Ingabe unesifo esingaphezu kwesisodwa? Ake sixoxe ngalezi zifo ezihambisana naso!

Ngezinye izikhathi uma siya kudokotela, amanye amagama abawashoyo angaba ayesabisa kancane, akunjalo? Elinye lamagama anjalo yi-'Comorbidities'. Kodwa ukuqonda ukuthi ziyini lezi nokuthi zithinta kanjani impilo yakho kungasiza kakhulu ekukusizeni ubhekane nezifo zakho. Ngakho ake sixoxe ngalokhu namuhla.

Ngakho-ke yiziphi lezi zinkinga ezihambisanayo?

Kalula nje, izifo ezihambisana nalesi sifo ukuba khona kwesinye isifo noma ngaphezulu ngaphezu kwesifo sakho esiyinhloko. Igama lezokwelapha elithi "morbidity" lisho ukuba khona kwesifo noma isimo. Ngakho-ke uma liqanjwe ngokuthi "co" kusho ukuthi izifo ezimbili noma ngaphezulu zikhona ndawonye.

Igama elithi "Comorbidity" lingase lesabe kancane ukulizwa. Kodwa uma usuqonda ukuthi lisho ukuthini nokuthi lithinta kanjani impilo yakho, ungathatha indima ebonakalayo ekuphatheni impilo yakho. Ngenxa yokuthi lezi zinkinga zingathintana, uhlelo lwakho lwezempilo lungashintsha ngokufanele.

Cabanga ngalokhu. Udokotela wakho ukutshela ukuthi uhambe nsuku zonke ukuze ulawule ukukhuluphala kwakho . Kodwa ngemva kwezinsuku ezimbalwa, uthola ukuthi une -osteoarthritis . Ngakho-ke, esikhundleni sokuhamba nsuku zonke, ungashintshela ku-water aerobics ukuze uvimbele ubuhlungu bamalunga akho ukuba bube bubi kakhulu. Kulesi simo, i-osteoarthritis iyimbangela yokukhuluphala. Ngakho-ke, indlela ophatha ngayo ukukhuluphala kwakho iyashintsha.

Esinye isibonelo umfutho wegazi ophakeme (umfutho wegazi ophakeme) . Abantu abanezinye izimo, njengesifo senhliziyo noma isifo samaphaphu, nabo bangaba nomfutho wegazi ophakeme. Uma unomfutho wegazi ophakeme kanye nezinye izimo, udokotela wakho uzocabangela lezo zimo. Kungase kudingeke ukuthi akunikeze umuthi wokwehlisa umfutho wegazi ongeke uphazamise eminye imithi oyiphuzayo.

Umqondo wezifo ezihambisana nalezi ubaluleke kakhulu emkhakheni wezokwelapha. Ngakho-ke ukwazi ukuthi kusho ukuthini kungakusiza ukuthi ukhulume nodokotela wakho futhi uqonde kangcono uhlelo lwakho lokwelashwa. Kungaba usizo nasekusekeleni abathandekayo bakho phakathi nezimo zabo zezokwelapha.

Nazi ezinye amagama asetshenziswa ukuchaza izifo ezihambisana nalezi:

• Izimo ezikhona ndawonye
• Izimo ezihlobene
• Izimo eziningi ezingamahlalakhona
• Ukugula okuningi

Uyini umehluko phakathi kokuxilongwa kokuqala kanye nezinkinga ezihambisana nakho?

I-Comorbidity yisimo sezokwelapha esibonakala ngokucacile onaso ngaphezu kokuxilongwa kwakho okuyinhloko (ngezinye izikhathi okubizwa ngokuthi ukuxilongwa okuyisisekelo noma isifo esikhombayo). Manje ungase uzibuze, "Kuyini lokhu kuxilongwa okuyinhloko?" Izincazelo zala magama empeleni ziyinkimbinkimbi kancane.

Ezweni lezokwelapha,Isifo esikhulu yisimo sezokwelapha oselashwa ngaso ngesikhathi esithile noma ngaphakathi kwesikhathi esithile. Kungaba yisifo esibi kakhulu onayo, noma esidinga ukunakekelwa okukhethekile kakhulu. Kungaba yiso esibangele ukuthi ulaliswe esibhedlela.

Isifo sibizwa ngokuthi isifo "esiyinhloko" ngudokotela okukhulunywa ngaye. Isifo sakho esiyinhloko singashintsha kuye ngodokotela ombonayo nokuthi impilo yakho ishintsha kanjani.

Isibonelo, ake sithi unesifo sezinso esingamahlalakhona, umfutho wegazi ophezulu, kanye nesifo sikashukela sohlobo 2. Ubonana nodokotela wezinso futhi welashwa njalo ngesifo sakho sezinso. Ngemuva kwalokho, lowo dokotela ubheka isifo sakho sezinso njengesifo sakho esiyinhloko. Ngoba yilokho akwelaphayo. Ubheka umfutho wegazi ophezulu kanye nesifo sikashukela njengezifo ezihambisana nesifo sezinso. Uphinde anakekele lezi zifo lapho elapha isifo sakho sezinso.

Uma siqhubeka nalesi sibonelo, ake sithi ubona udokotela we-endocrinologist njalo ukuze aphathe isifo sakho sikashukela. Khona-ke lowo dokotela ubheka isifo sakho esiyinhloko njengesifo sikashukela. Ubheka isifo sakho sezinso kanye nomfutho wegazi ophezulu njengezifo ezihambisana nesifo sikashukela.

Ngakho-ke ungabona, ukuthi yisiphi isifo esiyinhloko nokuthi siyini isifo esihambisana naso kungahluka kuye ngesimo. Odokotela abangochwepheshe bavame ukubona isimo sempilo yakho njengesifo esiyinhloko kanye nezinye izifo ezihlobene naso.

Kodwa abantu abafana nodokotela womndeni wakho (uMhlinzeki Wokunakekelwa Okuyinhloko) bangase bakubheke ngendlela ehlukile lokhu. Bangase basebenzise nomqondo we-"Multimorbidity" ukuze bathole umbono obanzi ngempilo yakho.

Ingabe i-multimorbidity ifana nalokhu?

UMnyango Wezempilo Nezinsizakalo Zabantu wase-United States uchaza "i-multimobidity" njengokukhona okungenani kwezifo ezimbili zezokwelapha noma izimo ezihlala isikhathi esingaphezu konyaka . Le ncazelo ayisho isifo esiyinhloko. Lokhu kuhlukile encazelweni ye-comorbidity.

Abacwaningi abaningi basebenzisa umqondo we-"multimobidity" ukuze bafunde ukuthi izifo zithintana kanjani. Kodwa-ke, abantu abaningi basebenzisa amagama athi comorbidity kanye ne-multimobidity ngokushintshana, okuchaza ukuba khona kwezimo zezokwelapha ezimbili noma ngaphezulu ndawonye.

Lezi zinkinga ezihambisana nalesi sifo ziyithinta kanjani impilo yakho?

Ukuba nezinkinga ezihambisanayo noma izifo eziningi kungathinta impilo yakho ngezindlela eziningi. Uma unezimo ezimbili noma ngaphezulu ezingamahlalakhona:

• Lezi zimo zingaba nomthelela omkhulu empilweni yakho yengqondo kanye/noma engokomzimba kunokuba zinjalo ngazinye, futhi zingaba nomthelela ocacile "ekhwalithini yakho yokuphila ehlobene nempilo".
• Ngenxa yesifo esihambisana naso, umbono wesikhathi eside wesifo sakho esiyinhloko ungashintsha.
• Ukwelashwa kungaba nzima. Isibonelo, ukwelashwa kwesimo esisodwa kungase kube kubi kakhulu kwesinye isimo. Noma, ukuthatha imithi yezimo ezahlukene ndawonye kungaba yingozi.
• Kungase kudingeke ukuthi ubonane nochwepheshe abaningana abahlukene . Bazosebenza ndawonye njengeqembu, babelane ngolwazi lwabo, futhi bathuthukise uhlelo lokwelashwa olungcono kakhulu kuwe.

Ake sibone ukuthi yiziphi izifo ezivame kakhulu.

Izinhlobo ezahlukene zezifo ezihambisana nalesi sifo zingabonakala phakathi kweziguli ezithola ukwelashwa esibhedlela ezibhedlela kanye nalabo abahlushwa yizimo zezokwelapha ezahlukahlukene.

Phakathi kwalabo abalaliswe esibhedlela

Ucwaningo olulodwa luthole ukuthi abantu abadala abangaphezu kuka-84% abalaliswe esibhedlela e-United States ngo-2019 babenezinkinga ezihambisanayo ezihambisanayo, ngaphezu kwesimo esiyisisekelo esaholela ekutheni bangeniswe esibhedlela. Cishe u-50% waleli qembu wayenezinkinga ezihambisanayo okungenani ezintathu.

Izifo ezivame kakhulu ezitholakala kulolo cwaningo kwakuyilezi:

• Umfutho wegazi ophakeme (53.2% weziguli ezilaliswe esibhedlela)
• Isifo sikashukela (26.4% weziguli ezilaliswe esibhedlela)
• Isifo samaphaphu esingamahlalakhona (20.5% weziguli ezilaliswe esibhedlela)
• Ukuntuleka kwe-anemia (18.0% yeziguli ezilaliswe esibhedlela)
• Ukukhuluphala ngokweqile (17.0% weziguli ezilaliswe esibhedlela)
• Isifo sezinso kanye nokwehluleka (16.3% weziguli ezilaliswe esibhedlela)

Lolu cwaningo luthole nezinye izinto eziningana:

• Izifo ezibangelwa yilesi sifo ziyanda njengoba abantu bekhula. Abantu abadala abangu-8% kuphela abaneminyaka engu-18-24 abanesifo okungenani ezintathu. Kodwa-ke, cishe u-73% walabo abaneminyaka engu-85 noma ngaphezulu banezifo okungenani ezintathu.
• Ukugula okubangelwa yizifo kuthinta imiphumela. Abantu abanezifo ezintathu noma ngaphezulu bahlala esibhedlela isikhathi eside futhi banamathuba amaningi okufa esibhedlela kunalabo abanezifo ezimbalwa noma abangenazo nhlobo. Umthelela wezifo ezibangelwa yizifo unamandla kakhulu uma kukhulunywa ngokuhlinzwa. Abantu abanezifo ezintathu noma ngaphezulu banamathuba aphindwe kasishiyagalombili okufa esibhedlela ngemva kokuhlinzwa kunalabo abangenazo izifo ezibangelwa yizifo.

Izifo ezivame ukubonakala kwezinye izifo ezinkulu

Abacwaningi bavame ukutadisha abantu abanesifo esithile - isibonelo, isifo samathambo noma ukwehluleka kwenhliziyo - ukuze babone ukuthi yiziphi ezinye izimo (ama-comorbidities) abanawo. Yiqiniso, wonke umuntu uhlukile, futhi lezi zifundo azisho ukuthi wonke umuntu onesifo esithile uzoba nezinkinga ezithile ezihambisana naso. Kodwa zisinika umbono wamaphethini avamile.

Ake sibheke ezinye izibonelo:

• Isifo Sokungakwazi Ukunaka/Ukuphazamiseka Kokusebenza Kakhulu (ADHD)
• Izinkinga ezivamile: Ukucindezeleka, izinkinga zokukhathazeka, isifo sokuphazamiseka kwengqondo esibizwa ngokuthi i-bipolar disorder.

• Isifo Sikashukela Sohlobo 2
• Izifo ezivamile ezihambisana nalokhu: Umfutho wegazi ophakeme, amazinga aphezulu amafutha egazini (isib. i-cholesterol ephezulu kanye/noma ama-triglycerides aphezulu - i-Dyslipidemia), isifo sesibindi se-steatotic esihambisana nokungasebenzi kahle kwe-metabolic - i-MASLD, i-Polycystic Ovary Syndrome - i-PCOS, ukukhuluphala ngokweqile, i-Obstructive Sleep Apnea.

• Ukwehluleka Kwenhliziyo
• Izifo ezivamile ezihambisana nalesi sifo: Isifo Sikashukela Sohlobo 2, Ukuphelelwa Yisikhathi Kokulala, Ukukhuluphala, Umfutho Wegazi Ophakeme.

Ngezinye izikhathi, izifo zenzeka ndawonye ngoba zinezimbangela noma izici eziyingozi ezivamile. Isibonelo, umfutho wegazi ophakeme nesifo sikashukela kungandisa ingozi yakho yesifo senhliziyo nesifo sezinso. Kodwa ngezinye izikhathi izifo ezihambisana naso azinazo izizathu ezivamile. Udokotela wakho angakutshela okwengeziwe ngezimbangela zezimo zakho nokuthi ukwelashwa kungasiza kanjani.

Ngakho-ke kubaluleke ngani ukuthi uqaphele lokhu?

Ukufunda incazelo yamagama athi comorbidities kanye ne-multimorbidities kungakusiza ukuthi ukhulume nodokotela wakho ngempilo yakho. Kodwa uma uzizwa ukhungathekile yila magama, yima ucabange isikhashana.

Into ebalulekile ukungawabambi ngekhanda wonke amagama ezokwelapha. Into ebalulekile ukuzinika isikhathi sokufunda ngezimo zakho zezokwelapha nokuthi zithinta kanjani impilo yakho. Qonda ukuthi yiziphi izindlela zokwelapha ongase uzidinge, kungani uzidinga, nokuthi ungayiphatha kanjani imithi yakho ekhaya. Kubalulekile futhi ukuqaphela ukuthi abekho abantu ababili ababhekana nesimo esifanayo noma inhlanganisela yezimo ngendlela ehlukile.

Tshela udokotela wakho yonke imibuzo yakho nezinto ezikukhathazayo ukuze akunike isiqondiso esifanelana nesimo sakho.

Umyalezo osuka kulesi sihloko othi:

Kulungile, ngakho-ke, nazi izinto ezibaluleke kakhulu okudingeka uzikhumbule kulokho esikhulume ngakho namuhla:

• Ukugula okuhambisana nalesi sifo kuvamile: ukuba khona kwesinye isifo noma ngaphezulu ngaphezu kwesifo esiyinhloko, into abantu abaningi ababhekana nayo.
• Kubalulekile ukuqonda: Ukuqaphela lezi zinkinga ezihambisana nalesi sifo, nokuqonda ukuthi zithinta kanjani impilo yakho, kuwusizo olukhulu ekuphatheni impilo yakho iyonke.
• Ukwelashwa kungaba nzima:Ukuhlela ukwelashwa kungaba nzima kancane uma unezifo ezingaphezu kwesisodwa, ngakho-ke kubalulekile ukulandela imiyalelo kadokotela wakho ngqo.
• Khuluma nodokotela wakho: Tshela udokotela wakho nganoma yiziphi izimo zezokwelapha onazo kanye nanoma yimiphi imithi oyiphuzayo. Unganqikazi ukubuza noma yimiphi imibuzo noma ukukhathazeka onakho. Ithimba lakho lezokunakekelwa kwempilo likhona ukukusiza.

Khumbula, awuwedwa. Baningi abantu abaphila nalezi zimo. Ngolwazi olufanele, ukwesekwa, kanye neseluleko sezokwelapha, nawe ungabhekana nalezi zimo ngempumelelo!

Ukugula Okubangelwa Yizifo Eziningi, Izimo Eziningi, Ukuxilongwa Okuyinhloko, Ukugula Okubangelwa Yizifo Eziningi, Izifo Ezingamahlalakhona, Ukuphathwa Kwezempilo, Iseluleko Sezokwelapha