Kodi muli ndi matenda angapo? Tiyeni tikambirane za matenda amenewa!

Nthawi zina tikapita kwa dokotala, mawu ena omwe amanena angakhale owopsa pang'ono, eti? Liwu limodzi lotere ndi 'Matenda a m'mimba'. Koma kumvetsetsa zomwe izi ndi zomwe zimakhudza thanzi lanu kungakuthandizeni kwambiri kuthana ndi matenda anu. Tiyeni tikambirane za izi lero.

Ndiye kodi ma comorbidities awa ndi otani?

Mwachidule, matenda ena ndi kukhalapo kwa matenda ena kapena angapo kuwonjezera pa matenda anu akuluakulu. Mawu azachipatala akuti "morbidity" amatanthauza kukhalapo kwa matenda kapena vuto. Choncho akamayikidwa ndi "co" amatanthauza kuti matenda awiri kapena angapo amapezeka pamodzi.

Mawu akuti "Comorbidity" akhoza kukhala owopsa pang'ono kumva. Koma mukamvetsetsa tanthauzo lake komanso momwe limakhudzira thanzi lanu, mutha kutenga nawo mbali pakuwongolera thanzi lanu. Chifukwa matenda amenewa amatha kukhudzana, dongosolo lanu lazaumoyo lingasinthe moyenera.

Tangoganizirani izi. Dokotala wanu akukuuzani kuti muyende tsiku lililonse kuti muchepetse kunenepa kwanu . Koma patatha masiku angapo, mumapeza kuti muli ndi osteoarthritis . Chifukwa chake, m'malo moyenda tsiku lililonse, mutha kusintha kupita ku masewera olimbitsa thupi a m'madzi kuti mupewe kupweteka kwa mafupa anu. Pankhaniyi, osteoarthritis ndi matenda omwe amayenderana ndi kunenepa kwambiri. Chifukwa chake, momwe mumayendetsera kunenepa kwanu zimasintha.

Chitsanzo china ndi kuthamanga kwa magazi (kuthamanga kwa magazi) . Anthu omwe ali ndi matenda ena, monga matenda a mtima kapena matenda a m'mapapo, nawonso akhoza kukhala ndi kuthamanga kwa magazi. Ngati muli ndi kuthamanga kwa magazi limodzi ndi matenda ena, dokotala wanu adzaganiziranso za matendawa. Angafunike kukupatsani mankhwala ochepetsa kuthamanga kwa magazi omwe sangasokoneze mankhwala ena omwe mukumwa.

Lingaliro la matenda ophatikizana ndi matenda ena ndi lofunika kwambiri pankhani ya zamankhwala. Chifukwa chake kudziwa tanthauzo lake kungakuthandizeni kulankhula ndi dokotala wanu ndikumvetsetsa bwino dongosolo lanu la chithandizo. Lingathandizenso pothandiza okondedwa anu pamavuto awo azachipatala.

Nazi mawu ena omwe amagwiritsidwa ntchito pofotokoza matenda a comorbidities:

• Mikhalidwe yomwe ilipo nthawi imodzi
• Mikhalidwe yogwirizana
• Matenda ambiri osatha
• Matenda ambiri

Kodi pali kusiyana kotani pakati pa matenda oyamba ndi matenda ena ofanana?

Matenda a Comorbidity ndi matenda omwe amadziwika bwino omwe muli nawo kuwonjezera pa matenda anu oyamba (nthawi zina amatchedwa matenda oyamba kapena matenda owonetsa). Tsopano mwina mukudabwa kuti, "Kodi matenda oyambawa ndi otani?" Matanthauzidwe a mawuwa ndi ovuta pang'ono.

Mu dziko la zamankhwala,Matenda aakulu ndi matenda omwe mukulandira panthawi inayake kapena mkati mwa nthawi inayake. Akhoza kukhala matenda oopsa kwambiri omwe muli nawo, kapena omwe amafunikira chisamaliro chapadera kwambiri. Akhozanso kukhala omwe adakupangitsani kuti mugonekedwe m'chipatala.

Dokotala amene akumuganizirayo amatchula matenda ngati "akulu". Matenda anu akuluakulu angasinthenso malinga ndi dokotala amene mwamuwona komanso momwe thanzi lanu limasinthira.

Mwachitsanzo, taganizirani kuti muli ndi Matenda a Impso Osatha, Kuthamanga kwa Magazi, ndi Matenda a Shuga a Mtundu wa 2. Mukapita kwa dokotala wa matenda a impso ndipo nthawi zonse mumalandira chithandizo cha matenda anu a impso. Kenako, dokotalayo amaona matenda anu a impso ngati matenda anu akuluakulu. Chifukwa ndicho chimene amachizira. Amaona kuthamanga kwa magazi ndi matenda a shuga ngati matenda ena a impso. Amasamaliranso matenda amenewa akamachiritsa matenda anu a impso.

Potengera chitsanzo ichi, tangoganizirani kuti nthawi zonse mukaonana ndi dokotala wa matenda a shuga kuti akuthandizeni ndi matenda anu a shuga. Kenako dokotalayo amaona kuti matenda anu akuluakulu ndi matenda a shuga. Amaona kuti matenda anu a impso ndi kuthamanga kwa magazi ndi zina mwa matenda a shuga.

Kotero mutha kuwona, matenda aakulu ndi matenda enaake amatha kusiyana malinga ndi momwe zinthu zilili. Madokotala odziwa bwino ntchito nthawi zambiri amaona matenda anu ngati matenda akuluakulu komanso matenda ena ofanana nawo.

Koma anthu monga dokotala wa banja lanu (Wopereka Chithandizo Chachikulu) angaone izi mosiyana pang'ono. Angagwiritsenso ntchito lingaliro la "Multimorbidity" kuti amvetse bwino thanzi lanu.

Kodi matenda a multimorbidity ndi otere?

Dipatimenti ya Zaumoyo ndi Utumiki wa Anthu ku United States imafotokoza "multimorbidity" ngati kukhalapo kwa matenda kapena zinthu ziwiri kapena zingapo zomwe zimatha kwa nthawi yoposa chaka chimodzi . Tanthauzo ili silitchula matenda oyamba. Izi ndi zosiyana ndi tanthauzo la comorbidity.

Ofufuza ambiri amagwiritsa ntchito lingaliro la "multimorbidity" pophunzira momwe matenda amakhudzirana. Komabe, anthu ambiri amagwiritsa ntchito mawu akuti comorbidity ndi multimorbidity mosinthana, zomwe zikutanthauza kukhalapo kwa matenda awiri kapena angapo pamodzi.

Kodi matenda amenewa amakhudza bwanji thanzi lanu?

Kukhala ndi matenda enaake kapena matenda osiyanasiyana kungakhudze thanzi lanu m'njira zambiri. Mukakhala ndi matenda awiri kapena angapo osatha:

• Matendawa akhoza kukhudza kwambiri thanzi lanu la maganizo ndi/kapena la thupi kuposa momwe angakhudzire payekhapayekha, komanso akhoza kukhudza kwambiri "umoyo wanu wokhudzana ndi thanzi".
• Chifukwa cha matenda enaake, chiyembekezo cha nthawi yayitali cha matenda anu oyamba chingasinthe.
• Chithandizo chingakhale chovuta. Mwachitsanzo, chithandizo cha vuto lina chingawonjezere vuto lina. Kapena, kumwa mankhwala a matenda osiyanasiyana pamodzi kungakhale koopsa.
• Mungafunike kuonana ndi akatswiri osiyanasiyana . Adzagwira ntchito limodzi ngati gulu, kugawana zomwe akudziwa, ndikupanga dongosolo labwino kwambiri la chithandizo kwa inu.

Tiyeni tiwone zomwe zimayambitsa matenda ofala kwambiri.

Matenda osiyanasiyana amatha kuoneka pakati pa odwala omwe akulandira chithandizo m'zipatala komanso pakati pa omwe akuvutika ndi matenda osiyanasiyana.

Pakati pa omwe adagonekedwa m'chipatala

Kafukufuku wina adapeza kuti akuluakulu opitilira 84% omwe adagonekedwa m'chipatala ku United States mu 2019 anali ndi vuto limodzi kapena angapo, kuwonjezera pa vuto lomwe lidawapangitsa kuti agonekedwe m'chipatala. Pafupifupi 50% ya gululi anali ndi matenda osachepera atatu.

Matenda ofala kwambiri omwe amapezeka mu kafukufukuyu anali:

• Kuthamanga kwa magazi (53.2% ya odwala omwe ali m'chipatala)
• Matenda a shuga (26.4% ya odwala omwe ali m'chipatala)
• Matenda a m'mapapo osatha (20.5% ya odwala omwe ali m'chipatala)
• Kusowa kwa magazi m'thupi (18.0% ya odwala omwe ali m'chipatala)
• Kunenepa kwambiri (17.0% ya odwala omwe ali m'chipatala)
• Matenda a impso ndi kulephera (16.3% ya odwala omwe ali m'chipatala)

Kafukufukuyu adapezanso zinthu zina zingapo:

• Matenda a m'mimba amawonjezeka ndi ukalamba. 8% yokha ya akuluakulu azaka zapakati pa 18-24 ndi omwe ali ndi matenda okwana atatu. Komabe, pafupifupi 73% ya anthu azaka zapakati pa 85 kapena kuposerapo ali ndi matenda okwana atatu.
• Matenda obwera chifukwa cha matenda ena amakhudza zotsatira zake. Anthu omwe ali ndi matenda atatu kapena kuposerapo amakhala nthawi yayitali kuchipatala ndipo nthawi zambiri amafa kuchipatala kuposa omwe ali ndi matenda ochepa kapena osapezekapo. Zotsatira za matenda obwera chifukwa cha matendawa zimakhala zazikulu kwambiri pankhani ya opaleshoni. Anthu omwe ali ndi matenda atatu kapena kuposerapo amakhala ndi mwayi wofa kuchipatala atachitidwa opaleshoni nthawi zisanu ndi zitatu kuposa omwe alibe matenda ena.

Matenda obwera chifukwa cha matenda ena akuluakulu

Ofufuza nthawi zambiri amaphunzira anthu omwe ali ndi matenda enaake - mwachitsanzo, nyamakazi kapena kulephera kwa mtima - kuti adziwe matenda ena (comorbidities) omwe ali nawo. Zachidziwikire, aliyense ndi wosiyana, ndipo maphunzirowa satanthauza kuti aliyense amene ali ndi matenda enaake adzakhala ndi matenda enaake. Koma amatipatsa lingaliro la machitidwe ofanana.

Tiyeni tione zitsanzo zina:

• Matenda Osowa Chisamaliro/Osagwira Ntchito Mopitirira Muyeso (ADHD)
• Matenda ena ofala: Kuvutika maganizo, matenda a nkhawa, matenda a bipolar.

• Matenda a Shuga a Mtundu Wachiwiri
• Matenda ena ofala: Kuthamanga kwa magazi, kuchuluka kwa mafuta m'magazi (monga cholesterol yambiri ndi/kapena triglycerides yambiri - Dyslipidemia), Matenda a chiwindi a steatotic omwe amagwirizana ndi kagayidwe kachakudya - MASLD, Polycystic Ovary Syndrome - PCOS, Kunenepa Kwambiri, Obstructive Sleep Apnea.

• Kulephera kwa Mtima
• Matenda ena ofala: Matenda a shuga a mtundu wa 2, matenda otupa m'mimba, matenda otupa m'mimba, matenda otupa m'magazi.

Nthawi zina, matenda amapezeka pamodzi chifukwa chakuti ali ndi zifukwa zofanana kapena zinthu zomwe zimayambitsa matenda. Mwachitsanzo, kuthamanga kwa magazi ndi matenda a shuga zimatha kuwonjezera chiopsezo chanu cha matenda a mtima ndi impso. Koma nthawi zina matenda ena samakhala ndi chifukwa chofanana. Dokotala wanu angakuuzeni zambiri za zomwe zimayambitsa matenda anu komanso momwe chithandizo chingathandizire.

Ndiye kodi kufunika kodziwa izi n'kotani?

Kuphunzira tanthauzo la mawu akuti comorbidities ndi multimorbidities kungakuthandizeni kulankhula ndi dokotala wanu za thanzi lanu. Koma ngati mukumva kuti mawuwa akukutopetsani, imani kaye ndi kuganiza pang'ono.

Chofunika kwambiri sikuti musunge mawu onse azachipatala. Chofunika kwambiri ndikutenga nthawi kuti mudziwe za matenda anu komanso momwe amakhudzira thanzi lanu. Mvetsetsani mankhwala omwe mungafune, chifukwa chake mukuwafuna, komanso momwe mungasamalire mankhwala anu kunyumba. Ndikofunikiranso kuzindikira kuti palibe anthu awiri omwe amakumana ndi vuto lomwelo kapena kuphatikiza matenda osiyanasiyana.

Uzani dokotala wanu mafunso ndi nkhawa zanu zonse kuti akupatseni malangizo ogwirizana ndi vuto lanu.

Uthenga wochokera m'nkhaniyi ndi wakuti:

Chabwino, nazi zinthu zofunika kwambiri zomwe muyenera kukumbukira kuchokera pa zomwe takambirana lero:

• Matenda obwera chifukwa cha matenda ena ndi ofala: kukhalapo kwa matenda ena kapena angapo kuwonjezera pa matenda oyamba, zomwe anthu ambiri amakumana nazo.
• Ndikofunika kumvetsetsa: Kudziwa za matenda amenewa, komanso kumvetsetsa momwe amakhudzira thanzi lanu, kumathandiza kwambiri pakuwongolera thanzi lanu lonse.
• Chithandizo chingakhale chovuta:Kukonzekera chithandizo kungakhale kovuta ngati muli ndi matenda angapo, choncho ndikofunikira kutsatira malangizo a dokotala wanu molondola.
• Lankhulani ndi dokotala wanu: Uzani dokotala wanu za matenda aliwonse omwe muli nawo komanso mankhwala aliwonse omwe mumamwa. Musazengereze kufunsa mafunso kapena nkhawa zilizonse zomwe muli nazo. Gulu lanu lazachipatala lilipo kuti likuthandizeni.

Kumbukirani, simuli nokha. Pali anthu ambiri omwe ali ndi matenda amenewa. Ndi chidziwitso choyenera, chithandizo, ndi upangiri wachipatala, inunso mutha kuthana ndi matendawa bwino!

Matenda Okhudzana ndi Matenda a M'mimba, Matenda Osiyanasiyana, Kuzindikira Koyamba, Matenda Ambiri, Matenda Osatha, Kusamalira Zaumoyo, Upangiri wa Zachipatala