Zotsatira za beer zimatitsogolera ku ntchito yotetezeka ya mankhwala kwa akuluakulu
Amerika amatenga mankhwala ambiri. Census Bureau ya ku United States inanena kuti anthu ambiri a ku America adadzaza malamulo 12.2 mu 2013. Chiwerengerochi chinawonjezeka kufika pa 27.8 kwa anthu oposa 65 . Tikamayang'ana moyandikana, timawona kuti okalamba omwe ali ndi zaka 65-79 adagwiritsa ntchito malemba 27.3 pachaka ndipo omwe ali ndi zaka zoposa 80 amagwiritsa ntchito 29.1 pachaka.
Ngakhale kuti chiwerengero cha mankhwalawa chikuyimira mankhwala omwe amamwa mankhwalawa, achikulire akupitirizabe kumwa mankhwala ambiri panthawi imodzi.
Phunziro la 2013 ku Mayo Clinic Proceedings linawonetsa kuti 51.6 peresenti ya anthu a ku America amamwa mankhwala mankhwala osachepera awiri ndi 21.2 peresenti m'magulu asanu kapena kuposerapo pachaka.
Mankhwala alionse amadziwika okha ndipo mankhwala omwe atengedwa pamodzi amachulukitsa chiopsezo cha mankhwala osokoneza bongo. Tisaiwale kuti mankhwala osokoneza bongo, ngakhalenso zitsamba zowonjezera, zingayambitse mavuto awo. "Zachilengedwe" sizikutanthauza kutetezeka.
Okalamba amatenga mankhwala ambiri koma amakhalanso ndi thanzi labwino. Oposa 32 peresenti ya opatsidwa Medicare ali ndi matenda awiri kapena atatu, 23 peresenti 4 mpaka 5 ndi 14 peresenti sikisi kapena kuposerapo. Mankhwala ena angayambitse mavuto malinga ndi mavuto omwe mukudwala nawo.
Dr. Mark Beers, geriatrician, yomwe inakhazikitsidwa mu 1991 kuti achepetse kugwiritsa ntchito mankhwala oopsa kwa anthu akuluakulu. Njira zoyamba za ma Beers zatsimikiziridwa kuti achepetse kugwiritsa ntchito mankhwala osokoneza bongo akuluakulu omwe akukhala m'zipatala za nthawi yaitali.
Zotsatirazi zinasinthidwa mu 1997, 2003 ndi 2012 ndipo zawonjezereka kuphatikizapo kugwiritsa ntchito mankhwala mosasamala komwe mukukhala, kuchipatala, malo osungirako anzeru kapena nyumba. Akatswiri amitundu yapadera yodzigwiritsira ntchito palimodzi adasonkhana pamodzi pofuna kukhazikitsa malangizo pogwiritsa ntchito mankhwala ovomerezeka ndi ndemanga.
Machitidwe atsopano atsopano a 2012 adasweka m'magulu atatu:
- Mwinamwake mankhwala osayenera ndi makalasi oyenera kupewa akuluakulu
- Mwinamwake mankhwala osayenera ndi makalasi oyenera kupewa anthu achikulire omwe ali ndi matenda ena ndi syndromes omwe mankhwala olembedwawo angapitirire
- Mankhwala oyenera kuwagwiritsa ntchito mosamala akale akuluakulu
Ngakhale kuti simunalangizidwe kuti mumamwa moŵa ndi mankhwala anu, ndibwino kuti muchepetse kugwiritsa ntchito mankhwala omwe akugwiritsidwa ntchito pazitsulo za Beers. Yang'anani mndandanda wa mankhwala anu. Kodi mankhwala anu aliwonse mwa makumi asanu ndi atatu ndi atatu omwe ali m'mndandanda wa Beer?
> Zotsatira:
> Campanelli CM. American Geriatrics Society Yasinthidwa Nkhanza Zogwiritsira Ntchito Momwe Mungagwiritsire Ntchito Mankhwala Osayenera Gwiritsani Ntchito Achikulire Okalamba:
> American Geriatrics Society 2012 Makhalidwe Othandizira Powonjezera Gulu la Expert. J Am Geriatr Soc. 2012 Apr; 60 (4): 616-631.
> Magulu a Medicare ndi Medicaid Services. Zochitika Zolimbana Pakati pa Medicare Othandizira, Chartbook: Edition la 2012.
> IMS Institute for Healthcare Informatics. Mankhwala Ogwiritsira Ntchito ndi Kusinthanitsa Ndalama za Zaumoyo.
> Zhong W, Maradit-Kremers H, St. Sauver JL et al. Zakale ndi Zogonana Zitsanzo Zogwiritsira Ntchito Mankhwala Osokoneza Bongo M'madera Odziwika a ku America. Mayo Clinic Proceedings. 2013 Jul; 88 (7): 697-707.