Ngati mukukalamba ndipo muli ndi matenda ambiri muyenera kulingalira kuwona dokotala yemwe ali mwapadera mankhwala ochizira.
Kodi Geriatrician Ndi Chiyani?
Katswiri wa zachipatala ndi dokotala yemwe wamaliza kukhala mu Internal Medicine kapena Family Medicine ndi zaka zoposa 1-2 za kuphunzitsa chiyanjano pazochitika zachipatala, zamaganizo, ndi za maganizo zomwe zimakhudza akulu akulu.
Udindo umenewu ukufunika kwambiri pamene anthu akukalamba ndipo anthu okalamba amakhala ndi moyo zaka zambiri. Anthu opitirira zaka 85 ndi gawo lokula mofulumira la anthu. Sichikusowa kuti anthu akhale ndi zana.
Kulankhula ndi Ogwirizanitsa Geriatrician
Posachedwapa ndakhala ndi mwayi wolankhula ndi madokotala awiri omwe ali ndi geriatricians odziwika bwino. Dr. Myles Sheehan ndi Dr. Rahmawati Sih. Madokotala onsewa akugwirizana ndi Loyola University, Dr. Sheehan pa ntchito yophunzira tsopano ndi Dr. Shi ndi gulu lalikulu lachipatala. Dr. Sih ndi wotsogolera kuchipatala kwa nyumba yosungirako okalamba ndipo akuyang'anira chisamaliro cha odwalawo pamodzi ndi zomwe akuwona m'zochita zake. Anamaliza kukhala mu Internal Medicine, monga Dr. Dr. Sheehan. Izi zinatsatiridwa ndi chiyanjano mu mankhwala ochizira.
Ndinafunsa madokotala onse chifukwa chake anasankha zapaderazi, ndipo onse awiri adayankha kuti adapeza kugwira ntchito ndi akuluakulu kuti akhale opindulitsa komanso osangalatsa.
Iwo adalongosola chisamaliro chomwe amapereka monga chiwerengero chokwanira, monga mavuto a zachipatala ndi aumunthu ndi okalamba amatha kulowerera. Dr. Sih adalongosola kukumana ndi wodwalayo amene anali kutaya thupi. Pamene adalankhula adatha kufotokozera kuti sakonda kuphika yekha, kukumba mozama zinaonekeratu kuti vutoli linali vuto lalikulu.
Iye analibe chithandizo chothandizana ndi anzawo kapena zothandizira kuti atuluke kukagula chakudya, ndipo kuchepa kwa thupi kunamuletsa iye kuti asamamuphike iye momwe iye ayenera. Ndi kufufuza koyenera, maubwino othandizira anthu adasinthidwa.
Ine ndi Dr. Sheehan tinakambirana ngati munthu aliyense wachikulire ayenera kukhala ndi geriatriana monga wothandizira. Iye ankaganiza kuti sizinali zofunika kapena zopindulitsa. Ngakhale kuti anthu okalamba akukula, chiwerengero cha akatswiri a geriatesi sichikukula ndipo kwenikweni chikuchepa. Madokotala onsewa amanena kuti adaphunzitsidwa kuti athe kuchipatala wamkulu komanso wamkulu. Womwe ali ndi thanzi la zaka 70 angathe kutsimikiziridwa kuti amapeza chisamaliro chokwanira kuchokera kuchipatala cha Internal Medicine kapena kuchipatala. Akatswiri a zachipatala amapezeka m'mizinda ikuluikulu. Chifukwa cha malipiro ochepa a ndalama ndi chithunzi chomwe chikuchiza odwala matendawa siwopindulitsa kapena zosangalatsa izi sizomwe zimakhala zokongola kwa madokotala ambiri.
Ine ndi Dr. Sih tinakhala tikukambirana za mankhwala ndi mankhwala omwe amachiza odwala ake. Ankaona kuti ndi chimodzi cha mavuto ake akuluakulu pankhani yosamalira bwino. Ananena kuti nthawi zambiri amayenera kupereka mankhwala otsika komanso mwina osagwira ntchito pothandizira wodwalayo.
Odwala ake amadziwa zomwe angathe komanso sangakwanitse komanso mbali ina ya chisamaliro chimene amaperekayo amathandiza kuti adziwe kuti ali ndi vutoli. Kupereka mankhwala kwa mankhwala omwe iwo sangadzaze chifukwa cha mtengo siwothandiza.
Kwa Tsogolo
Ponena za tsogolo, madokotala awiri adagwirizana kuti kupewa ndi mankhwala abwino kwambiri. Pokhala ndi zizoloŵezi zabwino zaumoyo tsopano, abambo oyembekezera akhoza kusangalala ndi ukalamba wosangalatsa komanso wathanzi. Dr Sheehan ananenanso kuti ngakhale zabwino zomwe mankhwala angathe kuchita, padzakhalabe kuchepa kwa ntchito komanso potsirizira pake imfa. Amadandaula kuti mwana wachinyamata amatha kukhala ndi nthawi yovuta yolimbana ndi kuchepa kwa ukalamba.
Uthenga wabwino ndi wakuti okalamba amadziwa bwino kwambiri komanso amaphunzitsidwa pankhani za chithandizo chamankhwala. Dr. Shi adati nthawi zambiri amawona odwala omwe ali ndi zidziwitso zomwe zili pa intaneti kapena m'nkhani. Iwo ali okonzeka kukambirana mavuto awo ndipo amakayikira chithandizo chomwe amalandira.
Ndani angapindule kwambiri ndi chithandizo ndi chisamaliro ndi geriatrician? Madokotala onsewa adagwirizana kuti ndi chiŵerengero chochepa cha odwala matendawa, omwe ali ndi zofunika kwambiri ndi awa:
- Okalamba kwambiri omwe ali ndi mavuto ambiri azachipatala.
- Wakulirapo wamkulu yemwe ali ndi mavuto ambiri azachipatala komanso ochepa chithandizo chaumoyo.
- Munthu wachikulire wamkulu amene ali ndi vuto lachipatala makamaka amagwirizana ndi ukalamba.
Maphunziro owonjezera omwe analandira panthawi ya chiyanjano awapanga awiriwa kuti athe kuthana ndi mavuto monga kukumbukira kukumbukira, kukumbukira maganizo , zipsyinjo zapanikizika , kugwa, kulemera kwa thupi ndi kuperewera kwa mankhwala. Iwo ali ndi zida zokwanira kuti adziwe mavuto a chikhalidwe ndi azachuma omwe angasokoneze chisamaliro. Ngati inu kapena wachikulire wokondedwa muli ndi mavuto ambiri azachipatala, ndibwino kuti muwone kapena kuonana ndi dokotala monga Dr Sih kapena Dr. Sheehan.