Please ensure Javascript is enabled for purposes of website accessibility Pitani ku nkhani yaikulu
Mu Spanish
A A
800-511-5010
Health First Colorado ndi CHP + akubwerera ku njira zotsitsimutsa.
Chongani imelo yanu, makalata, ndi PEAK inbox. Chitanipo kanthu mukalandira mauthenga ovomerezeka. Mutha kuwona tsiku lanu lokonzanso Pano nthawi iliyonse. Ngati mwapeza paketi yokonzanso, onetsetsani kuti mwadzaza. Onetsetsani kuti mwasainanso ndikubweza pofika tsiku loyenera.
Phunzirani zambiri apa

Kodi Kukaikira Kuli Kuti?

By Kisi H

Kupereka chithandizo chathanzi mderalo kwa anthu akuda kwakhala kulimbana kwanthawi yayitali. Kuyambira pachiyambi cha maphunziro a mbiri yakale monga kuyesera kwa 1932 Tuskegee, komwe amuna akuda adasiyidwa mwadala osachiritsidwa ndi chindoko3; kwa anthu otchuka monga Henrietta Lacks, omwe ma cell ake adabedwa mwachinsinsi kuti athandizire pakufufuza za khansa4; zitha kumveka chifukwa chake anthu akuda sazengereza kukhulupirira zaumoyo, pomwe kale thanzi lawo silinali lofunika. Kuzunzidwa kwa mbiri yakuda kwa anthu akuda, komanso kufalitsa nkhani zabodza zokhudza thanzi la anthu akuda komanso kuwonongeka kwa ululu wakuda, kwapereka mwayi kwa anthu akuda kuti asakhulupilire zaumoyo ndi omwe amagwira ntchito.

Pali nthano zingapo zokhudzana ndi gulu la akuda zomwe zidapitilirabe m'malo azachipatala masiku ano. Zikhulupiriro izi zimakhudza kwambiri momwe anthu amitundu amathandizidwira kuchipatala:

  1. Zizindikiro za anthu akuda ndizofanana ndi za azungu. Sukulu zachipatala zimangophunzira za matenda ndi matenda mokomera azungu ndi madera, zomwe sizimapereka chiwonetsero chokwanira cha anthu onse.
  2. Lingaliro loti mtundu ndi majini zimangotengera chiwopsezo pa thanzi. Mutha kumva zinthu monga anthu akuda atha kukhala ndi matenda ashuga, koma ndizolondola kwambiri chifukwa chazomwe zimakhazikitsa zaumoyo, monga malo omwe munthu akukhalamo, kupsinjika komwe ali nako (mwachitsanzo kusankhana mitundu) ndi chisamaliro chomwe ali wokhoza kulandira. Mphamvu zomwe Race ali nazo pankhani yathanzi komanso kupeza chithandizo chazaumoyo sizimakambidwa mwapadera kapena kuphunzira kuchipatala, zomwe zimapangitsa madotolo kuti aphunzire za anthu akuda, komanso thanzi lawo, ngati gulu limodzi lalikulu m'malo mwa aliyense payekha kapena pagulu.
  3. Odwala akuda sangakhulupirire. Izi zimachitika chifukwa cha malingaliro olakwika komanso malingaliro abodza omwe amaperekedwa kudzera mwa azachipatala. Malinga ndi zomwe Wallace adapeza, azachipatala amakhulupirira kuti odwala akuda sachita zabodza pazaumoyo wawo ndipo akufuna china chake (mwachitsanzo, mankhwala akuchipatala).
  4. Nthano yapitayi imadyetsanso chachinayi; kuti anthu akuda amakokomeza zowawa zawo kapena amakhala ndi kulekerera kopitilira muyeso. Izi zikuphatikiza kukhulupirira kuti anthu akuda ali ndi khungu lokulirapo, ndipo mathero awo amisempha ndi ochepa kuposa azungu. Kulimbitsa malingaliro ngati awa, kafukufuku wofufuza yawonetsa kuti 50% mwa ophunzira azachipatala 418 omwe adafunsidwa amakhulupirira nthano imodzi yosiyana pankhani yokhudza chithandizo chamankhwala. Zikhulupiriro ngati izi zimalepheretsa chisamaliro chaumoyo, ndipo tikamaganizira nthano ziwiri, ndizomveka chifukwa chake anthu akuda atha kukhala ndi thanzi labwino.
  5. Pomaliza, odwala akuda amangopeza mankhwala. M'mbuyomu, odwala akuda amawoneka kuti ndi osokoneza bongo, ndipo zopweteka sizingachitike ndi odwala akuda. Izi sizimangokhala ndi thanzi labwino koma zimayambira makamaka pamene ana ali ana. Pofufuza za ana pafupifupi wani miliyoni omwe ali ndi appendicitis ku US, ofufuza adapeza kuti, poyerekeza ndi ana azungu, ana akuda sangalandire mankhwala azowawa pakumva kupweteka pang'ono.2 Apanso, kubwerera nthano yachiwiri, izi zikuwunikira omwe amakhazikitsa zaumoyo (mwachitsanzo, kupeza chisamaliro choyenera) zomwe zimakhudza kudwala kwakanthawi kochepa komanso kanthawi kochepa kwa wodwala wakuda.

Tsopano, kulowa mu dziko la COVID-19 ndi katemerayu, pali kuzengereza kokwanira pokhudzana ndi kudalira boma komanso koposa zonse, kudalira dongosolo lazachipatala kuti lipereke chisamaliro choyenera. Izi sizimangobwera chifukwa cha kuzunzidwa kwa mbiri yakuda kwa anthu akuda munjira zamankhwala, komanso kuchokera kuchipatala amitundu akuda amalandira kuchokera kumachitidwe onse ku United States. Tawona makanema omwe akuwoneka kuti akuwonetsa nkhanza za apolisi, taphunzira pamilandu yomwe ikuwonetsa kusowa kwa chilungamo mdziko lathu, ndipo tawona kudzera pakupandukira kwaposachedwa likulu lathu pomwe machitidwe amphamvu akutsutsidwa. Poyang'ana malamulo aposachedwa, malingaliro, komanso ziwawa komanso momwe atolankhani amafotokozera izi, zitha kuwoneka chifukwa chake anthu amtundu komanso madera awo safuna kukhulupirira kuti zaumoyo zikuyang'aniridwa.

Ndiye tichite chiyani? Kodi tingatani kuti anthu akuda ochulukirapo komanso anthu akuda akhulupirire zaumoyo ndikuthana ndi kukayika koyenera? Ngakhale pali njira zingapo zokulitsira kukhulupirirana, gawo lalikulu ndikuwonjezera chiwonetsero chazachipatala. Kuimira kungathandizenso kukhulupirirana. Kafukufuku wina adapeza kuti kuchokera pagulu la amuna akuda 1,300 omwe adapatsidwa mwayi wowunika zaumoyo waulere, iwo omwe adawona dokotala wakuda anali ndi mwayi wokhala ndi chiwopsezo cha 56%, 47% angavomereze kuwunika matenda ashuga, ndi 72% amatha kuvomereza kuyezetsa cholesterol.5 Ngati izi zikuwonetsa chilichonse, ndikuti mukadziwona nokha mwa wina, zimakhudza kwambiri kukhala omasuka. Kuphatikiza pakuyimira mitundu, tikufunikanso maphunziro owonjezera pazaumoyo waumoyo ndikupereka chisamaliro choyenera kwa madokotala. Kudzera pakusintha kosinkhasinkha kumeneku kuntchito yathu yazaumoyo, chidaliro chomwecho chimatha kulimbikitsidwa, koma zimatenga nthawi ndi ntchito yambiri.

Ndiye kuti, ngati mayi wakuda, ndikalandira katemera? Yankho lake ndi inde ndipo ndichifukwa chake - ndikuwona kuti ndichinthu choyenera kuchita kuti ndidziteteze, okondedwa anga, komanso dera langa. Centers for Disease Control and Prevention (CDC) idapeza kuti poyerekeza ndi azungu, anthu akuda ali ndi mwayi wambiri woti akhale ndi milandu ya COVID-1.4, 19 nthawi yoti agonekedwe mchipatala, komanso kufa kwa nthawi 3.7 MATENDA A COVID2.8.1 Chifukwa chake, ngakhale kuti kupeza katemera kumatha kukhala kosadziwika komanso kowopsa, zowona za COVID-19 nawonso ndizowopsa. Ngati mukukayikira ngati mukufuna katemera, fufuzani, lankhulani ndi bwalo lanu, ndikufunsani mafunso. Muthanso kuwona fayilo ya Tsamba la CDC, komwe amayankha zabodza komanso zowona za katemera wa COVID-19.

 

Zothandizira

  1. Zomwe Zimayambitsa Kuletsa Matenda ndi Kuteteza Matenda, CDC. (Feb 12, 2021). Kugonekedwa mchipatala ndikumwalira ndi fuko / mtundu. Kuchokera ku https://www.cdc.gov/coronavirus/2019-ncov/covid-data/investigations-discovery/hospitalization-death-by-race-ethnicity.html
  2. Wallace, A. (Sep 30,2020). Mpikisano ndi Mankhwala: Zikhulupiriro zisanu zoopsa zamankhwala zomwe zimapweteka anthu akuda. Kuchokera ku https://www.healthline.com/health/dangerous-medical-myths-that-hurt-black-people#Myth-3:-Black-patients-cannot-be-trusted
  3. Nix, E. (Dis 15, 2020). Kuyesera kwa Tuskegee: Kafukufuku wotchuka wa syphilis. Kuchokera ku https://www.history.com/news/the-infamous-40-year-tuskegee-study
  4. (Seputembala 1, 2020). Henrietta Akusowa: Sayansi iyenera kukonza zolakwika zakale https://www.nature.com/articles/d41586-020-02494-z
  5. Torres, N. (Aug 10, 2018) Kafukufuku: Kukhala ndi dokotala wakuda kumawatsogolera amuna kuti azilandira chithandizo choyenera. Kuchokera ku https://hbr.org/2018/08/research-having-a-black-doctor-led-black-men-to-receive-more-effective-care