɖeke oa?

Ame tsitsiwo ƒe atikewɔla siawo nye ɖɔkta siwo xɔ hehe veviwo abe atikewɔlawo katã (`Ememe Atikewɔwɔ`) alo ƒome ƒe atikewɔlawo (`Ƒome ƒe Atikewɔwɔ`), eye emegbe woxɔ hehe tɔxɛ bubuwo le ame tsitsiwo ƒe atikewɔwɔ ƒe akpa dzi (`Amegãwo ƒe Atikewɔwɔ`). Woateŋu awɔ dɔ abe kɔdzi ``Center for Geriatric Medicine`` ƒe akpa aɖe ene, alo woateŋu awɔ dɔ le atikewɔƒe si menye ame ŋutɔ tɔ o. Ame aɖewo hã wɔa dɔ kple ame tsitsiwo le ``ɣeyiɣi didi ƒe dɔnɔdzikpɔƒewo`` alo ``ɖɔɖɔɖodɔwɔƒewo``. Ƒuƒoƒo bubu aɖe hã li si woyɔna be ``Gerontologists``, amesiwo hã wɔa dɔ kple ame tsitsiwo ƒe nyonyo, gake ame tsitsiwo ƒe dɔdala hã nye ɖɔkta. Èse vovototo si le wo dome gɔmea?

Aleke ame tsitsiwo ƒe dɔdala ate ŋu akpe ɖe ŋuwòe?

Ame tsitsiwo ƒe dɔdala kpɔa wò abe ame blibo ene . Esia fia be ebua wò ŋutilã, susu, susu, kple hadomenuhiahiãwo ŋu. Ezãa nyatakaka siawo katã tsɔ naa atikewɔwɔ kple aɖaŋuɖoɖo wò. Nusiwo ame tsitsiwo ƒe dɔdala ate ŋu awɔ na wò dometɔ aɖewoe nye esi:

• Dɔlélewo didi: Míekpɔa atikewɔwɔ me nɔnɔme vovovo siwo tututu le ŋuwò.
• Atikewo kple atikewɔmɔnu bubuwo ŋɔŋlɔ na ame: Atike siwo hiã, vitaminwo, kple atikewɔmɔnu bubu siwo sɔ la ŋɔŋlɔ.
• Kpɔe ɖa be atikewo ƒe nugbegblẽ le ame ŋu hã: Kpɔe ɖa ɣesiaɣi be atike siwo zãm nèle la le nugbegblẽ aɖewo hem vɛ hã. Ne ɖewo li la, woate ŋu atrɔ atike si woŋlɔ nɛ.
• Nuƒoƒo tso atikewɔwɔwo ƒe nyonyo kple kuxiwo ŋu: Ne èle atikewɔwɔ gãwo abe amekoko ene wɔm la, woana nànya viɖe siwo le wo ŋu, woƒe kuxiwo, kple afɔku siwo le wo me.
• Dɔwɔwɔ kple lãmesẽdɔwɔla bubuwo: Míawɔ ɖoɖo be nàxɔ dɔ tɔxɛ siwo nèhiã, le kpɔɖeŋu me, kansa ŋuti nunyala alo ahɔhɔ̃ŋutinunyala.
• Gbesiagbe dɔwɔnawo me dzodzro: Míadzro wò ŋutete be nàwɔ gbesiagbedɔwo me eye míaɖo aɖaŋu na wò le agbenɔnɔ ƒe tɔtrɔwo ŋu ne ehiã. Le kpɔɖeŋu me, ne ʋukuku megale dedie o alo ne afɔku le eme be wò ɖeka nànɔ aƒeme la, míadzro nusiawo me eye míakpe ɖe ŋuwò nàɖe afɔ siwo sɔ.
• Mɔfiamewo Ŋuti Ðoɖowɔwɔ Do Ŋgɔ: Esia nye nyati vevi aɖe, gake ele vevie ŋutɔ. Ɣeaɖewoɣi la, míate ŋu awɔ nyametsotsowo le míaƒe lãmesẽ ŋu le etsɔme o. Le nɔnɔme sia tɔgbe me la, míate ŋu afia mɔ wò kple wò ƒomea le ɖoɖowɔwɔ do ŋgɔ le alesi nèdi be woawɔ wò atikewɔwɔe ŋu, le wò didi nu.

Ame tsitsiwo ƒe dɔdalawo nya be menye amesiamee sɔ o. Tsɔe be dɔléle ma ke le ame bubu ŋu abe wò ene, gake atike si wòlɔ̃na wu kple agbenɔnɔ ate ŋu ato vovo kura tso tɔwò gbɔ. Le ame aɖewo gome la, woƒe ɖokuisinɔnɔ le vevie wu nu bubu ɖesiaɖe. Ame bubuwo dina be ame aɖe nanɔ yewo gbɔ gaƒoƒo 24 gbesiagbe be wòakpe ɖe yewo ŋu. Ame aɖewo dzea agbagba be yewoaɖe yewoƒe atikewo dzi akpɔtɔ eye woƒoa asa na amekoko alesi woate ŋui. Ame bubuwo dina be yewoate atike ɖesiaɖe si yewoate ŋui la kpɔ.

"Ame tsitsiwo ƒe dɔdala aƒo nu kpli wò eye wòakpe ɖe ŋuwò nàse nusi nèdi wu kple alesi nàte ŋu aɖo taɖodzinu mawo gbɔ gɔme . Woaɖe mɔnu bubu siwo li hã me na wò ne wò didi veviwo mate ŋu ava eme o, alo ne afɔku le eme na wò. Woana wò lɔlɔ̃tɔwo hã nakpɔ gome le esiawo katã me, akpɔ egbɔ be wò dzi dze eme eye wò dzi dze eme le wò atikewɔwɔ ƒe ɖoɖoa me alesi nàte ŋui."

Nukae nye ‘Ame tsitsiwo Dzikpɔha’?

Esia hã le vevie ŋutɔ. ‘Ame tsitsiwo ƒe Dɔwɔha’ nye ame tsitsiwo kple lãmesẽdɔwɔla bubuwo ƒe ƒuƒoƒo si wɔa dɔ ɖekae tsɔ kpɔa ame tsitsiwo dzi. Wodaa wò nuhiahiãwo kpɔna eye wodaa lãmesẽkuxi ɖesiaɖe si ate ŋu anɔ ŋusẽ kpɔm ɖe wò ŋutilã kple susu dzi.

Tsɔ kpe ɖe ame tsitsiwo ƒe dɔdalawo ŋu la, ame bubuwo ate ŋu anɔ ƒuƒoƒo sia me. Le kpɔɖeŋu me:

• Nuɖuɖuŋutinunyalawo: Ame siwo ɖoa aɖaŋu na wò le wò nunyiame ŋu.
• Dɔnɔdzikpɔlawo: Amesiwo naa beléle to kpekpeɖeŋu nana ɖɔktawo me.
• Dɔdamɔnufialawo: Ame siwo kpena ɖe amewo ŋu wowɔa gbesiagbedɔwo bɔbɔe wu.
• Atikewɔlawo: Ame siwo ɖoa aɖaŋu na wò tso atike siwo nènona kple woƒe kadodo kple wo nɔewo ŋu.
• Lãmesẽnyawo Gbɔkpɔlawo: Amesiwo daa kuxi siwo do ƒome kple kamedede, ƒunukpeƒewo, kple lãmekawo.
• Atikewɔlawo ƒe Kpeɖeŋutɔwo: Amesiwo kpɔa dɔnɔwo le atikewɔlawo ƒe dzikpɔkpɔ te.
• Tagbɔdɔdalawo Kple Susuŋutinunyalawo:Amesiwo ɖoa aɖaŋu kple atikewɔwɔ na susumedɔlélewo.
• Hadomedɔwɔlawo: Ame siwo kpea asi ɖe hadome kple ganyawo ƒe kuxiwo ŋu eye wofiaa mɔ wo yia nunɔamesi siwo hiã gbɔ.
• Nuƒoƒo Kple Tosese Ŋuti Nunyalawo: Ame siwo kpena ɖe ame ŋu le nuƒoƒo alo tosese ƒe kuxiwo me.

Ne míagblɔe tututu la, menye amesiamee ate ŋu akpɔ ame tsitsiwo ƒe dɔdala alo belélenameha ma tɔgbe bɔbɔe o. Eto vovo le afisi nèle, wò lãmesẽnyawo ŋuti nugblẽfexeɖoɖo, kple bubuawo nu.Le nɔnɔme siawo tɔgbe me la, àte ŋu awɔ dɔ kple wò ƒomea ƒe ɖɔkta (`Primary Care Provider`), amesi xɔ hehe tɔxɛ le ame tsitsiwo dzi kpɔkpɔ me.

Ƒe nenie wòle be nàkpɔ ame tsitsiwo ƒe dɔdala?

Ame akpa gãtɔ dzea ame tsitsiwo ƒe dɔdala gbɔ yiyi gɔme le ƒe 65 xɔxɔ megbe , eye vevietɔ le ƒe 75. Gake ema ate ŋu ato vovo le wò lãmesẽ ŋutinya kple nuhiahiãwo nu. Ame Tsitsiwo ƒe Atikewɔwɔ Dɔwɔƒe (CGM) aɖewo le amesiwo xɔ ƒe 50-awo subɔm fifia. Esia adze abe ɖe wòdo ŋgɔ vie ene. Ẽ, mese egɔme be ƒe 50 gakpɔtɔ nye sɔhɛ na ame aɖewo. Gake lãmesẽkuxi siwo dona tso tsitsi me gbɔ kpɔkpɔ kaba ate ŋu akpe ɖe ŋuwò nàɖu wò afɔkuwo dzi eye nàxe mɔ ɖe nɔnɔme geɖe siwo nɔa anyi didi nu.

Bu esia ŋu kpɔ: Atikewɔwɔ ƒe nɔnɔme etɔ̃ ya teti le amesiwo xɔ ƒe 65 kple edzivɔ siwo wu 50% ŋu siwo ŋu wòle be woalé ŋku ɖo alo akpɔ wo gbɔ. Ne dɔléle siwo wu ɖeka le ŋuwò la, wò atikewɔwɔ va sesẽna vie. Ɣemaɣie ame tsitsiwo ƒe dɔdala ƒe kpekpeɖeŋu va ɖea vi.

Le kpɔɖeŋu me, ne èle atike geɖe zãm na nɔnɔme vovovowo la, ame tsitsiwo ƒe dɔdala ate ŋu akpɔ egbɔ be atikeawo zazã le dedie evɔ womawɔ ɖeka kple wo nɔewo si me afɔku le o. Nenema ke ne wole atike aɖe wɔm abe amekoko ene la, wodaa viɖe kple kuxi siwo le eme la kpɔna. Elabena afɔku siwo le amekoko me le ƒe 70 xɔxɔ me ate ŋu asɔ gbɔ wu esiwo le ƒe 40 xɔxɔ me.

Nyateƒee, ememedɔdalawo kple ƒomedɔdalawo hã naa kpekpeɖeŋu sia ƒomevi le agbɔsɔsɔ gã aɖe me. Ne èyi ame tsitsiwo ƒe dɔdala gbɔ gɔ̃ hã la, ele vevie be nàyi edzi anɔ ƒomedodo me kple wò ƒomea ƒe ɖɔkta. Gake ame tsitsiwo ƒe dɔdalawo tsɔa sidzedze kple nunya bubuwo kpena ɖe wò beléle ŋu. Wona hehe wo etɔxɛe be woakpɔ ame tsitsiwo dzi, vevietɔ amesiwo ŋu atikewɔwɔ me kuxi sesẽwo le. Esia lɔ ŋutilãmedɔlélewo kpakple susumedɔlélewo ɖe eme. Eya ta, esi wokpɔ nɔnɔme siawo dometɔ geɖe ta la, wole klalo be yewoana kpekpeɖeŋu, eɖanye nɔnɔme ka kee nèɖale o.

Ðe wòle be nye lɔlɔ̃tɔa nayi ame tsitsiwo ƒe dɔdala gbɔa?

Ne wò lɔlɔ̃tɔ, abe vidada, fofo, mama, alo tɔgbui ene, le nɔnɔme sia me la, ate ŋu aɖe vi ŋutɔ be nàdi aɖaŋuɖoɖo tso ame tsitsiwo ƒe dɔdala gbɔ:

• Agbenɔnɔ kple atikewɔwɔ ƒe nɔnɔme vovovowo
• Ne èle atike geɖe zãm le ɣeyiɣi ɖeka me.
• Ne ŋkuɖoɖonudzi ƒe kuxiwo, abe ŋkuɖoɖonudzi ƒe kuxi alo ŋkuɖoɖonudzi ene, me tom.
• Ne ele sesẽm nɛ be wòawɔ dɔ le ɣeyiɣi siwo wòaɖo ɖi kple atikewɔwɔ me la, .
• Ne woxɔ wò ɖe kɔdzi alo nèle hayahayam tso kɔdzi nɔnɔ me. (Woxɔe ɖe kɔdzi alo le hayahayam tso kɔdzi nɔnɔ me)

Ne wòe nye wo dzikpɔla vevitɔ la, àte ŋu ade dzesi tɔtrɔ suesuesue siwo ame bubuwo made dzesii o. Ðewohĩ wò lɔlɔ̃tɔa made dzesi wo gɔ̃ hã o. Le nɔnɔme mawo me la, ate ŋu anye wò agbanɔamedzi be nàdo susu ɖa be woayi ame tsitsiwo ƒe dɔdala gbɔ. Woate ŋu alé ŋku ɖe wò lɔlɔ̃tɔa ŋu tso go sia go me, si me woƒe susu ƒe lãmesẽ kple hadome nyonyo hã le, eye woawɔ ɖoɖo si akpɔ woƒe nuhiahiãwo gbɔ.

Aleke mawɔ ake ɖe ame tsitsiwo ƒe dɔdala si te ɖe ŋunye ŋu?

Le Sri Lanka la, ame tsitsiwo ƒe dɔ tɔxɛa mekaka haɖe o. Ke hã, àte ŋu abia wò ƒomea ƒe ɖɔkta tso nya sia ŋu. Ðewohĩ ate ŋu akafu ame aɖe si sɔ. Ðewohĩ atikewɔƒe tɔxɛwo nanɔ ame tsitsiwo si le dziɖuɖua ƒe kɔdzi gãwo alo ame ŋutɔ ƒe kɔdziwo me. Àte ŋu akpɔ nyatakakawo hã tso teƒe mawo tɔgbe. Ɣeaɖewoɣi la, anya wɔ hã be woakpɔ nyatakaka tso ɖɔkta bibi mawo ŋu le Internet dzi.

Gbedasi si Wotsɔ Yi Aƒeme

Enyo, eyata ɖe manyo be nàɖo ŋku nu vevi aɖewo siwo ŋu míeƒo nu tsoe dzi oa?

• Ame tsitsiwo ƒe dɔdala nye ɖɔkta si bi ɖe ame tsitsiwo ƒe lãmesẽnyawo me. Wokpɔa wò ŋutilã kple susu me nuhiahiãwo katã dzi.
• Ne dɔléle geɖe le ŋuwò, nèle atike geɖe nom, alo ŋkuɖoɖonudzi ƒe kuxiwo le ŋuwò , ke ame tsitsiwo ƒe dɔdala ƒe kpekpeɖeŋu xɔ asi ŋutɔ.
• Ele vevie ŋutɔ be woawɔ atikewɔlawo ƒe dodokpɔ edziedzi (`ƒe sia ƒe dodokpɔ`) le ƒe 50 xɔxɔ vɔ megbe gɔ̃ hã.Esia ateŋu akpeɖeŋu be woade dzesi dɔléle geɖewo ahaɖu wo dzi kaba.
• Ne esesẽ be nàkpɔ ame tsitsiwo ƒe dɔdala hã la, lé kadodo me kple ƒomea ƒe ɖɔkta si tsɔa ɖe le eme na ame tsitsiwo ƒe lãmesẽ ɣesiaɣi.
• Ne míele tsitsim la, ɖewohĩ míase tɔtrɔ siwo va le míaƒe lãmesẽnyawo me gɔme bliboe o. Ame tsitsiwo ƒe dɔdalawo nye eŋutinunyala bibi siwo sea tɔtrɔ siwo vaa ame tsitsi me gɔme. Woate ŋu akpe ɖe ŋuwò nànɔ lãmesẽ me ahakpɔ dzidzɔ.

Eyata ne wò alo ame aɖe si nèlɔ̃ le tsitsim la, anyo be nàbu ame tsitsiwo ƒe dɔdala ƒe dɔwo ŋu. Amesiame dze be wòanɔ agbe si me lãmesẽ le, si me dzidzɔ le, alo?

` Ame tsitsiwo ƒe dɔlélewo, ame tsitsiwo ƒe dɔdala, ame tsitsiwo ƒe lãmesẽ, ame tsitsiwo dzi kpɔkpɔ, dɔléle siwo nɔa anyi didi, atikewɔwɔ ŋuti aɖaŋuɖoɖo, lãmesẽnyawo gbɔ kpɔkpɔ