\n<\/p>\n
Judith Graham\n<\/p>\n
Lerijs Makmahons, kuram decembr\u012b aprit\u0113ja 80 gadi, apsver, vai veikt nopietnu oper\u0101ciju. P\u0113d\u0113jo piecu gadu laik\u0101 muguras s\u0101pes ir pastiprin\u0101ju\u0161\u0101s. Fizik\u0101l\u0101 terapija, musku\u013cu atsl\u0101bin\u0101t\u0101ji un injekcijas nesniedz atvieglojumu.\n<\/p>\n
\"T\u0101s ir s\u0101pes, kuru d\u0113\u013c es gandr\u012bz neko nevaru dar\u012bt,\" vi\u0146\u0161 teica.\n<\/p>\n
Vai Makmahonam, pension\u0113tam Vird\u017e\u012bnijas \u0161tata karav\u012bram, kur\u0161 tagad dz\u012bvo Sautport\u0101, Zieme\u013ckarol\u012bn\u0101, vajadz\u0113tu izm\u0113\u0123in\u0101t mugurkaula smadze\u0146u sapl\u016b\u0161anas oper\u0101ciju - proced\u016bru, kas var aiz\u0146emt l\u012bdz pat se\u0161\u0101m stund\u0101m? (Pirms asto\u0146iem gadiem vi\u0146am tika veikta jostasvietas laminektomija - v\u0113l viena smaga muguras oper\u0101cija.)\n<\/p>\n
\" Vai es atvese\u013co\u0161os p\u0113c se\u0161iem m\u0113ne\u0161iem vai p\u0113c p\u0101ris gadiem? Vai ir dro\u0161i, ka man\u0101 vecum\u0101 cilv\u0113ks ar da\u017e\u0101d\u0101m vesel\u012bbas probl\u0113m\u0101m var tikt iemidzin\u0101ts uz ilgu laiku? \" jaut\u0101ja Makmahons, telefonsarun\u0101 man nododot da\u017eas no sav\u0101m ba\u017e\u0101m.\n<\/p>\n
Vec\u0101ka gadag\u0101juma cilv\u0113ki, kas apsver iesp\u0113ju veikt nopietnu oper\u0101ciju, bie\u017ei vien nav p\u0101rliecin\u0101ti, vai to dar\u012bt. Daudzos gad\u012bjumos oper\u0101cija var gl\u0101bt dz\u012bv\u012bbu vai uzlabot senioru dz\u012bves kvalit\u0101ti. Ta\u010du vecum\u0101 cilv\u0113ki ir pak\u013cauti liel\u0101kam nev\u0113lamu seku riskam, tostarp gr\u016bt\u012bb\u0101m veikt ikdienas aktivit\u0101tes, ilg\u0101k\u0101m hospitaliz\u0101cij\u0101m, p\u0101rvieto\u0161an\u0101s probl\u0113m\u0101m un neatkar\u012bbas zaud\u0113\u0161anai.\n<\/p>\n
Novembr\u012b es rakst\u012bju par jaunu p\u0113t\u012bjumu, kas atkl\u0101ja da\u017eus riskus, ar kuriem saskaras seniori, veicot invaz\u012bvas proced\u016bras. Ta\u010du las\u012bt\u0101ji v\u0113l\u0113j\u0101s uzzin\u0101t vair\u0101k. K\u0101 noteikt, vai potenci\u0101lais ieguvums no lielas oper\u0101cijas ir riska v\u0113rts? Un k\u0101di jaut\u0101jumi b\u016btu j\u0101uzdod vec\u0101ka gadag\u0101juma cilv\u0113kiem, m\u0113\u0123inot to noskaidrot? Es jaut\u0101ju vair\u0101kiem ekspertiem par vi\u0146u ieteikumiem. L\u016bk, da\u017ei no vi\u0146u ieteikumiem.\n<\/p>\n
K\u0101ds ir \u0161\u012bs oper\u0101cijas m\u0113r\u0137is? Pajaut\u0101jiet \u0137irurgam: \" K\u0101 \u0161\u012b oper\u0101cija uzlabos manu st\u0101vokli? \", saka Margareta Gre\u010den \u0160varca, Viskonsinas Universit\u0101tes Medic\u012bnas un sabiedr\u012bbas vesel\u012bbas skolas asoci\u0113t\u0101 profesore \u0137irur\u0123ij\u0101. Vai oper\u0101cija pagarin\u0101s j\u016bsu dz\u012bvi, likvid\u0113jot strauji augo\u0161u audz\u0113ju? Vai j\u016bsu dz\u012bves kvalit\u0101te uzlabosies, jo b\u016bs viegl\u0101k staig\u0101t? Vai t\u0101 nov\u0113rs\u012bs j\u016bsu invalidit\u0101ti, l\u012bdz\u012bgi k\u0101 g\u016b\u017eas loc\u012btavas protez\u0113\u0161ana?\n<\/p>\n
Ja j\u016bsu \u0137irurgs saka: \"Mums ir j\u0101nov\u0113r\u0161 \u0161is izaugums vai j\u0101att\u012bra \u0161is nosprostojums,\" pajaut\u0101jiet, k\u0101 tas ietekm\u0113s j\u016bsu ikdienas dz\u012bvi. Tas, ka ir konstat\u0113ta t\u0101da anom\u0101lija k\u0101 tr\u016bce, nenoz\u012bm\u0113, ka t\u0101 ir j\u0101risina, \u012bpa\u0161i, ja jums nav trauc\u0113jo\u0161u simptomu un proced\u016bra ir saist\u012bta ar komplik\u0101cij\u0101m, teica Dr. Roberts Be\u010ders un doktors Tomass Gils no J\u0113las Universit\u0101tes, kuri ir nesen public\u0113t\u0101 darba par liel\u0101m oper\u0101cij\u0101m gados vec\u0101kiem cilv\u0113kiem autori.\n<\/p>\n
Ja viss izdodas, ko es varu sagaid\u012bt? \u0160varca, asinsvadu \u0137irurgs, bie\u017ei apr\u016bp\u0113 pacientus ar v\u0113dera aortas aneirismu - liela asinsvada papla\u0161in\u0101\u0161anos, kas var apdraud\u0113t dz\u012bv\u012bbu, ja tas pl\u012bst.\n<\/p>\n
L\u016bk, k\u0101 vi\u0146a apraksta \"lab\u0101k\u0101 gad\u012bjuma\" \u0137irur\u0123isko scen\u0101riju \u0161im st\u0101voklim: \" Oper\u0101cija ilgs aptuveni \u010detras l\u012bdz piecas stundas. Kad oper\u0101cija b\u016bs pabeigta, j\u016bs uz nakti paliksiet intens\u012bv\u0101s terapijas noda\u013c\u0101 ar elpin\u0101\u0161anas caurul\u012bti un pavad\u012bsiet tur dienu vai divas. P\u0113c tam v\u0113l aptuveni ned\u0113\u013cu b\u016bsiet slimn\u012bc\u0101. P\u0113c tam jums, iesp\u0113jams, b\u016bs j\u0101iet uz rehabilit\u0101ciju, lai atg\u016btu sp\u0113kus, bet es dom\u0101ju, ka j\u016bs var\u0113siet atgriezties m\u0101j\u0101s tr\u012bs l\u012bdz \u010detru ned\u0113\u013cu laik\u0101, un, iesp\u0113jams, paies divi l\u012bdz tr\u012bs m\u0113ne\u0161i, l\u012bdz j\u016bs jut\u012bsieties k\u0101 pirms oper\u0101cijas. \"\n<\/p>\n
Saska\u0146\u0101 ar \u0160varca komandas izveidoto bro\u0161\u016bru pacientiem, cita starp\u0101, cilv\u0113ki var jaut\u0101t savam \u0137irurgam: K\u0101da b\u016bs mana ikdienas dz\u012bve uzreiz p\u0113c oper\u0101cijas? P\u0113c trim m\u0113ne\u0161iem? P\u0113c gada? Vai man b\u016bs vajadz\u012bga pal\u012bdz\u012bba un cik ilgi? Vai tiks ievad\u012btas caurul\u012btes vai dreni?\n<\/p>\n
Ko es varu sagaid\u012bt, ja nekas neizdodas? P\u0113c \u0160varca teikt\u0101, \"slikt\u0101kais scen\u0101rijs\" var\u0113tu izskat\u012bties \u0161\u0101di: \u0160varca: \" Jums ir veikta oper\u0101cija, j\u016bs non\u0101kat intens\u012bv\u0101s terapijas noda\u013c\u0101, un jums ir nopietnas komplik\u0101cijas. Jums ir sirdsl\u0113kme. Tr\u012bs ned\u0113\u013cas p\u0113c oper\u0101cijas j\u016bs joproj\u0101m atrodaties intens\u012bv\u0101s terapijas noda\u013c\u0101 ar elpin\u0101\u0161anas caurul\u012bti, esat zaud\u0113jis liel\u0101ko da\u013cu sp\u0113ku un nav izred\u017eu atgriezties m\u0101j\u0101s. Vai ar\u012b oper\u0101cija nav izdevusies, un j\u016bs tom\u0113r esat tam visam izg\u0101jis cauri. \"\n<\/p>\n
\" Cilv\u0113ki bie\u017ei dom\u0101, ka es vienk\u0101r\u0161i nomir\u0161u uz oper\u0101ciju galda, ja kaut kas neizdosies,\" saka Dr. Em\u012blija Finleisone, UCSF vec\u0101ka gadag\u0101juma cilv\u0113ku \u0137irur\u0123ijas centra Sanfrancisko direktore. \" Ta\u010du m\u0113s \u013coti labi protam gl\u0101bt cilv\u0113kus, un m\u0113s varam ilgsto\u0161i saglab\u0101t j\u016bs dz\u012bvus. Realit\u0101te ir t\u0101da, ka, ja viss nenotiek t\u0101, k\u0101 m\u0113s ceram, var rasties daudz s\u0101pju un cie\u0161anu, k\u0101 ar\u012b var tikt veiktas t\u0101das iejauk\u0161an\u0101s k\u0101 baro\u0161anas caurules un m\u0101ksl\u012bg\u0101s ventil\u0101cijas apar\u0101ti. \"\n<\/p>\n
\u0145emot v\u0113r\u0101 manu vesel\u012bbas st\u0101vokli, vecumu un funkcion\u0101lo st\u0101vokli, k\u0101ds izn\u0101kums ir visticam\u0101kais? Kad \u0137irurgs ir iepaz\u012bstin\u0101jis j\u016bs ar da\u017e\u0101diem scen\u0101rijiem, pajaut\u0101jiet: \" Vai, j\u016bsupr\u0101t, man tie\u0161\u0101m ir nepiecie\u0161ama \u0161\u012b oper\u0101cija? \" un \" K\u0101di rezult\u0101ti, j\u016bsupr\u0101t, man ir visticam\u0101kie? \" Finlayson ieteica. P\u0113t\u012bjumi liecina, ka vec\u0101ka gadag\u0101juma cilv\u0113kiem, kuri ir v\u0101ji, kuriem ir kognit\u012bvi trauc\u0113jumi vai citi nopietni saslim\u0161anas gad\u012bjumi, piem\u0113ram, sirds slim\u012bbas, ir slikt\u0101ka pieredze ar liel\u0101m oper\u0101cij\u0101m. Turkl\u0101t 80 un 90 gadus veciem senioriem ir liel\u0101ks risks, ka viss var neizdoties.\n<\/p>\n
\" Svar\u012bgi, lai \u0161o sarunu laik\u0101 ar augsta riska pacientiem telp\u0101 b\u016btu \u0123imenes locek\u013ci vai draugi,\" teica Finlainsons. Daudziem senioriem ir zin\u0101ma l\u012bme\u0146a kognit\u012bv\u0101s gr\u016bt\u012bbas, un vi\u0146iem var b\u016bt nepiecie\u0161ama pal\u012bdz\u012bba, lai pie\u0146emtu sare\u017e\u0123\u012btus l\u0113mumus.\n<\/p>\n
K\u0101das ir alternat\u012bvas? P\u0101rliecinieties, ka \u0101rsts jums past\u0101sta par ne\u0137irur\u0123isk\u0101m iesp\u0113j\u0101m, - teica Finlayson. Piem\u0113ram, gados vec\u0101ki v\u012brie\u0161i ar prostatas v\u0113zi var\u0113tu apsv\u0113rt iesp\u0113ju \"uzman\u012bgi gaid\u012bt\", past\u0101v\u012bgi nov\u0113rojot simptomus, nevis risk\u0113t ar invaz\u012bvu oper\u0101ciju. 80 gadus vecas sievietes, kur\u0101m ir neliels kr\u016bts v\u0113zis, var izv\u0113l\u0113ties atst\u0101t to mier\u0101, ja t\u0101 iz\u0146em\u0161ana rada risku, \u0146emot v\u0113r\u0101 citus vesel\u012bbas faktorus.\n<\/p>\n
\u0145emot v\u0113r\u0101 Larija Makmahona vecumu un ar to saist\u012bt\u0101s medic\u012bnisk\u0101s probl\u0113mas (2021. gad\u0101 veikta ce\u013ca loc\u012btavas protez\u0113\u0161ana, kas nav sadzijusi, artr\u012bts, augsts asinsspiediens), vi\u0146a neiro\u0137irurgs ieteica pirms oper\u0101cijas izp\u0113t\u012bt citas iejauk\u0161an\u0101s iesp\u0113jas, tostarp vair\u0101k injekciju un fizik\u0101lo terapiju. \"Vi\u0146\u0161 man teica: \"Es peln\u012bju naudu no oper\u0101cij\u0101m, bet tas ir p\u0113d\u0113jais l\u012bdzeklis,\" teica Makmahons.\n<\/p>\n
Ko es varu dar\u012bt, lai sagatavotos? \" Gatavo\u0161an\u0101s oper\u0101cijai gados vec\u0101kiem cilv\u0113kiem ir \u013coti svar\u012bga: Ja pacienti dara da\u017eas lietas, ko iesaka \u0101rsti, - p\u0101rtrauc sm\u0113\u0137\u0113t, zaud\u0113 svaru, vair\u0101k staig\u0101, lab\u0101k \u0113d, - vi\u0146i var samazin\u0101t komplik\u0101ciju iesp\u0113jam\u012bbu un slimn\u012bc\u0101 pavad\u012bto dienu skaitu,\" teica Dr. Sandhya Lagoo-Deenadayalan, Duke University Medical Center Perioperative Optimization of Senior Health programmas vad\u012bt\u0101ja.\n<\/p>\n
Kad vec\u0101ka gadag\u0101juma pacienti tiek nos\u016bt\u012bti uz POSH, vi\u0146iem tiek veikts visaptvero\u0161s nov\u0113rt\u0113jums par medikamentiem, uztura st\u0101vokli, mobilit\u0101ti, iepriek\u0161\u0113jiem st\u0101vok\u013ciem, sp\u0113ju veikt ikdienas aktivit\u0101tes un atbalstu m\u0101j\u0101s. Vi\u0146i iziet no slimn\u012bcas ar ieteicamo darb\u012bbu sarakstu, ko parasti s\u0101k veikt vair\u0101kas ned\u0113\u013cas pirms oper\u0101cijas.\n<\/p>\n
Ja j\u016bsu slimn\u012bc\u0101 nav \u0161\u0101das programmas, pirms oper\u0101cijas jaut\u0101jiet savam \u0101rstam: \"K\u0101 es varu sagatavot savu \u0137ermeni un pr\u0101tu?\", teica Finlaisons. Jaut\u0101jiet ar\u012b: \" K\u0101 es varu iepriek\u0161 sagatavot savu m\u0101ju, lai paredz\u0113tu, kas man b\u016bs nepiecie\u0161ams atvese\u013co\u0161an\u0101s laik\u0101? \"\n<\/p>\n
K\u0101da b\u016bs atvese\u013co\u0161an\u0101s? J\u0101\u0146em v\u0113r\u0101 tr\u012bs l\u012bme\u0146i: Ko noz\u012bm\u0113 atvese\u013co\u0161an\u0101s slimn\u012bc\u0101? Vai j\u016bs p\u0101rvietos uz rehabilit\u0101cijas iest\u0101di? Un k\u0101da b\u016bs atvese\u013co\u0161an\u0101s m\u0101j\u0101s?\n<\/p>\n
Pajaut\u0101jiet, cik ilgi j\u016bs, iesp\u0113jams, paliksiet slimn\u012bc\u0101. Vai jums b\u016bs s\u0101pes vai anest\u0113zijas izrais\u012btas blaknes? Svar\u012bgi ir saglab\u0101t izzi\u0146as sp\u0113jas, un j\u016bs var\u0113tu pajaut\u0101t anesteziologam, ko j\u016bs varat dar\u012bt, lai p\u0113c oper\u0101cijas saglab\u0101tu izzi\u0146as sp\u0113jas. Ja dodaties uz rehabilit\u0101cijas centru, v\u0113laties uzzin\u0101t, k\u0101da veida terapija jums b\u016bs nepiecie\u0161ama un vai varat sagaid\u012bt, ka atgriez\u012bsieties sav\u0101 s\u0101kotn\u0113j\u0101 funkcion\u0113\u0161anas l\u012bmen\u012b.\n<\/p>\n
Kovid-19 pand\u0113mijas laik\u0101 \"daudzi vec\u0101ka gadag\u0101juma cilv\u0113ki ir izv\u0113l\u0113ju\u0161ies doties m\u0101j\u0101s, nevis uz rehabilit\u0101ciju, un ir \u013coti svar\u012bgi p\u0101rliecin\u0101ties, ka vi\u0146iem ir atbilsto\u0161s atbalsts,\" teica Dr. Rachelle Bernacki, apr\u016bpes transform\u0101cijas un p\u0113coper\u0101cijas pakalpojumu direktore Geriatrisk\u0101s \u0137irur\u0123ijas centr\u0101 Brigham un sievie\u0161u slimn\u012bc\u0101 Boston\u0101.\n<\/p>\n
Da\u017eiem vec\u0101ka gadag\u0101juma cilv\u0113kiem p\u0113c oper\u0101cijas neatkar\u012bbas zudums var b\u016bt palieko\u0161s. Noteikti noskaidrojiet, k\u0101das ir j\u016bsu iesp\u0113jas, ja t\u0101 notiktu.\n<\/p>\n
M\u0113s labpr\u0101t uzklaus\u012bsim las\u012bt\u0101jus par jaut\u0101jumiem, uz kuriem v\u0113laties sa\u0146emt atbildes, probl\u0113m\u0101m, kas jums radu\u0161\u0101s saist\u012bb\u0101 ar apr\u016bpi, un padomiem, kas jums ir nepiecie\u0161ami, str\u0101d\u0101jot ar vesel\u012bbas apr\u016bpes sist\u0113mu. Apmekl\u0113jiet khn.org\n<\/p>\n
KHN (Kaiser Health News) ir valsts zi\u0146u redakcija, kas sagatavo padzi\u013cin\u0101tu \u017eurn\u0101listiku par vesel\u012bbas jaut\u0101jumiem. Kop\u0101 ar Politikas anal\u012bzes un aptauju programmu KHN ir viena no trim galvenaj\u0101m KFF (Kaiser Family Foundation) darb\u012bbas programm\u0101m. KFF ir bezpe\u013c\u0146as organiz\u0101cija, kas sniedz inform\u0101ciju par vesel\u012bbas jaut\u0101jumiem.\n<\/p>\n
Parakstieties uz KHN bezmaksas r\u012bta zi\u0146u.\n<\/p><\/p>\n","protected":false},"excerpt":{"rendered":"
Judith Graham Lerijs Makmahons, kuram decembr\u012b aprit\u0113ja 80 gadi, apsver, vai veikt nopietnu oper\u0101ciju. P\u0113d\u0113jo piecu gadu laik\u0101 muguras s\u0101pes ir pastiprin\u0101ju\u0161\u0101s. Fizik\u0101l\u0101 terapija, musku\u013cu atsl\u0101bin\u0101t\u0101ji un injekcijas nesniedz atvieglojumu. \"T\u0101s ir s\u0101pes, kuru d\u0113\u013c es gandr\u012bz neko nevaru dar\u012bt,\" vi\u0146\u0161 teica. Vai Makmahonam, pension\u0113tam Vird\u017e\u012bnijas \u0161tata karav\u012bram, kur\u0161 tagad dz\u012bvo Sautport\u0101, Zieme\u013ckarol\u012bn\u0101, vajadz\u0113tu […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[96],"tags":[],"class_list":["post-51263","post","type-post","status-publish","format-standard","","category-health"],"_links":{"self":[{"href":"https:\/\/forbaby.blog\/lv\/wp-json\/wp\/v2\/posts\/51263","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/forbaby.blog\/lv\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/forbaby.blog\/lv\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/forbaby.blog\/lv\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/forbaby.blog\/lv\/wp-json\/wp\/v2\/comments?post=51263"}],"version-history":[{"count":0,"href":"https:\/\/forbaby.blog\/lv\/wp-json\/wp\/v2\/posts\/51263\/revisions"}],"wp:attachment":[{"href":"https:\/\/forbaby.blog\/lv\/wp-json\/wp\/v2\/media?parent=51263"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/forbaby.blog\/lv\/wp-json\/wp\/v2\/categories?post=51263"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/forbaby.blog\/lv\/wp-json\/wp\/v2\/tags?post=51263"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}