Izinqubo zebheya zisisiqondisa ekusebenziseni izidakamizwa eziphephile kubantu abadala
AmaMelika athatha imithi eminingi. I-US Census Bureau ibike ukuthi imithi ejwayelekile yaseMelika igcwaliswe ngo-2013. Inombolo yenyuka yaba nemigomo engu-27.8 kulabo abangaphezu kweminyaka engama-65 ubudala . Uma sibheka eduze, sibona ukuthi abadala abaneminyaka engama-65-79 ubudala basebenzisa imithi engu-27.3 ngonyaka futhi labo abangaphezu kweminyaka engu-80 ubudala basebenzise i-29.1 ngonyaka.
Ngisho noma iphesenti yale miyalelo imelela ukuvuselelwa kwemithi efanayo, abadala basathatha imithi eminingi ngesikhathi esisodwa.
Ucwaningo olwenziwa ngo-2013 eMayo Clinic Proceedings lubonise ukuthi amaphesenti angu-51.6 aseMelika athatha imithi okungenani izigaba ezimbili zezidakamizwa kanye namaphesenti angama-21.2 ngezigaba ezinhlanu noma ngaphezulu ngonyaka.
Imithi ngayinye yemithi ine-side effects profile kanye nemithi ethathwe ndawonye yandisa ingozi yokusebenzisana kwezidakamizwa. Masingakhohlwa ukuthi imithi engaphezu kwe-counter, ngisho nezithako ze-herbal, ingabangela izinkinga zabo. "Ezemvelo" akusho ukuthi kuphephile.
Abadala kuphela abayithatha imishanguzo eminingi kepha banempilo eminingi. Abaningi abangamaphesenti angama-32 abahlomula nge- Medicare banezifo eziyisikhombisa ezingapheli, amaphesenti angama-23 kuya kwayisishiyagalolunye namaphesenti angu-14 ayisithupha noma ngaphezulu. Imithi ethile ingabangela izinkinga kuye ngokuthi yiziphi izinkinga zezokwelapha onayo.
UDkt. Mark Beers, onguchwepheshe wezifo eziphuthumayo, okwakhiwa ngo-1991 ukunciphisa ukusetshenziswa kwezidakamizwa eziyingozi kubantu abadala. I-Beer Criteria yokuqala yayihlose ukunciphisa ukusetshenziswa kwezidakamizwa eziphakeme kakhulu kubantu abadala abahlala ezindaweni zokunakekelwa isikhathi eside.
Le nqubo yavuselelwa ngo-1997, 2003 no-2012 futhi yanda ukuba ihlanganise nokusetshenziswa kwemithi kungakhathaliseki ukuthi uhlalaphi, esibhedlela, indawo yokuhlengikaza enekhono noma ekhaya. Ochwepheshe bezinhlobonhlobo ezihlukahlukene ze-geriatric bahlangana ndawonye ukuze basungulwe iziqondiso ngokusebenzisa imithi esekelwe ebufakazini kanye nokubuyekezwa okuhlelekile.
I-criteria ebuyekeziwe kakhulu ye-2012 yahlukunyezwa ibe yizigaba ezintathu:
- Kungenzeka ukuthi imithi engafanelekile namakilasi ukugwema kubantu abadala
- Kungenzeka ukuthi imithi engalungile kanye namakilasi okugwema abantu abadala asezikhulile nezifo ezithile kanye nezidakamizwa ukuthi izidakamizwa ezibalwe zingadambisa
- Imithi okufanele isetshenziswe ngokucophelela kubantu abadala asebekhulile
Nakuba kungasetshenzisiwe ukuthi uthatha ubhiya ngemithi yakho, kutuswa ukuthi unciphise ukusetshenziswa kwemithi ewela ngaphansi kwe-Beers criteria. Bheka kahle uhlu lwakho lwemithi. Ingabe kukhona imithi yakho eyodwa kwamashumi amahlanu nantathu ohlwini oluhlu lwaBoba?
> Imithombo:
> Campanelli CM. I-American Geriatrics Society Ibuyekeze Izinyosi Izidingo Zokusebenzisa Imithi Engalungile Sebenzisa Kubantu Abadala:
> I-American Geriatrics Society 2012 Imigomo Yelungelo Lokuvuselela I-Panel Expert. J Am Geriatr Soc. 2012 Apr; 60 (4): 616-631.
> Amasevisi e-Medicare naseMedicaid Services. Izimo Eziphuthumayo Phakathi Kwalabo Abahlomulayo, i-Chartbook: I-2012 Edition.
> IMS Institute for Healthcare Informatics. Ukusebenzisa Imithi kanye Nezindleko Zokuguqula Ukunakekelwa Kwezempilo.
> Zhong W, Maradit-Kremers H, uSt. Sauver JL et al. Amaphethini Okudala Nezocansi Zokudakwa Kwezidakamizwa Kubantu baseMelika abachazwe. I-Mayo Clinic Proceedings. 2013 Jul; 88 (7): 697-707.