Kodi Iwo Ndi Zotani Zingasokoneze Thandizo Lanu la Shuga?
Kusokonezeka ndi matenda kapena chikhalidwe chomwe chimakhala ndi matenda oyambirira komanso chimadalira payekha ngati matenda enaake. Comorbidities angakhale thupi kapena maganizo. Mwachitsanzo, wina akhoza kukhala ndi matenda oopsa kwambiri (kuthamanga kwa magazi) ndipo alibe matenda a shuga . Koma mbali ina, munthu wodwala shuga amakhala ndi matenda oopsa kwambiri.
Choncho, kuthamanga kwambiri kwa magazi ndikofala kwachilombo cha shuga.
Kugonjetsa ndi kofala kwambiri kuposa ayi. Pafupifupi 80 peresenti ya ndalama za Medicare ndi odwala omwe ali ndi matenda anai kapena ambiri panthawi yomweyo. Ndi zophweka kuona chifukwa chake kukhala ndi zovuta kumaphatikizapo mtengo wa chisamaliro. Wodwala aliyense ayenera kuti akuwona akatswiri anayi kuphatikizapo dokotala wawo wamkulu, aliyense akupereka mankhwala osiyanasiyana ndi mankhwala osokoneza bongo ndipo amafuna kuika, mayeso, njira zojambula, ndi mayeso a laboratori. Kenaka izi zonse ziyenera kuyang'aniridwa ndi dokotala wamkulu wa chisamaliro. Awa ndiwo odwala mtengo kwambiri ku dongosolo.
Mawu akuti multimorbidity amagwiritsidwanso ntchito, makamaka ngati siziwonekeratu kuti ndi chikhalidwe chotani kapena chiwerengero cha chiwerengero. Zimatanthawuza kuti matenda angapo aakulu kapena ovuta komanso odwala amapezeka mkati mwa munthu mmodzi, popanda kutchula chimodzi monga chiwerengero cha index.
Nthawi zina zimakhala zovuta chifukwa zimagawana zinthu zoopsa ndipo zimakhala ndi chifukwa chomwecho.
Mwachitsanzo, munthu yemwe ali ochepa kwambiri amakhala ndi chiopsezo chachikulu cha matenda a shuga. Nthaŵi zina comorbid chikhalidwe chimachitika chifukwa chokhala ndi chikhalidwe chachikulu, monga kulephera kwa chiwerewere kukhala ndi anthu omwe ali ndi shuga.
Kugonjetsedwa ndi matenda a shuga
Zovuta kwambiri pakati pa ana ndi achinyamata omwe ali ndi matenda a shuga a mtundu wa 2 ali ndi matenda a hypertension, dyslipidemia , ndi matenda a chiwindi cha mafuta omwe sali ococolic .
Ambiri achikulire omwe ali ndi matenda a shuga amakhala ndi matenda osachepera amodzi omwe ali ndi matenda oopsa omwe amakhala ndi matenda odwala matendawa. Kufikira 75 peresenti ya anthu achikulire omwe ali ndi shuga amakhalanso ndi matenda oopsa . Zovuta zina zomwe zimafala matenda a shuga ndi hyperlipidemia , matenda a mtima, matenda a impso, matenda osokoneza bongo a chiwindi, obstructive sleep apnea, ndi kunenepa kwambiri . Zowopsa za matenda a shuga zingakhalenso zoopsa za mitundu ina ya khansa.
Kusamalira Kugonjetsedwa Kwachilombo
Ngati muli ndi matenda a shuga, mukhoza kuchepetsa chiopsezo chanu chokhala ndi chiopsezo chotere mwa kusintha zinthu zomwe zimakupangitsani inu kukhala pachiopsezo. Izi zikuphatikizapo kulamulira kulemera kwa thupi lanu kuti muteteze kunenepa , kusiya kusuta, kuchita masewera olimbitsa thupi , ndi kuyang'anira shuga lanu la shuga.
Pezani kafukufuku wodzitetezera nthawi zonse ndi kumaliza zonse zowonongeka zomwe zikulimbikitsidwa. Izi zikhoza kuzindikira zinthu zomwe zisanachitike pa chitukuko chawo ndipo zingateteze matenda opatsirana. Ntchito zothandizira zachipatala zowonongeka zikuphatikizidwa mu ndondomeko zaumoyo - nthawi zonse mungayitane inshuwalansi kuti mutsimikize zomwe muli nazo.
Ngati muli ndi comorbid chikhalidwe, onetsetsani kuti madokotala anu akugwirira ntchito pamodzi, kotero matenda anu a shuga amawoneka ngati akuchiritsa comorbid.
Dokotala wanu wamkulu kapena dokotala wodziwika wa shuga angathandize kuthandizira chisamaliro ichi. Ndikofunika kuti opereka anu onse akhale panopa pamadongosolo ndi mankhwala.
Chidziwitso Chochokera
Kudwala matenda a shuga kumawonjezera chiopsezo chanu kuti mukhale ndi zovuta zina, koma sizikutanthauza kuti mudzapeza kuti muli ndi imodzi. Kufufuza kawirikawiri kungakuthandizeni kuthandizira mofulumira ngati kuli kofunikira. Kuwonjezera pamenepo, kusunga thupi lanu ndi shuga pazifukwa zenizeni kungathandize kuchepetsa zoopsa zanu. Mukhoza kuthetsa zinthu zina monga chakudya, masewera olimbitsa thupi, ndi kusuta fodya. Ngati mukufuna thandizo kuti muyambe kudya zakudya zoyenera kapena kuchita masewera olimbitsa thupi, musawope kupeza thandizo la akatswiri.
Anthu ambiri omwe ali ndi matenda a shuga amakhala ndi zakudya komanso shuga. Ngati muli ndi mafunso aliwonse, funsani dokotala wanu wamkulu kuti mudziwe zambiri kapena zambiri.
Zotsatira:
John D. Piette, PHD ndi Eva A. Kerr, MD, MPH "Impact of Comorbid Chronic Conditions for Diabetes Care". Chisamaliro cha Shuga March 2006 vol. 29 no. 3 725-731.
Medha N. Munshi, MD. "Kuthetsa Chilombo Chakudwala Matenda Oopsa: Kupita Kuposa Kulingalira Kwambiri." Madokotala Weekly, Nov 13, 2012.
Rita Rastogi Kalyani, et. al. "Association of Diabetes, Comorbidities, ndi A1C Ndi Olemala Ogwira Ntchito ku Okalamba Achikulire Zotsatira Zowunika kafukufuku wa National Health and Nutrition (NHANES), 1999-2006." Chisamaliro cha Shuga May 2010 vol. 33 no. 5 1055-1060.
Valderas JM et al. "Kutanthauzira Comorbidity: Zotsatira za Kumvetsetsa Zaumoyo ndi Zaumoyo." Ann Fam Med. 2009 Jul; 7 (4): 357-363.