Ziyini Futhi Zingayithinta kanjani Ukunakekelwa Kwezifo Zesifo Sikashukela?
Ukudla okuyisifo yisifo noma isimo esivumelana nesifo esiyisisekelo kodwa futhi sihlala sisodwa njengesifo esithile. Ama-comorbidities angase abe ngokomzimba noma izimo zengqondo. Isibonelo, omunye umuntu angaba nomfutho wegazi ophezulu ( umfutho wegazi ophakeme) futhi angabi nesifo sikashukela . Kodwa ngakolunye uhlangothi, umuntu onesifo sikashukela kaningi uphinde une-hypertension.
Ngakho-ke, ukucindezeleka komzimba kungukudla okuvamile kwesifo sikashukela.
Ukunciphisa umzimba kuvamile kakhulu kunokungabi njalo. Imali engaba ngu-80% yemali yokusebenzisa i- Medicare yilabo abagulayo abanezimo ezine noma ngaphezulu ezingapheli ngesikhathi esifanayo. Kulula ukubona ukuthi kungani ukuhlaselwa komzimba kuhlanganisa izindleko zokunakekelwa. Isiguli ngasinye sibona ochwepheshe abane ngaphezu kokudokotela wabo oyinhloko, njalo ebeka izindlela ezihlukahlukene zokwelashwa nezidakamizwa futhi zidinga ukuqashwa, izivivinyo, izinqubo zokucabanga, kanye nokuhlolwa kwelabhoratri. Khona-ke lokhu kumele kuhlanganiswe udokotela oyinhloko. Lezi ziguli ezibiza kakhulu ohlelweni.
I-multimorbidity yegama ibuye isetshenziswe, ikakhulukazi uma ingacacisi ukuthi yisiphi isimo esiyinhloko noma isimo se-index. Kusho ukuthi izifo eziningi ezingapheli noma eziyingozi kanye nezimo zezokwelapha zikhona ngaphakathi komuntu oyedwa, ngaphandle kokuchaza eyodwa njengenkomba yenkomba.
Ngezinye izikhathi izidakamizwa zenzeka ngenxa yokuthi zihlanganyela izinto ezibeka ingozi futhi zingaba nomphumela ofanayo.
Isibonelo, umuntu okhuluphele usengozini enkulu yokwelapha isifo sikashukela. Ngezinye izikhathi isimo se-comorbid cishe senzeke njengomphumela wokuba nesimo esiyinhloko, njengokuhluleka kweqhwaba kubantu abakhulelwe nesifo sikashukela.
Ukwelashwa Okuyisifo Sikashukela
I-comorbidities ejwayelekile kakhulu ezinganeni nasebancane abane- type 2 yesifo sikashukela banesifo somfutho wegazi, i- dyslipidemia , nesifo sesibindi se-fatal non-cocolic .
Iningi labantu abadala abanesifo sikashukela banesifo esisodwa se-comorbid esingapheliyo kanye namaphesenti angaba ngu-40 okungenani abathathu. Kuze kube ngamaphesenti angu-75 abantu abadala abanesifo sikashukela nabo banesifo somfutho wegazi . Ezinye izifo ezivamile zesifo sikashukela ziyi- hyperlipidemia , isifo senhliziyo, isifo sezinso, isifo sesibindi se-fatally non-alcoholic, i-obnetive sleep apnea, nokukhuluphala . Izifo ezingozini zesifo sikashukela zingabuye zenze izingozi zemithi ethile yomdlavuza.
Ukulawula Ukunciphisa Kwe-Diabetes
Uma unesifo sikashukela, unganciphisa ingozi yokuhlakulela izidakamizwa ngokushintsha izinto zokuphila ezibeka engozini. Lokhu kuhlanganisa ukulawula isisindo somzimba wakho ukuvimbela ukukhuluphala , ukuyeka ukubhema, ukuthola umsebenzi owenziwe ngokwanele, nokulawula amazinga ashukela egazini.
Thola ukuhlolwa kwezempilo njalo futhi ugcwalise konke ukuhlolwa kwezempilo okunconywayo. Lezi zingakwazi ukubona izimo ngaphambili ekuthuthukiseni kwazo futhi zingavimbela izifo ezigcwele. Izinsizakalo zezokwelapha ezivimbelayo zifakiwe ezinhlelweni zezempilo-ungahlala ubiza umshwalense wakho ukuqinisekisa ukuthi yini okhona.
Uma unesimo se-comorbid, qiniseka ukuthi odokotela bakho basebenzisana ndawonye, ngakho ukuphathwa kwakho kwesifo sikashukela kubhekwa njengokwelashwa kwezimo ze-comorbid.
Udokotela wakho wokunakekela oyinhloko noma uthisha oqinisekisiwe wesifo sikashukela angasiza ekuxhumaniseni lokhu ukunakekelwa. Kubaluleke kakhulu ukuthi bonke abahlinzeki bakho babe khona ngemithi yakho kanye nemishanguzo yokwelapha.
Inothi Kusuka
Ukuba nesifo sikashukela kukhulisa ingozi yakho kwezinye izidakamizwa, kodwa lokho akusho ukuthi uzothola ukuthi unomunye. Ukuthola amasheya avamile kungakusiza ukuba ungenele ngokushesha uma kunesidingo. Ngaphezu kwalokho, ukugcina isisindo somzimba wakho noshukela wegazi ngaphakathi kwemingcele evamile kungasiza ukunciphisa izingozi zakho. Ungakwazi ukulawula izici ezithile, njengokudla, ukuzivocavoca, nokuyeka ukubhema. Uma udinga usizo ukuqala ukudla okunempilo noma ukuvivinya umzimba, ungesabi ukufuna usizo lochwepheshe.
Iningi labantu abanesifo sikashukela banomsoco kanye nesifo sikashukela ekufundiseni ukuphathwa kwezemfundo ngokwezifiso zabo zomshuwalense. Uma unemibuzo, xhumana nodokotela wakho oyinhloko ngokudlulisela phambili noma ulwazi oluningi.
Imithombo:
UJohn D. Piette, i-PHD no-Eve A. Kerr, MD, i-MPH "Umthelela Wezimo Eziphuthumayo ze-Comorbid on Careing Diabetes." Ukunakekelwa yisifo sikashukela ngo-March 2006 vol. 29 no. 3 725-731.
UMedha N. Munshi, MD. "Ukulawula Isifo Sikashukela Esivamile Ukubhekana Nezinkinga: Ukuhamba Ngaphandle Kokunakekelwa Okuvamile." Odokotela Weekly, Nov 13, 2012.
Rita Rastogi Kalyani, et. al. "I-Association of Diabetes, Comorbidities, ne-A1C Ngokukhubazeka Kokusebenza Emiphakathini Edala Yabantu Abadala kusukela ku-National Health and Nutrition Examination Survey (NHANES), 1999-2006." Ukunakekelwa yisifo sikashukela Meyi 2010 vol. 33 cha. 5 1055-1060.
U-Valderas JM et al. "Ukuchaza Ukunciphisa: Impumelelo Yokuqonda Impilo Nemisebenzi YezeMpilo." U-Ann Fam Med. 2009 Julayi; 7 (4): 357-363.