Ngamanye amaxesha siya kugqirha ngenxa yesifo esinye. Kodwa ugqirha uza kukubuza athi, "Ngaba unezinye izifo ezifana noxinzelelo lwegazi, isifo seswekile, i-cholesterol?" Kutheni ubuza loo nto? Kuba ukuba nesinye isifo okanye ezinye izifo kunye nesifo esinye kuchaphazela ngqo unyango olufumanayo. Kwizonyango, ukubakho kwezinye izifo kunye nesifo esinye esiphambili yinto esiyibiza ngokuba yi-comorbidities . Musa ukoyika xa usiva eli gama, ukuliqonda kuya kuba luncedo olukhulu kuwe ekwenzeni izigqibo malunga nempilo yakho.
Zithini kanye kanye ezi zifo zibangelwa zizifo ezifanayo?
Ngamafutshane, 'iComorbidity' kukubakho kwesinye okanye kwezinye iimeko zonyango ngaxeshanye ukongeza kwisifo sakho sokuqala .
Ukuze siqonde oku, masithathe umzekelo. Khawucinge ukuba utyebile kancinci, oko kukuthi, utyebile kakhulu. Ngoku xa usiya kugqirha, ukuxelela ukuba uhambe kancinci yonke imihla kwaye uzilolonge. Kodwa kuthekani ukuba uneentlungu zedolo, oko kukuthi, i-osteoarthritis? Emva koko kunzima kakhulu kuwe ukuhamba, akunjalo? Intlungu inokwanda.
Ngoku, xa ugqirha efumanisa ngale ngxaki yedolo, endaweni yokukuxelela ukuba uhambe, mhlawumbi uza kukuxelela ukuba wenze into engengumthwalo emadolweni, njenge-water aerobics. Apha, nangona ingxaki yakho ephambili 'kukutyeba kakhulu', ingxaki yedolo eye yachaphazela indlela oyinyanga ngayo yi-'Comorbidity'.
Omnye umzekelo luxinzelelo lwegazi oluphezulu, okanye uxinzelelo lwegazi oluphezulu. Abantu abaninzi abanezinye izifo, ezifana nesifo sentliziyo nesifo semiphunga, nabo banokuba noxinzelelo lwegazi oluphezulu. Ngoko ke xa ugqirha wakho ekubhalela amayeza oxinzelelo lwakho lwegazi, uya kukhetha amayeza angangqubaniyo namayeza owaselayo kwezinye izifo zakho kwaye aneziphumo ebezingalindelekanga ezimbalwa.
Yintoni umahluko phakathi 'kwesifo esiphambili' kunye 'nesifo sesibini'?
Oku kungabonakala kunzima kancinci, kodwa kulula kakhulu. 'Ukuxilongwa kokuqala' kunokwahluka ngokuxhomekeke kwinto esiyinyangayo ngelo xesha.
Khawuthelekelele ukuba unesifo sezintso esinganyangekiyo, uxinzelelo lwegazi oluphezulu, kunye nesifo seswekile sohlobo lwesibini.
- Xa ubona ugqirha wezintso, imeko yakho ephambili sisifo sezintso. Ujonga uxinzelelo lwegazi oluphezulu kunye nesifo seswekile njengeemeko ezongezelelweyo, okanye 'iimeko ezingaqhelekanga.' Nangona enyanga izintso zakho, ukwanyamekela nezinye iimeko ezimbini.
- Kodwa xa usiya kugqirha (i-Endocrinologist) ukuze afumane unyango lwesifo seswekile, uya kuqinisekisa ukuba isifo sakho esiphambili sisifo seswekile. Emva koko isifo sezintso kunye noxinzelelo lwegazi ziba 'zii-comorbidities'.
Uyaqonda? 'Isifo esiphambili' sinokutshintsha ngokuxhomekeke kwingcali kunye nemeko esinyangayo ngelo xesha.
Ngamanye amaxesha uya kuva negama elithi ``Multimorbidity.'' Oku kubhekisa ekubenikho kwezifo ezibini okanye ezingaphezulu ezihlala ixesha elingaphezu konyaka, ngaphandle kokubiza esinye njengesifo esiphambili. Amaxesha amaninzi, la magama mabini asetyenziswa ngokutshintshana.
Ukuba nezifo ezininzi kuyichaphazela njani impilo?
Ukuba nezifo ezininzi ezingapheliyo kunokukuchaphazela ngeendlela ezahlukeneyo.
- Uxinzelelo lomzimba nolwengqondo: Ukuba nezigulo ezininzi kunye kunokubangela uxinzelelo olungakumbi, ukungakhululeki, kunye nempembelelo emzimbeni nasengqondweni kunokuba nesifo esinye kuphela.
- Unyango luyinkimbinkimbi: Le yeyona nto ibalulekileyo. Khawucinge ukuba amayeza anikwe isifo esinye awalungelanga esinye isifo? Okanye ukuba amayeza amabini anikwe izifo ezibini kunye abangela iingxaki? Ke ngoko, kubaluleke kakhulu ukwazisa ugqirha wakho malunga namayeza onke owasebenzisayo.
- Imfuneko yeengcali ezininzi: Kusenokufuneka ubone iingcali ezininzi. Umzekelo, ingcali yentliziyo, ingcali yezifo zengqondo, kunye nengcali yeswekile. Kubalulekile ukuba bonke basebenzisane njengeqela ukuze bakunike isicwangciso sonyango esingcono.
- Ukulaliswa esibhedlele: Izifundo zibonisa ukuba umntu onesifo esifana nezinye izifo unokuhlala esibhedlele ixesha elide kwaye abe sengozini enkulu yeengxaki.
Ziziphi izifo ezixhaphakileyo?
Ezinye iimeko zonyango zinokubangela ezinye iimeko. Oku akuthethi ukuba wonke umntu onesifo eso uza kuba nazo ezi meko, kodwa kubalulekile ukuba uqaphele.
| Imeko ephambili yezonyango | Izinto Ezixhaphakileyo Ezibangela Ukugula |
|---|---|
| Uhlobo lwesibini lwesifo seswekile | Uxinzelelo lwegazi oluphezulu, i-cholesterol ephezulu `(Dyslipidemia)`, ukutyeba kakhulu `(Ukutyeba kakhulu)`, i-obstructive sleep apnea `(Obstructive sleep apnea)`, isibindi esinamafutha `(MASLD)`, i-polycystic ovary syndrome `(PCOS)` |
| Ukumelwa yintliziyo | Uhlobo lwesibini lwesifo seswekile, uxinzelelo lwegazi oluphezulu, ukutyeba kakhulu, i-sleep apnea |
| Isifo samathambo | Isifo sentliziyo, isifo seswekile, ukutyeba kakhulu, isifo esingapheliyo sokuvaleka kwemiphunga (COPD), isifo sohlangothi |
| Ingxaki yokungakwazi ukunikel’ ingqalelo (ADHD) | Ukudakumba, iingxaki zokuxhalaba, isifo se-bipolar, iingxaki zokusebenzisa iziyobisi |
Ngamanye amaxesha ezi zifo zenzeka kunye kuba zinemiba efanayo yomngcipheko. Umzekelo, uxinzelelo lwegazi oluphezulu kunye nesifo seswekile zombini ziyandisa umngcipheko wesifo sentliziyo kunye nesifo sezintso. Kodwa ngamanye amaxesha ezi zifo zinokuqhubeka ngaphandle konxibelelwano olucacileyo.
Ngoko ke ndingenza ntoni ngale nto?
Ukuba la magama (`Comorbidity`, `Multimorbidity`) abonakala enzima kuwe, musa ukucinga kakhulu ngawo. Into ebalulekileyo kukungawafundi la magama.
Eyona nto ibalulekileyo kukuthetha ngokukhululekileyo nangokunyaniseka nogqirha wakho malunga nazo zonke izifo onazo kunye namayeza onke owasebenzisayo.
Xelela ugqirha ngamnye ombonayo ngazo naziphi na ezinye izifo onazo kunye namayeza owasebenzisayo. Usenokuba uthatha amayeza e-Ayurvedic, iivithamini, okanye ezinye izongezo. Xelela ugqirha wakho ngazo zonke ezi zinto. Musa ukufihla nantoni na. Kulapho kuphela apho ugqirha wakho anokukunika isicwangciso sonyango esikhuselekileyo nesona silungileyo .
Yiba yinxalenye ekhutheleyo kwizigqibo zakho zezempilo. Buza imibuzo, cacisa naziphi na iintandabuzo onazo. Lilungelo lakho kwaye lixanduva lwakho.
Umyalezo Wokuya Ekhaya
- 'Isifo esibangelwa yi-comorbidity' sibhekisa kwezinye izifo onazo ukongeza kwisifo sakho esiphambili. Oku akuyonto yokoyika, kodwa yinto ekufuneka uyiqonde.
- Ukuba unezifo ezininzi, unyango lunokuba nzima, ngoko ke kubalulekile ukuxoxa ngayo yonke into nogqirha wakho.
- Xelela ugqirha wakho ngazo zonke amayeza owasebenzisayo (kuquka lawo anikwe ngabanye oogqirha, amayeza athengiswa ngaphandle kwemvume kagqirha, iivithamini, kunye namayeza e-Ayurvedic).
- Yiba lilungu elikhutheleyo lesicwangciso sakho sezempilo. Ukuba kukho into ongayiqondiyo, buza ugqirha wakho. Lilungelo lakho.
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