Kei te ngoikore tonu koe, kei te uaua rānei te ora mai i te mate? Me kōrero tātou mō te 'Ngoikore' | Nirogi Lanka

Kua tino ngenge koe i te makariri noa iho, ā, kāore e taea e koe te ara ake i te moenga? Kāore rānei koe e kaha ki te whakahaere i ō mahi o ia rā pērā i mua? Ehara tēnei i te mea he wāhanga noa iho o te koroheketanga. I tēnei rā, i Nirogi Lanka, e hiahia ana mātou ki te kōrero mō tētahi āhuatanga e mōhiotia ana ko te 'Ngoikore' . He āhua hauora nui tēnei e warewarehia ana e te tini tāngata, engari he mea tēnei me mārama tātou katoa.

He aha rawa te 'Frailty'?

Ki te whakarapopoto, ko te 'Ngoikore' e pā ana ki te āhua e ngaro ai te kaha tūturu o tō tinana ki te hoki whakamuri me te ora ake i muri i te mate, i te whara rānei. Whakaarohia tēnei he 'mana tārua' o tō tinana e iti haere ana . Ina tupu tēnei, ahakoa he iti noa te raruraru hauora ka pā he pānga nui. Ehara i te mea ko te ngoikore o te tinana anake; ko tō oranga hinengaro, ko te mahi roro, me te manawanui whānui e hono tahi ana i konei. Kāore te ngoikore e puta i te pō kotahi; he āhuatanga āta haere, he āhuatanga ahu whakamua e puta ana i ngā wāhanga. Ko te rongo pai, i ētahi wā, ka taea te whakahaere, te whakakore rānei, ahakoa he rerekē tēnei i ia tangata, i ia tangata.

Whakaarohia tō hauora hei pūkete peeke. Ko ngā mea katoa e mahia ana e koe—mai i te manawa me te kimo ki te kai me te kaukau—ka utua mai i tēnei pūkete. Ina pāngia koe e te mate, ina whara rānei, me tango e tō tinana tēnei rahui hei whakaora. **Ko te nui ake o ngā "penapena" (rahui pūngao) kei roto i tēnei pūkete hauora, ko te tawhiti atu i te "Ngoikore."** Heoi, ki te pau te kaha o tēnei pūkete—ko te tikanga kāore he pūngao o tō tinana ahakoa mō ngā mahi o ia rā—ka uru koe ki te āhua ngoikore. He rite ki te uru ki te "tāpui moni," ka tīmata tō tinana ki te hiahia tautoko mai i waho hei mahi.

He aha ngā tohu o te ngoikore?

Mena kei te pāngia koe e te ngoikore, ka kite pea koe i tētahi, i ētahi atu rānei o ngā tohu e whai ake nei:

• Te ngenge tonu me te ngenge: Te ngenge tonu ahakoa i muri i ngā mahi iti, te hiamoe rerekē rānei i te roanga o te rā.
• Te ngoikore o te uaua me te ngaronga o te kaha: Te uaua ki te hiki i ngā mea i ngāwari ki te pupuri, te uaua rānei ki te tū ake i te tūru.
• Te puhoi haere, te uaua rānei ki te hikoi: Te āta haere, te āhua pōturi rānei o ō waewae.
• Te ngaro o te taurite: Te āhua pōturi, te tūtuki pinepine, te hinga rānei.
• Ngā raruraru o te pūkahukahu, te whakahaere rānei i te puku: Te pāngia e te turuturu iti o te mimi ('te kore e taea te mimi') i te wā e kata ana, e ohorere ana rānei, te raru rānei ki te nekenekehanga o te puku ('te kore e taea te mimi').
• Te wehe atu i te hapori: Te kore e pai ki te haere ki waho, ki te whakawhanaunga, ki te whakapau i te wā kounga me ngā hoa me te whānau.
• Te pouri, te pōuri rānei: Te kore o te harikoa, te kaha, te hiahia rānei ki ngā mea i arohaina e koe i mua.
• Te ngaronga o te mana motuhake: Me āwhina koe ki ngā mahi tiaki i a koe anō o ia rā, pērā i te kai, te whakakakahu, te kaukau rānei.
• Te whakahekenga taumaha tūpono kore: Te whakahekenga i ētahi kirokaramu i roto i ētahi marama me te kore e ngana.

He aha i puta ai te ngoikore?

Ka puta te ngoikore ina kore e taea e tō tinana te whakaora anō i te mate, i te whara rānei. I Nirogi Lanka, e hiahia ana mātou kia mārama koe he tukanga āta haere tēnei, e peia ana e ngā mate pūmau roa, ētahi rongoā , te kore kai tōtika , te kore rānei o te korikori tinana i roto i te wā.

Kei te maumahara koe ki te kupu whakarite mō te pūkete pēke hauora? Ko ngā kōwhiringa me ngā tikanga e tautoko ana i tō oranga ka mahi hei 'pūtea' ki roto i tēnei pūkete, hei āwhina i a koe ki te ārai i te ngoikore:

• Ō ira, tō hītori hauora whānau, me te whanaketanga o te wā tōmua:Ahakoa e kore e taea te whakarerekē i ēnei, mā te mārama ki ēnei ka āwhina i a tātou ki te whakahaere pai ake i tō hauora.
• Te whakakorikori tinana auau, whai hanganga.
• Te kai i tētahi kai taurite, whai kiko hoki i ngā matūkai.
• Te whakahaere ahotea whai hua.

I tētahi atu taha, ko ētahi huihuinga he 'tangohanga' mai i tō pūkete hauora, e mimiti ana i ō rahui pūngao, ā, ka whai wāhi atu ki te ngoikore:

• Ngā mate wā poto, pērā i te kirika, te makariri, te paihana kai rānei.
• Ngā whara tinana iti, pērā i te whara o te uaua, te whāwhā, te whati rānei o te ahotea.
• Ngā aituā kino, tae atu ki ngā mate mau tonu me ngā whara nui pērā i te whati hope.

He aha te pānga o ngā mate pūmau ki te ngoikore?

Ka nui ake ngā mate hauora mau tonu e tiakina ana e koe, ka nui ake tō tūponotanga ki te whanake i te ngoikore. Ka taea e ngā wero hauora e whai ake nei te whai wāhi atu ki te ngoikore, te whakararu rānei i te ngoikore:

• Ngā mate wheua: Ngā āhuatanga pēnei i te osteopenia, te osteoporosis rānei e angiangi ana, e ngoikore ana ō wheua, ka pakarukaru.
• Ngā āhuatanga io: Ngā mate e pā ana ki te nekehanga, te mahara, me te hinengaro, pērā i te mate a Parkinson (ngā mate nekehanga) me te mate wareware.
• Ngā mate ngākau: Hei tauira, te mate ngākau mau tonu.
• Ngā mate pūnaha ārai mate: Ngā āhuatanga pēnei i te Multiple Sclerosis (MS) me te Rheumatoid Arthritis.
• Ngā mate hononga: Te ngoikore o te rumatiki , te ora rānei i muri i ngā pokanga whakakapinga hononga.
• Ngā huringa pākia o te tinana me te ngaronga o te taumaha tinana: Ngā take pēnei i te momona nui, te taumaha iti, te sarcopenia (te ngenge o te uaua), te mate huka rānei.
• Ngā mate o roto o te tinana, tae atu ki te mate ate, te mate tākihi rānei.
• Ngā mate manawa: Ngā raruraru pūkahukahu mau tonu pērā i te huango me te mate pūkahukahu aukati mau tonu (COPD).

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

E ai ki ngā rangahau haumanu, he maha ngā āhuatanga ka whakanui ake i tō ngoikore ki te whakawhanake:

• Tau: Tata ki te kotahi i roto i te tekau o ngā tāngata neke atu i te 65 tau te pakeke ka noho ngoikore pea. Ka piki ake tēnei tau ki te kotahi i roto i te whā mō te hunga neke atu i te 85 tau te pakeke. Heoi, ehara te ngoikore i te wāhanga tino kore e taea te karo i te koroheketanga; ka pā ki ngā tāngata katoa i ngā wā katoa o te oranga.
• Te mate kino, te whara kino rānei: Ka nui ake te kino o tō āhua hauora, ka nui ake te tūponotanga ka ngoikore koe. Ko ngā tauira matua ko te sepsis (ka pā kino pea ki ngā okana) me ngā whati hope .
• Ngā maimoatanga mō ngā āhuatanga kino: Ahakoa he mea nui ētahi wawaotanga hauora, ka taea e ēnei te whakararu i tō tinana. Ka āta paunatia e tō rōpū hauora ēnei mōrearea i mua i te tūtohutanga. Hei tauira, ko ngā pokanga mate pukupuku, te chemotherapy, te radiotherapy , te pokanga whakawhitinga okana rānei.
• Ngā āhuatanga whānau: Ko ētahi tamariki i whānau mai me ngā āhuatanga uaua, pērā i ngā mate manawa whānau , ka pāngia e te ngoikore. Ka taea hoki e ēnei wero o te ao tōmua te whakanui ake i te mōrearea o te ngoikore tae noa ki te pakeketanga.
• Tō whatunga tautoko:Ina aromatawaihia tō ngoikore, ka tirohia hoki e ngā tākuta tō porowhita pāpori—tae atu ki te whānau, ngā hoa, me te hapori. Ki te kore he pūnaha tautoko kaha, ka nui ake te tūponotanga o te ngoikore, nā te mea ka uaua ake te whakahaere i te kai o ia rā, te piri ki ngā rongoā, te korikori tinana, me te taunekeneke pāpori.

He aha ngā raruraru ka pā mai i te ngoikore?

Ka taea e te ngoikore te arahi ki ētahi raruraru hauora nui, tae atu ki:

• Te ngoikore o tō pūnaha ārai mate: Ka ngāwari ake tō tūponotanga ki ngā mate hou, ā, ka whakaroa i tō wā whakaora.
• Te whakanui ake i te mōrearea o te whara: Ahakoa ngā aituā iti nei, ka taea e ngā whara kino te arahi ki tētahi whara nui e roa ake ai te ora.
• Te kino haere o ētahi atu āhuatanga hauora: He mate iti noa iho pea te tikanga, ka tere tonu te huri hei āhuatanga kino, mōrearea hoki ki te ora.
• Te whakawhāiti i ō whiringa maimoatanga: Mena kei te noho ngoikore koe, kāore pea ētahi pokanga whakaeke, ētahi maimoatanga hauora kaha rānei e haumaru mōu.
• Ka arahi ki te hauātanga tinana.
• Te pā ki tō mana motuhake: Ka taea e te ngoikore te whakauaua, te kore rānei e taea te noho haumaru ko koe anake me te kore he āwhina o ia rā.
• Te whakaiti i te roanga o te oranga: Ina nui haere ngā raruraru hauora uaua, ka taea e te ngoikore te whakararu i te ora.

Me pēhea te tātaritanga a ngā tākuta i te ngoikore?

Hei whakatau mēnā kei te pāngia koe e te ngoikore, ka whakahaerehia e tō tākuta he aromatawai whānui. I te nuinga o te wā ka uru atu ki tēnei he whakamātautau tinana whānui me ngā tauine ngoikore motuhake me ngā pūnaha kaute . Mā ēnei taputapu mātou e āwhina ki te aromatawai mēnā kei a koe te ngoikore, ā, mēnā koinā, me aromatawai i tōna kaha.

Ahakoa e whakamahi ana ngā tohunga hauora puta noa i te ao i ngā pūnaha whakatauranga neke atu i te tekau, kāore he "paerewa koura" kotahi. Heoi, ko te nuinga o ēnei aromatawai e aro ana ki ngā tohu haumanu matua e rima:

• Te whakahekenga taumaha tūpono kore: Te whakahekenga taumaha 10 pauna (tata ki te 4.5 kg) neke atu rānei i roto i te tau kua hipa, me te kore e ngana.
• Te kaha o te pupuri ringa: He ngoikore ake te pupuri i te ringa ki te whakataurite ki ētahi atu o tō tau me tō ira tangata.
• Te ngoikore o te kaha me te manawanui: Te ngenge tonu, te ngenge rawa rānei.
• Te tere o te hikoi puhoi: Te neke, te hikoi rānei i te tere tino puhoi.
• Ngā taumata korikori tinana iti: He iti noa te whai wāhi ki te korikori tinana, ki te nekehanga rānei.

He maha ngā wā ka aromatawaihia e ngā tohunga hauora ngā tohu kaha tinana, pērā i te kaha o te pupuri ringa, ina aromatawaihia te ngoikore. Nā te arotahi ki te mahi tinana te take i whakapono hē ai te tini o te tangata he herenga tinana noa iho te ngoikore, ehara i te āhua hauora matatini maha-pūnaha.

Ka paunatia ēnei āhuatanga e ngā tauine tātaritanga rerekē i roto i ngā huarahi rerekē. Ka aromatawaihia hoki e ētahi aromatawai whānui tō mahi hinengaro, tō whakahaere mimi/whekau (te kore e taea te pupuri i te mimi), me tō whatunga tautoko pāpori .

I runga anō i ō hiahia takitahi, ka tūtohu pea tō tākuta i ētahi atu aromatawai. Kei roto i ēnei ko te ine i tō Taupū Papatipu Tinana (BMI) hei tirotiro mō te ngoikore o te uaua, te whakahaere rānei i tētahi aromatawai mōrearea hinga whaimana. Ka matapakihia e tō tākuta ko ēhea ngā whakamātautau e tika ana mōu.

Me pēhea te whakahaere me te ārai i te ngoikore?

Mā te mahere maimoatanga tika me te tautoko, ka taea te whakahaere pai i te ngoikore, ā, i te nuinga o te wā, ka taea te whakakore. Anei ngā huarahi matua e whakamahia ana e mātou hei āwhina i a koe kia hoki mai tō kaha me tō ora:

• Te whakahaere i ngā āhuatanga e pā ana ki te ngoikore: Mā te rongoā tika i ō āhuatanga hauora kē atu ka taea te whakaiti i te ahotea ki tō tinana me te āwhina i a koe ki te whakaora i tō kaha.
• Whakaora tinana: Ka taea e tēnei te āwhina i a koe ki te hanga anō i tō kaha tinana, te whakanui ake i tō manawanui, me te whakapai ake i tō taurite.
• Ngā kaupapa whakaora motuhake: Kua hangaia ēnei kaupapa hei āwhina i a koe ki te ora i muri i ngā huihuinga kino i whai wāhi pea ki te ngoikore. Ko ētahi tauira ko te whakaora i ngā pūkahukahu me te whakaora i te ngākau .
• Tautoko kai: Mā te mahi tahi me te tohunga kai ka taea e koe te whakatika i ngā ngoikoretanga o ngā huaora me ngā kohuke, me te whakahaere i ngā take e pā ana ki te taumaha (pēnei i te ngoikore, te taumaha rawa rānei) ka piki ake ai te tūponotanga o te ngoikore.
• Ngā kaupapa whakakori tinana: He maha ngā wā he mahi ā-rōpū ēnei hei āwhina i a koe kia noho kaha ki te taha pāpori me te taha tinana, he mea tino pai tēnei mō tō hauora hinengaro me tō oranga whānui.
• Tautoko hapori: Mena he uaua ki a koe te whakahaere i ngā mahi o te whare nā te ngoikore, kei reira ngā ratonga me ngā kaupapa hapori kua hangaia hei āwhina i a koe. Ka taea e ēnei rauemi te āwhina i a koe ki te noho haumaru me te motuhake i roto i tō ake kāinga mō te roa rawa atu e taea ai.
• Manaaki mō te wā roa: Mena ka kino haere te ngoikore, ā, kāore e haumaru, e whai hua rānei te noho motuhake ki te kāinga, ko te noho āwhina, ko ngā whare noho rōpū rānei te kōwhiringa pai rawa atu māu. Mō te tiaki matatau ake, ka taea e te whare tiaki kaumātua (e kiia ana he whare tiaki kaumātua) te whakarato i te tautoko hauora ngaio e hiahiatia ana e koe. Mena kei te pāngia koe e te ngoikore nui, i te mutunga o te oranga, ka taea e te manaaki hōhipera te whakarato i te whakamarie me te tautoko aroha.

I runga anō i ō āhuatanga motuhake me ō hiahia hauora, tera pea ka wātea ētahi atu maimoatanga whaiaro. Ka koa tō tākuta i Nirogi Lanka ki te kōrero ki a koe mō ēnei kōwhiringa.

He aha te tirohanga mō te tangata ngoikore?

Ko te tirohanga mō te ngoikore e whakawhirinaki ana ki tōna kaha me te kaha o ngā take matua. Mena ka taea te whakakore i tō ngoikore, he tino whakatenatena te tirohanga. Ahakoa kāore e taea te whakakore katoa, he angitu nui te whakaroa i tōna whanaketanga me te ārai i tōna kino haere. Nā te mea he rerekē te pānga o te ngoikore ki te katoa, ko tō rōpū hauora te puna pai rawa atu hei mārama ki tō tirohanga whaiaro.

Ka taea te ārai i te ngoikore?

Ahakoa kāore pea e taea te ārai i te ngoikore i ngā wā katoa, he maha ngā huarahi tino whai hua hei whakaiti i tō mōrearea. Ko te tikanga, me pupuri tō tinana kia hauora, me te whakahaere kaha, te karo rānei i ngā take e arahi ana ki te ngoikore. Anei ētahi mahi matua ka taea e koe te mahi hei tiaki i tō hauora:

• Kia kaha te tinana: Mā ngā mahi māmā o ia rā, pērā i te hikoi mō te 30 meneti pea, te mahi rānei i ngā mahi o te whare, ka nui te rerekētanga.
• Kia mau ki te taumaha hauora e tika ana mō tō tinana.
• Arotahi ki te kai tika: Kai i ngā kai taurite e nui ana ngā rau matomato, ngā huawhenua, ngā hua rākau, me ngā kai he nui te muka.
• Kia mau tonu ki ngā mahi tiaki me ngā whakamātautau ārai mate: He mea nui ngā tirotiro hauora auau.
• Kia pai te akuaku o ō ringaringa hei tiaki i a koe mai i ngā mate urutā me ngā mate urutā.
• Whakatairangahia te haumaru: Me mau tonu tō whitiki nohoanga ina haere ana koe i roto i te waka, me whakamahi hoki i ngā taputapu tiaki hei ārai i ngā whara o te mahunga.
• Whakahaumarutia tō kāinga hei ārai i ngā aituā, inā koa ngā hinganga: Puritia ō wāhi noho kia kore e tūpono ki ngā tūraru, herea ngā whāriki koretake, ā, kia mārama, kia tika hoki te rama i te pō.

Mena kei te noho ngoikore koe, ka taea tonu e ēnei mahi te tino whai hua ki te āwhina i a koe ki te whakahaere i te mate, ā, i ētahi wā, ka taea hoki te whakakore i te mate. I runga i tō āhua noho, ō hiahia ahurei, me ō manakohanga, tera pea ētahi atu rautaki ritenga hei āwhina. Ka taea e tō kaiwhakarato tiaki tuatahi i Nirogi Lanka te ārahi i a koe me ngā tohutohu whaiaro me te mahere kua whakaritea mō tō oranga.

Tō Whakamārama Kī

Ehara i te ngoikore tinana anake te ngoikore; ko te tikanga he uaua ake te hoki whakamuri o tō tinana i ngā taumahatanga o ia rā. Ahakoa he mea noa tēnei i roto i te hunga neke atu i te 65 tau te pakeke, ehara i te mea he wāhanga o te koroheketanga. Kāore i te wawe rawa te mahi i ngā mahi hei ārai, hei whakaroa rānei i tōna tīmatanga. Ahakoa kei te pāngia koe e te ngoikore i tēnei rā, kia mōhio koe kāore koe e whakaae he mea pumau. Mā te tautoko tika, ngā maimoatanga, me te tiaki hauora, ka taea e tātou te whakakore i te ngoikore, te pupuri rānei i tōna kino haere. Ā, ki te kore e taea te whakakore, he huarahi whakamiharo ā mātou hei whakapai ake i tō whakamarie me te tiaki i tō kounga o te oranga mō te roa e taea ai. Ko te mahi nui rawa atu ka taea e koe ko te kōrero tuwhera, me te kore wehi, me te kore whakaroa, ki tō kaiwhakarato hauora.

` Ngāwari, Te Mate Ngāwari, Te Kaumātuatanga Hauora, Te Ngāwari o te Uaua, Ngā Mate Pūmau, Te Hauora me te Oranga, Te Tiaki Kaumātua, Nirogi Lanka