Kodi mukudziwa zinthu izi zomwe zimakhudza thanzi lanu? (Zomwe Zimayambitsa Thanzi la Anthu - SDOH)

Tonsefe timapita kwa dokotala tikadwala. Kenako timalankhula za matenda athu ndi mankhwala athu. Koma kodi munayamba mwaganizapo za momwe mavuto anu azachuma, malo omwe mumakhala, ndi maphunziro omwe mumalandira amakhudzira thanzi lanu? Zimenezo ndi zinthu zomwe sizili zachipatala zomwe tikambirane lero, koma zimakhudza kwambiri thanzi lathu.

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

Mwachidule, zinthu zomwe zimakhudza thanzi la anthu ndi zinthu zomwe zimakhudza thanzi lanu, chikhalidwe chanu, komanso chilengedwe chanu. Izi zikuphatikizapo zinthu monga ndalama zomwe mumapeza, komwe mumakhala, ndi zinthu zomwe zili m'dera lanu. Ndipotu, izi zitha kukhala zinthu zomwe sizili zachipatala pa moyo wanu. Simungalankhule ndi dokotala za zinthuzi chifukwa simukudziwa momwe zingagwirizanire ndi matenda.

Komabe, kafukufuku wasonyeza kuti zinthu zomwe zimayambitsa thanzi la anthu (SDOH) sizimangokhudzana ndi thanzi lanu lokha, komanso zimatha kutsimikizira thanzi lanu . Izi zikutanthauza kuti, zimakhudza mwayi wanu wopeza matenda ena (timawatcha kuti chiopsezo), chithandizo chamankhwala chomwe mumalandira, komanso momwe mumamvera tsiku ndi tsiku.

Taganizirani izi motere, ngati muli ndi ndalama zokhazikika, inshuwalansi yazaumoyo, zimakhala zosavuta kuti mugule chakudya chabwino chopatsa thanzi, kukayezetsa thanzi lanu nthawi zonse. Ngati muli ndi galimoto, kodi n'zosavuta bwanji kupita kwa dokotala, ndikupeza mankhwala ku pharmacy?

Koma, kwa munthu amene amagwira ntchito popanda tchuthi cholipidwa, kapena amene amakhala kudera lakutali komwe kulibe masitolo abwino kapena basi, kodi zimakhala zovuta bwanji kugula ndiwo zamasamba ndi zipatso kuti mudye ndikuonana ndi dokotala pa nthawi yake?

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

Nazi zitsanzo zina:

• Ndalama zomwe mumapeza.
• Mulingo wanu wa maphunziro.
• Ntchito yomwe mumagwira ndi maubwino omwe imabweretsa - monga inshuwaransi yazaumoyo ndi tchuthi cholipidwa.
• Zinthu zomwe zili pafupi nanu - malo oti mupeze chakudya chopatsa thanzi, mayendedwe apagulu, ndi chisamaliro cha ana.
• Chitetezo chomwe mumamva pamalo omwe muli.
• Kodi zipatala zili kutali bwanji?
• Mkhalidwe wa mpweya umene mumapuma ndi madzi amene mumamwa.
• Ubale wanu ndi banja lanu komanso anzanu.

Izi ndi zitsanzo zochepa chabe. Ma SDOH awa amapezeka kulikonse komwe mumakhala, komwe mumagwira ntchito, komanso komwe mumakhala. Ofufuza awagawa m'magulu asanu akuluakulu kuti amveke mosavuta. 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 ndizokwanira kukwaniritsa thanzi la banja lanu ndi zosowa zina.

2. Kupeza maphunziro ndi ubwino wake: Maphunziro omwe mumalandira komanso momwe amagwirizanirana ndi zosowa zanu zophunzirira (kuphatikizapo zokhudzana ndi momwe ubongo wanu umagwirira ntchito).

3.Kupeza chithandizo chamankhwala ndi ubwino wake: Utumiki wa zachipatala womwe mumalandira komanso momwe umakwaniritsira zosowa zanu zakuthupi ndi zamaganizo.

4. Malo okhala ndi anthu okhala pafupi ndi nyumba: Zinthu zokhudzana ndi dera lomwe mumakhala - zinthu monga malo omwe amathandiza pa thanzi lanu komanso chitetezo chanu.

5. Nkhani ya chikhalidwe ndi chikhalidwe cha anthu: Ubale wanu ndi banja lanu, abwenzi anu, ogwira nawo ntchito, ndi ena m'dera lanu.

Ndikofunikira kukumbukira kuti zinthu zonsezi zimagwirizana ndipo zimakhudzana. Mwachitsanzo, umphawi umakhudza mbali iliyonse ya moyo wanu - kuyambira zomwe mumadya mpaka komwe mumakhala mpaka zinthu zomwe muli nazo. Ngati muli ndi ana aang'ono, kusowa kwa chisamaliro cha ana chotsika mtengo kungakhudze luso lanu lopita kuntchito. Kodi n'kovuta bwanji kupita ku sitolo yogulitsira zakudya kapena kukaonana ndi dokotala m'dera lopanda mayendedwe a anthu onse kapena njira zoyendera anthu?

Mwa kuyankhula kwina, zinthu izi zokhudzana ndi chikhalidwe cha anthu zomwe zimakhudza thanzi sizipezeka zokha - ngakhale chimodzi kapena ziwiri zitakhala cholepheretsa, zimatha kukhudza moyo wanu ndi thanzi lanu monga maulalo mu unyolo.

Kodi zinthu zimenezi zimakukhudzani bwanji? Tiyeni tiganizirepo pang'ono.

Ndiye, zonsezi zikukuuzani chiyani? Kodi mumadziwa bwanji ma SDOH omwe akukhudza moyo wanu? Ganizirani mafunso omwe ali pansipa. Awa amakonzedwa motsatira magulu a SDOH omwe atchulidwa kale. Muyenera kuyankha "inde" ku mafunso onsewa. Lembani mafunso omwe mwayankha "ayi." Izi ndi mitu yomwe mungafune kukambirana ndi mnzanu, mlangizi, kapena dokotala.

1. Tiyeni tiganizire pang'ono za kukhazikika kwachuma?

• Kodi muli ndi ndalama zokwanira zogulira chakudya ndi zakumwa zopatsa thanzi?
• Kodi mungakwanitse kulipira chithandizo chamankhwala, monga kuonana ndi dokotala ndi kulandira mankhwala?
• Kodi muli ndi ndalama zolipirira lendi kapena kumanga nyumba?
• Kodi muli ndi ndalama zokwanira zolipirira mabilu ena, monga magetsi ndi madzi?
• Kodi mungapeze njira zotsika mtengo zosamalira ana anu?
• Kodi mukuganiza kuti ntchito yanu ndi yokhazikika?
• Kodi muli ndi inshuwalansi yazaumoyo kuntchito kwanu?
• Kodi malo anu antchito amapereka tchuthi cholipidwa?
• Ngati mulibe ntchito, kodi pali mapulogalamu aliwonse omwe angakuthandizeni kupeza ntchito?
• Kodi muli ndi mwayi wolandira upangiri pantchito?

2. Mukuganiza bwanji za mwayi wopeza maphunziro ndi ubwino wake?

Pankhaniyi, ndikofunikira kwambiri kuganizira za mwayi womwe mwana wanu ali nawo (pano ndi mtsogolo), komanso mutha kuganiziranso za zomwe mwakumana nazo pamaphunziro anu akale kapena apano.

• Kodi mwana wanu angapeze maphunziro abwino kusukulu?
• Kodi mungaganizire mwana wanu akumaliza sukulu?
• Kodi pali malo oti athandize mwana wanu ndi zosowa zake zapadera (monga 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 ubale wabwino ndi anzake kusukulu?

3. Kodi mwayi wopeza chithandizo chamankhwala ndi wabwino bwanji?

• Kodi muli ndi inshuwalansi yazaumoyo?
• Kodi pali inshuwalansi yapadera ya mankhwala?
• Kodi pali inshuwalansi ya chithandizo cha mano?
• Kodi muli ndi dokotala wa banja amene mumapitako nthawi zonse?
• Kodi mukumvetsa zomwe dokotala wanu akufotokoza?
• Kodi mumamasuka kukambirana ndi dokotala wanu za momwe mukumvera?
• Kodi mungapeze ndikumvetsa zambiri zokhudzana ndi thanzi?
• Kodi mungapeze zolemba zanu zachipatala?
• Kodi muli ndi mwayi wopeza njira zodzitetezera ku matenda opatsirana pogonana (STIs) ndi khansa?
• Kodi mungakwanitse kupeza chithandizo chomwe mukufuna pa matenda anu?
• Kodi muli ndi njira yoti mukaonane ndi dokotala?

4. Mukuganiza bwanji za dera lanu ndi malo omangidwa?

• Kodi mungathe kufika mosavuta ku sitolo yogulitsa zakudya yodzaza ndi zinthu zambiri?
• Kodi n'zosavuta kuti mupite kumsika kapena kwina kulikonse komwe mungagule zipatso ndi ndiwo zamasamba zatsopano?
• Kodi muli ndi intaneti?
• Kodi mumamva kuti muli otetezeka m'nyumba mwanu?
• Kodi mumamva kuti muli otetezeka pamalo omwe muli?
• Kodi pali njira zoyendera anthu m'dera lanu?
• Kodi pali misewu yosiyana yoyendera njinga?
• Kodi madzi anu a pampopi ali ndi fluoride? (Ndi abwino kwa mano anu)
• Kodi nyumba yomwe mukukhalamo ndi yotsika mtengo? (Zimenezi zikutanthauza kuti siiwononga ndalama zoposa 30% ya ndalama zomwe mumapeza)
• Kodi m'nyumba mwanu mulibe zinthu zoopsa monga lead?
• Kodi msewu wanu uli chete mokwanira kuti mugone?
• Ngati mukuvutika kuyenda, kodi nyumba yomwe muli ili ndi zinthu zoti muyendemo (monga malo otsetsereka kapena ma elevator)?

5. Kodi ubale wa anthu ndi anthu uli bwanji?

• Kodi muli ndi achibale ndi/kapena anzanu omwe amakuthandizani ndikukulimbikitsani?
• Kodi mumagwira ntchito ndi gulu la anthu ena, monga kachisi, tchalitchi, gulu lodzipereka, kapena gulu lokwera mapiri?
• Kodi muli ndi munthu woti mulankhule naye mukakhala ndi chisoni kapena mukakhala pamavuto?
• Kodi pali wina aliyense amene angakuthandizeni ndi zosowa zanu zofunika pamene mukuchira kuchokera kuchipatala kapena opaleshoni?
• Kodi muli ndi zinthu zokwanira zosamalira ana anu kapena anthu ena omwe amadalira inu?
• Kodi mumamva kuti mwalandiridwa kuntchito kwanu?
• Kodi mumamva kuti mwalandiridwa bwino pamalo omwe muli?
• Kodi nthawi zambiri mumamva kuti mukugwirizana kwambiri ndi ena kuposa kukhala nokha?

N’chifukwa chiyani zinthu zomwe zimakhudza thanzi la anthu (SDOH) n’zofunika?

Nkhani za SDOH izi ndizofunikira kwambiri.Zimatero, chifukwa zimatha kuwonjezera kapena kuchepetsa chiopsezo chanu chotenga matenda osiyanasiyana. Zimenezi zingakhudzenso moyo wanu. Ma SDOH amapeza mphamvu imeneyi chifukwa zimakhudza momwe majini anu amagwirira ntchito komanso zisankho zomwe mumapanga tsiku lililonse. Tiyeni tiwone izi mozama pang'ono.

SDOH ndi majini anu

Majini anu amakhudza chiopsezo chanu cha matenda. Mwachitsanzo, mutha kulandira kusintha kwa majini (monga kusintha kwa majini a BRCA1 kapena BRCA2) komwe kumawonjezera chiopsezo chanu cha matenda monga khansa. Kapena mutha kukhala ndi mwayi waukulu wodwala matenda a mtima chifukwa banja lanu lili ndi mbiri ya matenda a mtima.

Koma kusintha kwa majini komwe kunabadwa ndi mbali imodzi yokha ya nkhaniyi. Ofufuza m'munda wotchedwa ``epigenetics`` tsopano akupeza momwe malo anu akukhudzira momwe majini anu amagwirira ntchito. Tikuwona momwe chilichonse kuyambira momwe mudaleredwera muli mwana mpaka mpweya wabwino womwe mumapuma ungasinthire majini ena ```` kapena ``osagwira```.

Kusintha kwa "epigenetic" kumeneku sikufanana ndi "ma genetic mutations" - "DNA" yanu ndi yofanana. Koma majini anu sagwira ntchito bwino. Zili ngati pali mababu mu nyali koma palibe amene angawayatse.

Majini omwe amayatsidwa kapena kuzimitsidwa pamene akuyenera kutero angayambitse mitundu yonse ya kusintha koipa m'thupi lanu. Kukula kwa chotupa ndi chitsanzo chimodzi. Izi zikutanthauza kuti zinthu zomwe zimayambitsa thanzi la anthu (SDOH), monga maubwenzi ndi anthu komanso poizoni m'malo ozungulira, zimatha kukhudza majini anu—ngakhale mbali zina zomwe mumaganiza kuti sizingasinthe.

SDOH ndi zisankho zanu

Kuwonjezera pa majini anu, zosankha zomwe mumapanga zimakhudzanso chiopsezo chanu cha matenda. Simungasinthe zinthu zomwe zimayambitsa matenda zomwe mumalandira. Koma kudziwa kuti muli pachiwopsezo kungakuthandizeni kupanga zisankho zina - monga kuyezetsa khansa, kudya zakudya zabwino (monga Mediterranean Diet), kapena kuyang'ana kuthamanga kwa magazi nthawi zonse. Kuchita zinthuzi kungakuthandizeni kuchepetsa chiopsezo chanu cha matenda ena, kapena kuwonjezera mwayi wanu wopeza chithandizo msanga ndikuchira.

Koma kodi mungapangedi chisankho chimenecho nokha? Nthawi zambiri, simungathe. Pakhoza kukhala zopinga panjira yanu, monga kusakhala ndi mayendedwe opita kwa dokotala kapena kusakhala ndi ndalama zokwanira zogulira chakudya chopatsa thanzi. Nthawi zina, kungokhala ndi mphamvu zokha sikokwanira.

Chinthu chabwino kwambiri ndichakuti aliyense akhale ndi mwayi wopeza zinthu zabwino komanso mwayi wowathandiza kusamalira thanzi lawo. Sitikutero pano, koma kuzindikira momwe zinthu zomwe zimakhudza thanzi lanu zimakukhudzirani ndiye gawo loyamba lofikira cholinga chimenecho. Madokotala amagwiritsa ntchito zida zosiyanasiyana zoyezera matenda kuti adziwe momwe SDOH imakukhudzirani komanso zomwe mungachite kuti muthandize.

Kodi dokotala amadziwa bwanji za SDOH iyi?

Zipangizo zoyezera matenda a SDOH ndi mafunso kapena mafunso omwe mumadzaza musanapite kwa dokotala. Mwachitsanzo, mutha kudzaza fomu ya digito musanapite kwa dokotala wa banja lanu. Fomuyo imafunsa za mbali zosiyanasiyana za moyo wanu - monga nyumba yanu, ubale wanu, komanso mwayi wopeza chakudya ndi madzi. Mafunsowo akhoza kukhala ofanana ndi mafunso oyambirira m'nkhaniyi. Mukapita kwa dokotala wanu, angakambirane nanu mayankho anu.

Mukakhala omasuka kwambiri ndi nkhawa zanu, dokotala wanu adzakuthandizani kwambiri. Akhoza kukulankhulani za njira zothetsera mavuto anu kapena kukuthandizani kupeza zinthu zothandiza anthu ammudzi. Pakhoza kukhala china chake m'moyo wanu chomwe fomuyo sinatchule. Ngati ndi choncho, chitchuleni mukapita kwa dokotala wanu. Ngati dokotala wanu sangathe kukuthandizani ndi vuto linalake, adzatha kukuthandizani kwa munthu amene angathe.

Kodi zinthu zimenezi zingasinthe?

Zinthu zokhudzana ndi chikhalidwe cha anthu zomwe zimakhudza thanzi lanu zimayamba kukhudzani kuyambira pomwe munabadwa, ndipo zimapitilizabe kusintha thanzi lanu mukakula. Zinthu zina zimatha kusintha pakapita nthawi. Mwachitsanzo, mutha kukhala ndi ndalama zokhazikika kwakanthawi kenako ndikutaya ntchito mwadzidzidzi. Kapena mungasamuke kuchoka kudera lomwe lili ndi misewu yabwino ya mabasi ndi misewu yoyenda pansi kupita kudera lomwe ndi losatetezeka komanso losafikirika popanda galimoto - mwina ngakhale losakwanitsa kugula. Zinthu zomwe zinkathandiza thanzi lanu zitha kuyamba kuwononga thanzi lanu mwadzidzidzi.

Koma zinthu zingayendenso mwanjira ina. Mutha kukhala zaka zambiri popanda inshuwalansi yazaumoyo kapena tchuthi cholipidwa ndipo mwadzidzidzi mungapeze 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 sizimakhala zofanana nthawi zonse monga momwe mumaganizira, ndipo zimatha kusintha.

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, kachisi, kapena bungwe lopanda phindu - omwe angapereke upangiri ndi chithandizo, ndikukudziwitsani kwa ena omwe angakuthandizeni.

Kodi uthenga umene tikufuna kupita nawo kunyumba ndi wotani?

Chifukwa chake, chinthu chofunikira kwambiri chomwe tiyenera kumvetsetsa kuchokera pa zonsezi ndichakuti thanzi lathu limakhudzidwa kwambiri ndi mikhalidwe ya chikhalidwe, zachuma, ndi chilengedwe (SDOH) yomwe tikukhalamo, komanso mankhwala .

• Gawo loyamba ndikudziwa zomwe ma SDOH amenewa ali komanso momwe amatikhudzira.
• Ngati muli ndi mafunso ngati awa, musaope kukambirana za iwo ndi dokotala kapena munthu amene mumamudalira.
• Kawirikawiri, pali njira zosinthira zinthuzi ndikupeza thandizo. Simuyenera kuvutika nokha.
• Zipatala zabwino komanso moyo wabwino ndizofunikira kwambiri kuti munthu akhale ndi moyo wathanzi.

Choncho, mukamaganizira za thanzi lanu, ganiziraninso za nkhani za chikhalidwe cha anthu. Zidzakuthandizani kukhala ndi thanzi labwino komanso kusangalala!

Thanzi , zinthu zachikhalidwe, kukhazikika kwachuma, maphunziro, chisamaliro chaumoyo, chilengedwe, ubale ndi anthu