Ngati mwakhala mukutsalira m'mbuyo mu kusintha kwa kugonana, musadandaule. Zitha kuchepetsa mwayi wanu wokhala ndi khansa.

Chithunzi cha BMJ Press. Mbiri ya anthu 10 kapena kuposerapo omwe amagonana nawo moyo wawo wonse amalumikizana ndi chiopsezo chowonjezeka cha khansa. Kafukufuku wofalitsidwa pa intaneti m'magaziniyi BMJ Sexual & Reproductive Hchuma amawulula izi.

Ndipo zomwe zapezedwa zikuwonetsa kuti pakati pa azimayi, kuchuluka kwa anthu omwe amagonana nawo kumalumikizana ndi kuchulukirachulukira kwakuwonetsa kuti ali ndi vuto lokhalitsa.

 

Kuphunzira kwa nthawi yayitali

Kafukufuku wochepa wawona momwe kuchuluka kwa anthu ogonana nawo kungakhudzire zotsatira za thanzi.

Kuti atseke kusiyana kwa chidziwitsochi, ofufuzawo adatengera zambiri zomwe zidasonkhanitsidwa ku English Longitudinal Study of Aging (ELSA). Uwu ndi kafukufuku woyimira dziko lonse wa achikulire (50+) okhala ku England.

Mu 2012-13, adafunsa anthu kuti ndi anthu angati omwe adagonana nawo. Poyankha funsoli, 5722 mwa anthu 7079 adawulula deta yonse: amuna 2537 ndi akazi 3185. Ofufuza adagawa mayankho ngati 0-1; 2-4; 5-9; ndi anthu khumi kapena kuposerapo ogonana nawo.

Anapemphanso ophunzira kuti ayese thanzi lawo ndikunena za matenda omwe akhalapo kwa nthawi yayitali kapena kulumala komwe kumasokoneza zochita zachizolowezi mwanjira iliyonse.

Zina zofunikira zomwe zidapezedwa zikuphatikiza: zaka; fuko; banja; ndalama zapakhomo kupatulapo penshoni; moyo (kusuta, kumwa, kuchita masewera olimbitsa thupi); ndi kukhalapo kwa zizindikiro zowawa.

Avereji ya zaka za otenga nawo mbali inali 64, ndipo pafupifupi atatu mwa anayi anali okwatira. Pafupifupi 28.5% ya amuna adanena kuti adagonanapo ndi 0-1 mpaka pano; 29% adanena kuti anali ndi 2-4; mmodzi mwa asanu (20%) adanena 5-9; pamene 22% adanena 10 kapena kuposa.

Ziwerengero zofanana za amayi zinali: osakwana 41%; 35.5%; osachepera 16%; ndi pansi pa 8%.

 

Ogonana

M'mabanja onse, chiwerengero chokwera cha okwatirana chimagwirizanitsidwa ndi zaka zazing'ono, kusakwatiwa, ndi kukhala m'magulu apamwamba kapena otsika kwambiri a chuma chapakhomo.

Omwe adanena kuti ali ndi zibwenzi zambiri zogonana nawonso amasuta, kumwa pafupipafupi. Amagwiranso ntchito zolimbitsa thupi kwambiri mlungu uliwonse.

Zonse zikawunikidwa, mgwirizano wofunikira udawonekera pakati pa kuchuluka kwa anthu omwe amagonana nawo nthawi zonse komanso chiopsezo chopezeka ndi khansa pakati pa amuna ndi akazi.

Poyerekeza ndi amayi omwe adanena kuti 0-1 adagonana nawo, omwe adanena kuti anali ndi 10 kapena kuposerapo, anali 91% mwayi wopezeka ndi khansa.

Mwa amuna, omwe adanena kuti agonana nawo a 2-4 moyo wonse anali ndi mwayi wopezeka ndi khansa 57% kuposa omwe adanena 0-1. Ndipo omwe adanenapo za 10 kapena kupitilira apo, anali ndi mwayi wopitilira 69% kuti adapezeka ndi matendawa.

Akuti mikhalidwe yokhalitsa pakati pa amuna sinafanane ndi kuchuluka kwa ogonana nawo, pomwe izi zidachitikanso pakati pa azimayi.

Azimayi omwe adanena za 5-9 kapena 10+ ogonana nawo moyo wonse anali ndi 64% mwayi wokhala ndi vuto lochepa kusiyana ndi omwe adanena kuti anali ndi 0-1.

 

Kugwirizana ndi maphunziro akale

Uwu ndi kafukufuku wowunikira, ndipo motero, sungathe kudziwa chomwe chimayambitsa. Komabe, zomwe apezazo zikufanana ndi zomwe zachitika m'mbuyomu, zomwe zimakhudza matenda opatsirana pogonana pakukula kwa mitundu ingapo ya khansa ndi chiwindi, akutero ofufuzawo.

Sanapeze zambiri zamitundu yeniyeni ya omwe ali ndi khansa omwe adanenapo, koma amalingalira kuti: "...chiwopsezo chowonjezeka cha khansa chikhoza kuyendetsedwa ndi mitundu yomwe imadziwika kuti imakhudzana ndi [matenda opatsirana pogonana]."

Ndipo amati kufunsa za kuchuluka kwa anthu omwe amagonana nawo kutha kuthandizana ndi mapulogalamu omwe alipo kale oyezera khansa. Atha kuthandizira kuzindikira omwe ali pachiwopsezo, ngati kafukufuku wopitilira atha kukhazikitsa mgwirizano pakati pa kuchuluka kwa anthu ogonana nawo komanso kudwala.

Koma kufotokozera za kusiyana pakati pa amuna ndi akazi pachiwopsezo chanthawi yayitali kumakhalabe "kovuta," akulemba. Izi zili choncho makamaka kwa omwe amuna amakonda kukhala ndi zibwenzi zogonana nthawi zonse kuposa akazi. Ndipo amayi amakhala ndi mwayi wowonana ndi dokotala akadwala kwambiri kuposa amuna, zomwe zimapangitsa kuti pakhale thanzi lawo lalitali.

13/02/2020

Kafukufuku: Ubale pakati pa matenda osatha ndi kuchuluka kwa anthu ogonana nawo: kusanthula kofufuza doi 10.1136/bmjsrh-2019-200352

Nkhani: BMJ Umoyo Wakugonana ndi Ubereki

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Pezani: Kugonana m'kamwa kukukulitsa 'mliri' wa khansa yapakhosi, achenjeza dokotala