Eminyakeni yamuva, kube khona umkhuba ohilela abadumile abenza njengabacebisi bezempilo. Basebenzisa ukuma kwabo emphakathini ukuze banikeze iseluleko sezokwelapha futhi bavume imikhiqizo. Futhi lo mkhuba kulindeleke ukuthi uqhubeke futhi ukhule. Ukucwaninga kusikisela ukuthi iningi labantu lizwile ukuvunyelwa kanye nezeluleko ezinjalo-futhi abaningi abakwenzayo ngempela.
Abantu bayamangala kakhulu ngabadumi futhi ngokuvamile bathatha lokho okumele bakusho ngenhliziyo. Lapho udumo lukhuthaza ucwaningo lwezokwelapha olususelwa kulo (okusho, ubufakazi obusekelwe ebufakazini) ukuthi abantu abaningi kakhulu benza izinto ezithandayo.
Kodwa-ke, kukhona nokuphazamiseka kokugunyazwa udumo. Uma udumo lukhuthaza ukungenelela noma ukwelashwa okungasekelwa ubufakazi, imiphumela emphakathini ingaba yingozi noma ingozi.
Naphezu kokuba isitsha sempilo yomphakathi, asazi okuncane ngokuvumelana nokuvuma okudumile. Asazi ukuthi udumo luhlolisisa kanjani ulwazi oluhlobene nempilo, izimo zengqondo nokuziphatha. Kodwa-ke, kunezizathu ezithile zokuzama ukuzama ukuchaza izindlela zalesi senzakalo.
Iseluleko-Iseluleko Sokubukwa Kwamakhasimende Asekelwe
Ake siqale sibheke iseluleko esithile esidumile esihambisana nobufakazi bezokwelapha futhi samukele izincomo.
- Ngo-1991, uMichel Johnson, umdlali we-basketball owaziwayo, umemezele ukuthi une-HIV. Isimemezelo sakhe sakhuphula ukuqwashisa nge-HIV ne-AIDS emphakathini. Kwakukhona ukukhula okusheshayo kubantu ababiza ama-US Centers for Health and Prevention's National AIDS Hotline ukucela ulwazi.
- Ekupheleni kweminyaka yama-1990, uBob Dole wakhulisa ukuqwashisa nge-erectile dysfunction (ED). U-Dole uphenyowe futhi waphathwa nge-cancer yesicathulo futhi wabe esebhekana ne-ED, okuyinto eya kuyo irekhodi ezoxoxa ngayo. U-Dole naye waba ngumkhulumeli we-Viagra, osebenza kahle ekuphatheni i-ED. Esikhathini esiningi samadoda abahlinzwa ukuze baphathe umdlavuza we-prostate, ukukhubazeka kwe-erectile kuwumphumela omubi ovamile ngoba izishukela kanye nemithambo yegazi yokulawula i-erection zibucayi kakhulu.
- Ngo-1997, umyeni wezombangazwe uKathy Couric, uJay Monahan, kuthiwa unomdlavuza wekoloni . Wafa ezinyangeni eziyisishiyagalolunye kamuva eneminyaka engu-42. Ngo-2000, u-Couric wathengisa ikolonoscopy yakhe embukisweni we- "Namuhla". Ngenyanga elandela ukuhlolwa kwakhe, kwaba nokwanda kwamaphesenti angu-21 ekuhlolweni kwekoloni nomdlavuza we-rectal.
- Ngo-2005, umculi wase-Australia uKylie Minogue watholakala enesifo somdlavuza webele esasiphathwa nge-mastectomy. Ngemuva kwalokho, kwaba nokwanda kwamaphesenti angu-40 inani labantu abafuna imitholampilo-yimuphi isikrini somdlavuza webele - emazweni amane ase-Australia.
- Ngo-Mashi 2009, inani lomdlavuza womlomo wesibeletho libuye kabili eNgilandi, uma kuqhathaniswa nesikhathi esifanayo ngonyaka odlule. Lokhu kuphakanyiswa kuthiwa yiJade Goody, inkanyezi yaseTrithani yithelevishini, eyabulawa ngumdlavuza wesibeletho.
- Umcwaningi uMichael Fox, onesifo sikaParkinson , uye wakhulisa imali engaphezu kwamaRandi ayizigidi eziyizigidi ezingu-450 kuMichael J. Fox Foundation ekhokhela ucwaningo lukaParkinson.
Iseluleko samaDemoni angalungile
Manje ake sibheke iseluleko esithile esidumile esiye sabonakala singcolile noma silimaza.
- Ubuntu bemidiya uJenny McCarthy ukuphikisana nemigomo yokwesaba ukuthi abangela i-autism isibonelo esihle sokululekwa kwezidakamizwa akuhambanga kahle. Le nhlangano yokukhwabanisa ibilokhu ihlukunyezwa ngokuphelele futhi izingane ezingenayo imishanguzo zingase zife ngenxa yezifo ezivikelwe.
- Umlingisi uChristina Applegate waba ngummeli wokuhlolwa kokuqala ngemuva kokuthola ukuthi unomdlavuza webele ngo-2008 eneminyaka engama-36 futhi ephethe i-mastectomy kabili. Kodwa-ke, i-Applegate isekela ukusetshenziswa kwe-MRI (imaging resonance imaging) ukuthola umdlavuza wesifuba, ongahambisani nemibono yokubambisana kwezokwelapha yokuhlola abesifazane besengozini enkulu yokuthuthukisa umdlavuza webele.
- Ngokufanayo, ngemuva kokutholakala ukuthi kune - BRCA1 yokuguqulwa komzimba , okwandisa ingozi yamagciwane okubeletha kanye ne-ovarian kumancane amancane wabesifazane, umlingisi we-actress u-Angelina Jolie wakhetha ukuthi abe nesisindo sokuvimbela i-mastectomy kabili. UJolie wayemphakathi kakhulu mayelana nezinkinga zakhe nokukhuthaza ukuqwashisa. Ngemva kwalokho, abantu abaningi babe nesithakazelo ekuhlolweni kwezinguquko ze-BRCA. Kodwa-ke, ukuguquguquka kwe-BRCA kuyimbangela engavamile yalomdlavuza futhi igcinelwe abantu abanomlando oqinile womndeni wesifo. Lokhu kwanda ekuvivinyweni akuzange kunconywe noma kuyabiza imali.
- Umlingisi uSusanne Somers usekela ukusetshenziswa kwe-proteinol enzyme therapy yokwelashwa komdlavuza we-pancreatic. Ubuye asekele ukusetshenziswa kwe-hormone eziphilayo ukuze kuguqulwe ukuguga. Ayikho yalezi zingenelelo ezisekelwe ebufakazini bezokwelapha.
- Encwadini yakhe yokuphila yamasonto onke, i-GOOP, umlingisi uGwyneth Paltrow wakhuthaza ukusetshenziswa kwamaqanda e-jade angene emgodini ukuze asize ngezwi lesisindo somzimba, ukulinganisela kwe-hormone, namandla webesifazane. Lesi seluleko asisekelwe ucwaningo.
- Umkhulumeli weBrithani owakhulumile uSir Michael Parkinson wakhuthaza lokhu okulandelayo: umdlavuza we-prostate: "Ukuhlolwa kungukuthi ungakwazi ukubhekana nodonga ngamamitha amabili, awunayo."
Kungani umphakathi ulalele izidalwa?
Nakuba singakwazi ukuveza izibonelo zombili iseluleko esihle sabantu abadumile, izindlela ezithinta izincomo ezidumile azicacile. Abacwaningi bezeMpilo baqala ukuhlola le miphumela futhi babe nokuqagela okuthile. Nasi uhlu lwezinqubo ezingu-14 zokuxilonga:
- Iseluleko sezobuchwepheshe singase sishintshe ngokuqondile umbono wezinye izilaleli.
- Abantu balandela iseluleko sezokwelapha ezidumile ukuze bathuthukise isimo sabo sezenhlalakahle nesimo sabo.
- Iseluleko somuntu siqu kanye nezindaba zokuphumelela ezabelwana ngabadumile zingase zibonakala zingathembekile.
- Abantu-ikakhulukazi labo abanama-self-esteem-fomu okunamathiselwe kubantu abadumile abenza bazizwe bezimele, bekwazi, futhi basekelwa abanye. Lezi zinamathiselwe ziqondisa abantu abathile ukuba balalele iseluleko esidumile kanye nokuvumela.
- Abantu bathengisa izinsizakalo zezokwelapha nemikhiqizo yezempilo evunyelwe abadumile ukuze bathole izici zodumo ezihlotshaniswa nalokho okuvunyelwe. Isibonelo, lapho udumo olukhangisa uhlelo lokulahlekelwa isisindo kanye nezicelo zokulahlekelwa isisindo ngenxa yalo, abalandeli bafuna nokuba njengodumo futhi banciphise isisindo besebenzisa uhlelo.
- "Impumelelo ye-halo" ibhekisela ku-generalization eyenziwe ngumphakathi jikelele ukuthi ngenxa yokuthi udumo ngumbukeli ophumelelayo, impumelelo yabo yenza ukuba ibe yiqiniso kuzo zonke izindaba, kufaka phakathi okuhlobene nempilo nokuphila kahle. Ngakho-ke, uma udumo lunikeza iseluleko sezokwelashwa ngoba ziye zathola impumelelo kwezinye izindawo, khona-ke kumele zibe isazi sezokwelapha, futhi.
- Ukugunyazwa kobuciko kusebenze izingxenye zobuchopho ezakha ubudlelwane obuhle. Lezi zinhlangano ezihle zenza izinkumbulo ezinhle zomkhiqizo noma isevisi evunyelwe.
- Ukugunyazwa kobuciko kusebenze izizinda zobuchopho ezihlobene nokwethemba nokukhumbula. Lokhu kusebenze kwenza abantu bathande umkhiqizo noma isevisi evunyelwe.
- Izidumi zihambela ukuthambekela kwemvelo yabantu ukuba benze izinqumo ngokusekelwe endleleni abanye abenze ngayo izinqumo ezimweni ezifanayo. Lo mkhuba ubizwa ngokuthi "ukuziphatha kwemfuyo."
- Iseluleko sobuhle sisakazwa kuwo wonke amanethiwekhi omphakathi futhi ngaleyo ndlela sithinta wonke umuntu ngokuxhumana okungenakubalwa kwezenhlalakahle, ukuthola ukuvelela nokulandelana.
- Abantu balinganisa iseluleko sezokwelapha sabantu abahlonishwayo njengenzuzo, okuhloswe ukunciphisa noma yikuphi ukungahambi okubangelwa ukugcina imibono engavumelani.
- Abantu balandela iseluleko sezokwelashwa kwalabo abahlonishwayo abazibona befana nabo.
- Abantu bazizwa kahle ngabantu abadumile futhi ngaleyo ndlela bazizwa benomthelela ngemikhiqizo nezinsizakalo abazikhuthazayo-isibonelo se-classical conditioning.
- Ukuvunyelwa okwenziwe ngabadumile kusebenza njengezimpawu, noma izimpawu , ezihlukanisa umkhiqizo noma isevisi eyodwa kwesinye.
Izwi elivela
Kukhona isikhangiso esidala: Ungakholelwa konke okubonayo kuthelevishini. Siphila kwimvelo yemidiya evame ukuhlukaniswa futhi abahlonishwayo banikeza ukuvumela kanye nezeluleko ngokusebenzisa iziteshi ezihlukahlukene, kufaka phakathi izincwadi, omagazini, amawebhusayithi, ithelevishini, umsakazo, ama-podcasts, kanye nemithombo yezokuxhumana. Ezinye zalesi seluleko kuhle futhi ezinye zazo zimbi; ezinye zingenabugovu futhi zitholwa yizizwa zokukhiqiza futhi ezinye zibangelwa ukuzuza ngokwezimali.
Ngesikhathi esilandelayo lapho uzwa noma ubona udumo lwakho oluthandayo oluvumela umkhiqizo wezempilo noma insizakalo yezempilo, cabanga ukuthi kungani uthakazelisa kakhulu iseluleko. Ingabe yidumo noma ingabe iseluleko? Ingabe isiqondiso sizwakala kahle futhi sisebenza kuwe noma othandekayo? Ingabe umuntu onengqondo angavumelana nodumo? Ingabe iseluleko sidinga ukuthi uthenge okuthile?
Uma kuziwa ezinqumweni ezibalulekile zezempilo, ezifana nomdlavuza noma ukuhlolwa kwesifo, kufanele wenze i-aphoyintimenti nodokotela wakho ukuxoxa nganoma yikuphi ukukhathazeka futhi uchaze lokho owake wezwa udumo olukushoyo. Khumbula ukuthi iningi labantu abadumile akuzona ochwepheshe bezokwelapha. Yebo, bangase babe kuhle ekuculeni, ekwenzeni, ukudansa, noma ukudlala ezemidlalo. Kodwa njengalokhu nawo wonke amakhono akhethekile namakhono, lezi zimfanelo azifaki kwezinye izindawo. Udokotela wakho uqeqeshelwe ukunikeza iseluleko esifanele-iseluleko esibufakazi obusekelwe futhi esiwusizo.
> Imithombo:
> BRCA1 ne-BRCA2: Ingozi yeCanscer and Testing Genetic. I-NIH. www.cancer.gov
> Hoffman, SJ, et al. Izimpendulo Zomdabu Ngezici Ezihlobene Nezempilo, Izimo Zengqondo, Izinzuzo, Nemiphumela Yesimo: Isingeniso Sokubuyekezwa Okuhlelekile, Ukuhlaziywa Kwemeta-Ukuhlaziywa, nokuhlaziywa Kwe-Meta-Regression. Ukubuyekeza okuhlelekile. 2017.
> Hoffman, SJ, kanye noTan, C. Ukulandela Iseluleko Sezokwelapha Sezidakamizwa: Ukuhlaziywa Kwemeta-Ukulandisa. I-BMJ. 2013; 347: f7151.
> Larson RJ, et al. Ukunikezwa Kwemifanekiso Yokuhlolwa Kwemdlavuza . J yethu yeNational Cancer Institute. 2005; 97 (9): 693-5.