Dzimwe nguva tinoenda kuna chiremba nekuda kwechirwere chimwe chete. Asi chiremba anokubvunza kuti, "Une zvimwe zvirwere zvakaita seBP, chirwere cheshuga, cholesterol here?" Sei uchibvunza izvozvo? Nekuti kuva nechimwe chirwere pamwe chete nechirwere chimwe chete kunokanganisa zvakananga kurapwa kwaunowana. Mukurapa, kuvapo kwezvimwe zvirwere pamwe chete nechirwere chikuru chimwe chete ndizvo zvatinodaidza kuti comorbidities . Usatya paunonzwa izwi iri, kurinzwisisa kuchakubatsira zvikuru pakuita sarudzo nezvehutano hwako.
Ndezvipi chaizvo zvinokonzeresa zvirwere zvinokonzeresa zvirwere?
Zvichitaurwa zviri nyore, 'Comorbidity' zvinoreva kuvapo kwechimwe chirwere kana zvimwe zvirwere panguva imwe chete pamusoro pekuongororwa kwawakaitwa .
Kuti tinzwisise izvi, ngatitorei muenzaniso. Fungidzira kuti wakafuta zvishoma, kureva kuti, wakafuta. Zvino paunoenda kuna chiremba, anokuudza kuti ufambe zvishoma zuva rega rega woita maekisesaizi. Asi ko kana uine kurwadziwa kwemabvi, kureva osteoarthritis? Saka zvinokuomera kufamba, handiti? Marwadzo anogona kutowedzera.
Zvino, kana chiremba awana ruzivo nezvedambudziko iri remabvi, pachinzvimbo chekukuudza kuti ufambe, angangokuudza kuti uite chimwe chinhu chisingaremedzi mabvi, sekurovedza muviri mumvura. Pano, kunyangwe dambudziko rako guru riri 'kufuta', dambudziko remabvi rakakanganisa maitiro ako ekurapa ndiro 'Comorbidity'.
Mumwe muenzaniso ndewe BP yakakwira, kana kuti BP yakakwira. Vanhu vazhinji vane zvimwe zvirwere, zvakaita sechirwere chemwoyo nechirwere chemapapu, vanogonawo kuva neBP yakakwira. Saka kana chiremba wako akakunyorera mushonga weBP yako, iye achasarudza mushonga usingapesani nemishonga yauri kunwa yezvimwe zvirwere zvako uye une migumisiro mishoma.
Musiyano uripo pakati pe'chirwere chikuru' ne'chirwere chechipiri' ndeupi?
Izvi zvingaita sezvakaoma zvishoma, asi zviri nyore chaizvo. 'Kuongororwa kwekutanga' kunogona kusiyana zvichienderana nezvatiri kurapa panguva iyoyo.
Fungidzira kuti une chirwere cheitsvo chisingaperi, BP, uye chirwere cheshuga cherudzi rwechipiri.
- Kana ukaona chiremba wepfungwa, chirwere chako chikuru chirwere cheitsvo. Anoona BP yakakwira uye chirwere cheshuga sezvimwe zvirwere, kana kuti 'zvirwere zvinokonzerwa neitsvo.' Kunyange zvazvo achirapa itsvo dzako, anotarisirawo zvimwe zvirwere zviviri.
- Asi kana ukaenda kuna chiremba (Endocrinologist) kunorapwa chirwere cheshuga, achaona kuti chirwere chako chikuru chirwere cheshuga. Ipapo chirwere cheitsvo neBP zvinova 'zvirwere zvinokonzeresa chirwere'.
Unonzwisisa here? 'Chirwere chikuru' chinogona kuchinja zvichienderana nenyanzvi uye mamiriro ezvinhu atiri kurapa panguva iyoyo.
Dzimwe nguva unonzwawo izwi rekuti "Multimorbidity." Izvi zvinoreva kuvapo kwezvirwere zviviri kana kupfuura zvinogara kwenguva inopfuura gore, pasina kutaura chimwe chete sechirwere chikuru. Kazhinji, mazwi maviri aya anoshandiswa achichinjana.
Kuva nezvirwere zvakawanda kunokanganisa sei hutano?
Kuva nezvirwere zvakawanda zvisingaperi kunogona kukanganisa iwe nenzira dzakasiyana.
- Kushushikana kwemuviri nepfungwa: Kuva nezvirwere zvakawanda pamwe chete kunogona kukonzera kushushikana, kusagadzikana, uye kukanganisa muviri nepfungwa kupfuura kuva nechirwere chimwe chete.
- Kurapa kwakaoma: Ichi ndicho chinhu chakakosha. Fungidzira kana mushonga unopiwa wechirwere chimwe usina kunaka kune chimwe chirwere? Kana kuti mishonga miviri inopiwa yezvirwere zviviri pamwe chete ichikonzera matambudziko? Saka, zvakakosha zvikuru kuzivisa chiremba wako nezvemishonga yese yaunotora.
- Kudiwa kwenyanzvi dzakasiyana-siyana: Ungangoda kuona nyanzvi dzakasiyana-siyana. Semuenzaniso, chiremba wemwoyo, chiremba wetsinga, uye chiremba weshuga. Zvakakosha kuti vese vashande pamwe chete kuti vakupe hurongwa hwekurapa hwakanakisa.
- Kurapwa muchipatara: Ongororo dzinoratidza kuti munhu ane zvirwere zvakasiyana-siyana anogona kugara muchipatara kwenguva yakareba uye anogona kuwedzera njodzi yematambudziko.
Ndezvipi zvirwere zvinonyanya kukonzerwa nechirwere ichi?
Zvimwe zvirwere zvinogona kukonzera zvimwe zvirwere. Izvi hazvirevi kuti munhu wese ane chirwere ichocho achabatwawo nezvimwe zvirwere izvi, asi zvakakosha kuti uzvizive.
| Dambudziko guru rehutano | Matambudziko Anowanzo Kuitika |
|---|---|
| Chirwere cheshuga cherudzi rwechipiri | Kukwira kweropa, cholesterol yakakwira `(Dyslipidemia)`, kufuta `(Kufutisa)`, obstructive sleep apnea `(Obstructive sleep apnea)`, fatty liver `(MASLD)`, polycystic ovary syndrome `(PCOS)` |
| Kukundikana kweMwoyo | Rudzi rwechipiri rwechirwere cheshuga, BP, kufuta, sleep apnea |
| Arthritis | Chirwere chemwoyo, chirwere cheshuga, kufuta, chirwere chisingaperi chemapapu (COPD), sitiroko |
| Dambudziko rekushaya hanya zvakanyanya (ADHD) | Kuora mwoyo, matambudziko ekuzvidya mwoyo, bipolar disorder, matambudziko ekushandisa zvinodhaka |
Dzimwe nguva zvirwere izvi zvinoitika pamwe chete nekuti zvine njodzi dzakafanana. Semuenzaniso, BP nechirwere cheshuga zvinowedzera njodzi yezvirwere zvemwoyo neitsvo. Asi dzimwe nguva zvirwere zvinogona kugara pamwe chete pasina hukama hwakajeka kudaro.
Saka ndoita sei nezveizvi?
Kana mashoko aya (`Comorbidity`, `Multimorbidity`) achiita seakaoma kwauri, usanyanye kufunga nezvazvo. Chinhu chakakosha ndechekusadzidza mazwi aya.
Chinhu chinonyanya kukosha ndechekutaura pachena uye nekuvimbika nachiremba wako nezvezvirwere zvese zvaunazvo uye mishonga yese yaunotora.
Udza chiremba wese waunoona nezvehumwe hurwere hwaunahwo uye mishonga yauri kutora. Ungangove uri kutora mishonga yeAyurvedic, mavhitamini, kana zvimwe zvinowedzera. Udza chiremba wako nezve zvese izvi. Usavanza chero chinhu. Ndipo chete apo chiremba wako anogona kukupa nzira yakachengeteka uye yakanakisisa yekurapa .
Iva nechikamu chinoshingaira muzvisarudzo zvako zvehutano. Bvunza mibvunzo, tsanangura chero kusava nechokwadi kwauinako. Ikodzero yako uye ibasa rako.
Mharidzo Yekuenda Nayo Kumba
- 'Comorbidity' zvinoreva zvimwe zvirwere zvaunazvo pamusoro pechirwere chako chikuru. Ichi hachisi chinhu chekutya, asi chinhu chekunzwisisa.
- Kana uine zvirwere zvakawanda, kurapwa kunogona kuoma, saka zvakakosha kukurukura zvese nachiremba wako.
- Udza chiremba wako nezvemishonga yese yaunotora (kusanganisira iyo yakanyorerwa nevamwe vanachiremba, mishonga inotengeswa pasina kunyorerwa chiremba, mavhitamini, uye mishonga yeAyurvedic).
- Iva nhengo inoshanda yechirongwa chako chehutano. Kana paine chausinganzwisisi, bvunza chiremba wako. Ikodzero yako.
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