Xa usiya kugqirha, ngaba wakha weva umntu esithi, "Awunalo nje kuphela uxinzelelo lwegazi oluphezulu, kodwa unesifo seswekile, ngoko ke awunakundinika eli yeza"? Okanye ukhathazekile kukuba xa usela amayeza esigulo esinye, aza kuphazamisana nesinye? Enyanisweni, kuqhelekile ukuba neengxaki zempilo ezingaphezu kwesinye ngaxeshanye. Kwizonyango, sinegama elikhethekileyo lale nto. Yiloo nto siza kuthetha ngayo namhlanje.
Ngamafutshane, yintoni i-comorbidity?
Usenokuba ukhe waliva igama elithi comorbidity kugqirha. Eyona nkcazelo ilula yoku kukuba umntu uneemeko ezimbini okanye ngaphezulu ezahlukeneyo zonyango ngexesha elinye. Ezi zihlala zithatha ixesha elide, okanye oko sikubiza ngokuba zizifo ezingapheliyo . Ezi zifo zisenokunxulumana okanye zinganxulumananga.
Oogqirha basebenzisa eli gama ukukunceda uqonde kwaye uchaze indlela ezi meko, xa zidibene okanye ngokwahlukeneyo, ezichaphazela ngayo impilo yakho yomzimba neyengqondo. Ngamanye amaxesha oku kubizwa ngokuba 'ziimeko ezihlala zikhona' okanye 'i-multimorbidity'.
Cinga ngale ndlela. Umntu unesifo seswekile . Emva kwexesha elithile, ufumanisa ukuba naye une-high blood pressure. Emva koko sithi kukho ukungalingani phakathi kwezi zifo zimbini. Iimpawu zezi zifo zombini zinokuchaphazela umgangatho wobomi bakho. Ngoko ke xa unyangwa isifo seswekile , ugqirha kufuneka ahlale exhalabile nge-blood pressure yakho.
Yintoni umahluko phakathi kwe-comorbidity kunye ne-complication?
Kulapho abantu abaninzi badideka khona. Ukungakwazi ukuzenzela izinto akuyongxaki .
Ingxaki yimpembelelo esecaleni okanye enye ingxaki yezonyango eyenzeka ngenxa yesifo, unyango, okanye utyando. Umzekelo, isifo sezintso sinokukhula ngokuhamba kwexesha ngenxa yesifo seswekile esingalawulwa kakuhle.
Nangona kunjalo, ukugula okubangelwa zizifo ezahlukeneyo yinto eyahlukileyo. Oku kuthetha ukuba ukongeza kwisifo sakho esiphambili, kukho imeko eyahlukileyo yezonyango ekhoyo ngaxeshanye nayo. Umzekelo, umntu onesifo seswekile unokuba ne-arthritis engahambelaniyo nayo.Ukuba isifo samathambo siyakhula, sisifo esihambisana naso. Ngaba uyayiqonda umahluko?
Ngubani onokuthi abonakale kakhulu kule meko?
Abantu abadala banamathuba amaninzi okuba nezi zifo ezininzi ngaxeshanye, kuba njengoko sikhula, amathuba okuba neengxaki ezahlukeneyo zempilo emizimbeni yethu ayanda.
Nangona kunjalo, oku akupheleli nje kubantu abadala. Iingxaki zokusuleleka zinokwenzeka nakubantu abancinci. Uphando lufumanise ukuba kukho izinto ezininzi ezibangela ukuba umntu afumane izifo ezininzi ngaxeshanye.
- Uhlobo lokugula (ngokomzimba okanye ngokwengqondo)
- Isini
- Ubudala
- Imeko yezentlalo noqoqosho
Oko kuboniswe zezi zifundo kukuba abantu abanesimo esiphantsi kwezoqoqosho kunye namanqanaba aphezulu oxinzelelo kubomi babo bemihla ngemihla basengozini yokufumana uninzi lwezi zifo kwiminyaka eli-10-15 ngaphambi kwabo banokufikelela lula. Kwakhona, okukhona umntu enezifo ezingapheliyo, kokukhona umngcipheko wakhe wokuba nesifo sengqondo (umz., ukudakumba ).
| Imizekelo yeZimo eziqhelekileyo zeComorbidity | |
|---|---|
| Isifo sentliziyo | Igazi elonyukayo |
| Isifo sokuphefumla | Isifo seswekile |
| Isifo samalungu / iArthritis | Iingxaki zempilo yengqondo (umz. i-Dementia, ukuDakumba) |
| Isifo semithambo yegazi | Ukuphazamiseka kweemvakalelo (umz., ukulahleka kokubona, ukulahleka kokuva) |
Ingxaki yokunganyamezelani komzimba iyichaphazela njani isicwangciso sam sonyango?
Xa uneemeko ezininzi, unyango lunokuba nzima ngakumbi. Oku kungenxa yokuba imeko nganye ineempawu zayo ezizodwa, izinto ezibangela oko, kwaye ifuna izicwangciso zonyango ezahlukeneyo .
Ezinye iimeko zonyango zinokunyusa umngcipheko wokufumana ezinye izifo. Umzekelo, isifo samathambo sixhaphake kakhulu kubantu abanezifo ezingapheliyo ezifana nokutyeba kakhulu , isifo sentliziyo, okanye isifo seswekile. Xa iimeko ezininzi, nokuba zinxulumene okanye azinxulumananga, zidibana, kunokuba nzima ukuzilawula zonke ngaxeshanye.
Ukuthatha amayeza amaninzi (i-Polypharmacy)
Xa unezifo ezininzi, kufuneka uthathe amayeza amaninzi. Oku sikubiza ngokuba yi- polypharmacy . Kukho umngcipheko omkhulu apha.
Iyeza lenye imeko linokuthi "lisebenzisane" neyeza lenye imeko. Ukuba oku kuyenzeka, ukusebenza kakuhle kweyeza kunokuncipha okanye iziphumo ebezingalindelekanga ezintsha zivele.
Enyanisweni, umntu onezinye izifo ezifanayo usemngciphekweni omkhulu wokufumana ezinye iingxaki zempilo ezingahambelaniyo nesifo sokuqala. Oku kwandisa umngcipheko wokutyelela iSebe lezeMpilo (ETU) , iziphumo ezibi ngamayeza, ukulaliswa esibhedlele okunokuthintelwa, kwaye kwezinye iimeko, nokufa.
Iingcebiso ezibalulekileyo zokulawula ii-comorbidities
Nangona ukuhlala nezigulo ezininzi ezifana nezi kunokuba nzima, kunokulawulwa kakuhle ukuba usebenzisana nesicwangciso.
1. Xelela ugqirha wakho ngazo zonke iimeko zakho zempilo: Nokuba ubona ingcali yesifo esinye, mxelele ngazo zonke ezinye iimeko zakho zempilo kunye namayeza owasebenzisayo . Oku kuya kumvumela ukuba aqwalasele impilo yakho iyonke aze enze isicwangciso sonyango esifanelekileyo kuwe.
2. Yiba nogqirha oyintloko: Yiba nogqirha oyintloko, njengogqirha wosapho lwakho okanye ugqirha wezilwanyana. Angayiqonda yonke imeko yakho yezempilo, akuthumele kwiingcali ezifunekayo, aze aququzelele unyango lwakho nazo.
3. Beka izinto ezibalulekileyo kwindawo yokuqala: Usenokungakwazi ukuxoxa ngazo zonke izinto ezikuxhalabisayo kwimizuzu eli-15-20 onayo nogqirha wakho. Ngoko ke, ngaphambi kokuba uhambe, cinga, "Yeyiphi ingxaki endikhathaza kakhulu namhlanje, leyo ichaphazela ubomi bam bemihla ngemihla?" Beka izinto ezibalulekileyo kwindawo yokuqala uze uxoxe ngayo.
4. Thabatha uluhlu lwamayeza: Oku kubaluleke kakhulu. Bhala phantsi igama lamayeza onke owathathayo, idosi, kunye nokuba uwathatha kangaphi ngemini. Faka naziphi na iivithamini okanye amayeza okudambisa iintlungu (umz. iPanadol) ozithengayo kwikhemesti. Hamba nale ncwadi nawe xa usiya kugqirha ngamnye.
5. Lumka kwindlela ophila ngayo: Ukuphila nezifo ezininzi ezingapheliyo kunokuba nzima emzimbeni nasengqondweni. Ukutya okunempilo okutyebileyo kwiziqhamo nemifuno, ukuzilolonga imihla ngemihla, kunye nokulala kakuhle kunokunceda ukonyusa amanqanaba akho amandla kwaye kunciphise iziphumo ebezingalindelekanga. Thetha nogqirha wakho ngale nto.
Umyalezo Wokuya Ekhaya
- I-comorbidity kukubakho kwezifo ezininzi ezingapheliyo ngaxeshanye. Oku akuyongxaki yesifo.
- Ukuba unezifo ezininzi, ucwangciso lonyango lunokuba nzima, kwaye ukuthatha amayeza amaninzi (i-polypharmacy) kunokufuneka.
- Xa undwendwela ugqirha, nika inkcazo epheleleyo yazo zonke iimeko zempilo onazo kunye nawo onke amayeza (kuquka neevithamini) owasebenzisayo.
- Kubaluleke kakhulu ukuba nogqirha oyintloko (GP/Family Doctor) ozaziyo zonke iimeko zakho zempilo.
- Hlala ugcina uluhlu lwamayeza owathathayo uze uluzise kugqirha wakho. Oku kubaluleke kakhulu kukhuseleko lwakho.
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