Kodi thupi lanu limafooka ndipo limavutika kuchira ku matenda ena? Tiyeni tikambirane za 'Frailty'!

Kodi munayamba mwamvapo ngati mwatopa kwambiri moti simungadzuke pabedi ngakhale muli ndi chimfine? Kapena kuti mulibe mphamvu zochitira zinthu zomwe munkachita kale? Izi sizingakhale chifukwa cha ukalamba wokha. Lero tikambirana za vuto lotchedwa 'Frailty' . Ichi ndi chinthu chomwe anthu ambiri sachidziwa bwino, koma tonsefe tiyenera kudziwa.

Mwachidule, kodi 'Frailty' ndi chiyani?

Mwachidule, kufooka ndi kutayika kwa mphamvu ya thupi lanu yochira ku matenda kapena kuvulala. Zili ngati 'mphamvu yobwezera' ya thupi lanu yachepa . Ngakhale zinthu zazing'ono zimatha kukhala ndi zotsatirapo zazikulu. Sikuti zimangokhudza mphamvu zanu zakuthupi zokha. Thanzi lanu la maganizo, ntchito yanu ya ubongo, ndi kulimba mtima zonse zimakhudzidwa. Kufooka sikumachitika mwadzidzidzi, ndi vuto lomwe limayamba pang'onopang'ono. Nthawi zina kumatha kusinthidwa, koma kumasiyana malinga ndi munthu.

Ganizirani thanzi lanu ngati akaunti ya banki. Chilichonse chomwe timachita - kuyambira kupuma mpaka kugona, kusamba mpaka kudya - 'timalipira' kuchokera ku akaunti iyi. Ndipo tikadwala kapena kuchita ngozi, timafunikira mphamvu kuchokera ku akaunti iyi kuti tibwezeretse ndalama. Ndalama zambiri, zomwe ndi mphamvu, zomwe muli nazo mu 'akaunti yanu yazaumoyo', ndiye kuti mumakhala kutali kwambiri ndi 'kufooka'. Koma ngati akaunti iyi itha, ndiko kuti, ngati thupi lanu lilibe mphamvu zokwanira zochitira ntchito za tsiku ndi tsiku, ndiye kuti mumakhala 'kufooka'. Zili ngati kulowa mu 'overdraft'. Kenako thupi lanu limafunikira thandizo kuchokera kunja.

Ndiye kodi 'Frailty' ndi makhalidwe otani?

Ngati muli ndi 'Frailty', mutha kukumana ndi chimodzi kapena zingapo mwa zizindikiro izi:

• Kumva kutopa komanso kutopa nthawi zonse: kumva kutopa ngakhale mutagwira ntchito zazing'ono, kumva tulo tsiku lonse.
• Kufooka kwa minofu ndi kufooka kwa mphamvu: Zimakhala ngati n'kovuta kunyamula zolemera zomwe munkatha kunyamula kale, kapena kudzuka pampando.
• Kuyenda pang'onopang'ono, kuyenda movutikira: Liwiro loyenda limachepa, nthawi zina ndi kufooka.
• Kutaya kulinganiza: Kugwa kapena kugwa nthawi zambiri.
• Kusadziletsa mkodzo (kusadziletsa) kapena kusadziletsa m'mimba (kusadziletsa) mukasangalala kapena mukuseka.
• Kusafuna kupita kukacheza ndi abwenzi kapena achibale (kudzipatula pagulu).
• Kumva chisoni komanso kusowa chidwi ndi chilichonse ('Kuvutika maganizo') kungachitike.
• Kufunika thandizo kuchokera kwa ena kuti agwire ntchito za tsiku ndi tsiku monga kudya, kuvala, ndi kusamba yekha.
• Kuchepetsa thupi mosadziwa:Ngati mutaya makilogalamu angapo pasanathe miyezi ingapo popanda chifukwa chomveka, chimenechonso ndi chizindikiro.

N’chifukwa chiyani ‘Frailty’ imeneyi imachitika?

Kufooka kumachitika thupi lanu likataya mphamvu zochira ku matenda kapena kuvulala. Izi zitha kuchitika pang'onopang'ono chifukwa cha matenda osatha omwe mwakhala mukumwa kwa nthawi yayitali, mankhwala ena omwe mumamwa, zakudya zosapatsa thanzi , komanso kusachita masewera olimbitsa thupi .

Mukukumbukira nkhani ya 'akaunti yazaumoyo' yomwe ndidakuuzani kale? Zinthu zomwe zimatithandiza kukhala ndi thanzi labwino zili ngati 'ndalama' zomwe zimayikidwa muakauntiyo. Zimathandiza kupewa 'kufooka'.

• Majini anu, mbiri ya matenda a m'banja lanu, ndi momwe mumakulira kuyambira ubwana mpaka kukula. Izi n'zovuta kuti tizilamulire, koma ndizofunikira kuzidziwa.
• Kuchita masewera olimbitsa thupi moyenera.
• Kudya chakudya chabwino komanso chopatsa thanzi.
• Kusamalira kupsinjika maganizo.

Komanso, pali zinthu zomwe zimachotsa mphamvu mu akaunti yathu yazaumoyo, monga 'kuchotsa ndalama'. Izi ndi zinthu zomwe zingayambitse 'Frailty':

• Matenda a nthawi yochepa monga malungo, chimfine, ndi poizoni wa chakudya.
• Kuvulala pang'ono monga kuvulala kwa minofu ndi kupsinjika komanso kusweka kwa nkhawa.
• Matenda a nthawi yayitali komanso ngozi zazikulu monga kusweka kwa chiuno.

Kodi matenda osatha amakhudza bwanji?

Matenda ofala kwambiri omwe mumakhala nawo, m'pamenenso mumakhala ndi mwayi waukulu wopeza zofooka. Mavuto ngati amenewa angapangitse kuti zofookazo ziwonjezeke kapena kuipiraipira:

• Mavuto a mafupa: Matenda monga 'Osteopenia' kapena 'Osteoporosis', momwe mafupa amachepa ndikusweka mosavuta.
• Mavuto a ubongo: Matenda oyenda , matenda monga matenda a dementia omwe amakhudza kukumbukira ndi luso loganiza.
• Matenda a mtima ndi kayendedwe ka magazi: Mwachitsanzo , matenda a mtima.
• Mavuto a chitetezo chamthupi: Matenda a autoimmune monga Multiple Sclerosis ndi Rheumatoid Arthritis .
• Mavuto a mafupa: zinthu monga nyamakazi , kusintha mafupa, ndi zina zotero.
• Kusintha kwa kagayidwe ka thupi ndi kulemera/minofu: Kunenepa kwambiri, Kusakwana thupi, Kutaya Minofu (Sarcopenia) kapena Matenda a shuga.
• Matenda a ziwalo zamkati monga chiwindi ndi impso.
• Matenda a m'mapapo: Matenda monga mphumu ndi matenda osatha obstructive pulmonary disease (COPD) .

Ndani ali pachiwopsezo chachikulu cha 'kufooka'?

Kafukufuku wasonyeza kuti zinthu zotsatirazi zimawonjezera chiopsezo chokhala ndi zofooka:

• Zaka: Pafupifupi munthu m'modzi pa anthu 10 aliwonse azaka zopitilira 65 akhoza kukhala ndi zofooka. Chiwerengerochi chimawonjezeka kufika pa munthu m'modzi pa anthu 4 aliwonse azaka zopitilira 85. Koma sizimangochitika pa msinkhu wokha, koma zimatha kuchitika pa msinkhu uliwonse.
• Matenda kapena kuvulala kwakukulu: Matendawa akakula kwambiri, chiopsezo chofooka chimakulanso. Mwachitsanzo, sepsis (yomwe ingawononge ziwalo kwamuyaya) ndi kusweka kwa chiuno.
• Chithandizo cha matenda aakulu kapena kuvulala: Mankhwala ena amatha kusokoneza thanzi lanu, koma madokotala amalangiza kuti achite izi atatha kuwunika zabwino ndi zoyipa zake. Mwachitsanzo, opaleshoni ya khansa, chemotherapy kapena radiation therapy , kapena opaleshoni yoika ziwalo zina pamene ziwalo zalephera kugwira ntchito.
• Matenda obadwa nawo: Ana ena amatha kukhala ndi zofooka chifukwa cha matenda a mtima obadwa nawo . Matendawa amatha kuwonjezera chiopsezo cha kufooka ngakhale atakhala ana.
• Thandizo: Akamaona ngati muli ndi zofooka, madokotala amaonanso ngati muli ndi achibale, abwenzi, ndi anthu omwe mumawadziwa omwe angakuthandizeni. Kusowa thandizoli kungakulitse chiopsezo chanu chokhala ndi zofooka, chifukwa kungakupangitseni kukhala kovuta kudya, kumwa mankhwala, kuchita nawo zinthu zina, komanso kuchita masewera olimbitsa thupi.

Kodi ndi mavuto otani omwe angabwere chifukwa cha 'Frailty'?

Kusakhazikika kwa thupi kungayambitse mavuto monga:

• Zimachepetsa chitetezo chamthupi chanu. Izi zikutanthauza kuti matenda atsopano amatha kufalikira mosavuta ndipo matenda omwe alipo angatenge nthawi yayitali kuti achire.
• Zimawonjezera chiopsezo chovulala. Ngakhale kuvulala pang'ono kungayambitse kuvulala kwakukulu, ndipo zingatenge nthawi yayitali kuti kuchiritsidwe.
• Zimaipitsa matenda ena. Nthawi zina ngakhale matenda ang'onoang'ono amatha kukhala matenda oopsa komanso oopsa.
• Zimaletsa chithandizo chomwe mungapereke. Anthu ofooka sangathe kuchitidwa opaleshoni kapena njira zina zachipatala mosamala.
• Zingayambitse chilema.
• Mumataya ufulu wanu.Anthu ofooka sangathe kukhala okha m'nyumba zawo.
• Zimafupikitsa nthawi yoyembekezera moyo. Mavuto azaumoyo akamawonjezeka n’kukhala aakulu, amatha kukhala pachiwopsezo chachikulu chifukwa cha 'kufooka'.

Kodi madokotala amazindikira bwanji kufooka kwa thupi?

Pali njira zingapo zomwe dokotala angadziwire zofooka. Njira zazikulu ndi kuyezetsa thupi ndi kugwiritsa ntchito masikelo osiyanasiyana a zofooka kapena njira zowerengera . Masikelo awa angathandize dokotala wanu kudziwa ngati muli ndi zofookazo, ndipo ngati zili choncho, ndi zoopsa bwanji.

Pali njira zowerengera ndi kuwerengera zopitilira khumi zomwe zikugwiritsidwa ntchito padziko lonse lapansi. Palibe mgwirizano uliwonse woti chimodzi ndi chabwino kuposa china. Komabe, pali zinthu zisanu zazikulu zomwe machitidwe ambiriwa ali nazo:

• Kuchepetsa thupi mwangozi (osachepera mapaundi 10 kapena makilogalamu 4.5 chaka chatha).
• Kuchepa kwa mphamvu yogwira dzanja ( poyerekeza ndi ena a msinkhu wanu ndi thupi lanu).
• Kutaya mphamvu kapena mphamvu, kumva kutopa kapena kutopa nthawi zonse.
• Kuyenda pang'onopang'ono kapena kuchepa kwa liwiro loyenda.
• Kuchepa kwa kuchuluka kwa zochita zolimbitsa thupi.

Akatswiri nthawi zambiri amagwiritsa ntchito njira zoyezera mphamvu zakuthupi, monga mphamvu yanu yogwirira, kuti aone ngati muli ndi 'kufooka.' Ichi ndi chimodzi mwa zifukwa zazikulu zomwe anthu amakhulupirira molakwika kuti 'kufooka' ndi kufooka kwa thupi chabe.

Masikelo awa ndi momwe amagwiritsira ntchito zinthuzi zimasiyana. Masikelo ena amaganiziranso zinthu zina, monga momwe ubongo wanu umagwirira ntchito, kusadziletsa, komanso ngati muli ndi gulu lothandizira .

Mayeso ena angachitike kutengera zosowa zanu. Mwachitsanzo, muyeso wa Body Mass Index (BMI) kuti muwone ngati minofu yataya, kapena kuwunika chiopsezo cha kugwa . Dokotala wanu adzakuuzani zambiri za mayeso omwe angakulimbikitseni.

Kodi kufooka kumachiritsidwa bwanji?

Kufooka kumatha kuthetsedwa ndipo nthawi zina kumatha kuthetsedwa ndi chithandizo ndi chithandizo. Nazi njira zazikulu zomwe zimagwiritsidwa ntchito pochita izi:

• Kusamalira Matenda Okhudzana ndi Kufooka: Kuchiza bwino matenda ena kungathandize kuchepetsa kupsinjika kwa thupi lanu ndikukuthandizani kuchira.
• Kuchiza thupi: Izi zitha kuwonjezera mphamvu zakuthupi, kupirira, komanso kukonza bwino thupi.
• Mapulogalamu apadera okonzanso: Mapulogalamu okonzanso awa amathandiza anthu kuchira pambuyo pa zochitika zazikulu zomwe zapangitsa kuti afooke. Mwachitsanzo, kukonzanso mapapo ndi kukonzanso mtima .
• Thandizo pa zakudya: Kugwira ntchito ndi katswiri wa zakudya kungathandize kupewa kusowa kwa mavitamini ndi mchere, kapena kuthetsa mavuto okhudzana ndi kunenepa (kulemera kwambiri/kunenepa kwambiri) komwe kumawonjezera chiopsezo cha kufooka.
• Mapulogalamu ochita masewera olimbitsa thupi: Izi nthawi zambiri zimakhala zochitika zamagulu. Zimakuthandizani kuti mukhale otanganidwa ndi anthu komanso kuchita masewera olimbitsa thupi. Izi ndi zabwino pa thanzi lanu la maganizo komanso thanzi lanu lonse.
• Thandizo la anthu ammudzi: Chifukwa cha kufooka, mungafunike thandizo lowonjezera pa ntchito zapakhomo ndi chisamaliro. Pali mabungwe ndi mapulogalamu m'dera lomwe limapereka chithandizochi. Iyi ikhoza kukhala njira imodzi yokhala panyumba ngakhale mutakhala ndi kufooka.
• Chisamaliro cha nthawi yayitali: Ngati kufooka kwanu kuli kwakukulu ndipo simungathe kukhala panyumba, malo osungiramo chithandizo kapena malo okhala ndi anthu ambiri angakhale njira yabwino kwambiri kwa inu. Ngati kufooka kwanu kuli kwakukulu, malo osamalira okalamba odziwa bwino ntchito (omwe nthawi zambiri amatchedwa malo osamalira okalamba) angakhale njira yabwino kwambiri. Ngati muli ndi kufooka kwakukulu, mungafunike chisamaliro cha odwala okalamba .

Kutengera ndi momwe zinthu zilili komanso zosowa zanu, pakhoza kukhala njira zina zochiritsira. Dokotala wanu angakuuzeni za njirazi.

Kodi chiyembekezo cha matenda a 'Frailty' ndi chotani?

Chiyembekezo cha kufooka chimadalira momwe chilili chachikulu komanso ngati chingabwezeretsedwe. Ngati kufooka kungabwezeretsedwe, chiyembekezocho chimakhala chabwino. Ngati sichoncho, chinthu chotsatira chabwino ndikuletsa kufooka, kapena kuletsa kuti kusapitirire. Kufooka ndi kosiyana kwa aliyense. Choncho dokotala wanu angafotokoze bwino za vuto lanu.

Kodi kufooka kungapewedwe?

Kufooka sikungathe kupewedwa nthawi zonse. Koma pali njira zochepetsera chiopsezo chanu chotenga matendawa. Izi nthawi zambiri zimaphatikizapo kukhala ndi thanzi labwino momwe mungathere komanso kuthana ndi kapena kupewa mavuto omwe amayambitsa kufooka. Nazi njira zina zomwe mungachite:

• Nthawi zonse khalani ndi zochita zolimbitsa thupi. Zinthu monga kuyenda kwa mphindi zosachepera 30 patsiku komanso kugwira ntchito zapakhomo.
• Kusunga kulemera koyenera komwe kungakuyenerereni.
• Yang'anani kwambiri pa zakudya zabwino. Idyani masamba ambiri, ndiwo zamasamba, zipatso, ndi zakudya zokhala ndi ulusi wambiri.
• Kupimidwa kuchipatala ('Chisamaliro chodzitetezera ndi kufufuzidwa') nthawi ndi nthawi.
• Tsatirani njira zabwino zosamba m'manja kuti mudziteteze ku matenda.
• Kuvala malamba achitetezo mukakwera galimoto komanso kugwiritsa ntchito zida zodzitetezera kuti mupewe kuvulala m'mutu.
• Kupewa ngozi m'nyumba, makamaka zomwe zimachitika chifukwa cha kugwa. Zinthu monga kuchotsa malo otsetsereka m'nyumba ndi kuyika magetsi kuti pakhale kuwala usiku.

Ngati mukukhala kale ndi zofooka, njira izi zingakuthandizeni kuwongolera komanso mwina kusintha vutoli. Kutengera moyo wanu, zosowa zanu, ndi zomwe mumakonda, pakhoza kukhala zinthu zina zomwe mungachite kuti mupewe zofooka. Wopereka chithandizo chanu chachikulu angakupatseni malangizo ndi upangiri pa izi.

Uthenga wofunika kwambiri woti upite nawo kunyumba

Kufooka sikungokhala kufooka kwakuthupi kokha. Kumatanthauza kuti thupi lanu limavutika kuthana ndi zovuta za moyo watsiku ndi tsiku. Kufooka kumachitika kwambiri mwa anthu opitirira zaka 65, koma sizimachitika kwa aliyense akamakalamba. Sikuli koyambirira kwambiri kuchitapo kanthu kuti mupewe kapena kuchedwetsa. Ngati muli ndi kufooka tsopano, sizikutanthauza kuti muyenera kukhala nako kwamuyaya. Chithandizo chothandizira komanso chithandizo chamankhwala chingathandize kusintha kufooka kapena kuwongolera kupita patsogolo kwake. Ngakhale pamene sizingatheke, pali njira zoyesetsera kusunga moyo wanu wabwino kwa nthawi yayitali momwe mungathere. Chofunika kwambiri ndikulankhula ndi dokotala wanu za izi, popanda mantha kapena manyazi.

Kufooka , kufooka, ukalamba, kusowa mphamvu, matenda osatha, thanzi, thanzi labwino, thanzi la okalamba