Kutheni abanye abantu bekhetha ukungafumani chiza le-COVID-19

Umxholo

• Ukujongwa kokuHanjiswa kweNtsholongwane
• Kutheni abanye abantu bengafumani (okanye bengacwangcisanga ukufumana) iyeza le-COVID-19
• Ukuba Novelwano Ngokuthandabuza
• Uphengululo lwe

Ngokupapashwa, malunga neepesenti ezingama-47 okanye ngaphezulu kwe-157 yezigidi zaseMelika zifumene idosi enye yeyeza lokugonya le-COVID-19, elingaphezulu kwezigidi ezili-123 (kunye nokubala) abantu abagonywe ngokupheleleyo, ngokweZiko loLawulo lwezifo kunye Uthintelo. Kodwa, ayinguye wonke umntu obalekela ngaphambili kumgca wokugonya. Ngapha koko, abantu abadala baseMelika abazizigidi ezingama-30 (~ iipesenti ezili-12 zabemi) bayathandabuza ukufumana iyeza lokugonya le-coronavirus, ngokwexesha lokugqibela lokuqokelela idatha (eliphele ngo-Epreli 26, 2021) elivela kwi-US Census Bureau. Kwaye ngelixa uphando olutsha oluvela kwiZiko eliDibeneyo le-Press-NORC yeZiko loPhando lwezeMicimbi yoLuntu licebisa ukuba, nge-11 kaMeyi, bambalwa abantu baseMelika abathandabuziyo ukugonyelwa intsholongwane kunokuba berekhodwe ekuqaleni kwalo nyaka, abo bahlala bethandabuza bachaza ukukhathazeka malunga ne-COVID- Iziphumo ebezili-19 zokugonya kunye nokungamthembi urhulumente okanye isitofu sokugonya njengezona zizathu zibalulekileyo zokungafuni.

Phambili, abasetyhini bemihla ngemihla bachaza ukuba kutheni bekhetha ukungalufumani iyeza lokugonya - ngaphandle koluvo olungaphaya kweengcali zezifo ezosulelayo, izazinzulu, kunye neearhente zempilo zehlabathi ukuba ukugonywa yeyona ndlela yokuphumelela kumlo ochasene ne-COVID-19 kwihlabathi liphela. (Idibeneyo: Yiyiphi eyona nto i-Herd Immunity-kwaye Ngaba siya kuze sifike khona?)

Ukujongwa kokuHanjiswa kweNtsholongwane

Njengesazi ngengqondo yempilo yoluntu eWashington, DC, uJameta Nicole Barlow, Ph.D., MPH, uthetha phandle kwiinzame zakhe zokunceda ukubuyisela umva ngokuchasene nolwimi "lokutyhola" malunga nogonyo, olufana nolo malunga nabantu abaMnyama besoyika nje. yiyo. “Ngokusekelwe kumsebenzi wam kwiindawo ezahlukeneyo zoluntu, andiqondi ukuba abantu abaNtsundu bayoyika ukufumana isitofu,” utshilo uBarlow. "Ndicinga ukuba abahlali abaMnyama basebenzisa iarhente yabo ukucinga nzulu ngempilo yabo kunye noluntu kunye nokwenza esona sigqibo sihle kwiintsapho zabo."

Ngokwembali, bekukho ubudlelwane obunqabileyo phakathi kwabantu abaMnyama kunye nokuqhubela phambili kwamayeza, kunye noloyiko Ukuphathwa gadalala kwanele ukwenza ukuba nabani na anqumame ngaphambi kokuba abhalisele iyeza lokugonya elitsha.

Ayiphelelanga nje ekubandezelekeni kwabantu abaNtsundu ezandleni zenkqubo yokhathalelo lwempilo, kodwa ukusukela ngeminyaka yoo-1930 ukuya koo-1970, ikota enye yabemi bomthonyama baseMelika kunye nesinye kwisithathu sabasetyhini basePuerto Rican banyamezele ukuvala inzala ngokungagunyaziswanga ngurhulumente wase-US. Kutshanje, kuye kwavela iingxelo zabafazi kwiziko lokugcina i-ICE (uninzi lwabo lwalunguMnyama noBrown) benyanzelwa ukuba benze izibeleko ezingeyomfuneko. Impempe yayilibhinqa eliNtsundu.

Ngenxa yale mbali (yokubini kwixesha elidlulileyo nelitsha kakhulu), uBarlow uthi ukuthandabuza ngesitofu sokugonya kuxhaphake kakhulu phakathi koluntu lwabaNtsundu: “Uluntu lwabantsundu lonzakaliswe yinkqubo yezonyango kule minyaka ingama-400 idlulileyo. ukoyika?' kodwa 'lenza ntoni eli ziko ukuze abantu abamnyama bathenjwe?' "

Ngaphezu koko, "Siyazi ukuba abantu abaMnyama baphambukisiwe ngokungafaniyo ngenxa yokhathalelo ngexesha le-COVID-19, njengakwimeko kaGqirha uSusan Moore," wongeza uBarlow. Phambi kokuba asweleke ngenxa yeengxaki ze-COVID-19, uGqirha Moore uthathe amajelo eendaba ezentlalo ukunika ingxelo eyoyikisayo yokuphathwa gadalala kwakhe kunye nokugxothwa ngoogqirha bakhe, ababonisa ukuba abonwabanga ukumnika amayeza entlungu. Obu bubungqina bokuba "imfundo kunye / okanye ingeniso ayizizo izinto ezikhuselayo kubuhlanga," ucacisa uBarlow.

Ngokufana nokuthatha kukaBarlow ukungathembi inkqubo yezonyango kuluntu lwabaNtsundu, usokhemesti kunye nengcaphephe ye-Ayurvedic uChinki Bhatia R.Ph., ubonisa ukungathembani okunzulu phakathi kweendawo zempilo epheleleyo ngokunjalo. "Abantu abaninzi eMelika bafuna intuthuzelo kwiComplementary and Alternative Medicine okanye i-CAM," utshilo uBhatia. "Isetyenziswa ikakhulu kunye nokhathalelo lwezonyango oluqhelekileyo lwaseNtshona." Oko bekutshiwo, abo basebenzisa i-CAM bakhetha eyona ndlela "iphelele, yendalo" kukhathalelo lwempilo ngokuchasene "nezisombululo ezingezizo ezendalo," ezinje ngezitofu ezenziwe elebhu, utshilo uBhatia.

U-Bhatia ucacisa ukuba uninzi lwabantu abenza i-CAM bayayiphepha "indlela yokucinga yomhlambi" kwaye bahlala bengenathemba kumayeza amakhulu okwenza inzuzo (okt iBig Pharma). Ubukhulu becala ngenxa “yokusasazeka kolwazi olungelulo ngamajelo eendaba ezentlalo, ayimangalisi into yokuba oogqirha abaninzi - impilo kunye nesiqhelo - babambe iimbono ezingezizo malunga nendlela olusebenza ngayo ugonyo lwe-COVID-19," utshilo. Umzekelo, abantu abaninzi bakholelwa ngokungachanekanga amabango agwenxa okuba izitofu zokugonya ze-mRNA (ezinje nge-Pfizer kunye ne-Moderna vaccins) ziya kuyitshintsha i-DNA yakho zichaphazele nenzala yakho. Kukwakho nemibono engeyiyo malunga nokugonya okunokwenziwa kukuzala, wongeza uBhatia. Ngaphandle kokuba oososayensi bewaphikisa la mabango, iintsomi ziyaqhubeka. (Jonga ngakumbi: Hayi, isitofu sokugonya se-COVID asibangeli ukungazali)

Kutheni abanye abantu bengafumani (okanye bengacwangcisanga ukufumana) iyeza le-COVID-19

Kukho inkolelo yokuba ukutya kunye nokuba sempilweni ngokupheleleyo kunele ukukhusela kwi-coronavirus, egcina abanye abantu ukuba bangafumani isitofu sokugonya se-COVID-19 (kunye nogonyo lomkhuhlane, ngokwembali, ngalo mbandela). UCheryl Muir wase-London, oneminyaka engama-35 ubudala, ongumqeqeshi wokuthandana kunye nobudlelwane, ukholelwa ekubeni umzimba wakhe uyakwazi ukumelana nosulelo lwe-COVID-19 kwaye, yiyo loo nto, esithi, akukho mfuneko yokuba ugonywe. "Ndenze uphando ngendlela yokunyusa amajoni am omzimba ngokwendalo," utshilo uMuir. "Nditya ukutya okusekelwe kwizityalo, ndisebenza iintsuku ezintlanu ngeveki, ndiphefumla yonke imihla, ndilala kakhulu, ndisela amanzi amaninzi, kwaye ndibukele i-caffeine kunye neswekile. Ndikwathatha i-vitamin C, D, kunye ne-zinc supplements." Kubalulekile ukuba uqaphele, nangona kunjalo, ukuba ayizizo zonke ezi ndlela ezibonisiweyo ukuba ziyasebenza ekuphuculeni ukuphendula komzimba. Kwaye ngelixa, ewe, ukuthatha ivithamini C kunye namanzi okusela kunokunceda umzimba wakho ukhusele ukubanda okuqhelekileyo, okufanayo akunakuthethwa ngentsholongwane ebulalayo njenge-COVID-19. (Idibeneyo: Yeka ukuzama "ukukhuthaza" iNkqubo yakho yoKhuseleko kwiWadi ngaphandle kweCoronavirus)

UMuir ucacisa ukuba uyasebenza ukunciphisa uxinzelelo kwaye abeke phambili impilo yakhe yengqondo, echaphazela impilo yakho yonke kunye nempilo yomzimba. "Ndicamngca, ijenali yokulawula iimvakalelo, kwaye ndithetha nabahlobo rhoqo," utshilo. "Nangona imbali yonxunguphalo, ukudakumba, kunye nokuxhalaba, emva komsebenzi omninzi wangaphakathi, namhlanje ndonwabile kwaye ndisempilweni ngokwasemoyeni. Yonke le misebenzi idityaniswa nomntu osempilweni kunye nesistim somzimba esinamandla. Andizukufumana isitofu sokugonya se-COVID kuba ndiyathemba amandla omzimba wam okuziphilisa. "

Kwabanye, abanjengoJewell Singeltary, umqeqeshi weyoga onolwazi ngomothuko, ukuthandabuza malunga nogonyo lwe-COVID-19 kungenxa yokungathembi amayeza ngenxa yokwenzakala ngokobuhlanga. kwaye impilo yakhe. U-Singeltary, oMnyama, uphila ne-lupus kunye ne-rheumatoid arthritis phantse amashumi amathathu eminyaka. Ngaphandle kwento yokuba zombini ezi meko zinokuchasana nomzimba- oko kuthetha ukuba buthathaka amajoni omzimba kwaye, endaweni yoko, anokunyusa amathuba ezigulana okuphuhlisa iingxaki kwi-coronavirus okanye esinye isifo-uyathandabuza ukuthatha into ekufanele ukuba imnike ithuba lokulwa ngokuchasene intsholongwane. (Eyeleleneyo: Nantsi yonke into omawuyazi malunga neCoronavirus kunye nokusilela kwamajoni omzimba)

“Akunakwenzeka ukuba ndohlule imbali yendlela eli lizwe liluphathe ngayo uluntu lwam kunye nenyani yangoku yamazinga apho abantu abaNtsundu abaneemeko ezazikho ngaphambili babulawa yi-COVID, utshilo uSingeltary. "Zombini iinyaniso ezoyikisa ngokulinganayo." Ukhomba kwizenzo ezidume kakubi zento ebizwa ngokuba "nguYise weGynecology," uJ.Marion Sims, owayeqhuba amalinge ezonyango kubantu ababengamakhoboka ngaphandle kwe-anesthesia, kunye novavanyo lwe-syphilis yaseTuskegee, olwaqokelela amakhulu abantu abaNtsundu ngaphandle kwemeko. ubakhanyele unyango bengazi. "Ndichukunyiswe yindlela ezi ziganeko ziyinxalenye yesichazimagama semihla ngemihla esihlala kuso," uyongeza. "Okwangoku, ndijolise ekwandiseni amajoni am omzimba ngokupheleleyo kunye nokuhlukaniswa."

Ucalucalulo lwembali kunye nobuhlanga kumayeza azilahlekanga kumnini wefama yendalo uMyeshia Arline, 47, waseNew Jersey. Une-scleroderma, imeko ye-autoimmune ebangela ukuqina okanye ukuqina kolusu kunye nezicubu ezinxibelelanayo, ke uyacacisa ukuba wayemathidala ukubeka nantoni na angayiqondiyo emzimbeni wakhe oziva ukuba kunzima ukuwulawula. Wayelumke ngokukodwa ngezithako zokugonya, enexhala lokuba zinokubangela ukusabela gwenxa ngamayeza akhe akhoyo.

Nangona kunjalo, u-Arline wadibana nogqirha wakhe malunga namayeza okugonya (onokuwafumana kwiwebhusayithi yoLawulo lwezoKutya kunye neZiyobisi) kunye naziphi na iimpendulo ezinokubakho phakathi kwethamo kunye namayeza akhe ngoku. Ugqirha wakhe wachaza ukuba imingcipheko eyayanyaniswa nokosulelwa kwakhe yi-COVID-19 njengesigulana esingakwaziyo ukugonyamela ukodlula nakuphi na ukugula ekufumaneni isitofu sokugonya. U-Arline ngoku ugonywe ngokupheleleyo. (Eyeleleneyo: UGqirha wokugonyela uphendula imibuzo eqhelekileyo malunga noGonyo lweCoronavirus)

UJennifer Burton Birkett, 28, waseVirginia okwangoku uneeveki ezingama-32 ekhulelwe kwaye uthi akazimiselanga kuthatha naliphi na ithuba xa kusiza kuye nakwimpilo yosana lwakhe. Ukuqiqa kwakhe ngokungafumani gonyo? Akukho lwazi lwaneleyo okwangoku malunga neziphumo ebezingalindelekanga kubasetyhini abakhulelweyo, kwaye ugqirha wakhe ngenene wamkhuthaza hayi ukuyifumana: "Andizami kwenzakalisa unyana wam nangayiphi na indlela," ucacisa uBurton Birkett. "Andizukubeka nto emzimbeni wam engakhange kuvavanywe ngokupheleleyo kwizifundo ezininzi. Andiyiyo ihagu yaseGuinea." Endaweni yoko, uthi uzakuqhubeka nokukhuthala ngokuhlamba izandla kunye nokunxiba imaski, aziva ngathi uyakuthintela usulelo.

Akumangalisi ukuba abantu basetyhini babe madolw 'anzima ukufaka into entsha emizimbeni yabo eya kuthi, yona, idluliselwe kwiintsana zabo. Nangona kunjalo, uphononongo lwakutsha nje lwangaphezulu kwama-35,000 abasetyhini abakhulelweyo abafumananga ziziphumo ebezingalindelekanga ezibi kumama nosana olusuka kwisitofu sokugonya, ngaphandle kweendlela zokusabela (okt ingalo ebuhlungu, umkhuhlane, intloko ebuhlungu). Kwaye iCDCyenza bacebisa ukuba abasetyhini abakhulelweyo bafumane iyeza lokugonya le-coronavirus kuba eli qela lisemngciphekweni wamatyala amabi e-COVID-19. (Ngaphezu koko, sele kukho ityala elixeliweyo lomntwana ozelwe ene-COVID-antibodies emva kokuba umama efumene isitofu sokugonya se-COVID-19 ngelixa ekhulelwe.)

Ukuba Novelwano Ngokuthandabuza

Inxalenye yokuvala umsantsa phakathi kwabantu abambalwa kunye noluntu lwezonyango kukwakha ukuthembana-ukuqala ngokuvuma iindlela abantu abaye baphathwa kakubi ngazo kwixesha elidlulileyo nangoku. UBarlow ucacisa ukuba ukumelwa kubalulekile xa uzama ukufikelela kubantu bebala. Iingcali zempilo ezimnyama kufuneka "zikhokele iinzame" zokomeleza ukuthembana ngogonyo phakathi koluntu oluNtsundu, utshilo. "Kufuneka [nabo] baxhaswe kwaye bangajongani nobuhlanga ngokwamaziko, nto leyo egqubayo. Kufuneka kubekho amanqanaba amaninzi otshintsho lwenkqubo." (Idibeneyo: Kutheni i-US ifuna ngamandla oogqirha abamnyama abasetyhini)

"Ugqirha u-Bill Jenkins wayenguprofesa wam wokuqala kwezempilo yoluntu ekholejini, kodwa okona kubaluleke kakhulu, wayeyi-CDC isifo sezifo esasikhupha i-CDC ngomsebenzi ongalunganga owenziwa kumadoda amnyama anegcushuwa eTuskegee. Undifundise ukusebenzisa idatha kunye nelizwi lam yenza utshintsho, "ucacisa uBarlow, esongeza ukuba endaweni yokubamba uloyiko olubonwa ngabantu, kufuneka badibane apho bakhoyo nabantu abachonga ngokufanayo.

Kwangokunjalo, u-Bhatia ukwacebisa ukuba "kubekho iingxoxo ezivulekileyo malunga nokusebenza kwezitofu ezinedatha yamva nje." Kukho ulwazi oluninzi olungelulo phaya kangangokuba ukuva nje iiakhawunti ezichanekileyo kunye neenkcukacha malunga nesitofu sokugonya esivela kwimithombo ethembekileyo - njengogqirha wakho - kunokuba nefuthe elinamandla kwabo bathandabuzayo ukugonywa. Oku kubandakanya ukufundisa abantu ngetekhnoloji yesitofu sokugonya kunye nokucacisa ukuba ukuba bayathandabuza ngokwenene ukuba lwenziwa njani ugonyo, ngakumbi, kufuneka bacinge ngokufumana "olunye ugonyo lwe-COVID-19 oluphuhliswe kusetyenziswa iindlela zakudala, ezifana nesitofu sokugonya se-J&J," utshilo uBhatia. . "Yaphuhliswa kusetyenziswa ubuchwephesha be vector technology, ebisoloko ikho ukusukela nge1970s kwaye isetyenziselwe ezinye izifo ezosulelayo ezinje ngeZika, umkhuhlane kunye ne-HIV." (Ngokuphathelele oko "nqumama" kwisitofu sokugonya sikaJohnson & Johnson? Kudala iphakanyisiwe, ngoko akukho maxhala apho.)

Ukuqhubeka nokuthetha ngokuvulekileyo nangokunyaniseka nabahlobo okanye amalungu osapho anokuziva ngathi ifyy malunga nokufumana isitofu sokugonya se-COVID-19 yenye yeendlela ezilungileyo zokunceda ukukhuthaza ugonyo, ngokwe-CDC.

Ekupheleni kosuku, nangona kunjalo, abo bangagonywanga banokuthi bahlale be njalo. "Siyazi ngamava kunye nezinye iinkqubo zokugonya ezifikelela kwipesenti ezingama-50 zabemi yinxalenye elula," uTom Kenyon, MD, iofisi yezempilo eyintloko kwiProjekthi ye-HOPE kunye nowayesakuba ngumlawuli we-Global Health kwi-CDC, kwingxelo yakutshanje. . "I-50 yeepesenti yesibini iba nzima."

Kodwa ngenxa yohlaziyo lwamva nje lwe-CDC lokunxiba imaski (oko kukuthi, abantu abagonywe ngokupheleleyo akusekho mfuneko yokuba banxibe iimaski ngaphandle okanye ngaphakathi kwindlu kwiindawo ezininzi), mhlawumbi abantu abaninzi baya kuphinda bakuthathele ingqalelo ukuthandabuza kwabo kwisitofu sokugonya se-COVID. Emva kwayo yonke loo nto, ukuba kukho into ebonakala ngathi wonke umntu angavumelana ngayo, kukuba ukunxiba ubuso (ngakumbi ubushushu obuzayo basehlotyeni) kunokuba yinto engathandekiyo kunengalo ebuhlungu emva kokudutyulwa. Okwangoku, njengayo nayiphi na into enento yokwenza nomzimba wakho, ukuba uyalufumana okanye awulufumani ugonyo lwe-COVID-19 lukhetho lwakho.

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