Icho Chinangwa-Chinotungamirwa Hupenyu Chinogona zvakare Kuve Hurefu Hupenyu

Hupenyu hunotungamirwa nechinangwa zvine hungwaru hupenyu hunogutsa, asi kutsva kutsva kunoratidza kuti inogona zvakare kuve yakareba.

Vanotsvagurudza vakaongorora data kubva kuvanhu vangangoita zviuru mazana manomwe, vese vane makore makumi mashanu zvichikwira, vaive chikamu cheHutano neRetirement Study (HRS), chidzidzo chekuongorora nyika chaisanganisira remibvunzo ye "hupenyu-chinangwa".

Mibvunzo yakaratidza kuti vatori vechikamu vakanzwa zvakadii pamusoro pechinangwa chehupenyu hwavo, vachivabvunza kuti vapindure kune zvirevo zvakaita sekuti, "Ndinonakidzwa nekuronga ramangwana nekushanda kuti zviitike" nezvibodzwa zviri pakati pe1 ne6. Zvimwe zvirevo zvakaita "Zviitwa zvangu zvezuva nezuva zvinoita kunge zvisina kukosha kwandiri" zvakaedzwa kwakapesana nekuguma kwechinangwa chakatarwa. Nekuenzanisa mhinduro dzakatarwa pamibvunzo yese, vaongorori vakapa munhu wega wega "chinangwa cheupenyu-chinangwa."

Vatori vechikamu vakapindura iyi mibvunzo muna 2006. Makore mashanu gare gare, mazana manomwe makumi manomwe nenomwe vavo vakafa. Vatsvakurudzi pavakaenzanisa huwandu hwekufa pamwe nezvikamu zvehupenyu-chinangwa, vakaona kuti vanhu vane zvibodzwa zvakaderera vaive nemukana wakapetwa kaviri wekufa pane avo vane mamakisi epamusoro.

Vatsvakurudzi vakadzora zvimwe zvinhu zvinogona kukanganisa mhedzisiro, sekunge vatori vechikamu vakatambura nekushushikana, uye kuwirirana kwakaramba kuchikosha. Kumwe kuongorora kwakabvisa vanhu kubva muchidzidzo vaive nezvirwere zvisingaperi kana kutyisidzira hupenyu, nekuti iwo mamiriro anogona kudzora hupenyu hwehupenyu zvisinei nemaonero, uye mhedzisiro yacho ichiri yechokwadi, kunyangwe isiri yakasimba.

Uku ndiko kunyatso kuongorora uye hakuratidze causation. Hatigone kuziva zvechokwadi kuti zvimwe zvinhu kunze kweizvo zvakateedzerwa nevatsvagurudzo hazvina kukanganisa mhedzisiro. Asi mhedzisiro yacho ichiri kudzidzisa nekuti vanosimbisa chimwe chinhu chakapfuura zvidzidzo zvakambowanikwa: Maonero epfungwa anowanzoenderana nehutano hwepanyama.

Chidzidzo ichi hachina kukwanisa kuongorora zvikonzero chaizvo nei hupenyu hwepasi hwakabatanidzwa nekufa kwepamusoro - vanhu vazhinji vakafa kubva pamoyo nemarariya ane hukama neropa - asi isu tinogona kutarisa kune runyorwa rwuri kukura rwezvimwe zvidzidzo zvekutipa zviratidzo. Zvinotitaurwa neboka iri rekutsvagisa ndezvekuti hukama hungangodaro pakati pekushayikwa kwechinangwa uye kufa kwakanyanya kuri kuzvimba . Kana muviri unopindura wega kuzvidya moyo, chirwere, uye kukuvara zvisina kuongororwa, zvinotiparadza kubva mukati nekunze.

Semuenzaniso, ongororo ichangoburwa yakawana kuti kushungurudzika kwakanyanya uko kunokanganisa pfungwa yechinangwa kunoita kunge kunokonzeresa kuzvimba kunotyisa kwehupenyu. Izvi zvinobatsira kutsanangura mhedzisiro yevakagara vakaroora vachifa mukati memazuva kana vhiki dzeumwe neumwe.

Kumwe kutsvagurudza kwawana hukama hwakasimba pakati pekushungurudzika nekuzvimba, nezvakawanikwa zvichangoburwa zvinoratidza kuti kuzvimba kunogona kukonzera kana kuparira kuora mwoyo muzana yevaya vanotambura nemamiriro aya. Sezvo kushushikana kuchidurura pfungwa yehupenyu chinangwa, izvi zvakawanikwa zvinongedzera kune yakashata kutenderera kwemhedzisiro mhedzisiro.

Chimwe chidzidzo chekuongorora zvinhu zvinobvumidza vamwe vanhu kurarama zvakapfuura zana vakaona kuti chinhu chimwe chete chakakosha chaive kugadzirisa mwero wekuzvimba.

Asi chimwe chidzidzo chakawana kubatana pakati pekusurukirwa uye kuzvimba. Kusurukirwa kunogona kuve chiratidzo uye chikonzero chekushaya chinangwa, uye kuwedzera sainzi kuri kuona kuri kunovhiringidza kushata kwehutano. Tsvagurudzo nyowani inowanawo vakasurukirwa varwere havana mikana yekutevera marapirwo ekurapwa.

Mumwe muenzaniso vazhinji vedu isu tisingazivikanwe neruzivo ndizvo zvinowanzoitika kana mumwe munhu asingachakwanise kuchengeta imba, kana kushanda basa ravo, kana kuchengetedza dzimwe tsika dzinoisa hupenyu nepfungwa yechinangwa. Kazhinji hutano hunodzikira kubva panguva iyoyo zvichienda mberi.

Iko kunotora ndekwekuti kunyangwe kuve nepfungwa yechinangwa isiriyo nyaya izere kana totaura nezvehupenyu hurefu, zvinoita kunge chikamu chikuru chenyaya. Kumwe kutsvagurudza kunodiwa kuti unzwisise zvirinani kuti nei pfungwa yechinangwa ichiita senge inopesana nekuzvimba, uye pamwe inokanganisawo zvimwe zvine hukama nehutano. Kune zvirokwazvo akawanda "whys" akasara kuti aburitswe pachena. Parizvino, pane humbowo hwakakwana hunoratidza kuti kurarama nechinangwa kunogona kutora chinzvimbo chakakosha mune ese maonero epfungwa uye hutano hwakareba.

Chidzidzo chakaburitswa muna JAMA Network Yakavhurwa.

© David DiSalvo

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