Mukumva kufooka nthawi zonse kapena mukuvutika kuti muchire matenda? Tiyeni tikambirane za 'Frailty' | Nirogi Lanka

Kodi mudamvapo kutopa kwambiri ndi chimfine moti simungathe kudzuka pabedi? Kapena mwina mumamva ngati mulibe mphamvu zosamalira ntchito zanu za tsiku ndi tsiku monga kale? Izi sizinthu zachilengedwe zokha za ukalamba. Lero, ku Nirogi Lanka, tikufuna kukambirana za matenda otchedwa 'Frailty' . Ndi vuto lofunika kwambiri la thanzi lomwe anthu ambiri amalinyalanyaza, koma ndi chinthu chomwe tonsefe tiyenera kumvetsetsa.

Kodi 'Frailty' kwenikweni ndi chiyani?

Mwachidule, 'Frailty' imatanthauza mkhalidwe umene thupi lanu limataya mphamvu zake zachilengedwe zobwerera m'mbuyo ndikuchira lokha pambuyo pa matenda kapena kuvulala. Ganizirani izi ngati 'mphamvu yobwezera' ya thupi lanu ikuchepa . Izi zikachitika, ngakhale kufooka pang'ono kwa thanzi kungayambitse vuto lalikulu. Sikuti kungomva kufooka mwakuthupi kokha; thanzi lanu la maganizo, ntchito ya ubongo, ndi kulimba mtima konse zonse zimagwirizana pano. Kufooka sikukula mwadzidzidzi; ndi vuto lopita patsogolo lomwe limachitika pang'onopang'ono. Nkhani yabwino ndi yakuti nthawi zina, limatha kuyendetsedwa kapena kusinthidwa, ngakhale kuti izi zimasiyana malinga ndi munthu.

Ganizirani thanzi lanu ngati akaunti ya banki. Chilichonse chomwe mumachita—kuyambira kupuma ndi kuphethira mpaka kudya ndi kusamba—chimalipiridwa kuchokera mu akauntiyi. Mukadwala kapena kuvulala, thupi lanu limafunika kugwiritsa ntchito ndalama zomwe mwasunga kuti muchire. **Mukakhala ndi "ndalama" zambiri (zosungira mphamvu) mu akauntiyi yaumoyo, mumakhala kutali kwambiri ndi "Frailty."** Komabe, ngati akauntiyi iuma—kutanthauza kuti thupi lanu lilibe mphamvu ngakhale pa ntchito za tsiku ndi tsiku—mumakhala ofooka. Zili ngati kulowa mu "overdraft," komwe thupi lanu limayamba kufunikira thandizo lakunja kuti ligwire ntchito.

Kodi Zizindikiro za Kufooka kwa Thupi Ndi Ziti?

Ngati muli ndi vuto la kugona, mungazindikire chimodzi kapena zingapo mwa zizindikiro zotsatirazi:

• Kutopa nthawi zonse: Kumva kutopa ngakhale mutagwira ntchito zazing'ono, kapena kumva tulo tosazolowereka tsiku lonse.
• Kufooka kwa minofu ndi kufooka kwa mphamvu: Kuvutika kunyamula zinthu zomwe munkazigwiritsa ntchito mosavuta, kapena kuvutika kuimirira pampando.
• Kuchepetsa liwiro kapena kuvutika kuyenda: Kuyenda pang'onopang'ono, kapena kumva kusakhazikika pamapazi anu.
• Kulephera kukhazikika: Kusakhazikika, kupunthwa pafupipafupi, kapena kugwa.
• Mavuto okhudzana ndi chikhodzodzo kapena matumbo: Kutaya madzi pang'ono mkodzo ('kusadziletsa') mukaseka kapena kudabwa, kapena kuvutika ndi kusadziletsa m'mimba ('kusadziletsa').
• Kudzipatula pagulu: Kusafuna kupita kunja, kucheza, kapena kukhala ndi nthawi yabwino ndi abwenzi ndi abale.
• Kusasangalala kapena kuvutika maganizo: Kumva kusowa chisangalalo, mphamvu, kapena chidwi ndi zinthu zomwe unkakonda kale.
• Kutaya ufulu wodziyimira pawokha: Kufunika thandizo pa ntchito zodzisamalira tsiku ndi tsiku, monga kudya, kuvala, kapena kusamba.
• Kuchepetsa thupi mosadziwa: Kuchepetsa makilogalamu angapo kwa miyezi ingapo popanda kuyesetsa.

N’chifukwa Chiyani Kusakhazikika Kumachitika?

Kufooka kumachitika pamene thupi lanu sililinso ndi mphamvu yotha kuchira pambuyo pa matenda kapena kuvulala. Ku Nirogi Lanka, tikufuna kuti mumvetsetse kuti nthawi zambiri izi zimachitika pang'onopang'ono, chifukwa cha matenda osatha kwa nthawi yayitali, mankhwala ena, kudya zakudya zosakwanira , kapena kusachita masewera olimbitsa thupi pakapita nthawi.

Kodi mukukumbukira fanizo la akaunti ya banki yazaumoyo? Zosankha ndi zizolowezi zomwe zimathandiza thanzi lanu zimakhala ngati 'ndalama' mu akaunti iyi, zomwe zimakuthandizani kupewa kufooka:

• Majini anu, mbiri ya matenda a m'banja lanu, ndi kukula kwa mwana wanu ali mwana:Ngakhale simungasinthe izi, kuzimvetsa kumatithandiza kusamalira bwino thanzi lanu.
• Kuchita masewera olimbitsa thupi nthawi zonse komanso mwadongosolo.
• Kudya zakudya zopatsa thanzi komanso zopatsa thanzi.
• Kusamalira bwino kupsinjika maganizo.

Kumbali ina, zochitika zina zimakhala ngati 'kuchotsa' ndalama mu akaunti yanu yazaumoyo, zomwe zimakuwonongerani mphamvu zomwe mumasunga ndikupangitsa kuti mufooke:

• Matenda a nthawi yochepa, monga malungo, chimfine, kapena poizoni wa chakudya.
• Kuvulala pang'ono kwakuthupi, monga kupsinjika kwa minofu, kupindika, kapena kusweka kwa nkhawa.
• Zochitika zoopsa, kuphatikizapo matenda osatha komanso kuvulala kwakukulu monga kusweka kwa chiuno.

Kodi Matenda Osatha Amakhudza Bwanji Kufooka kwa Thupi?

Matenda aakulu akamakula, chiopsezo chanu chokhala ndi kufooka chimawonjezeka. Mavuto otsatirawa atha kupangitsa kapena kukulitsa kufooka:

• Matenda a mafupa: Matenda monga osteopenia kapena osteoporosis omwe amaonda ndi kufooketsa mafupa anu, zomwe zimapangitsa kuti akhale ofooka.
• Matenda a mitsempha: Matenda omwe amakhudza kuyenda, kukumbukira, ndi kuzindikira, monga Parkinson (matenda oyenda) kapena matenda amisala.
• Matenda a mtima: Mwachitsanzo, matenda a mtima osatha.
• Matenda a Autoimmune: Matenda monga Multiple Sclerosis (MS) kapena Rheumatoid Arthritis.
• Matenda a mafupa: Kufooketsa mafupa kapena kuchira pambuyo pa opaleshoni yobwezeretsa mafupa.
• Kusintha kwa kagayidwe kachakudya ndi kuchepa kwa thupi: Mavuto monga kunenepa kwambiri, kuchepa thupi, sarcopenia (kuchepa kwa minofu), kapena matenda a shuga.
• Matenda a m'mimba mwa ziwalo, kuphatikizapo matenda osatha a chiwindi kapena impso.
• Matenda a kupuma: Matenda a m'mapapo osatha monga mphumu ndi matenda a m'mapapo osatha (COPD).

Ndani Ali Pachiopsezo Chachikulu Chokhala ndi Chilema?

Malinga ndi kafukufuku wazachipatala, zinthu zingapo zingakulitse chiopsezo chanu chokhala ndi zofooka:

• Zaka: Pafupifupi munthu m'modzi pa anthu khumi aliwonse azaka zopitirira 65 akhoza kukhala ndi zofooka. Chiwerengerochi chimawonjezeka kufika pa munthu m'modzi pa anayi aliwonse azaka zopitirira 85. Komabe, zofooka si chinthu chosapeŵeka cha ukalamba; zingakhudze anthu pa msinkhu uliwonse wa moyo.
• Matenda kapena kuvulala kwakukulu: Matenda anu akakula kwambiri, chiopsezo chanu chokhala ndi zofooka chimawonjezeka. Zitsanzo zazikulu ndi monga sepsis (yomwe ingayambitse kuwonongeka kwa ziwalo kwamuyaya) ndi kusweka kwa chiuno .
• Mankhwala a matenda aakulu: Ngakhale kuti njira zina zachipatala n'zofunika kwambiri, zimatha kubweretsa nkhawa yaikulu pa thupi lanu. Gulu lanu lachipatala limaganizira mosamala zoopsazi lisanapereke malangizo. Zitsanzo zikuphatikizapo opaleshoni ya khansa, chemotherapy, radiation therapy , kapena opaleshoni yoika ziwalo zina .
• Matenda obadwa nawo: Ana ena obadwa ndi matenda ovuta, monga matenda a mtima obadwa nawo , amatha kukhala ndi zofooka. Mavuto a ubwana awa angapangitsenso kuti munthu akhale ndi zofooka mpaka atakula.
• Netiweki yanu yothandizira:Akamayesa kufooka kwanu, madokotala amaonanso anthu omwe mumakhala nawo—kuphatikizapo banja lanu, anzanu, ndi anthu ammudzi. Kusowa chithandizo champhamvu kungakulitse chiopsezo chanu chofooka, chifukwa kumapangitsa kuti kusamalira zakudya zatsiku ndi tsiku, kutsatira mankhwala, kuchita masewera olimbitsa thupi, komanso kuyanjana ndi anthu ena zikhale zovuta kwambiri.

Kodi Kufooka Kungayambitse Mavuto Otani?

Kufooka kwa thupi kungayambitse mavuto ambiri azaumoyo, kuphatikizapo:

• Kufooketsa chitetezo cha mthupi lanu: Izi zimakupangitsani kukhala pachiwopsezo chachikulu cha matenda atsopano ndipo zimachepetsa nthawi yanu yochira.
• Kuonjezera chiopsezo chanu chovulala: Ngakhale zochitika zazing'ono zingayambitse kuvulala kwakukulu komwe kumatenga nthawi yayitali kuti kuchiritsidwe.
• Kuipiraipira matenda ena: Matenda omwe nthawi zambiri amakhala ang'onoang'ono amatha kukula mofulumira kukhala vuto lalikulu komanso loopsa.
• Kuchepetsa njira zanu zochizira: Ngati mukukhala ndi zofooka, maopaleshoni ena owononga kapena chithandizo chamankhwala champhamvu sichingakhale chotetezeka kwa inu.
• Zomwe zimayambitsa kulumala kwa thupi.
• Kukhudza ufulu wanu wodziyimira pawokha: Kufooka kungapangitse kuti zikhale zovuta kapena zosatheka kukhala nokha popanda thandizo la tsiku ndi tsiku.
• Kuchepetsa nthawi yoyembekezera moyo: Pamene mavuto azaumoyo akukulirakulira, kufooka kungapangitse mavutowa kukhala pachiwopsezo.

Kodi Madokotala Amazindikira Bwanji Kufooka kwa Mitsempha?

Kuti adziwe ngati muli ndi zofooka, dokotala wanu adzakuwunikani bwino. Izi nthawi zambiri zimaphatikizapo kuyezetsa thupi lonse pamodzi ndi masikelo apadera a zofooka ndi njira zowerengera . Zida zimenezi zimatithandiza kuona ngati muli ndi zofookazo, ndipo ngati zili choncho, kuwona kuopsa kwake.

Ngakhale akatswiri azaumoyo padziko lonse lapansi amagwiritsa ntchito njira zopitilira khumi zowerengera, palibe "muyezo umodzi wagolide." Komabe, zambiri mwa izi zimayang'ana kwambiri zizindikiro zisanu zazikulu zachipatala:

• Kuchepetsa thupi mwangozi: Kuchepetsa makilogalamu 10 (pafupifupi makilogalamu 4.5) kapena kuposerapo chaka chatha popanda kuyesera.
• Kugwira dzanja mochepa: Kugwira mofooka poyerekeza ndi ena a msinkhu wanu komanso kugonana kwanu.
• Kuchepa kwa mphamvu ndi mphamvu: Kumva kutopa nthawi zonse kapena kutopa.
• Kuyenda pang'onopang'ono: Kuyenda pang'onopang'ono kapena pang'onopang'ono kwambiri.
• Kuchita masewera olimbitsa thupi pang'ono: Kuchita masewera olimbitsa thupi pang'ono kapena kuyenda pang'ono.

Akatswiri azachipatala nthawi zambiri amawunika zizindikiro za mphamvu zakuthupi, monga mphamvu yogwira dzanja, akamayesa kufooka. Kuyang'ana kwambiri magwiridwe antchito a thupi ndi chifukwa chake anthu ambiri amakhulupirira molakwika kuti kufooka ndi vuto la thupi lokha, osati vuto la thanzi la machitidwe ambiri.

Miyeso yosiyanasiyana yowunikira matenda imayesa zinthu izi m'njira zosiyanasiyana. Kuyesa kwina kwathunthu kumawunikiranso momwe ubongo wanu umagwirira ntchito, kuwongolera chikhodzodzo/matumbo (kusadziletsa), komanso gulu lanu lothandizira anthu .

Kutengera ndi zosowa zanu, dokotala wanu angakulangizeni kuti mufufuzenso zina. Izi zitha kuphatikizapo kuyeza Body Mass Index (BMI) yanu kuti muwone ngati minofu yanu yawonongeka, kapena kuchita kuwunika kovomerezeka kwa chiopsezo cha kugwa . Dokotala wanu adzakambirana mayeso omwe ali oyenera kwambiri kwa inu.

Kodi Kufooka Kumathandizidwa ndi Kusamalidwa Bwanji?

Ndi dongosolo loyenera la chithandizo ndi chithandizo, kufooka kumatha kuthandizidwa bwino, ndipo nthawi zambiri, kumatha kusinthidwa. Nazi njira zazikulu zomwe timagwiritsa ntchito kuti tikuthandizeni kupezanso mphamvu ndi mphamvu zanu:

• Kuthana ndi mavuto okhudzana ndi kufooka: Kuchiza bwino matenda ena omwe amabwera chifukwa cha kufooka kwanu kungachepetse kwambiri nkhawa m'thupi lanu ndikukuthandizani kuti mukhale ndi mphamvu.
• Kuchiza thupi: Izi zingakuthandizeni kumanganso mphamvu zanu zakuthupi, kukulitsa kupirira kwanu, komanso kulimbitsa thupi lanu.
• Mapulogalamu apadera ochiritsira matenda: Mapulogalamu awa apangidwa kuti akuthandizeni kuchira pambuyo pa zochitika zoopsa zomwe mwina zinayambitsa kufooka. Zitsanzo zikuphatikizapo kubwezeretsa m'mapapo ndi kubwezeretsa mtima .
• Thandizo pa Zakudya: Kugwira ntchito limodzi ndi katswiri wa zakudya kungakuthandizeni kuthana ndi kusowa kwa mavitamini ndi mchere, komanso kuthana ndi mavuto aliwonse okhudzana ndi kunenepa (monga kunenepa pang'ono kapena kunenepa kwambiri) omwe angakulitse chiopsezo chanu chokhala ndi zofooka.
• Mapulogalamu ochita masewera olimbitsa thupi: Izi nthawi zambiri zimakhala zochitika zamagulu zomwe zimakuthandizani kukhalabe otanganidwa komanso otanganidwa, zomwe ndi zabwino kwambiri pa thanzi lanu la maganizo komanso thanzi lanu lonse.
• Thandizo la anthu ammudzi: Ngati kufooka kukupangitsani kukhala kovuta kusamalira ntchito zapakhomo, pali mautumiki ndi mapulogalamu opangidwa kuti akuthandizeni. Zinthu zimenezi zingakuthandizeni kukhala bwino komanso nokha m'nyumba mwanu kwa nthawi yayitali momwe mungathere.
• Chisamaliro cha nthawi yayitali: Ngati kufooka kukukulirakulira ndipo kukhala paokha kunyumba sikulinso kotetezeka kapena kothandiza, malo osungiramo chithandizo kapena malo okhala ndi anthu ambiri angakhale njira yabwino kwambiri. Kuti mupeze chisamaliro chapamwamba, malo osamalira okalamba odziwa bwino ntchito (omwe nthawi zambiri amatchedwa malo osungira okalamba) angapereke chithandizo chamankhwala chomwe mukufuna. Ngati mukuvutika kwambiri ndi kufooka kwa moyo wanu wonse, chisamaliro cha odwala okalamba chingapereke chitonthozo ndi chithandizo chachifundo.

Kutengera ndi momwe zinthu zilili komanso zosowa zanu zachipatala, pali njira zina zochiritsira zomwe zingakuthandizeni. Dokotala wanu ku Nirogi Lanka adzasangalala kukambirana nanu za njira zimenezi.

Kodi chiyembekezo cha munthu amene ali ndi vuto la kufooka ndi chiyani?

Chiyembekezo cha kufooka chimadalira kwambiri momwe chilili chachikulu komanso ngati zifukwa zake zingathe kuthetsedwa. Ngati kufooka kwanu kungasinthe, chiyembekezocho n'cholimbikitsa kwambiri. Ngakhale sichingathe kuthetsedwa kwathunthu, kuchepetsa kupitirira kwake ndikuletsa kuti chisaipire ndi kupambana kwakukulu kwachipatala. Popeza kufooka kumakhudza aliyense mosiyana, gulu lanu lazachipatala ndiye gwero lanu labwino kwambiri lomvetsetsa malingaliro anu.

Kodi Kufooka Kungapewedwe?

Ngakhale kuti nthawi zina sizingatheke kupewa kufooka 100%, pali njira zothandiza kwambiri zochepetsera chiopsezo chanu. Izi nthawi zambiri zimaphatikizapo kusunga thupi lanu kukhala lathanzi momwe mungathere komanso kuthana ndi mavuto omwe angayambitse kufooka. Nazi njira zofunika zomwe mungachite kuti muteteze thanzi lanu:

• Pitirizani kuchita masewera olimbitsa thupi: Zochita zosavuta za tsiku ndi tsiku monga kuyenda kwa mphindi zosachepera 30 kapena kugwira ntchito zazing'ono zapakhomo zingathandize kwambiri.
• Khalani ndi kulemera koyenera thupi lanu.
• Yang'anani kwambiri pa zakudya zoyenera: Idyani zakudya zopatsa thanzi zokhala ndi masamba obiriwira, ndiwo zamasamba, zipatso, ndi zakudya zokhala ndi ulusi wambiri.
• Pitirizani ndi chisamaliro chodzitetezera komanso kuyezetsa matenda: Kuyezetsa matenda nthawi zonse n'kofunika kwambiri.
• Chitani ukhondo wabwino wa manja kuti mudziteteze ku matenda ndi matenda.
• Ikani patsogolo chitetezo: Nthawi zonse valani lamba wanu wapampando mukamayendetsa galimoto, ndipo gwiritsani ntchito zida zodzitetezera kuti musavulale mutu.
• Pangani nyumba yanu kukhala yotetezeka kuti mupewe ngozi, makamaka kugwa: Sungani malo anu okhala opanda zinthu zoopsa, sungani makapeti osasunthika, ndipo onetsetsani kuti muli ndi kuwala kowala komanso kokwanira usiku.

Ngati mukukhala kale ndi zofooka, njira izi zitha kukhala zamphamvu kwambiri pokuthandizani kuthana ndi vutoli, ndipo nthawi zina, ngakhale kusintha. Kutengera moyo wanu, zosowa zanu zapadera, ndi zomwe mumakonda, pakhoza kukhala njira zina zomwe zingakuthandizeni. Wopereka chithandizo chanu chachikulu ku Nirogi Lanka angakutsogolereni ndi upangiri wanu komanso dongosolo logwirizana ndi moyo wanu.

Mfundo Yanu Yofunika Kwambiri

Kufooka sikungokhala kufooka kwakuthupi kokha; zikutanthauza kuti thupi lanu limavutika kubwerera m'mbuyo kuchokera ku zovuta za tsiku ndi tsiku za moyo. Ngakhale kuti nthawi zambiri zimakhala zofala kwa anthu azaka zopitirira 65, si gawo losapeŵeka la ukalamba. Sikoyenera kuchitapo kanthu kuti mupewe kapena kuchedwetsa kuyamba kwake. Ngakhale mutakhala kuti muli ndi kufooka lerolino, chonde dziwani kuti simuyenera kuvomereza kuti ndi kosatha. Ndi chithandizo choyenera, chithandizo, ndi chithandizo chamankhwala, nthawi zambiri titha kusintha kufooka kapena kuletsa kuti kusakule kwambiri. Ndipo ngati kusintha sikungatheke, tili ndi njira zabwino zowonjezerera chitonthozo chanu ndikusunga moyo wanu wabwino kwa nthawi yayitali momwe mungathere. Gawo lofunika kwambiri lomwe mungachite ndikulankhula momasuka, popanda mantha kapena kukayikira, ndi dokotala wanu.

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