Kodi Comorbidity Ndi Chiyani, Ndipo Zimakhudza Bwanji Chiwopsezo Chanu cha COVID-19?

Zamkati

• Kodi comorbidity ndi chiyani?
• Kodi comorbidity imakhudza bwanji COVID-19?
• Kodi comorbidity imakhudza bwanji katemera wa COVID-19?
• Onaninso za

Pakadali pano pamatenda a coronavirus, mwina mwakhala mukudziwa dikishonale yeniyeni yoyenera mawu ndi ziganizo: kutalikirana ndi anthu, makina opumira, kupopera oximeter, mapuloteni oyipa, pakati ambiri ena. Nthawi yaposachedwa yolowa nawo muzokambirana? Kusintha.

Ndipo ngakhale comorbidity sichinthu chachilendo mdziko lazachipatala, mawuwa akukambidwabe kwambiri pamene katemera wa coronavirus akupitilizabe. Izi zachitika makamaka chifukwa chakuti madera ena apitilira kupereka katemera kwa anthu ofunikira okhawo omwe ali kutsogolo komanso omwe ali ndi zaka 75 kapena kuposerapo kuti aphatikizepo anthu omwe ali ndi vuto linalake kapena zovuta zina. Mwachitsanzo, Diso la QueerJonathan Van Ness posachedwapa adapita ku Instagram kulimbikitsa anthu kuti "ayang'ane mindandanda ndikuwona ngati mutha kulowa pamzere" atazindikira kuti ali ndi kachilombo ka HIV adamupangitsa kuti alandire katemera ku New York.

Chifukwa chake, kachilombo ka HIV ndi kovuta ... koma kodi izi zikutanthauza chiyani? Ndipo ndi zovuta zina ziti zathanzi zomwe zimatengedwanso ngati comorbidities? M'tsogolomu, akatswiri amathandizira kufotokozera zonse zomwe muyenera kudziwa zokhudza comorbidity nthawi zonse komanso comorbidity momwe zimakhudzira COVID.

Kodi comorbidity ndi chiyani?

Kwenikweni, comorbidity amatanthauza kuti wina ali ndi matenda opitilira umodzi kapena matenda osachiritsika nthawi yomweyo, malinga ndi Centers for Disease Control and Prevention (CDC). Ma comorbidities nthawi zambiri amagwiritsidwa ntchito pofotokoza "matenda ena omwe munthu angakhale nawo omwe angawonjezere vuto lina lililonse lomwe atha kukhala nalo," akulongosola katswiri wamatenda opatsirana Amesh A. Adalja, MD, katswiri wamkulu ku Johns Hopkins Center for Health Security . Chifukwa chake, kukhala ndi vuto linalake kumatha kukuikani pachiwopsezo chachikulu chazovuta ngati mungakhale ndi matenda ena, monga COVID-19.

Ngakhale comorbidity yabwera kwambiri pamalingaliro a COVID-19, ilinso ndi zovuta zina zathanzi. "Mwambiri, ngati muli ndi matenda ena omwe amapezeka kale monga khansa, matenda a impso, kapena kunenepa kwambiri, zimakuyikani pachiwopsezo chodwala matenda angapo, kuphatikiza matenda opatsirana," atero a Martin Blaser, MD, director a Center for Advanced Biotechnology and Medicine ku Rutgers Robert Wood Johnson Medical School.Kutanthauza: Kuwonongeka kokha mukakhala ndi zinthu ziwiri kapena zingapo nthawi imodzi, chifukwa chake ngati munganene kuti, mtundu wa 2 shuga, mutha kukhala ndi comorbidity ngati mwapezeka ndi COVID-19.

Koma "ngati muli ndi thanzi labwino - muli bwino ndipo mulibe matenda - ndiye kuti mulibe comorbidities odziwika," akutero Thomas Russo, MD, pulofesa komanso wamkulu wa matenda opatsirana ku yunivesite ku Buffalo ku New York. .  

Kodi comorbidity imakhudza bwanji COVID-19?

Ndikotheka kukhala ndi thanzi labwino, kutenga SARS-CoV-2 (kachilombo kamene kamayambitsa COVID-19), ndikukhala bwino; koma thanzi lanu likhoza kukuikani pachiwopsezo chachikulu chokhala ndi matenda oopsa, akutero Dr. Adalja. (FYI - CDC imafotokoza "matenda oopsa ochokera ku COVID-19" monga kuchipatala, kulandilidwa ku ICU, intubation kapena makina ampweya, kapena kufa.)

"Matenda nthawi zambiri amachulukitsa matenda obwera chifukwa cha ma virus chifukwa amachepetsa mphamvu ya thupi yomwe munthu angakhale nayo," akufotokoza motero. Mwachitsanzo, munthu yemwe ali ndi matenda am'mapapo osachiritsika (ie COPD) atha kukhala kuti ali ndi mapapo ofooka komanso amatha kupuma. "Comorbidities nthawi zambiri imatha kuwononga zomwe zidalipo pamalo omwe kachilombo kangayambitsire," akuwonjezera.

Izi zitha kuwonjezera mwayi woti COVID-19 iwonongeke kwambiri maderawo (mwachitsanzo, mapapu, mtima, ubongo) kuposa momwe angachitire munthu amene ali ndi thanzi labwino. Anthu omwe ali ndi zovuta zina atha kukhala ndi chitetezo cha mthupi chomwe, mwa mawu a Dr. Russo, "sichingafufuze" chifukwa cha thanzi lawo, kuwapangitsa kukhala ndi mwayi wopeza COVID-19 poyamba, akutero. (Zokhudzana: Nazi Zonse Zomwe Muyenera Kudziwa Zokhudza Coronavirus ndi Zofooka Zamthupi)

Koma sizinthu zonse zomwe zidalipo kale ndizofanana. Kotero, pokhala ndi ziphuphu, mwachitsanzo, ndi ayi akuganiza kuti akuvulazeni kwambiri ngati mukudwala, mavuto ena azachipatala - mwachitsanzo, matenda ashuga, matenda amtima - awonetsedwa kuti akuwonjezera chiopsezo cha matenda a COVID-19. M'malo mwake, kafukufuku wa Juni 2020 adasanthula zomwe adalemba kuchokera ku Januware mpaka Epulo 20, 2020, ndipo adapeza kuti anthu omwe ali ndi zovuta zathanzi komanso kuthekera kokhala pachiwopsezo ali pachiwopsezo chachikulu chodwala kwambiri ngakhale kufa kuchokera ku COVID- 19. "Odwala omwe ali ndi vuto la comorbidities akuyenera kusamala kuti asatenge kachilombo ka SARS CoV-2, chifukwa nthawi zambiri amakhala ndi matenda oopsa," adalemba ofufuzawo, omwe adapezanso kuti odwala omwe ali ndi zovuta zotsatirazi ndi omwe ali pachiwopsezo chachikulu cha matenda oopsa. :

• Matenda oopsa
• Kunenepa kwambiri
• Matenda a m'mapapo osatha
• Matenda a shuga
• Matenda a mtima

Zovuta zina za COVID-19 zazikulu ndi khansa, Down syndrome, ndi pakati, malinga ndi CDC, yomwe ili ndi mndandanda wazovuta za odwala a coronavirus. Mndandanda wagawika magawo awiri: mikhalidwe yomwe imabweretsa chiopsezo cha munthu kudwala kwambiri kuchokera ku COVID-19 (monga omwe atchulidwa kale) ndi omwe akhoza onjezerani chiopsezo chanu chodwala kwambiri kuchokera ku COVID-19 (mwachitsanzo, mphumu yolimbitsa thupi, cystic fibrosis, dementia, HIV).

Izi zati, ndikofunikira kukumbukira kuti coronavirus ikadali kachilombo katsopano, chifukwa chake pali chidziwitso chochepa komanso chidziwitso chokwanira cha momwe zinthu zimakhudzira kuuma kwa COVID-19. Mwakutero, mndandanda wa CDC wokha "umaphatikizapo zochitika ndi umboni wokwanira woti athe." (BTW, kodi uyenera kukhala wodzijambulira kawiri kuti uteteze ku coronavirus?)

Kodi comorbidity imakhudza bwanji katemera wa COVID-19?

CDC pakadali pano ikulimbikitsa anthu omwe ali ndi comorbidities kuti aphatikizidwe mu gawo 1C la katemera - makamaka omwe ali ndi zaka zapakati pa 16 ndi 64 omwe ali ndi thanzi labwino lomwe limawonjezera chiwopsezo cha matenda oopsa a COVID-19. Izi zimawaika pamzere kumbuyo kwa ogwira ntchito zaumoyo, okhala m'malo osamalira anthu kwanthawi yayitali, ogwira ntchito ofunikira kutsogolo, komanso anthu azaka 75 kapena kupitilira apo. (Zokhudzana: Ogwira Ntchito 10 Wakuda Wakuda Gawani Momwe Akuchitira Kudzisamalira Pa Nthawi Ya Mliri)

Komabe, boma lililonse lidapanga njira zosiyanasiyana zoperekera katemera wake ndipo, ngakhale pamenepo, "mayiko osiyanasiyana apanga mindandanda yosiyanasiyana," akutero Dr. Russo.

"Comorbidities ndiye chinthu chachikulu chomwe chimatsimikizira yemwe ali ndi COVID-19, yemwe amafunikira kugonekedwa m'chipatala, komanso yemwe wamwalira," akutero Dr. Adalja. "Ichi ndichifukwa chake katemerayu amalimbana ndi anthuwa chifukwa amachotsa mwayi woti COVID akhale matenda oyipa kwa iwo, komanso kuchepa kuthekera kwawo kufalitsa matendawa." (Zokhudzana: Chilichonse Chimene Muyenera Kudziwa Zokhudza Katemera wa COVID-19 wa Johnson & Johnson)

Ngati muli ndi vuto lalikulu la thanzi ndipo simukudziwa ngati likukukhudzani kuti mulandire katemera, lankhulani ndi dokotala wanu, yemwe ayenera kukupatsani chitsogozo.

Zomwe zili munkhaniyi ndizolondola monga nthawi yolemba. Pomwe zosintha za coronavirus COVID-19 zikupitilizabe kusintha, ndizotheka kuti zina ndi zina zomwe zanenedwa m'nkhaniyi zasintha kuyambira pomwe zidasindikizidwa koyamba. Tikukulimbikitsani kuti mumayang'anitsitsa pafupipafupi ndi zinthu monga CDC, WHO, ndi dipatimenti yazaumoyo yakwanuko kuti mumve zambiri zamtunduwu komanso malingaliro awo.

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