Ku Chithandizo Cha Post-Covid

Zamkati

• Kusungulumwa Kofunikira Kuwerenga
• Kusungulumwa Kwachisoni Chosagawanika

Nkhani yaposachedwa, mu Zolemba pa American Medical Association (JAMA), akuwona kuti chisamaliro chazaumoyo chikhala chikuyang'ana kwambiri pamaganizidwe azikhalidwe zam'maganizo mokulira. Malinga ndi a Carrie Henning-Smith, zomwe zakhala zikuchitika zakhala zikuchititsa 80 mpaka 90% yazotsatira zazaumoyo, mosasamala kanthu za kupita patsogolo kwa zamankhwala ndi chisamaliro chaumoyo. Amakhulupirira kuti chisamaliro cha anthu ndi madera sichingasinthe ngati zomwe zikuyambitsa sizikuthandizidwa, monga kudzipatula pagulu komanso kusungulumwa.

Kudzipatula komwe kumayesedwa ndi kuchuluka komanso kulumikizana pafupipafupi ndi abale, abwenzi, komanso anthu ammudzi, kumalumikizidwa ndi kuchuluka kwa kusungulumwa komanso kudzipha, matenda oopsa, komanso zovuta zina zakuthupi kwa anthu.

AARP inanena kuti anthu 14 pa anthu 100 alionse ku United States anali osungulumwa mu 2017 koma anali ndi $ 6.7 biliyoni pogwiritsa ntchito Medicare. Malinga ndi kafukufuku wapadziko lonse mu 2020, 61% azaka zapakati pa 50 ndi kupitirira adanenanso kudzipatula asanafike mliri wa COVID, makamaka omwe amakhala kumidzi. Komabe, zaumoyo sizimayang'ana kapena kukambirana zodzipatula ndi odwala.

Kupatula kudzipatula pagulu, a Henning-Smith amayang'ana kwambiri za kusungulumwa, komwe kumawoneka kosiyana kwambiri ndi kudzipatula.Kusungulumwa kumachokera pakusiyana pakati pamafunika ndi zenizeni za kulumikizana ndipo kumalumikizidwa ndi zovuta zaumoyo.

UK ili patsogolo pa US mu malingaliro ndi njira zake zodzipatula, zomwe zadzetsa zinthu zatsopano. Mzinda wa Leeds umakonzekeretsa ogwira ntchito kumzinda wakutsogolo ndi pulogalamu yomwe imawalola, atakhala pagulu, kuti alembe zikwangwani zodzipatula ku adilesi - khungu lotsekedwa, milu yamakalata. Pafupifupi $ 6.7 miliyoni yapatsidwa kwa osachita phindu chifukwa cha zoyesayesa zofikira kuchuluka kwa anthu omwe ali pachiwopsezo cha kusungulumwa.

Rush University Medical Center ku Chicago yawonjezera funso lokhudza kulumikizana ndi anthu pazida zake zowunika za Social Determinants of Health: "Mu sabata limodzi, mumalankhula kangati ndi abale, abwenzi, kapena oyandikana nawo?" Ogwira ntchito mwachangu komanso ophunzira amapita kukaonana nawo mlungu uliwonse kwa omwe amawafunsa. Zotsatira zakusungulumwa komanso kudzipatula kwa omwe amakhala m'malo osamalira anthu kwakanthawi panthawi ya mliri zikuchititsa kuti owasamalira awone njira zokulitsira maubwenzi ndi maulendo ochezera pomwe akupitiliza kutsatira njira zopewera matenda.

Public Health Solutions, bungwe la zaumoyo lomwe limayang'ana kukonza thanzi la mabanja omwe ali pachiwopsezo ku New York City, lapeza kuti achikulire omwe akukhala m'nyumba za anthu anali kudzipatula pakati pa mliri wa COVID-19, mwa zina chifukwa cholephera kupeza ndikugwiritsa ntchito kulumikizidwa kwa intaneti kwa mankhwala, maulendo azaumoyo, kupeza chakudya, komanso kuthandizidwa ndi anzawo. Zotsatira zake, bungweli likugwira ntchito ndi New York City Housing Authority kuti ipeze mwayi wapa burodibandi ndi intaneti ngati zothandiza pagulu lanyumba.

A Henning-Smith akumaliza ndi kutikumbutsa kuti kulumikizana ndi ena ndichinthu chofunikira kwambiri pakutanthauza kukhala munthu, kuti kumapangitsanso tanthauzo komanso cholinga m'moyo ndikupanga magulu othandizira omwe anthu amapitako panthawi yamavuto. Komabe, kuwopseza anthu omwe ali pachiwopsezo chachikulu, anthu mosasunthika amaika patsogolo mfundo monga kudzidalira komanso kudziyimira pawokha pakulumikizana ndi kudalirana. Mliriwu ukuwonetsa kufunikira kwakusintha pano komanso munthawi ya mliri.

Ndikukhulupirira kuti kusinthaku kumakhudza makamaka thanzi la m'maganizo, lomwe limayang'ana kwambiri zovuta zomwe zimapezeka ndikufanana ndi zododometsa zamagulu ndi magulu osiyanasiyana monga momwe tafotokozera mu Diagnostic and Statistical Manual (DSM) yaposachedwa, yofalitsidwa ndi American Psychiatric Mgwirizano.

M'zaka zanga zonse ndikugwira ntchito, sindingakumbukire njira iliyonse yodziwira zaumoyo wamagulu kapena mabanja. Akatswiri azamisili omwe amayendera odwala omwe amakhala m'malo osamalira anthu kwanthawi yayitali ali ndi udindo wolemba lipoti laulendo aliyense wodwala, kuwonetsa kuwonetsa kwamatenda amisala molingana ndi njira ya DSM ndi momwe amathandizidwira, ndizotsatira zake.

Nthawi yonseyi wodwalayo mwina anali atangofuna kampani kapena chilolezo kuti alire chifukwa chokwatirana kapena abwenzi kapena abale omwe sanabwere kudzacheza. Akatswiri azamaganizidwe amakumana ndi odwala okalamba omwe ali osungulumwa, osati chifukwa choti palibe anamwino kapena anzawo owazungulira koma chifukwa ataya tanthauzo m'miyoyo yawo.

Kusungulumwa Kofunikira Kuwerenga

Kusungulumwa Kwachisoni Chosagawanika