Fahimtar abubuwan da ke haifar da raunuka zai iya taimakawa wajen hana ciwo mai tsanani
Me ya sa dattawa suka fadi? Sabanin ra'ayin zato, ƙyama ko ƙetarewa bazai zama abin zargi ba, bisa ga binciken binciken da aka fitar daga Jami'ar Simon Fraser a shekarar 2012.
Binciken, wanda aka buga a The Lancet , shine na farko da za a yi amfani da bayanan bidiyo na dijital daga kyamarori masu rufewa a cikin wuraren kulawa na dogon lokaci . An shigar da kyamarori a wurare daban-daban kamar dakuna da dakuna gidajen gida biyu daban a British Columbia, tare da izini daga mazauna da ma'aikata.
Manufar bincike, a cewar marubucin marubuci Stephen Robinovitch, shine ya san ainihin abin da ya fado a kowace fall, maimakon dogara ga wani tambayoyin ko ake kira rahoton kansu bayan gaskiya, kamar yadda binciken baya ya yi.
An kai 227 da dama daga cikin mazauna 130 a bidiyon, sannan kuma Robinovitch ya bincikar dakarunsa a Laboratory Prevention and Prevention of Motion.
"Wannan shine binciken farko don tattara hujjoji na ainihi game da lamarin da kuma yanayin da ake ciki," in ji Robinovitch. "An tattara bayanan da aka tattara akai-akai kuma an dogara ne a kan ƙwaƙwalwar mutum game da abin da ya sa su fadi-ko masu shaida 'tunanin idan akwai wani. Muna son samun bidiyon da zai yi kama da akwatin fata a cikin jirgi don sanin abin da ya haddasa hadarin. "
Dangers na Falling
Koma a cikin tsofaffi na iya zama masifa, lissafin bayyana. A gaskiya ma, lalacewa shine lambar da ke haifar da raunin rauni da cututtuka a cikin mutane fiye da shekaru 65.
A cikin Kanada, kimanin mutane 27,000 ne ke fama da raunin raunuka ( raguwa ta tsakiya ) a kowace shekara, suna samun kudin likita fiye da $ 1B; a Amurka, akwai raunuka dubu 300,000 a kowace shekara. Kashi guda cikin dari na marasa lafiya da raunin da ke ciki za su mutu a cikin shekara daya, kuma rabi zai sha wahala mai yawa na 'yancin kai, kamar yadda ake tilasta wa daga gida a cikin al'umma don kula da dogon lokaci.
Abin da Yake Yake Kashe Gasa
Duk da yake rashin tsoro, maganin ilimin kwayoyi, da wasu sha'anin kiwon lafiya kamar arrhythmias zasu iya taimakawa zuwa dama, mafi yawan lokuta da dama sun kasance sune "sauki" da tafiya, "in ji Robinovitch. Tambayoyin sun ƙaddara ta hanyar tambayi tsofaffi kansu, ko kuma daga dakin gwaje-gwaje na yin gyare-gyare, ta yin amfani da ƙananan batutuwa. Amma waɗannan maganganun waje, kamar ƙuƙwalwa a kan ƙananan hanyoyi ko kamawa a kafa a kan kujera ko kuma mai tafiya, kawai ya jawo kimanin kashi 20 cikin dari na binciken a cikin binciken Simon Fraser.
Yawanci yawanci sune lalacewa ta hanyar abin da masu bincike suka kira "canja wuri mara kyau ko canzawa na jiki," wanda ya kai kashi 41% na tumbu. Wadannan sun haɗa da motsin jikin mutum wanda ya sa tsakiya na karfin ya canza ba daidai ba yayin da yake tafiya ko tsaye, kuma saboda yana da hankali-ko kuma akalla kaiwa-masu bincike sun bayyana aikin a matsayin "na ciki" a asali. Yawancin waɗannan misjudges ko gyaran-gyare-gyare sun faru yayin canja wurin daga mai tafiya zuwa kujera, ko kuma mataimakin.
Sai kawai ƙananan raunin (3%) na lalacewa ya haifar da slipping. Duk da yake tafiya gaba yana daya daga cikin ayyukan da suka fi gaban faduwar, don haka suna zaune da tsaye a hankali.
Lokacin Ta'awu da Bracing don Fall
Ko da yake mutane da yawa suna tunanin wani tsofaffi kawai ba zai iya amsawa da sauri don karya fashewa-ko kuma ba zai san cewa suna fadowa har sai ya yi latti don hana shi-masu bincike sun gano cewa ba haka ba ne.
"Kammala kashi 75 cikin 100 na yawan wadanda ke da nasaba da tasiri," in ji Robinovitch, "amma babu tasiri. A wata hanya, wannan labari ne mai kyau: mutane suna da lokacin amsawa, da kuma fahimtar cewa suna fadowa, don haka makamai suna kaiwa. Matsalar ita ce aikin bai karya kullun su ba, wanda zai iya alaka da rashin ƙarfin tsoka a jikinsu. "
Clues ga Rigakafin na Falls
Samun cikakken bayani game da yanayin da ayyukan da ke haifar da lalacewa zai iya taimakawa masu kulawa suyi yadda za su hana su, in ji Robinovitch.
Alal misali, ana iya amfani da bidiyon don nuna masu kula da kiwon lafiya, kamar masu aikin likita da kuma masu ilimin aikin likita, abubuwan da ke haifar da matsala ga tsofaffi tare da matsala ko matsalolin motsa jiki, yana taimakawa wajen amsa wannan tambaya, "me ya sa haƙuri ya fado?" Kuma tun da yawa da yawa sun faru yayin da mutum yana barin mai tafiya don zama a kujera, ko kuma tsaye daga kujera don amfani da mai tafiya, ya nuna cewa kayan na'urorin zasu inganta don sauƙaƙe sauye-sauye.
Sauran bincike sun kuma bukaci a sake tunani game da masu tafiya, tare da ilimi mafi kyau game da yadda za a yi amfani dasu a amince. Binciken na 2009 game da shigar da ma'aikatan gaggawa ya bayyana cewa an kai kimanin mutane 47,000 a kowace shekara a Amurka saboda yawan da ke da alaƙa da masu tafiya da cans. Mai binciken bincike, da kuma likitan ilmin likita tare da Cibiyoyin Kula da Cututtuka da Cututtuka na Amurka, Judy A. Stevens ya rubuta cewa kashi 87 cikin 100 na waɗannan hatsarori sun hada da masu tafiya-tare da mata masu fama da rashin lafiya a dukkanin shekarun haihuwa. Nazarin, wanda aka wallafa a cikin Journal of the American Geriatrics Society , ya gano cewa kashi 60 cikin 100 na raunin da ya faru da raunuka ya faru a gida kuma kawai kashi 16 cikin 100 na gidajen jinya.
Stephen Robinovitch ya nuna cewa za a iya amfani da bayanansa don sabunta lambobin gine-gine a wuraren kulawa na dogon lokaci na gaba, don haɗawa da abubuwa kamar kayan da suke so. Ƙungiyarsa na binciken ko yin amfani da sublayer mai ɗaukar nauyi a karkashin maganin asibiti na asibiti don kare mazauna daga mummunan rauni lokacin da lalacewar ke faruwa.
"Aƙalla muna da wasu maƙasudin, bayanai na ainihi game da abin da ke haddasawa, da kuma yadda za a hana su."
Sources:
Falls da Fractures. Cibiyar Harkokin Kiwon Lafiyar Jama'a na {asa na Amirka na Kasuwanci.
https://www.nia.nih.gov/health/publication/falls-and-fractures
Judy A. Stevens, Karen Thomas, Leesia Teh, Arlene I. Greenspan. "Raunin raunin da ya dace tare da masu tafiya da kwarewa a cikin tsofaffi tsofaffi sun bi da a cikin ma'aikatun gaggawa na Amurka." Littafin Labarai na Cibiyar Geriatrics na Amurka na Ƙungiyar 57, Issue 8, shafuffuka 1464-1469, Agusta 2009.
Stephen N Robinovitch, Fabio Feldman, Yijian Yang, Rebecca Schonnop, Pet Ming Lueng, Thiago Sarraf, Joanie Sims-Gould da Marie Loughin. "Hoton bidiyo game da yanayin da aka samu a cikin tsofaffi da ke zaune a cikin kulawa na dogon lokaci: nazari na al'ada." The Lancet , Early Publication, 17 Oktoba 2012. Doi: 10.1016 / S0140-6736 (12) 61263