Kugonjetsedwa Kungakhudze Bwanji Mmene Matenda a Arthritisi Amachitira
Mawu akuti "nkhanza" ndi "chikhalidwe choipa" ndizochizoloŵezi chachipatala chofala. Kusokonezeka kumatanthawuza matenda kapena zochitika zambiri zomwe zimachitika limodzi ndi chikhalidwe china mwa munthu yemweyo panthawi yomweyo.
Zinthu zomwe zimaonedwa kuti comorbidities nthawi zambiri zimatha nthawi yaitali. Mawu ena omwe amagwiritsidwa ntchito mosasinthasintha ndi kugwiritsidwa ntchito molakwika amaphatikizapo chikhalidwe chokhazikika, zinthu zomwe zimagwirizanitsa, multimorbidity, kapena multiple conditions.
Kugonana ndi Matenda a Arthritis
Pogwiritsa ntchito nyamakazi ya nyamakazi monga chitsanzo, pali zovuta zomwe zimagwirizanitsidwa ndi matenda omwe siwonekera. Izi ndizimene zimakhudza ziwalo za thupi osati ziwalo. Izi zimakonda kuchitika ndi maulendo apamwamba kuposa momwe zingaganizidwe ndi anthu omwe amakhalapo.
Izi zimaphatikizapo zikhalidwe monga matenda opatsirana pogwiritsira ntchito matenda a mitsempha , vasculitis , neuritis, matenda a Sjogren ndi matenda a Felty. Ngakhale kuti izi sizipezeka mwa anthu onse omwe ali ndi nyamakazi ya nyamakazi, pamene alipo, akhoza kusintha mankhwala.
Mavuto a Comorbid angaphatikizepo matenda ndi zinthu zina osati ma rheumatic conditions . Ikhoza kutanthauza matenda a nyamakazi pamodzi ndi shuga , matenda a mtima, kapena kansa . Kugonjetsedwa kungayambitse chitukuko cha nkhawa ndi kupsinjika maganizo pamene anthu amakumana ndi mankhwala ambiri komanso ndalama zowonjezera.
Ziwerengero za Comorbidity Statistics
Malingana ndi Centers for Disease Control and Prevention (CDC), pafupifupi theka la akuluakulu ku United States ali ndi nyamakazi ali ndi vuto linalake lokha.
Ngakhale matenda ambiri a mtima, matenda a shuga, kunenepa kwambiri, mafuta otsekemera kwambiri, ndi matenda akuluakulu ali pamwamba pa mndandandawu.
CDC inavomereza kuti ku United States:
- 49 peresenti ya anthu achikulire omwe ali ndi matenda a mtima anali ndi nyamakazi.
- 47 peresenti ya anthu odwala matenda a shuga anali ndi nyamakazi.
- 31 peresenti ya anthu akuluakulu omwe ali owonjezera amakhala ndi nyamakazi.
N'chifukwa Chiyani Kugonana Kumagwirizana Ndi Matenda a Arthritis?
Palibe yankho lachinsinsi pa chifukwa chake anthu omwe ali ndi nyamakazi amatha kukhala ndi comorbidity. Kulingalira kwatanthawuzira ku zinthu zosasinthika zomwe zingasinthike komanso kusintha kwa zinthu zomwe zimayambitsa matenda a nyamakazi ndi comorbidities. M'mawu ena, ali ndi zinthu zofanana.
Ukalamba ndi chitsanzo cha chinthu chosasinthika chomwe chingakhale chofala ndi zovuta zambiri. Kunenepa kwambiri ndi kusuta ndizo zitsanzo za zinthu zomwe zingasinthike. CDC yatsindika kufunika kokhalabe olimbitsa thupi kuti athandize nyamakazi komanso comorbidity.
Ngakhale chilimbikitso chokhalabe yogwira ntchito:
- Anthu amodzi (1) mwa anthu asanu (5) ali ndi matenda a mtima kapena shuga okha.
- Anthu amodzi (1) mwa anthu atatu (3) ali osatetezeka ndi matenda a mtima kapena matenda a shuga komanso nyamakazi.
Matenda a nyamakazi amamveka bwino kulemberana ndi zina.
Zotsatira Zowopsa za Kugonjetsedwa
Kawirikawiri, kukhudzidwa kwakukulu kumagwirizana ndi kuwonjezereka kwa thanzi, kusowa kwa mankhwala ovuta komanso kasamalidwe ka matenda, ndi ndalama zapamwamba zothandizira.
Si zachilendo kuti munthu ayang'anire mavuto ambirimbiri. Akuti, pafupifupi 77 peresenti ya ndalama za Medicare amapita kwa anthu okhala ndi mavuto awiri kapena ambiri.
Madokotala omwe amagwiritsa ntchito mankhwala asanu ndi awiri kapena ochulukirapo amapanga 11 peresenti, koma mtengo ndiwo pafupifupi 41 peresenti ya ndalama.
Mfundo ina yomwe ofufuza adaiganizira, ponena za chiwonongeko, ndi nthawi ya nyengo. Zingakhale zofunikira kuti matenda amayamba choyamba. Mwachitsanzo, kudziŵa ngati nyamakazi kapena kuvutika maganizo kumayamba kungakhale ndi zotsatira zokhudzana ndi matenda, zizindikiro, ndi mankhwala.
Posankha njira zamankhwala zomwe zingasokonezedwe, ndizofunika kuzindikira ndi kusamala za mankhwala omwe akutsutsana. Kugwiritsira ntchito mankhwala amodzi chifukwa cha chikhalidwe chimodzi kungapangitsenso wina.
Zimene Mungachite
Ochita kafukufuku akudandaula kwambiri ndi kuwonjezeka kwa chisokonezo pakati pa anthu omwe ali ndi nyamakazi. Monga zaka za ku America, akuyang'ana njira zochepetsera zotsatira zochiza matenda ambirimbiri.
Kuchiza kwa maulendo angapo kungaphatikizepo uphungu wotsutsana wotsutsa, mtengo wowonjezeka, ndi mayesero obwereza kapena zotsatira za mankhwala osokoneza. Achipatala akuzindikira izi ndi madokotala ambiri akugwira ntchito yowunikira kwambiri.
Ngati muli ndi zinthu zina pamodzi ndi nyamakazi, kambiranani ndi dokotala wanu komanso gulu la thanzi la njira zothetsera mavuto omwe mukukumana nawo. Kupititsa patsogolo ntchito zolimbitsa thupi, kuyang'anira madokotala ndi mayeso, komanso kusamalira bwino mankhwala ndizochepa chabe.
Mlandu uliwonse uli wosiyana ndipo ngakhale kuti anthu ena amaika patsogolo zochitika zawo zaumoyo zosiyanasiyana, ichi si lingaliro lopambana. Zimalimbikitsidwa kuti mugwire ntchito ndi madokotala kuti mupange ndondomeko yaumoyo yomwe imakhudza thanzi lanu lonse. Izi zingachititse munthu kukhala ndi khalidwe lapamwamba.
Zotsatira:
Maofesi a Kuletsa ndi Kuteteza Matenda. Kusiyanitsa. Deta ndi Ziwerengero. Arthritis. 2017.
MaCurdy, Bhttacharya J. Mavuto Poyang'anira Medicare Kuwononga: Kuchiza Odwala Ovuta Kwambiri. Acumen, LLC / Centers kwa Medicare ndi Medicaid Services. 2014.
Theis KA, Brady TJ, Helmick CG. Palibe Munthu Amene Amwalira Akalamba: Njira Yowonongeka ya Kugonjetsedwa ndi Matenda Opatsirana. Matenda a Nyamakazi ndi Kafukufuku. 2017; 69 (1): 1-4.
Valderas JM, et al. Kutanthauzira Kugonjetsedwa: Zomwe Zingakuthandizeni Kumvetsetsa Zaumoyo ndi Zaumoyo. Annals of Family Medicine. 2009 Jul; 7 (4): 357-363. lembani: 10.1370 / afm.983