Kodi ndi mankhwala okha omwe amakhudza thanzi lanu? Tiyeni tiphunzire za zinthu zokhudzana ndi chikhalidwe cha anthu? (Zomwe Zimayambitsa Thanzi la Anthu - SDOH)

Kodi munayamba mwadzifunsapo chifukwa chake anthu ena ali ndi thanzi labwino kuposa ena? Nthawi zina timaganiza kuti ngati titamwa mankhwala abwino ndikuonana ndi dokotala, tingapewe matenda. Koma zoona zake n'zakuti, pali zinthu zina zambiri zomwe zimakhudza thanzi lathu, zomwe sitingaziganizire kwambiri pa moyo wathu watsiku ndi tsiku, koma ndizofunikira kwambiri. Ndicho chimene timachitcha kuti Social Determinants of Health (SDOH).

Kodi zinthu izi zomwe zimayambitsa thanzi la anthu (SDOH) ndi ziti?

Mwachidule, umu ndi momwe zinthu zomwe zili m'moyo wanu, chikhalidwe chanu, komanso chilengedwe zimakhudzira thanzi lanu ndi moyo wanu. Izi sizinthu zokhudzana ndi zachipatala. Izi zikutanthauza zinthu monga ndalama zomwe mumapeza, kuchuluka kwa maphunziro anu, mtundu wa nyumba yomwe mumakhala, ndi zinthu zomwe achibale anu ali nazo. Simungafune kulankhula ndi dokotala wanu za zinthuzi chifukwa simukuganiza kuti zikugwirizana ndi thanzi lanu.

Koma, kafukufuku wapeza kuti zinthu zomwe zimayambitsa thanzi la anthu (SDOH) sizimangokhudzana ndi thanzi lanu lokha, komanso zimatha kutsimikizira thanzi lanu. Izi zikutanthauza kuti zimakhudza chiopsezo chanu chotenga matenda enaake, chithandizo chamankhwala chomwe mumalandira, komanso momwe mumamvera tsiku ndi tsiku.

Tangoganizirani, ngati muli ndi ndalama zokhazikika, ntchito yabwino, mungakwanitse kudya chakudya chopatsa thanzi, kupita kukayezetsa thanzi lanu nthawi zonse. Ngati muli ndi galimoto, n'zosavuta kupita kwa dokotala, ndikupeza mankhwala ku pharmacy.

Komabe, kwa munthu amene amagwira ntchito popanda tchuthi cholipidwa, kapena amene amakhala kudera lakutali popanda mayendedwe oyenera kupita ku sitolo, mwayi wodya zipatso ndi ndiwo zamasamba zopatsa thanzi komanso kupita kwa dokotala nthawi zonse ndi wochepa kwambiri, eti?

Kodi zitsanzo za zinthu zachikhalidwe izi (SDOH) ndi ziti?

Nazi zitsanzo za zinthu zomwe zimayambitsa thanzi la anthu (SDOH):

• Mulingo wa ndalama zomwe mumapeza.
• Mulingo wanu wa maphunziro .
• Ntchito yanu ndi maubwino omwe imabweretsa - mwachitsanzo, inshuwaransi yazaumoyo, tchuthi cholipidwa.
• Zinthu zomwe zili mdera lanu - zinthu monga malo odyera zakudya zopatsa thanzi, mayendedwe apagulu, ndi malo osamalira ana.
• Chitetezo ndi chitetezo chomwe mumamva m'dera lanu .
• Kupeza chithandizo chamankhwala .
• Ubwino wa mpweya umene mumapuma ndi madzi amene mumamwa .
• Anthu ocheza nawo komanso anzanu .

Izi ndi zitsanzo zochepa chabe. Zinthu zomwe zimayambitsa thanzi (SDOH) izi zimapezeka kulikonse komwe mumakhala, komwe mumagwira ntchito, komanso komwe mumakhala. Ofufuza agawa m'magulu asanu akuluakulu kuti amveke bwino. Malinga ndi Unduna wa Zaumoyo ndi Utumiki wa Anthu ku U.S., magulu asanu awa ndi awa:

1. Kukhazikika kwachuma: Nkhani zokhudzana ndi kuchuluka kwa ndalama zomwe mumapeza komanso ngati ndalamazo zingakwaniritse thanzi la banja lanu ndi zosowa zina.

2.Kupeza maphunziro ndi ubwino wake: Nkhani zokhudzana ndi maphunziro omwe mumalandira komanso momwe amakwaniritsira zosowa zanu zophunzirira. Izi zikuphatikizapo zosowa zophunzirira zokhudzana ndi momwe ubongo wanu umagwirira ntchito.

3. Kupeza chithandizo chamankhwala ndi ubwino wake: Nkhani zokhudzana ndi chithandizo chamankhwala chomwe mumalandira komanso momwe chikukwaniritsira zosowa zanu zaumoyo wakuthupi ndi wamaganizo.

4. Malo okhala ndi anthu okhala pafupi ndi nyumba: Nkhani zokhudzana ndi dera lomwe mukukhala, kutanthauza mudzi wanu kapena mzinda wanu, komanso momwe zinthu zomwe zilipo zimathandizira pa thanzi lanu komanso chitetezo chanu.

5. Nkhani zokhudza chikhalidwe ndi chikhalidwe cha anthu: Nkhani zokhudzana ndi ubale wanu ndi banja lanu, anzanu, ogwira nawo ntchito, ndi ena m'dera lanu.

Taganizirani izi, zinthu zonsezi zimalumikizana ndipo zimakhudzana. Mwachitsanzo, umphawi umakhudza mbali iliyonse ya moyo wanu - kuyambira zomwe mumadya, komwe mumakhala, mpaka zinthu zomwe muli nazo. Ngati muli ndi ana, kusakhala ndi mwayi wopeza chisamaliro cha ana chotsika mtengo kungakhale cholepheretsa kupita kuntchito. Zingakhale zovuta kufika ku sitolo kapena kukaonana ndi dokotala m'dera lopanda mayendedwe a anthu onse kapena njira zoyendera anthu.

Mwachidule, zinthu zomwe zimayambitsa thanzi (SDOH) sizipezeka zokha - ngakhale chopinga chimodzi kapena ziwiri zitha kukhudza kwambiri moyo wanu ndi thanzi lanu.

Ndiye, zonsezi zikukuuzani chiyani? Kodi mumadziwa bwanji zomwe zimayambitsa thanzi (SDOH) zomwe zikukhudza moyo wanu? Ganizirani mafunso omwe ali pansipa - akonzedwa mozungulira magawo asanu akuluakulu omwe atchulidwa kale. Muyenera kuyankha "inde" ku mafunso onsewa. Lembani mafunso omwe mungayankhe "ayi". Izi ndi mitu yomwe mungafune kukambirana ndi mnzanu, mlangizi, kapena dokotala.

1. Ganizirani za kukhazikika kwachuma

• Kodi muli ndi ndalama zokwanira zogulira chakudya chopatsa thanzi?
• Kodi mungakwanitse kugula mankhwala, kupita kwa dokotala, komanso kugula mankhwala?
• Kodi muli ndi ndalama zokwanira zosamalira nyumba yanu ndi kulipira lendi?
• Kodi muli ndi ndalama zolipirira mabilu ena monga magetsi ndi madzi?
• Kodi mungapeze malo osamalira ana otsika mtengo?
• Kodi mukuganiza kuti ntchito yanu ndi yokhazikika ?
• Kodi malo anu antchito amapereka inshuwalansi yazaumoyo ?
• Kodi malo anu antchito amapereka nthawi yopuma yolipidwa kapena tchuthi chodwala ?
• Ngati mulibe ntchito, kodi mungalowe nawo mapulogalamu omwe angakuthandizeni kupeza ntchito?
• Kodi muli ndi mwayi wolandira uphungu wa ntchito?

2. Ganizirani za mwayi wopeza maphunziro ndi ubwino wake

Mukamaganizira za gawoli, zingakhale zothandiza kwambiri kuganizira za zinthu zomwe mwana wanu ali nazo (zapano komanso zam'tsogolo), komanso mutha kuganizira za zomwe mwakumana nazo pa maphunziro anu akale kapena apano.

• Kodi mwana wanu ali ndi mwayi wopeza maphunziro apamwamba kusukulu ?
• Kodi mungaganize kuti mwana wanu adzaphunzira mpaka A-level ?
• Kodi pali zinthu zina zothandiza mwana wanu pa zosowa zake zapadera za kuphunzira - mwachitsanzo, mavuto a kuphunzira kapena mavuto amisala?
• Kodi banja lanu lili ndi ndalama zotumizira mwana wanu ku yunivesite kapena kusukulu yophunzitsa ntchito zamanja?
• Kodi mwana wanu ali ndi ubwenzi wabwino ndi ana ena kusukulu?

3. Ganizirani za mwayi wopeza chithandizo chamankhwala komanso ubwino wake

• Kodi muli ndi inshuwalansi yazaumoyo ?
• Kodi muli ndi inshuwalansi yapadera ya mankhwala operekedwa ndi dokotala?
• Kodi muli ndi inshuwaransi ya mano?
• Kodi muli ndi dokotala wa banja ('wopereka chithandizo chachikulu') amene mumapitako nthawi zonse?
• Kodi mukumvetsa zomwe dokotala wanu akunena ?
• Kodi mumamva bwino mukalankhula ndi dokotala wanu?
• Kodi mungapeze ndikumvetsa zambiri zokhudzana ndi thanzi?
• Kodi mungapeze zolemba zanu zachipatala?
• Kodi mungayezedwe matenda monga matenda opatsirana pogonana (STIs) ndi khansa?
• Kodi mungapeze chithandizo chomwe mukufuna pa matenda anu?
• Kodi muli ndi njira yopitira kwa dokotala (monga galimoto, mayendedwe apagulu)?

4. Ganizirani za dera ndi malo omangidwa

• Kodi mungathe kufika mosavuta ku sitolo yogulitsa zakudya yodzaza ndi zinthu zambiri?
• Kodi mungapite kumsika wa kumudzi kapena kwina kukagula zipatso ndi ndiwo zamasamba zatsopano?
• Kodi muli ndi intaneti ?
• Kodi mumamva kuti muli otetezeka m'nyumba mwanu ?
• Kodi mumamva kuti muli otetezeka m'dera lanu ?
• Kodi pali njira zoyendera anthu m'dera lanu?
• Kodi pali njira zosiyana zoyendera njinga?
• Kodi madzi anu a m'popi ali ndi fluoride?
• Kodi ndalama zomwe mumalipira lendi/ngongole yanu ya nyumba ndi zotsika mtengo ? (Kutsika mtengo kumatanthauza kuti simungapitirire 30% ya ndalama zomwe mumapeza.)
• Kodi m'nyumba mwanu mulibe zinthu zoopsa monga lead?
• Mukupita.Kodi phokoso ndi lochepa kwambiri moti simungathe kugona?
• Kodi nyumba yanu ili ndi zinthu zomwe zimakuthandizani kuyenda pang'onopang'ono (monga malo oimika magalimoto kapena ma elevator a wheelchair)?

5. Ganizirani za chikhalidwe ndi chikhalidwe cha anthu

• Kodi muli ndi achibale ndi/kapena anzanu omwe amakulimbikitsani ndikukuthandizani ?
• Kodi muli m'gulu la anthu ocheza nawo, monga kachisi, gulu lodzipereka, kapena gulu lokwera mapiri?
• Kodi muli ndi munthu woti mulankhule naye mukakhala ndi chisoni kapena mumavuto ?
• Kodi pali wina aliyense amene angakuthandizeni ndi zosowa zanu zofunika pamene mukuchira kuchokera kuchipatala kapena mutachitidwa opaleshoni?
• Kodi muli ndi zinthu zokwanira zosamalira ana anu kapena anthu ena omwe amadalira inu?
• Kodi mumamva kuti mwalandiridwa kuntchito kwanu ?
• Kodi mukumva kulandiridwa m'dera lanu ?
• Kodi mumamva kuti mukugwirizana ndi ena nthawi zambiri kuposa momwe mumamvera mukakhala nokha ?

N’chifukwa chiyani zinthu izi zomwe zimayambitsa thanzi la anthu (SDOH) n’zofunika kwambiri?

Zinthu zachikhalidwe (SDOH) izi ndizofunikira chifukwa zimatha kuwonjezera kapena kuchepetsa chiopsezo chanu chotenga matenda osiyanasiyana. Mwanjira imeneyi, zimathanso kukhudza nthawi yanu yokhala ndi moyo. Zinthu zachikhalidwe izi zili ndi mphamvu chifukwa zimakhudza momwe majini anu amagwirira ntchito komanso zisankho zomwe mumapanga tsiku lililonse. Tiyeni tiwone izi mwatsatanetsatane.

Zinthu zachikhalidwe (SDOH) ndi majini anu

Majini anu angakhudze chiopsezo chanu chotenga matenda. Mwachitsanzo, mutha kulandira kusintha kwa majini - monga kusintha kwa majini a BRCA1 kapena BRCA2 - komwe kumawonjezera chiopsezo chanu chotenga matenda monga khansa. Kapena mutha kukhala ndi mwayi waukulu wopeza matenda a mtima chifukwa banja lanu lili ndi mbiri ya matenda a mtima.

Koma kusintha kwa majini komwe kunabadwa nako ndi mbali imodzi yokha ya nkhaniyi. Ofufuza za ``Epigenetics'' akufufuzabe momwe malo omwe mumakhala amakhudzira momwe majini anu amagwirira ntchito. Tikuwona kuti chilichonse kuyambira momwe mudaleredwera muli mwana mpaka mpweya wabwino womwe mumapuma zimatha kuyambitsa majini ena ndikuletsa ena.

Kusintha kwa ``epigenetic`` kumeneku sikufanana ndi ``masinthidwe a majini`` – ``DNA`` yanu ndi yofanana. Koma majini anu sagwira ntchito bwino. Zili ngati kuti pali babu mu nyali koma palibe amene angayatse.

Majini omwe amayatsidwa kapena kuzimitsidwa pamene akuyenera kutero angayambitse kusintha kulikonse koipa m'thupi lanu. Zotupa ndi chitsanzo chimodzi. Izi zikutanthauza kuti zinthu zomwe zimayambitsa thanzi la anthu (SDOH), monga maubwenzi a anthu ndi poizoni m'chilengedwe, zingakhudze majini anu - ngakhale ziwalo zanu zomwe tinkaganiza kuti sizingasinthe.

Zinthu zachikhalidwe (SDOH) ndi zomwe mungasankhe

Kuwonjezera pa majini anu, zosankha zomwe mumapanga zimakhudzanso chiopsezo chanu chotenga matenda. Simungasinthe zinthu zomwe zimayambitsa matenda zomwe mumatengera. Koma kudziwa kuti muli pachiwopsezo kungakuthandizeni kusankha, monga kuyezetsa khansa, kutsatira zakudya za ku Mediterranean, kapena kuyezetsa kuthamanga kwa magazi nthawi zonse. Kuchita zinthuzi kungakuthandizeni kuchepetsa chiopsezo chanu chotenga matenda enaake kapena kuwonjezera mwayi wanu wopeza chithandizo mwachangu ndikuchira.

Koma kodi chisankho chili m'manja mwanu? Nthawi zambiri, sichili choncho. Pakhoza kukhala zopinga panjira yanu, monga kusowa mayendedwe opita kwa dokotala, kusowa ndalama zogulira chakudya chopatsa thanzi. Simungathe kuchita chilichonse ndi "mphamvu yodzipereka" yokha.

Chabwino kwambiri ndichakuti aliyense akhale ndi mwayi wopeza zinthu zabwino komanso mwayi wowathandiza kusamalira thanzi lawo. Sitikutero pakadali pano, koma kuzindikira SDOH yanu ndiye sitepe yoyamba kuti mukwaniritse cholinga chimenecho. Madokotala amagwiritsa ntchito zida zosiyanasiyana zoyezera kuti adziwe momwe SDOH izi zimakukhudzirani komanso zomwe mungachite kuti muthandize.

Kodi chida ichi chowunikira thanzi la anthu ndi chiyani?

Izi ndi zinthu monga 'kafukufuku kapena mafunso' omwe mumadzaza musanapite kwa dokotala. Mwachitsanzo, mutha kudzaza 'fomu ya digito' musanapite kwa dokotala wa banja lanu. Fomuyo imakufunsani za mbali zosiyanasiyana za moyo wanu - monga nyumba yanu, ubale wanu, ndi momwe mumapezera chakudya ndi zakumwa. Mafunsowo akhoza kukhala ofanana ndi mafunso oyambirira munkhaniyi. Mutha kukambirana za mayankho anu mukapita kwa dokotala wanu.

Mukalankhula momasuka za nkhawa zanu, dokotala wanu angakuthandizeni kwambiri. Akhoza kukambirana za njira zothetsera mavuto anu kapena kukugwirizanitsani ndi zinthu za m'dera lanu. Pakhoza kukhala china chake m'moyo wanu chomwe fomuyo sinatchule. Ngati ndi choncho, lankhulani ndi dokotala wanu za izi mukapita kwa iye. Ngati dokotalayo sangathe kukuthandizani ndi vuto linalake, adzakutumizirani kwa munthu amene angakuthandizeni.

Zinthu zomwe zimayambitsa thanzi (SDOH) zimayamba kukhudza inu kuyambira pomwe munabadwa, ndipo zimapitilizabe kusintha thanzi lanu mukakalamba. Zinthu zina zimatha kusintha pakapita nthawi. Mwachitsanzo, mwina munali ndi ndalama zokhazikika kwa kanthawi kenako mwadzidzidzi munataya ntchito yanu. Kapena, mungasamuke kuchoka kudera lomwe lili ndi misewu yabwino ya mabasi ndi misewu yoyenda pansi kupita kudera losatetezeka komwe simungathe kuyenda popanda galimoto - ndipo mwina simungathe kugula. Zinthu zomwe zinathandiza thanzi lanu m'mbuyomu zitha kuyamba kuwononga thanzi lanu mwadzidzidzi.

Koma zinthu zingayendenso mwanjira ina. Mutha kukhala zaka zambiri popanda inshuwalansi yazaumoyo kapena tchuthi cholipidwa, kenako nkupeza ntchito yomwe imapereka zonse ziwiri - ndipo pamapeto pake mutha kusamukira ku nyumba yomwe ili mumsewu wopanda phokoso komwe mungagone bwino. Moyo ndi malo osintha, ndipo zinthu zomwe zimakhudza thanzi lanu sizisintha.

Izi zikutanthauza kuti zopinga zomwe mukukumana nazo pano siziyenera kukhalapo kwamuyaya. Ngati mulibe ndalama zothandizira thanzi lanu, lankhulani ndi dokotala kapena lumikizanani ndi gulu la anthu ammudzi - monga tchalitchi kapena bungwe lopanda phindu - omwe angapereke upangiri ndi chithandizo, ndikukutumizirani kwa ena omwe angakuthandizeni.

Uthenga Wopita Nawo Kunyumba

Kotero, kuchokera pa zomwe takambiranazi, mwina mukumvetsa kuti thanzi lathu silimangotenga mankhwala kuti tichiritse matenda.

• Malo anu okhala ndi zinthu zofunika: Zinthu zambiri monga momwe mumakhalira, ndalama zomwe mumapeza, maphunziro anu, ubale wanu ndi anansi anu, ndi zinthu zina zomwe muli nazo zimakhudza thanzi lanu.
• Sizinthu zonse zomwe zili m'manja mwanu: Nthawi zina, ngakhale titafuna bwanji kutsatira zizolowezi zabwino pa thanzi, zimakhala zovuta kutero chifukwa cha zinthu zina zomwe sitingathe kuzilamulira.
• Musaope kupempha thandizo: Ngati muli ndi mafunso otere, lankhulani ndi dokotala, wachibale wanu, kapena mnzanu. Pali malo komwe mungapeze thandizo.
• Mukhoza kusintha zinthu: Mkhalidwe wanu suyenera kukhala womwewo kwamuyaya. Ngakhale kusintha pang'ono kungapangitse zotsatira zazikulu.

Musaiwale, thanzi lanu ndiye chuma chanu chamtengo wapatali kwambiri. Yesetsani kuliteteza mwanjira iliyonse yomwe mungathe. Kudziwa zinthu izi zomwe zimayambitsa thanzi (SDOH) ndi gawo lofunika kwambiri paulendowu!

Thanzi , zinthu zachikhalidwe, chuma, maphunziro, chisamaliro chaumoyo, chilengedwe, majini, thanzi labwino, moyo