Uyazi ngalezi zici zomphakathi ezithinta impilo yakho? (Izici Zempilo Zomphakathi - SDOH)

Sonke siya kudokotela uma sigula. Bese sikhuluma ngokugula kwethu kanye nemithi. Kodwa wake wacabanga ukuthi izinkinga zakho zezimali, indawo ohlala kuyo, kanye nemfundo oyitholayo kuyithinta kangakanani impilo yakho? Lezo yizinto ezingezona ezokwelapha esizokhuluma ngazo namuhla, kodwa zinomthelela omkhulu empilweni yethu.

Yiziphi lezi zinto ezibangela impilo yomphakathi (SDOH)?

Kalula nje, izinto ezibangela impilo emphakathini yizinto zomuntu siqu, zenhlalo, kanye nezemvelo ezithinta impilo yakho kanye nenhlalakahle yakho. Lokhu kufaka phakathi izinto ezifana nomholo wakho, indawo ohlala kuyo, kanye nezinto ezitholakala endaweni yakini. Eqinisweni, lezi zingase zibe izici ezingezona ezokwelapha empilweni yakho. Ungase ungakhulumi nodokotela ngalezi zinto ngoba awuqapheli ukuthi zingase zihlobane kanjani nokugula.

Kodwa-ke, ucwaningo lukhombisile ukuthi lezi zinto ezibangela impilo (SDOH) azihlobene nje nempilo yakho, empeleni zinganquma impilo yakho . Okusho ukuthi, zithinta amathuba akho okuthola izifo ezithile (esizibiza ngokuthi ingozi), ukunakekelwa kwezokwelapha okutholayo, nokuthi uzizwa kahle kangakanani usuku nosuku.

Cabanga ngalokhu, uma unemali engenayo ezinzile, umshuwalense wezempilo, kulula ngawe ukuthenga ukudla okunempilo okuhle, ukuhlolwa kwempilo njalo. Uma unemoto, kulula kangakanani ukuya kudokotela, nokuthola imithi ekhemisi?

Kodwa, kumuntu osebenza ngaphandle kwekhefu elikhokhelwayo, noma ohlala endaweni ekude engenazitolo ezinhle noma ngisho nebhasi, kunzima kangakanani ukuthenga imifino nezithelo ukuze uzidle bese ubona udokotela ngesikhathi?

Yiziphi izibonelo zezinto ezibangela impilo emphakathini (SDOH)?

Nazi ezinye izibonelo:

• Imali engenayo yakho.
• Izinga lakho lemfundo.
• Umsebenzi owenzayo kanye nezinzuzo eziwunikezayo - njengomshuwalense wezempilo kanye neholide elikhokhelwayo.
• Izinsiza ezikuzungezile - izindawo zokuthola ukudla okunomsoco, ezokuthutha zomphakathi, kanye nokunakekelwa kwezingane.
• Ukulondeka okuzwayo endaweni okuzungezile.
• Zikude kangakanani izikhungo zezokwelapha?
• Isimo somoya owuphefumulayo namanzi owaphuzayo.
• Ubudlelwano bakho nomndeni nabangane.

Lezi yizibonelo ezimbalwa nje. Lawa ma-SDOH akhona yonke indawo ohlala kuyo, osebenza kuyo, futhi ochitha isikhathi kuyo. Abacwaningi bawahlukanise ngezigaba ezinhlanu eziyinhloko ukuze kube lula ukuwaqonda. Ngokusho koMnyango Wezempilo Nezinsizakalo Zabantu wase-US, lezi zigaba ezinhlanu yilezi:

1. Ukuzinza komnotho: Izinkinga ezihlobene nokuthi uthola malini nokuthi leyo mali engenayo yanele yini ukuhlangabezana nezidingo zempilo zomndeni wakho nezinye izidingo.

2. Ukufinyelela imfundo kanye nekhwalithi: Imfundo oyitholayo nokuthi ihlangabezana kahle kangakanani nezidingo zakho zokufunda (kufaka phakathi lezo ezihlobene nendlela ubuchopho bakho obusebenza ngayo).

3.Ukufinyelela kwezempilo kanye nekhwalithi: Izinsizakalo zezokwelapha ozitholayo kanye nezinga ezihlangabezana ngalo nezidingo zakho zempilo yomzimba neyengqondo.

4. Indawo yokuhlala kanye nendawo eyakhiwe kuyo: Izinto ezihlobene nendawo ohlala kuyo - izinto ezifana nezikhungo ezisiza ngempilo yakho kanye nokuphepha kwakho.

5. Isimo senhlalo kanye nomphakathi: Ubudlelwano bakho nomndeni, abangane, osebenza nabo, kanye nabanye emphakathini.

Kubalulekile ukukhumbula ukuthi zonke lezi zici zixhumene futhi ziyathintana. Isibonelo, ubumpofu buthinta zonke izici zokuphila kwakho - kusukela kulokho okudlayo kuya lapho uhlala khona kuya ezintweni ongakwazi ukuzifinyelela. Uma unezingane ezincane, ukuntuleka kokunakekelwa kwezingane okungabizi kungathinta ikhono lakho lokuya emsebenzini. Kunzima kangakanani ukuya esitolo sokudla noma ukubona udokotela endaweni engenazo izinto zokuhamba zomphakathi noma izindlela zokuhamba ngezinyawo?

Ngamanye amazwi, lezi zici zomphakathi ezithinta impilo azikho zodwa - noma ngabe eyodwa noma ezimbili ziyisithiyo, zingathinta impilo yakho kanye nempilo yakho njengezixhumanisi ezixhumene.

Lezi zinto zikuthinta kanjani? Ake sicabange ngakho okwesikhashana.

Ngakho-ke, konke lokhu kukutshelani? Wazi kanjani ukuthi yimaphi ama-SDOH athinta impilo yakho? Cabanga ngemibuzo engezansi. Lezi zihlelwe ngokwezigaba ze-SDOH okukhulunywe ngazo ngaphambili. Kufanele ukwazi ukuphendula "yebo" kuyo yonke le mibuzo. Bhala phansi imibuzo ophendula "cha" kuyo. Lezi yizihloko ongase ufune ukuzixoxa nomngane, umeluleki, noma udokotela.

1. Ake sicabange kancane ngokuzinza komnotho?

• Unayo imali eyanele yokuthenga ukudla okunempilo neziphuzo?
• Ungakwazi yini ukukhokhela izinsizakalo zezokwelapha, njengokubona udokotela nokuthola imithi?
• Unayo imali yokukhokha irenti noma yokwakha indlu?
• Unayo imali eyanele yokukhokha ezinye izikweletu, njengogesi namanzi?
• Ungakwazi yini ukuthola izindlela ezingabizi zokunakekela izingane zakho?
• Ucabanga ukuthi umsebenzi wakho uzinzile?
• Ingabe unayo inshuwalense yezempilo evela endaweni yakho yokusebenza?
• Ingabe indawo yakho yokusebenza inikeza ikhefu elikhokhelwayo?
• Uma ungasebenzi, ingabe zikhona izinhlelo ezingakusiza ukuthola umsebenzi?
• Ingabe unethuba lokuthola isiqondiso somsebenzi?

2. Ucabangani ngokufinyelela kwezemfundo kanye nekhwalithi?

Kulesi simo, kusiza kakhulu ukucabanga ngamathuba ingane yakho enawo (amanje nawesikhathi esizayo), kodwa ungacabanga nangolwazi lwakho lwemfundo lwangaphambilini noma lwamanje.

• Ingabe ingane yakho ingathola imfundo yesikole esezingeni eliphezulu?
• Ungacabanga ngengane yakho iqeda isikole?
• Ingabe zikhona izinsiza zokusiza ngezidingo ezikhethekile zengane yakho (isib. ukukhubazeka kokufunda noma ukukhubazeka kwengqondo)?
• Ingabe umndeni wakho unayo imali yokuthumela ingane yakho eyunivesithi noma esikoleni sokuqeqeshwa kwemisebenzi?
• Ingabe ingane yakho inobuhlobo obuhle nabangani esikoleni?

3. Ukufinyelela kwezempilo kanye nekhwalithi kunjani?

• Unayo yini inshuwalense yezempilo?
• Ingabe kukhona umshwalense ohlukile wemithi?
• Ingabe ukhona umshwalense wokwelashwa kwamazinyo?
• Ingabe unodokotela womndeni oya kuye njalo?
• Uyaqonda ukuthi udokotela wakho uchaza ukuthini?
• Ingabe uzizwa ukhululekile ukukhuluma ngemizwa yakho nodokotela wakho?
• Ungakwazi yini ukuthola nokuqonda ulwazi oluhlobene nempilo?
• Ungakwazi yini ukuthola amarekhodi akho ezokwelapha?
• Ingabe uyakwazi ukuthola ukuhlolwa kokuvimbela izifo ezithathelwana ngocansi (STI) kanye nomdlavuza?
• Ingabe uyakwazi ukuthola ukwelashwa okudingayo ngezifo zakho?
• Unayo indlela yokubona udokotela?

4. Ucabangani ngendawo yakini kanye nendawo eyakhiwe kuyo?

• Ungakwazi yini ukufinyelela kalula esitolo sokudla esigcwele ukudla?
• Kulula yini ngawe ukuya emakethe noma kwenye indawo lapho ungathenga khona izithelo nemifino emisha?
• Unayo i-inthanethi?
• Uzizwa uphephile yini ekhaya lakho?
• Ingabe uzizwa uphephile endaweni okuyo?
• Ingabe zikhona izindlela zokuhamba ngezinyawo endaweni yakini?
• Ingabe kukhona imigwaqo ehlukile yokugibela amabhayisikili?
• Ingabe amanzi akho ompompi aqukethe i-fluoride? (Kuhle kumazinyo akho)
• Ingabe indlu ohlala kuyo ingabizi kakhulu? (Lokho kusho ukuthi ayibizi ngaphezu kuka-30% wemali engenayo yakho)
• Ingabe ikhaya lakho alinazo izinto ezinobuthi ezifana nomthofu?
• Ingabe umgwaqo wakho uthule ngokwanele ukuba ulale?
• Uma unenkinga yokuhamba, ingabe isakhiwo okuso sinazo izinsiza zalokho (isib. ama-ramp noma ama-lifti)?

5. Ubudlelwano bezenhlalo nobomphakathi bunjani?

• Ingabe unomndeni kanye/noma abangane abakusekelayo nabakukhuthazayo?
• Ingabe uhilelekile eqenjini lomphakathi, njengethempeli, isonto, iqembu lokuzithandela, noma iqembu labahamba ngezintaba?
• Unaye umuntu ongakhuluma naye uma udabukile noma usenkingeni?
• Ingabe ukhona ozokusiza ngezidingo zakho eziyisisekelo ngenkathi usalulama ngemuva kokulala esibhedlela noma ukuhlinzwa?
• Ingabe unazo izinsiza zokunakekela izingane zakho noma abanye abantu abathembele kuwe?
• Ingabe uzizwa wamukelekile emsebenzini wakho?
• Ingabe uzizwa wamukelekile endaweni okuyo?
• Ingabe uvame ukuzizwa uxhumene kakhulu nabanye kunokuba uzizwe unesizungu?

Kungani kubalulekile ukuthi izinto ezibangela impilo yomphakathi (SDOH) zibaluleke?

Lezi zindaba ze-SDOH zibaluleke kakhulu.Kuyenzeka, ngoba kungandisa noma kunciphise ingozi yakho yokuthola izifo ezahlukahlukene. Lokho kungathinta nokuphila kwakho. Ama-SDOH athola la mandla ngoba athonya indlela izakhi zofuzo zakho ezisebenza ngayo kanye nezinqumo ozenzayo nsuku zonke. Ake sibheke lokhu ngokujulile.

I-SDOH kanye nezakhi zofuzo zakho

Izakhi zakho zofuzo zithinta ingozi yakho yesifo. Isibonelo, ungase uthole ifa lokuguqulwa kwezakhi zofuzo (njengokuhlukahluka kwezakhi zofuzo ze-BRCA1 noma ze-BRCA2) okwandisa ingozi yakho yesimo esifana nomdlavuza. Noma ungase ube namathuba amaningi okuthola isifo senhliziyo ngoba umndeni wakho unomlando wesifo senhliziyo.

Kodwa ukuguquka kwezakhi zofuzo okuzuzwe njengefa kumane nje kuyicala elilodwa lendaba. Abacwaningi emkhakheni obizwa ngokuthi "i-epigenetics" manje sebethola ukuthi indawo okuyo ithinta kanjani indlela izakhi zofuzo zakho ezisebenza ngayo. Sibona ukuthi konke kusukela endleleni owakhuliswa ngayo useyingane kuya ekhwalithini yomoya owuphefumulayo kungaguqula noma kuvimbele izakhi zofuzo ezithile.

Lezi zinguquko "ze-epigenetic" azifani "nokuguqulwa kwezakhi zofuzo" - ukulandelana "kwe-DNA" yakho kuyafana. Kodwa izakhi zofuzo zakho azisebenzi kahle. Kufana nokuthi kukhona amabhalbhu okukhanya ezibanini kodwa akekho okhona ukuze awavule.

Izakhi zofuzo ezivulwa noma ezivalwa ngesikhathi esifanele zingabangela zonke izinhlobo zezinguquko eziyingozi emzimbeni wakho. Ukukhula kwesimila kuyisibonelo esisodwa. Lokhu kusho ukuthi izinto ezibangela impilo yomphakathi (SDOH), njengobudlelwano bezenhlalo kanye nobuthi bemvelo, zingathonya izakhi zofuzo zakho—ngisho nezingxenye zakho obucabanga ukuthi ngeke zishintshe.

I-SDOH nezinqumo zakho

Ngaphezu kwezakhi zofuzo zakho, izinqumo ozenzayo zithinta nengozi yakho yesifo. Awukwazi ukushintsha izici eziyingozi ozizuza njengefa. Kodwa ukwazi ukuthi usengozini kungakusiza ukuthi wenze izinqumo ezithile - njengokuhlolwa komdlavuza, ukwamukela ukudla okunempilo (njengeMediterranean Diet), noma ukuhlola umfutho wegazi lakho njalo. Ukwenza lezi zinto kungakusiza ukunciphisa ingozi yakho yezifo ezithile, noma kwandise amathuba akho okuthola ukwelashwa kusenesikhathi nokululama.

Kodwa ungakwazi ngempela ukwenza leso sinqumo ngokwakho? Esikhathini esiningi, awukwazi. Kungase kube nezithiyo endleleni yakho, njengokungabi nalutho lokuya kudokotela noma ukungabi nemali eyanele yokuthenga ukudla okunomsoco. Ngezinye izikhathi, ukuba namandla okuzimisela akwanele.

Into engcono kakhulu ukuthi wonke umuntu afinyelele izinsiza ezisezingeni eliphezulu namathuba okubasiza ukuthi baphathe impilo yabo. Asikafiki lapho, kodwa ukuqaphela ukuthi izici zomphakathi ezithinta impilo zikuthinta kanjani kuyisinyathelo sokuqala esibheke kulowo mgomo. Odokotela basebenzisa amathuluzi ahlukahlukene okuhlola ukuthola ukuthi i-SDOH ikuthinta kanjani nokuthi yini ongayenza ukuze usize.

Udokotela uthola kanjani ngale SDOH?

Amathuluzi okuhlola e-SDOH ayizinhlolovo noma imibuzo oyigcwalisayo ngaphambi kokuthi ubonane nodokotela. Isibonelo, ungagcwalisa ifomu ledijithali ngaphambi kokuthi ubonane nodokotela womndeni wakho. Ifomu libuza ngezici ezahlukahlukene zempilo yakho - njengendlu yakho yokuhlala, ubudlelwano, kanye nokufinyelela ukudla namanzi. Imibuzo ingase ifane nemibuzo esekuqaleni kwalesi sihloko. Uma ubona udokotela wakho, angaxoxa nawe ngezimpendulo zakho.

Uma ukhululekile kakhulu ngezinkinga zakho, kulapho udokotela wakho ezokwazi ukukusiza khona. Angase akwazi ukukhuluma nawe ngezixazululo zezinkinga zakho noma akuthumele ezinsizeni ezisekelwe emphakathini. Kungase kube nokuthile empilweni yakho okungashiwongo yifomu. Uma kunjalo, kukhulume lapho ubona udokotela wakho. Uma udokotela wakho engakwazi ukukusiza ngenkinga ethile, uzokwazi ukukuthumela kothile ongakwazi.

Ingabe lezi zimo zingashintsha?

Izici zomphakathi ezithinta impilo ziqala ukukuthinta kusukela ngesikhathi uzalwa, futhi ziyaqhubeka nokubumba impilo yakho njengoba ukhula. Ezinye izici zingashintsha ngokuhamba kwesikhathi. Isibonelo, ungase ube nomholo ozinzile isikhashana bese ulahlekelwa umsebenzi wakho ngokuzumayo. Noma ungase uthuthe usuka endaweni enemizila emihle yamabhasi kanye nezindlela zokuhamba ngezinyawo uye endaweni engaphephile futhi engafinyeleleki ngaphandle kwemoto - mhlawumbe ngisho nokungakwazi ukuyikhokhela. Izici ezazisiza impilo yakho zingase ziqale ukulimaza impilo yakho ngokuzumayo.

Kodwa izinto zingahamba ngenye indlela. Ungahlala iminyaka eminingi ungenawo umshwalense wezempilo noma iholide elikhokhelwayo bese uthola umsebenzi okunikeza kokubili - futhi ekugcineni ungathuthela endlini esemgwaqweni othule lapho ungalala khona kahle. Impilo iyindawo eshintshayo, futhi izici ezithinta impilo yakho azihlali zifana njengoba ucabanga, futhi zingashintsha.

Lokho kusho ukuthi izithiyo obhekene nazo manje akudingeki zibe khona unomphela. Uma ungenazo izinsiza zokusiza ngempilo yakho, khuluma nodokotela noma uxhumane neqembu lomphakathi - njengesonto, ithempeli, noma inhlangano engenzi nzuzo - abangakunikeza iseluleko nokusekela, futhi bakwethule kwabanye abangakusiza.

Yimuphi umyalezo esifuna ukuwuyisa ekhaya?

Ngakho-ke, into ebaluleke kakhulu okudingeka siyiqonde kukho konke lokhu ukuthi impilo yethu ithintwa kakhulu yizimo zenhlalo, zomnotho, kanye nezemvelo (SDOH) esiphila kuzo, kanye nemithi .

• Isinyathelo sokuqala ukuqaphela ukuthi ziyini lezi zinhlelo ze-SDOH nokuthi zisithinta kanjani.
• Uma unemibuzo efana nale, ungesabi ukukhuluma ngayo nodokotela noma nomuntu omethembayo.
• Ngokuvamile, kunezindlela zokushintsha lezi zimo nokuthola usizo. Akudingeki uhlupheke wedwa.
• Izikhungo zezokwelapha ezinhle kanye nekhwalithi enhle yokuphila kubalulekile empilweni enempilo.

Ngakho-ke, uma ucabanga ngempilo yakho, cabanga nangezi zinkinga zomphakathi. Kuzokusiza ukuthi uhlale uphilile futhi ujabule!

Impilo , izici zomphakathi, ukuzinza komnotho, imfundo, ukunakekelwa kwempilo, imvelo, ubudlelwano bomphakathi