Ochulukirachulukira ndi ukalamba, comorbidities ndi magwero azovuta pakusankha kwamankhwala komanso zomwe zimayambitsa chiopsezo cha matenda amtunduwu panthawi ya chithandizo. Mliri wa 2020 Covid-19 ndi chitsanzo chimodzi cha izi. Mafotokozedwe.

"Co-morbidity" imatanthauzidwa ndi kukhalapo nthawi imodzi mwa munthu yemweyo wa matenda angapo aakulu omwe amafunikira chisamaliro cha nthawi yaitali (Haute Autorité de santé HAS 2015 *). 

Mawuwa nthawi zambiri amaphatikizana ndi tanthauzo la "polypathology" lomwe limakhudza wodwala yemwe ali ndi zovuta zingapo zomwe zimapangitsa kuti alepheretse matenda omwe amafunikira chisamaliro chokhazikika. 

Social Security imatanthawuza mawu akuti "Long Term Affections" kapena ALD pa 100% yopereka chisamaliro, omwe alipo 30. 

Zina mwa izo ndi:

• matenda ashuga;
• zotupa zoyipa;
• matenda a mtima ;
• HIV;
• mphumu yayikulu;
• matenda amisala;
• etc.

Kafukufuku wa Insee-Credes anasonyeza kuti 93% ya anthu azaka zapakati pa 70 ndi kupitirira anali ndi matenda osachepera awiri nthawi imodzi ndi 85% osachepera atatu.

Kukhalapo kwa co-morbidities kumagwirizanitsidwa ndi polypharmacy (mankhwala a mankhwala angapo nthawi imodzi) zomwe zingayambitse vuto chifukwa cha kuyanjana kwa mankhwala. 

Anthu opitilira 10% azaka zopitilira 75 amamwa mankhwala pakati pa 8 ndi 10 patsiku. Awa ndi odwala omwe ali ndi ALD komanso okalamba. 

Tiyenera kukumbukira kuti matenda ena osatha nthawi zina amayamba chifukwa cha achinyamata monga shuga, matenda amisala kapena zotupa zowopsa. 

Ma co-morbidities amapanganso chiwopsezo chowonjezereka cha zovuta pakagwa matenda oopsa monga Covid-19 (SARS COV-2) kapena chimfine cha nyengo. Pamaso pa comorbidities, zamoyo zimakhala zosatetezeka.

Ma Comorbidities ndi Coronavirus

Kukhalapo kwa ma co-morbidities ndichinthu chofunikira kwambiri pachiwopsezo chazovuta pakadwala SARS COV-2 (COVID 19). Ngakhale ukalamba ndiwomwe uli pachiwopsezo chachikulu pawokha, kupezeka kwa matenda amtima monga matenda oopsa, mbiri ya matenda amtima kapena sitiroko kungayambitse kumangidwa kwa mtima kapena sitiroko yatsopano chifukwa cha mphamvu zomwe thupi limafunikira polimbana ndi coronavirus. Kunenepa kwambiri kapena kulephera kupuma ndizovuta zomwe zimawonjezera chiopsezo chotenga matenda a SARS COV-2 (COVID 19).

Comorbidities ndi khansa

Chithandizo cha chemotherapy chomwe chimakhazikitsidwa ngati gawo la chithandizo cha khansa chimalimbikitsa kuchitika kwa ma thromboses (kutsekeka kwa magazi) m'magazi chifukwa cha kutupa kwa chamoyo chonse cholumikizidwa ndi kukhalapo kwa chotupacho. Izi zitha kukhala chifukwa cha thrombosis:

• phlebitis;
• mtima infarction;
• sitiroko;
• pulmonary embolism. 

Potsirizira pake, chemotherapy ingakhudzenso impso (kuyeretsa magazi) ndi ntchito ya chiwindi ndi kupanga maselo oyera ndi ofiira a magazi, zomwe zingayambitse mavuto.

Chinthu choyamba ndicho kuika chithandizo patsogolo, kuyang'ana kwambiri mankhwala ogwira mtima komanso kupewa kuyanjana ndi mankhwala. Imeneyi ndi ntchito ya dokotala amene amamudziwa bwino wodwalayo ndiponso mmene amachitira ndi chithandizo chilichonse. Imawonetsetsanso mgwirizano pakati pa okhudzidwa osiyanasiyana pofunsa, ngati kuli kofunikira, upangiri wawo ndi ukatswiri. 

Kutsata zachipatala nthawi zonse ndikofunikira kuti musinthe chithandizo kuti chigwirizane ndi kusintha kwa matenda ndi momwe akukhalira. Dokotala wopezekapo ayeneranso kukhala tcheru ku zotsatira za maganizo a comorbidities awa monga kuvutika maganizo, kulemala kapena moyo wosauka.