Kudzivirira uye Zvigadzirwa zvekuzviuraya neKenza
Chii chinonzi munhu wese ane kenza, kunyanya avo vane chirwere chemapapu, vanoda kuziva nezvekuda kuzviuraya?
Kuzviuraya Kunowanikwa Muvanhu Vane Kanzera
Kunyangwe tisingawanzozvinzwa pamusoro pazvo, kuzviuraya kune vanorwara nekenza kwakawandisa. Uye kunyange isu tingatarisira kuzviuraya kunowanzoonekwa kune umwe munhu uyo kurashwa kwakakundikana, handizvo.
Ndezvipi Kuzviuraya Kunowanzojairika muVarwere veCancer?
Kuzviuraya kunowanzoitika mumwedzi mitatu yekutanga mushure mekunge mumwe munhu anoonekwa ane kenza. Nehuwandu hwehuwandu huviri hwehuwandu hwehuwandu hwevanhu, iyi njodzi inogona kuva yakawanda kanomwe ka13 inowanzozviuraya pangozi kune avo vachangobva kuongororwa nekenza. Kuda kuzvipira- kwakagadzirirwa neCDC se "kufunga, kufunga, kana kuronga kuzviuraya" -kuvhara munenge 6 kubva muzana yevanhu vane kenza.Ekare zvakakosha kuziva kuti kuzviuraya kune vanorwara nekenza kazhinji kunowanikwa mugore rokutanga mushure mekuongororwa, uye kunyange kana kurapwa kuri kushanda, kana mumwe munhu ari kukanganwirwa zvakakwana kubva kune kenza yavo.Inguva ipi iwe unofanira kufunganya, pane chimwe chinhu chaunogona kuita kubatsira kudzivirira kuzviuraya, uye nguva uye sei inofanira kutsvaga rubatsiro rwekurumidza?
Kana iwe kana munhu waunoda wakaedza kuzviuraya , dial 911 pakarepo. Kana iwe uchida munhu waunoda akaedza, uye paanenge achimirira vaparidzi vese, verengai chero mishonga iripo. Kumbira mudiwa wako nezvemishonga ipi zvayo inotorwa, kushandiswa kwewaini, uye chero marapirwo akaitwa neboka rinokurumidza kupindura.
Kana iwe unongoda kutaura kune mumwe munhu iye zvino, asi iwe kana mudiwa wako wakachengeteka uye kwete kuzviuraya, shandisa National Suicide Prevention Hotline pa 1-800-8255.
Kana iwe uri kuzviuraya, zvakakosha kutaura nemunhu waunovimba naye. Usatya kutya kubvuma rubatsiro. Kuongororwa kwekenza kunogona kuoneka kunopisa, asi vanhu varipo kuti vakubatsire pane imwe nhanho.
Usaedza kuve gamba uye ita izvi chete. Pane chiito che "kupa mubayiro" vanhu vane kenza yekuva "ushingi." Asi hapana munhu anofanira kutambura mukurwadziwa - kana mumuviri kana mupfungwa. Dzimwe nguva chiito chakashinga chirikukumbira rubatsiro rwakakodzera nemarwadzo omunhu uye mupfungwa.
- Ndiani Anofanira Kukumbira Kana Iwe Uri Kufunga Kuzviuraya?
- 10 Mazano Okugadzirisa Kuzviuraya Mafungiro
Ndiani Ari Pangozi?
Kuongororwa kwekenza kunogona kuparadza, kunyange kana kenza inguva yekutanga uye inoporesa. Nokuda kwechikonzero ichi, ani zvake akapiwa chirwere chekenza ari pangozi. Zvakakosha kusimbisa kuti njodzi inopfuura yakakura mushure mekunge uongororwa, usati watanga kurapwa uye kana zviratidzo zvingava zvinyoro. Kana mumwe munhu waunoda achizviratidza kuzviuraya, kunyange kana chikonzero chichiita sechisingakoshi kwauri, chivatore zvakanyanya. Ruzhinji rwevanhu vanozviuraya pachavo vane chirwere chepfungwa chinoporesa .
Ngozi dzekuzviuraya kune vanhu vane kenza dzinosanganisira:
- Zera - Vanhu vane kenza pamusoro pemakore makumi matanhatu nemashanu vanowanzozviuraya kupfuura avo vanopfuura makore makumi matanhatu nematanhatu. Kuzviuraya kunowanikwa kune varume vanopfuura makumi masere. Asi zvakasiyana ndezvokuti vakadzi vane kenza yevana vanowanzova pangozi kana vari muduku kudarika vakuru.
- Zvepabonde - Varume vane kenza vanonyanya kuzviuraya kupfuura vakadzi vane kenza.
- Nguva - Gore rokutanga mushure mekuongororwa ndeye nguva yekukuvara kukuru. Chidzidzo chikuru muSweden chakaona kuti mungozi yekuzviuraya yaive yakapetwa ka13 kudarika avo vasina kenza mukati vevhiki yekutanga mushure mekuongororwa, vachidonhera kusvika ku33 kazhinji munguva yakawanda mugore rokutanga. Imwe yongororo yakawanikwa yakawana kuti hafu yezvizvikutu mune chirwere chekenza yakaitika mumakore maviri ekutanga mushure mekuongororwa.
- Kansa yekutengesa - Kuzviuraya kunowanzoonekwa pakati pevanhu vane mapapu , prostate , pancreatic , esophageal, mudumbu , uye musoro nemutsipa makondombera (akadai sepharyngeal (throat) kenza uye laryngeal (izwi bhokisi) kanzera ). Chimwe chidzidzo chakawana kuti varwere vevarume vane kenza yepancreatic vaizviisa panjodzi yekuzviuraya 11 nguva dzevanhu vazhinji. Chidzidzo cheKorea chakaona kuti kuzviuraya kune vakadzi kwakanyanya kunowanzo kune avo vane kenza yemapapu. Chidzidzo che 2017 neAmerican Thoracic Society chakawana kuti chevaya vose vane kenza, avo vane chirwere chemapapu vane ngozi yakanyanya yekuzviuraya. Muchidzidzo ichocho, mungozi yekuzviuraya kwemaronda ose akabatana aive makumi matanhatu kubva muzana kubva kune avo vasina kenza. Pakati peavo vaiva nemukenza wemapapu, njodzi yacho yaiva 420 kubva kumusoro kupfuura yevhareji.
- Mhangemutange - Kuzviuraya kwekuzviuraya kunoita kunge kwakakwirira kune vasiri veSpain whites kupfuura mune mamwe madzinza.
- Kutadza kusagadzikana - Vanhu vane kenza inotakura hurombo hushoma (tarisiro yeupenyu huri pasi) inowanzofunga kuzviuraya kune avo vane zvikamu zvekare zvechirwere. Zvirwere zveMetastatic (kenza inopararira kune dzimwe nzvimbo dzomuviri) inosangana nehuwandu hwekuzviuraya.
- Marwadzo - Marwadzo asina kukodzera kutaridzirwa anosanganiswa nehuwandu hwemungozi. Zvinofadza kuti, marwadzo echepenza akawanda anogona kutarirwa, uye mazhinji emakirini emukenza iye zvino anopa mazano ekuchengetedza mazano ekubatsira kugadzirisa zviratidzo zvekenza uye marapirwo ayo. Dzidza zvakawanda nezvekutarisira kurwadziwa kwevanhu vane kenza .
- Kushungurudzika uye Kuzvidya Mwoyo - Zvakawanikwa kuti vanhu vanonzwa kuora mwoyo, kuzvidya mwoyo, kana kubuda shure kwehutano hwepfungwa mukuwedzera kune kenza vane pfungwa dzekuzviuraya zvikuru kupfuura avo vasina zviratidzo izvi.
- Kusakwanisa Kushanda - Kuzvifungidzira pfungwa dzaive dzakapetwa katanhatu kune vanhu vakanga vasingakwanisi kuita mabasa aidiwa nebasa ravo.
- Mune Zvokunamata - Muzvidzidzo zvishomanana, vanhu vakati ivo vakanga vasina "chitendero" vakaona pfungwa dzakawanda dzekuzviuraya kupfuura avo vaipinda misangano yechitendero.
- Zvemagariro - Vanhu vakanga vasina kuroorwa vainyanya kuedza kuzviuraya kupfuura avo vakaroorana. Kuzviuraya kwaivewo kuwanda kune vanhu vasina dzidzo yekondari.
General Risk Factors
Kunyange zvazvo zvinhu zvakawanda zvingaita kuti mumwe munhu azviise pangozi yekuzviuraya ave akacherechedza, zvimwe zvinowanzofungidzirwa zvinosanganisira:
- Mhuri ine nhoroondo yekuzviuraya, kuora mwoyo, kana chirwere chepfungwa
- Pakuzviuraya kuzviedza
- Kuva nechirongwa chekuti vaizozviuraya sei
- Kuwana zvombo
- Inzwi rekusava netariro
Zvimwe pamusoro pengozi zvinhu:
- Kuzvidzivirira Njodzi Zviitiko uye Zviratidzo Zvokunyevera
Unofanira Kufungisisa Rini?
Kuziva zviverengero, kana iwe une mudikanwi nekenza zvakakosha kuti uzive zviratidzo zvinonyevera zvekuzviuraya. Asi izvi zviratidzo zvinogona kuva zvakaoma kududzira mumamiriro ekurwara. Semuenzaniso, kupa zvinhu kure zvakakosha kunogona kuva chikamu chekunyevera kuzviuraya, asi chinogonawo kuva chakasviba, kunyange chiratidzo chekuti mumwe munhu ari kubvuma rufu rwavo rwava kuda kusvika mumamiriro ekurapa kenza.
Zviratidzo Zvinonyevera
- Kuva nechirongwa pamusoro pekuti vaizozviuraya sei.
- Kupa zvinhu zvinhu zvinokosha.
- Kuita unhu hunotyisa - Sokutyaira nekukurumidza kana kuregera kunoda mishonga.
- Nenguva isipi inofadza kana kuti inodzikama mushure menguva yekuonekwa pasi uye yakaora mwoyo.
Vimba nematumbo ako. Kana intuition yako iri kutumira zviratidzo zvinonyevera - kunyange kana pasina zvimwe zviratidzo zvinonyevera zviripo - teerera inzwi rako romukati uye utsvake rubatsiro kune waunoda.
Kudzivirira
Pane chimwe chinhu chaunogona kuita kuderedza ngozi yekuzviuraya kune waunoda here? Ichokwadi kuti pane dzimwe nguva vanhu vanozviuraya pasinei zvaungaita kuti uedze nekudzivirira. Asi pane dzimwe nguva pane zvinhu zvaunogona kuita izvo zvingaderedza ngozi pfupi.
- Ivai nehanya - Zivai zviratidzo zvinonyevera.
- Teerera - Rega mudiwa wako ataure. Vanhu vazhinji vanoedza kuzviuraya vanonzwa vachinetseka. Kutaura chete kungasimudza imwe yemutoro. Dzivisa kupa mhinduro dzinokurumidza, uye pane kudaro, teerera zvinetso zvomunhu wako.
- Usatonga - Iwe unogona kusanzwisisa nei chidiwa chako chachinzwa zvakanyanya. Dambudziko ravo rinogona kunge risingaoneki risingakwanisiki, asi rinogona kunzwa saizvozvo nenzira yavo. Teerera empathically.
- Taura rudo rwako - Kunyange kana mudiwa wako akanzwa rudo rwako, zvinobatsira kuzvinzwa zvakare. Imwe yevanhu vanotya vanhu vane kenza ndeyekuve mutoro kune vamwe. Yeuka iwe waunoda wemufaro wavanouyisa hupenyu hwako, kunyange nekutariswa kwekenza.
- Bvunza - Iwe unogona kutya kuunza pfungwa dzekuzviuraya nekuda kwekuti zvinogona kuisa pfungwa mumusoro wemunoda wako. Icho hachisi chokwadi. Kutaura zvazviri, kusabvunza kunogona kutaurwa sekusava nehanya kune chikamu chako. Mibvunzo mitatu inokosha inobvunzwa iyo inogona kuratidza kuti imwe yehupenyu hwekuzviuraya inosanganisira: Vanoziva here kuti vangangozviuraya sei? Vane zvinhu zvinowanikwa (somuenzaniso, rubatsiro rwekurara mapiritsi) uye vanoziva here kuti vachazviita rini?
- Shandisa - Kana une dambudziko, zvakakosha kuti ubvunze rubatsiro kune vamwe vadiwa neshamwari. Mudiwa wako angakukumbira kuti urege kutaura kune vamwe, asi ichi ndicho chinhu chausingafaniri kutakura iwe oga.
- Tsvaga rubatsiro rwezvenyanzvi - Kana mudiwa wako ari kunzwa asina tariro pamusoro pekurapa kana kurwadziwa, nyanzvi yekuchengetedza zvakanaka inogona kukwanisa kupa rubatsiro. Vadzidzi vavo vepancologist kana kuti chiremba wekutanga vanogona kukurudzira chiremba chepfungwa kana chiremba wepfungwa kuti vabatsire kugadzirisa kurwadziwa kwepfungwa kwakatungamirira kufunga kwekuzviuraya.
- Ita kuti zvombo zvechokwadi zvisingakwanisi kusvika - Kunakidza kubvisa zvombo zvose kubva kumba kana zvichibvira.
- Usavarega vari voga - Iva nechokwadi chokuti iwe, kana mumwe munhu waunovimba naye, unogara newaunoda iwe pavanenge vachinzwa vasina tariro kana kusvikira vakakodzera vepano hwehutano hwepfungwa vanogona kuongorora mudiwa wako.
Unofanira Kuda Rini Rubatsiro?
Kana mudiwa wako akaedza, danai 911. Kana iwe uine hanya uye uchida kubatsirwa nokukurumidza, National National Prevention Prevention Hotline ndiyo nzvimbo yakanaka yokutanga.
- Kuzvidzivirira Kuzviuraya Kwemitambo yeHerenline online, kana kuti kudana 1-800-273-TALK (8255)
> Sources
> America Thoracic Society. Pakati Pevamwe Kanzira, Kanhu Inoratidzika Kuonekwa Kuisa Varwere Mukukuvadza Kwazvo Kuzviuraya. May 23, 2017.
> Anguiano, L. et al. Kuongorora mabhuku ekuzviuraya kune vanorwara nekenza. Cancer Nursing . 2012. 35 (4): E14-26.
> Centers for Disease Control and Prevention (CDC). Kukuvadza Kudzivirira uye Kudzora. Yashandurwa 08/28/15. http://www.cdc.gov/violenceprevention/suicide/definitions.html
> Fang, F. et al. Dambudziko rekuzviuraya uye nemwoyo yepfungwa mushure mekuberekwa kwekenza yeprostate kuongororwa: kuongorora boka muUnited States. Zvinyorwa zveNational Cancer Institute . 2010. 102 (5): 307-14.
> Fang, F. et al. Kuzviuraya uye kuurayiwa kwepfungwa mushure mekurwara kwekenza. The New England Journal of Medicine . 2012. 366 (14): 13-8.
> Johnson, T. et al. Peak window yekuzviuraya inoitika mukati memwedzi wokutanga wekuongororwa: zvinokonzerwa nekliniki incology. Psychooncology . 2012. 21 (4): 351-6.
> Kendal, WS, uye WM Kendal. Kuenzanisa Nengozi Dzakakonzerwa Nengozi uye Kuzviuraya Rufu muChancer Varwere. Dambudziko . 2012 Jul 1: 1-10. (Epub mberi kwekudhinda)
> Nakash, O. et al. Mhedziso yekenza yekuzviuraya mumadzinza ane njodzi yekuzviuraya yakasiyana. European Journal of Public Health . 2012 Apr 25. (Epub mberi of print)
> Nasseri, K. et al. Kuzviuraya mukenza varwere muCalifornia, 1997-2006. Archives of Kuzviuraya Research . 2012. 16 (4): 324-33.
> Kuzviuraya uye zvinhu zvayo zvinobatanidza nevanorwara nekenza: migumisiro yekuongororwa kwakawanda mukati meKorea. International Journal of Psychiatry in Medicine 2012. 43 (4): 381-403.
> Spencer, R. et al. Clinical correlates yekufunga kuzviuraya kune varwere vane kenza yakanyanya. American Journal of Geriatric Psychiatry . 2012. 20 (4): 327-36.