Ukuvimbela, amaGciwane, nokusila: Ukufuna i-Sweet Spot

Ukulahlekelwa yinto engcono kakhulu empilweni yethu "emzamweni wokuhlanzeka"

Enye yentuthuko enkulu emlandweni wempilo yomphakathi ithobekile ngokumangalisayo. Kwakungewona umkhiqizo wendalo enkulu, ubuchwepheshe bendabuko, noma umklomelo weNobel. Kwakuwukuqonda okulula ukuthi ukuhlanzeka kubalulekile. Ukusengaphambili kwakungokuhlanzeka kwendle.

Ukunakekelwa kwezingcola, kokubili ukubonakala kwayo okuyimfihlo kanye nomphakathi, kulondoloze izimpilo ezingaziwa. Umkhuba wangasese wezokwelapha-ukuhlanza izandla, ngokuyinhloko, futhi kamuva yonke imikhuba ye-antiseptic eyavela khona-ivela emlandweni wayo ku-Ignaz Semmelweis, udokotela waseHungary kuma-1800 owazisa imihlahlandlela yokudoba emitholampilo yokuvimbela.

Abahlomuli bokuqala babeyiziguli ezithintekayo, abaye babhekana nezindleko zokugula ngenxa yalokho. Kodwa uma izinzuzo zalokho okwakungumkhuba wokuphikisana kwacaca, yonke imithi yahlanza isenzo sayo-noma, okungenani, izandla zayo.

Yiqiniso, siphinde sikhumbuza ukubaluleka kokuhlanza izandla nge-shigella ekugqaseni kuFlint, eMganyeni ekuwa kwe-2016. Inkinga yokungcola yamanzi embi kakhulu esesaba izakhamuzi ngokwanele ukugwema kuphela ukuphuza amanzi, kodwa ukugeza, okuholela ukutheleleka okunzima kwamathumbu ukuthi ukuhlanzeka okuhle kungavimbela.

Umthelela wokuhlanzeka komphakathi cishe wawukhulu nakakhulu, futhi uveza umsuka wawo ekuqondeni kwezidumbu ze-epidemiologists ezisebenzelana nomgodla wezindawo zasemadolobheni maphakathi nonyaka-ngasekupheleni kwekhulu lesishiyagalolunye. Ukuxhumana phakathi kokungcoliswa okugxile emadolobheni amakhulu kanye nezifo ezithathelwanayo izifo zaqala ukucaca, futhi ekugcineni kwaphakamisa izici zokuhlela emadolobheni esithatha kalula namuhla, njengezinhlelo zokuhambisa amanzi kanye namapayipi angaphakathi.

Inombolo yezimpilo igcinwe eminyakeni engamashumi eminyaka kusukela konke kodwa engalingani.

Kuye kwaba nezinhlu eziningi ezihlanganisiwe eminyakeni yamuva nje ephawula ukuthuthukiswa kwempilo enkulu kunazo zonke zezokwelapha kanye nomphakathi sonke isikhathi. Ngabheka ezimbalwa kakhulu, futhi kokubili ukuhlanzeka okuyisisekelo kanye nemikhuba yezokwelapha emithini yokwelapha yenza okungaphezulu kwezingu-10 cishe kuzo zonke zazo.

Kukhona omunye ovame ukukwenza wonke umuntu ophezulu we-10, futhi uhlobene: imishanguzo. Imithi yokugoma, noma ngaphezulu ngokunembile, ukugoma, nayo igcine izimpilo ezingenakubalwa futhi yabuye yaveza "ukuqothulwa" kokuqala kwemvelo emhlabeni: ukuqothulwa kwegciwane lesibungu lesibindi. Sizobuyela ekugonyeni okwesikhashana.

Ukuxoshwa kwe-Saniti

Kodwa okokuqala, sonke siyazi ukuthi iningi lezinto ezinhle lingase lingabi yinto enhle, kanti nasenkathini yanamuhla, lokho kungase kwenzeke ekuhlanzeni ukuhlanzeka.

Kumnandi kakhulu ukuba uhlale phansi phansi edwaleni kulezi zinsuku (lapho, ngendlela, ukungcola kokunye ukungcola kungase kube kuhle kuwe!) Ukuthi awuke uzwe nge "microbiome." Njengoba kungenzeka wazi, lokhu kusho umphakathi wamabhaktheriya ahlala kithi futhi aphezu kwethu, futhi anikeze ngamandla kakhulu kuzo zonke izici zempilo yethu. Ngokwezibalo eziningi, okungenani ama-bacteria ayishumi ahlala emphakathini akha abantu abangabodwa kuwo wonke umuntu "cell", ngakho-ke siyinto ethile yokuphutha esikhwameni sethu. Sinamabhaktheriya amaningi kune-DNA yabantu emizimbeni yethu.

Imiphumela ye-microbiome empilweni yinto ede kakhulu ngokwayo. Iphuzu lapha lisho lokhu: Sifike indlela ende kusukela ezinsukwini lapho "igciwane elilodwa kuphela eliyigciwane elifile." Manje siyazi ukuthi abanye okuthiwa "amagciwane" bangumngane, hhayi isitha, futhi kubalulekile kithi inhlalakahle.

Siphinde sazi ukuthi sikhokha inani eliphakeme lokuthola inhlanhla yethu yokuhlanzeka kwendle. I-microbiome yesimanje, ngenxa yokuntuleka kokungcola ebuntwaneni bentsha kulokho esikubiza ngokuthi "okuhle, ukuhlanza okuhlanzekile," amagciwane ezinye izingane, ngisho nezilwane, ngokuvamile zihluphekile ezihlobene nalokho okhokho bethu abahlala ngaphambi kweLysol. Kukhona ubufakazi obuningi bokuthi konke okuvela emithonjeni ye-asthma, izifo ezithathelana ngokuzenzakalelayo ngisho nesifo sikashukela zingachazwa ngalesi simo.

Intshiseko yethu ekusetshenzisweni kwama-antibiotics kuye kwadala inkinga efanayo: ukumelana nokulwa namagciwane. Ukuvela "kwezimbungulu eziphezulu" akekho ama-antibiotic ethu angawabulala ngenye indlela ngenxa yokusetshenziswa kabi kwama-antibiotics emithi, ngokuvamile ngenxa yezimo ezibangelwa yizifo ezingazange zidinga; ukusetshenziswa kabanzi kwama-antibiotic ezilwaneni ezifuywayo, ngokuvamile nje ukuze zikhule zikhule ngokushesha futhi zikhulu; kanye nemithi elwa namagciwane ekhona esikhathini esijwayelekile, imikhiqizo yasendlini (ikakhulukazi, ezinsikeni zokulwa namagciwane, ama-sanitizers, nabahlanza).

Ukukhathazeka ngama-antibiotic yonke indawo kuye kwanda kakhulu. Imbonini yokudla isiqaphele, kanti abakhiqizi abaningi benza izinyathelo zokukhokhelwa kwama-antibiotic. I-FDA ihileleke ngokuqondile, futhi isanda kuvinjelwa inqwaba yezinsipho zokulwa namagciwane. Le nhlangano ibonise ukukhathazeka ngokuphepha kwamanye ama-antimicrobial asetshenziselwa kakhulu emikhaya yasendlini nokungabaza ukuthi iyasebenza kakhulu ekuvimbeleni ukutheleleka kunokuba nje insipho ecacile.

Ukuqondisa kabusha ukugxila kwethu

Kodwa yilapho ukugoma kubuyela khona engxoxweni. Ngenkathi senze umonakalo wokuthi sithathwe ngentshiseko yethu ye-antiseptic, akekho okufanele acabange ukuthi siphumelele uma isikhukhumba sasiyesaba, futhi zonke izintwasahlobo zaletha ukwesatshiswa kwepholio. Kanye nokuhlanzeka, ukugoma kunendawo efanelekile ohlwini lwentuthuko enkulu kakhulu yezempilo ngaso sonke isikhathi.

Kodwa kulezi zinsuku, sesiye sakhula ngemithi emihle kakhulu, futhi nakakhulu, sizikhulumile ekuphikeleni. Lena iphutha elikhulu. Ngifuna ukungaqondani kahle ngalokhu, hhayi nje ngodokotela, kodwa njengomuntu onomuntu ophethe umkhono wakhe ukuze avuke-futhi njengomzali ohambisana naye oye wafaka isikhumba sezingane zakhe ezinhlanu lapho umlomo wakhe Manje yilokhu: Ukugonywa kusindisa izimpilo.

Isizathu esiwukuthi manje sengizokwazi ukwesaba imithi yokugoma kunezifo zokugoma ezivimbela ngoba imishanguzo yenze umsebenzi omangalisayo wokuvimbela izifo esizikhohliwe ngazo. Ukwesaba imithi kuvame ukuba ukunethezeka kwabantu abakhululekele izifo ezimbi abangasatholi ngenxa yemigomo.

Ukungcola vs. Ukuhlanza: Ukuzama Ukulinganisela

Lapho lokhu kusishiya khona emgwaqweni ophakathi lapho izinzuzo zokuvimbela kusukela kokubili umthamo ofanele kokubili ukungcola nokudola. Asifuni ama-antibiotics ekudleni noma emvelweni wethu, futhi akufanele sithathe noma yini esingayidingi ngempela. Ukuveza ukungcola, ngisho namagciwane, kuvamile futhi kunempilo kokubili ebuntwaneni nasemuva.

Kulabo abangatholi zonke izimbungulu ezinobungane esizidingayo ngaleyo ndlela, i-probiotic ingaba umbono omuhle. Kodwa kusekhona izifo eziyingozi futhi ezivimbela ngaphandle, umkhuhlane phakathi kwabo. Siyeka ukuqapha kwethu engozini yethu.

Iseluleko sami ukuguqa imikhono yethu, ukugeza izandla zethu, ukuthola imishanguzo yethu-futhi ususe insipho ye-antimicrobial.