A rualin natna tam tak i nei em? Comorbidity chungchang hi han sawi ila!

Doctor i pan dawnin mi pakhatin, "I thisen sang chauh ni lovin, zunthlum i vei bawk a, chuvangin he damdawi hi min pe thei lo" tih ang chi hi i hre ngai em? A nih loh leh, natna pakhat damdawi i ei hian natna dang a tibuai ang tih i hlau em? Dik tak chuan a ruala damdawi lam natna pakhat aia tam neih hi thil awmze nei tak a ni. Damdawi lamah chuan hei hi hming bik kan nei a. Chu chu vawiinah kan sawi dawn a ni.

A awlsam zawngin, comorbidity chu eng nge ni?

Doctor hnen atangin comorbidity tih thumal hi i hre tawh mai thei. Hei hi sawifiahna awlsam ber chu mi pakhatin a rualin damdawi lam dinhmun hrang hrang pahnih emaw a aia tam emaw a nei tihna a ni. Chûngte chu hun rei tak chhûnga awm, a nih loh leh natna khirh tak kan tihte a ni tlangpui . Heng natnate hi a inzawm lo thei a, a inzawm lo thei bawk.

Doctor-te chuan he thumal hi heng dinhmunte hian, a ruala leh a hranin, i taksa leh rilru hriselna a nghawng dan hriatthiam leh sawifiahna atan an hmang a ni. A chang chuan hei hi ‘coexisting conditions’ emaw ‘multimorbidity’ emaw an ti bawk.

Hetiang hian han ngaihtuah teh. Mi pakhatin zunthlum a nei a . Hun engemaw chen hnuah chuan thisen sang pawh an nei tih an hrechhuak ta a. Tichuan heng natna pahnih inkarah hian comorbidity a awm kan ti a. Heng natna pahnih chhinchhiahna hian i nunphung a nghawng thei a ni. So when you are being treated for diabetes , doctor chuan i thisen sang hi a ngaihtuah reng tur a ni.

Comorbidity leh complication hi eng nge a danglamna?

Hei hi mi tam tak buaina hmun a ni. Comorbidity hi a buaithlak lo .

Mahse, comorbidity hi thil danglam tak a ni. I natna ber bakah hian a ruala awm damdawi lam dinhmun hran a awm tihna a ni. Entîr nân, zunthlum vei tu emaw chuan a kaihhnawih lo arthritis a nei thei a.Arthritis a lo awm chuan comorbidity a ni. A danglamna chu i hrethiam em?

He dinhmun hi tuin nge hmu tam ber?

Kum upa zawkte hian a rualin heng natna chi hrang hrang hi eng emaw zat an vei tam zawk a, a chhan chu kan upat deuh deuh chuan kan taksaah hriselna lama harsatna chi hrang hrang kan neih theihna a sang chho zel a ni.

Mahse, hei hi kum upa lam chauh a ni lo. Comorbidities hi naupang zawkah pawh a awm thei bawk. Research atanga a lan dan chuan mi pakhatin a ruala natna chi hrang hrang a neih theihna chhan hi thil engemaw zat a awm a.

• Natna chi hrang hrang (taksa emaw rilru lam emaw) .
• Mipa leh hmeichhe thliarna
• Kum
• Socioeconomic dinhmun (socioeconomic dinhmun) a ni

Heng zirchiannate hian a lantir chu, economic status hniam tak tak leh nitin nunah stress sang tak nei te chu heng natna engemaw zat hi kum 10-15 hmain an vei thei a, chu chu an vei theihna tha zawkte aiin an vei hmasa zawk a ni. Tin, mi pakhatin natna khirh tak tak a neih tam poh leh rilru lam natna (e.g., depression ) a vei theihna a sang zawk bawk.

Engtin nge comorbidity hian ka treatment plan a nghawng?

Multiple condition i neih chuan enkawlna chu a buaithlak deuh thei. Hei hi a chhan chu natna tin hian a lan chhuahna, a thlentu, leh enkawlna ruahmanna hrang hrang a mamawh vang a ni .

Damdawi lam thil thenkhat chuan natna dang vei theihna a tipung thei bawk. Entirnan, arthritis hi natna khirh tak tak nei, thau lutuk , thinlung natna, emaw zunthlum vei te zingah a tam zawk a ni. Thil awmdan tam tak, inzawm emaw, inzawm lo emaw pawh ni se, a inzawm khawm chuan vawi khata enkawl vek chu thil harsa tak a ni thei.

Damdawi tam tak ei (Polypharmacy) .

Natna tam tak i neih chuan damdawi chi hrang hrang i ei a ngai a ni. Hei hi polypharmacy kan ti a ni . Hetah hian risk lian tak a awm.

Dik tak chuan comorbidities nei mi chu primary disease nena inzawm lo hriselna lama harsatna dang a neih theihna chance a sang zawk a ni. Hei hian emergency department (ETU) tlawh te, damdawi lama harsatna tawk te, damdawi ina enkawl loh theih loh te, leh a then phei chuan thihna thlengin a tipung a ni.

Comorbidities enkawlna atana tips pawimawh tak tak

Hetiang natna chi hrang hrang nena nun hi thil harsa tak ni thei mah se, ruahmanna fel tak nena i thawh chuan a enkawl tha thei a ni.

1. I doctor hnenah i damdawi lam dinhmun zawng zawng hrilh rawh: I natna pakhata specialist i hmuh pawhin i damdawi dang zawng zawng leh i damdawi ei zawng zawngte chu hrilh rawh Hei hian i hriselna zawng zawng a ngaihtuah thei ang a, i tana enkawlna tur ruahmanna \ha ber a siam thei ang.

2. Primary care physician nei rawh: Primary care physician nei la, chu chu i chhungkaw doctor emaw GP emaw ang chi hi a ni. I damdawi lam dinhmun zawng zawng chu a hrethiam thei a, a tul anga specialist-te hnenah a refer thei che a, anmahni nen i enkawlna chu a inrualrem thei bawk.

3. Ngaihtuah hmasa rawh: I doctor nen minute 15-20 chhunga i ngaihtuahna zawng zawng chu i sawiho thei lo mai thei. Chuvangin, i kal hmain, "Tunlai hian eng thil nge min tibuai ber, ka nitin nun nghawng nasa ber chu eng nge ni?" Chu chu dah pawimawh hmasa la, sawiho rawh.

4. Damdawi list keng la: Hei hi a pawimawh hle. Damdawi i ei apiang hming, a dose, leh ni khatah vawi engzat nge i ei tih ziak la. Damdawi dawr atanga i lei vitamin emaw, natna tidamtu (e.g. Panadol) emaw chu dah tel bawk ang che. Doctor appointment apiangah he lehkhabu hi keng la.

5. I nunphung enkawl rawh: Natna khirh tak tak chi hrang hrang nena nun hi taksa leh rilru lamah a hahthlak thei hle. Thlai leh thei chi hrang hrang tamna ei leh in hrisel, nitin exercise leh mut that hian i chakna a tipung thei a, side effects a ti tlem thei bawk. Hemi chungchang hi i doctor nen sawiho rawh.