Iyini I-Comorbidity, Futhi Ibuthinta Kanjani Ingozi Yakho Ye-COVID-19?

-Delile

• Yini i-comorbidity?
• I-comorbidity iyithinta kanjani i-COVID-19?
• Ngabe i-comorbidity ikuthinta kanjani ukugoma kwe-COVID-19?
• Buyekeza kwe-

Ngalesi sikhathi kubhadane lwe-coronavirus, kungenzeka ukuthi ujwayelene nesichazamazwi esiyiqiniso esifanele amagama amasha nemishwana: ukuhamba kwezenhlalo, i-ventilator, i-pulse oximeter, amaprotheni we-spike, phakathi eziningi abanye. Itemu lakamuva lokujoyina inkhulumomphendvulwano? I-Comorbidity.

Futhi ngenkathi i-comorbidity ingeyona into entsha emhlabeni wezokwelapha, leli gama liya ngokuya lixoxwa njengoba ukugoma kwe-coronavirus kuqhubeka ukuphuma. Lokho kudalwa ikakhulu yingxenye yokuthi ezinye izindawo zidlulele ngale kokugoma abasebenzi ababalulekile abaphambili kuphela nalabo abaneminyaka engama-75 nangaphezulu manje ukufaka abantu abanezinkinga ezithile noma izimo zezempilo ezingaphansi. Ngokwesibonelo, I-Queer EyeUJonathan Van Ness usanda kungena ku-Instagram enxusa abantu ukuthi "babheke izinhlu babone ukuthi ungangena yini emgqeni" ngemuva kokuthola ukuthi isimo sakhe se-HIV simenza afaneleke ukugoma eNew York.

Ngakho-ke, igciwane lesandulela ngculaza liyi-comorbidity ... kepha lokho kusho ukuthini ncamashi? Futhi yiziphi ezinye izindaba zezempilo ezibhekwa njengezinhlekelele? Phambili, ochwepheshe basiza ekuchazeni konke odinga ukukwazi mayelana ne-comorbidity ngokujwayelekile kanye ne-comorbidity njengoba kuhlobana ngqo ne-COVID.

Yini i-comorbidity?

Ngokuyinhloko, ukuhlukunyezwa kusho ukuthi umuntu unesifo esingaphezu kwesisodwa noma isimo esingelapheki ngasikhathi sinye, ngokusho kweCenters for Disease Control and Prevention (CDC). Ama-comorbidities ajwayele ukusetshenziselwa ukuchaza "ezinye izimo zokwelashwa umuntu angaba nazo ezingadabula noma isiphi esinye isimo angaphinde abe naso," kuchaza uchwepheshe wezifo ezithathelwanayo u-Amesh A. Adalja, MD, isazi esiphakeme eJohns Hopkins Center for Health Security . Ngakho-ke, ukuba nesimo esithile kungakubeka engcupheni enkulu yomphumela owedlulele uma kungenzeka ukuthi uvela esinye isifo, njenge-COVID-19.

Ngenkathi i-comorbidity ikhuphuke kakhulu kumongo we-COVID-19, ikhona nezinye izimo zezempilo, futhi. "Ngokujwayelekile, uma unesifo esivele sikhona ngaphambili njengomdlavuza, isifo sezinso esingamahlalakhona, noma ukukhuluphala ngokweqile, kukubeka engcupheni yokugula kakhulu izifo eziningi, okuhlanganisa nezifo ezithathelwanayo," kusho uMartin Blaser, MD, umqondisi. weSikhungo se-Advanced Biotechnology and Medicine eRutgers Robert Wood Johnson Medical School.Okusho ukuthi: I-comorbidity kuphela lapho unezimo ezimbili noma ngaphezulu ngesikhathi esisodwa, ngakho-ke uma unesifo sikashukela sohlobo 2, uzoba ne-comorbidity. uma empeleni uthole i-COVID-19.

Kepha "uma uphile saka - usesimweni esihle futhi [awunazo] izifo - awunazo izifo ezaziwayo," kusho uThomas Russo, MD, uprofesa kanye nenhloko yezifo ezithathelanayo eNyuvesi yaseBuffalo eNew York. .  

I-comorbidity iyithinta kanjani i-COVID-19?

Kungenzeka ube nesimo sempilo esiyimbangela, uthole inkontileka i-SARS-CoV-2 (igciwane elibanga i-COVID-19), futhi ulunge; kodwa isimo sakho sempilo esiyisisekelo singakubeka engcupheni enkulu yokuba nesifo esibi, kusho uDkt. Adalja. (I-FYI - i-CDC ichaza "ukugula okunzima okuvela ku-COVID-19" njengokulaliswa esibhedlela, ukungena e-ICU, ukungena ngaphakathi noma ukungeniswa komoya ngomshini, noma ukufa.)

"Izifo ezikhubazayo zivame ukuba zimbi kakhulu izifo eziningi ezibangelwa amagciwane ngenxa yokuthi zehlisa i-physiological reserve umuntu angaba nayo," echaza. Isibonelo, umuntu onesifo samaphaphu esingelapheki (isb COPD) kungenzeka abe namaphaphu abuthakathaka namandla okuphefumula. "I-comorbidities ingahle idale ukulimala okukhona esizeni lapho igciwane lingangena khona," uyanezela.

Lokhu kungakhuphula amathuba okuthi i-COVID-19 izolimaza kakhulu kulezo zindawo (okungukuthi amaphaphu, inhliziyo, ubuchopho) kunokuba ingenze kumuntu onempilo. Abantu abanezinkinga ezithile bangase babe nesimiso somzimba sokuzivikela ezifweni, ngokwamazwi kaDkt Russo, "esingahluphi" ngenxa yesimo sabo sempilo, okubenza babe sethubeni lokuthola i-COVID-19 kwasekuqaleni, usho kanjalo. (Okuhlobene: Nakhu Konke Odinga Ukukwazi NgeCoronavirus kanye Nokushoda Kokuzivikela Emzimbeni)

Kepha akuzona zonke izimo esezikhona ezilinganayo. Ngakho-ke, ngenkathi une-acne, isibonelo, kunjalo hhayi kucatshangwa ukuthi kungakulimaza kakhulu uma ugula, ezinye izinkinga ezihlobene nezokwelapha - okusho ukuthi isifo sikashukela, isifo senhliziyo - zikhonjisiwe ukuthi zandisa ubungozi bezimpawu ezinzima ze-COVID-19. Eqinisweni, ucwaningo lwangoJuni 2020 lwahlaziya idatha evela ezihlokweni ezibuyekezwe ontanga eshicilelwe kusukela ngoJanuwari kuya ku-Ephreli 20, 2020, futhi lathola ukuthi abantu abanezimo zempilo ezingaphansi kanye namandla okuba ne-commorbidity basengozini enkulu yokuthola ukugula okunzima ngisho nokufa ngenxa ye-COVID- 19. "Iziguli ezine-comorbidities kufanele zithathe zonke izindlela zokuzivikela ukugwema ukutheleleka nge-SARS CoV-2, ngoba imvamisa iba nesifo esibi kakhulu," kubhala abacwaningi, ababuye bathola ukuthi iziguli ezinalezi zinkinga ezilandelayo zisengozini enkulu yezifo ezinzima :

• Umfutho wegazi ophezulu
• Ukukhuluphala ngokweqile
• Isifo samaphaphu esingamahlalakhona
• Isifo sikashukela
• Isifo senhliziyo

Amanye ama-comorbidities e-COVID-19 enzima ahlanganisa umdlavuza, i-Down syndrome, nokukhulelwa, ngokusho kwe-CDC, enohlu lwezimo ze-comorbid ezigulini ze-coronavirus. Uhlu luhlukaniswe izigaba ezimbili: izimo eziphakamisa ingozi yomuntu yokugula okunzima kusuka ku-COVID-19 (njengalezo esezishiwo) kanye nalezo amandla kwandisa ubungozi besifo esibi esivela ku-COVID-19 (isb. isifuba somoya esisesilinganisweni kuya kwesinzima, i-cystic fibrosis, ukuwohloka komqondo, i-HIV).

Lokho kusho, kubalulekile ukukhumbula ukuthi i-coronavirus iseyigciwane lenoveli, ngakho-ke kunemininingwane nemikhawulo elinganiselwe ngokuphelele ukuthi izimo ezibucayi zibuthinta kanjani ubunzima be-COVID-19. Kanjalo, uhlu lweCDC kuphela "lufaka izimo ezinobufakazi obanele bokuthola iziphetho." (BTW, kufanele ngabe ukufihla kabili ukuvikela i-coronavirus?)

Ngabe i-comorbidity ikuthinta kanjani ukugoma kwe-COVID-19?

I-CDC njengamanje incoma ukuthi abantu abane-comorbidities bafakwe esigabeni 1C sokugoma - ikakhulukazi, labo abaphakathi kweminyaka eyi-16 nengama-64 abanezimo zempilo eziphansi ezandisa ubungozi babo besifo esibi esivela ku-COVID-19. Lokho kubabeka emgqeni ngemuva kwezisebenzi zokunakekelwa kwezempilo, abahlali bezindawo zokunakekelwa zesikhathi eside, abasebenzi ababalulekile phambili, nabantu abaneminyaka engama-75 nangaphezulu. (Okuhlobene: Abasebenzi Abamnyama Ababalulekile Abayi-10 Babelana Ngendlela Abenza Ngayo Ukuzinakekela Ngesikhathi Sobhubhane)

Kodwa-ke, wonke amazwe adale imihlahlandlela ehlukene yokukhishwa kwawo umuthi wokugoma futhi, noma kunjalo, "izifundazwe ezahlukahlukene zizokhiqiza uhlu olwehlukile," ngokuqondene nokuthi yiziphi izimo ezikhona ababheka ukuthi ziyakhathaza, kusho uDkt Russo.

"Ama-comorbidities ayisici esiyinhloko esinqumayo ukuthi ngubani othola i-COVID-19 enamandla, odinga ukulaliswa esibhedlela nokuthi ubani oshonayo," kusho uDkt Adalja. "Yingakho umuthi wokugoma ubhekiswe kakhulu kulabo bantu ngoba kuzosusa amathuba okuthi i-COVID ibe yisifo esibi kubo, kuphinde kunciphise namandla abo okusabalalisa lesi sifo." (Okuhlobene: Konke Okudingeka Ukwazi Nge-Johnson & Johnson's COVID-19 Vaccine)

Uma unesimo sempilo esiyisisekelo futhi ungaqiniseki ukuthi kuthinta ukufaneleka kwakho kokugoma, khuluma nodokotela wakho, okufanele akwazi ukunikeza ukuholwa.

Imininingwane ekule ndaba inembile njengesikhathi sokushicilela. Njengoba izibuyekezo ezimayelana ne-coronavirus COVID-19 ziqhubeka nokuvela, kungenzeka ukuthi eminye imininingwane nezincomo kule ndaba zishintshile selokhu kwashicilelwa okokuqala. Sikukhuthaza ukuthi uhlole njalo izinsiza ezifana ne-CDC, i-WHO, kanye nomnyango wezempilo womphakathi wendawo ukuze uthole imininingwane yakamuva nezincomo.

Buyekeza kwe-