Kua rongo koe i te ngenge rawa, kāore e taea te ara ake i te moenga ahakoa te makariri? Kāore rānei i a koe te kaha ki te mahi i ngā mea o mua? Ehara pea tēnei i te hua o te koroheketanga anake. I tēnei rā ka kōrero tātou mō tētahi āhuatanga e kiia nei ko te 'Ngoikore' . He mea tēnei kāore i te tino mōhiotia e te tini o te tangata, engari me mōhio tātou katoa.

He aha te 'Frailty'?

Ki te kī māmā noa, ko te ngoikore ko te ngaronga o te kaha o tō tinana ki te ora mai i te mate, i te whara rānei. He rite ki te mea kua whakaitihia te 'mana tārua' o tō tinana. Ahakoa ngā mea iti, ka pā nui pea. Ehara i te mea ko tō kaha tinana anake te mea nui. Kei roto katoa i tēnei ko tō hauora hinengaro, tō mahi roro, me tō manawanui. Kāore te ngoikore e puta i te pō kotahi, he āhua āta haere, he āhua haere tonu. I ētahi wā ka taea te huri, engari he rerekē i ia tangata, i ia tangata.

Whakaarohia tō hauora hei pūkete peeke. Ko ngā mea katoa e mahia ana e tātou – mai i te manawa ki te moe, mai i te kaukau ki te kai – ka 'utua' mai i tēnei pūkete. Ā, ina pāngia tātou e te mate, ina pāngia rānei e te aituā, me whai pūngao tātou mai i tēnei pūkete hei whakaora. Ko te nui ake o te moni, arā, te pūngao, kei roto i tō 'pūkete hauora', ko te tawhiti atu i te 'ngoikore'. Engari ki te pau tēnei pūkete, arā, ki te kore e ranea te pūngao o tō tinana ki te mahi i ngā mahi o ia rā, koira te wā ka 'ngoikore' koe. He rite ki te uru ki te 'tāpiritanga'. Kātahi ka hiahia tō tinana ki te āwhina mai i waho.

Nā, he aha ngā āhuatanga o te 'Frailty'?

Mena kei a koe te 'Frailty', ka pāngia pea koe e tētahi, e ētahi rānei o ēnei tohu:

• Te ngenge tonu, te ngenge rawa: te ngenge tonu ahakoa te mahi i ngā mahi nohinohi, te hiamoe tonu i te rā roa.
• Te ngoikore o te uaua me te ngaronga o te kaha: Me te mea he uaua ki te hapai i ngā taumaha i taea e koe te hapai i mua, tae noa ki te whakatika ake i te tūru.
• Te puhoi o te haere, te uaua ki te hikoi: Ka heke te tere o te hikoi, i ētahi wā ka ngoikore.
• Te ngaronga o te taurite: He maha ngā wā ka hinga, ka hinga rānei.
• Te kore e taea te pupuri i te mimi (incontinence) te kore rānei e taea te pupuri i te puku (incontinence) ina harikoa koe, ina kata rānei.
• Te kore e pai ki te haere ki waho ki te noho tahi me ngā hoa, ngā whanaunga rānei (te wehe atu i te hapori).
• Tērā pea ka puta te pōuri me te kore hiahia ki tetahi mea ('Pouri').
• Te hiahia āwhina mai i ētahi atu hei mahi i ngā mahi o ia rā pēnei i te kai, te whakakakahu, me te kaukau ko ia anake.
• Te whakahekenga taumaha koretake:Ki te ngaro tō taumaha i roto i ētahi marama, kāore he take e kitea ana, he tohu anō hoki tēnā.

He aha i puta ai tēnei 'Ngoikore'?

Ka puta te ngoikore ina ngaro te kaha o tō tinana ki te whakaora i tētahi mate, i tētahi whara rānei. Ka puta mārire tēnei nā ngā mate pūmau kua roa e pāngia ana e koe, ētahi rongoā e tangohia ana e koe, he kai hauora kore , me te kore o te korikori tinana .

Kei te mahara koe ki te kōrero mō te 'pūkete hauora' i kōrerotia e au i mua ake nei? Ko ngā mea e āwhina ana i a tātou ki te pupuri i te hauora pai he rite ki ngā 'pūtea' i tukuna ki roto i taua pūkete. Ka āwhina rātou ki te ārai i te 'ngoikore'.

• Ō ira, ō hītori hauora whānau, me te whanaketanga o tō tamarikitanga ki te pakeketanga. He uaua ēnei ki a tātou te whakahaere, engari he mea nui kia mōhiotia.
• Te mahi i ngā mahi whakakori tinana tika.
• Te kai i ngā kai pai, ngā kai whai kiko.
• Te whakahaere i te ahotea.

Waihoki, kei reira ngā mea e mimiti ana i te kaha mai i tā tātou pūkete hauora, pērā i ngā 'whakakorenga'. Koinei ngā mea ka whai wāhi ki te 'Ngoikore':

• Ngā mate wā poto pēnei i te kirika, te makariri, me te paihana kai.
• Ngā whara iti pēnei i te whāwhā me te totoro o te uaua me te whati o te ahotea.
• Ngā mate roa me ngā aituā kino pērā i te whati o te hope.

He aha ngā pānga o ngā mate pūmau?

Ka nui ake te tūponotanga ka ngoikore koe, ka nui ake rānei te ngoikore o te tinana nā ēnei raruraru:

• Ngā raruraru wheua: Ngā āhuatanga pēnei i te 'Osteopenia' me te 'Osteoporosis' rānei, e angiangi ai ngā wheua, e whati ngāwari ai.
• Ngā raruraru roro: Ngā mate nekehanga , ngā mate pēnei i te mate wareware e pā ana ki te mahara me te kaha whakaaro.
• Ngā mate o te ngākau me te pūnaha tohanga toto: Hei tauira , te mate ngākau.
• Ngā raruraru o te pūnaha ārai mate: Ngā mate pūnaha ārai mate pēnei i te Multiple Sclerosis me te Rheumatoid Arthritis .
• Ngā raruraru hononga: ngā mea pēnei i te rumatiki , te whakakapinga hononga, me ētahi atu.
• Ngā panonitanga ki te pākia o te tinana me te taumaha/papatipu uaua: Momona, Taumaha iti, Ngoikore o te Uaua (Sarcopenia) te Mate Huka rānei.
• Ngā mate o ngā whekau o roto pērā i te ate me ngā whatukuhu.
• Ngā mate o te pūnaha manawa: Ngā āhuatanga pēnei i te mate huango me te mate pūkahukahu aukati mau tonu (COPD) .

Ko wai kei te nui ake te mōrearea ki te whakawhanake i te 'ngoikore'?

Kua kitea e ngā rangahau ko ngā āhuatanga e whai ake nei ka whakanui ake i te mōrearea o te ngoikore:

• Tau: Tata ki te kotahi i roto i te 10 tāngata neke atu i te 65 tau te pakeke ka ngoikore pea. Ka piki ake tēnei tau ki te kotahi i roto i te 4 tāngata neke atu i te 85 tau te pakeke. Engari kāore i te herea ki te tau anake, ka taea te pā ki ngā tau katoa.
• Te mate kino, te whara rānei: Ki te kino rawa te āhua, ka nui ake te tūponotanga o te ngoikore. Hei tauira, te sepsis (ka kino pea ngā whekau) me ngā whati hope.
• Te rongoā mō ngā mate kino, ngā whara rānei: Ka taea e ētahi maimoatanga te whakararu i tō hauora, engari ka tūtohu ngā tākuta i muri i te paunatia o ngā painga me ngā huakore. Hei tauira, te pokanga mō te mate pukupuku, te chemotherapy, te radiation therapy rānei , te pokanga whakawhitinga okana rānei ina ngoikore ngā okana.
• Ngā āhuatanga whānau: Ka pāngia pea ētahi tamariki e te ngoikore nā te mate manawa whānau . Ka taea e ēnei āhuatanga whānau te whakanui ake i te mōrearea o te ngoikore ahakoa kua tamariki.
• Whatunga tautoko: Ina whakatau ana mēnā he ngoikore tō tinana, ka tirohia hoki e ngā tākuta mēnā he whānau, he hoa, he hoa hoki kei a koe hei āwhina i a koe. Mēnā kāore tēnei tautoko ka piki ake te tūponotanga o te ngoikore, nā te mea ka uaua ake te kai, te tango rongoā, te whai wāhi atu ki ngā mahi pāpori, me te whakakori tinana.

He aha ngā raruraru ka puta mai i te 'Frailty'?

Ka taea e te ngoikore te whakaputa raruraru penei:

• Ka whakaiti i tō ārai mate. Ko te tikanga ka ngāwari ake te puta o ngā mate hou, ā, ka roa ake te wā e ora ai ngā mate o nāianei.
• Ka piki ake te mōrearea o te whara. Ahakoa he whara iti noa iho, ka taea e ia te arahi ki tētahi whara nui, ā, ka roa pea te wā e ora ai.
• Ka kino ake ngā āhuatanga hauora kē atu. I ētahi wā, ahakoa he mate iti noa iho, ka huri hei mate morearea, ka mōrearea hoki te ora.
• Ka whakawhāiti i ngā maimoatanga ka taea e koe te whiwhi. Tērā pea kāore e taea e te hunga ngoikore te mahi haumaru i ētahi pokanga, i ētahi atu tikanga hauora rānei.
• Ka pā mai he hauātanga.
• Ka ngaro tō mana motuhake.Kāore pea e taea e te hunga ngoikore te noho ko rātou anake i roto i ō rātou ake kāinga.
• Ka whakapoto i te roanga o te oranga. Ina pupū ake ngā raruraru hauora, ā, ka kino haere, ka noho hei mōrearea ki te ora nā te 'ngoikore'.

Me pēhea te tautuhi a ngā tākuta i te ngoikore?

He maha ngā huarahi e taea ai e te tākuta te tātaritanga i te ngoikore. Ko ngā huarahi matua ko te whakamātautau tinana me te whakamahi i ngā tauine ngoikore rerekē, i ngā pūnaha whakatauranga rānei . Ka taea e ēnei tauine te āwhina i tō tākuta ki te whakatau mēnā he ngoikore tōu, ā, mēnā he pērā, he aha te kaha o tōna ngoikoretanga.

Neke atu i te tekau ngā momo tauine me ngā pūnaha whakatauranga e whakamahia ana puta noa i te ao. Kāore he whakaae whānui e pai ake ana tētahi i tētahi. Heoi, e rima ngā mea matua e rite ana ki te nuinga o ēnei pūnaha:

• Te whakahekenga taumaha kāore i te āta whakaarohia (neke atu i te 10 pauna, 4.5 kirokaramu rānei i roto i te tau kua hipa).
• Te ngoikore o te kaha o te pupuri ringa ( ki te whakaritea ki ētahi atu o tō tau me tō āhua tinana).
• Te ngaronga o te kaha, te ngoikore rānei, te ngenge tonu, te ngenge rawa rānei.
• Ngā nekehanga puhoi, te tere hikoi rānei kua heke.
• Te whakahekenga o te taumata o te korikori tinana.

He maha ngā wā ka whakamahia e ngā tohunga ngā inenga kaha tinana, pērā i te kaha o tō pupuri ringa, hei aromatawai mēnā he 'ngoikore' tōu. Koinei tētahi o ngā take matua e whakaaro hē ana ko te 'ngoikore' he ngoikore tinana noa iho.

He rerekē ēnei pauna me te huarahi e whakamahia ai ēnei āhuatanga. Ka whakaarohia hoki e ētahi pauna ētahi atu āhuatanga, pērā i tō mahi hinengaro, te kore e taea te pupuri i te mimi, me te mea he whatunga tautoko tāu .

Tērā pea ka mahia ētahi atu whakamātautau i runga i ō hiahia. Hei tauira, he ine i te Taupū Papatipu Tinana (BMI) hei tirotiro i te ngaronga o te uaua, he aromatawai mōrearea hinga rānei. Mā tō tākuta koe e kōrero atu mō ngā whakamātautau ka tūtohutia pea.

Me pēhea te rongoā mō te ngoikore?

Ka taea te whakahaere i te ngoikore, ā, i ētahi wā ka taea te whakakore mā te maimoatanga me te tautoko. Anei ētahi o ngā tikanga matua e whakamahia ana hei whakatutuki i tēnei:

• Te Whakahaere i ngā Āhuatanga e Pā Ana ki te Ngoikore: Mā te rongoā tika i ō āhuatanga hauora kē atu ka āwhina i te whakaiti i te taumahatanga ki tō tinana me te āwhina i a koe ki te ora.
• Whakaora tinana: Ka taea e tēnei te whakanui ake i te kaha tinana, te manawanui, me te whakapai ake i te taurite.
• Ngā kaupapa whakaora motuhake: Ka āwhina ēnei kaupapa whakaora i te tangata kia ora mai i ngā āhuatanga kino kua whai wāhi ki te ngoikore. Hei tauira, te whakaora i ngā pūkahukahu me te whakaora i te ngākau .
• Tautoko kai: Mā te mahi tahi me te tohunga kai ka āwhina i te ārai i te korenga o ngā huaora me ngā kohuke, te aro atu rānei ki ngā take e pā ana ki te taumaha (taimaha rawa/momona) e whakapiki ake ai i te mōrearea o te ngoikore.
• Ngā kaupapa whakakori tinana: He maha ngā wā he mahi ā-rōpū ēnei. Ka āwhina i a koe kia noho ora, kia noho kaha hoki ki te taha pāpori. He pai tēnei mō tō hauora hinengaro me tō oranga whānui.
• Ngā tautoko a te hapori: Nā te ngoikore, me āwhina pea koe ki ngā mahi o te whare me te tiaki. He whakahaere me ngā kaupapa kei roto i te hapori e whakarato ana i ēnei ratonga. He huarahi tēnei hei noho ki te kāinga ahakoa he ngoikore koe.
• Manaaki mō te wā roa: Mena he kino tō ngoikore, ā, kāore e taea e koe te noho ki te kāinga, ko te whare noho āwhina, ko te whare noho rōpū rānei te kōwhiringa pai rawa atu māu. Mena he kino rawa atu tō ngoikore, ko te whare tiaki kaumātua (e kiia ana he whare tiaki kaumātua) te kōwhiringa pai rawa atu. Mena he kino rawa tō ngoikore, ā, kei te mutunga o te oranga, me hiahia pea koe ki te tiaki hōhipera .

I runga anō i ō āhuatanga me ō hiahia, tera pea ētahi atu maimoatanga e wātea ana. Ka taea e tō tākuta te kōrero atu ki a koe mō ēnei.

He aha te tirohanga mō te mate 'Frailty'?

Ko te tirohanga mō te ngoikore ka whakawhirinaki ki tōna kaha me te taea te whakakore. Mena ka taea te whakakore i te ngoikore, he pai te tirohanga. Ki te kore, ko te mea pai e whai ake nei ko te whakahaere i te kino haere o te ngoikore, i te iti rawa rānei kia kore e kino haere. He rerekē te ngoikore mō te katoa. Nō reira, ka taea e tō tākuta te whakaahua pai i tō āhua.

Ka taea te ārai i te ngoikore?

Kāore e taea te ārai i te ngoikore i te 100% o te wā. Engari he huarahi hei whakaiti i tō tupono ki te pā mai. Ko te tikanga, me pupuri koe i tō hauora me te whakahaere, te karo rānei i ngā raruraru e whai wāhi ana ki te ngoikore. Anei ētahi mahi ka taea e koe te mahi:

• Me noho korikori tinana tonu. Pērā i te hikoi mō te 30 meneti pea i te rā, me te mahi i ngā mahi o te whare.
• Te pupuri i te taumaha hauora e tika ana mōu.
• Kia arotahi ki te kai pai. Kai atu i ngā rau matomato, ngā huawhenua, ngā hua rākau, me ngā kai he nui te muka.
• Te whai i ngā tirotiro hauora ('Tiaki me ngā whakamātautau ārai mate') i ngā wā katoa.
• Me whai i ngā tikanga horoi ringa pai hei tiaki i a koe mai i ngā mate.
• Te mau whitiki nohoanga i te wā e eke ana i roto i ngā waka, me te whakamahi i ngā taputapu tiaki hei ārai i ngā whara o te mahunga.
• Te ārai i ngā aituā i te kāinga, inā koa ko ngā mea i puta mai i te hinganga. Ngā mahi pēnei i te whakakore i ngā papa pahekeheke i te kāinga me te tāuta rama kia mārama ai i te pō.

Mena kei te noho koe me te ngoikore, ka taea e ēnei mahi te āwhina i te whakahaere me te whakakore pea i te āhua. I runga i tō āhua noho, ō hiahia, me ō manakohanga, tera pea ētahi atu mea ka taea e koe te mahi hei ārai i te ngoikore. Ka taea e tō kaiwhakarato tiaki tuatahi te tuku tohutohu me te ārahi i a koe mō ēnei mea.

Ko te karere tino nui hei kawe ki te kāinga

Ehara i te ngoikore tinana anake te ngoikore. Ko tōna tikanga he uaua ki tō tinana te aro atu ki ngā ahotea o te ao o ia rā. Ko te ngoikore te mea e tino kitea ana i roto i te hunga neke atu i te 65 tau te pakeke, engari kāore e pā ki te katoa i a rātou e pakeke haere ana. Kāore i te wawe rawa te mahi i ngā mahi hei ārai, hei whakaroa rānei. Mena kei a koe te ngoikore i nāianei, ehara i te mea me noho tonu koe me taua ngoikore ake tonu atu. Ka taea e te maimoatanga tautoko me te tiaki hauora te āwhina i te whakakore i te ngoikore, te whakahaere rānei i tōna whanaketanga. Ahakoa kāore e taea, he huarahi hei ngana ki te pupuri i tō kounga o te oranga mō te roa rawa atu. Ko te mea nui ko te kōrero ki tō tākuta mō tēnei mea, me te kore e mataku, e whakama rānei.

` Ngoikore, ngoikore, koroheketanga, kore kaha, mate mau tonu, hauora, oranga, hauora kaumātua