Old age sickness and old age
With the development of science and technology, the life level is improved, and the average life span of human beings is increasing. Currently North America and most European countries to 65 years of age, more than this limit for the elderly. China to 45 ~ 59 years of age for the elderly, 60 to 89 years old, 90 years of age for longevity. The aging of the world population and the aging of the individual become a serious problem in the society. It has brought the problem of how to provide medical care to the elderly.
Elderly patients with the characteristics of the elderly disease, also known as the elderly disease, refers to people in the old age related diseases, the elderly and common diseases have their own characteristics. The control includes not only the contents of Gerontology and geriatrics, such as the elderly health, aging mechanism, diagnosis and treatment of diseases such as many, including psychology of aging, the elderly nursing, rehabilitation medicine, social services, old-age social science.
Senile disease contains a wide range of diseases, generally can be divided into 3 categories: 1, only in old age, due to the aging of the body, such as the old wart, senile cataract, postmenopausal vaginal hemorrhagic disease, prostate hyperplasia, senile dementia, etc.. 2, many born in the old age, the occurrence of disease resistance to the body after aging related diseases, such as coronary heart disease, chronic bronchitis, hyperlipidemia, malignant tumor, stroke (stroke), cerebral atrophy, etc.. 3, old age and youth, middle age is also easy to occur, but with a different Yu Qing, middle-aged disease characteristics, many of them are young, middle-aged disease, such as pneumonia, peptic ulcer, chronic inflammation, chronic nephritis, diabetes, rheumatoid arthritis, emphysema, cervical spondylosis, etc..
China’s elderly people susceptible to diseases followed by swelling and pain, hypertension and coronary heart disease, chronic bronchitis and pneumonia, gallbladder disease, prostatic hyperplasia, femoral fracture and diabetes. The high and low mortality rate of pneumonia, cerebral hemorrhage, lung cancer, gastric cancer, myocardial infarction, etc.
The characteristics of senile diseases: 1, multidisease. The same person often has a variety of diseases at the same time, in the symptoms and signs of mutual influence, so that the clinical performance is more complex. 2, not typical. Many of the elderly is one of the causes of atypical clinical manifestations. The elderly thermoregulation ability low, fever as well as young people, too, to in severe infection. The response to cold is also poor, and it is easy to occur at low temperature. Elderly people with poor response to pain, especially with diabetes, severe pain of the disease, such as myocardial infarction, intestinal perforation, fracture, and so may have only mild discomfort, painless myocardial infarction common in the elderly. 3, fast onset, short course, old people’s internal organs reserve function is low, once the stress, the condition is rapidly deteriorating, the original is in a balanced state of some organ function, easy to rapidly failure after the onset. 4, ease of conscious obstacle, elderly patients, whether suffering from any disease, are prone to disturbance of consciousness, change the senile cerebral vascular sclerosis, blood pressure, infection, sepsis and electrolyte disturbances. Are important factors. In the analysis of the old people’s consciousness, we must eliminate the medical source factors, such as the use of stability, anti depression drugs and so on. 5, easily lead to water, electrolyte disorders. The old people organs are shrinking, due to the low sensitivity of the central nervous system, so the amount of drinking water is not much, can cause mild water, electrolyte imbalance. So we should pay attention to the skin elasticity, dry tongue of the old people, as well as the reduction of urine and weight loss. Part of the elderly kidney function decline and more hidden, not to do the test is difficult to find, the elderly renal function changes should be particularly vigilant. 6, prone to systemic failure. The so-called “death. , in fact, is not a disease. Elderly patients with low activity, long-term bed, gradually decreased appetite, drinking water, such as the old people’s blood potassium, blood sodium, urea nitrogen higher, and lower serum albumin, the internal organs function is not obvious decline, and the stability of the environment has changed, the body immunity is low, once the external stress factors, such as infection or trauma, organ damage, such as the heart, brain, kidney, lung and more than 4 of organ damage, treatment is more difficult, the prognosis is poor. Garden prone to complications and complications. Due to the long bed, can cause hypostatic pneumonia, constipation, also can cause muscle atrophy and orthostatic hypotension, limb contractures, osteoporosis, pressure sores, venous thrombosis and pulmonary infarction. The response of the elderly to treatment is different, with the characteristics of the individual.