Sɔntɛnde, wi kin go to dɔktɔ fɔ wan sik. Bɔt di dɔktɔ go aks yu se, "Yu gɛt ɔda sik dɛn lɛk blɔd prɛshɔn, dayabitis, kɔlɔstrel?" Wetin mek yu de aks dat? Bikɔs we yu gɛt wan ɔ mɔ ɔda sik dɛn wit wan sik, dat kin afɛkt di tritmɛnt we yu de gɛt dairekt wan. Insay mɛrɛsin, di prɛzɛns fɔ ɔda sik dɛn wit wan men sik na wetin wi kɔl comorbidities . Nɔr frayd wae yu yɛri dis wɔd, fɔ ɔndastand am go bi big ɛp fɔ yu fɔ disayd bɔt yu wɛl bɔdi.
Wetin rili na kɔmɔrɔbiditi?
Fɔ tɔk am simpul wan, ‘Comorbidity’ na di prɛzɛns fɔ wan ɔ mɔ ɔda mɛdikal kɔndishɔn dɛn di sem tɛm apat frɔm yu praymar diagnosis .
Fɔ ɔndastand dis, lɛ wi tek wan ɛgzampul. Imajin se yu fat smɔl, dat min se yu fat. Naw we yu go to dɔktɔ, i kin tɛl yu fɔ waka smɔl ɛvride ɛn ɛksesaiz. Bɔt wetin yu go du if yu gɛt pen na yu ni, dat na ɔstiɔ-arayt? Dɔn i kin rili at fɔ mek yu waka, nɔto so? Di pen kin ivin go ɔp.
Naw, we di dɔktɔ no bɔt dis prɔblɛm we de wit yu ni, bifo i tɛl yu fɔ waka, i go mɔs tɛl yu fɔ du sɔntin we nɔ go mek yu ni lod, lɛk wata aerobiks. Na ya, pan ɔl we yu men prɔblɛm na ‘obesity’, di knee prɔblɛm we dɔn inflɔws di we aw yu de trit am na di ‘Comorbidity’.
Wan ɔda ɛgzampul na ay blɔd prɛshɔn, ɔ ay blɔd prɛshɔn. Bɔku pipul dɛn we gɛt ɔda sik dɛn lɛk at sik ɛn lɔng sik kin gɛt ay blɔd prɛshɔn bak. So we yu dɔktɔ gi yu mɛrɛsin fɔ yu blɔd prɛshɔn, i go pik mɛrɛsin we nɔ de agens di mɛrɛsin dɛn we yu de tek fɔ yu ɔda sik dɛn ɛn we nɔ gɛt bɔku sayd ɛfɛkt.
Wetin na di difrɛns bitwin ‘men sik’ ɛn ‘sɛkɔndari sik’?
Dis kin tan lɛk se i kɔmplikt smɔl, bɔt fɔ tru, i rili simpul. De ‘primary diagnosis’ kin difrεn dipכnt pan wetin wi de trit da tεm de.
Imajin se yu gɛt sik na yu kidni we nɔ de dɔn, yu blɔd prɛshɔn, ɛn yu gɛt tayp 2 dayabitis.
- We yu go to dɔktɔ we de mɛn yu nɛf, di men tin we kin apin to yu na sik na yu kidni. I kin tek ay blɔd prɛshɔn ɛn dayabitis as ɔda tin dɛm, ɔ `comorbidities.` Pan ɔl we i de trit yu kidni dɛm, i kin tek kia ɔf di ɔda tu kɔndishɔn dɛm bak.
- Bɔt we yu go to dɔktɔ (Endocrinologist) fɔ trit yu sik, i go si se yu men sik na dayabitis. Dɔn di kidni sik ɛn blɔd prɛshɔn kin bi `kɔmɔrɔbiditi`.
Yu ɔndastand? De ‘men sik’ kin difrεn dipכnt pan de spεshal savant εn de situeshכn wae wi de trit da tεm de.
Sɔmtɛm yu go yɛri bak di wɔd ``Multimorbidity.'' Dis kin tɔk bɔt di prɛzɛns fɔ tu ɔr mɔr sik dɛm wae kin las fɔ pas wan ia, wae yu nɔr tɔk bɔt wan spɛshal wan as di men sik. Bɔku tɛm, dɛn kin yuz dɛn tu wɔd dɛn ya fɔ chenj.
Aw fɔ gɛt bɔku sik dɛn kin afɛkt wɛlbɔdi?
If yu gɛt bɔku bɔku sik dɛn we nɔ de mɛn, dat kin afɛkt yu difrɛn we dɛn.
- Stret na yu bɔdi ɛn maynd: We yu gɛt bɔku sik dɛn togɛda, dat kin mek yu strɛs, nɔ fil fayn, ɛn ambɔg yu bɔdi ɛn maynd pas fɔ gɛt wan sik nɔmɔ.
- Tritmɛnt na kɔmplikɛt: Dis na di tin we impɔtant pas ɔl. Imajin if mɛrɛsin we dɛn gi fɔ wan sik nɔ fayn fɔ ɔda sik? Ɔ if tu mɛrɛsin we dɛn gi fɔ tu sik dɛn togɛda kin mek prɔblɛm? So, i rili impɔtant fɔ tɛl yu dɔktɔ bɔt ɛni mɛrɛsin we yu de tek.
- Nid fɔ bɔku spɛshal pipul dɛn: Yu kin nid fɔ go to bɔku spɛshal pipul dɛn. Fɔ ɛgzampul, wan dɔktɔ we de mɛn at, wan dɔktɔ we de mɛn pipul dɛn we de na di bɔdi, ɛn wan dɔktɔ we de mɛn sik dɛn we gɛt shuga. E fayn fɔ mek dɛn ɔl woke as tim fɔ gi yu di bɛst tritmɛnt plan.
- Ɔspitul: Stɔdi dɔn sho se pɔsin we gɛt bɔku bɔku kɔmɔn sik dɛn kin de na ɔspitul fɔ lɔng tɛm ɛn i kin gɛt bɔku prɔblɛm dɛn.
Wetin na di kɔmɔn kɔmɔn sik dɛm?
Sɔm sik dɛn we kin kam pan pɔsin kin gɛt ɔda tin dɛn we kin apin to pɔsin. Dis nɔr min se ɔlman wae gɛt da sik de go gɛt dɛn ɔda sik ya bak, bɔt i impɔtant fɔ no bɔt am.
| Men mɛdikal kɔndishɔn | Kɔmɔn Kɔmɔbiditi dɛn |
|---|---|
| Tayp 2 Dayabitis | Ay blɔd prɛshɔn, ay kɔlɔstrel `(Dyslipidemia)`, fat `(Obesity)`, ɔbstrɔktiv slip apnia `(Obstructive slip apnea)`, fat liva `(MASLD)`, polycystic ovary syndrome `(PCOS)` |
| At we nɔ de wok fayn | Tayp 2 dayabitis, ay blɔd prɛshɔn, fat, slip apnɛa |
| Atraytis we pɔsin kin gɛt | Hat sik, dayabitis, fat pasmak, kronik obstructive pulmonary disease (COPD), strok |
| Atɛnshɔn dɛfisit haypa aktiviti disɔda (ADHD) . | Pwɛl hat, wɔri hat sik, bipola muud disɔda, sɔbstans yuse disɔda |
Sɔmtɛm dɛn sik ya kin apin togɛda bikɔs dɛn kin gɛt di sem tin dɛn we kin mek dɛn gɛt dis sik. Fɔ ɛgzampul, ay blɔd prɛshɔn ɛn dayabitis ɔl tu kin mek pɔsin gɛt at sik ɛn kidni sik. Bɔt sɔntɛnde, di sik dɛn kin de togɛda we nɔ gɛt da kayn klia kɔnekshɔn de.
So wetin a fɔ du bɔt dis?
If dɛn wɔd ya (`Comorbidity`, `Multimorbidity`) tan lɛk se i at fɔ yu, nɔ tink tumɔs bɔt am. Di impɔtant tin na dat wi nɔ fɔ stɔdi dɛn wɔd ya.
De tin wae impɔtant pas ɔl na fɔ tɔk opin wan ɛn ɔnɛs wit yu dɔktɔ bɔt ɛvri sik wae yu gɛt ɛn ɛvri mɛrɛsin wae yu de tek.
Tɛl ɔl dɔktɔ we yu si bɔt ɛni ɔda sik we yu gɛt ɛn di mɛrɛsin dɛn we yu de tek. Yu kin de tek Ayurveda mɛrɛsin, vaytamɛn, ɔ ɔda sɔpɔtmɛnt dɛn. Tɛl yu dɔktɔ bɔt ɔl dɛn tin ya. Nɔ ayd ɛnitin. Na da tɛm de nɔmɔ yu dɔktɔ go gi yu di tritmɛnt plan we sef ɛn we bɛtɛ pas ɔl .
Bi pɔsin we de tek pat tranga wan pan yu wɛlbɔdi biznɛs disizhɔn dɛn. Aks kwɛstyɔn, mek ɛni dawt we yu gɛt klia. Na yu rayt ɛn na yu wok.
Mɛsej we dɛn kin kɛr go na os
- `Comorbidity` de tɔk bɔt ɔda sik dɛm wae yu gɛt apat frɔm yu men sik. Dis nɔto sɔntin we wi fɔ fred, bɔt na sɔntin we wi fɔ ɔndastand.
- If yu gɛt bɔku sik, tritmɛnt kin tranga, so i impɔtant fɔ tɔk bɔt ɔltin wit yu dɔktɔ.
- Tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (inklud di wan dɛn we ɔda dɔktɔ dɛn gi yu, di mɛrɛsin dɛn we yu nɔ de bay, vaytamɛn dɛn, ɛn Ayurveda mɛrɛsin dɛn).
- Bi pɔsin we de tek pat tranga wan pan yu wɛlbɔdi plan. If ɛnitin de we yu nɔ ɔndastand, aks yu dɔktɔ. Na yu rayt.
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