Kasashe da dama a yanzu suna fuskantar matsalar yawan tsufa da raguwar haihuwa. Yawancin jarirai har yanzu suna mutuwa ba dole ba kafin su kai shekaru biyar. Ƙasashe suna ƙara kokawa don ganin tattalin arzikinsu ya daidaita. Yayin da masana Kiwon Lafiyar Jama'a ke yin magana don mai da hankali kan tsararraki masu zuwa masu koshin lafiya, ana yin watsi da raguwar lafiya a cikin 'yan mata. Mafi koshin lafiya tare da bunƙasa tattalin arziƙi ana samun su ta hanyar cikakken dabarun magance lafiyar Matasan Mata a matsayin fifikon Kiwon Lafiyar Jama'a.
Mafi Koshin Lafiya a Duniya a 2040
Ƙungiyar Ƙungiyoyin da ke da hannu a Kiwon Lafiyar Jama'a a cikin Netherlands suna da burin isa ga mafi koshin lafiya tsara na duniya in 2040. Kiwon lafiya yana nufin kowane matakai; tunani, zamantakewa, da jiki. Don cimma wannan burin, Netherlands na buƙatar samari mata mafi koshin lafiya a duniya.
Sabanin haka, nazarin bayanai daga Netherlands yana nuna akasin haka; lafiyar 'yan mata na raguwa da sauri. A wasu kasashen yammacin duniya, ba zai fi kyau ba. Lafiyar 'yan mata ta kara tabarbarewa a duniya; lokaci ya yi da za a fuskanci gaskiya. Ayyukan jiki na mata da metabolism sun bambanta da maza kuma suna buƙatar takamaiman tallafin kiwon lafiya na mata. Yayin da yawancin matsalolin kiwon lafiya a cikin al'umma za a iya hana su lokacin da aka tallafa wa matasa mata don samun ingantacciyar lafiya kafin daukar ciki, wannan ba fifiko ba ne na Hukumomin Kiwon Lafiyar Jama'a.
Kyakkyawan lafiya ga tsararraki masu zuwa yana farawa da tsarin rigakafi mai ƙarfi da juriya kafin daukar ciki da kuma lokacin kwanaki 1,000 na farko a kusa da ciki, haihuwa, da shayarwa. Haihuwa da lafiyar yara suna raguwa; adadin matan da ke mutuwa a lokacin daukar ciki (a cikin kwanaki 42 bayan haihuwa) yana karuwa, da kuma yawan zubar da ciki. Ba tare da canji ba, waɗannan abubuwan da ke karo da juna na iya haɓaka zuwa bala'i da ya taɓa kowane matakin al'umma. Hankalin Kiwon Lafiyar Jama'a na gaba na Netherlands yana annabta cewa kusa da 12 miliyan mutane za su yi rashin lafiya nan da 2050.
Lafiyar Matan Mata Na Tabarbarewa
Around rabi na matasa masu shekaru 6-25 a cikin Netherlands suna fuskantar matsalolin lafiyar kwakwalwa. Haka kuma, kashi 47 cikin 15 na mutanen da ke da shekaru 44-XNUMX suna fama da aƙalla cuta guda ɗaya, tare da mata matasa galibi ana gano su fiye da maza. Lokacin da aka gano tare da ciwo mai tsanani, mutane suna aiki kaɗan, suna samun ƙarin ganye marasa lafiya, kuma ba su da amfani. Abin takaici, rashin kasancewa iya aiki yana ba da gudummawa ga rashin lafiya da samun kudin shiga.
Kashi mafi girma na matasa (79%) har yanzu suna fama da mummunan tasirin cutar, tare da mata da ƙananan masu ilimi sun fi fama da wahala kuma suna fuskantar matsalolin tunani kamar gajiyawar tunani, damuwa, da haɓakawa. Wani bincike na baya-bayan nan da aka buga a PNAS ya nuna saurin tsufa na kwakwalwar 'yan mata idan aka kwatanta da samari maza, wanda zai iya kasancewa mai alaƙa da bayyanar damuwa na yau da kullun.
Dalibai suna fuskantar damuwa fiye da da, saboda damuwa game da hauhawar farashin kayayyaki da tsadar rayuwa. A cikin EU, Netherlands ta zama ƙasa mafi tsada don zama.
Ƙaruwar Amfani da Muggan Kwayoyi da Haɗarin Ƙawata
A lokacin bala'in cutar, amfani da magungunan rage damuwa ya karu da kashi 16% ga waɗanda ke tsakanin shekaru 16-24 da yara. An rubuta wa mata magungunan rage damuwa da wuri kuma a sha sau biyu kamar yadda maza. Yayin da aka yi suka akai-akai game da tasirin SSRI mai kyau kuma mata suna ba da rahoton sakamako masu illa fiye da maza, har yanzu likitocin likita suna rubuta waɗannan magunguna akai-akai.
Ɗaya daga cikin matasa huɗu a cikin Netherlands suna amfani da Ritalin ko Concerta (methylphenidate) ba tare da takardar sayan magani don inganta maida hankali da sakamakon binciken ba. Yawancin mutane ba su da masaniya game da haɗarin haɗari, kamar mutuwar kwatsam, waɗanda aka san su azaman sakamako mai illa. Bincike ya nuna cewa 5.5-22.5% na matasa sun yi amfani da maganin ADHD ba tare da takardar sayan likita ba.
Bugu da ƙari, a tsakiyar 2023, haɓakar damuwa a cikin NSAID kamar paracetamol (Tylenol ko Acetaminophen) da ibuprofen an lura da amfani da su, musamman a cikin 'yan mata matasa, suna kara haɗarin guba. Amfani da maganin rigakafi kamar amoxicillin ya karu ga yara 0-10 shekaru (55%) kuma ga wadanda shekaru 11-20 shekaru da 50%. Kamar yadda shekarar 2023 ta kasance shekarar farko bayan barkewar cutar tare da duk bukukuwan da aka bude ga jama'a, karuwar amfani da magungunan jam'iyya (kamar bugu zuwa ɗaguwar ruhaniya) daga cikin waɗanda shekarunsu ke da shekaru 16-35 an lura da su akai-akai da alamun cutar guba.
Duniyar yanar gizo da haɗin kai suna fallasa haɗarin cin zarafi ta yanar gizo tsakanin matasa. Abin ban mamaki, da yawa suna ji kadaici fiye da kowane lokaci kuma suna fama da nauyinsu da amincewa da kansu, suna kafa su don rashin lafiya a matsayin manya.
Labarin kyakkyawa wani haɗari ne. A cikin shekarun 2019-2022, an yi amfani da su fillers ya karu da 80%, kuma amfani da Botox ya ninka a tsakanin matasa mata. Fitarwa ga microplastics, nanoplastics, da nanoparticles ya karu. Bugu da ƙari, ƙaddamar da PFAS/PFOA a cikin ruwan sha na Yaren mutanen Holland yana sama da al'ada kuma yana iya rage yawan haihuwa na mata da maza.
A daya hannun kuma, amfani da maganin hana daukar ciki na baka da kananan ‘yan mata ke yi ya ragu a kasar Netherlands, inda aka samu karuwar amfani da na’urar da ke cikin mahaifa. Kwanan nan karatu ya nuna cewa akwai ƙarin haɗari, ko da yake ƙananan, na ciwon zuciya ko bugun jini lokacin amfani da maganin hana haihuwa na hormonal. Yin amfani da na'urar intrauterine tare da levonorgestrel bai nuna hadarin ba. Idan aka yi la'akari da yawan dogaro da miliyoyin matasa mata kan waɗannan magunguna, tabbatar da amincin su ya kasance wani muhimmin alhaki na ƙungiyar likitocin. Kazalika likitocin likitocin da ke sanar da mata matasa game da illar da za a iya yi musu bisa sabbin littattafan kimiyya ta hanyar amincewa.
A cikin shekaru 4 da suka gabata, ‘yan mata da ‘yan mata sun yi fama da maimaita allurar rigakafin cutar ta HPV da kuma allurar rigakafin mRNA na Covid-19 a cikin kankanin lokaci, wanda duka biyun illolin da ke tattare da mata sun fi yawa. m kuma mai tsanani. Ma'amala mai yuwuwa da/ko tsangwama tare da waɗannan alluran rigakafin da tasirin dogon lokaci akan tsarin rigakafi da microbiome ba a bincika ba tukuna. Babu kuma ilimin da aka samu lokacin da ya fara a cikin 2021 akan yuwuwar haɗari da tasirin gajere da na dogon lokaci lokacin da aka gabatar da alluran rigakafi guda huɗu kafin makonni 22 na ciki.
Abinci mai gina jiki Ba Mai araha ga Mutane da yawa
Muhimmancin shan yau da kullun, kamar yadda WHO ta ba da shawarar, na gram 400 na sabbin 'ya'yan itace da kayan marmari, nama, samfuran madara, da ƙwai don rayuwa mai daɗi da jin daɗin rayuwar jama'a da aiki ba su sani ba ga yawancin matasa. Ga mafi yawansu, ya zama m. (Ultra) Abincin da aka sarrafa su ne abinci mai gamsarwa mafi arha tare da ingantaccen tsari na sinadarai marasa tsada, sukari, mai, da gishiri waɗanda ke canza microbiome.
Gida, makaranta, tallace-tallace, kafofin watsa labarun, masu tasiri, wayoyin hannu, da wuraren sayar da kayayyaki suna haifar da kiba da kiba a cikin yara da matasa, yawanci tare da rashin abinci mai gina jiki da anemia.
Ƙididdigar ƙararrakin shaida ta nuna cewa biliyoyin ƙwayoyin cuta da ke cikin jikinmu suna da hannu sosai wajen samun nauyi da asara da horar da rigakafi da daidaitawa, da kuma gabaɗayan masaukin gida. Kusan kashi 33% na yawan jama'ar Netherlands ba sa cin 'ya'yan itace da kayan marmari kowace rana. Ya zuwa 2024, 7.1% na yaran Holland suna rayuwa cikin talauci, kuma wannan adadin yana nan girma. Ƙarin yara na iya zama rashin abinci mai gina jiki, wanda ke da alaƙa da rashin ci gaba, ci gaban neuro, da karuwar cututtuka da mace-mace.
Don magance matsalar rashin abinci mai gina jiki, bayarwa na abinci kyauta kwanan nan aka fara a makarantun firamare. Abin takaici, wannan ba ya kawo wani canji ga yaran da ke makarantun sakandare. Yayin aika kudade zuwa kasashe masu tasowa don hana rashin abinci mai gina jiki, irin wannan matsala ta bayyana a idanunmu a Netherlands.
Matasan sun fi yawan cin abinci tushen tsirrai abinci, kamar yadda zai inganta canjin yanayi. Kusan 30% na 'yan mata sun fi son siyayya don cin ganyayyaki, kuma 0.7% na yawan mutanen Holland masu cin ganyayyaki ne. Bugu da kari, EU ta gabatar da sabbin kayan abinci irin su kwari da tsutsotsi, naman da aka noma lab, da Bovaer domin shanu su rage samar da methane, wanda zai iya shafar tsarin garkuwar jikin dan adam.
kusan daya a cikin biyar samari vape. Har yanzu ba a san tasirin dogon lokaci ba. A cikin Netherlands, yanzu an yi amfani da vapes tare da ruwa na roba waɗanda ke ɗanɗano kamar cola, vanilla, apricot, da sauransu. haramta. Kodayake shan taba yana raguwa a cikin manya, mata matasa sun fi shan taba fiye da maza amma suna shan barasa kaɗan.
Dukkan abubuwan muhalli na ciki da na waje na iya taimakawa wajen raunana ko ƙarfafa juriya na tsarin rigakafi don haka yana iya yin tasiri ga lokacin daukar ciki, aiki, jinya, da lafiyar uwa da yaro ga tsararraki masu zuwa.
Ana Kayyade Ciki Ta Wani Halittu Na Musamman na Tsarin rigakafi
Ciki na musamman ne rigakafi jihar Canje-canjen tsarin garkuwar jiki a cikin matakai uku na ciki (da wuri, tsakiyar, da ƙarshen mataki) an tsara su sosai. A farkon matakin, tsarin garkuwar jiki ya daidaita don hana jikinta kin amincewa da tayin yayin da kuma har yanzu yana da ƙarfi don hana ƙwayoyin cuta na waje. A cikin ƙarshen mataki, jiki yana shirya don aiki, wanda ke haifar da amsa mai kumburi. Cikakkun ciki zai biyo baya agogon rigakafi. Canje-canje a cikin wannan bayanin martaba na rigakafi na iya taimakawa wajen hango ko hasashen da yuwuwar hana haihuwa kafin haihuwa.
Nazarin ya nuna cewa kumburin da ke haifar da cututtuka na iya haifar da haihuwa kafin lokaci (kafin makonni 37). A cikin Netherlands, 14.8% na yaran da aka haifa kafin lokaci tare da 9.7% ƙananan nauyin haihuwa don tsawon lokacin ciki (Big2). Abin sha'awa, a cikin yanayin aikin yara da aka riga aka yi, ƙwayar ƙwayar cuta ta fi zafi idan aka kwatanta da cikakken aikin yara.
Haihuwar haihuwa wata muhimmiyar alama ce ta haɗarin mutuwa da wuri, cututtuka na yau da kullun da masu yaduwa, sepsis, stunting, da jinkirta ci gaban jijiyoyi da kwakwalwa. Wannan na iya bayyana a tsawon rayuwar mutum. Haihuwa da wuri da matsananciyar haihuwa na faruwa a cikin kashi 1.5% na yawan jarirai na Dutch kuma suna da alhakin kashi 50% na mutuwar jarirai. Adadin zubar da ciki ya yi tsalle a cikin shekaru biyu a cikin 2023 zuwa 39,000, tare da yawancin mata masu shekaru 25-34. An yarda zubar da ciki a cikin Netherlands har zuwa makonni 24 na ciki.
Adadin haihuwa ya ragu matuka zuwa 167,504 a shekarar 2022. Wato yara 1.49 kowace mace, masu matsakaicin shekaru 30.3. Yawan mata masu shayarwa kuma yana raguwa. A cikin watanni 6, matan da suke shayar da nono sun ragu daga kashi 60% zuwa kusan kashi 30% na mata matasa.
A kowace shekara, kusan jarirai 661 a Netherlands ke mutuwa. Iyayen da ke mutuwa a cikin kwanaki 42 bayan haihuwa suna kusa 11 mutane shekara tare da ƙarin mata 5 da ke mutuwa ta hanyar kashe kansu a kowace shekara, kuma ba a ƙidaya matan da suka mutu daga cutar kansa ba. A cikin shekarun da suka gabata, mace-macen mata na karuwa a duk duniya, wanda babban abin da ke haifar da cutar shine cututtukan zuciya da jinin jini.
Mata masu ciki da danniya, ciki, ko tashin hankali, da kuma mata masu kiba tare da kumburin hanji da cututtuka na yau da kullum, sun canza tsarin rigakafi kuma, sakamakon rashin abinci mai gina jiki, sun canza microbiome. Rashin raunin tsarin rigakafi yana nuna ƙarin haɗari ga preeclampsia, hawan jini, ciwo na HELLP, ciwon sukari na ciki, aikin da aka rigaya, da / ko ƙananan nauyin haihuwa.
'Jin Gut' Rikici don Lafiyayyun Zamani Masu Gaba
Gut yana ba da kashi 70-80% na ƙwayoyin rigakafi a jikin mutum. A cikin mucosal Layer na hanji, sel neuronal, sel endocrine, da ƙwayoyin rigakafi suna ba da haɗin kai don sarrafa metabolism da aikin jiki. Nazarin kwanan nan a cikin mice ya nuna Villata na mucosal Layer fadada sau biyu ta girma a lokacin daukar ciki da kuma nono, jinkirin abinci nassi, inganta narkewa domin mafi kyau duka amfani da samuwa abinci mai gina jiki.
Layin mucosal na hanji yana da alaƙa da ƙarfi zuwa matakai daban-daban na ciki tare da canza yanayin microbiota, metabolites, da cytokines. Wadannan metabolites masu bioactive suna daidaitawa kuma suna canza tsarin 'na halitta' da 'madaidaici' na rigakafi. Tare, abin da ke tattare da ƙananan ƙwayoyin cuta da ƙwayar mucosal na hanji yana ƙayyade lafiyar dogon lokaci. Hanjin uwaye suna yin tasiri ga bambancin halittu na microbiome da juriya na tsarin rigakafi, wanda ake yadawa ga jariri a lokacin ciki, aiki, da kuma reno. Zamanin farko na rayuwa yana fuskantar yunwa, matsananciyar damuwa, ko cututtuka masu tsanani na iya yin tasiri ga lafiya yayin daukar ciki kuma suna iya yadawa ga jariri a tsawon rayuwar mutum har ma da tasirin tsaka-tsakin zamani.
Specific na gina jiki na iya samun sakamako mai kyau a lokacin daukar ciki, aiki, da reno. Ya isa bitamin D, samuwa a cikin hasken rana, abinci mai gina jiki (kifi, kayayyakin madara), ko kari, shine abin da ake bukata a wannan lokaci mai daraja a rayuwa ga uwa da yaro.
Ga matasan mata masu son yin ciki, yana da mahimmanci su koyi yadda za su daidaita tsarin rigakafi da microbiome. Tsarin rigakafi na 'yan mata na iya zama mafi mahimmancin mai kula da tsararraki mafi koshin lafiya da iya aiki da kuɗin shiga na jama'a.
-
Carla Peeters ita ce ta kafa kuma darektan gudanarwa na COBALA Kyakkyawan Kulawa yana jin daɗi. Ita ce Shugaba na wucin gadi kuma mai ba da shawara kan dabarun don ƙarin lafiya da iya aiki a wurin aiki. Gudunmawarta ta mayar da hankali kan ƙirƙirar ƙungiyoyi masu lafiya, jagora zuwa ingantacciyar kulawa da jiyya masu tsada waɗanda ke haɗa abinci mai gina jiki da salon rayuwa a cikin magani. Ta samu digirin digirgir a fannin ilmin rigakafi daga sashen likitanci na Utrecht, ta karanci Kimiyyar Halittu a Jami’ar Wageningen da Bincike, sannan ta yi kwas na tsawon shekaru hudu a fannin Ilimin Kimiyyar Kimiyyar Halittu tare da kware a kan binciken dakin gwaje-gwaje na likitanci da bincike. Ta bi shirye-shiryen zartarwa a Makarantar Kasuwancin London, INSEAD da Makarantar Kasuwancin Nyenrode.
Duba dukkan posts
