Umama wakho, ubaba wakho, ugogo wakho, u-anti wakho... Bangaki imithi laba bantu abayithathayo ngosuku? Mhlawumbe engaphezu kowodwa, mhlawumbe ngisho nemihlanu noma eyi-6, akunjalo? Sicabanga ukuthi lokhu kuyinto evamile ngoba siyagula ngokulandelana njengoba sikhula. Kodwa wake wacabanga ukuthi akuyona yonke imithi enikezwa umuntu osekhulile efanelekile kuye? Eqinisweni, imiphumela emibi yeminye imithi ingaba mikhulu kakhulu kunezinzuzo zemithi. Ngenxa yalesi sizathu, odokotela kufanele banake kakhulu lokhu.
Kalula nje, iyini imigomo yobhiya?
Kulungile, ake sikwenze lokhu kube lula. Imigomo Yobhiya ayiphathelene nohlobo oluthile lobhiya. Luwuhlu lweziqondiso ezithile ezethulwe yi-American Geriatrics Society. Lolu hlu luhlanganisa ukuthi yimiphi imithi okufanele inikezwe ngokuqapha okukhulu noma engaba yingozi kubantu abaneminyaka engaphezu kwengu-65 .
Cabanga ngalokhu. Inani lomuthi onikezwa ingane encane lihlukile kunenani elinikezwa umuntu omdala, akunjalo? Ngokufanayo, umzimba womuntu osemusha awusabeli emuthini ngendlela umzimba womuntu omdala owenza ngayo. Izitho zabo zomzimba, njengezinso zabo nesibindi, zingase zingasebenzi kahle. Ngakho-ke, bangase bangakwazi ukubekezelela imithi ethile, noma bangase babe nemiphumela emibi engalindelekile.
Ucwaningo luthole ukuthi abantu abangaphezu kuka-90% abaneminyaka engaphezu kuka-65 bathatha okungenani umuthi owodwa ngosuku. Abantu abangaphezu kuka-66% bathatha imithi engaphezu kwemithathu ngenyanga. Ngakho-ke uma uthatha imithi eminingi kangaka, amathuba okuba umuthi owodwa uhlangane nomunye aphezulu. Yingakho odokotela besebenzisa lolu hlu olubizwa ngokuthi yi-Beers Criteria. Lubizwa nangokuthi i-Beers List .
Yiziphi amaphuzu ayisihlanu ayinhloko ku-Beers Criteria?
Lo mhlahlandlela uhlukaniswe ngezigaba ezinhlanu eziyinhloko, ezizosiza odokotela baqonde ukuthi yini okufanele bayicabangele ngaphambi kokunikeza umuthi.
- Imithi okufanele igwenywe kubantu abaneminyaka engaphezu kwengu-65 ubudala (ngaphandle kwalabo abathola ukunakekelwa okukhethekile esibhedlela): Lena imithi engabangela umonakalo omkhulu kunenzuzo uma inikezwa asebekhulile.
- Imithi okufanele igwenywe ngabantu abanezimo ezithile zezokwelapha: Isibonelo, kumuntu onesifo senhliziyo, kunemithi ethile engayenza ibe yimbi kakhulu leso simo. Imithi enjalo ifakiwe ngaphansi kwalesi sigaba.
- Izidakamizwa ezibangela ukusabela okungekuhle (Ukusebenzisana Kwezidakamizwa) uma zithathwa neminye imithi: Ngezinye izikhathi umuthi ophephile uma uthathwa wodwa ungaba yingozi uma uthathwa nomunye umuthi. Lesi sigaba sigxile kulokho.
- Imithi okufanele igwenywe ngoba inemiphumela emibi eminingi kunezinzuzo:Nakuba eminye imithi ingase inikeze impumuzo ethile kulesi sifo, imiphumela emibi (isib. ukuwa njalo, ukudideka) ingaba mibi kakhulu.
- Imithi ethinta ukusebenza kwezinso futhi kufanele inqunyelwe kumthamo noma isuswe : Ukusebenza kwezinso ngokwemvelo kwehla ngokuguga. Ngakho-ke, eminye imithi isuswa emzimbeni kancane kancane. Lolu hlu lunikeza iseluleko sokunciphisa umthamo wemithi enjalo noma ukuyigwema ngokuphelele.
Into ebalulekile ukuthi lokhu kumane kuyisiqondiso sokusiza udokotela wakho ukuthi enze izinqumo. Akususi ulwazi noma ukuqonda kukadokotela wakho ngesimo sakho.
Yiziphi izinhlobo zemithi ezikulolu hlu? (Izibonelo ezithile)
Kunezinhlobo zemithi ezingaba yi-100 kulolu hlu. Njengoba kungaba nzima ukukhuluma ngazo zonke, ake sibheke ezinye zezibonelo ezivame kakhulu nokuthi kungani zingaba yingozi kubantu asebekhulile. Uma ubona lokhu, uzoqonda ukubaluleka kwalokhu nakakhulu.
| Isigaba Sezidakamizwa | Izizathu nezibonelo zokuba yingozi |
|---|---|
| Imithi yokunciphisa ubuhlungu | Isibonelo: (Meperidine) . Kungabangela ubuthi be-neurological kanye nokuphambana kwengqondo . |
| Imithi yokungezwani komzimba (ama-antihistamine) | Isibonelo: (i-Brompheniramine) . Ukudideka , ukukhubazeka kokuqonda , kanye nokuphambana kwengqondo kungase kwenzeke. |
| I-Anxiolytics | Isibonelo: Ama-Benzodiazepine . Ukuphazamiseka kwe-metabolism , ukuphazamiseka kwengqondo, kanye nokuhamba okungazinzile kungaholela ekuweni. |
| Ama-hypnotics | Isibonelo: (Ama-Barbiturate) . Lawa asengozini enkulu yokuthembela kuwo kanye nokweqisa izidakamizwa . |
| Iziphumuli Zemisipha | Kubangela imiphumela emibi efana nokudideka, umlomo owomile , kanye nokuqunjelwa . |
| Ama-antibiotic | Isibonelo, uma i-Ciprofloxacin ithathwa nemithi yokunciphisa igazi efana ne -Warfarin , ingozi yokopha iyanda. |
| Imithi Yesifo Sikashukela | Isibonelo: (I-Chlorpropamide) . Ingozi yokuba namazinga kashukela egazini aphansi ngendlela eyingozi (i-Hypoglycemia) iphezulu. |
| Ama-painkiller angewona ama-steroidal (ama-NSAID) | Isibonelo: (i-aspirin) ngaphezu kwama-325mg ngosuku. Izilonda zesisu kanye nokopha kwamathumbu kungase kwenzeke. |
Ungakhathazeki ngalolu hlu! Lokhu akusho ukuthi le mithi akufanele inikezwe asebekhulile. Kwezinye izimo ezibalulekile, lapho kungekho enye indlela, udokotela wakho angase akunike lo muthi. Kodwa uzokwenza lokho ngemva kokutadisha kahle isimo sakho nangokubhekisisa kakhulu.
Kungani imiphumela yemithi ishintsha njengoba sikhula?
Lokhu kuyinto ebalulekile okufanele uyazi. Ukuguga kusho ukuthi yonke isimiso emzimbeni wethu sibhekana nezinguquko ezincane. Ngenxa yalezi zinguquko, indlela imithi esiyiphuzayo esebenza ngayo emzimbeni nayo iyashintsha.
- Umuthi uthatha isikhathi eside ukuphuma emzimbeni:Njengoba sikhula, isibindi nezinso zisebenza kancane kancane. Lezi zitho ezimbili ziphula imithi engena emizimbeni yethu bese ziyisusa njengemfucuza. Uma le nqubo yehla, imithi ihlala emzimbeni isikhathi eside. Yingakho abantu abadala benikezwa imithamo ephansi yemithi ethile.
- Umuthi onikezwa isifo esisodwa ungathinta esinye: Ake sithi umuntu unesifo somfutho wegazi ophezulu kanye nobuhlungu bamalunga. Amanye ama-painkiller (ama-NSAID) anikezwa ubuhlungu bamalunga angakhuphula umfutho wegazi nakakhulu. Ngakho-ke, udokotela ukhetha umuthi ngemva kokucabangela zonke lezi zici.
- Izinguquko zendlela yokuphila: Izinto ezifana nezinga lomsebenzi wakho, lokho okudlayo, ngisho nephesenti lamafutha emzimbeni wakho kungathinta indlela imithi yakho esebenza kahle ngayo. Ngakho-ke uma ukhuluma nodokotela wakho, kubalulekile ukubatshela nganoma yiziphi izithasiselo ozithathayo, imithi yendabuko, kanye nokudla kwakho.
Odokotela bakusebenzisa kanjani lokhu?
Ngaphambi kokuba udokotela anikeze umuntu oneminyaka engaphezu kwengu-65 umuthi, uzowubukeza ngokucophelela umlando wakho wezokwelapha ophelele, izifo zamanje, kanye nayo yonke imithi oyithathayo njengamanje (kufaka phakathi amavithamini kanye nemithi ye-Ayurvedic).
Ngemuva kwalokho, uhlola ukuthi umuthi omusha azokunika wona usesohlwini lwe-Beers Criteria. Uma usesohlwini, ubheka ukuthi zingaba yini izingozi zokukunika wona, nokuthi ngabe ikhona yini enye indlela ephephile.
Ngokuvamile, odokotela baneminye imithi abangayisebenzisa esikhundleni saleyo ekulolu hlu. Kodwa-ke, njengoba ngishilo ngaphambili, ngezinye izikhathi kungadingeka ukunikeza lowo muthi. Ezimweni ezinjalo, udokotela wakho uzokuhlola njalo futhi akuqaphelisise imiphumela emibi.
Ngakho-ke, uma unemibuzo noma ukukhathazeka mayelana nemithi umama, ubaba, ugogo, noma u-anti wakho ayithathayo, ungesabi ukukhuluma nodokotela wabo ngqo ngayo. Ukukhathazeka kwakho kubaluleke kakhulu ngenxa yokuphepha kwabo.
Umlayezo Wokuya Nawe Ekhaya
- I-Beers Criteria iwuhlu lweziqondiso ezisiza odokotela ukuthi banikeze imithi kubantu abaneminyaka engaphezu kwengu-65.
- Njengoba sikhula, indlela umzimba osabela ngayo emithini iyashintsha, futhi eminye imithi ingaba yingozi.
- Kubalulekile ukwazisa udokotela wakho ngayo yonke imithi, amavithamini, kanye nezithasiselo ozithathayo wena noma othandekayo wakho osekhulile.
- Ungalokothi uyeke ukuthatha imithi oyinikezwe udokotela noma ushintshe umthamo ngaphandle kweseluleko sikadokotela wakho.
- Uma unezinkinga noma imiphumela emibi ngomuthi owuthathayo, xhumana nodokotela wakho ngokushesha.Yazisa udokotela ngakho.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment