Ingabe umuntu omdala ekhaya lakho uvame ukuwa? Ungakuvimba lokhu ngokuhlola ingozi yokuwa!

Sonke sizwile futhi mhlawumbe sibone nogogo nomkhulu bethu bewa ngenkathi behambahamba. Ngezinye izikhathi sicabanga ukuthi, "O, kunjalo nje lapho sikhula, kudingeka siqaphele kakhudlwana." Kodwa uyazi, lokhu kuwa akuyona into okufanele icatshangelwe kalula. Ngisho nokuwa kanye nje kungaholela entweni engathí sina, njengethambo eliphukile (`(Ukuphuka)`), futhi ngezinye izikhathi ukulimala kwekhanda noma ukulimala kobuchopho. Ngakho-ke kubaluleke kakhulu ukuqaphela kancane ngalokhu, ikakhulukazi lapho sicabanga ngabadala bethu abathandekayo.

Ngakho-ke kuyini lokhu kuhlolwa kwengozi yokuwa?

Kalula nje, ukuhlolwa kwengozi yokuwa kuyinqubo lapho udokotela wakho ekuxilonga khona ukuze anqume ubungozi bakho bokuwa. Njengoba nje silungisa imoto njalo futhi silungisa amaphutha ayo, umzimba wethu uyashintsha njengoba siguga, siqaphela izingozi ezintsha ezihambisana nazo, futhi sithatha izinyathelo zokuzixazulula. Lokhu kungakusiza ukuvimbela ukuwa.

Kungani lokhu (Ukuhlolwa Kwengozi Yokuwa) kubaluleke kangaka?

Ungase ucabange, "Kulungile, ngakho-ke kungisiza ngani uma ngazi ukuthi ikhona?" Cabanga ngala maqiniso:

• Unganciphisa ingozi yakho yokuwa: Uma wazi kahle ukuthi yiziphi izinto ezingabangela ukuba uwe, kulula ukuzigwema.
• Ungathola ukuthi yiziphi izici zakho eziyingozi: Akuwona wonke umuntu owela ngendlela efanayo. Uma usuqonda ukuthi yini ekuthinta ngqo, ungathatha izinyathelo zokubhekana nazo.
• Ungaba ngozimele, ozimele, futhi okhuthele isikhathi eside ngangokunokwenzeka: Kunzima ukwenza imisebenzi yansuku zonke uma uhlala wesaba ukuwa. Ngemva kwalokhu kuhlola, ungakunqoba lokho kwesaba futhi uphile ngenjabulo.
• Ungaphila impilo enempilo nezimele: Kungaba kubi kangakanani ukube uphuke umlenze ngenxa yokuwa bese ulala embhedeni? Lokhu kuwusizo ekugwemeni izimo ezinjalo.

Abantu abaningi bacabanga ukuthi ukuwa kuyinto evamile futhi engenakugwenywa njengoba sikhula. Kodwa akulona iqiniso lelo. Ukuwa okuningi kungavinjelwa! Kuthatha nje ukuhlolwa okufanele kwengozi nokuthatha izinyathelo ezidingekayo.

Ubani odinga ukuhlolwa kwengozi yokuwa?

Ngokuvamile kungumqondo omuhle ukuthi wonke umuntu omdala oneminyaka engu-65 noma ngaphezulu ahlolwe okungenani ingozi yokuwa. Uma ubona udokotela, bangase bakubuze imibuzo efana nale:

• "Ingabe uzizwa ungazinzile kancane, sengathi awuzinzile, kungaba uma umi noma uhamba?"
• "Ingabe uke wawa okungenani kanye ngonyaka odlule?"
• "Ingabe uhlala uzizwa wesaba noma ukhathazekile ngokuwa?"

Uma uphendula ngokuthi "yebo" kunoma yimuphi wale mibuzo, udokotela wakho cishe uzosikisela ukuthi uhlolwe "ngokuhlolwa okuphelele kwengozi yokuwa", okuzohlola lokhu ngokujulile.

Lokhu kuhlola kufanele kwenziwe kangaki?

Ngokweziqondiso ezivela ezinhlanganweni ezahlukene zezempilo, kungumqondo omuhle ukuba nalokhu kuhlolwa kwengozi yokuwa okungenani kanye ngonyaka . Kodwa-ke, kuye ngezinye izimo zezokwelapha onazo, iminyaka yakho, nokuthi uke wawa yini ngaphambili, udokotela wakho angase ancome ukuthi wenze lokhu kuhlolwa kaningi, isibonelo, njalo ezinyangeni eziyisithupha.

Yiziphi izinto ezandisa ingozi yami yokuwa?

Kunezinto eziningi ezingaba nomthelela ekuweni. Ake sibheke eziyinhloko.

Izizathu zomzimba nezempilo:

• Ukuguga: Njengoba siguga, imisipha yethu iba buthaka, ukubona kwethu kuyawohloka kancane kancane, ukuzwa kwethu kungase kuwohloke, isikhathi sethu sokusabela siyancipha, futhi kuba nzima ukugcina ibhalansi yethu. Zonke lezi zinto zandisa ingozi yokuwa.
• Izinkinga zokulinganisela: Abanye abantu bazizwa bengazinzile ngisho nalapho bemi beqonde. Bangase bazizwe sengathi bayanyakaza ngenkathi behamba. Lokhu futhi kuyimbangela enkulu yokuwa.
• Ukuphazamiseka kokuhamba: Abanye abantu bahamba kancane kakhulu, abanye bahamba ngokushesha ngezinyathelo ezincane, abanye bahamba bevule imilenze yabo, kanti abanye bahamba njengombhede. Lokhu sikubiza ngokuthi "ukuphazamiseka kokuhamba". Lokhu kungenza kube lula nokukhubeka phezu kwento ethile phansi, ukushelela, nokuwa.
• Ukuphazamiseka (ukukhubazeka okuncane kokuqonda): Njengoba abantu bekhula, inkumbulo yabo ingase iwohloke futhi bangase babe nobunzima bokunaka into eyodwa. Lesi simo sibizwa ngokuthi ukukhubazeka okuncane kokuqonda. Lokhu kungabangela ukuba bawe ngenkathi behamba, bekhuphuka izitebhisi, noma ngisho behamba endlini.
• Ukushaya kwenhliziyo: Lapho inhliziyo iqala ukushaya ngokushesha ngokuzumayo, noma ishaya ngokushesha kakhulu, noma isigqi sokushaya kwenhliziyo singajwayelekile, ungase uzizwe unesiyezi futhi uphelelwe amandla.
• Ukwehla kwengcindezi yegazi okubangelwa yi-Orthostatic: Ingabe uzizwa unesizungu noma udidekile uma usukuma ngokuzumayo embhedeni, esihlalweni, noma endaweni yokuhlala? Abantu abaningi baye babhekana nalokhu. Isizathu ukuthi umfutho wegazi uyehla ngokuzumayo uma ushintsha indawo. Lokhu kwaziwa ngokwezokwelapha ngokuthi i-orthostatic hypotension. Lokhu futhi kuyimbangela enkulu yokuwa.
• Ukukhubazeka kokubona: Uma ukubona kwakho kubuthakathaka, awukwazi ukubona izithiyo phambi kwakho, izitebhisi, noma ngisho nezinto ezincane phansi. Ngemuva kwalokho, kungenzeka kakhulu ukuthi ubanjwe yizo bese uwe. Izifo ezifana ne-cataracts kanye ne-glaucoma nazo ziyakuthinta lokhu.

Ezinye izimbangela zangaphandle nezihlobene nendlela yokuphila:

• Izingozi zasekhaya: Lena ingenye yezindawo ezinganakwa kakhulu ekhaya , kodwa ingenye yezindawo eziyingozi kakhulu. Cabanga ngakho:
• Amathoyizi, amaphephandaba, izicathulo, izintambo, nezinye izinto ezisakazeke phansi.
• Njengezindawo lapho kungekho khona ukukhanya, ikakhulukazi uma uya ekhishini noma endlini yokugezela ebusuku.
• Omata abashelelayo, amakhaphethi, izitezi ezipholishiwe, izitezi ezinamathayela.
• Indlu yokugezela inezindawo ezishelelayo nezinensipho kanye namanzi agelezayo phansi.
• Ukuntuleka kwezibambo ezitebhisini, imiphetho ephukile yezinyathelo.
• Izihlalo namatafula angaphakeme ngokwanele.
• Ukukhwela esihlalweni ukuze uthole izinto emashalofini angenhla ekhishini.

"Umakhelwane wethu, u-Anti Soma, ushelele phezu kwekhaphethi elincane elaliphansi ngesikhathi eya endlini yokugezela izolo ebusuku wawa. Ngenhlanhla, akalimalanga kakhulu, kodwa isandla sakhe sasilimele kabi. Kubonakala sengathi kuyinto encane, kodwa kungaba yinkinga enkulu, akunjalo?"

• Imithi ethile: Eminye imithi oyithathayo ingabangela isiyezi, ukozela, ubuthakathaka, kanye nokulahlekelwa ibhalansi. Isibonelo:
• Imithi yokucindezeleka
• Imithi enikezwa izifo ezithile zengqondo (`Ama-Antipsychotics`)
• Ama-Benzodiazepine (imithi ekusiza ulale futhi unciphise ukukhathazeka)
• Ezinye izidakamizwa zokunciphisa ubuhlungu
• Eminye imithi yokwelapha umfutho wegazi ophakeme (ikakhulukazi ekuqaleni)

Ngakho-ke, kubalulekile ukutshela udokotela wakho ngayo yonke imithi oyithathayo (ngisho namavithamini kanye nemithi ye-Ayurvedic).

• Ukuntuleka kwevithamini D: Ivithamini D ibaluleke kakhulu emandleni amathambo ethu kanye nokusebenza kwemisipha yethu. Uma kungekho vithamini D eyanele emzimbeni (ukuntuleka kwevithamini D), amathambo aba buthakathaka futhi angaphuka kalula uma uwa. Futhi, ngenxa yobuthakathaka bemisipha, ibhalansi nayo ingancipha.
• Ukuwa kwangaphambilini: Uma uke wawa ngaphambili, kungenzeka ukuthi uphinde uwe. Lokhu kungaba ngenxa yokulimala kokuwa kwangaphambilini, noma ngoba ushintshe indlela yakho yokuhamba nokwenza imisebenzi yansuku zonke ngenxa yokwesaba ukuwa futhi.
• Ukuntuleka kokuzilolonga: Ngaphandle kokuzilolonga, uma uchitha isikhathi sakho esiningi uhleli endaweni eyodwa, imisipha yakho iyawohloka kancane kancane, ukuguquguquka kwakho kuncipha, futhi ibhalansi yakho iyaphazamiseka. Lokhu kwandisa ingozi yakho yokuwa.

Kwenzekani ngesikhathi sokuhlolwa kwengozi yokuwa?

Lokhu kuhlola kuvame ukuba nezinyathelo eziningana.

Ukubuyekezwa kwezimpawu, umlando wezokwelapha, kanye nemithi

Udokotela wakho:

• Uma uke wawa ngaphambili, bazobuza ngokuningiliziwe ngakho. Isibonelo, ukuthi wawa kanjani, yini eyabangela lokho, kwenzekani ngemva kokuwa, nokuthi ngabe uthole ukwelashwa yini .
• Babuza ngezinga lakho lomsebenzi wansuku zonke, ukuthi ungakwazi yini ukwenza imisebenzi yansuku zonke wedwa, noma ukuthi unezinkinga.
• Buza ngayo yonke imithi oyithathayo njengamanje (eyalelwe udokotela, ethengiswa ngaphandle kwemithi kadokotela, amavithamini, ngisho nemithi yendabuko) bese ubona ukuthi ikhona yini eyandisa ingozi yokuwa. Lokhu kubaluleke kakhulu.

Ukuhlolwa kanye nokwelashwa okuqhubekayo

Ngaphezu kwalokho, udokotela angenza okulandelayo:

• Umfutho wegazi lakho (lapho uhleli futhi umile) kanye nokushaya kwenhliziyo kuzohlolwa.
• Bazokwenza izivivinyo eziningana zomzimba. Lokhu kuzobheka izinto ezifana nokulinganisela kwakho, amandla emisipha, kanye nendlela ohamba ngayo (sizoxoxa ngalokhu kamuva).
• Bangase benze ukuhlolwa kwegazi ukuhlola amazinga ezinto ezifana ne-vitamin D, noma bangayala i-DEXA scan ukuhlola ubuningi bamathambo. Lokhu kungasiza ekutholeni izifo ezinciphisa amathambo njenge-osteoporosis.
• Ungathunyelwa futhi kudokotela wezokwelapha osebenza emsebenzini. Angafika ekhaya lakho abheke izingozi ezingaba khona ezindaweni ovame ukuzivakashela (isib. omata abashelelayo, izindawo ezingakhanyi kahle) futhi akusize uzigweme.

Yiziphi izivivinyo odokotela abazisebenzisayo ekuhloleni ubungozi bokuwa?

Odokotela basebenzisa izivivinyo eziningana ezilula kodwa eziphumelelayo ukuhlola ibhalansi yakho, amandla, kanye nokuhamba:

• Ukuhlolwa Kokuma Kwesihlalo Semizuzwana Engama-30: Lokhu ukuhlolwa okulula. Ucelwa ukuba uhlale esihlalweni bese uhlanganisa izingalo zakho esifubeni sakho (awukwazi ukuma ngezingalo zakho). Ngemuva kwalokho, ucelwa ukuba ume ngokuphelele esihlalweni bese uhlala phansi ngokuphelele futhi. Inani lezikhathi ongakwenza lokhu ngemizuzwana engama-30 liyabalwa. Lokhu kukunikeza umbono wamandla emisipha yemilenze yakho.
• Ukuhlolwa Kwebhalansi Yezigaba Ezine: Kulesi sivivinyo, kufanele ume ezindaweni ezine ezihlukene. Kufanele ubambe isikhundla ngasinye cishe imizuzwana eyi-10. Lezi zikhundla zinzima kancane kancane. Isibonelo, kwesinye, kufanele ume uhlanganise imilenze yomibili, kwesinye umlenze owodwa phambili (ukuma ngasikhathi sinye), kanti kwesokugcina, kufanele ume ngomlenze owodwa. Lokhu kuhlola ibhalansi yakho.
• Ukuhlolwa kwe-Timed Up & Go (TUG): Lokhu futhi kuyindlela evamile yokuhlola. Uhlala esihlalweni. Lapho utshelwa ukuthi "hamba," uyavuka, uhambe cishe amamitha amathathu (cishe amamitha amathathu) uqonde phambili ngesivinini sakho esivamile sokuhamba, uphenduke, bese uhlala esihlalweni. Isikhathi esithathayo ukwenza lokhu siyalinganiswa. Ngokuvamile, uma kuthatha imizuzwana engaphezu kwengu-12 , ubhekwa njengosengozini enkulu yokuwa.
• Ukuhlolwa kokuqonda: Ngezinye izikhathi udokotela uzokubuza imibuzo embalwa ukuhlola inkumbulo yakho, ukunaka, kanye namakhono okwenza izinqumo, futhi angase akucele ukuthi wenze imisebenzi elula. Lokhu kungenxa yokuthi, njengoba sixoxile ngaphambili, ukuwa kungabangelwa nokukhubazeka okuncane kokuqonda.

Izoba yini imiphumela yami ngemva kwalokhu kuhlolwa?

Uma konke lokhu sekuqediwe, udokotela wakho uzokutshela ukuthi ingozi yakho yokuwa iphansi, iphakathi nendawo, noma iphezulu.

Into ebalulekile ukuthi noma ngabe ingozi yakho "iphansi," udokotela wakho cishe uzokweluleka ngezinyathelo zokuvimbela ('izincomo zokuvimbela') ongazithatha ukuze ugweme ukuwa esikhathini esizayo.

Yiziphi izeluleko ezijwayelekile zokunciphisa ingozi yokuwa?

Kuye ngemiphumela yokuhlolwa kwakho, udokotela wakho angakunikeza izeluleko neziphakamiso ezahlukahlukene, njengokuthi:

• Uma uvuka embhedeni noma esihlalweni, sukuma uqonde: Esikhundleni sokuvuka ngokuzumayo, qala uhlale embhedeni, ubeke izinyawo zakho phansi, ulinde isikhashana, bese usukuma uqonde. Lokhu kungasiza ekunciphiseni isiyezi esibangelwa yi-orthostatic hypotension.
• Sebenzisa idivayisi yokusiza: Uma unenkinga yokuhamba, kungumqondo omuhle ukusebenzisa udondolo noma i-walker efakwe kahle efanele ubude bakho. Udokotela wakho noma uchwepheshe wezokwelapha angakusiza ukhethe efanele.
• Faka ama-grab bar endlini yokugezela: Ukufaka ama-grab bar eduze kwendlu yokugezela kanye nendlu yangasese kunganciphisa kakhulu amathuba okuwa ezindaweni ezishelelayo.
• Ukushintsha noma ukunciphisa umthamo wemithi ekhulisa ingozi yokuwa: Uma eminye yemithi oyithathayo ikhulisa ingozi yokuwa, udokotela wakho angase anqume ukushintsha umuthi noma ukunciphisa umthamo. Ungayeki ukuthatha umuthi wakho noma ukushintsha umthamo ngaphandle kweseluleko sikadokotela wakho nganoma yisiphi isizathu.
• Thatha izithasiselo zevithamini D: Uma umzimba wakho unamazinga aphansi evithamini D (`ukuntuleka kwevithamini D`), udokotela wakho angase ancome ukuthatha isithasiselo sevithamini D esifanele.
• Ukuzivocavoca: Kubaluleke kakhulu ukuzibandakanya ekuzivocavoceni okufanele asebekhulile, ikakhulukazi lokho okuthuthukisa ibhalansi, amandla emisipha, kanye nokuguquguquka. I-"Tai Chi" iyindlela enhle kakhulu yokuzivocavoca kulokhu. Kubalulekile futhi ukwenza izivivinyo ezithile ezinconywe ngudokotela wezokwelapha ngokomzimba.
• Khulisa ukuphepha kwekhaya:
• Susa izinto ezingadingekile phansi.
• Nikeza ukukhanya okuhle, ikakhulukazi emigwaqweni esetshenziswa ebusuku.
• Susa omata abashelelayo, noma ubenze banamathele phansi.
• Faka umata ongasheleli endlini yokugezela.
• Faka izibambo zokubambelela ezinhlangothini zombili zezitebhisi.
• Gqoka izicathulo ezifanele: Gqoka izicathulo noma amasandali alingana kahle, angasheleli, futhi anezithende eziphansi. Gwema ukuhamba ungagqokile izicathulo noma ugqoke amasokisi kuphela, ngisho nangaphakathi.

Udokotela wakho angakudlulisela kwabanye ochwepheshe bezempilo abaningana abangakusiza ukuthi uhlale uphilile:

• Udokotela wamehlo: Hlola amehlo akho njalo, shintsha izibuko zakho uma kudingeka, bese welapha izifo ezifana ne-cataracts.
• Uchwepheshe wezokwelapha umzimba: Uhlinzeka ngokuzivocavoca okuqondile kanye nemiyalelo ukukusiza wakhe amandla, uthuthukise ibhalansi, futhi uzijwayeze ukuhamba ngokuphepha.
• Umeluleki Wezokwelapha Omsebenzini: Umeluleki wezokwelapha ofunda indawo yasekhaya lakho nendlela owenza ngayo imisebenzi yakho yansuku zonke futhi akusize wenze izinguquko ezisebenzayo ukuze unciphise ingozi yokuwa. Isibonelo, indlela yokusebenzisa indlu yangasese ngokuphepha kanye nendlela yokwenza izinto ngokuphephile ekhishini.

Okokugcina, okufanele ukukhumbule (Umyalezo Wokuya Ekhaya)

Ngakho-ke, iphuzu elibalulekile ukuthi, ungakuchithi ukuwa "njengengxenye evamile yokuguga." Ngisho nokuwa okukodwa kungaba nomthelela omkhulu empilweni yakho kanye nokuzimela kwakho. Lokhu kuhlolwa Kwengozi Yokuwa kuyisinyathelo esibaluleke kakhulu nesisebenzayo ongasithatha ukuze uzivikele wena nabathandekayo bakho kule ngozi.

Mhlawumbe okudingeka ukwenze nje ukwenza izinguquko ezincane endleleni yakho yokuphila nasekhaya. Kungaba yinto elula njengokukhetha izicathulo ezikulingana kahle, ukuthatha i-vitamin D, noma ukubona udokotela wezokwelapha umzimba nokufunda ukuvivinya umzimba.

Uma uneminyaka engaphezu kwengu-65, noma uma ukhathazekile ngokuwa, noma uke wawa esikhathini esidlule, kufanele nakanjani ukhulume nodokotela wakho womndeni (noma udokotela) futhi ucabangele ukuhlolwa okuphelele kwengozi yokuwa. Kuzoba utshalomali olukhulu empilweni yakho enempilo, ejabulisayo, nezimele!

Ukuwa , ukuguga, ukuhlolwa kwengozi yokuwa, ukuvimbela ukuwa, impilo yabantu asebekhulile, ukwaphuka kwamathambo, ibhalansi