Pamene tikukula, kusintha kwa thupi lathu kumakhudza momwe mankhwala amathandizira ndi kugwiritsidwa ntchito. Timakhala okhudzidwa kwambiri ndi mankhwala, ndipo timakhala ndi zotsatira zowonjezereka , kugwirizanitsa mankhwala , ndi zochitika zina zosokoneza mankhwala.
Zotsatira za Mankhwala Osiyanasiyana, Kuyanjana, ndi Machitidwe Otsutsana
Akuluakulu achikulire amakhala ndi matenda amodzi kapena angapo, monga cholesterol, matenda a mitsempha yambiri, kuthamanga kwa magazi , mtundu wa shuga , nyamakazi , ndi kuvutika maganizo.
Matenda achilendowa amatha kuchiritsidwa ndi mankhwala ambiri, kupanga zinthu zomwe zimayambitsa mavuto. Zomwezi zingathe kugwirizana ndi:
Mitundu ya mankhwala: Si zachilendo kwa achikulire kuti azunzidwe ndi matenda osiyanasiyana. Mwachitsanzo, achikulire ambiri omwe ali ndi matenda a shuga a mtundu wachiwiri amakhalanso ndi kuthamanga kwa magazi, cholesterol chokwanira, ndi kuvutika maganizo. Mankhwala amodzi a gululi angaphatikizepo mankhwala opatsirana ndi shuga (Glucophage), mankhwala opatsirana magazi (Diovan HCT), mankhwala omwe amaletsa kuchepetsa mafuta m'thupi (Zocor) ndi ovutika maganizo (Zoloft). Kuphatikizidwa kwa mankhwalawa kuli ndi mphamvu yaikulu yomwe imayambitsa zovuta.
Kuyanjanitsa Mankhwala: Chifukwa cha kuwonjezeka kwa chiopsezo cha matenda aakulu, anthu ambiri okalamba akhoza kumwa mankhwala asanu kapena kuposa. Pamene mumakhala mankhwala osokoneza bongo, mumakhala ndi mankhwala osokoneza bongo, zakudya kapena mowa.
Ndondomeko ya mlingo wovuta: Kugwiritsa ntchito mankhwala ambiri nthawi zosiyanasiyana kungakhale kovuta ndikuwonjezera chiopsezo chanu cholakwitsa. Mwachitsanzo, mungaiwale kumwa mankhwala pa nthawi yoyenera kapena mutha kumwa mlingo kawiri.
Zotsatira za Njira Yakukalamba Yakukalamba
Kuti mankhwala akhale othandiza, amayenera kulowetsedwa m'thupi (kawirikawiri kudzera m'matumbo), amagawidwa m'thupi kumene amafunikira (kawirikawiri kudzera m'magazi), amasintha mankhwala kapena amatsitsimutsa (nthawi zambiri m'chiwindi kapena impso) kenako amachotsedwa mthupi (makamaka kudzera mu mkodzo).
Kukalamba kwachibadwa kungasinthe momwe mankhwala akugwiritsira ntchito, kupangidwanso, kusindikizidwa ndi kuchotsedwa ku thupi, kuchititsa zotsatira zoyipa kuti ziwoneke bwino. Izi zikuphatikizapo:
Kuwonjezeka Peresenti ya Mafuta a Thupi
Pamene tikukula, matupi athu ali ndi mafuta ochulukirapo mafupa ndi minofu. Ngakhale kuti kulemera kwathu kungakhale kofanana, kuchuluka kwa mafuta a thupi kumakula. Mankhwala omwe amapasuka mu mafuta akhoza kulowa mumaselo a thupi lanu ndi kukhalabe mu dongosolo lanu kwa nthawi yaitali.
Pepani mu Thupi la Thupi
Pamene tikukalamba, maselo m'thupi lathu amataya madzi ena, ndipo satha kuthetsa mankhwala osungunuka m'madzi. Zotsatira zake, mankhwala ena akhoza kukhala olemera kwambiri m'thupi, mwinamwake kuwonjezereka kwa mankhwala.
Kuchepetsa mu Kugonjetsa Kachitidwe Pangani
Tikamakalamba, pali kusintha kwa thupi lathu komwe kumakhudza momwe mankhwala amachitira mwamsanga. Kusuntha m'mimba mwathu kumachepetsanso, ndipo zimatengera nthawi yaitali kuti mankhwala apite m'mimba mwathu, pomwe amatha kutengeka. Komanso, m'mimba mwathu timapanga asidi osachepera, ndipo zimatenga nthawi yaitali kuti mankhwala ena amwe. Kusintha kumeneku kungachititse kuti mankhwala athe kuchepa kapena kuchedwa.
Kuchepetsa Chiwindi Ntchito
Chiwindi ndi chimodzi mwa ziwalo zofunika kwambiri m'thupi mwathu kuti zitha kusokoneza kapena kupweteka mankhwala. Pamene takalamba, chiwindi chimakhala chochepa, kuthamanga kwa magazi kuma chiwindi kumachepetsa ndipo mankhwala (mavitamini) mu chiwindi omwe amasiya mankhwala akuchepa. Izi zingayambitse mankhwala omwe amasonkhanitsa m'chiwindi, motero amachititsa zotsatira zosafunikira ndikutheka ku chiwindi.
Kuchepetsa Impso Ntchito
Mofanana ndi chiwindi, kusintha kwa impso zathu kumachitika pamene tikulamba. Impso zikhoza kukhala zochepa, kuthamanga kwa magazi mpaka impso zikhoza kuchepa ndipo impso zathu zingakhale zosavuta kuthetsa mankhwala "otsala".
Kuyambira pafupi zaka 40, ntchito yathu ya impso imachepera pafupifupi 1% pachaka. Zotsatira zake, mankhwala amakhala m'thupi nthawi yaitali, kuonjezera chiopsezo cha zotsatirapo.
Pepani mu Memory
Kulephera kukumbukira kumakhala kofala kwa akulu akulu, ndipo pamene tikukalamba, chiopsezo cha matenda a Alzheimer ndi mitundu ina ya dementia imakula. Matenda a kukumbukira angachititse anthu kuiwala kumwa mankhwala, zomwe zingachititse kuti asateteze matenda awo aakulu. Kuwonjezera apo, anthu omwe ali ndi chifuwa chachikulu chaumtima sangathe kumvetsetsa kapena kutsatira malangizo a othandizira zaumoyo, makamaka ogwirizana ndi kayendedwe kake ka mankhwala.
Pepani mu Masomphenya ndi Kumva
Mavuto owonetsetsa, monga matenda a shuga, glaucoma, ndi nthendayi, ndizofala kwa akulu akulu ndi anthu omwe ali ndi vuto la maso, zomwe zimayambitsa zovuta kuĊµerenga malemba pazitsulo zamankhwala ndi mankhwala owonjezera. Kukumva mavuto kungachititse kuti zikhale zovuta kuti anthu amve malangizo ochokera kwa madokotala ndi asamalonda.
Pepani mu Zosakaniza
Anthu ambiri achikulire ali ndi nyamakazi, zolemala ndi matenda osokoneza bongo, monga matenda a Parkinson. Izi zikhoza kuchititsa kuti zikhale zovuta kutsegula mabotolo, kunyamula mapiritsi ang'onoang'ono kapena kumwa mankhwala (madontho a diso, inhalers ya mphumu ndi COPD, ndi jekeseni ya insulini).
Zotsatira
Kukalamba mu Kudziwa: Mankhwala Osokoneza Bongo. American Geriatric Society Foundation for Health atakalamba. July 25, 2008. www.healthinaging.org/agingintheknow/chapters_ch_trial.asp?ch=6
Kugwiritsa Ntchito Mankhwala ndi Okalamba Achikulire. Magazini ya FDA Consumer. US Food and Drug Administration. www.fda.gov/fdac/features/2006/406_olderadults.html