Mukapita kukaonana ndi dokotala, kodi munamvapo munthu akunena mawu ngati akuti, "Simuli ndi kuthamanga kwa magazi kokha, komanso muli ndi matenda a shuga, kotero simungathe kundipatsa mankhwala awa"? Kapena mumada nkhawa kuti mukamwa mankhwala a vuto lina, lidzasokoneza lina? Ndipotu, n'zofala kwambiri kukhala ndi matenda angapo nthawi imodzi. Mu zamankhwala, tili ndi dzina lapadera la izi. Ndicho chimene tikambirana lero.
Mwachidule, kodi comorbidity ndi chiyani?
Mwina munamvapo mawu akuti comorbidity kuchokera kwa dokotala. Tanthauzo losavuta la izi ndilakuti munthu ali ndi matenda awiri kapena angapo osiyana nthawi imodzi. Izi nthawi zambiri zimakhala za nthawi yayitali, kapena zomwe timazitcha matenda osatha . Matendawa akhoza kukhala okhudzana kapena osakhudzana.
Madokotala amagwiritsa ntchito mawu awa kuti akuthandizeni kumvetsetsa ndikufotokozera momwe matenda awa, pamodzi komanso padera, amakhudzira thanzi lanu lakuthupi ndi lamaganizo. Nthawi zina izi zimatchedwanso 'coexisting conditions' kapena 'multimorbidity'.
Taganizirani izi motere. Munthu ali ndi matenda a shuga . Patapita kanthawi, amapeza kuti alinso ndi kuthamanga kwa magazi. Kenako timati pali kusiyana pakati pa matenda awiriwa. Zizindikiro za matenda onsewa zimatha kukhudza moyo wanu. Chifukwa chake mukalandira chithandizo cha matenda a shuga , dokotala ayenera nthawi zonse kudera nkhawa za kuthamanga kwa magazi anu.
Kodi kusiyana pakati pa comorbidity ndi complication ndi kotani?
Apa ndi pomwe anthu ambiri amasokonezeka. Kugonana ndi anthu ena si vuto .
Vuto ndi zotsatirapo zina kapena vuto lina lachipatala lomwe limabwera chifukwa cha matenda, chithandizo, kapena opaleshoni. Mwachitsanzo, matenda a impso amatha kuyamba pakapita nthawi chifukwa cha matenda a shuga omwe sayendetsedwa bwino.
Komabe, matenda obwera chifukwa cha matenda ena ndi osiyana. Zimatanthauza kuti kuwonjezera pa matenda anu akuluakulu, palinso matenda ena omwe amakhalapo nthawi imodzi. Mwachitsanzo, munthu amene ali ndi matenda a shuga akhoza kukhala ndi nyamakazi yomwe si yogwirizana ndi matendawa.Ngati nyamakazi iyamba, ndiye kuti ndi matenda ena ofanana ndi amenewa. Kodi mukumvetsa kusiyana kwake?
Ndani amene angaone vutoli kwambiri?
Anthu okalamba amakhala ndi matenda ambiriwa nthawi imodzi, chifukwa tikamakalamba, mwayi wokhala ndi mavuto osiyanasiyana azaumoyo m'thupi lathu umawonjezeka.
Komabe, izi sizikutanthauza okalamba okha. Matenda ena amathanso kuchitika mwa achinyamata. Kafukufuku wapeza kuti pali zinthu zingapo zomwe zimapangitsa kuti munthu adwale matenda ambiri nthawi imodzi.
- Mtundu wa matenda (a thupi kapena a maganizo)
- Jenda
- Zaka
- Mkhalidwe wa zachuma ndi chikhalidwe cha anthu
Zimene kafukufukuyu wasonyeza n’zakuti anthu omwe ali ndi chuma chochepa komanso omwe ali ndi nkhawa zambiri pa moyo wawo watsiku ndi tsiku ali pachiwopsezo chotenga matenda angapo awa zaka 10-15 zisanachitike kuposa omwe ali ndi mwayi wopeza matendawa mosavuta. Komanso, munthu akakhala ndi matenda osatha, chiopsezo chake chotenga matenda amisala chimawonjezeka (monga kuvutika maganizo ).
| Zitsanzo za Matenda Ofala a Comorbidity | |
|---|---|
| Matenda a mtima | Kuthamanga kwa magazi |
| Matenda a kupuma | Matenda a shuga |
| Matenda a mafupa / Nyamakazi | Mavuto amisala (monga matenda amisala, kuvutika maganizo) |
| Matenda a mitsempha ya m'mitsempha | Kulephera kumva bwino (monga kulephera kuona bwino, kulephera kumva bwino) |
Kodi matenda a comorbid amakhudza bwanji dongosolo langa la chithandizo?
Mukakhala ndi matenda osiyanasiyana, chithandizo chingakhale chovuta pang'ono. Izi zili choncho chifukwa vuto lililonse lili ndi zizindikiro zake, zomwe zimayambitsa, ndipo limafuna njira zosiyanasiyana zochiritsira .
Matenda ena angayambitsenso chiopsezo chotenga matenda ena. Mwachitsanzo, nyamakazi imapezeka kwambiri mwa anthu omwe ali ndi matenda osatha monga kunenepa kwambiri , matenda a mtima, kapena matenda a shuga. Matenda angapo, kaya okhudzana kapena osagwirizana, akakumana, zimakhala zovuta kuwathetsa nthawi imodzi.
Kumwa mankhwala ambiri (Polypharmacy)
Mukakhala ndi matenda ambiri, muyenera kumwa mankhwala ambiri. Izi timazitcha kuti polypharmacy . Pali chiopsezo chachikulu apa.
Mankhwala a matenda ena amatha "kugwirizana" ndi mankhwala a matenda ena. Ngati izi zitachitika, mphamvu ya mankhwalayo ingachepe kapena zotsatirapo zina zingachitike.
Ndipotu, munthu amene ali ndi matenda ena ofanana ndi amenewa ali pachiwopsezo chachikulu chotenga matenda ena okhudzana ndi matenda oyamba. Izi zimawonjezera chiopsezo chopita kuchipatala mwadzidzidzi (ETU) , kudwala matenda enaake, kugonekedwa m'chipatala komwe kungapeweke, komanso nthawi zina, ngakhale kufa.
Malangizo Ofunika Kwambiri Othandizira Kuthana ndi Ma Comorbidities
Ngakhale kukhala ndi matenda osiyanasiyana ngati awa kungakhale kovuta, kumatha kuthandizidwa bwino ngati mutagwira ntchito ndi dongosolo.
1. Uzani dokotala wanu za matenda anu onse: Ngakhale mukaonana ndi katswiri wa matenda amodzi, muuzeni za matenda anu onse ndi mankhwala omwe mukumwa . Izi zimuthandiza kuganizira za thanzi lanu lonse ndikupanga njira yoyenera yochizira matenda anu.
2. Khalani ndi dokotala wodziwa bwino za matenda anu: Khalani ndi dokotala wodziwa bwino za matenda anu, monga dokotala wa banja lanu kapena dokotala wa ana. Iye akhoza kumvetsetsa matenda anu onse, kukutumizirani kwa akatswiri ofunikira, ndikugwirizanitsa chithandizo chanu ndi iwo.
3. Ikani patsogolo: Simungathe kukambirana zonse zomwe mukukumana nazo mu mphindi 15-20 zomwe muli nazo ndi dokotala wanu. Choncho, musanapite, ganizirani kuti, "Ndi vuto liti lomwe likundivutitsa kwambiri lero, lomwe likukhudza kwambiri moyo wanga watsiku ndi tsiku?" Ikani patsogolo ndipo kambiranani.
4. Tengani mndandanda wa mankhwala: Izi ndizofunikira kwambiri. Lembani dzina la mankhwala aliwonse omwe mumatenga, mlingo wake, ndi kangati patsiku. Phatikizani mavitamini kapena mankhwala ochepetsa ululu (monga Panadol) omwe mumagula ku pharmacy. Tengani bukuli kupita nanu kukaonana ndi dokotala aliyense.
5. Samalani moyo wanu: Kukhala ndi matenda ambiri osatha kungakhale kotopetsa mwakuthupi komanso m'maganizo. Zakudya zabwino zokhala ndi zipatso ndi ndiwo zamasamba zambiri, kuchita masewera olimbitsa thupi tsiku ndi tsiku, komanso kugona bwino kungakuthandizeni kulimbitsa mphamvu zanu ndikuchepetsa mavuto ena. Lankhulani ndi dokotala wanu za izi.
Uthenga Wopita Nawo Kunyumba
- Matenda a comorbidity ndi kupezeka kwa matenda ambiri osatha nthawi imodzi. Izi si 'zovuta' za matenda.
- Ngati muli ndi matenda ambiri, kukonzekera chithandizo kungakhale kovuta, ndipo kumwa mankhwala ambiri (polypharmacy) kungakhale kofunikira.
- Mukapita kwa dokotala aliyense, fotokozani zonse zokhudza matenda omwe muli nawo komanso mankhwala onse (kuphatikizapo mavitamini) omwe mukumwa.
- Ndikofunikira kwambiri kukhala ndi dokotala wodziwa bwino za matenda anu (GP/Family Doctor) amene amadziwa bwino za matenda anu onse.
- Nthawi zonse lembani mndandanda wa mankhwala onse omwe mumatenga ndipo mubweretse kwa dokotala wanu. Izi ndizofunikira kwambiri pa chitetezo chanu.











💬 Comments (0)
Palibe ndemanga zomwe zatumizidwa pano. Onjezani ndemanga yanu pano koyamba.
Onjezani ndemanga yanu