Ukuba ukhula kwaye unengxaki ezininzi zempilo onokufuna ukucinga ukuba ubona ugqirha ogxile kwiyeza zonyango.
Yintoni iGeriatrician?
Ugqirha unogqirha ophelile indawo yokuhlala kwiMidiya yangaphakathi okanye iMicrosoft Medicine ngeminyaka engaphezulu kwe-1-2 yoqeqesho lobudlelane kwiinkalo zonyango, ezentlalo kunye nezengqondo ezichaphazela abantu abadala abadala.
Olu khetho lukhula ngokubaluleka njengokuba abantu bexesha elide kwaye abantu abaguga baphila ixesha elide. Abantu abangaphezu kweminyaka engama-85 bayindawo ekhula ngokukhawuleza yabemi. Akusekho mfuneko yokuba abantu baphile ikhulu.
Ukuthetha neBhodi-Abaqinisekisiweyo beGeriatricians
Ndisandul 'ukufumana ithuba lokuthetha kunye noogqirha ababini abanobuchwephesha abaqinisekisiweyo bebhodi. UDkt. Myles Sheehan noDkt. Rahmawati Sih. Bobabini oogqirha banxulumene neYunivesithi yaseLoyola, uDkt. Sheehan kwinqanaba lezemfundo ngoku kunye noDkt Shi kunye neqela elikhulu lezokwelapha. UDkt. Sih uphinde waba ngumlawuli wezokwelapha kwikhaya lononophala kunye noxanduva lokunyamekelwa kwezi gulane kunye nalabo abonileyo kwimisebenzi yakhe. Wagqiba ukuhlala kwiMithi yangaphakathi, njengoDkt. Sheehan. Oku kulandelwa yintsebenziswano kwiyeza zonyango.
Ndacela oogqirha bobabini ukuba kutheni bakhetha lo msebenzi okhethekileyo, kwaye bobabini baphendula ukuba bafumene basebenze nabantu abadala ukuba bazuze kwaye banandipha.
Bachaza ukunakekelwa kwabo banikezela ngokubanzi, njengoko iingxaki zentlalo kunye neengqondo zengqondo zabantu abadala zihlala zidibene. UDkt. Sih uchaze ukudibana nesigulane esasilahlekelwa ngumzimba. Njengoko bathetha bekwazi ukukhupha into yokuba wayengathandi ukuzipheka, ukumba ngokugqithisileyo kwacaca ukuba ingxaki yayingxaki yentlalo.
Wayengenayo inkxaso yezenhlalakahle okanye izixhobo zokuphuma ukuze athenge ukutya, kwaye ukulinganiselwa komzimba kwamgcina ekuphekeni njengoko wayefanele. Ngovavanyo olufanelekileyo, iinkonzo zoluntu eziyimfuneko zaziswa kwindawo.
UDkt. Sheehan kunye nathi sathetha ukuba wonke umntu osekhulile kufuneka abe negriatriatrian njengongumncedisi wakhe oyintloko. Wavakalelwa kukuba kwakungekho mfuneko okanye ayisebenzisekanga. Nangona abantu bekhulile, inani labagadi bezilwanyana alikhuli kwaye liyancipha. Bobabini oogqirha bathetha ukuba baqeqeshiwe ukuphatha umntu omdala kunye nomdala onamahlunu. Umntwana oneminyaka engama-70 ubudala onokuphila unokuqiniseka ngokufumana unyango olufanelekileyo kwi-Internal Medicine okanye ugqirha. AbaGeriatricians banokufumaneka kwiindawo ezinkulu zasezidolophini. Ngenxa yokuhlawulwa kwemali ephantsi kunye nomfanekiso okhathalela izigulane ezinjengegriatric akusivuzi okanye kuyonwaba oku akukona okhethekileyo kwiingcali ezininzi.
UDkt. Sih kunye nokuchitha ixesha elide sithetha ngamachiza kunye neendleko zemithi kwizigulane zakhe. Wayevakalelwa kukuba nguyena wemingeni yakhe enkulu xa kufikelele ekuboneleleni ngononophelo. Watsho ukuba uya kuhlala efuna ukunika iindleko ezantsi kwaye mhlawumbi unamayeza asebenzayo ngokucela isigulane sakhe.
Izigulane zakhe ziyakwazi oko zinako kwaye azikwazi ukukwazi ukuzenza kwaye inxalenye yenkathalo anika yona kufuneka ibeke izibonelelo kwisimo sengqondo sakhe sesigulane. Ukunika umntu umyalelo wonyango abaza kuwuzalisa ngenxa yeendleko azilunganga.
Kwixesha elizayo
Ngokuphathelele kwikamva, bobabini oogqirha bavuma ukuba ukuthintela yile ngonyango. Ngokwenza imichimo emihle yezempilo ngoku, i-baby boomers inokuyonwabela ngokubaluleka komdala. UDkt. Sheehan uphinde wagxininisa ukuba nangona kukho okulungileyo ukuba unyango luza kwenza, kuya kubakho ukuhla kokusebenza kwaye ekugqibeleni ukufa. Uxhalabisa ukuba isizukulwana sesilwanyana siza kuba nexesha elinzima ekujonganeni nokunciphisa ukuguga.
Iindaba ezilungileyo kukuba abantu abadala bayayazi kakuhle kwaye bafundiswe kwimicimbi yonakekelo lwempilo. UDkt. Shi uthe uhlala ebona izigulane ezixhobile ulwazi olufumaneka kwiwebhu okanye kwiindaba. Bazimisele ngakumbi ukuxoxa ngeengxaki zabo kwaye baya kubuza unyango abafumanayo.
Ngubani oza kufumana inzuzo enkulu kunonyango kunye nokunyamekelwa ngumgogodla? Bobabini oogqirha bavuma ukuba kunye nenani elincinci labasebenzi bamayeza, abo banemfuno enkulu kakhulu:
- Umdala oswelekileyo onenkathalo ezininzi zezokwelapha.
- Umdala omdala eneengxaki ezininzi zezonyango kunye nokunciphisa uxhaso loluntu.
- Umdala omdala kunye neengxaki zezokwelapha ezihambelana nokuguga.
Uqeqesho olongezelelweyo olufunyenwe ngexesha lobudlelwane luye lwaxhobisa le mibini ukujongana neengxaki ezifana nokulahlekelwa kwememori, ukugula komzimba , ukunyanga kweengcinezelo , ukuwa, ukulahleka kwesisindo kunye ne- polypharmacy (iimfuno zamachiza amaninzi). Baye baxhotyiswa ukuchonga iingxaki zoluntu nezomnotho ezinokuthi zithintele ukunakekelwa. Ukuba wena okanye umntu omdala omthandayo unengxaki ezininzi zezokwelapha, unokufumana ixesha lakho ukujonga okanye udibane nodokotela ofana noDkt Sih okanye uDkt Sheehan.