Uma uya kudokotela, wake wezwa umuntu ethi, "Awugcini nje ngokuba nomfutho wegazi ophezulu, kodwa futhi unesifo sikashukela, ngakho awukwazi ukunginika lo muthi"? Noma ukhathazeka ngokuthi uma uthatha umuthi wesifo esisodwa, uzophazamisa esinye? Eqinisweni, kuvamile kakhulu ukuba nezimo zezokwelapha ezingaphezu kwesisodwa ngesikhathi esisodwa. Kwezokwelapha, sinegama elikhethekile lalokhu. Yilokho esizokhuluma ngakho namuhla.
Kalula nje, kuyini ukugula okubangelwa yi-comorbidity?
Kungenzeka ukuthi uke wezwa igama elithi comorbidity kudokotela. Incazelo elula yalokhu ukuthi umuntu unezimo zezokwelapha ezimbili noma ngaphezulu ezihlukene ngesikhathi esisodwa. Lezi zivame ukuba zesikhathi eside, noma lokho esikubiza ngokuthi izifo ezingamahlalakhona . Lezi zifo zingase zihlobane noma zingahlobene.
Odokotela basebenzisa leli gama ukukusiza uqonde futhi uchaze ukuthi lezi zimo, ndawonye nangokuhlukana, zithinta kanjani impilo yakho yomzimba neyengqondo. Ngezinye izikhathi lokhu kubizwa nangokuthi 'izimo ezihlala ndawonye' noma 'i-multimorbidity'.
Cabanga ngalokhu. Umuntu unesifo sikashukela . Ngemva kwesikhathi esithile, uthola ukuthi naye une-high blood pressure. Bese sithi kukhona ukuhlangana phakathi kwalezi zifo ezimbili. Izimpawu zalezi zifo zombili zingathinta ikhwalithi yempilo yakho. Ngakho-ke uma welashwa isifo sikashukela , udokotela kufanele ahlale ekhathazekile nge-blood pressure yakho.
Uyini umehluko phakathi kwe-comorbidity kanye ne-complication?
Yilapho abantu abaningi bedideka khona. Ukungaphatheki kahle komzimba akuyona inkinga .
Inkinga ingumphumela ongemuhle noma enye inkinga yezokwelapha eyenzeka ngenxa yesifo, ukwelashwa, noma ukuhlinzwa. Isibonelo, isifo sezinso singakhula ngokuhamba kwesikhathi ngenxa yesifo sikashukela esingalawulwa kahle.
Kodwa-ke, ukugula okubangelwa yizifo ezithile kuhlukile. Kusho ukuthi ngaphezu kwesifo sakho esiyinhloko, kukhona esinye isimo sezokwelapha esikhona kanyekanye naso. Isibonelo, umuntu onesifo sikashukela angase abe nesifo samathambo esingahlobene naso.Uma kuvela isifo samathambo, kuba yisifo esihambisana naso. Uyawuqonda umehluko?
Ubani okungenzeka kakhulu ukuthi abone lesi simo?
Abantu abadala banamathuba amaningi okuba nezifo eziningana ngesikhathi esisodwa, ngoba njengoba sikhula, amathuba ezinkinga ezahlukene zempilo emizimbeni yethu ayanda.
Nokho, lokhu akugcini nje kubantu asebekhulile. Ukugula okungamahlalakhona kungavela nakubantu abasebasha. Ucwaningo luthole ukuthi kunezici eziningana ezibangela ukuba umuntu abe nezifo eziningi ngesikhathi esisodwa.
- Uhlobo lokugula (ngokomzimba noma ngokwengqondo)
- Ubulili
- Ubudala
- Isimo sezomnotho nezenhlalo
Lokhu okuboniswa yilezi zifundo ukuthi abantu abanesimo esiphansi kwezomnotho kanye namazinga aphezulu okucindezeleka empilweni yabo yansuku zonke basengozini yokuthola ezinye zalezi zifo eminyakeni eyi-10-15 ngaphambi kwalabo abathola kalula. Futhi, uma umuntu enezifo ezingamahlalakhona eziningi, kulapho ingozi yakhe yokuthola isifo sengqondo iphakama khona (isib. ukucindezeleka ).
| Izibonelo Zezimo Ezivamile Zokugula Okubangelwa Yizifo Ezi ... | |
|---|---|
| Isifo senhliziyo | Umfutho wegazi ophakeme |
| Isifo sokuphefumula | Isifo sikashukela |
| Isifo samalunga / Isifo Sokuqaqamba Kwamalunga | Izinkinga zempilo yengqondo (isib. i-Dementia, ukucindezeleka) |
| Isifo se-cerebrovascular | Ukukhubazeka kwezinzwa (isib., ukulahlekelwa umbono, ukulahlekelwa ukuzwa) |
Ukugula okubangelwa yizifo ezithile kuthinta kanjani uhlelo lwami lokwelashwa?
Uma unezimo eziningi, ukwelashwa kungaba nzima kakhulu. Lokhu kungenxa yokuthi isimo ngasinye sinezimpawu zaso ezihlukile, izimbangela, futhi sidinga izinhlelo zokwelapha ezihlukile .
Ezinye izimo zezokwelapha zingandisa nengozi yokuthola ezinye izifo. Isibonelo, isifo samathambo sivame kakhulu kubantu abanezimo ezingamahlalakhona njengokukhuluphala ngokweqile , isifo senhliziyo, noma isifo sikashukela. Uma izimo eziningi, kungaba ezihlobene noma ezingahlobene, zihlangana, kungaba nzima ukuzilawula zonke ngesikhathi esisodwa.
Ukuthatha imithi eminingi (i-Polypharmacy)
Uma unezifo eziningi, kufanele uphuze imithi eminingi. Lokhu sikubiza ngokuthi i -polypharmacy . Kukhona ingozi enkulu lapha.
Umuthi wesifo esisodwa ungasebenzisana nomuthi wesinye isifo. Uma lokhu kwenzeka, ukusebenza kahle komuthi kungancipha noma imiphumela emibi emisha ivele.
Eqinisweni, umuntu onezinkinga ezifanayo usengozini enkulu yokuthola ezinye izinkinga zempilo ezingahlobene nesifo esiyinhloko. Lokhu kwandisa ingozi yokuvakashela umnyango ophuthumayo (i-ETU) , ukusabela kabi kwemithi, ukulaliswa esibhedlela okungavinjelwa, futhi kwezinye izimo, ngisho nokufa.
Amathiphu abalulekile okuphatha izifo ezihambisana nokugula
Nakuba ukuhlala nezifo eziningi ezinjengalezi kungaba nzima, kungaphathwa kahle uma usebenzisa uhlelo.
1. Tshela udokotela wakho ngazo zonke izimo zakho zezokwelapha: Ngisho noma ubona uchwepheshe wesimo esisodwa, mtshele ngazo zonke ezinye izimo zakho zezokwelapha kanye nemithi oyiphuzayo . Lokhu kuzomvumela ukuthi acabangele impilo yakho iyonke futhi athuthukise uhlelo lokwelashwa olufanele kakhulu kuwe.
2. Yiba nodokotela oyinhloko: Yiba nodokotela oyinhloko, njengodokotela womndeni wakho noma udokotela. Angaqonda zonke izimo zakho zezokwelapha, akuthumele kochwepheshe abadingekayo, futhi axhumanise ukwelashwa kwakho nabo.
3. Beka izinto eziza kuqala: Ungase ungakwazi ukuxoxa ngazo zonke izinto ezikukhathazayo ngemizuzu eyi-15-20 onayo nodokotela wakho. Ngakho-ke, ngaphambi kokuba uhambe, cabanga, "Yiluphi udaba olungikhathaza kakhulu namuhla, oluthinta kakhulu impilo yami yansuku zonke?" Beka izinto eziza kuqala bese uxoxa ngalo.
4. Hamba nohlu lwemithi: Lokhu kubaluleke kakhulu. Bhala phansi igama layo yonke imithi oyithathayo, umthamo, nokuthi uyithatha kangaki ngosuku. Faka noma yimaphi amavithamini noma imithi yobuhlungu (isib. iPanadol) oyithenga ekhemisi. Hamba nale ncwadi uye nayo lapho udokotela ehlangana khona.
5. Nakekela indlela yakho yokuphila: Ukuphila nezifo eziningi ezingamahlalakhona kungaba nzima ngokomzimba nangokwengqondo. Ukudla okunempilo okucebile ngezithelo nemifino, ukuzivocavoca nsuku zonke, kanye nokulala kahle kungasiza ekukhuliseni amazinga akho amandla futhi kunciphise imiphumela emibi. Khuluma nodokotela wakho ngalokhu.
Umlayezo Wokuya Nawe Ekhaya
- I-comorbidity ukuba khona kwezifo eziningi ezingamahlalakhona ngesikhathi esisodwa. Lokhu akuyona 'inkinga' yesifo.
- Uma unezifo eziningi, ukuhlela ukwelashwa kungaba nzima, futhi ukuphuza imithi eminingi (i-polypharmacy) kungadingeka.
- Uma uvakashela noma yimuphi udokotela, nikeza incazelo ephelele yazo zonke izimo zezokwelapha onazo kanye nayo yonke imithi (kufaka phakathi amavithamini) oyiphuzayo.
- Kubaluleke kakhulu ukuba nodokotela oyinhloko (GP/Family Doctor) ozaziyo zonke izimo zakho zempilo.
- Hlala ugcina uhlu lwazo zonke izidakamizwa ozithathayo bese ululetha kudokotela wakho. Lokhu kubaluleke kakhulu ekuphepheni kwakho.
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