Kukwegura neKutsungirira

Zvemukati

• Resilience Yakakosha Kuverengwa
• Kugadzirisa Panguva yeCOVID-19: Kudzidzira Kutsiga

Nhasi tinoenderera mberi mune yakateedzana mabvunzurudzo nehunyanzvi nezve kusimba-imwe yemisoro mikuru yebhuku rangu, Njodzi Yekufamba: Chii Chiri Kupona Katrina neCancer Kundidzidzisa Nezvekutenda nekusimba -Kubatana kunharaunda yavo yekudzidza.

Iyi bvunzurudzo iri pamusoro penyaya yekukwegura uye kusimba naDr. Michael Parker naHarold Koenig. Dr. Michael Parker ari pamudyandigere Lieutenant Colonel uye parizvino ari pamudyandi Porofesa weSocial Work uye Institute for Research & Kukwegura paUniversity yeAlabama (UA) uye Associate Professor weGeriatric Medicine nePalliative Care neCentre for Comprehensive Aging at the University of Alabama muBirmingham (UAB). Iye zvakare asiri mugari Scholar neCentre yeMweya, Theology uye Hutano paDuke Medical Chikoro. Harold G. Koenig, MD, MHSc., NdiPurofesa wePsychiatry uye Behaeveal Sayenzi uye Mubatanidzi Muzvinafundo weMishonga kuDuke, uye ndiAdjunct Professor muDhipatimendi reMishonga paKing Abdulaziz University, Jeddah, Saudi Arabia, uye muChikoro YeHuzhinji Hutano paNingxia Medical University, Yinchuan, China. Iye anotungamira iyo Center for Spirituality, Theology uye Hutano (CSTH) kuDuke University uye akazviita kubvira kwayakatangira mu1998.

JA: Iwe pachako unotsanangura sei kukwegura?

MP & HK: Kupesana nemafungiro anozivikanwa, kuchembera hakutange pazera remakore makumi matanhatu nemashanu. Kunyangwe isu tingave tisinganyatso kuziva kuchembera mumakore edu ehudiki, chokwadi ndechekuti kubva pakuzvarwa kusvika tese tiri kukwegura. Kuchembera kunoreva nezvezvakaitika panguva, zvehupenyu, zvepfungwa, zvemagariro uye zvemweya zvehupenyu mukufamba kwenguva. Mupfungwa yakafara, kuchembera zvinoreva shanduko dzinoitika mumunhu muhupenyu hwake hwese. Sezvo isu tinokwegura, tinofamba nematanho akati wandei, anowanzo kukanganiswa netarisiro yemagariro. Nharaunda dzese dzakaiswa zera mupfungwa yekuti isu tinopihwa akasiyana mabasa, mikana, uye chinzvimbo zvinoenderana nezera redu.

Iye zvino sezvo vanhu vava kurarama kwenguva yakareba, pane kufarira kuri kukura mukunzwisisa maitiro ekukwegura, izvo zvakakonzera kuwedzera kufarira mundima ye multidisciplinary yegerontology. Gerontologists vanoongorora zvehupenyu, zvepfungwa, zvemagariro uye zvemweya zvinhu zvekukwegura. Pane dzidziso dzakawanda pamusoro pekuti isu tinokwegura sei, kubva kurondedzero yema cellular maitiro ane chekuita nekukwegura kusvika pakudzidza nezvekuti tinotsanangudza sei kukwegura kwakabudirira. Izvo zvakakosha kuita mutsauko pakati pegerontology, iyo inotora kacheche kusvika pakuona kwakadzama, kubva kugeriatrics, kunova kurapwa kwevakuru.

Nyanzvi zhinji dzinobvuma kuti kunzvenga chirwere nekuremara, kuwedzera kugona kwedu kuziva uye kugwinya kwemuviri, kushingairira kuita hupenyu, nekukura padanho rekukura pamweya nemweya zvinhu zvakakosha zve "kubudirira" kukwegura. Munguva pfupi yapfuura, mazwi akadai se "akakodzera kukwegura" ari kuramba achishandiswa kuitira kuti utore chokwadi chekuti havazi vese vanokwanisa kuwana kukwegura kwakabudirira. Asi, tarisiro ndeyekuti vanhu vanofamba sei neyakaganhurirwa yavo pachavo, hupfumi uye zvemagariro zviwanikwa kugadzirisa matambudziko (kuratidza kugona-kushanda). Zvakawanda zvekutsvagurudza kwedu zvakanangana nezve zvemweya zvehupenyu, hutano uye kukwegura, kusanganisira mukuru kuchengetwa.

Iwe wakatanga sei kufarira kudzidza kuchembera?

MP: Ndakafarira kuchembera baba vangu pavakarwara zvakanyanya, uye ndakazviwana ndagadzirira nhamo kusangana nezvinetso zvekuchengeta vakuru. Mushure mekufa kwababa vangu uye mariro, ndakadzokera kunzvimbo yangu yekukunze kwenyika ne7th Medical Command muUS Army. Vakoma nevanin'ina vangu vakapfeka yunifomu vakaita musangano wekurangarira baba vangu, uye ndakadzidza kuti vazhinji vavo vakasangana nenyaya dzevabereki vanokwegura zvakare. Zviitiko izvi zvakaita kuti nditeedzere post-yechiremba kudzidza mukukwegura, rairo raida rubatsiro rwakawedzerwa. Yunivhesiti yeMichigan yakapa National Institute of Aging (NIA) Post-Doctoral Fellowship Chirongwa, asi kuti ndiende, ndinofanira kuwana mvumo kubva kuArmed Medical department kwenguva refu yekudzidziswa zvechiuto. Pakangondisarudza Mauto neYunivhesiti yeMichigan, ndakaudzwa gare gare nevamwe vandaishanda navo mune zvepfungwa kuti isu tiri "vechidiki Mauto," uye vakaronga kukurudzira kuti ndipedze kusangana kwemwana uye kwemhuri kuWalter Reed. Ndakaramba uye ndakakurumidza kuudzwa kuti basa rangu raive munjodzi.

Mumwe munhu akataura kuti nditaure naboss wangu, mukuru-nyeredzi mbiri uyo aive panguva iyoyo achitarisira kurapwa kwese kweDesert Dutu. Aive aine huremu hwepasi paari, asi, ndichinzwa kutungamira pamweya, ndakaronga musangano. Munguva yemaminetsi mashoma ekutanga, akaratidzira mazwi evamwe vangu. Akazobvunza zvandaironga kuita kuMichigan, ndikamuudza kuti ndaida kubatsira mhuri dzechiuto nenyaya dzevabereki vakwegura. Chiso chake chose chakachinja. Akagovana kuti anga achangobva kugamuchira runhare kubva kumupristi wemhuri yake. “Ndichangobva kumba kwamai vako,” mupristi akadaro, “uye anga asingazive kuti gasi raive pachitofu rakanga riripo. Unoda kuti ndiite sei?" Mukuru wemauto akanditarisa ndokuti, "ndanga ndisingazive zvekumuudza, asi iwe udza vanhu vari kupokana nebasa rako rekuUniversity yeMichigan mushure mehondo yandinokutsigira." Handina kana wandakaudza chinhu, asi zuva rakatevera vandinoshanda navo vakandikorokotedza "nekunamatira pfuti dzangu." Saka mushure mehondo, ndakagadzwa zvakare kuYunivhesiti yeMichigan, uye hupenyu hwangu hwehunyanzvi hwakachinja zvakanyanya.

Mushure mekupedza chirongwa chekuyanana, uye gare gare, mushure mekupedzisa mamwe mabasa nemauto, ndakanzwa kufemerwa kwaMwari kuchinjira kubva muchiuto kuenda kunedzidzo yekutsvagisa basa mumunda wechembere. Ndakabatana nehunyanzvi hwemayunivhesiti makuru maviri, uye, mushure memakore mashoma, Gerontological Society of America yakandisarudza seHartford Foundation Geriatric Scholar. Kubudikidza nemapurogiramu anoshamisa nemikana, ndakave nehukama pachangu nevatungamiriri vanotungamira pasirese mumunda wekukwegura.

JA: Ndeupi kubatana pakati pekukwegura nekusimba?

MP & HK: Pfungwa yekutsungirira iri kupihwa kuwedzera kutarisisa nemagerontologists. Sezvatakamboona kare, mamwe masayendisiti mune hunhu uye sainzi masayendisiti ari kuchinja maonero avo kubva mukubudirira kukwegura kuenda ku "kukwana kukwegura," asi zvese zviri zviviri zvine hukama nepfungwa yekusimba. Nepo kumwe kutsvagurudza kuchisimbisa hukama pakati pekukosha kwemararamiro ane hutano, kurarama kwenguva refu, uye hupenyu hwepamusoro, dzimwe nyanzvi dzinotarisa pamajini nemagariro ehupfumi anoshanda mukukanganisa kukwegura.

Tichifunga nezvechokwadi chemamiriro ezvinhu emunhu, vamwe vanosangana nenjodzi isingadzivisike. SaSilverstein (2019) anoisa muchinyorwa cheGerontological Society yeAmerica 2018 Maitiro muKuzvibata uye Sayenzi Yemagariro , "Unogona kubatwa ruoko rwakaipa rwemakadhi asi uine hunyanzvi hwekutamba kuti unyatsoishandisa. Aya hunyanzvi hunopa hwaro hwekusimba, hunhu hunogadzirisa dichotomy pakati pekubudirira uye kutadza. Iwe unogona kubudirira muukama hwako hwekukwegura kune ese matambudziko akasangana uye zviwanikwa zvaunazvo. Zvinobva zvatodzoka pakusimba. ”

Resilience Yakakosha Kuverengwa

Kugadzirisa Panguva yeCOVID-19: Kudzidzira Kutsiga