Ingabe imithi iyona kuphela into ethinta impilo yakho? (Izici Zempilo Zomphakathi)

Ucabanga ukuthi impilo yakho, okungukuthi, ukugula kwakho, ithintwa kuphela amagciwane, amabhaktheriya, ukudla, kanye nemithi? Eqinisweni, kunezinto eziningi ezidlula lokho, izinto esingazicabangi ngisho nasezimpilweni zethu zansuku zonke, ezithinta ngqo impilo yethu. Namuhla, sizokhuluma ngezinto ezinjalo, izinto ezinquma impilo yakho kodwa ezingeyona ingxenye yesayensi yezokwelapha.

Yiziphi izinto ezibangela impilo emphakathini? (Izinto Ezibangela Impilo Emphakathini - SDOH)

Kalula nje, Izinto Ezinquma Impilo (i-SDOH) yizinto zomuntu siqu, zenhlalo, kanye nezemvelo ezithinta impilo yakho kanye nenhlalakahle yakho. Lezi yizinto ezifana nomholo wakho, indawo ohlala kuyo, kanye nezinsiza ezitholakala kuleyo ndawo. Lezi yizinto ezikhona empilweni yakho ongafuni ukukhuluma ngazo nodokotela wakho, izinto ezibonakala zingabalulekile kwisayensi yezokwelapha.

Cabanga nje, unomsebenzi ozinzile oneholo elihle, indlu enhle, kanye nesibhedlela esihle esiseduze ongaya kuso uma ugula. Umuntu onjalo cishe uzothola ukudla okunempilo okuhle, athathe imithi ngesikhathi, futhi, uma kudingeka, abe nemoto yokuya kudokotela.

Manje cabanga ngomunye umuntu. Lowo muntu akanawo umsebenzi ohlala njalo, futhi uphila ngomholo wansuku zonke. Ibhasi elivela ekhaya liya edolobheni nasesibhedlela lifika njalo emahoreni amabili. Abakwazi ngisho nokuthenga imifino noma izithelo esitolo sasemakhaya. Kunzima kangakanani ngomuntu onjengalona ukudla ukudla okunempilo nokubona udokotela ngesikhathi uma egula?

Ucwaningo lukhombisile ukuthi lezi zinto ezibangela impilo yomphakathi (SDOH) azihlobene nje nempilo yakho, empeleni zinganquma impilo yakho . Okusho ukuthi, zinganquma ingozi yakho yokuthola izifo ezithile, uhlobo lokunakekelwa kwezokwelapha ongaluthola, nokuthi uzizwa kahle noma ugula kangakanani nsuku zonke.

Lezi zimbangela zomphakathi zingahlukaniswa ngezigaba ezi-5 eziyinhloko:

Ukuze siqonde kangcono lezi zinkinga, ake sizihlukanise zibe yizigaba ezinhlanu eziyinhloko. Lesi sigaba senziwa uMnyango Wezempilo kanye Nezinsizakalo Zabantu wase-US. Kodwa lezi zinkinga zibalulekile kithi eSri Lanka.

Into ebalulekile ukuthi lezi zindawo ezinhlanu zixhumene. Inkinga kwenye ithinta zonke ezinye. Isibonelo, ubumpofu (ukuzinza komnotho) kungakuvimbela ekuthengeni ukudla okuhle, ukuhlala endaweni enhle, nokuthumela izingane zakho esikoleni esihle. Ngokufanayo, uma kungekho sevisi yamabhasi endaweni yakini (indawo), kungaba nzima ngawe ukuya emsebenzini noma ukubona udokotela (ukunakekelwa kwempilo). Ngisho nesithiyo esisodwa singathinta impilo yakho yonke kanye nempilo yakho.

Ingabe lezi zinto ziyakuthinta ukuphila kwakho? Ake sicabange ngakho okwesikhashana.

Manje ungase uzibuze, "Lokhu kungithinta kanjani?" Zibuze le mibuzo. Uma impendulo yale mibuzo ingu-"yebo," kuhle lokho. Kodwa cabanga ngemibuzo lapho impendulo ingu-"cha." Kungaba ngumqondo omuhle ukukhuluma ngalezi zinkinga nomuntu omethembayo, noma nodokotela wakho.

1. Ukuzinza komnotho

• Unayo imali eyanele yokuthenga ukudla okunomsoco (imifino, izithelo, inyama, inhlanzi)?
• Unayo imali yokuya kudokotela uyothenga umuthi wesifo esithile?
• Ungakwazi yini ukukhokha irenti yakho, ibhili likagesi, kanye nebhili lamanzi ngesikhathi?
• Uzizwa sengathi umsebenzi wakho uphephile? Awusabi yini ukuthi ungase ulahlekelwe yiwo kusasa?
• Ingabe uthola ikhefu elikhokhelwayo noma ikhefu lokugula?

2. Imfundo

(Phendula le mibuzo ucabanga ngezingane zakho. Noma cabanga ngesikhathi sakho esidlule.)

• Ingabe ingane yakho inethuba lokuthola imfundo yesikole esezingeni eliphezulu?
• Uma ingane inenkinga yokufunda, ingabe zikhona izinsiza zokusiza esikoleni noma kwenye indawo?
• Ingabe unayo imali yokunikeza ingane yakho imfundo ephakeme (eyunivesithi noma ukuqeqeshwa kwemisebenzi)?

3. Ukunakekelwa Kwezempilo

• Ingabe unodokotela omethembayo ohlala ubonana naye uma ugula?
• Uyakwazi ukuqonda kahle ukuthi udokotela uthini?
• Uzizwa ukhululekile ukubuza udokotela wakho imibuzo ngaphandle kokwesaba?
• Ingabe unazo izindawo zokuhlola izifo ezithathelwana ngocansi (STI) noma umdlavuza?
• Ingabe unayo indlela elula yokuhamba (ibhasi, iloli elinamasondo amathathu, imoto yakho) ukuze uye kudokotela?

4. Indawo yokuhlala kanye nendawo eyakhiwe

• Ingabe ikhona isitolo noma imakethe yamasonto onke eduze lapho ungathenga khona imifino nezithelo ezinhle?
• Uzizwa uphephile ekhaya nasedolobhaneni noma edolobheni lakini?
• Uyaqiniseka ukuthi amanzi angena ekhaya lakho ahlanzekile?
• Ingabe zikhona izindlela zokuhamba ngezinyawo ezinhle kanye nezindlela zokuhamba ngezinyawo endaweni yakini?
• Ingabe umsindo wasemgwaqweni uphezulu kangangokuthi awukwazi ukulala kahle ebusuku?
• Uyaqiniseka ukuthi ikhaya lakho alinazo izinto ezinobuthi ezifana nomthofu? (Upende omdala ungase ube nomthofu).

5. Umongo wezenhlalo nomphakathi

• Unaye umngane omuhle noma ilungu lomndeni ongabelana ngalo imizwa yakho futhi ukhulume nalo uma unenkinga?
• Unabo yini abangani noma izihlobo ezikusizayo nezikukhuthazayo?
• Uma ugula, ingabe ukhona umuntu ozokusiza ukupheka, ukulethela imithi, njll.?
• Ingabe uzizwa wamukelekile futhi uthandwa emsebenzini wakho naphakathi komakhelwane bakho?
• Ingabe uvame ukuzizwa uxhumene nabanye kunokuba uzizwe unesizungu?

Kungani lezi zindaba zomphakathi zibaluleke kangaka?

Lezi zici (SDOH) zibalulekile ngoba zingandisa noma zinciphise ingozi yakho yokuthola izifo ezahlukahlukene. Zingathinta ngisho nesikhathi sakho sokuphila. Lokhu kwenzeka ngezindlela ezimbili eziyinhloko: ngokuthonya indlela izakhi zofuzo zethu ezisebenza ngayo kanye nangokuthonya izinqumo esizenzayo nsuku zonke.

1. I-SDOH kanye nezakhi zofuzo zakho

Izakhi zofuzo esizizuza kubazali bethu zithinta ingozi yethu yokuthola izifo. Isibonelo, uma umuntu ezuza i-genetic mutation efana ne-``BRCA1`` noma ``BRCA2``, ehlobene nomdlavuza webele, lowo muntu usengozini enkulu yokuba nomdlavuza.

Kodwa indaba ayipheli lapho. Insimu entsha yesayensi ebizwa ngokuthi i-epigenetics ithole ukuthi indawo esiphila kuyo, indlela yethu yokuphila, ishintsha indlela izakhi zethu zofuzo ezisebenza ngayo. Kalula nje, izinto ezifana nendlela owakhuliswa ngayo useyingane, ikhwalithi yomoya owuphefumulayo, njalo njalo zingavula ezinye izakhi zofuzo 'kanye nezinye'.

2. I-SDOH nezinqumo zakho

Ngaphezu kwezakhi zofuzo, izinqumo esizenzayo nazo zithinta impilo yethu. Isibonelo, uma wazi ukuthi umndeni wakho unomlando wesifo senhliziyo, unganciphisa ukudla kwakho okunamafutha, ukuzivocavoca umzimba, futhi uhlole umfutho wegazi lakho njalo. Lezi zinketho zingakusiza ukuvimbela lesi sifo ukuthi singabi khona noma ufune ukwelashwa kusenesikhathi.

Kodwa ungakwazi ngempela ukwenza leso sinqumo ngokwakho? Esikhathini esiningi, awukwazi. Ungase ube nezingqinamba ekufezeni lezo zinqumo. Izinto ezifana nokungabi nemoto yokubona udokotela, ukungabi nemali yokuthenga ukudla okunempilo. Awukwazi ukwenza lezi zinto ngamandla akho kuphela.

Ukubaluleka kokutshela udokotela ngalokhu

Uma uya kudokotela, ngezinye izikhathi bakucela ukuthi ugcwalise ifomu, akunjalo? Lingase likubuze ngemininingwane yasekhaya lakho, ukudla kwakho, impilo yakho yengqondo, nomsebenzi wakho. Abaceli lezi zinto ngeze. Bacela ukuqonda ukuthi yiziphi izinselele zomphakathi nezemvelo obhekene nazo, ukuze bakusize kangcono.

Uma ukhuluma ngokukhululekile nodokotela wakho ngalezi zinto, kulapho kungenzeka khona ukuthi akwazi ukukusiza. Mhlawumbe uzokwazi ukukunikeza ikhambi lenkinga yakho noma akuqondise kwezinye izinsiza zomphakathi ezingakusiza.

Isibonelo, uma ubhekene nokucindezeleka, kungase kube ngenxa yenkinga emsebenzini. Uma udokotela esekwazi lokhu, ngaphezu kokukunikeza imithi, angakuthumela ukuze uthole ukwelulekwa.

Khumbula, lezi zici zomphakathi bezilokhu zithinta impilo yakho kusukela ngosuku lokuzalwa kwakho. Kodwa azifani ngaso sonke isikhathi. Ubunzima bezomnotho onabo namuhla bungase buphele kusasa. Indawo ohlala kuyo namuhla ingase ihluke kusasa. Ngakho-ke, izithiyo obhekene nazo manje azihlali njalo.