Une zvirwere zvinopfuura chimwe here? Ngatitaurei nezvezvirwere izvi!

Dzimwe nguva patinoenda kuna chiremba, mamwe emashoko avanotaura anogona kutyisa, handiti? Rimwe remashoko akadaro ndi 'Comorbidities'. Asi kunzwisisa kuti aya chii uye kuti anokanganisa sei hutano hwako kunogona kukubatsira zvikuru kubata nezvirwere zvako. Saka ngatitaure nezvazvo nhasi.

Saka chii chinonzi comorbidities idzi?

Zvichitaurwa zviri nyore, zvirwere zvinokonzeresa chirwere chimwe chete kana kupfuura pamusoro pechirwere chako chikuru. Izwi rekurapa rekuti "morbidity" rinoreva kuvapo kwechirwere kana mamiriro ezvinhu. Saka kana richitanga ne "co" zvinoreva kuti zvirwere zviviri kana kupfuura zviripo pamwe chete.

Izwi rekuti "Comorbidity" rinogona kutyisa kunzwa. Asi kana wangonzwisisa zvarinoreva uye kuti rinokanganisa sei hutano hwako, unogona kutora chikamu chakakosha mukutarisira hutano hwako. Nekuti zvirwere izvi zvinogona kukanganisana, hurongwa hwako hwehutano hunogona kuchinja zvinoenderana.

Fungidzira izvi. Chiremba wako anokuudza kuti ufambe zuva nezuva kuti udzore kufuta kwako . Asi mushure memazuva mashoma, unoona kuti une osteoarthritis . Saka, pachinzvimbo chekufamba zuva nezuva, unogona kuchinja kuita ma aerobics emvura kudzivirira marwadzo emajoini ako kuti asanyanya kuipa. Muchiitiko ichi, osteoarthritis idambudziko rinokonzerwa nekufutisa. Saka, maitiro aunoita kuti kufuta kwako kuwedzere.

Mumwe muenzaniso ndeweBP yakakwira (Hypertension) . Vanhu vane zvimwe zvirwere, zvakaita sechirwere chemwoyo kana chirwere chemapapu, vanogonawo kuva neBP yakakwira. Kana uine BP yakakwira pamwe chete nezvimwe zvirwere, chiremba wako achafungawo nezvezvirwere izvozvo. Angangoda kunyora mushonga unoderedza BP usingakanganise mimwe mishonga yauri kutora.

Pfungwa yezvirwere zvinokonzeresa chirwere ichi inokosha zvikuru mune zvehutano. Saka kuziva zvazvinoreva kunogona kukubatsira kutaura nachiremba wako uye kunzwisisa zviri nani hurongwa hwako hwekurapa. Zvinogonawo kubatsira mukutsigira vadikanwi vako panguva yezvirwere zvavo.

Heano mamwe mazwi anoshandiswa kutsanangura zvirwere zvinokonzeresa zvirwere:

• Mamiriro ezvinhu aripo nguva imwe chete
• Mamiriro akabatana
• Zvirwere zvakawanda zvisingaperi
• Kurwara kwakawanda

Ndeupi musiyano uripo pakati pechirwere chekutanga uye zvimwe zvirwere zvinokonzeresa chirwere?

Comorbidity chirwere chinonyatsozivikanwa chaunacho pamusoro pekuongororwa kwako kwekutanga (dzimwe nguva chinonzi chirwere chiri pasi pechirwere kana kuti chirwere che index). Iye zvino ungave uchishamisika kuti, "Chii chinonzi chirwere ichi chikuru?" Tsanangudzo dzemashoko aya dzakaoma zvishoma.

Munyika yezvekurapa,Chirwere chikuru chirwere chauri kurapwa panguva yakatarwa kana mukati menguva yakatarwa. Chingave chirwere chakakomba chaunacho, kana kuti chinoda rubatsiro rwakanyanya. Chingave chiri icho chakakonzera kuti upinzwe muchipatara.

Chirwere chinoonekwa sechirwere "chikuru" nachiremba ari kutaurwa nezvake. Chirwere chako chikuru chinogonawo kuchinja zvichienderana nachiremba waunoona uye kuti hutano hwako hunochinja sei.

Semuenzaniso, fungidzira kuti une chirwere cheitsvo chisingaperi, BP yakakwira, uye chirwere cheshuga cherudzi rwechipiri. Unoona chiremba wepfungwa uye unorapwa chirwere chako cheitsvo nguva nenguva. Zvadaro, chiremba iyeye anoona chirwere chako cheitsvo sechirwere chako chikuru. Nekuti ndizvo zvaanorapa. Anoona BP yakakwira uye chirwere cheshuga sezvirwere zveitsvo. Anotarisirawo zvirwere izvi pakurapa chirwere chako cheitsvo.

Tichienderera mberi nemuenzaniso uyu, fungidzira kuti unogara uchiona chiremba we endocrinologist kuti akubatsire kugadzirisa chirwere chako cheshuga. Ipapo chiremba iyeye anoona chirwere chako chikuru sechirwere cheshuga. Anoona chirwere chako cheitsvo neBP sezvimwe zvezvirwere zvechirwere cheshuga.

Saka unogona kuona kuti chirwere chikuru chii uye chirwere chacho chii chinogona kusiyana zvichienderana nemamiriro ezvinhu. Vanachiremba vane hunyanzvi vanowanzoona mamiriro ehutano hwako sechirwere chikuru pamwe nezvimwe zvirwere zvine chekuita nazvo.

Asi vanhu vakaita sachiremba wemhuri yako (Mupi weRubatsiro Rwekutanga) vanogona kuona izvi zvakasiyana zvishoma. Vanogonawo kushandisa pfungwa ye "Multimorbidity" kuti vanzwisise hutano hwako zvakanyanya.

Kurwara nezvirwere zvakawanda kwakadai here?

Dhipatimendi reHutano neHuman Services reUnited States rinotsanangura "multimorbidity" sekuvapo kwezvirwere zviviri kana mamiriro ezvinhu anogara kwenguva inopfuura gore . Tsanangudzo iyi haitauri chirwere chekutanga. Izvi zvakasiyana netsanangudzo yecomorbidity.

Vaongorori vazhinji vanoshandisa pfungwa ye "multimorbidity" kuti vadzidze kuti zvirwere zvinokanganisa sei mumwe nemumwe. Zvisinei, vanhu vazhinji vanoshandisa mazwi ekuti comorbidity uye multimorbidity vachichinjana, kureva kuvapo kwezvirwere zviviri kana kupfuura pamwe chete.

Zvirwere izvi zvinokanganisa sei hutano hwako?

Kuva nezvirwere zvinokonzeresa zvirwere zvakasiyana-siyana kunogona kukanganisa hutano hwako nenzira dzakawanda. Kana uine zvirwere zviviri kana kupfuura zvinogara kwenguva refu:

• Matambudziko aya anogona kukanganisa hutano hwepfungwa dzako uye/kana hwemuviri kupfuura zvaangangoita mumwe nemumwe, uye anogonawo kukanganisa zvakanyanya "hupenyu hwako hune chekuita nehutano"
• Nekuda kwechirwere chisingaperi, tarisiro yenguva refu yechirwere chako chikuru inogona kuchinja.
• Kurapa kunogona kuoma. Semuenzaniso, kurapwa kwechimwe chirwere kunogona kuita kuti chimwe chirwere chiwedzere kuipa. Kana kuti, kutora mishonga yezvirwere zvakasiyana pamwe chete kunogona kuva nengozi.
• Ungangoda kuona nyanzvi dzakasiyana-siyana . Vachashanda pamwe chete sechikwata, vachigovana ruzivo rwavo, uye vachigadzira hurongwa hwakanakisisa hwekurapa kwako.

Ngationei kuti ndeapi matambudziko anowanzo itika.

Kune zvirwere zvakasiyana-siyana zvinogona kuonekwa pakati pevarwere vari kurapwa muzvipatara uye pakati pevaya vanotambura nezvirwere zvakasiyana-siyana.

Pakati peavo vari muchipatara

Imwe ongororo yakawana kuti vanhu vakuru vanopfuura 84% vakaiswa muchipatara muUnited States muna 2019 vaiva nedambudziko rimwe chete kana kupfuura, kuwedzera kune dambudziko rakaita kuti varare muchipatara. Vanoda kusvika 50% veboka iri vaiva nedambudziko rinenge katatu.

Zvimwe zvirwere zvakanyanya kuwanikwa muchidzidzo ichocho ndeizvi:

• Kukwira kweropa (53.2% yevarwere vari muchipatara)
• Chirwere cheshuga (26.4% yevarwere vari muchipatara)
• Chirwere chemapapu chisingaperi (20.5% yevarwere vari muchipatara)
• Kushaya anemia (18.0% yevarwere vari muchipatara)
• Kufuta (17.0% yevarwere vari muchipatara)
• Chirwere cheitsvo nekukundikana (16.3% yevarwere vari muchipatara)

Chidzidzo ichi chakawanawo zvimwe zvinhu zvakati wandei:

• Kurwara kunowedzera nekukura. 8% chete yevanhu vakuru vane makore 18-24 vane zvirwere zvitatu zvinorwara. Zvisinei, vanenge 73% yevaya vane makore 85 zvichikwira vane zvirwere zvitatu zvinorwara.
• Kurwara kunokanganisa mhedzisiro. Vanhu vane zvirwere zvitatu kana kupfuura vanogara muchipatara kwenguva yakareba uye vane mukana wekufira muchipatara kupfuura avo vane zvirwere zvishoma kana kuti vasina. Kukanganisa kwezvirwere izvi kwakanyanya kana zvasvika pakuvhiyiwa. Vanhu vane zvirwere zvitatu kana kupfuura vane mukana wekufira muchipatara mushure mekuvhiyiwa kasere kupfuura avo vasina zvirwere izvi.

Matambudziko anowanzoonekwa mune zvimwe zvirwere zvikuru

Vaongorori vanowanzo dzidza nezvevanhu vane chirwere chakasiyana - semuenzaniso, arthritis kana kushaya simba kwemoyo - kuti vaone kuti ndeapi mamwe mamiriro (comorbidities) avainawo. Ehe, munhu wese akasiyana, uye zvidzidzo izvi hazvirevi kuti munhu wese ane chirwere chakasiyana achave nemamwe matambudziko akafanana. Asi zvinotipa pfungwa yemaitiro akafanana.

Ngatitarisei mimwe mienzaniso:

• Dambudziko reKushaya Kunyatsoteerera/Kushaya Simba (ADHD)
• Zvimwe zvirwere zvinozivikanwa: Kuora mwoyo, kuzvidya mwoyo, bipolar disorder.

• Chirwere cheshuga cherudzi rwechipiri
• Zvimwe zvirwere zvinowanzoonekwa: Kukwira kweropa, mafuta akawanda muropa (semuenzaniso cholesterol yakakwira uye/kana triglycerides yakakwira - Dyslipidemia), metabolic dysfunction-associated steatotic liver disease - MASLD, Polycystic Ovary Syndrome - PCOS, Kufutisa, Obstructive Sleep Apnea.

• Kukundikana kweMwoyo
• Zvimwe zvirwere zvinowanzoonekwa: Chirwere cheshuga cherudzi rwechipiri, kushaya hope, kufuta, BP.

Dzimwe nguva, zvirwere zvinoitika pamwe chete nekuti zvine zvikonzero zvakafanana kana zvinhu zvine njodzi. Semuenzaniso, BP yakakwira uye chirwere cheshuga zvinogona kuwedzera njodzi yako yechirwere chemwoyo uye chirwere cheitsvo. Asi dzimwe nguva zvirwere zvakasiyana hazvina chikonzero chakafanana. Chiremba wako anogona kukuudza zvakawanda nezvezvikonzero zvezvirwere zvako uye kuti kurapwa kungabatsira sei.

Saka zvakakosha sei kuti uzive izvi?

Kudzidza zvinorehwa nemashoko ekuti comorbidities uye multimorbidities kunogona kukubatsira kutaura nachiremba wako nezvehutano hwako. Asi kana uchinzwa wakaremerwa nemashoko aya, mira ufunge kwechinguva.

Chinhu chakakosha ndechekusadzidza mazwi ese ekurapa nemusoro. Chinhu chakakosha ndechekutora nguva yekudzidza nezvezvirwere zvako uye kuti zvinokanganisa sei hutano hwako. Nzwisisa kuti ndeapi marapirwo aungade, nei uchida, uye kuti ungashandisa sei mishonga yako kumba. Zvakakoshawo kuziva kuti hapana vanhu vaviri vanotambura nechirwere chimwe chete kana musanganiswa wezvirwere zvakasiyana.

Udza chiremba wako mibvunzo yako yese nezvaunonetseka nazvo kuitira kuti akupe gwara rinoenderana nemamiriro ako ezvinhu.

Mharidzo inobva muchinyorwa chino inoti:

Zvakanaka, hezvino zvinhu zvakakosha zvaunofanira kurangarira kubva pane zvatataura nezvazvo nhasi:

• Kurwara kunowanzoitika: kuvapo kwechirwere chimwe chete kana kupfuura pamusoro pechirwere chekutanga, chimwe chinhu chinosangana nevanhu vazhinji.
• Zvakakosha kunzwisisa: Kuziva nezvezvirwere izvi, uye kunzwisisa kuti zvinokanganisa sei hutano hwako, zvinobatsira zvikuru mukutarisira hutano hwako hwese.
• Kurapa kunogona kuva kwakaoma:Kuronga kurapwa kunogona kuoma kana uine zvirwere zvinopfuura chimwe chete, saka zvakakosha kutevedzera mirairo yachiremba wako nemazvo.
• Taura nachiremba wako: Udza chiremba wako nezvezvirwere zvako uye chero mishonga yaunotora. Usazeza kubvunza chero mibvunzo kana zvinokunetsa. Chikwata chako chehutano chiripo kuti chikubatsire.

Yeuka kuti hausi wega. Kune vanhu vazhinji vanorarama nezvirwere izvi. Neruzivo rwakakodzera, rutsigiro, uye mazano ekurapa, iwewo unogona kurarama nezvirwere izvi zvinobudirira!

` Kurwara, Matambudziko Akawanda, Kuongororwa Kwekutanga, Kurwara Kwakawanda, Zvirwere Zvisingaperi, Kutarisirwa Kwehutano, Mazano Ekurapa