Ngaba uyazi ngezi zinto zentlalo ezichaphazela impilo yakho? (Iimpawu zeNtlalo zezeMpilo - SDOH)

Sonke siya kugqirha xa sigula. Emva koko sithetha ngesifo sethu kunye neyeza. Kodwa ngaba wakha wacinga ukuba iingxaki zakho zemali, indawo ohlala kuyo, kunye nemfundo oyifumanayo zichaphazela kangakanani impilo yakho? Ezo zizinto ezingezizo ezonyango esiza kuthetha ngazo namhlanje, kodwa zinempembelelo enkulu kwimpilo yethu.

Zithini ezi zinto zibangela impilo yoluntu (SDOH)?

Ngamafutshane, izinto ezibangela impilo yoluntu zizinto zobuqu, zentlalo, kunye nokusingqongileyo ezichaphazela impilo yakho kunye nokuphila kakuhle. Ezi ziquka izinto ezifana nomvuzo wakho, indawo ohlala kuyo, kunye nezinto eziluncedo kuluntu lwakho. Enyanisweni, ezi zisenokuba ziinkalo ezingezizo ezonyango ebomini bakho. Usenokungathethi nogqirha ngezi zinto kuba awuqondi ukuba zinokunxulumana njani nokugula.

Nangona kunjalo, uphando lubonise ukuba ezi zinto zibangela impilo (SDOH) azihambelani nje nempilo yakho, zinokumisela impilo yakho . Oko kukuthi, zichaphazela amathuba akho okufumana izifo ezithile (esizibiza ngokuba ziyingozi), unyango olufumanayo, kunye nendlela oziva ngayo imihla ngemihla.

Cinga ngale ndlela, ukuba unengeniso ezinzileyo, i-inshurensi yezempilo, kulula kuwe ukuthenga ukutya okunesondlo, uhlolwe impilo rhoqo. Ukuba unemoto, kulula kangakanani ukuya kugqirha, kwaye ufumane amayeza kwikhemesti?

Kodwa, kumntu osebenza ngaphandle kwekhefu elihlawulelwayo, okanye ohlala kwindawo ekude engenazo iivenkile ezilungileyo okanye nebhasi, kunzima kangakanani ukuthenga imifuno neziqhamo zokutya nokubona ugqirha ngexesha?

Ziziphi imizekelo yezinto ezibangela impilo yoluntu (SDOH)?

Nantsi eminye imizekelo:

• Ingeniso yakho.
• Inqanaba lakho lemfundo.
• Umsebenzi owenzayo kunye neenzuzo eziwubonelelayo - njenge-inshurensi yezempilo kunye neholide ehlawulelwayo.
• Izinto eziluncedo ezikungqongileyo - iindawo zokufumana ukutya okunesondlo, izithuthi zikawonke-wonke, kunye nokugcinwa kwabantwana.
• Ukhuseleko oluvayo kwindawo okuyo.
• Zikude kangakanani izibonelelo zonyango?
• Imeko yomoya owuphefumlayo namanzi owaselayo.
• Ulwalamano lwakho nosapho kunye nabahlobo.

Le yimizekelo embalwa nje. Ezi SDOH zikwindawo yonke ohlala kuyo, osebenza kuyo, nochitha ixesha kuyo. Abaphandi bazihlulile zaba ziindidi ezintlanu eziphambili ukuze kube lula ukuziqonda. Ngokutsho kweSebe lezeMpilo neNkonzo zoLuntu lase-US, ezi ndidi zintlanu zezi:

1. Uzinzo kwezoqoqosho: Imiba enxulumene nokuba ungakanani na imali oyifumanayo kunye nokuba loo ngeniso yanele na ukuhlangabezana nempilo yosapho lwakho kunye nezinye iimfuno.

2. Ukufikelela kwimfundo kunye nomgangatho: Imfundo oyifumanayo kunye nendlela ehambelana kakuhle ngayo neemfuno zakho zokufunda (kuquka nezo zihambelana nendlela ingqondo yakho esebenza ngayo).

3.Ukufikelela kunyango kunye nomgangatho: Iinkonzo zonyango ozifumanayo kunye nomlinganiselo ezihlangabezana ngawo neemfuno zakho zempilo yomzimba neyengqondo.

4. Indawo yokuhlala kunye nendawo eyakhiwe kuyo: Izinto ezinxulumene nendawo ohlala kuyo - izinto ezifana nezibonelelo ezinceda kwimpilo yakho nokhuseleko.

5. Imeko yentlalo kunye noluntu: Ubudlelwane bakho nosapho, abahlobo, abantu osebenza nabo, kunye nabanye abantu kuluntu.

Kubalulekile ukukhumbula ukuba 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 abancinci, ukungabikho kwenkonzo yokunyamekela abantwana efikelelekayo kunokuchaphazela amandla akho okuya emsebenzini. Kunzima kangakanani ukuya evenkileni yokutya okanye ukuya kubona ugqirha kwindawo engenazo izithuthi zikawonke-wonke okanye iindlela zokuhamba ngeenyawo?

Ngamanye amazwi, ezi zinto zentlalo ezichaphazela impilo azikho zodwa - nokuba enye okanye ezimbini ziyingxaki, zinokuchaphazela ubomi bakho kunye nempilo yakho njengeekhonkco kwikhonkco.

Zikuchaphazela njani ezi zinto? Makhe sicinge ngayo okomzuzwana.

Ngoko ke, konke oku kukuxelela ntoni? Uyazi njani ukuba zeziphi ii-SDOH ezichaphazela ubomi bakho? Cinga ngemibuzo engezantsi. Ezi zihlelwe ngokweendidi ze-SDOH ezikhankanyiweyo ngaphambili. Kuya kufuneka ukwazi ukuphendula "ewe" kuyo yonke le mibuzo. Bhala phantsi imibuzo ophendula "hayi" kuyo. Ezi zizihloko onokuthi ufune ukuzixoxa nomhlobo, umcebisi, okanye ugqirha.

1. Makhe sicinge kancinci ngozinzo kwezoqoqosho?

• Ingaba unayo imali eyaneleyo yokuthenga ukutya okunesondlo kunye neziselo?
• Ungakwazi na ukuhlawulela iinkonzo zonyango, ezinje ngokubona ugqirha nokufumana amayeza?
• Ngaba unayo imali yokuhlawula irenti okanye yokwakha indlu?
• Ingaba unayo imali eyaneleyo yokuhlawula ezinye iindleko, ezifana nombane namanzi?
• Ngaba ungafumana iindlela zokunyamekela abantwana bakho ngexabiso eliphantsi?
• Ucinga ukuba umsebenzi wakho uzinzile?
• Ingaba unayo i-inshurensi yezempilo kwindawo osebenza kuyo?
• Ngaba indawo yakho yokusebenza inekhefu elihlawulelwayo?
• Ukuba awusebenzi, ngaba kukho iinkqubo ezinokukunceda ufumane umsebenzi?
• Ngaba unalo ithuba lokufumana isikhokelo somsebenzi?

2. Ucinga ntoni malunga nokufikelela kwimfundo kunye nomgangatho?

Kule meko, kunceda kakhulu ukucinga ngamathuba umntwana wakho anawo (angoku nawangexesha elizayo), kodwa ungacinga namava akho emfundo adlulileyo okanye angoku.

• Ngaba umntwana wakho angafumana imfundo yesikolo esemgangathweni?
• Ngaba ungamcingela umntwana wakho egqiba isikolo?
• Ngaba kukho izibonelelo zokunceda umntwana wakho ngeemfuno zakhe ezikhethekileyo (umz. iingxaki zokufunda okanye iingxaki zengqondo)?
• Ingaba usapho lwakho lunayo imali yokuthumela umntwana wakho eyunivesithi okanye kwisikolo soqeqesho lomsebenzi?
• Ngaba umntwana wakho unolwalamano oluhle nabahlobo esikolweni?

3. Ukufikelela kwezempilo kunye nomgangatho wazo njani?

• Ngaba unayo i-inshorensi yezempilo?
• Ngaba kukho i-inshurensi eyahlukileyo yamayeza?
• Ngaba ikhona i-inshorensi yonyango lwamazinyo?
• Ngaba unaye ugqirha wosapho oya kuye rhoqo?
• Uyayiqonda into echazwa ngugqirha wakho?
• Ngaba uziva ukhululekile ukuthetha nogqirha wakho ngeemvakalelo zakho?
• Ngaba ungafumana kwaye uqonde ulwazi olunxulumene nempilo?
• Ngaba ungazifumana iirekhodi zakho zonyango?
• Ngaba unako ukufikelela kwiimvavanyo zokuthintela izifo ezidluliselwa ngesondo (ii-STI) kunye nomhlaza?
• Ngaba unako ukufumana unyango olufunekayo kwizifo zakho?
• Ngaba unayo indlela yokubona ugqirha?

4. Ucinga ntoni ngommandla wakho kunye nendawo eyakhiwe kuyo?

• Ngaba ungaya lula evenkileni yokutya ezele zizinto ezininzi?
• Ngaba kulula kuwe ukuya emarikeni okanye kwenye indawo apho unokuthenga khona iziqhamo nemifuno emitsha?
• Ngaba unayo i-intanethi?
• Ngaba uziva ukhuselekile ekhayeni lakho?
• Ngaba uziva ukhuselekile kwindawo okuyo?
• Ngaba kukho iindlela zabahambi ngeenyawo kwindawo okuyo?
• Ngaba kukho iindlela ezahlukeneyo zokukhwela ibhayisekile?
• Ngaba amanzi akho epompo ane-fluoride? (Ilungile kumazinyo akho)
• Ingaba indlu ohlala kuyo ifikeleleka ngexabiso eliphantsi? (Oko kuthetha ukuba ayibizi ngaphezu kwama-30% engeniso yakho)
• Ingaba ikhaya lakho alinazo izinto ezinobungozi ezifana nelothe?
• Ingaba isitalato sakho sizolile ngokwaneleyo ukuba ulale?
• Ukuba unengxaki yokuhamba, ngaba isakhiwo okuso sinazo izixhobo zaso (umz. iirampu okanye iilifti)?

5. Ubudlelwane phakathi kwezentlalo noluntu bunjani?

• Ngaba unalo usapho kunye/okanye abahlobo abakuxhasayo nabakukhuthazayo?
• Ngaba ubandakanyeka kwiqela lentlalontle, elifana netempile, icawa, iqela lamavolontiya, okanye iqela labakhweli beentaba?
• Ngaba unaye umntu onokuthetha naye xa ukhathazekile okanye usengxakini?
• Ngaba kukho umntu onokukunceda ngeemfuno zakho ezisisiseko ngelixa usalulama emva kokulala esibhedlele okanye utyando?
• Ngaba unazo izixhobo zokunyamekela abantwana bakho okanye abanye abantu abaxhomekeke kuwe?
• Ngaba uziva wamkelekile emsebenzini wakho?
• Ngaba uzive wamkelekile kwindawo okuyo?
• Ngaba uhlala uziva unxulumene nabanye kunokuba uzive unesizungu?

Kutheni izinto ezibangela impilo yoluntu (SDOH) zibalulekile?

Ezi ngxaki ze-SDOH zibaluleke kakhulu.Injalo, kuba inokunyusa okanye inciphise umngcipheko wakho wokufumana izifo ezahlukeneyo. Oko kunokuchaphazela nobomi bakho. Ii-SDOH zifumana la mandla kuba zichaphazela indlela esebenza ngayo i-genes yakho kunye nezigqibo ozenzayo yonke imihla. Makhe sijonge oku nzulu kancinci.

I-SDOH kunye nejini zakho

Izakhi zofuzo zakho zichaphazela umngcipheko wakho wesifo. Umzekelo, unokufumana i-gene mutation (njengotshintsho kwizakhi zofuzo ze-BRCA1 okanye ze-BRCA2) eyonyusa umngcipheko wakho wesifo 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 elibizwa ngokuba yi- "epigenetics" ngoku bafumanisa indlela okusingqongileyo okuchaphazela ngayo indlela esebenza ngayo imfuza yakho. Sibona indlela yonke into ukususela kwindlela owakhuliswa ngayo usengumntwana ukuya kumgangatho womoya owuphefumlayo enokuthi iguqule okanye iguqule imfuza ethile.

Olu tshintsho lwe-"epigenetic" alufani "notshintsho lwe-genetic" - ulandelelwano lwe-"DNA" yakho luyafana. Kodwa ii-genes zakho azisebenzi kakuhle. Kufana nokuba kukho iibhalbhu zokukhanya kwizibane kodwa akukho mntu ukhoyo ukuzivula.

Iijini ezivulwa okanye ezicinywayo xa kufanele ukuba zivulwe zinokubangela zonke iintlobo zotshintsho oluyingozi emzimbeni wakho. Ukukhula kwethumba ngumzekelo omnye. Oku kuthetha ukuba izinto ezibangela impilo yoluntu (SDOH), ezinje ngobudlelwane bentlalo kunye neetyhefu zokusingqongileyo, zinokuchaphazela iijini zakho—kwaneendawo zakho obucinga ukuba azisoze zitshintshe.

I-SDOH kunye nezigqibo zakho

Ukongeza kwizakhi zakho zofuzo, ukhetho olwenzayo lukwachaphazela nomngcipheko wakho wesifo. Awunakutshintsha izinto ezibangela umngcipheko ozizuz’ ilifa. Kodwa ukwazi ukuba usemngciphekweni kunokukunceda wenze izigqibo ezithile - njengokuhlolwa komhlaza, ukwamkela ukutya okunempilo (njengeMediterranean Diet), okanye ukujonga uxinzelelo lwegazi lakho rhoqo. Ukwenza ezi zinto kunokukunceda ukunciphisa umngcipheko wakho wezifo ezithile, okanye ukwandisa amathuba akho okufumana unyango kwangethuba nokuchacha.

Kodwa ngaba ungazenzela eso sigqibo ngokwakho? Ixesha elininzi, awukwazi. Kunokubakho imiqobo endleleni yakho, njengokungabi nasithuthi sokuya kugqirha okanye ukungabi nemali eyaneleyo yokuthenga ukutya okunesondlo. Ngamanye amaxesha, ukuba namandla nje okuzimisela akwanelanga.

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

Ugqirha ufumana njani ulwazi ngale SDOH?

Izixhobo zokuhlola ze-SDOH zizifundo zophando okanye imibuzo ozalisa ngaphambi kokuba ubone ugqirha. Umzekelo, ungazalisa ifomu yedijithali ngaphambi kokuba ubone ugqirha wosapho lwakho. Le fomu ibuza malunga neenkalo ezahlukeneyo zobomi bakho - njengendlu yakho yokuhlala, ubudlelwane, kunye nokufikelela kokutya namanzi. Imibuzo ingafana nemibuzo engaphambili kweli nqaku. Xa ubona ugqirha wakho, unokuxoxa nawe ngeempendulo zakho.

Okukhona ukhululekile kwiinkxalabo zakho, kokukhona ugqirha wakho eya kukwazi ukukunceda. Usenokukwazi ukuthetha nawe ngezisombululo kwiingxaki zakho okanye akuthumele kwizixhobo ezisekelwe kuluntu. Kusenokubakho into ebomini bakho engakhankanywanga yile fomu. Ukuba kunjalo, yikhankanye xa ubona ugqirha wakho. Ukuba ugqirha wakho akanakunceda ngengxaki ethile, uya kukwazi ukukuthumela kumntu onokukwazi.

Ngaba ezi meko zinokutshintsha?

Izinto zentlalo ezichaphazela impilo ziqala ukukuchaphazela ukususela ekuzalweni kwakho, kwaye ziyaqhubeka nokubumba impilo yakho njengoko ukhula. Ezinye izinto zinokutshintsha ngokuhamba kwexesha. Umzekelo, unokuba nomvuzo ozinzileyo okwethutyana uze ulahlekelwe ngumsebenzi wakho ngequbuliso. Okanye ungasuka kwindawo enemizila yebhasi elungileyo kunye neendlela zokuhamba ngeenyawo uye kwindawo engakhuselekanga nengafikelelekiyo ngaphandle kwemoto - mhlawumbi ungenakukwazi ukuyithenga. Izinto ezazinceda impilo yakho zisenokuqala ukulimaza impilo yakho ngequbuliso.

Kodwa izinto zingahamba ngenye indlela. Ungahlala iminyaka ungena-inshurensi yezempilo okanye iholide ehlawulelwayo uze ngequbuliso ufumane umsebenzi okunika zombini ezi zinto - kwaye ekugqibeleni ungafudukela kwindlu ekwisitalato esithuleyo apho unokulala kakuhle khona. Ubomi yindawo etshintshayo, kwaye izinto ezichaphazela impilo yakho azihlali zifana njengoko ucinga, kwaye zinokutshintsha.

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

Sithini isigidimi esifuna ukusiyisa ekhaya?

Ngoko ke, eyona nto ibalulekileyo ekufuneka siyiqonde kuyo yonke le nto kukuba impilo yethu ichaphazeleka kakhulu ziimeko zentlalo, zoqoqosho, kunye nokusingqongileyo (SDOH) esiphila kuzo, kunye namayeza .

• Inyathelo lokuqala kukwazi ukuba zeziphi ezi SDOH kunye nendlela ezisichaphazela ngayo.
• Ukuba unemibuzo efana nale, ungoyiki ukuthetha ngayo nogqirha okanye nomntu omthembayo.
• Amaxesha amaninzi, kukho iindlela zokutshintsha ezi meko uze ufumane uncedo. Akunyanzelekanga ukuba ubandezeleke wedwa.
• Izibonelelo zonyango ezilungileyo kunye nomgangatho wobomi olungileyo zibalulekile ukuze ubomi bube sempilweni.

Ngoko ke, xa ucinga ngempilo yakho, cinga nangemiba yoluntu. Iya kukunceda uhlale usempilweni kwaye wonwabile!

Impilo , izinto zentlalo, uzinzo kwezoqoqosho, imfundo, ukhathalelo lwempilo, okusingqongileyo, ubudlelwane bezentlalo