“Upenyu Hwahwo,” Kana Kuti Ndakaora Mwoyo Here?

Gumiguru mwedzi wakanaka. Husiku hunotonhorera, mashizha achitendeuka, uye manhanga-anorunga zvese.

Iwowo mwedzi wakatsaurwa kuti tifunge nezveutano hwedu hwepfungwa. Kana iwe wakafanana neni, ndinofungidzira kuti mazuva mapfupi nehusiku hurefu hazvisi zvaunofarira. Sezvo isu tichitarisira chando chiri mberi, kufunga nezve mabatiro atinoita hutano hwedu hwepfungwa zvine musoro. Izvi zvinogona kureva kuve kuda kuongororwa kuti hutano hwedu hwepfungwa huri kuita sei.

Kukosha kwekutanga kuongororwa hutano hwepfungwa kunozivikanwa. Inenge hafu yemamiriro ehutano hwepfungwa anotanga nezera 14 uye 75% nezera 24, maererano neNational Association of Mental Health. Kuongorora uye kuona matambudziko ekutanga kunobatsira kuvandudza mhedzisiro. Nehurombo, pane avhareji yekunonoka yemakore gumi nerimwe pakati pezviratidzo zvinotanga kuoneka uye kupindira.

Mune ruzivo rwangu, panogona kuve nekupokana kwakawanda kwekuongororwa zvinhu zvakaita sekuora mwoyo. Vazhinji vanotya kupihwa mazita uye kusekwa. Vamwe, kufanana nechizvarwa chomubereki wangu, vaidavira kuti manzwiro aya kana kuti zviratidzo “zvaingova zvoupenyu” uye muitiro wenguva dzose kunhamo. Varwere dzimwe nguva vanotenda kuti kuora mwoyo hachisi chirwere "chaicho" asi chaizvoizvo chimwe chikanganiso chemunhu. Pakupedzisira, vazhinji vanongove vasina chokwadi nezve kukosha kana kukosha kwekurapa. Kana iwe ukafunga nezvazvo, zviratidzo zvakawanda zvekuora mwoyo, sekuzvipa mhosva, kuneta, uye kusazviremekedza, zvinogona kupinda munzira yekutsvaga rubatsiro.

Kuora mwoyo kwakapararira muUnited States. Pakati pa2009 na2012, 8% yevanhu vane makore 12 ekuberekwa zvichikwira vakataura kuti vaive nedepression kweanopfuura mavhiki maviri. Kushungurudzika ndiyo inonyanya kuongororwa ye8 miriyoni kushanya kumahofisi echiremba, makiriniki, uye makamuri ekukurumidzira gore rega rega. Kushungurudzika kunokanganisa varwere munzira dzakawanda. Vane mukana wokubatwa nechirwere chemwoyo kanopfuura kana kupfuura vaya vasina kuora mwoyo.

Sezvinogona kuonekwa, kuora mwoyo ndicho chirwere chepfungwa chinowanzoitika muhuwandu hwevanhu. Semutarisiri wekutanga kwemakumi emakore akati wandei, unokurumidza kudzidza kuti varwere havawanzo kuuya vachiti, "Ndashungurudzika." Zvizhinji zvingangoitika, vanoratidza nezvatinoti somatic zviratidzo. Izvi zvinhu zvakaita semusoro, matambudziko ekumusana, kana kurwadziwa kusingaperi. Kana tikatadza kuongorora kuora mwoyo, 50% chete ndiyo inozivikanwa.

Kana kuora mwoyo kunoramba kusina kurapwa, kunogona kukonzera kuderera kwehupenyu, migumisiro yakaipisisa ine zvirwere zvisingaperi zvakadai seshuga kana chirwere chehutano, uye kuwedzera kwengozi yekuzviuraya. Zvakare, kukanganisa kwekuora mwoyo kunowedzera kupfuura murwere wega, zvichikanganisa vakaroorana, vashandirwi, uye vana.

Pane zvinozivikanwa zvinogona kukonzera kuora mwoyo. Izvi hazvirevi kuti uchaora mwoyo, asi unogona kunge uri panjodzi huru. Zvinosanganisira kuora mwoyo kusati kwaitika, zera rechidiki, nhoroondo yemhuri, kubereka mwana, kushungurudzika kwevacheche, zviitiko zvinoshungurudza zvichangobva kuitika, kushaya rubatsiro rwemagariro evanhu, mari shoma, kushandiswa kwezvinodhaka, uye kuora mwoyo.

Kuora mwoyo hakusi kungo“va pasi” chete. Zvinowanzoreva kuti une zviratidzo zuva rega rega kwemavhiki maviri kana anopfuura. Zvinogona kusanganisira kushushikana, kurasikirwa nekufarira zvinhu zvakajairika, kunetseka kurara, kushomeka kwesimba, kusaisa pfungwa pachinhu chimwe, kunzwa seusingabatsiri, kana pfungwa dzekuzviuraya.

Zvakadini nevakuru vakura?

Pamusoro pe80% yevanhu vane 65 uye vakuru vane chirwere chisingaperi chisingaperi. Makumi maviri neshanu muzana ane mana kana kupfuura. Zvinodanwa nevarapi vepfungwa kuti “kuora mwoyo kukuru” kunowanzoitika muzvikamu zviviri kubva muzana zvevanhu vakuru. Zvinosuruvarisa, zvimwe zvezviratidzo izvi zvinopomerwa pane mamwe mamiriro pane kusuwa.

Muvanhu vakura, zvinhu zvinogona kukonzera kuora mwoyo zvinosanganisira kusurukirwa, kutadza kushanda zvakanaka, kuongororwa kutsva kwechiremba, kushaya simba pamusana perusaruraganda kana kuti zera, kurova kwemwoyo, mishonga, kurwadziwa kusingaperi, uye kushungurudzika pamusana pokurasikirwa.

kuongorora

Vanachiremba vazhinji vari kusarudza kuita nhanho mbiri yekuongorora nzira yekubatsira kuona avo varwere vanogona kunge vakaora mwoyo. Zvishandiso zvakajairika ndeye PHQ-2 uye PHQ-9. PHQ inomirira kuti Patient Health Questionnaire. Ose ari maviri PHQ-2 uye PHQ-9 madiki eiyo refu PHQ yekuongorora chishandiso.

Semuenzaniso, iyo PHQ-2 ine mibvunzo miviri inotevera:

• Mumwedzi wapfuura, wakambonzwa kufarira zvishoma kana kufara kuita zvinhu here?
• Mumwedzi wapfuura, wakambonzwa wakaora mwoyo, wakaora mwoyo, kana kuti usina tariro here?

Kana iwe wakapindura zvakanaka kune imwe kana mibvunzo miviri, hazvireve kuti une dambudziko rekuora mwoyo, kungoti zvinozoita kuti mutarisiri wako aongorore zvakare kuti uri kuita sei.

Final pfungwa

Zviratidzo zvekuora mwoyo zvinotungamirira kumutoro wakakura wechirwere kubva pahurefu hwehupenyu hwehupenyu pamwe nehupenyu hwehupenyu. Kukanganisa kwekuora mwoyo pahuwandu hwehupenyu hunopfuura migumisiro yechirwere chemoyo, chirwere cheshuga, high blood pressure, asima, kusvuta, uye kusaita muviri. Zvakare, kuora mwoyo, pamwe chete nechero yeaya uye mamwe mamiriro ekurapa, kunowedzera hutano mhedzisiro.

Saka, muna Gumiguru, zviitire iwe nyasha (kana kukurudzira mudiwa). Tarisa pauri mupfungwa, uye kana paine mubvunzo wekuti ungave uri kubata nedambudziko rehutano hwepfungwa, sekuora mwoyo kana neimwe nzira, taura nemutarisiri wako wehutano.

Pane rubatsiro chairwo.

 

Resources

nami.org/Advocacy/Policy-Priorities/Improving-Health/Mental-Health-Screening

pubmed.ncbi.nlm.nih.gov/18836095/

uptodate.com/contents/screening-for-depression-in-adults

aafp.org/pubs/afp/issues/2022/0900/low-right-care-depression-older-adults.html

aafp.org/pubs/fpm/issues/2016/0300/p16.html

Psychiatry Epidemiol. 2015;50(6):939. Epub 2015 Kukadzi 7