Imhandoi chiremba - munhu geriatrician? Geriatrics - kudzivirira uye kurapwa zvirwere yokukwegura

Anenge makore zana apfuura, masayendisiti akatanga nokushingaira kudzidza zvokukwegura rikurumidze. Nekuona kuti kuchinja aya dzinongoitika uye ichiita mabasa akawanda, pakutanga dzinounzwa imwevo Sayenzi gerontology sezvo wemauto muitiro. Zvino pakanga dzoga zvokurapa chikwata yakatsaurirwa kuna nezvirwere yokukwegura. Imhandoi chiremba geriatrician, vashoma vanoziva. Zvisinei, nhamba yevanhu vanogara kune akwegura, inova ose zuva zvakanyanya, saka, chakakoshera chokudzidzisa vanachiremba zvakadaro kuwedzera.

Imhandoi chiremba geriatrician?

Mumwe chiremba uyo anobata kudzivisa zvirwere, kurapwa kwavo rokuchinjwa varwere vakwegura, anozivikanwa geriatrician. Kuti anobata nyanzvi yakadaro? The pamazita zvirwere rakanyatsojeka yakakura. Geriatrician anoedza kuvaka chokudzivirira uye dzokurapwa matanho murwere kukwegura kuitira kuwedzera chinoshingaira, yakazvimirira mararamiro. zera Munhu haisi mutongo, asi zvinogona kuona kubatwa kune imwe chirwere. Geriatrics anobata nezvinetso vakwegura (60-74) uye nevakwegura (75-90). Varwere munguva ino, pane zvakawanda zvinokosha chaizvo:

• Anatomical uye vasiri kusiyana pakati kumuviri.

• Kusiyana nokuti zvakafanana zvirwere.

• Zvirwere vakwegura.

Anatomical uye vasiri zvechadenga vakwegura

Mumuviri munhu akwegura kuitika munyika pezvakaitwa umo kuunganidza morphological uye vasiri kuchinja. Ivo vanoonekwa ne:

• Siyana mukufamba kwenguva. Involution of gonads vari vakadzi zvingaitika mumakore 50-55-60. Kusiyana neizvi, pituitary basa kungapfuurira hwose.

• In siyana nzvimbo vasachembera kungaratidzwa kuti siyana inegumi.

• Mwero kuchembera iri nhengo uye hurongwa uyewo dzinosiyana. Zvakachinja mapfupa kunyange pane mangwanani, yaimera zvishoma kuwedzera. Abnormalities mu tsinga anogona kubuda paya, mberi nokukurumidza.

• The pezvakaitwa kuitika siyana munyama vanogona siyana mirayiridzo (kuvaka-kuparadzwa). Izvi zvinoratidza kugadziridzwa kuchinja mumuviri, chengetedza, pane nyore kuwanda.

Vasachembera kunoguma morphological, STRUCTURAL, dzichipfekeka zvirwere. Vanoratidza zera anatomi. Panguva kuchembera shanduko chimiro reshiyo, chadzo nhengo yavo pakukura uye chinzvimbo. Somuenzaniso, uremu uropi, miganhu yacho uye vhoriyamu vari kuderedzwa 20-25%. Kuunganidza kuchinja kunotungamirira muchitokisi rufu, uye zvishoma nezvishoma dzavo uremu mumuviri kunoderedza.

Anatomy kunoratidzwa vasanyanye kukura zvomukati uye kwakaderera pakati nemarunda, pane ptosis. Kusiya inogona gogonera uye kutungamirira nyonganyonga kushanda. A anogona kukonzera chirwere chakakomba.

How vanorwara nevakwegura

Age kwevanhu uchapupu kwete chete imwe munzanga, asiwo pamusoro peculiarities pakati aibuda nevakawanda zvirwere zvinogona kuitika makore 20, uye 76. Somuenzaniso, bronchitis, chenjera kufema kutapukirwa noutachiona, BP. The zvinoitwa chirwere panowanikwa vakwegura vari:

• Atypical nokuti. Attenuation kudzivirira zvigadziriswe zvinoita mukuru munjodzi murwere vakwegura. Common chando kungaita kuti bilateral nemabayo, uye zviduku abrasions - kuti neronda rinonyenga. Saka, kurapwa vanofanira nguva dzose kuva wakakwana.

• Effacement of kunotoda mufananidzo. Mune chiitiko chinokosha kutyorwa muviri wacho kukwana uye kunoita kuti murombo zvichemo. Bilateral nemabayo anogona mberi aine muviri tembiricha kuti 37,1.

• Mumuviri pane kutyorwa pamusoro chikamu zhinji nadzo uye hurongwa. Naizvozvo, exacerbation pakati zvirwere kwemakemikari anobudiswa ino anogona kuratidza zviratidzo zvemwoyo chirwere.

• Early chimiro kugunun'una. Compensatory zvinogoneka yekudyidzana vasanyanya, uye naizvozvo, kunyange kana zviratidzo chirwere zvichemo wokutanga kunogona kuva kunokosha.

Zvirwere vakwegura

Nokuti zvose zera pane anowanzoramba, zvirwere chaizvo. Vakanga varwere vakwegura. Dementia, atherosclerosis, Urinary incontinence - zvawanyora mberi. Vazhinji zvirwere chokuita nokukwegura, uye kunogona kuitika adarika. Asi muna 90% nyaya, vanoratidza pachavo pashure 60.

Kuti anobata geriatrician

kuchengetwa Medical haina inopiwa pari kugamuchira kubva chiremba nomumwe nokuda varwere ari mukuru zera boka. varapi dzavo kurapa. Zvimwe zvikoro vezvokurapa vari kare kugadzirira vanachiremba dzakadaro kushanda makiriniki, saka nokukurumidza uye mudunhu achakwanisa pachake kuwana chii nachiremba geriatrician. Haana chete kunzwisisa chii chirwere rwakavapo varwere vakwegura, asi kuziva pamusoro zvinoitwa panowanikwa dzavo, chirwere uye kurapwa muchizvarwa ichi boka. Kuongorora zvichemo zvakabuda kwomurabhoritari uye richishanda nzira uye, zvinoita zviratidzo. Mushure achienzanisa zvichibvira mugumisiro kurapa pamusoro comorbidities iye anosarudza Zvakanyanya Kunaka Panguva Yepamuviri kuchirapa zvaiitwa. Geriatrics vanogona specialization muna geriatric cardiology, momuviri, neurology, uye zvichingodaro. D.

Zvirwere kumwoyo

Vanhu vakwegura vazhinji vane zvokurwara pamusoro vascular hurongwa. Arteriosclerosis, BP akasiyana-siyana, arrhythmia, mwoyo kukundikana - zvirwere zvose izvi geriatrician inobata zera-kwakakodzera.

chetsinga zvirwere

Zviri boka iri zvirwere zvikuru ichikutadzisa mano varwere vakwegura nokuzviuraya-basa. kuchengetwa Medical mumusha zvakavapoteredza riri shoma. chirwere chinonzi Parkinson, cheAlzheimer, sitiroko, dementia, uye zvimwe zvirwere zhinji kuchava mutariri geriatrics.

vepfungwa zvokurwara

Kuora Mwoyo uye kufunganya - chinowanzoguma vakura zera boka. Nokuda kwavo varwere kuderedza nevamwe, akadzivira uye masvingo kure upenyu hwokushingaira. Iyi haisi imwe hunhu, zvinoda zvakakwana pakurapa zvokurwara.

Metabolic uye kwemakemikari anobudiswa zvirwere

Kuvhiringidza of kwemakemikari anobudiswa mumasero yekudyidzana zvinoshatisa chokupika dzimwe nhengo uye hurongwa. Chirwere cheshuga mellitus kunotungamirira polyneuropathy. Pakuzadzisa kuti matambudziko zvinogona trophic maronda, kusabetsera, ungaderedza chiratidzo, kuvandudzwa nyarara muchimiro myocardial infarction. Thyrotoxicosis inotungamirira nokuvhiringidzirwa mwoyo unodiwa.

Zvirwere genitourinary hurongwa

Kusabetsera, prostate adenoma, enuresis, dzinowanzotaurwa kuratidzirwa kuchembera. Zvinofanira kurangarirwa kuti dzakaonekwa renal ptosis kana bacteriuria pasina chero zviratidzo chirwere (tembiricha, renal indices dzinofamba KLA) regai zvinoda kushandisa mishonga. Muchiitiko chino, vanongova kuratidzwa murwere zera.

Zvirwere zviri zvetsandanyama nemapfupa hurongwa

A chinokosha chipinganidzo kufamba vanhu vakwegura ndivo kutyorwa kuri zvetsandanyama nemapfupa gadziriro dzakawanda. Osteoporosis mapfupa arambe achirema kuchinja. Kwakaderedza elasticity of intervertebral Disc, izvo zvinogona kuchinja nzvimbo yavo.

Zvirwere nemudumbu

Nengano rutapudzo ari kushanda zvomudumbu omumuviri uye intestinal motility vakachengeta kupatira, Mamota mumagaro Kunetsana.

Mukuwedzera, Kuipa chiratidzo, kunzwa, tactile predispose kune vasanyanye evanhu kwadzakabva kuti varwere dzakadaro. Pakukwegura vanhu vanopinda, vane chirwere zvirwere vanenge 4. nhamba yavo iri kaviri mune mamwe makore 10.

Sei Ndinofanira kuonana Geriatrics kuita

Kana zvichemo dzevarwere vakwegura vari kuedza zvirape. Pashure rebei pashure kukundikana kugamuchira dzakasiyana-siyana achishandisa vatendeuke kuti munharaunda chiremba. Kazhinji, varwere vanogamuchira mureza kurapwa zvaiitwa ipapo, pasina kufungisisa mupise mano itsvo nezvimwe kuchinja zera-ukama. Zviri nyanzvi anenge adzidza kunyanya vakwegura physiology uye pharmacological siyana, vanogona kubatsira zvinobudirira zvikuru.

Zvisinei, achishamisika kworudzii chiremba geriatrician, unofanira kurangarira kuti haana chete inobata. A yakafanana nyanzvi anofanira kushandisa pachine nokuda kukura munhu hurongwa kuramba chinoshingaira upenyu. It kuchasanganisira vanorumbidza pamusoro kurovedza, kudya uye kurovedza muviri. A dzinoenda kunorapwa maererano nemakore murwere ichapiwa munyika chiitiko urwere. Mupepa zvakadzama zivo chikonzero chakanaka inofambiswa geriatrics.

Zvino kune anenge mamiriyoni 700 zera vakwegura uye penga nokuda kokuchembera. Avhareji yezera vanogara munyika yave kuramba ichiwedzera. Izvi Muitiro zvinoita kuti kufungidzira kuwedzera kudiwa geriatric hanya mune ramangwana.