We yu go si dɔktɔ, yu dɔn ɛva yɛri pɔsin se sɔntin lɛk, "Yu nɔ jɔs gɛt ay blɔd prɛshɔn, bɔt yu gɛt dayabitis bak, so yu nɔ ebul fɔ gi mi dis mɛrɛsin"? Ɔ yu kin wɔri se we yu tek mɛrɛsin fɔ wan sik, i go ambɔg ɔda wan? Infakt, i kin rili kɔmɔn fɔ gɛt pas wan mɛrɛsin di sem tɛm. Insay mɛrɛsin, wi gɛt spɛshal nem fɔ dis. Na dat wi go tok abaut tide.
Fɔ tɔk am simpul wan, wetin na kɔmɔrɔbiditi?
Yu go dɔn yɛri di wɔd comorbidity frɔm dɔktɔ. De simpul difinishɔn fɔ dis na dat pɔrsin gɛt tu ɔr mɔr difrɛn mɛdikal kɔndishɔn dɛm di sem tɛm. Dɛn tin ya kin de fɔ lɔng tɛm, ɔr wae wi kin kɔl sik dɛm wae nɔr de mɛn . Dɛn sik ya kin gɛt fɔ du wit dɛnsɛf ɔ nɔr kin gɛt fɔ du wit dɛnsɛf.
Dɔktɔ dɛn kin yuz dis wɔd fɔ ɛp yu fɔ ɔndastand ɛn ɛksplen aw dɛn tin ya, togɛda ɛn difrɛn wan, kin afɛkt yu bɔdi ɛn maynd wɛlbɔdi. Sɔmtɛm dɛn kin kɔl dis bak ‘coexisting conditions’ ɔ ‘multimorbidity’.
Tink bɔt am dis we. Pɔsin gɛt dayabitis . Afta sɔm tɛm, dɛn kin kam fɔ no se dɛnsɛf gɛt ay blɔd prɛshɔn. Dɔn wi se wan kɔmorbiditi de bitwin dɛn tu sik ya. De sayn dɛm fɔ dɛn tu sik ya kin afɛkt yu kwaliti fɔ liv. So we dɛn de trit yu fɔ dayabitis , di dɔktɔ fɔ bisin bɔt yu blɔd prɛshɔn ɔltɛm.
Wetin na di difrɛns bitwin kɔmɔrɔbiditi ɛn wan kɔmplikeshɔn?
Dis na di say we bɔku pipul dɛn kin kɔnfyus. Komorbiditi nɔto kɔmplikeshɔn .
Kɔmplikɛshɔn na sayd ɛfɛkt ɔ ɔda mɛrɛsin prɔblɛm we kin apin bikɔs ɔf sik, tritmɛnt, ɔ ɔpreshɔn. Fɔ ɛgzampul, kidni sik kin kam as tɛm de go bikɔs ɔf dayabitis we dɛn nɔ kin kɔntrol fayn.
Bɔt, kɔmorbiditi na sɔntin we difrɛn. I min se apat frɔm yu men sik, wan ɔda mɛrɛsin de we kin de di sem tɛm wit am. Fɔ ɛgzampul, pɔsin we gɛt dayabitis kin gɛt at at sik we nɔ gɛt natin fɔ du wit am.If at at sik kam, na kɔmorbiditi. Yu ɔndastand di difrɛns?
Udat go mɔs si dis sik?
Pipul dɛn we dɔn ol kin gɛt bɔku pan dɛn sik ya di sem tɛm, bikɔs as wi de ol, di chans fɔ gɛt difrɛn wɛlbɔdi prɔblɛm dɛn na wi bɔdi kin bɔku.
Bɔt nɔto fɔ ol pipul dɛn nɔmɔ dis kin apin. Kɔmɔbiditi kin apin bak pan yɔŋ pipul dɛm. Risach dɔn sho se bɔku tin dɛn de we kin mek pɔsin gɛt bɔku sik dɛn di sem tɛm.
- Tayp fɔ sik (di bɔdi ɔr maynd) .
- Bɔy ɔ gal
- Ej
- Soshio-ikɔnomik stetmɛnt
Wetin dɛn stɔdi ya dɔn sho na dat pipul dɛn we nɔ gɛt bɛtɛ mɔni ɛn we gɛt bɔku strɛs na dɛn ɛvride layf kin gɛt sɔm pan dɛn sik ya 10-15 ia bifo tɛm pas di wan dɛn we gɛt bɛtɛ akses. Dɔn bak, di mɔr sik dɛn we pɔsin kin gɛt we nɔ de mɛn, na di mɔ i kin gɛt prɔblɛm wit in maynd (e.g., pwɛl hat ).
| Ɛgzampul dɛn fɔ di Kɔmɔn Kɔmɔrɔbiditi Kɔndishɔn dɛn | |
|---|---|
| At sik | Di ay blɔd prɛshɔn |
| Sik we pɔsin kin gɛt we i de blo | Shuga |
| Jɔyn sik / Atraytis | Prɔblɛm dɛn we gɛt fɔ du wit yu maynd (e.g. Dimɛnshɔn, Dipreshɔn) . |
| Sεribrovaskul sik | Sεns dεm we de mek yu fil fayn (e.g., yu nכ de si fayn, yu nכ de yεri) . |
Aw di kɔmɔrɔbiditi kin afɛkt mi tritmɛnt plan?
Wae yu gɛt bɔrku sik, tritmɛnt kin tranga smɔl. Dis na bikɔs ɛni sik gɛt in yon spɛshal sayn dɛn, we kin mek pɔsin gɛt dis sik, ɛn i nid fɔ gɛt difrɛn tritmɛnt plan dɛn .
Sɔm sik dɛn we pɔsin kin gɛt kin mek i gɛt ɔda sik dɛn bak. Fɔ ɛgzampul, at at sik kin kam pan pipul dɛm wae gɛt sik wae nɔr de dɔn lɛk fɔ fat , at sik, ɔr gɛt shuga. We bɔku bɔku tin dɛn, ilɛksɛf dɛn gɛt sɔntin fɔ du wit dɛnsɛf ɔ we nɔ gɛt natin fɔ du wit dɛnsɛf, kam togɛda, i kin tranga fɔ kɔntrol dɛn ɔl wan tɛm.
Fɔ tek bɔku mɛrɛsin (Polypharmacy) .
We yu gɛt bɔku sik, yu fɔ tek bɔku mɛrɛsin. Wi kɔl dis polypharmacy . Big risk de ya.
Wan mɛrɛsin fɔ wan kɔndishɔn kin "intarakt" wit wan mɛrɛsin fɔ ɔda kɔndishɔn. If dis apin, di mɛrɛsin kin ridyus ɔ nyu sayd ɛfɛkt kin apin.
Infakt, pɔrsin wae gɛt kɔmorbiditi kin gɛt bɔrku risk fɔ gɛt ɔda wɛl bɔdi prɔblɛm wae nɔr gɛt natin fɔ du wit di praymar sik. Dis kin mek di risk fɔ go na di imejensi dipatmɛnt (ETU) , bad bad tin dɛn we dɛn kin du fɔ tek drɔgs, fɔ go na ɔspitul we dɛn kin ebul fɔ avɔyd, ɛn sɔm tɛm dɛn kin ivin day.
Impɔtant tips fɔ manej kɔmɔrɔbiditi
Pan ɔl we fɔ liv wit bɔku sik dɛn lɛk dis kin tranga, yu kin ebul fɔ kɔntrol am fayn fayn wan if yu wok wit plan.
1. Tɛl yu dɔktɔ bɔt ɔl yu mɛrɛsin: Ilɛksɛf yu de go to spɛshal dɔktɔ fɔ wan sik, tɛl am bɔt ɔl yu ɔda mɛrɛsin ɛn mɛrɛsin dɛn we yu de tek . Dis go mek i ebul fɔ tink bɔt yu ɔl wɛlbɔdi biznɛs ɛn mek di tritmɛnt plan we fit yu pas ɔl.
2. Gɛt praymari kia dɔktɔ: Gɛt praymari kia dɔktɔ, lɛk yu famili dɔktɔ ɔ GP. I kin ɔndastand ɔl yu mɛrɛsin, rifer yu to di spɛshal dɔktɔ dɛn we yu nid, ɛn kɔdinɛt yu tritmɛnt wit dɛn.
3. Prioritiz: Yu nɔ go ebul fɔ tɔk bɔt ɔl di tin dɛn we de mɔna yu insay di 15-20 minit we yu gɛt wit yu dɔktɔ. So, bifo yu go, tink se, "Wetin na di ishu we de mɔna mi pas ɔl tide, di wan we de afɛkt mi ɛvride layf pas ɔl?" Yu fɔ put dat fɔs ɛn tɔk bɔt am.
4. Tek wan mɛrɛsin list wit yu: Dis rili impɔtant. Rayt di nem fɔ ɛni mɛrɛsin we yu de tek, di doz, ɛn ɔmɔs tɛm yu de tek am insay di de. Put ɛni vaytamɛn ɔ pen kil (e.g. Panadol) we yu bay na di famasi. Tek dis buk wit yu na ɛni dɔktɔ apɔntinmɛnt.
5. Tek kia ɔf yu layf: Fɔ liv wit bɔku bɔku sik dɛn we nɔ de mɛn kin mek yu taya na yu bɔdi ɛn yu maynd. If yu it fayn it we gɛt bɔku frut ɛn vɛjitebul, ɛksesaiz ɛvride, ɛn slip fayn, dat kin ɛp fɔ mek yu gɛt mɔ trɛnk ɛn fɔ mek yu nɔ gɛt bɔku bad bad tin dɛn we kin apin to yu. Tɔk to yu dɔktɔ bɔt dis.
Mɛsej we dɛn kin kɛr go na os
- Komorbiditi na di prɛzɛns fɔ bɔku bɔku sik dɛn we nɔ de mɛn di sem tɛm. Dis nɔto ‘kɔmplikeshɔn’ fɔ wan sik.
- If yu gɛt bɔku sik, fɔ plan fɔ trit yu kin tranga, ɛn fɔ tek bɔku mɛrɛsin (polypharmacy) kin nid fɔ de.
- We yu go to ɛni dɔktɔ, gi ɔl di mɛrɛsin dɛn we yu gɛt ɛn ɔl di mɛrɛsin dɛn (inklud di vaytamɛn dɛn) we yu de tek.
- I rili impɔtant fɔ gɛt praymari kia dɔktɔ (GP/Family Dɔkta) we no ɔl yu wɛlbɔdi kɔndishɔn.
- Ɔltɛm kip wan list fɔ ɔl di mɛrɛsin dɛn we yu de tek wit yu ɛn kam wit am na yu dɔktɔ in apɔntinmɛnt. Dis rili impɔtant fɔ mek yu sef.
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