Ngaba liyeza kuphela elichaphazela impilo yakho? Masifunde ngezinto zentlalo? (Izinto ezibangela impilo kwiNtlalo - SDOH)

Ngaba wakha wazibuza ukuba kutheni abanye abantu besempilweni kunabanye? Ngamanye amaxesha sicinga ukuba ukuba sithatha amayeza alungileyo size sibone ugqirha, singaziphepha izifo. Kodwa eneneni, kukho ezinye izinto ezininzi ezichaphazela impilo yethu, esinokuthi singazinaki kangako kubomi bethu bemihla ngemihla, kodwa zibaluleke kakhulu. Yiloo nto siyibiza ngokuba yi-Social Determinants of Health (SDOH).

Zithini ezi zinto zibangela impilo yoluntu (SDOH)?

Ngamafutshane, le yindlela izinto zakho zobuqu, ezentlalo, kunye nemeko-bume ezichaphazela ngayo impilo yakho kunye nokuphila kakuhle. Ezi zizinto ezingezizo ezonyango. Oko kuthetha izinto ezifana nomvuzo wakho, umgangatho wakho wemfundo, uhlobo lwekhaya ohlala kulo, kunye nezinto eziluncedo ezinazo intsapho yakho. Usenokungafuni ukuthetha nogqirha wakho ngezi zinto kuba ucinga ukuba azinxulumene nempilo yakho.

Kodwa, uphando lufumanise ukuba ezi zinto zibangela impilo (SDOH) azihambelani nje nempilo yakho, zinokumisela impilo yakho. Oko kukuthi, zichaphazela umngcipheko wakho wokufumana izifo ezithile, unyango olufumanayo, kunye nendlela oziva ngayo imihla ngemihla.

Khawucinge nje, ukuba unengeniso ezinzileyo, umsebenzi olungileyo, unako ukutya ukutya okunesondlo, ufumane uhlolo lwempilo rhoqo. Ukuba unemoto, kulula ukuya kugqirha, kwaye ufumane amayeza kwikhemesti.

Nangona kunjalo, kumntu osebenza ngaphandle kweeholide ezihlawulelwayo, okanye ohlala kwindawo ekude engenazo iindlela ezifanelekileyo zokuya evenkileni, amathuba okutya iziqhamo nemifuno enesondlo kunye nokubona ugqirha rhoqo mancinci kakhulu, akunjalo?

Ziziphi imizekelo yezi zinto zentlalo (SDOH)?

Nazi ezinye zemizekelo yezinto ezibangela impilo yoluntu (SDOH):

• Inqanaba lemali oyifumanayo.
• Inqanaba lakho lemfundo .
• Umsebenzi wakho kunye neenzuzo eziwubonelelayo - umzekelo, i-inshurensi yezempilo, iholide ehlawulelwayo.
• Izixhobo ezikwindawo ohlala kuyo – izinto ezifana neendawo zokutya ezinesondlo, izithuthi zikawonke-wonke, kunye neendawo zokunyamekela abantwana.
• Ukhuseleko nokhuseleko oluzivayo kwindawo ohlala kuyo .
• Ukufikelela kwiinkonzo zonyango .
• Umgangatho womoya owuphefumlayo namanzi owaselayo .
• Abantu onxulumana nabo nabantu osebenza nabo .

Le yimizekelo embalwa nje. Ezi zinto zibangela impilo yoluntu (SDOH) zikwindawo yonke ohlala kuyo, osebenza kuyo, nochitha ixesha kuyo. Abaphandi bazihlulile zaba ziindidi ezintlanu eziphambili ukuze ziqondwe ngokucacileyo. Ngokutsho kweSebe lezeMpilo neNkonzo zoLuntu lase-US, ezi ndidi zintlanu zezi:

1. Uzinzo kwezoqoqosho: Imiba enxulumene nokuba ufumana malini na kwaye loo ngeniso inokukwazi na ukuhlangabezana nempilo yosapho lwakho kunye nezinye iimfuno.

2.Ukufikelela kwimfundo nomgangatho: Imiba enxulumene nemfundo oyifumanayo kunye nendlela ehlangabezana ngayo neemfuno zakho zokufunda. Oku kuquka iimfuno zokufunda ezinxulumene nendlela ingqondo yakho esebenza ngayo.

3. Ukufikelela nomgangatho wezempilo: Imiba enxulumene neenkonzo zonyango ozifumanayo kunye nomlinganiselo ezihlangabezana ngawo neemfuno zakho zempilo yomzimba neyengqondo.

4. Ubumelwane kunye nendawo eyakhiwe kuyo: Imiba enxulumene nendawo ohlala kuyo, oko kukuthi, ilali okanye isixeko sakho, kunye nendlela izixhobo ezilapho ezinceda ngayo kwimpilo yakho nokhuseleko lwakho.

5. Imeko yentlalo kunye noluntu: Imiba enxulumene nolwalamano lwakho nosapho lwakho, abahlobo, abantu osebenza nabo, kunye nabanye kuluntu.

Cinga ngayo, zonke ezi zinto zidibene kwaye ziyachaphazela enye kwenye. Umzekelo, ubuhlwempu buchaphazela yonke into ebomini bakho - ukusuka kwinto oyityayo, ukuya kwindawo ohlala kuyo, ukuya kwizinto onokufikelela kuzo. Ukuba unabantwana, ukungabi nakufikelela kwinkathalelo yabantwana efikelelekayo kunokuba ngumqobo ekufikeni emsebenzini. Kunokuba nzima ukuya evenkileni okanye ukubona ugqirha kwindawo engenazo izithuthi zikawonke-wonke okanye iindlela zabahambi ngeenyawo.

Ngamafutshane, izinto ezibangela impilo yoluntu (SDOH) azikho zodwa – nokuba ngumqobo omnye okanye emibini inokuba nefuthe elikhulu kubomi bakho nakwimpilo yakho.

Ngoko ke, konke oku kukuxelela ntoni? Uyazi njani ukuba zeziphi izinto ezichaphazela impilo yoluntu (SDOH) ezichaphazela ubomi bakho? Cinga ngemibuzo engezantsi - icwangciswe kwiindawo ezintlanu eziphambili ezikhankanyiweyo ngaphambili. Kuya kufuneka ukwazi ukuphendula "ewe" kuyo yonke le mibuzo. Bhala phantsi imibuzo onokuyiphendula ngokuthi "hayi". Ezi zizihloko onokufuna ukuzixoxa nomhlobo, umcebisi, okanye ugqirha.

1. Cinga ngozinzo kwezoqoqosho

• Ingaba unayo imali eyaneleyo yokuthenga ukutya okunesondlo?
• Ngaba unako ukuhlawulela unyango, ukubona ugqirha, kunye nokuthenga amayeza?
• Ngaba unayo imali eyaneleyo yokugcina ikhaya lakho lisemgangathweni kwaye uhlawule irenti?
• Ngaba unayo imali yokuhlawula ezinye iindleko ezifana nombane namanzi?
• Ngaba ungayifumana indawo yokunyamekela abantwana efikelelekayo?
• Ucinga ukuba umsebenzi wakho uzinzile ?
• Ingaba indawo yakho yokusebenza ine-inshurensi yezempilo ?
• Ingaba indawo yakho yokusebenza ikunika ixesha lokuphumla elihlawulelwayo okanye ikhefu lokugula ?
• Ukuba awusebenzi, ngaba ungajoyina iinkqubo ezikunceda ufumane umsebenzi?
• Ngaba unalo ithuba lokufumana ingcebiso ngomsebenzi?

2. Cinga ngokufikelela kwimfundo kunye nomgangatho

Xa ucinga ngeli candelo, kunokuba luncedo kakhulu ukucinga ngezixhobo umntwana wakho anazo (zangoku nezexesha elizayo), kodwa ungacinga namava akho emfundo adlulileyo okanye angoku.

• Ngaba umntwana wakho unethuba lokufumana imfundo yesikolo esemgangathweni ophezulu ?
• Ungacinga ukuba umntwana wakho uza kufunda ade afikelele kwinqanaba le-A ?
• Ngaba kukho izixhobo zokunceda umntwana wakho ahlangabezane neemfuno zakhe zokufunda ezikhethekileyo – umzekelo, iingxaki zokufunda okanye iingxaki zengqondo?
• Ingaba usapho lwakho lunayo imali yokuthumela umntwana wakho eyunivesithi okanye kwisikolo soqeqesho lomsebenzi?
• Ngaba umntwana wakho unobuhlobo obuhle nabanye abantwana esikolweni?

3. Cinga ngokufikelela kwezempilo kunye nomgangatho

• Ngaba unayo i-inshorensi yezempilo ?
• Ngaba unayo i-inshurensi eyahlukileyo yamayeza abhalwe ngugqirha?
• Ingaba unayo i-inshorensi yamazinyo?
• Ngaba unaye ugqirha wosapho (`umboneleli weenkonzo zokhathalelo oluphambili`) oya kuye rhoqo?
• Ngaba uyayiqonda into ethethwa ngugqirha wakho ?
• Ngaba uziva ukhululekile ukuthetha nogqirha wakho?
• Ngaba ungafumana kwaye uqonde ulwazi olunxulumene nempilo?
• Ngaba ungazifumana iirekhodi zakho zonyango?
• Ngaba ungafumana uvavanyo lokuthintela izifo ezifana nezifo ezidluliselwa ngesondo (ii-STI) kunye nomhlaza?
• Ngaba ungafumana unyango olufunekayo kwizifo zakho?
• Ingaba unayo indlela yokufika kugqirha (umz., imoto, izithuthi zikawonke-wonke)?

4. Cinga ngommandla kunye nendawo eyakhiwe kuyo

• Ngaba ungaya lula evenkileni yokutya ezele zizinto ezininzi?
• Ungaya kwimarike yasezilalini okanye kwenye indawo ukuze uthenge iziqhamo nemifuno emitsha?
• Ngaba unayo i-intanethi ?
• Ngaba uziva ukhuselekile ekhayeni lakho ?
• Ngaba uzive ukhuselekile kwindawo ohlala kuyo ?
• Ngaba kukho iindlela zabahambi ngeenyawo kwindawo okuyo?
• Ngaba kukho iindlela ezahlukeneyo zebhayisekile zokukhwela ibhayisekile?
• Ngaba amanzi akho epompo ane -fluoride?
• Ingaba intlawulo yakho yerenti/yendlu yendlu ifikeleleka ? (Ixabiso elifikelelekayo lithetha ukuba akukho ngaphezulu kwe-30% yengeniso yakho.)
• Ingaba ikhaya lakho alinazo izinto ezinobungozi ezifana nelothe?
• Usendleleni.Ingaba ingxolo iphantsi kakhulu ukuba ingalali?
• Ingaba isakhiwo sakho sinezixhobo ezikunceda ukuba uhambe kancinci (umz., iirampu okanye iilifti zesitulo esinamavili)?

5. Cinga ngemeko yoluntu kunye neyoluntu

• Ngaba unalo usapho kunye/okanye abahlobo abakukhuthazayo nabakuncedayo ?
• Ngaba uyinxalenye yeqela lentlalontle, elifana netempile, iqela lamavolontiya, okanye iqela labakhweli beentaba?
• Ngaba unaye umntu onokuthetha naye xa ukhathazekile okanye usengxakini ?
• Ngaba kukho umntu onokukunceda ngeemfuno ezisisiseko ngelixa usaphila emva kokulala esibhedlele okanye emva kotyando?
• Ngaba unazo izixhobo zokunyamekela abantwana bakho okanye abanye abantu abaxhomekeke kuwe?
• Ngaba uziva wamkelekile emsebenzini wakho ?
• Ngaba uzive wamkelekile kwindawo ohlala kuyo ?
• Ngaba uziva uqhagamshelwe nabanye abantu rhoqo kunokuba uziva unesizungu ?

Kutheni le nto ezi zinto zibalulekileyo kwimpilo yoluntu (SDOH) zibaluleke kangaka?

Ezi zinto zentlalo (SDOH) zibalulekile kuba zinokunyusa okanye zinciphise umngcipheko wakho wokufumana izifo ezahlukeneyo. Ngale ndlela, zinokuchaphazela nobomi bakho obulindelekileyo. Ezi zinto zentlalo zinamandla amakhulu kuba zichaphazela indlela esebenza ngayo i-genes yakho kunye nezigqibo ozenzayo yonke imihla. Makhe sijonge oku ngeenkcukacha ezithe vetshe.

Izinto zentlalo (SDOH) kunye nejini zakho

Izakhi zakho zemfuza zinokuchaphazela umngcipheko wakho wokuba nesifo. Umzekelo, unokufumana i-genetic mutation - efana notshintsho kwizakhi zemfuza ze-BRCA1 okanye ze-BRCA2 - ezinyusa umngcipheko wakho wokuba nesifo esifana nomhlaza. Okanye usenokuba nethuba elingakumbi lokufumana isifo sentliziyo kuba usapho lwakho lunembali yesifo sentliziyo.

Kodwa utshintsho lwemfuza oluzuzwe njengelifa lucala elinye nje lebali. Abaphandi kwicandelo le- "Epigenetics" basafumanisa indlela imeko-bume ohlala kuyo echaphazela ngayo indlela esebenza ngayo imfuza yakho. Sibona ukuba yonke into ukususela kwindlela owakhuliswa ngayo usengumntwana ukuya kumgangatho womoya owuphefumlayo inokuguqula ezinye imfuza "zivule" kwaye ezinye "zivule".

Olu tshintsho lwe-"epigenetic" alufani nolwe-"genetic mutations" – ulandelelwano lwakho lwe-"DNA" luyafana. Kodwa ii-genes zakho azisebenzi kakuhle. Kufana nokuba kukho ibhalbhu yesibane esibaneni kodwa akukho mntu ukhoyo wokusivula.

Iijini ezivulwa okanye ezicinywayo xa kufanele ukuba zivulwe zinokubangela zonke iintlobo zotshintsho oluyingozi emzimbeni wakho. Ii-tumor ngumzekelo omnye. Oku kuthetha ukuba izinto ezibangela impilo yoluntu (SDOH), ezifana nonxibelelwano loluntu kunye neetyhefu zokusingqongileyo, zinokuchaphazela iijini zakho - kwanamalungu akho ebesicinga ukuba awasoze atshintshe.

Izinto ezibangela ulwalamano (SDOH) kunye nokukhetha kwakho

Ukongeza kwizakhi zakho zofuzo, ukhetho olwenzayo lukwachaphazela nomngcipheko wakho wokuba nesifo. Awunakutshintsha izinto ezibangela umngcipheko ozizuz’ ilifa. Kodwa ukwazi ukuba usemngciphekweni kunokukunceda wenze ukhetho, olufana nokuhlolwa umhlaza, ukulandela ukutya kwaseMedithera, okanye ukuvavanywa uxinzelelo lwakho lwegazi rhoqo. Ukwenza ezi zinto kunokukunceda ukunciphisa umngcipheko wakho wokuba nesifo esithile okanye ukwandisa amathuba akho okufumana unyango ngokukhawuleza kwaye uphucuke.

Kodwa ngaba ukhetho lusezandleni zakho ngokwenene? ​​Uninzi lwexesha, alukho. Kusenokubakho imiqobo endleleni yakho, njengokunqongophala kwezothutho zokuya kugqirha, ukunqongophala kwemali yokuthenga ukutya okunesondlo. Awunakwenza yonke into "ngokuzimisela" wedwa.

Eyona nto ilungileyo kukuba wonke umntu abe nokufikelela kwizixhobo ezisemgangathweni namathuba okumnceda ukuba alawule impilo yakhe. Asikafiki apho, kodwa ukuchonga i-SDOH yakho linyathelo lokuqala lokufikelela kuloo njongo. Oogqirha basebenzisa izixhobo ezahlukeneyo zokuhlola ukuze bafumane indlela ezi SDOH ezikuchaphazela ngayo kunye nento onokuyenza ukunceda.

Yintoni le "indlela yokuchonga impilo" kwintlalo?

Ezi zizinto ezifana 'nophando okanye imibuzo' ozalisa ngaphambi kokuba ubone ugqirha. Umzekelo, ungazalisa 'ifomu yedijithali' ngaphambi kokuba ubone ugqirha wosapho lwakho. Le fomu ikubuza malunga neenkalo ezahlukeneyo zobomi bakho - njengekhaya lakho, ubudlelwane, kunye nendlela ofumana ngayo ukutya nokusela. Imibuzo ingafana nemibuzo engaphambili kweli nqaku. Ungathetha ngeempendulo zakho xa ubona ugqirha wakho.

Okukhona ukhululekile malunga neenkxalabo zakho, kokukhona kunokwenzeka ukuba ugqirha wakho akwazi ukukunceda. Banokukwazi ukuthetha ngezisombululo kwiingxaki zakho okanye bakudibanise nezixhobo zoluntu. Kusenokuba kukho into ebomini bakho engakhankanywanga yile fomu. Ukuba kunjalo, thetha nogqirha wakho ngayo xa umbona. Ukuba ugqirha akanakukunceda ngengxaki ethile, uza kukuthumela kumntu onokukwazi.

Izinto ezibangela impilo yoluntu (SDOH) ziqala ukukuchaphazela ukususela ekuzalweni kwakho, kwaye ziyaqhubeka nokubumba impilo yakho njengoko ukhula. Ezinye izinto zinokutshintsha ngokuhamba kwexesha. Umzekelo, usenokuba unengeniso ezinzileyo okwethutyana uze ulahlekelwe ngumsebenzi wakho ngequbuliso. Okanye, ungasuka kwindawo enemizila yebhasi elungileyo kunye neendlela zokuhamba ngeenyawo uye kwindawo engakhuselekanga apho ungenakuhamba khona ngaphandle kwemoto - kwaye usenokungakwazi nokuyifumana. Izinto ezanceda impilo yakho kwixesha elidlulileyo zisenokuqala ukuyilimaza ngequbuliso.

Kodwa izinto zingahamba ngenye indlela. Ungahlala iminyaka ungena-inshurensi yezempilo okanye iholide ehlawulelwayo, uze ufumane umsebenzi okunika zombini ezi zinto - kwaye ekugqibeleni ungafudukela endlwini esitalatweni esithuleyo apho unokulala khona kakuhle. Ubomi buyindawo etshintshayo, kwaye izinto ezichaphazela impilo yakho azitshintshi.

Oko kuthetha ukuba imiqobo ojongene nayo ngoku akufuneki ihlale ikho ngonaphakade. Ukuba awunazo izixhobo zokukunceda ngempilo yakho, thetha nogqirha okanye uqhagamshelane neqela loluntu – njengecawa okanye umbutho ongenzi nzuzo – onokukunika iingcebiso nenkxaso, aze akuthumele kwabanye abanokukunceda.

Umyalezo Wokuya Ekhaya

Ngoko ke, ngokwento esithethe ngayo, mhlawumbi uyaqonda ukuba impilo yethu ayipheleli nje ekuthatheni amayeza ukuze unyange isifo.

• Indawo ohlala kuyo ibalulekile: Izinto ezininzi, ezifana nendlela ophila ngayo, umvuzo wakho, imfundo, ubudlelwane nabamelwane bakho, kunye nezinto ozidingayo, zichaphazela impilo yakho ngokuthe ngqo.
• Asikuko konke okusezandleni zakho: Ngamanye amaxesha, nokuba sifuna kangakanani na ukulandela imikhwa emihle yempilo, kunokuba nzima ukwenza njalo ngenxa yezinto zangaphandle ezingaphaya kwamandla ethu.
• Musa ukoyika ukucela uncedo: Ukuba unemibuzo efana nale, thetha nogqirha, ilungu losapho, okanye umhlobo. Kukho iindawo apho unokufumana khona uncedo.
• Ungenza umahluko: Imeko yakho akufuneki ihlale injalo ngonaphakade. Nokuba utshintsho oluncinci lunokuba nemiphumo emikhulu.

Ungalibali, impilo yakho yeyona nto ixabisekileyo kuwe. Zama ukuyikhusela ngazo zonke iindlela. Ukuzazi ezi zinto zibalulekileyo kwezempilo (SDOH) linyathelo elibalulekileyo kolo hambo!

Impilo , izinto zentlalo, uqoqosho, imfundo, ukhathalelo lwempilo, okusingqongileyo, imfuza, impilo-ntle, indlela yokuphila