Uma usukhulile futhi unezinkinga zempilo eziningi ongase uthande ukucabangela ukubona udokotela obhekene nemithi yokwelapha.
Ungubani uGeriatrician?
Udokotela wezifo zengqondo udokotela oseqedile ukuhlala ngaphakathi kwe-Internal Medicine noma Family Medicine ngeminyaka engu-1-2 eyengeziwe yokuqeqesha ubudlelwane ezindabeni zezokwelapha, ezenhlalakahle nezingokwengqondo eziphathelene nabantu abadala.
Lokhu okukhethekile kuyanda ukubaluleka njengoba iminyaka yabantu futhi ukuthi abantu asebekhulile bahlala isikhathi eside. Abantu abangaphezu kweminyaka engama-85 bangxenye ekhula ngokushesha yabantu. Akusekho ukuthola ukuthi abantu baphile babe yikhulu.
Ukukhuluma NeBhodi-AbaGeriatricians Abaqinisekisiwe
Ngisanda kuthola ithuba lokukhuluma nodokotela ababili abanobuchwepheshe bama-board certified. UDkt. Myles Sheehan noDkt. Rahmawati Sih. Bobabili odokotela babambisana noLoyola University, uDkt. Sheehan njengengxenye yezemfundo manje noDkt Shi neqembu elikhulu lezokwelapha. UDkt. Sih uphinde abe umqondisi wezokwelapha ekhaya elikhulisayo futhi unomthwalo wokunakekelwa kwalezi ziguli kanye nalabo abakubona emisebenzini yakhe. Uqedile ukuhlala eMedical Medicine, njengoDkt Sheehan. Lokhu kwalandelwa ukuhlanganyela emithi yokwelapha.
Ngabuza bobabili odokotela ukuthi kungani bakhetha lokhu okukhethekile, futhi bobabili baphendule ukuthi bathole ukusebenza nabantu abadala ukuze bajabule futhi bajabule kakhulu.
Bachaza ukunakekelwa abanikeza ngokugcwele, njengoba izinkinga zezenhlalakahle nezengqondo nabantu abadala zithinteka. UDkt. Sih uchaze ukuhlangana nesiguli esasilahlekelwa isisindo. Njengoba bekhuluma akwazi ukuveza iqiniso lokuthi wayengathandi ukuzipheka, ukumba ngokujulile kwacaca ukuthi inkinga yayiyinkinga yomphakathi.
Wayengenaso ukwesekwa komphakathi noma izinsiza zokuphuma ukuze athenge ukudla, futhi ukulinganiselwa ngokomzimba kwamgcina ekuphekeni njengoba kufanele. Ngokuhlolwa okufanele, izinsizakalo zomphakathi ezidingekayo zalethwa endaweni.
Mina noDkt. Sheehan sixoxe ngokuthi ngabe wonke umuntu omdala kufanele abe nomtholampilo njengomhlinzeki wakhe oyinhloko. Wazizwa ukuthi akudingekile noma akusizo. Naphezu kokukhula kwabantu abahlala bekhulile, inani labahlengikazi alinyanga futhi empeleni linciphisa. Bobabili odokotela bathi baqeqeshwe ukuphatha umuntu omdala nomdala omdala. Umntwana oneminyaka engu-70 onempilo angaqiniseka ukuthi uyothola ukunakekelwa okwanele kudokotela wangaphakathi wezokwelapha noma odokotela bomndeni. AbaGeriatrician bangatholakala ezindaweni ezidolobheni ezinkulu. Ngenxa yesinxephezelo semali esincane kanye nesithombe sokuphatha iziguli ezigulisayo akusizi noma kuthakazelisa lokhu akuyona into ekhangayo odokotela abaningi.
UDkt. Sih nami sachitha isikhathi esithile sixoxa ngemithi nemithi yokwelapha iziguli zakhe. Wazizwa ukuthi yiyodwa yezinselele zakhe ezinkulu lapho efika ekuhlinzekeni kahle. Uthi wayezovame ukunikeza izindleko ezisezingeni eliphansi futhi mhlawumbe imithi engasebenzi kahle ngesicelo sesiguli sakhe.
Iziguli zakhe zikwazi ukuthi zingakwazi yini futhi zingakwazi ukukhokhela futhi ingxenye yokunakekelwa akunikezayo kufanele zenze izibonelelo zesimo somphakathi wesiguli sakhe. Ukunikeza omunye umuthi wemithi abazoyigcwalisa ngenxa yezindleko akusizi ngalutho.
Ngekusasa
Ngokuqondene nekusasa, bobabili odokotela bavuma ukuthi ukuvimbela imithi engcono kakhulu. Ngokwenza imikhuba emihle yezempilo manje, izingane ze-boomers zingajabulela ukuguga okuthakazelisayo futhi okunempilo. UDkt. Sheehan uphinde wagcizelela ukuthi naphezu kokuhle ukuthi umuthi ungayenza, kuzobe sekukhona ukwehla komsebenzi futhi ekugcineni ukufa. Ukhathazeka ukuthi isizukulwane sesisu somntwana siyoba nesikhathi esinzima esibhekene nokunciphisa ukuguga kungaletha.
Izindaba ezinhle ukuthi abantu abadala bayakwazi ukwaziswa kangcono futhi bafundiswe ezindabeni zokunakekelwa kwezempilo. UDkt. Shi uthi uvame ukubona iziguli ezihlomile ngolwazi olutholakala kuwebhu noma ezindabeni. Bazimisele kakhulu ukuxoxa ngezinkinga zabo futhi bazobuza ukuphathwa kwabo abakutholayo.
Ubani ongathola inzuzo enkulu kunazo zonke ekwelapheni nasekunakekeleni ngumuntu weziguli? Bobabili odokotela bavuma ukuthi ngenani elilinganiselwe labahlengikazi, labo abanezidingo ezinkulu kakhulu:
- Umdala omdala kakhulu onenkinga yezokwelapha eziningi.
- Umuntu omdala omdala onenkinga yezokwelapha eziningi futhi unqunyelwe ukusekelwa komphakathi.
- Umuntu omdala onalezi zinkinga zezokwelapha ngokuyinhloko ezihlobene nokuguga.
Uqeqesho olwengeziwe olutholakale ngesikhathi sebudlelwane babo luye lwahlomisela lezi zimbambulu ukubhekana nezinkinga ezifana nokulahlekelwa inkumbulo, ukucindezeleka kwengqondo , izilonda zomshoshaphansi , ukuwa, ukulahlekelwa isisindo kanye ne- polypharmacy (izidingo eziningi zemithi yokwelashwa). Bahlomele futhi ukuhlonza izinkinga zomphakathi nezomnotho ezingalimaza ukunakekelwa. Uma wena noma othandekayo omdala unenkinga eminingi yezokwelapha kungase kuzuze isikhathi sakho ukubona noma uthintane nodokotela ofana noDkt Sih noma uDkt Sheehan.