Kodi mankhwala ndiye chinthu chokhacho chomwe chimakhudza thanzi lanu? (Zomwe Zimayambitsa Thanzi la Anthu)

Kodi mukuganiza kuti thanzi lanu, ndiko kuti, matenda anu, limakhudzidwa ndi mavairasi, mabakiteriya, chakudya, ndi mankhwala okha? Ndipotu, pali zinthu zambiri zomwe zimapitirira pamenepo, zinthu zomwe sitiganizira nkomwe m'miyoyo yathu ya tsiku ndi tsiku, zomwe zimakhudza mwachindunji thanzi lathu. Lero, tikambirana za zinthu ngati zimenezo, zinthu zomwe zimasankha thanzi lanu koma sizili mbali ya sayansi ya zamankhwala.

Kodi ndi zinthu ziti zomwe zimayambitsa thanzi la anthu? (Social Determinants of Health - SDOH)

Mwachidule, Social Determinants of Health (SDOH) ndi zinthu zomwe zimakhudza thanzi lanu, chikhalidwe chanu, komanso chilengedwe chanu. Izi ndi zinthu monga ndalama zomwe mumapeza, komwe mumakhala, ndi zinthu zomwe zilipo m'derali. Izi ndi zinthu zomwe zili m'moyo wanu zomwe simukufuna kulankhula ndi dokotala wanu, zinthu zomwe sizikuwoneka ngati zogwirizana ndi sayansi ya zamankhwala.

Tangoganizirani, muli ndi ntchito yokhazikika komanso malipiro abwino, nyumba yabwino, komanso chipatala chabwino chapafupi choti mupiteko mukadwala. Munthu wotereyu nthawi zambiri amakhala ndi chakudya chopatsa thanzi, kumwa mankhwala panthawi yake, ndipo ngati pakufunika kutero, amakhala ndi galimoto yoti akaone dokotala.

Tsopano ganizirani za wina. Munthu ameneyo alibe ntchito yokhazikika, ndipo amakhala ndi malipiro a tsiku ndi tsiku. Basi yochokera kunyumba kupita ku tawuni ndi kuchipatala imabwera maola awiri aliwonse. Sangathe kugula ndiwo zamasamba kapena zipatso ku shopu yakumudzi. Kodi zimakhala zovuta bwanji kwa munthu ngati uyu kudya chakudya chopatsa thanzi ndikuonana ndi dokotala panthawi yake akadwala?

Kafukufuku wasonyeza kuti zinthu zomwe zimayambitsa thanzi la anthu (SDOH) sizimangokhudzana ndi thanzi lanu lokha, komanso zimatha kudziwa thanzi lanu . Izi zikutanthauza kuti, zimatha kudziwa chiopsezo chanu chotenga matenda enaake, mtundu wa chithandizo chamankhwala chomwe mungalandire, komanso momwe mumamvera bwino kapena kudwala tsiku ndi tsiku.

Zinthu zokhudzana ndi chikhalidwe cha anthu zitha kugawidwa m'magulu 5 akuluakulu:

Kuti timvetse bwino nkhani zimenezi, tiyeni tizigaŵanitse m'magulu asanu akuluakulu. Gawoli limachitidwa ndi Unduna wa Zaumoyo ndi Utumiki wa Anthu ku US. Koma nkhani zimenezi zikugwirizananso ndi ife ku Sri Lanka.

Chofunika kwambiri ndichakuti madera asanu awa agwirizane. Vuto limodzi limakhudza ena onse. Mwachitsanzo, umphawi (kukhazikika kwachuma) ungakulepheretseni kugula chakudya chabwino, kukhala m'dera labwino, ndikutumiza ana anu kusukulu yabwino. Mofananamo, ngati palibe basi m'dera lanu (chilengedwe), zingakhale zovuta kuti mupite kuntchito kapena kukaonana ndi dokotala (zaumoyo). Ngakhale chopinga chimodzi chingakhudze moyo wanu wonse komanso thanzi lanu.

Kodi zinthu zimenezi zimakhudza moyo wanu? Tiyeni tiganizire kaye.

Tsopano mwina mukudabwa kuti, "Kodi izi zimandikhudza bwanji?" Dzifunseni mafunso awa. Ngati yankho la mafunso awa ndi "inde," ndilabwino kwambiri. Koma ganizirani mafunso omwe yankho lake ndi "ayi." Kungakhale bwino kukambirana za mavutowa ndi munthu amene mumamudalira, kapena ndi dokotala wanu.

1. Kukhazikika kwachuma

• Kodi muli ndi ndalama zokwanira zogulira chakudya chopatsa thanzi (masamba, zipatso, nyama, nsomba)?
• Kodi muli ndi ndalama zoti mupite kwa dokotala kukagula mankhwala a matenda enaake?
• Kodi mumatha kulipira lendi yanu, bilu yamagetsi, ndi bilu yamadzi pa nthawi yake?
• Kodi mukuona kuti ntchito yanu ndi yotetezeka? Kodi simukuopa kuitaya mawa?
• Kodi mumalandira tchuthi cholipidwa kapena tchuthi chodwala?

2. Maphunziro

(Yankhani mafunso awa poganizira za ana anu. Kapena ganizirani za zakale zanu.)

• Kodi mwana wanu ali ndi mwayi wopeza maphunziro abwino kusukulu?
• Ngati mwanayo ali ndi vuto la kuphunzira, kodi pali zinthu zina zomwe zingathandize kusukulu kapena kwina kulikonse?
• Kodi muli ndi ndalama zokwanira zoti mwana wanu aphunzire maphunziro apamwamba (yunivesite kapena maphunziro aukadaulo)?

3. Chisamaliro chaumoyo

• Kodi muli ndi dokotala amene mumamudalira amene mumamuwona nthawi zonse mukamadwala?
• Kodi mukumvetsa bwino zomwe dokotala akunena?
• Kodi mumamasuka kufunsa dokotala wanu mafunso popanda mantha?
• Kodi muli ndi malo oyezetsera matenda opatsirana pogonana (STIs) kapena khansa?
• Kodi muli ndi mayendedwe osavuta (basi, galimoto yamawilo atatu, galimoto yanu) kuti mukaone dokotala?

4. Malo okhala ndi anthu okhala pafupi ndi nyumba

• Kodi pali shopu kapena msika wa sabata iliyonse pafupi komwe mungagule ndiwo zamasamba ndi zipatso zabwino?
• Kodi mumamva kuti muli otetezeka kunyumba kwanu komanso kumudzi kwanu kapena mumzinda wanu?
• Kodi mukutsimikiza kuti madzi omwe akubwera m'nyumba mwanu ndi oyera?
• Kodi pali njira zabwino zoyendera ndi njira zoyendera anthu m'dera lanu?
• Kodi phokoso la mumsewu ndi lalikulu kwambiri moti simungathe kugona bwino usiku?
• Kodi mukutsimikiza kuti m'nyumba mwanu mulibe zinthu zoopsa monga lead? (Utoto wakale ukhoza kukhala ndi lead).

5. Nkhani ya chikhalidwe ndi madera

• Kodi muli ndi mnzanu wabwino kapena wachibale woti muuze zakukhosi kwanu ndi kulankhula naye mukakhala ndi vuto?
• Kodi muli ndi anzanu kapena achibale omwe amakuthandizani ndikukulimbikitsani?
• Mukadwala, kodi pali wina woti akuthandizeni kuphika, kukubweretserani mankhwala, ndi zina zotero?
• Kodi mumamva kuti mumalandiridwa komanso kukondedwa kuntchito kwanu komanso pakati pa anansi anu?
• Kodi nthawi zambiri mumamva kuti mukugwirizana ndi ena m'malo mokhala nokha?

N’chifukwa chiyani nkhani za chikhalidwe cha anthu izi n’zofunika kwambiri?

Zinthu izi (SDOH) ndizofunikira chifukwa zimatha kuwonjezera kapena kuchepetsa chiopsezo chanu chotenga matenda osiyanasiyana. Zingakhudzenso moyo wanu. Izi zimachitika m'njira ziwiri zazikulu: pokhudza momwe majini athu amagwirira ntchito komanso pokhudza zisankho zomwe timapanga tsiku lililonse.

1. SDOH ndi majini anu

Majini omwe timalandira kuchokera kwa makolo athu amakhudza chiopsezo chathu chotenga matenda. Mwachitsanzo, ngati munthu walandira kusintha kwa majini monga ``BRCA1`` kapena ``BRCA2``, komwe kumalumikizidwa ndi khansa ya m'mawere, munthu ameneyo ali pachiwopsezo chachikulu chotenga khansa.

Koma nkhaniyi siimathera pamenepo. Sayansi yatsopano yotchedwa epigenetics yapeza kuti malo omwe timakhala, moyo wathu, amasintha momwe majini athu amagwirira ntchito. Mwachidule, zinthu monga momwe mudaleredwera muli mwana, mpweya womwe mumapuma, ndi zina zotero zimatha kupangitsa majini ena 'kukhala' ndipo ena 'asiye'.

2. SDOH ndi zisankho zanu

Kuwonjezera pa majini, zosankha zomwe timapanga zimakhudzanso thanzi lathu. Mwachitsanzo, ngati mukudziwa kuti banja lanu lili ndi mbiri ya matenda a mtima, mutha kuchepetsa kudya zakudya zamafuta, kuchita masewera olimbitsa thupi, komanso kuyeza kuthamanga kwa magazi nthawi zonse. Zosankhazi zingakuthandizeni kupewa matendawa kapena kupeza chithandizo msanga.

Koma kodi mungapangedi chisankho chimenecho nokha? Nthawi zambiri, simungathe. Mungakhale ndi zopinga pakukwaniritsa zisankho zimenezo. Zinthu monga kusakhala ndi galimoto yoti mukaone dokotala, kusakhala ndi ndalama zogulira chakudya chopatsa thanzi. Simungathe kuchita zinthuzi ndi mphamvu zanu zokha.

Kufunika kouza dokotala za izi

Mukapita kukaonana ndi dokotala, nthawi zina amakupemphani kuti mudzaze fomu, sichoncho? Ikhoza kufunsa za tsatanetsatane wa banja lanu, zakudya zanu, thanzi lanu la maganizo, ntchito yanu. Sapempha zinthuzi pachabe. Amafunsa kuti amvetse mavuto omwe mumakumana nawo pa chikhalidwe ndi chilengedwe, kuti akuthandizeni bwino.

Mukalankhula momasuka ndi dokotala wanu za zinthu izi, ndiye kuti akhoza kukuthandizani. Mwina angakuthandizeni kupeza yankho la vuto lanu kapena kukuthandizani kupeza zinthu zina zomwe zingakuthandizeni.

Mwachitsanzo, ngati mukukumana ndi nkhawa, mwina chifukwa cha vuto kuntchito. Dokotala akadziwa izi, kuwonjezera pa kukupatsani mankhwala, angakutumizireni kuti mukalandire uphungu.

Kumbukirani, zinthu izi zachikhalidwe zakhala zikukhudza moyo wanu kuyambira tsiku lomwe munabadwa. Koma sizili zofanana nthawi zonse. Mavuto azachuma omwe muli nawo lero akhoza kutha mawa. Malo omwe mukukhalamo lero akhoza kukhala osiyana mawa. Chifukwa chake, zopinga zomwe mukukumana nazo pano sizokhalitsa.