Zindikirani Kusiyana

Ayi, sindikunena za zizindikiro paliponse London Underground sitima. "Gap" pamenepo likutanthauza danga pakati pa nsanja ndi sitima yeniyeni. A Brits akufuna kuwonetsetsa kuti mudutsa danga ili, kapena kusiyana, ndikukwera sitimayo bwinobwino.

M'malo mwake, ndikulankhula za kusiyana kwina. Kunena zoona, kusiyana kwa mautumiki amene aliyense wa ife angakhale nako kumene kukulepheretsa kukhala athanzi.

Tiyeni tibwererenso kachiwiri.

Othandizira oyambira omwe ali otanganidwa nthawi zambiri amakhala ndi zolinga zingapo akawona wodwala. Iwo akumvetsera nkhawa iliyonse yogwira ntchito kapena nkhawa kumbali ya wodwalayo. Nthawi yomweyo, amayang'ana kwambiri matenda aliwonse omwe amawadziwa ndikuwonetsetsa kuti kusintha kulikonse kwamankhwala kapena kuyezetsa kumachitika. Pomaliza, ambiri opereka chithandizo choyambirira ali ndi machitidwe owakumbutsa za kuyezetsa, kuyezetsa, kapena katemera omwe angafunikire. Madokotala ambiri ndi asing'anga apakati amatchula izi ngati "gap." Izi zikutanthauza kuti aliyense wa ife akawonedwa, pali mautumiki omwe amavomerezedwa motengera jenda, zaka, kapena matenda. Izi zikuphatikizanso katemera wovomerezeka. Iwo akufuna kutseka kusiyana kumeneku momwe angathere. Kumbukirani kusiyana.¹

Kusamalira thanzi kwa tonsefe kumadalira komwe tili m'moyo wathu. Makanda, ana ndi achinyamata, akazi akuluakulu, ndi amuna aliyense ali ndi ntchito zosiyanasiyana zomwe sayansi yasonyeza kuti zimachepetsa kulemetsa kwa matenda. Kodi izi zingaphatikizepo ntchito zotani? Kwa ana ndi achinyamata, mwachitsanzo, dokotala nthawi zambiri amalankhula ndi odwala ndi makolo / osamalira nkhawa ndikufunsa za dipatimenti yodzidzimutsa kapena chisamaliro chachipatala kuyambira ulendo womaliza; zizolowezi za moyo (zakudya, masewera olimbitsa thupi, nthawi yowonekera, kusuta fodya, kugona maola ambiri usiku uliwonse, chisamaliro cha mano, chitetezo); ndi kachitidwe kasukulu. Bungwe la American Academy of Pediatrics limalimbikitsa kuwunika kwapachaka kwa kuthamanga kwa magazi, kuyang'ana pafupifupi zaka ziwiri zilizonse za vuto la masomphenya ndi kumva, ndikuwunika kuchuluka kwa cholesterol kamodzi pakati pa zaka 9 ndi 11. Kuyang'ana nthawi zonse pazidziwitso za chikhalidwe cha anthu omwe ali ndi chiopsezo chokhudzana ndi thanzi kumalimbikitsidwanso. Katemera woyenderana ndi zaka komanso wotsatira ayenera kuperekedwa. Pali malingaliro ofanana koma osiyana a msinkhu uliwonse ndi gulu la amuna kapena akazi.²

Kodi malingalirowa akuchokera kuti? Nthawi zambiri amachokera ku malo olemekezeka monga United States Preventive Services Taskforce (USPSTF) kapena mabungwe olemekezeka monga American Cancer Society, American Academy of Family Practice, American Academy of Pediatrics, ndi ena.³

Kugwiritsa ntchito ma rekodi azaumoyo amagetsi (EHRs) kwawonetsedwa kuti kumathandizira kuwunika kwachitukuko, kuwunika zoopsa, komanso chitsogozo choyembekezeredwa. Izi zitha kukhala chifukwa cha "kuphatikiza zinthu zosinthidwa za data, zida zothandizira zisankho, kuwona kwakutali kwa data ya odwala, komanso kupezeka kwachidule cha labotale ndi chisamaliro chaumoyo." Katemera atha kuwongoleredwa pogwiritsa ntchito makina okumbutsa kapena kukumbukira, omwe amatha kuperekedwa kudzera pa telefoni, makalata kapena positikhadi, kapena pamasom'pamaso pamitundu ina yoyendera kuchipatala.⁴

Ndi chifukwa cha "ntchito" izi kuti chithandizo chamankhwala choyambirira chikugwirizana ndi zotsatira za thanzi labwino, kuphatikizapo zifukwa zonse, khansara, matenda a mtima, sitiroko, ndi imfa ya makanda; kubadwa kochepa; chiyembekezo cha moyo; ndi thanzi laumwini.⁵

Choncho, deta ikuwoneka kuti ikutsimikizira kufunika kokhala ndi ubale ndi dokotala wa generalist kuti apeze chithandizo chodzitetezera. Mutha kumvetsetsa mwachangu chifukwa chomwe opereka chithandizo choyambirira ali otanganidwa kwambiri komanso kuti nthawi yofunikira yopewera ingakhale yochepa pambuyo pa zosowa zina.

Chinthu chinanso chiyenera kutchulidwa ponena za kupewa. Pakhala pali kusuntha (Kusankha Mwanzeru) zaka 10+ zapitazi kuti muzindikire mautumikiwa omwe sali othandiza. Magulu opitilira 70 apadera apeza kuti pali mayeso omwe amagwiritsidwa ntchito mopitilira muyeso kapena njira zomwe zimagwiritsidwa ntchito mopitilira muyeso mkati mwaukadaulo wawo. Pali ulalo pansipa womwe ukuwonetsa ndi ntchito ziti zomwe American Academy of Family Practice yawona kuti ndizosathandiza, ndipo nthawi zina zovulaza.⁶

Ndipo inde, tsopano gawo la mautumiki omwe akulimbikitsidwa akuphatikizapo mwana watsopano pa block. Katemera wa COVID-19. Ena anena kuti COVID-19 tsopano ikufanana ndi chimfine chifukwa pakhala katemera wovomerezeka, mwina chaka chilichonse, mtsogolo momwe zikuwonekera. Ena anena kuti kukhudzidwa kwa katemera wa Covid kuli ngati kulangiza munthu kuti asasute. Kusuta kumalumikizidwa bwino ndi emphysema, bronchitis, khansa ya m'mapapo ndi matenda ena ambiri. KUSAPEZA katemera wa COVID-19 kungatsutsidwe ngati kusankha kusuta. Muli ndi mwayi wopitilira 64 kuti mugoneke m'chipatala ndi COVID-19 ngati mwasankha kusalandira katemera.⁷

Chifukwa chake, nthawi ina mukadzawonana ndi omwe akukusamalirani nthawi zonse, dziwani kuti akukuyang'anani popereka chithandizo chomwe zaka zanu, jenda, ndi matenda angafune. Cholinga ndikusintha thanzi lanu, kotero mumamasulidwa kuti mukhale ndi moyo mokwanira.

Zothandizira

1. https://www.aafp.org/family-physician/patient-care/clinical-recommendations/clinical-practice-guidelines/clinical-practice-guidelines.html
2. https://www.aafp.org/pubs/afp/issues/2019/0815/p213.html
3. https://www.uspreventiveservicestaskforce.org/uspstf/recommendation-topics/uspstf-a-and-b-recommendations
4. https://www.aafp.org/pubs/afp/issues/2011/0315/p659.html
5. https://pubmed.ncbi.nlm.nih.gov/17436988/
6. https://www.aafp.org/family-physician/patient-care/clinical-recommendations/choosing-wisely.html
7. https://www.theatlantic.com/health/archive/2022/02/covid-anti-vaccine-smoking/622819/