Ngaba umzimba wakho ubuthathaka kwaye kunzima ukuchacha emva kokugula? Masithethe 'ngoButhathaka'!

Ngaba wakha waziva ngathi udiniwe kakhulu ukuba ungavuka ebhedini nokuba unesifo somkhuhlane? Okanye awunawo amandla okwenza izinto owawuzenza ngaphambili? Oku kusenokungabi yimbangela yokwaluphala nje kuphela. Namhlanje siza kuthetha ngemeko ebizwa ngokuba yi-'Frailty' . Le yinto abantu abaninzi abangaziyo ngokwenene ngayo, kodwa sonke kufuneka siyazi.

Kalula nje, yintoni 'iFrailty'?

Ngamafutshane, ubuthathaka kukulahlekelwa ngamandla omzimba wakho okuchacha emva kokugula okanye ukwenzakala. Kufana nokuba 'amandla okubuyisela' omzimba wakho anciphile . Nezinto ezincinci zinokuba nefuthe elikhulu. Akupheleli nje kumandla akho omzimba. Impilo yakho yengqondo, ukusebenza kwengqondo, kunye nokuqina konke kuyabandakanyeka. Ubuthathaka abenzeki ngobusuku obunye, yimeko eqhubekayo kancinci kancinci. Ngamanye amaxesha inokuguqulwa, kodwa iyahluka kumntu nomntu.

Cinga ngempilo yakho njengeakhawunti yebhanki. Yonke into esiyenzayo - ukusuka ekuphefumleni ukuya ekulaleni, ukusuka ekuhlambeni ukuya ekutyeni - 'ihlawulwa' kule akhawunti. Kwaye xa sigula okanye sinengozi, sidinga amandla avela kule akhawunti ukuze sibuyele esiqhelweni. Okukhona unemali eninzi, oko kukuthi, amandla, 'kwiakhawunti yakho yezempilo', kokukhona usiya kude 'nobuthathaka'. Kodwa ukuba le akhawunti iphela, oko kukuthi, ukuba umzimba wakho awunawo amandla aneleyo okwenza imisebenzi yemihla ngemihla, kulapho ke uba 'buthathaka'. Kufana nokungena 'kwi-overdraft'. Emva koko umzimba wakho udinga uncedo oluvela ngaphandle.

Ngoko ke zithini iimpawu ze-'Frailty'?

Ukuba une-'Frailty', unokufumana enye okanye ngaphezulu kwezi mpawu:

• Ukudinwa nokudinwa ngalo lonke ixesha: ukuziva udiniwe nangona sele wenze imisebenzi emincinci, ukuziva ulele imini yonke.
• Ubuthathaka bemisipha kunye nokuphelelwa ngamandla: Kuvakala ngathi kunzima ukuphakamisa iintsimbi obukade ukwazi ukuziphakamisa, okanye nokuvuka esitulweni.
• Ukuhamba kancinci, ubunzima bokuhamba: Isantya sokuhamba siyehla, ngamanye amaxesha xa umntu eqhwalela.
• Ukulahlekelwa yibhalansi: Ukuwa okanye ukuwa rhoqo.
• Ukungakwazi ukuzibamba komchamo (ukungakwazi ukuzibamba) okanye ukungakwazi ukuzibamba kwamathumbu (ukungakwazi ukuzibamba) xa uchwayitile okanye uhleka.
• Ukungabi namdla wokuphuma uye kuchitha ixesha nabahlobo okanye izalamane (ukuzikhupha kwintlalo).
• Ukuziva ulusizi kunye nokungabi namdla kuyo nayiphi na into ('Uxinzelelo') kunokwenzeka.
• Ukufuna uncedo kwabanye ukuze wenze imisebenzi yemihla ngemihla efana nokutya, ukunxiba, nokuhlamba wedwa.
• Ukunciphisa umzimba ngengozi:Ukuba ulahlekelwa ziikhilogram ezimbalwa zobunzima kwiinyanga ezimbalwa ngaphandle kwesizathu esicacileyo, oko kukwaluphawu.

Kutheni le nto 'iFrailty' isenzeka?

Ubuthathaka buyenzeka xa umzimba wakho uphelelwa ngamandla okuchacha kwisifo okanye ukwenzakala. Oku kungenzeka kancinci kancinci ngenxa yeemeko ezingapheliyo oye wazifumana ixesha elide, amayeza athile owasebenzisayo, ukutya okungenampilo , kunye nokungazilolongi umzimba .

Uyakhumbula elo bali 'leakhawunti yezempilo' endakuxelela ngalo ngaphambili? Izinto ezisinceda sihlale sisempilweni zifana 'nediphozithi' ezenziwe kuloo akhawunti. Zinceda ekuthinteleni 'ubuthathaka'.

• Izakhi zofuzo zakho, imbali yezonyango yosapho lwakho, kunye nendlela okhula ngayo ukususela ebuntwaneni ukuya ekubeni ngumntu omdala. Ezi zinto kunzima kuthi ukuzilawula, kodwa kubalulekile ukuzazi.
• Ukwenza umthambo ofanelekileyo.
• Ukutya ukutya okulungileyo nokunesondlo.
• Ulawulo loxinzelelo.

Kwakhona, kukho izinto ezisusa amandla kwiakhawunti yethu yezempilo, ezifana 'nokutsalwa kwemali'. Ezi zizinto ezinokubangela 'ubuNciphiso':

• Izifo zexesha elifutshane ezifana nomkhuhlane, umkhuhlane, kunye netyhefu yokutya.
• Ukulimala okuncinci okufana nokuqhekeka kwemisipha kunye noxinzelelo kunye nokuqhekeka koxinzelelo.
• Izifo ezihlala ixesha elide kunye neengozi ezinzulu ezifana nokuqhekeka kwesinqe.

Izigulo ezingapheliyo zichaphazela njani?

Okukhona uneengxaki ezingapheliyo, kokukhona amathuba okuba ube nobuthathaka. Iingxaki ezinje ngezi zinokuba negalelo kubuthathaka okanye zibenze bube mandundu:

• Iingxaki zamathambo: Iimeko ezifana ne -'Osteopenia' okanye 'i-Osteoporosis', apho amathambo aba mancinci aze aphuke lula.
• Iingxaki ezinxulumene nobuchopho: Iingxaki zokunyakaza , izifo ezifana ne-dementia ezichaphazela inkumbulo kunye nobuchule bokucinga.
• Izifo zentliziyo kunye nenkqubo yokujikeleza kwegazi: Umzekelo , isifo sentliziyo.
• Iingxaki zenkqubo yomzimba yokuzikhusela: Izifo ezizikhusela ngokwazo ezifana neMultiple Sclerosis kunye neRheumatoid Arthritis .
• Iingxaki zamalungu: izinto ezifana ne -arthritis , ukutshintshwa kwamalungu, njl.
• Utshintsho kwindlela umzimba osebenza ngayo kunye nobunzima/ubunzima bemisipha: Ukutyeba kakhulu, Ukutyeba ngaphantsi kobunzima, Ukuncipha kwemisipha (iSarcopenia) okanye iDiabetes Mellitus.
• Izifo zamalungu angaphakathi njengesibindi nezintso.
• Izifo zenkqubo yokuphefumla: Iimeko ezifana ne -asthma kunye nesifo esingapheliyo semiphunga (COPD) .

Ngubani osengozini enkulu yokuba 'nobuthathaka'?

Uphando lufumanise ukuba ezi zinto zilandelayo zonyusa umngcipheko wokuba buthathaka:

• Ubudala: Malunga nomntu omnye kwabalishumi abaneminyaka engaphezu kwama-65 ubudala unokuba nobuthathaka. Eli nani liyanda liye kuthi ga kumntu omnye kwaba-4 abaneminyaka engaphezu kwama-85 ubudala. Kodwa akupheleli nje kwiminyaka yobudala, kunokwenzeka nakweyiphi na iminyaka.
• Ukugula okanye ukwenzakala okukhulu: Okukhona imeko inzima, kokukhona umngcipheko wokuba buthathaka. Umzekelo, i-sepsis (enokulimaza amalungu omzimba ngokusisigxina) kunye nokuqhekeka kwesinqe.
• Unyango lwezifo okanye ukwenzakala okunzulu: Ezinye iindlela zonyango zinokubangela uxinzelelo kwimpilo yakho, kodwa oogqirha bayacebisa emva kokuvavanya izinto ezilungileyo nezingalunganga. Umzekelo, utyando lomhlaza, unyango lwe-chemotherapy okanye i-radiation , okanye utyando lokufakelwa amalungu omzimba xa amalungu omzimba engaphumeleli.
• Iimeko zokuzalwa: Abanye abantwana banokuba buthathaka ngenxa yezifo zentliziyo zokuzalwa . Ezi meko zokuzalwa zinokunyusa umngcipheko wokuba buthathaka nasemva kobuntwana.
• Inethiwekhi yenkxaso: Xa bejonga ukuba ubuthathaka na, oogqirha baya kujonga nokuba unabo na usapho, abahlobo, kunye nabantu obaqhelileyo abanokukunceda. Ukungafumani olu ncedo kunokunyusa umngcipheko wokuba buthathaka, njengoko kunokwenza kube nzima ukutya, ukusela amayeza, ukuthatha inxaxheba kwimisebenzi yoluntu, kunye nokuzilolonga.

Ziziphi iingxaki ezinokubakho ngenxa 'yokungakwazi ukuzibamba'?

Ukungakwazi ukulawula kakuhle kunokubangela iingxaki ezifana nale:

• Iyanciphisa amasosha omzimba wakho. Oku kuthetha ukuba izifo ezintsha zinokuvela lula kwaye izifo ezikhoyo zinokuthatha ixesha elide ukuphiliswa.
• Iyandisa umngcipheko wokwenzakala. Nokuba yingozi encinci ingakhokelela ekwenzakaleni okukhulu, kwaye kungathatha ixesha elide ukuphola.
• Kwenza ezinye izifo zibe mandundu. Ngamanye amaxesha kwanesifo esincinci sinokuguquka sibe yimeko eyingozi nesongela ubomi.
• Inciphisa unyango onokulufumana. Abantu ababuthathaka basenokungakwazi ukwenza utyando okanye ezinye iinkqubo zonyango ngokukhuselekileyo.
• Ingabangela ukukhubazeka.
• Ulahlekelwa kukuzimela kwakho.Abantu ababuthathaka basenokungakwazi ukuhlala bodwa emakhayeni abo.
• Inciphisa ixesha lokuphila. Xa iingxaki zempilo ziqokelelana kwaye ziba nzima, zinokuba yingozi ebomini ngenxa 'yobuthathaka'.

Oogqirha baxilonga njani ubuthathaka?

Zininzi iindlela ugqirha anokuchonga ngazo ubuthathaka. Ezona ziphambili kukuhlolwa komzimba kunye nokusetyenziswa kwezikali ezahlukeneyo zobuthathaka okanye iinkqubo zokufumana amanqaku . Ezi zikali zinokunceda ugqirha wakho ukuba afumanise ukuba ubuthathaka na, kwaye ukuba kunjalo, bubunzima kangakanani.

Kukho iinkqubo zokulinganisa amanqaku ezingaphezu kweshumi ezisetyenziswa kwihlabathi liphela. Akukho mvumelwano ngokubanzi yokuba enye ingcono kunenye. Nangona kunjalo, kukho izinto ezintlanu eziphambili uninzi lwezi nkqubo ezifana ngazo:

• Ukunciphisa umzimba ngokungeyomfuneko (ubuncinane iikhilogram ezili-10 okanye iikhilogram ezi-4.5 kunyaka ophelileyo).
• Ukuncipha kwamandla okubamba isandla ( xa kuthelekiswa nabanye abaneminyaka yakho kunye nohlobo lomzimba wakho).
• Ukulahlekelwa ngamandla okanye amandla, ukuziva udiniwe okanye udiniwe ngalo lonke ixesha.
• Ukuhamba kancinci okanye isantya sokuhamba esinciphileyo.
• Ukuncipha kwezinga lomsebenzi womzimba.

Iingcali zihlala zisebenzisa iindlela zokulinganisa amandla omzimba, njengokuqina kokubamba kwakho, ukuvavanya ukuba 'unobuthathaka' na. Esi sesinye sezizathu eziphambili zokuba abantu bakholelwe ngempazamo ukuba 'ububuthathaka' bubuthathaka nje bomzimba.

Ezi zikali kunye nendlela ezisebenzisa ngayo ezi zinto ziyahluka. Ezinye izikali zikwaqwalasela nezinye izinto, ezinje ngokusebenza kwengqondo yakho, ukungakwazi ukuzibamba, kunye nokuba unenethiwekhi yokuxhasa na .

Ezinye iimvavanyo zingenziwa ngokuxhomekeke kwiimfuno zakho. Umzekelo, umlinganiselo weBody Mass Index (BMI) ukujonga ukulahleka kwemisipha, okanye uvavanyo lomngcipheko wokuwa . Ugqirha wakho uza kukuxelela okungakumbi malunga novavanyo olunokucetyiswa.

Iphathwa njani i-fragility?

Ubuthathaka bunokulawulwa kwaye ngamanye amaxesha buyaguqulwa ngonyango kunye nenkxaso. Nazi ezinye zeendlela eziphambili ezisetyenziswayo ukwenza oku:

• Ukulawula Iimeko Ezinxulumene Nobuthathaka: Ukunyanga ngokufanelekileyo ezinye iimeko zakho zonyango kunokunceda ukunciphisa uxinzelelo emzimbeni wakho kwaye kukuncede uphile.
• Unyango lomzimba: Oku kunokunyusa amandla omzimba, ukunyamezela, nokuphucula ibhalansi.
• Iinkqubo ezikhethekileyo zokuvuselela: Ezi nkqubo zokuvuselela zinceda abantu ukuba baphile emva kweziganeko ezinzima eziye zabangela ubuthathaka. Umzekelo, ukuvuselelwa kwemiphunga kunye nokuvuselelwa kwentliziyo .
• Inkxaso yesondlo: Ukusebenza nengcali yesondlo kunokunceda ekuthinteleni ukunqongophala kweevithamini kunye neeminerali, okanye kujongwane nemiba enxulumene nobunzima (ukutyeba kakhulu/ukutyeba kakhulu) eyonyusa umngcipheko wokuba buthathaka.
• Iinkqubo zomsebenzi womzimba: Ezi zihlala ziyimisebenzi yamaqela. Zikunceda uhlale usebenza ngokwasemzimbeni nangokwentlalo. Oku kulungile kwimpilo yakho yengqondo nakwimpilo-ntle yakho iyonke.
• Inkxaso yoluntu: Ngenxa yobuthathaka, unokufuna uncedo olongezelelweyo ngemisebenzi yasekhaya kunye nokhathalelo. Kukho imibutho kunye neenkqubo kuluntu ezibonelela ngezi nkonzo. Le inokuba yindlela enye yokuhlala ekhaya nokuba unobuthathaka.
• Ukhathalelo lwexesha elide: Ukuba ubuthathaka bakho bukhulu kwaye awukwazi ukuhlala ekhaya, izibonelelo zokuhlala ezincedisayo okanye izindlu zamaqela zinokuba lolona khetho lufanelekileyo kuwe. Ukuba ubuthathaka bakho bukhulu ngakumbi, indawo yokunyamekela abalupheleyo (edla ngokubizwa ngokuba yikhaya labalupheleyo) inokuba lolona khetho lufanelekileyo. Ukuba ubuthathaka obukhulu, obuphela ubomi bakho, unokufuna unyango lwe-hospice .

Ngokuxhomekeke kwiimeko zakho ezithile kunye neemfuno zakho, kusenokubakho ezinye iindlela zonyango ezikhoyo. Ugqirha wakho angakuxelela ngazo.

Iyintoni imbonakalo yemeko ethi 'Frailty'?

Imbonakalo yobuthathaka ixhomekeke ekubeni bukhulu kangakanani na kwaye ingaba bunokuguqulwa na. Ukuba ubuthathaka bunokuguqulwa, imbonakalo ilungile. Ukuba akunjalo, into elandelayo engcono kukulawula ukonakala kobuthathaka, okanye ubuncinane ukuthintela ukuba bungabi mandundu. Ubuthathaka buhlukile kuye wonke umntu. Ngoko ke ugqirha wakho unokuchaza imeko yakho ngcono.

Ngaba ubuthathaka bunokuthintelwa?

Ubuthathaka abunakuthintelwa ngokupheleleyo. Kodwa kukho iindlela zokunciphisa umngcipheko wokuba bube buthathaka. Oku kudla ngokubandakanya ukuzigcina usempilweni kangangoko kunokwenzeka nokulawula okanye ukuphepha iingxaki ezibangela ubuthathaka. Nazi ezinye iindlela onokuzithatha:

• Hlala usebenza ngokomzimba. Izinto ezifana nokuhamba ubuncinane imizuzu engama-30 ngosuku nokwenza imisebenzi yasekhaya.
• Ukugcina ubunzima obusempilweni obukufaneleyo.
• Gxila kwisondlo esifanelekileyo. Yitya imifuno, imifuno, iziqhamo, kunye nokutya okunefayibha eninzi.
• Ukuya kuhlolwa ngonyango ('Ukhathalelo lokuthintela kunye nokuhlolwa') rhoqo.
• Landela imikhwa emihle yokuhlamba izandla ukuze uzikhusele kwizifo.
• Ukunxiba amabhanti okhuseleko xa ukhwela izithuthi kwaye usebenzisa izixhobo zokuzikhusela ukuthintela ukwenzakala entloko.
• Ukuthintela iingozi emakhaya, ingakumbi ezo zibangelwa kukuwa. Izinto ezifana nokususa iindawo ezityibilikayo ekhayeni nokufaka izibane ukuze kubekho ukukhanya ebusuku.

Ukuba sele uphila nobuthathaka, la manyathelo anokukunceda ukulawula mhlawumbi nokuguqula imeko. Ngokuxhomekeke kwindlela ophila ngayo, iimfuno zakho, kunye nezinto ozithandayo, kusenokubakho ezinye izinto onokuzenza ukuthintela ubuthathaka. Umboneleli wakho wezempilo oyintloko unokukunika isikhokelo kunye neengcebiso ngale nto.

Umyalezo obalulekileyo onokuwuthatha ekhaya

Ubuthathaka abubo nje ubuthathaka bomzimba. Kuthetha ukuba umzimba wakho unobunzima bokujongana noxinzelelo lobomi bemihla ngemihla. Ubuthathaka buxhaphake kakhulu kubantu abangaphezu kweminyaka engama-65, kodwa akwenzeki kubo bonke abantu njengoko bekhula. Akukaze kube kudala kakhulu ukuthatha amanyathelo okuthintela okanye ukulibazisa. Ukuba unobuthathaka ngoku, akuthethi ukuba kufuneka uphile nabo ngonaphakade. Unyango oluxhasayo kunye nonyango lunokunceda ukubuyisela ubuthathaka okanye ukulawula ukuqhubela phambili kwabo. Nokuba oko akunakwenzeka, kukho iindlela zokuzama ukugcina umgangatho wobomi bakho ixesha elide kangangoko kunokwenzeka. Eyona nto ibalulekileyo kukuthetha nogqirha wakho ngayo, ngaphandle kokoyika okanye ukuhlazeka.

Ubuthathaka , ubuthathaka, ukwaluphala, ukungabikho kwamandla, izifo ezingapheliyo, impilo, impilo-ntle, impilo yabantu abadala