Ziziphi na zona kwaye Ziyakwenza Njani Ukunyamekela Ukunyamekela Kwisifo Sikashukela?
Ukuxhatshazwa sisifo okanye imeko ehlala kunye nezifo eziphambili kodwa iphinda ihlale yodwa njengesifo esithile. Ukuxhatshazwa kwezinto ezinokuba ngumzimba okanye kwimeko yengqondo. Ngokomzekelo, umntu unokufumana uxinzelelo oluphezulu (uxinzelelo lwegazi oluphezulu) kwaye akanalo isifo sikashukela . Kodwa ngakolunye uhlangothi, umntu onesifo sikashukela kaninzi uhlala enegazi legazi.
Ngoko, uxinzelelo lwexinzelelo luyinto eqhelekileyo yokuxhatshazwa kwesifo sikashukela.
Izidalwa ezininzi ziqhelekile kunokuba zikhona. I-80% yemali yokusetyenziswa kweMedare iyigulane enemibandela emine okanye engapheliyo ngexesha elinye. Kulula ukubona ukuba kutheni ukuxhatshazwa kwamanzi kudibanisa kwiindleko zonyango. Isigulane ngasinye sinokubona iingcali ezine ngaphezu kwonyango lwazo oluphambili, ugqirha ngamnye uchaza iintlobo ezahlukeneyo zonyango kunye nezidakamizwa kwaye zidinga ukuqeshwa, iimviwo, iinkqubo zokucinga, kunye neemvavanyo zelabhoratri. Emva koko oku kufuneka kulungelelaniswe nonyango ogqithiseleyo. Ezi zigulane kakhulu kwiinkqubo.
I-term multimorbidity isetyenziswe kwakhona, ingakumbi ukuba akucaci ukuba yintoni imeko ephambili okanye inkcazo yeemeko. Kuthetha ukuba izifo ezininzi ezingapheliyo okanye ezigulane kunye neemeko zonyango zikhoyo kumntu oyedwa, ngaphandle kokuqulunqa enye njengesimo senkcazo.
Ngamanye amaxesha uhlaselo luyenzeka ngenxa yokuba banokwabelana ngemingcipheko kwaye banokuba nesizathu esifanayo.
Umzekelo, umntu ogqithiseleyo unobungozi obungakumbi bokuhlaselwa kwesifo sikashukela. Ngamanye amaxesha imeko enokuthi i-comorbid iyakwenzeka ukuba ibe ngumphumo wokuqala, njengokungaphumeleli kwintliziyo ekhulayo kubantu abanesifo sikashukela.
Izifo eziSifo sikashukela
I-comorbidity eziqhelekileyo kubantwana nakwishumi elivisayo kunye nohlobo lwe-2 lwesifo sikashukela lixinzelelekile, i- dyslipidemia kunye nesifo sesibindi sokunqatha .
Uninzi lwabantu abadala abanesifo sikashukela banesifo esisodwa esisifo esingapheliyo kunye nokufikelela kuma-40 ekhulwini ubuncinane abathathu. Ukufikelela kuma-75 ekhulwini abantu abadala abanesifo sikashukela banokuxinzelelo lwegazi . Ezinye izifo eziqhelekileyo zesifo sikashukela zi- hyperlipidemia , isifo senhliziyo, isifo sesifo, isifo sesibindi esingasinxilongo, isifo sokubuthwa kwesibindi, kunye nokukhuluphala . Izinto ezinobungozi zesifo sikashukela zingaphinda ziphakame ubungozi beentlobo ezithile zomhlaza.
Ukulawula ii-Comorbidities in Diabetes
Ukuba unesifo sikashukela, unokunciphisa umngcipheko wokuhlakulela i-comorbidities ngokuguqula izinto zokuphila ezibeka engozini. Oku kuquka ukulawula ubunzima bomzimba wakho ukukhusela ukukhuluphala , ukuyeka ukutshaya, ukufumana umsebenzi owenziwe ngokwaneleyo, nokulawula izinga lakho leswekile.
Fumana i-check-ups rhoqo zezokwelapha kwaye uzalise zonke iimpheno zempilo ezicetyiswayo. Ezi ziyakwazi ukubona iinkalo zangaphambili ekuphuhlisweni kwazo kwaye zinokuthintela izifo eziphefumlelweyo. Iinkonzo zonyango ezikhuselekileyo zifakiwe kwizicwangciso zempilo-unako ukubiza rhoqo i-inshorensi yakho ukuqinisekisa ukuba unobuni obunako.
Ukuba unesimo se-comorbid, qiniseka ukuba oogqirha bakho basebenzisana kunye, ngoko ulawulo lwakho lwesifo sikashukela luqwalaselwa kunyango lweemeko ezixhasayo.
Ugqirha wakho oyintloko ugqirha okanye utitshala oqinisekisiwe wesifo sikashukela unokunceda ukulungelelanisa le nkathalo. Kubaluleke kakhulu ukuba bonke ababoneleli bakho bafumaneke ngoku kumayeza akho kunye neeshedyuli zonyango.
Inqaku esuka
Ukuba nesifo sikashukela kukhulisa umngcipheko wezinye izinto ezinokubakho, kodwa oko akuthethi ukuba uya kufumaneka ukuba ufumane enye. Ukufumana i-check-ups rhoqo kunokukunceda ungenelele kwangaphambili xa kuyimfuneko. Ukongeza, ukugcina ubunzima bomzimba kunye noshukela lwegazi kwimida eqhelekileyo kunokunceda ukunciphisa ingozi yakho. Unokulawula izinto ezithile, ezifana nokutya, ukuzivocavoca, kunye nokuyeka ukutshaya. Ukuba udinga uncedo oluqala ukutya okunempilo okanye usebenziso lwe-regimen, ungesabi ukufuna uncedo lobuchwepheshe.
Uninzi lwabantu abanesifo sikashukela banesondlo kunye nesifo sikashukela sokufihla imfundo kwi-inshorensi zabo. Ukuba unemibuzo, qhagamshelana nogqirha wakho oyintloko ukuthumela okanye ulwazi oluninzi.
Imithombo:
UJohn D. Piette, i-PHD no-Eva A. Kerr, MD, MPH "Impembelelo yezimo zengxaki ze-Comorbid Chronic on Diabetes Care". Ukunyamekela ngesifo sikashukela ngoMashi 2006 vol. 29 no. 3 725-731.
UMedha N. Munshi, MD. "Ukulawula iSifo Sikashukela Esiqhelekileyo: Ukuhamba Ngaphandle Kwenkxaso Yomgangatho." Oogqirha beeVeki ngeveki, ngoNovemba 13, 2012.
Rita Rastogi Kalyani, kunye. al. "Umbutho weSifo sikashukela, i-Comorbidities, kunye ne-A1C kunye noKhubazeka okuSebenzayo kumaZiko aBadala asebekhulile kwi-National Health and Nutrition Examination Survey (NHANES), 1999-2006." Ukunyamekela ngesifo sikashukela ngoMeyi 2010. 33 no. 5 1055-1060.
Valderas JM et al. "Ukuchaza ukuLungiswa komzimba: Impembelelo yokuQondwa kweeNkonzo zeMpilo nezeMpilo." Ann Fam Med. 2009 Julayi; 7 (4): 357-363.