Please ensure Javascript is enabled for purposes of website accessibility Ndlulela
En Español
A A
800-511-5010
I-Health First Colorado ne-CHP+ zibuyela ezinqubweni ezivamile zokuvuselela.
Hlola i-imeyili yakho, imeyili, nebhokisi lokungenayo le-PEAK. Thatha isinyathelo lapho uthola imilayezo esemthethweni. Ungabona idethi yakho yokuvuselela lapha nganoma yisiphi isikhathi. Uma uthola iphakethe lokuvuselela, qiniseka ukuthi uligcwalisa. Qiniseka ukuthi futhi uyayisayina futhi uyibuyisele ngedethi yamanqamu.
Funda kabanzi lapha

Cabanga igebe

By UBill W, MD

Cha, angikhulumi ngezimpawu kuzo zonke iziteshi zesitimela zaseLondon Underground. “Igebe” lapho libhekisela esikhaleni esiphakathi kwesiteji nesitimela sangempela. AbakwaBrits bafuna ukwenza isiqiniseko sokuthi udlula lesi sikhala, noma igebe, futhi ungene ngokuphepha esitimeleni.

Kunalokho, ngikhuluma ngesinye igebe. Okungukuthi, igebe ezinsizeni noma ubani wethu angaba nalo eliphazamisa indlela yokuzigcina sinempilo.

Ake sisekele umzuzwana.

Abahlinzeki bokunakekelwa okuyisisekelo abamatasa ngokuvamile banezinhloso ezimbalwa lapho bebona isiguli. Balalela noma yikuphi ukukhathazeka okusebenzayo noma ukukhathazeka ngasohlangothini lwesiguli. Ngesikhathi esifanayo, bagxile kunoma yiziphi izimo ezingamahlalakhona abazaziyo futhi baqinisekise ukuthi noma yikuphi ukulungiswa emithini noma ukuhlolwa kuyanakwa. Okokugcina, abahlinzeki abaningi bokunakekelwa okuyisisekelo banezinhlelo zokubakhumbuza nganoma yikuphi ukuhlolwa okujwayelekile, ukuhlolwa, noma ukugoma okungase kudingeke. Odokotela abaningi kanye nabasebenzi bezinga eliphakathi babiza lokhu ngokuthi “igebe.” Lokhu kusho ngokuqondile ukuthi uma noma ubani kithi ebonwa, kunezinsizakalo ezinconyiwe ngokusekelwe kubulili bethu, ubudala, noma izimo zezokwelapha. Lokhu kubandakanya nokugoma okunconyiwe. Bafuna ukuvala lesi sikhala ngangokunokwenzeka. Qaphela igebe.1

Ukunakekela impilo yethu sonke kuncike ekutheni sikuphi emjikelezweni wokuphila. Izinsana, izingane kanye nentsha, abesifazane abadala, nabesilisa ngamunye unezinhlobonhlobo zemisebenzi isayensi ekhombisile ukuthi yehlisa umthwalo wezifo. Hlobo luni lwemisebenzi lokhu okungase kuhlanganise? Ezinganeni nasebancane, isibonelo, udokotela uvame ukubhekana nokukhathazeka kwesiguli nomzali/umnakekeli futhi abuze ngomnyango ophuthumayo noma ukunakekelwa kwesibhedlela kusukela ekuvakasheni kokugcina; imikhuba yokuphila (ukudla, ukuvivinya umzimba, isikhathi sesikrini, ukuchayeka ekubhemeni kagwayi, amahora okulala ubusuku ngabunye, ukunakekelwa kwamazinyo, imikhuba yokuphepha); nokusebenza kwesikole. I-American Academy of Pediatrics incoma ukuhlolwa kwaminyaka yonke umfutho wegazi ophakeme, ukuhlolwa cishe njalo eminyakeni emibili ngezinkinga zokubona nokuzwa, nokuhlolwa amazinga aphezulu e-cholesterol kanye phakathi kweminyaka eyi-9 neyi-11 ubudala. Ukuhlolwa okuvamile kwezinqumo zomphakathi zezinto eziyingozi ezihlobene nempilo nakho kuyanconywa. Kufanele kunikezwe imigomo ehambisana neminyaka yobudala kanye neyokubambisa. Kunezincomo ezifanayo kodwa ezihlukile zeminyaka yobudala ngayinye neqembu lobulili.2

Zivelaphi lezi zincomo? Ngokuvamile zivela emithonjeni ehlonishwayo efana ne-United States Preventive Services Taskforce (USPSTF) noma imiphakathi ekhethekile ehlonishwayo njenge-American Cancer Society, American Academy of Family Practice, American Academy of Pediatrics, nezinye.3

Ukusebenzisa amarekhodi ezempilo e-elekthronikhi (EHRs) kukhonjiswe ukuthuthukisa amazinga okuhlola okuthuthukayo, ukuhlola ubungozi, kanye nesiqondiso esilindelwe. Lokhu kungase kubangelwe "inhlanganisela yezinto zedatha ehlelekile, amathuluzi okusekela izinqumo, ukubuka isikhathi eside kwedatha yesiguli, nokufinyelela okuthuthukisiwe kwedatha yesifinyezo yaselabhorethri neyokunakekelwa kwezempilo." Amazinga okugoma angathuthukiswa ngokusebenzisa izikhumbuzo noma izinhlelo zokukhumbula, ezingalethwa ngocingo oluzenzakalelayo, izincwadi noma amakhadi okuposa, noma mathupha phakathi kwezinye izinhlobo zokuvakasha emtholampilo.4

Kungenxa yale “misebenzi” ukuthi ukuhlinzekwa kodokotela bokunakekelwa okuyinhloko kwahlotshaniswa nemiphumela yezempilo ethuthukisiwe, okuhlanganisa yonke imbangela, umdlavuza, isifo senhliziyo, unhlangothi, nokufa kwezinsana; isisindo sokuzalwa esiphansi; isikhathi sokuphila; kanye nempilo yokuzilinganisa.5

Ngakho-ke, idatha ibonakala iqinisekisa ukubaluleka kokuthuthukisa ubuhlobo nomtholampilo ojwayelekile ukuze kutholakale izinsizakalo zokuvimbela. Ngokushesha ungaqonda ukuthi kungani abahlinzeki bokunakekelwa okuyinhloko bematasatasa ngendlela emangalisayo nokuthi isikhathi esidingekayo sokuvimbela singancishiswa ngemva kokuba ezinye izidingo zihlangatshezwane.

Okunye okufanele kukhulunywe ngakho mayelana nokuvimbela. Kube khona umnyakazo (Ukukhetha Ngokuhlakanipha) eminyakeni engu-10+ edlule ukuhlonza lezo zinsizakalo EZINGASIZI. Imiphakathi eyisipesheli engaphezu kuka-70 ithole ukuthi kungenzeka kusetshenziswe izivivinyo ezivame ukusetshenziswa ngokweqile noma izinqubo ngaphakathi kwezici zayo ezikhethekile. Kunesixhumanisi ngezansi esibonisa ukuthi yiziphi izinsiza i-American Academy of Family Practice ezibone zingasizi, futhi ngezinye izikhathi ziyingozi.6

Futhi yebo, manje ingxenye yezinsizakalo ezinconyiwe ifaka ingane entsha kubhulokhi. Ukugonywa kwe-COVID-19. Abanye baphakamise ukuthi i-COVID-19 manje isifana nomkhuhlane ngokuthi kuzoba nokugoma okunconyiwe, okungenzeka okungenani minyaka yonke, ngekusasa elibonakalayo. Abanye baphakamise ukuthi umthelela womgomo we-Covid ufana nokweluleka umuntu ukuthi angabhemi. Ukubhema kuhlotshaniswa ngokucacile ne-emphysema, i-bronchitis, umdlavuza wamaphaphu nezinye izifo eziningi. UKUNGAtholi umuthi wokugomela i-COVID-19 kungaphikiswana naye njengokukhetha ukubhema. Cishe unethuba eliphindwe ka-64 lokuthi ugcine ulaliswe esibhedlela nge-COVID-19 uma ukhetha ukungawutholi umgomo.7

Ngakho-ke, ngokuzayo lapho ubona umhlinzeki wakho wokunakekela ovamile, yazi ukuthi ukubheke ngokombono wokuhlinzeka ngezinsizakalo iminyaka yakho, ubulili, kanye nesimo sezokwelapha esingase sigunyaze. Umgomo uwukuthuthukisa impilo yakho, ukuze ukhululeke ukuze uphile impilo yakho ngokugcwele.

 

Okubhekwayo

  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/