Yu gɛt pas wan sik? Lɛ wi tɔk bɔt dɛn kɔmɔrɔbiditi ya!

Sɔntɛnde we wi kin go to dɔktɔ, sɔm pan di wɔd dɛn we dɛn kin tɔk kin mek wi fred smɔl, nɔto so? Wan pan dɛn wɔd ya na ‘Comorbidities’. Bɔt we yu ɔndastand wetin na dɛn tin ya ɛn aw dɛn kin afɛkt yu wɛlbɔdi, dat kin ɛp yu fɔ dil wit yu sik dɛn. So lɛ wi tɔk bɔt dis tide.

So wetin na dɛn kɔmɔrɔbiditi ya?

Fɔ tɔk am simpul wan, kɔmorbiditi na wae yu gɛt wan ɔr mɔr ɔda sik apat frɔm yu men sik. Di mεdikal tεm "morbidity" min di prεsεns כf wan sik כ kכndishכn. So we dɛn put "co" bifo am i min se tu ɔ mɔ sik dɛn de togɛda.

Di wɔd ``Comorbidity'' kin mek yu fred smɔl fɔ yɛri. Bɔt we yu dɔn ɔndastand wetin i min ɛn aw i kin afɛkt yu wɛlbɔdi, yu kin tek pat pan yu wɛlbɔdi biznɛs. Bikɔs dɛn kɔmɔn sik ya kin afɛkt dɛnsɛf, yu wɛlbɔdi plan kin chenj akɔdin to dat.

Imajin dis. Yu dɔktɔ tɛl yu fɔ waka ɛvride fɔ kɔntrol yu fat . Bɔt afta sɔm dez, yu kam fɔ no se yu gɛt ɔstiɔ-arayt . So, bifo yu waka ɛvride, yu kin chenj to wata aerobics fɔ mek yu jɔyn pen nɔ go wɔs. Insay dis kes, ɔstiɔ-arayt na wan kɔmorbiditi wit fɔ fat. So, di we aw yu de manej yu fat kin chenj.

Wan ɔda ɛgzampul na di ay blɔd prɛshɔn (Hypertension) . Pipul wae gɛt ɔda sik lɛk at sik ɔr lɔng sik kin gɛt ay blɔd prɛshɔn bak. If yu gɛt ay blɔd prɛshɔn wit ɔda tin dɛn, yu dɔktɔ go tink bak bɔt dɛn sik dɛn de. I kin nid fɔ gi am mɛrɛsin fɔ mek yu blɔd prɛshɔn go dɔŋ we nɔ go ambɔg ɔda mɛrɛsin dɛn we yu de tek.

Di kɔnsɛpt fɔ kɔmɔrɔbiditi rili impɔtant na di mɛdikal fild. So if yu no wetin i min, dat go ɛp yu fɔ tɔk to yu dɔktɔ ɛn ɔndastand yu tritmɛnt plan mɔ. I kin fayn bak fɔ sɔpɔt di wan dɛn we yu lɛk we dɛn gɛt sik.

Na sɔm ɔda wɔd dɛn we dɛn kin yuz fɔ tɔk bɔt di kɔmɔrɔbiditi dɛm:

• Di kɔndishɔn dɛn we de togɛda
• Di kɔndishɔn dɛn we gɛt fɔ du wit am
• Bɔku bɔku sik dɛn we nɔ de mɛn
• Di wan dɛn we gɛt bɔku bɔku sik dɛn

Wetin na di difrɛns bitwin praymari diagnosis ɛn kɔmɔrɔbiditi?

Komorbiditi na wan mεdikal kכndyushכn wae dεn no klia wan wae yu gεt apat frכm yu praymar diagnosis (sכmtεm dεn kin kכl am di כndalayn diagnosis כ index disease). Naw yu kin de wɔnda, "Wetin na dis praymar diagnosis?" Di difinishɔn fɔ dɛn wɔd ya rili kɔmplikt smɔl.

Insay di wɔl we dɛn de mɛn pipul dɛn, .Big sik na de mɛdikal kɔndishɔn wae dɛn de trit yu fɔ wan patikyula tɛm ɔr insay wan patikyula tɛm. E kin bi de sik wae de pasmak wae yu gɛt, ɔr de wan wae yu nid fɔ gɛt spɛshal kia. I kin ivin bi di wan we mek dɛn put yu na ɔspitul.

Di dɔktɔ we dɛn de tɔk bɔt kin kɔl sik as "men" sik. Yu men sik kin chenj bak dipen pan de dɔktɔ wae yu go si ɛn aw yu wɛl bɔdi kin chenj.

Fɔ ɛgzampul, imajin se yu gɛt Krɔnik Kidni Disease, Ay Blɔd Prɛshɔn, ɛn Tayp 2 Dayabitis. Yu kin go to dɔktɔ we de mɛn yu kidni ɛn dɛn kin trit yu ɔltɛm fɔ yu kidni sik. Dɔn, da dɔktɔ de kin tek yu kidni sik as yu men sik. Na bikɔs na dat i de trit. I kin tek ay blɔd prɛshɔn ɛn dayabitis as kɔmorbiditi fɔ kidni sik. I kin tek kia ɔf dɛn kɔmɔrɔbiditi ya bak we i de trit yu kidni sik.

We yu tek dis ɛgzampul go bifo, imajin se yu kin go to dɔktɔ we de mɛn ɛndɔkrin ɔltɛm fɔ mɛn yu dayabitis. Dɔn da dɔktɔ de kin tek di men sik we yu gɛt na dayabitis. I kin tek yu kidni sik ɛn ay blɔd prɛshɔn as kɔmorbiditi fɔ dayabitis.

So yu kin si, wetin na di men sik ɛn wetin na di kɔmɔrɔbiditi kin difrɛn difrɛn wan bay di sityueshɔn. Bɔku tɛm, spɛshal dɔktɔ dɛn kin si yu wɛlbɔdi prɔblɛm as men sik ɛn di ɔda sik dɛn we gɛt fɔ du wit am.

Bɔt pipul dɛm lɛk yu famili dɔktɔ (Primary Care Provider) kin luk dis difrɛn smɔl. Dɛn kin yuz di kɔnsɛpt bak fɔ ``Multimorbidity'' fɔ gɛt brayt we fɔ si yu wɛlbɔdi.

Yu tink se multimorbidity na sɔntin lɛk dis?

Di Yunaytɛd Stet Dipatmɛnt fɔ Wɛlbɔdi ɛn Yuman Savis de difayn ``multimorbidity'' as di prɛzɛns fɔ at le tu mɛdikal sik ɔ kɔndishɔn we de las fɔ pas wan ia . Dis difinishɔn nɔr de tɔk bɔt wan praymar sik. Dis difrɛn frɔm di difinishɔn fɔ kɔmɔrɔbiditi.

Bɔku risach pipul dɛn kin yuz di kɔnsɛpt fɔ ``multimorbidity'' fɔ stɔdi aw sik dɛn kin afɛkt dɛnsɛf. Bɔt bɔku pipul dɛn kin yuz di wɔd dɛn we dɛn kɔl comorbidity ɛn multimorbidity interchangeably, we na fɔ tɔk bɔt di prɛzɛns fɔ tu ɔ mɔ mɛdikal kɔndishɔn dɛn togɛda.

Aw dɛn kɔmɔrɔbiditi ya kin afɛkt yu wɛlbɔdi?

Fɔ gɛt kɔmɔrɔbiditi ɔr mɔltimɔbiditi kin afɛkt yu wɛlbɔdi pan bɔku we dɛn. Wae yu gɛt tu ɔr mɔr sik wae nɔr de mɛn:

• Dɛn kɔndishɔn ya kin gɛt mɔ impak pan yu maynd ɛn/ɔ bɔdi wɛlbɔdi pas aw dɛn kin gɛt wan wan, ɛn kin gɛt mɔ impak bak pan yu ``Kwaliti fɔ layf we gɛt fɔ du wit wɛlbɔdi biznɛs``.
• Bikɔs ɔf wan kɔmɔrɔbiditi, de lɔng tɛm lukin-grɔn fɔ yu praymari sik kin chenj.
• Di tritmɛnt kin tranga. Fɔ ɛgzampul, tritmɛnt fɔ wan sik kin mek ɔda sik wɔs. Ɔ, fɔ tek mɛrɛsin fɔ difrɛn sik dɛn togɛda kin denja.
• Yu go nid fɔ go to sɔm difrɛn spɛshal pipul dɛn . Dɛn go wok togɛda as tim, sheb dɛn no, ɛn mek di bɛst tritmɛnt plan fɔ yu.

Lɛ wi si wetin na di kɔmɔn kɔmɔn sik dɛm.

Dɛn kin si difrɛn kayn kɔmɔrɔbiditi pan di pasɛnt dɛn we de gɛt inpatient tritmɛnt na ɔspitul ɛn pan di wan dɛn we de sɔfa wit difrɛn mɛdikal kɔndishɔn dɛn.

Na di wan dɛn we dɛn put na ɔspitul

Wan stɔdi dɔn sho se pas 84% ​​pan di big pipul dɛm we bin de na ɔspitul na Amɛrika insay 2019 bin gɛt wan ɔ mɔ kɔmɔrɔbiditi, pan ɔl we di ɔndalayn kɔndishɔn we mek dɛn put dɛn na ɔspitul. Klose to 50% pan dis grup bin gɛt at le tri kɔmɔrɔbiditi.

Di kɔmɔn kɔmɔn sik dɛn we dɛn bin fɛn na da stɔdi de na:

• Ay blɔd prɛshɔn (53.2% pan di wan dɛn we de na di os) .
• Dayabitis (26.4% pan di wan dɛn we de na di os) .
• Krεse lכng sik (20.5% pan di wan dεm we de inpatient) .
• Defisiɛns anemia (18.0% pan di wan dɛn we de na di sik) .
• Fat pasmak (17.0% pan di wan dɛn we de na di os) .
• Kidni sik ɛn we nɔ de wok fayn (16.3% pan di wan dɛn we de na di sik) .

Dis stɔdi bin fɛn bɔku ɔda tin dɛn bak:

• Di kɔmɔrɔbiditi dɛn kin bɔku wit di ej. Na 8% nɔmɔ pan di big pipul dɛn we ol 18-24 ia gɛt at le tri kɔmɔrɔbiditi. Bɔt, nia 73% pan di wan dɛn we ol 85 ia ɔ pas dat gɛt at le tri kɔmɔrɔbiditi.
• Komorbiditi dɛn kin afɛkt di autkam dɛn. Pipul wae gɛt tri ɔr mɔr kɔmɔrɔbiditi kin de na ɔspitul fɔ lɔng tɛm ɛn dɛn kin day na ɔspitul pas di wan dɛm wae nɔr gɛt smɔl ɔr nɔr gɛt kɔmorbiditi. Di impak we di kɔmɔrɔbiditi gɛt kin strɔng mɔ we i kam pan ɔpreshɔn. Pipul wae gɛt tri ɔr mɔr kɔmɔrɔbiditi kin day na ɔspitul afta dɛn du ɔpreshɔn et tɛm pas di wan dɛm wae nɔr gɛt kɔmɔrɔbiditi.

Kɔmorbiditi dɛm wae dɛn kin si wit sɔm big big sik dɛm

Bɔku tɛm, di wan dɛn we de du risach kin stɔdi pipul dɛn we gɛt wan patikyula sik – fɔ ɛgzampul, at at sik ɔ at pwɛl – fɔ si us ɔda kɔndishɔn (kɔmɔrɔbiditi) dɛn gɛt. Na tru se ɔlman difrɛn, ɛn dɛn stɔdi ya nɔr min se ɔlman wae gɛt wan patikyula sik go gɛt sɔm kayn kɔmɔrɔbiditi. Bɔt dɛn kin gi wi wan aidia bɔt di kɔmɔn patɛns dɛn.

Lɛ wi luk sɔm ɛgzampul dɛn:

• Atɛnshɔn-Dɛfisit/Haypa Aktiviti Disɔda (ADHD) .
• Kɔmɔn kɔmorbiditi dɛm: Pwɛl hat, wɔri hat sik, bipolar disɔda.

• Tayp 2 Dayabitis
• di kכmכn kכmorbiditi dεm: di hεy blכd prεshכn, di hεy blכd fεt lεvεl (e.g. di hεy kכlestכl εn/ כ hכy triglisεrayd - Dyslipidemia), mεtabolik disfכnkshכn-asכsiet steatotik liva sik - MASLD, Polisistik Ovay Sindrom - PCOS, Obesity, Obstructive Sleep Apnea.

• At we nɔ de wok fayn
• Kɔmɔn kɔmɔn sik dɛn: Tayp 2 Dayabitis, Slip Apnia, Fat, Ay Blɔd Prɛshɔn.

Sɔmtɛm, sik kin kam togɛda bikɔs dɛn gɛt kɔmɔn kɔz ɔr tin wae kin mek dɛn gɛt dis sik. Fɔ ɛgzampul, ay blɔd prɛshɔn ɛn dayabitis kin mek yu gɛt at sik ɛn kidni sik. Bɔt sɔmtɛm, kɔmɔrɔbiditi nɔr kin gɛt wan kɔmɔn ɔndalayn kɔz. Yu dɔktɔ kin tɛl yu mɔ bɔt de tin wae kin mek yu gɛt dis sik ɛn aw tritmɛnt kin ɛp yu.

So wetin impɔtant fɔ mek yu no bɔt dis?

We yu lan di minin fɔ di wɔd dɛn we dɛn kɔl comorbidities ɛn multimorbidities, dat kin ɛp yu fɔ tɔk to yu dɔktɔ bɔt yu wɛlbɔdi. Bɔt if yu fil se dɛn wɔd ya de mɔna yu, stɔp ɛn tink fɔ smɔl tɛm.

Di impɔtant tin na fɔ nɔ mɛmba ɔl di wɔd dɛn we dɛn kin yuz fɔ mɛn pipul dɛn. De impɔtant tin na fɔ tek yu tɛm fɔ lan bɔt yu mɛrɛsin ɛn aw dɛn kin afɛkt yu wɛl bɔdi. Ɔndastand us tritmɛnt yu go nid, wetin mek yu nid dɛn, ɛn aw fɔ manej yu mɛrɛsin dɛn na os. I impɔtant bak fɔ no se nɔr tu pipul dɛn nɔr kin gɛt di sem kayn sik ɔr wan kɔmbayn kɔndishɔn difrɛn we.

Tɛl yu dɔktɔ ɔl yu kwɛstyɔn ɛn tin dɛn we de mɔna yu so dat i go gi yu gayd we fit yu patikyula sityueshɔn.

Di mɛsej we pɔsin kin kɛr go na os frɔm dis atikul na:

Okay, so, na di impɔtant tin dɛn we yu nid fɔ mɛmba frɔm wetin wi dɔn tɔk bɔt tide:

• Kɔmɔbiditi kin kɔmɔn: wan ɔr mɔr ɔda sik kin de apat frɔm wan praymar sik, na tin wae bɔrku pipul kin gɛt.
• I impɔtant fɔ ɔndastand: Fɔ no bɔt dɛn kɔmɔrɔbiditi ya, ɛn ɔndastand aw dɛn kin afɛkt yu wɛlbɔdi, na big ɛp fɔ manej yu ɔl wɛl bɔdi.
• Di tritmɛnt kin tranga:Fɔ plan tritmɛnt kin tranga smɔl wae yu gɛt pas wan sik, so i impɔtant fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan.
• Tɔk to yu dɔktɔ: Tɛl yu dɔktɔ bɔt ɛni mɛrɛsin we yu gɛt ɛn ɛni mɛrɛsin we yu de tek. Nɔ shek fɔ aks ɛni kwɛstyɔn ɔ tin we de mɔna yu. Yu wɛlbɔdi tim de fɔ ɛp yu.

Mɛmba se nɔto yu wangren de. Bɔrku pipul dɛn de liv wit dɛn kayn sik ya. If yu no di rayt tin, sɔpɔt yu, ɛn advays yu bɔt mɛrɛsin, yusɛf go ebul fɔ bia wit dɛn tin ya fayn fayn wan!

` Komorbiditi, Bɔku Kɔndishɔn, Praymari Diagnosis, Mɔltimɔbiditi, Kronik Sik, Wɛlbɔdi Manejmɛnt, Mɛdikal Advays