Ese umuntu mukuru mu rugo rwawe akunze kugwa? Ushobora kubihagarika ukoresheje isuzuma ry’ingaruka zo kugwa!

Twese twumvise ndetse wenda twanabonye ba sogokuru bacu bagwa mu gihe bagendagenda. Hari igihe twibwira tuti: "Uko ni ko bigenda iyo tugeze mu zabukuru, tugomba kwitonda cyane." Ariko urabizi, uku kugwa si ikintu cyo gutekerezaho mu buryo bworoshye. Ndetse no kugwa rimwe gusa bishobora gutera ikintu gikomeye, nko kuvunika igufwa (`(Kuvunika)`), ndetse rimwe na rimwe no gukomereka ku mutwe cyangwa kwangirika k'ubwonko. Rero ni ngombwa cyane kwitonda gato kuri ibi, cyane cyane iyo dutekereza ku bakuru bacu dukunda.

None se iri suzuma ry'ingaruka zo kugwa ni iki?

Mu magambo make, gusuzuma ibyago byo kugwa ni uburyo muganga wawe agusuzuma kugira ngo amenye ibyago byo kugwa. Nk'uko dukora serivisi ku modoka buri gihe kandi tugakosora amakosa yayo, umubiri wacu urahinduka uko tugenda dusaza, tukamenya ingaruka nshya zizanwa nazo, kandi tugafata ingamba zo kuzikemura. Ibi bishobora kugufasha kwirinda kugwa.

Kuki iki (Isuzuma ry'Ingaruka zo mu gihe cy'Impeshyi) ari ingenzi cyane?

Ushobora kuba utekereza uti “Sawa, none se byamarira iki kumenya ko bihari?” Tekereza kuri ibi bintu:

• Ushobora kugabanya ibyago byo kugwa: Iyo uzi neza ibintu bishobora gutuma ugwa, biroroha kubyirinda.
• Ushobora kumenya ibintu byihariye bishobora gutera ibyago: Abantu bose ntibagwa mu buryo bumwe. Iyo umaze gusobanukirwa ibikugizeho ingaruka, ushobora gufata ingamba zo kubikemura.
• Ushobora kwigenga, kwigenga, no gukora cyane igihe cyose ushoboye: Biragoye gukora imirimo ya buri munsi iyo uhora utinya kugwa. Nyuma y'iri suzumabumenyi, ushobora gutsinda ubwo bwoba no kubaho wishimye.
• Ushobora kubaho ubuzima bwiza kandi wigenga: Byaba bibabaje gute uvunitse urwego rw'umubiri kubera kugwa ukagwa ukaryama? Ibi ni ubufasha bwo kwirinda ibintu nk'ibyo.

Abantu benshi batekereza ko kugwa ari ibisanzwe kandi ko bitakwirindwa uko tugenda dusaza. Ariko ibyo si ukuri. Gugwa kenshi bishobora kwirindwa! Bisaba gusa gusuzuma neza ibyago no gufata ingamba zikenewe.

Ni nde ukeneye isuzuma ry'ingaruka zishobora guterwa no kugwa?

Muri rusange ni byiza ko buri muntu mukuru ufite imyaka 65 cyangwa irenga asuzuma nibura ibyago byo kugwa. Iyo ugiye kwa muganga, ashobora kukubaza ibibazo nk'ibi:

• "Ese wumva udakomeye gato, nk'aho udafite ubushobozi bwo kuringaniza ibintu, haba iyo uhagaze cyangwa ugenda?"
• "Ese wigeze ugwa nibura rimwe mu mwaka ushize?"
• "Ese uhora wumva ufite ubwoba cyangwa uhangayikishijwe no kugwa?"

Niba usubije "yego" kuri kimwe muri ibi bibazo, muganga wawe ashobora kukugira inama yo "gusuzuma burundu ingaruka zo kugwa", bizasuzuma ibi mu buryo bwimbitse.

Iri suzuma rigomba gukorwa kangahe?

Dukurikije amabwiriza aturuka mu miryango itandukanye y’ubuzima, ni byiza gukora isuzuma ry’ingaruka zo kugwa byibuze rimwe mu mwaka . Ariko, bitewe n’izindi ndwara ufite, imyaka yawe, ndetse n’uko waba warigeze kugwa mbere, muganga wawe ashobora kukugira inama yo kwipimisha kenshi, urugero, buri mezi atandatu.

Ni ibihe bintu byongera ibyago byanjye byo kugwa?

Hari ibintu byinshi bishobora gutuma umuntu agwa. Reka turebe iby'ingenzi.

Impamvu z'umubiri n'ubuzima:

• Gusaza: Uko dusaza, imitsi yacu iracika intege, amaso yacu agenda agabanuka buhoro buhoro, amatwi yacu na yo ashobora kwangirika, igihe cyo gukora ibintu kigabanuka, kandi bikagorana kugumana uburimbane bwacu. Ibi bintu byose byongera ibyago byo kugwa.
• Ibibazo byo kuringaniza: Hari abantu bumva badakomeye nubwo bahagaze neza. Bashobora kumva bameze nk'aho barimo kunyeganyega mu gihe bagenda. Iyi nayo ni impamvu ikomeye itera kugwa.
• Indwara zo kugenda: Hari abantu bagenda buhoro cyane, abandi bagenda vuba n'intambwe nto, abandi bagenda barambuye amaguru yabo, abandi bagenda nk'igitanda. Izi mpinduka mu miterere y'ingendo tuzita "indwara zo kugenda". Izi zishobora kandi gutuma byoroha kugwa ku kintu kiri hasi, kunyerera no kugwa.
• Kurangara (kubura ubushobozi bwo gutekereza): Uko abantu bakura, kwibuka kwabo bishobora kwangirika kandi bashobora kugorwa no kwita ku kintu kimwe. Iyi ndwara yitwa kubura ubushobozi bwo gutekereza buciriritse. Ibi bishobora gutuma bagwa iyo bagenda, bazamuka ingazi, cyangwa ndetse batembera mu nzu.
• Umutima utera cyane: Iyo umutima utangiye gutera cyane, cyangwa ugatera cyane, cyangwa umuvuduko w'umutima utera ukagira ingaruka mbi, ushobora kumva umeze nk'ufite isereri no gucika intege.
• Hypotension y'amaraso mu maraso: Ese wumva uzungera cyangwa ubabaye iyo uhagurutse mu buryo butunguranye uvuye ku buriri, ku ntebe, cyangwa wicaye? Abantu benshi bahuye n'ibi. Impamvu ni uko umuvuduko w'amaraso ugabanuka mu buryo butunguranye iyo uhinduye imiterere. Ibi bizwi mu buvuzi nka hypotension y'amaraso mu maraso. Iyi nayo ni impamvu ikomeye yo kugwa.
• Kutabona neza: Iyo amaso yawe afite intege nke, ntushobora kubona inzitizi imbere yawe, ku madarajya, cyangwa se ku bintu bito biri hasi. Icyo gihe, uba ushobora gufatwa na byo ukagwa. Indwara nka cataract na glaucoma nazo zibigiraho ingaruka.

Izindi mpamvu zishingiye ku buzima n'imibereho:

• Ibiza byo mu rugo: Aha ni hamwe mu hantu hakunze kwirengagizwa cyane mu rugo , ariko ni hamwe mu hateje akaga cyane. Tekereza kuri ibi:
• Ibikinisho, ibinyamakuru, inkweto, insinga, n'ibindi bintu byose byari binyanyagiye hasi.
• Nk'ahantu hataba urumuri, cyane cyane iyo ugiye mu gikoni cyangwa mu bwiherero nijoro.
• Amatapi anyerera, tapi, hasi hasukuye, hasi hashyizwemo amatafari.
• Ubwogero bufite ahantu hameze nk'isabune, hanyerera kandi amazi anyura hasi.
• Kutagira imigozi yo gufata ku madarajya, impande z'intambwe zangiritse.
• Intebe n'ameza bitari hejuru bihagije.
• Kuzamuka intebe kugira ngo ufate ibintu mu dusanduku two hejuru mu gikoni.

"Umuturanyi wacu, Nyirasenge Soma, yaguye ku gatambaro gato kari hasi ubwo yajyaga mu bwiherero nijoro maze agwa. Ku bw'amahirwe, ntiyakomeretse cyane, ariko ukuboko kwe kwari kwakomeretse cyane. Bisa nkaho ari ikintu gito, ariko bishobora kuba ikibazo gikomeye, sibyo?"

• Imiti imwe n'imwe: Imiti imwe n'imwe ufata ishobora gutera isereri, gusinzira, gucika intege, no gutakaza uburimbane. Urugero:
• Imiti igabanya kwiheba
• Imiti itangwa ku ndwara zimwe na zimwe zo mu mutwe (`Antipsychotics`)
• Benzodiazepines (imiti igufasha gusinzira no kugabanya imihangayiko)
• Amwe mu mavuta agabanya ububabare
• Imiti imwe n'imwe ivura umuvuduko ukabije w'amaraso (cyane cyane mu ntangiriro)

Kubwibyo, ni ngombwa kubwira muganga wawe imiti yose ufata (ndetse na vitamine n'imiti ya Ayurvedic).

• Kubura Vitamine D: Vitamine D ni ingenzi cyane ku gukomera kw'amagufwa yacu no ku mikorere y'imitsi yacu. Iyo nta vitamine D ihagije mu mubiri (kubura Vitamine D), amagufwa aracika intege kandi ashobora kuvunika byoroshye iyo uguye. Nanone, bitewe n'intege nke z'imitsi, kuringaniza kw'imitsi nabyo bishobora kugabanuka.
• Gugwa mbere: Niba warigeze kugwa mbere, ushobora kongera kugwa. Ibi bishobora guterwa n'imvune yatewe no kugwa mbere, cyangwa se ukaba warahinduye uburyo bwo kugenda no gukora imirimo ya buri munsi kubera gutinya kongera kugwa.
• Kutagira imyitozo ngororamubiri: Iyo udakoze imyitozo ngororamubiri, iyo umaze igihe kinini wicaye ahantu hamwe, imitsi yawe iracika intege buhoro buhoro, ubushobozi bwawe bwo kwiyoroshya bugabanuka, kandi uburinganire bwawe buragabanuka. Ibi byongera ibyago byo kugwa.

Ni iki kibaho mu gihe cyo gusuzuma ingaruka zo kugwa?

Ubusanzwe iri suzuma rigizwe n'intambwe nyinshi.

Isuzuma ry'ibimenyetso, amateka y'ubuzima, n'imiti

Muganga wawe:

• Niba warigeze kugwa mbere, bazakubaza birambuye. Urugero, uburyo waguye, icyabiteye, icyabaye nyuma yo kugwa, ndetse niba waravuwe .
• Barakubaza urwego rw'ibikorwa byawe bya buri munsi, niba ushobora gukora imirimo ya buri munsi wenyine, cyangwa niba ufite ingorane iyo ari yo yose.
• Baza imiti yose urimo gufata ubu (wandikiwe na muganga, uyihabwa ku giciro cya muganga, vitamine, ndetse n'imiti gakondo) urebe niba hari iyo ari yo yose yongera ibyago byo kugwa. Ibi ni ingenzi cyane.

Ibizamini n'ubundi buvuzi

Byongeye kandi, muganga ashobora kandi gukora ibi bikurikira:

• Umuvuduko w'amaraso yawe (igihe wicaye cyangwa uhagaze) hamwe n'uko umutima utera bizagenzurwa.
• Bazakora ibizamini byinshi by'umubiri. Ibi bizareba ibintu nk'uburyo uhagaze, imbaraga z'imitsi, n'uburyo ugenda (tuzabivugaho gato).
• Bashobora gupima amaraso kugira ngo barebe urugero rwa vitamine D, cyangwa bagasaba ko hakorwa scan ya DEXA kugira ngo barebe ubucucike bw'amagufwa. Ibi bishobora gufasha mu kumenya indwara zoroshya amagufwa nka osteoporosis.
• Ushobora kandi koherezwa kwa muganga w’inzobere mu by’ubuvuzi bw’indwara z’umubiri. Ashobora kuza iwawe agashaka ahantu hashobora guteza akaga mu bice ukunze kujyamo (urugero: amatapi anyerera, ahantu hadatanga urumuri) akagufasha kubyirinda.

Ni ibihe bipimo abaganga bakoresha mu gusuzuma ibyago byo kugwa?

Abaganga bakoresha ibizamini byinshi byoroshye ariko bifite akamaro kugira ngo barebe ko uringaniye, imbaraga zawe, n'uko ugenda:

• Ikizamini cyo guhagarara ku ntebe cy'amasegonda 30: Iki ni ikizamini cyoroshye. Usabwa kwicara mu ntebe ukanyuza amaboko mu gituza (ntushobora guhagarara ukoresheje amaboko yawe). Hanyuma, usabwa guhaguruka burundu uvuye ku ntebe hanyuma ukongera kwicara burundu. Inshuro ushobora kubikora mu masegonda 30 zirabarirwa. Ibi biguha igitekerezo cy'imbaraga z'imitsi y'amaguru yawe.
• Ikizamini cya “Four Stage Balance Test”: Muri iki kizamini, ugomba guhagarara mu myanya ine itandukanye. Ugomba gufata buri mwanya mu gihe cy'amasegonda 10. Iyi myanya irushaho kugorana. Urugero, muri kimwe, ugomba guhagarara amaguru yombi afatanye, mu kindi ukuguru kumwe imbere (tandem stand), naho mu cya nyuma, ugomba guhagarara ku kuguru kumwe. Ibi bipima kuringaniza kwawe.
• Ikizamini cya Timed Up & Go (TUG): Iki nacyo ni ikizamini gisanzwe. Wicara ku ntebe. Hanyuma, iyo ubwiwe "genda," urahaguruka, ugenda metero zigera kuri 3 imbere ukurikije umuvuduko usanzwe ugenda, ugahindukira, ukicara ku ntebe. Igihe bifata kugira ngo ubikore kirapimwa. Muri rusange, iyo bitwaye amasegonda arenga 12 , ufatwa nk'uri mu kaga gakomeye ko kugwa.
• Ikizamini cyo gutekereza: Hari igihe muganga azakubaza ibibazo bike kugira ngo arebe ubushobozi bwawe bwo kwibuka, kwita ku bintu, no gufata ibyemezo, kandi ashobora no kugusaba gukora imirimo imwe n'imwe yoroshye. Ibi biterwa nuko, nk'uko twabiganiriyeho mbere, kugwa bishobora guterwa no kutabasha gufata neza ibintu.

Ibisubizo byanjye bizaba ibihe nyuma y'iri suzuma?

Ibi byose nibirangira, umuganga wawe azakubwira niba ibyago byawe byo kugwa ari bike, biri hagati cyangwa hejuru.

Igikuru ni uko nubwo ibyago byawe byaba "bike," muganga wawe ashobora kukugira inama ku ngamba zo kwirinda (`inama zo kwirinda`) ushobora gufata kugira ngo wirinde kugwa mu gihe kizaza.

Ni izihe nama rusange zo kugabanya ibyago byo kugwa?

Bitewe n'ibyavuye mu isuzuma ryawe, muganga wawe ashobora kuguha inama n'ibitekerezo bitandukanye, nko:

• Mu gihe uhagurutse ku buriri cyangwa ku ntebe, haguruka ugororotse: Aho guhaguruka utunguranye, banza wicare mu buriri, shyira ibirenge byawe hasi, tegereza gato, hanyuma uhagarare ugororotse. Ibi bishobora kugabanya isereri riterwa no kurwara indwara yo mu bwonko iterwa no kugabanuka k'amaraso mu mubiri.
• Koresha igikoresho gifasha: Niba ugorwa no kugenda, ni byiza gukoresha inkoni cyangwa agakoresho gakwiriye gakwiranye n'uburebure bwawe. Muganga wawe cyangwa umuvuzi w'umubiri ashobora kugufasha guhitamo neza.
• Shyira utubati two gufata mu bwiherero: Gushyira utubati two gufata hafi y'ubwiherero n'ubwiherero bishobora kugabanya cyane amahirwe yo kugwa ahantu hanyerera.
• Guhindura cyangwa kugabanya ingano y'imiti yongera ibyago byo kugwa: Niba imwe mu miti ufata yongera ibyago byo kugwa, muganga wawe ashobora gufata icyemezo cyo guhindura imiti cyangwa kugabanya ingano. Ntugahagarike gufata imiti yawe cyangwa ngo uhindure ingano nta nama ya muganga wawe ku mpamvu iyo ari yo yose.
• Fata inyongeramusaruro za Vitamine D: Niba umubiri wawe ufite ingano nke ya Vitamine D (`Vitamin D ibura`), muganga wawe ashobora kukugira inama yo gufata inyongeramusaruro za Vitamine D zikwiye.
• Imyitozo ngororamubiri: Ni ingenzi cyane gukora imyitozo ibereye abageze mu zabukuru, cyane cyane iyongerera uburinganire, imbaraga z'imitsi, no koroherwa. ``Tai Chi`` ni imyitozo ngororamubiri myiza cyane kuri ibi. Ni ingenzi kandi gukora imyitozo ngororamubiri isabwa n'umuganga w'imitsi.
• Kongera umutekano wo mu rugo:
• Kura ibintu bitari ngombwa hasi.
• Shyiramo amatara kugira ngo habeho urumuri rwiza, cyane cyane ku mihanda ikoreshwa nijoro.
• Kuraho amatapi anyerera, cyangwa uyafate hasi.
• Shyira igitambaro kidacika mu bwiherero.
• Shyiramo imigozi ku mpande zombi z'ingazi.
• Ambara inkweto zikwiye: Ambara inkweto cyangwa inkweto zijyanye neza, zidatemba, kandi zifite inkweto ndende. Irinde kugenda nta nkweto cyangwa kwambara amasogisi gusa, ndetse no mu nzu.

Muganga wawe ashobora kandi kukwemerera ku bandi bahanga mu by'ubuzima benshi bashobora kugufasha kugira ubuzima bwiza:

• Muganga w'amaso: Suzuma amaso yawe buri gihe, usimbuze indorerwamo zawe nibiba ngombwa, kandi uvure indwara nka cataract.
• Umuganga w’umubiri: Atanga imyitozo ngororamubiri n’amabwiriza yihariye yo kongera imbaraga zawe, kunoza uburinganire bwawe, no kwitoza kugenda mu mutekano.
• Umuvuzi w’akazi: Umuvuzi wiga ibidukikije byo mu rugo rwawe n’uburyo ukora imirimo yawe ya buri munsi kandi akagufasha guhindura ibintu mu buryo bufatika kugira ngo ugabanye ibyago byo kugwa. Urugero, uburyo bwo gukoresha ubwiherero mu mutekano n’uburyo bwo gukora ibintu mu mutekano mu gikoni.

Amaherezo, icyo ugomba kwibuka (Ubutumwa bwo kujyana mu rugo)

Rero, ingingo y'ingenzi ni uko, ntugasuzugure kugwa nk' "igice gisanzwe cyo gusaza." Ndetse no kugwa rimwe gusa bishobora kugira ingaruka zikomeye ku buzima bwawe no ku bwigenge bwawe. Iri suzuma ry'ibyago byo kugwa ni intambwe y'ingenzi cyane ushobora gutera kugira ngo wirinde wowe n'abakunzi bawe iki kibazo.

Wenda icyo ukeneye gukora ni uguhindura imiterere y'ubuzima bwawe n'urugo rwawe. Bishobora kuba ibintu byoroshye nko guhitamo inkweto zikubereye neza, gufata vitamine D, cyangwa kubonana n'umuganga w'imiti no kwiga imyitozo ngororamubiri.

Niba ufite imyaka irenga 65, cyangwa niba uhangayikishijwe no kugwa, cyangwa se ukaba warigeze kugwa mu bihe byashize, ugomba kuvugana na muganga w’umuryango wawe (cyangwa muganga w’umuryango) maze ugatekereza ku gusuzuma ingaruka zose zishobora guterwa no kugwa. Bizaba ari ishoramari rikomeye mu buzima bwawe bwiza, bw’ibyishimo, kandi wigenga!

---

Kugwa , gusaza, gusuzuma ibyago byo kugwa, kwirinda kugwa, ubuzima bw'abageze mu zabukuru, kuvunika, kuringaniza