Kodi mukuda nkhawa ndi mankhwala omwe makolo anu akumwa? Tiyeni tiphunzire za Malamulo a Mowa.

Amayi anu, abambo anu, agogo anu, azakhali anu... Kodi anthuwa amamwa mankhwala angati patsiku? Mwina oposa mmodzi, mwina asanu kapena asanu ndi limodzi, sichoncho? Tikuganiza kuti izi ndi zachilendo chifukwa timadwala limodzi ndi limodzi pamene tikukalamba. Koma kodi munayamba mwaganizapo kuti si mankhwala onse operekedwa kwa okalamba omwe ndi oyenera kwa iwo? Ndipotu, zotsatirapo za mankhwala ena zimatha kukhala zazikulu kuposa ubwino wa mankhwalawo. Pachifukwa ichi, madokotala ayenera kusamala kwambiri ndi izi.

Mwachidule, kodi mfundo za mowa ndi ziti?

Chabwino, tiyeni tisunge izi mophweka. Malamulo a Mowa sakunena za mtundu winawake wa mowa. Ndi mndandanda wa malangizo enieni omwe adayambitsidwa ndi American Geriatrics Society. Mndandandawu ukuphatikizapo mankhwala omwe ayenera kuperekedwa mosamala kwambiri kapena omwe angakhale oopsa kwa anthu azaka zopitilira 65 .

Taganizirani izi motere. Kuchuluka kwa mankhwala omwe amaperekedwa kwa mwana wamng'ono ndi kosiyana ndi kuchuluka kwa mankhwala omwe amaperekedwa kwa munthu wamkulu, sichoncho? Mofananamo, thupi la wachinyamata siliyankha mankhwala monga momwe thupi la munthu wamkulu limachitira. Ziwalo zawo, monga impso zawo ndi chiwindi, zitha kukhala ndi ntchito yochepa. Chifukwa chake, sangalole mankhwala ena, kapena akhoza kukhala ndi zotsatirapo zosayembekezereka.

Kafukufuku wapeza kuti anthu opitilira 90% azaka zopitilira 65 amamwa mankhwala osachepera amodzi patsiku. Anthu opitilira 66% amamwa mankhwala opitilira atatu pamwezi. Chifukwa chake mukamwa mankhwala ambiri, mwayi woti mankhwala amodzi agwirizane ndi ena ndi waukulu. Ichi ndichifukwa chake madokotala amagwiritsa ntchito mndandandawu wotchedwa Beers Criteria. Umatchedwanso Beers List .

Kodi mfundo zazikulu zisanu mu mfundo za mowa ndi ziti?

Bukuli lagawidwa m'magawo asanu akuluakulu, zomwe zithandiza madokotala kumvetsetsa zomwe ayenera kuganizira asanapereke mankhwala.

• Mankhwala omwe ayenera kupewedwa kwa anthu azaka zopitilira 65 (kupatula omwe amalandira chithandizo chapadera kuchipatala): Awa ndi mankhwala omwe angayambitse mavuto ambiri kuposa phindu akaperekedwa kwa okalamba.
• Mankhwala omwe ayenera kupewedwa ndi anthu omwe ali ndi matenda enaake: Mwachitsanzo, kwa munthu amene ali ndi vuto la mtima, pali mankhwala enaake omwe angapangitse kuti vutoli likhale loipa kwambiri. Mankhwala oterewa akuphatikizidwa m'gululi.
• Mankhwala omwe amayambitsa zotsatira zoyipa (Kuyanjana kwa Mankhwala) akamwedwa ndi mankhwala ena: Nthawi zina mankhwala omwe ndi otetezeka akamwedwa okha akhoza kukhala oopsa akamwedwa ndi mankhwala ena. Gawoli likuyang'ana kwambiri pa zimenezo.
• Mankhwala omwe ayenera kupewedwa chifukwa ali ndi zotsatirapo zambiri kuposa zabwino:Ngakhale kuti mankhwala ena angathandize kuchepetsa matendawa, zotsatirapo zake (monga kugwa pafupipafupi, kusokonezeka maganizo) zingakhale zoopsa kwambiri.
• Mankhwala omwe amakhudza ntchito ya impso ndipo ayenera kuchepetsedwa mlingo kapena kuchotsedwa : Ntchito ya impso imachepa mwachibadwa ndi ukalamba. Chifukwa chake, mankhwala ena amachotsedwa pang'onopang'ono m'thupi. Mndandandawu umapereka upangiri wochepetsa mlingo wa mankhwala otere kapena kuwapewa kwathunthu.

Ndi mitundu iti ya mankhwala yomwe ili pamndandandawu? (Zitsanzo zina)

Pali mitundu pafupifupi 100 ya mankhwala pamndandandawu. Popeza zingakhale zovuta kufotokoza zonse, tiyeni tiwone zitsanzo zina zodziwika bwino komanso chifukwa chake zingakhale zovulaza okalamba. Mukawona izi, mudzamvetsetsa kufunika kwa izi kwambiri.

Musachite mantha ndi mndandandawu! Izi sizikutanthauza kuti mankhwala awa sayenera kuperekedwa kwa okalamba. Nthawi zina zofunika kwambiri, ngati palibe njira ina, dokotala wanu angakupatseni mankhwala awa. Koma adzachita izi atafufuza bwino za matenda anu ndikuyang'aniridwa mosamala kwambiri.

N’chifukwa chiyani zotsatira za mankhwala zimasintha tikamakalamba?

Ichi ndi chinthu chofunikira kudziwa. Kukalamba kumatanthauza kuti dongosolo lililonse m'thupi lathu limakumana ndi kusintha pang'ono. Chifukwa cha kusinthaku, momwe mankhwala omwe timamwa amagwirira ntchito m'thupi nawonso amasintha.

• Mankhwalawa amatenga nthawi yayitali kuti atuluke m'thupi:Pamene tikukalamba, chiwindi ndi impso zimagwira ntchito pang'onopang'ono. Ziwalo ziwirizi zimaphwanya mankhwala omwe amalowa m'thupi lathu ndikuwachotsa ngati zinyalala. Pamene njirayi ikuchepa, mankhwalawa amakhalabe m'thupi kwa nthawi yayitali. Ndicho chifukwa chake anthu okalamba amapatsidwa mankhwala ena ochepa.
• Mankhwala operekedwa chifukwa cha vuto limodzi angakhudze lina: Tangoganizani kuti munthu ali ndi kuthamanga kwa magazi komanso kupweteka kwa mafupa. Mankhwala ena ochepetsa ululu (NSAIDs) operekedwa chifukwa cha kupweteka kwa mafupa amatha kuonjezera kuthamanga kwa magazi kwambiri. Chifukwa chake, dokotala amasankha mankhwala ataganizira zonsezi.
• Kusintha kwa moyo: Zinthu monga kuchuluka kwa zochita zanu, zomwe mumadya, komanso kuchuluka kwa mafuta m'thupi lanu kungakhudze momwe mankhwala anu amagwirira ntchito. Chifukwa chake mukalankhula ndi dokotala wanu, ndikofunikira kuwauza za zowonjezera zilizonse zomwe mumamwa, mankhwala achikhalidwe, ndi zakudya zanu.

Kodi madokotala amagwiritsa ntchito bwanji izi?

Dokotala asanalembe mankhwala kwa munthu wazaka zopitirira 65, adzayang'ana mosamala mbiri yanu yonse yachipatala, matenda omwe alipo, ndi mankhwala onse omwe mukumwa (kuphatikizapo mavitamini ndi mankhwala a Ayurvedic).

Kenako, amafufuza ngati mankhwala atsopano omwe akukupatsani ali pamndandanda wa Mowa. Ngati ali pamndandanda, amaganizira zoopsa zomwe zingachitike pokupatsani, komanso ngati pali njira ina yotetezeka.

Kawirikawiri, madokotala amakhala ndi mankhwala ena omwe angagwiritse ntchito m'malo mwa omwe ali pamndandandawu. Komabe, monga ndanenera kale, nthawi zina zingakhale zofunikira kupereka mankhwala amenewo. Pazochitika zotere, dokotala wanu adzakuyang'anirani nthawi zonse ndikukuyang'anirani mosamala kuti awone zotsatirapo zake.

Choncho, ngati muli ndi mafunso kapena nkhawa zokhudza mankhwala omwe amayi anu, abambo anu, agogo anu, kapena azakhali anu akumwa, musaope kulankhula ndi dokotala wawo mwachindunji za mankhwalawa. Nkhawa yanu ndi yofunika kwambiri pa chitetezo chawo.