Yintoni i-Comorbidity, kwaye iwuchaphazela njani umngcipheko wakho we-COVID-19?

Umxholo

• Yintoni comorbidity?
• I-commorbidity iyichaphazela njani i-COVID-19?
• Yintoni i-comorbidity inefuthe kugonyo lwe-COVID-19?
• Uphengululo lwe

Ngeli nqanaba kubhubhani we-coronavirus, kusenokwenzeka ukuba uqhelene nesichazi-magama sokwenyani esixabisa amagama amatsha kunye namabinzana: indawo yokuhlala, i-ventilator, i-pulse oximeter, iiproteni ze-spike, phakathi ezininzi abanye. Ixesha lamva nje lokujoyina ingxoxo? Ikhomishini.

Kwaye ngelixa comorbidity ingeyiyo inoveli kwilizwe lezonyango, eli xesha liya liqhubeka ukuxoxwa njengoko ugonyo lwe-coronavirus luqhubeka ukuphuma. Oko kubangelwe ikakhulu yinxalenye yokuba ezinye iindawo zihambile ngaphaya kokugonya abasebenzi abaphambili kuphela kwaye abo baneminyaka engama-75 nangaphezulu ukuza kuthi ga ngoku babandakanya abantu abaneempawu ezithile zokuziphatha okanye iimeko zempilo eziphantsi. Umzekelo, Queer EyeKutshanje uJonathan Van Ness uthathe u-Instagram ebongoza abantu ukuba "bajonge uluhlu kwaye babone ukuba ungangena na emgceni" emva kokufumanisa ukuba imeko yakhe yokuba une-HIV imenza afaneleke kugonyo eNew York.

Ke, i-HIV yinto ethandabuzekayo ... kodwa oko kuthetha ntoni kanye? Kwaye yeyiphi eminye imicimbi yezempilo ethathelwa ingqalelo njenge-comorbidities? Phambili, iingcali zinceda ekucaciseni yonke into ekufuneka uyazi malunga ne-comorbidity ngokubanzi kunye ne-comorbidity njengoko inxulumene ngokuthe ngqo ne-COVID.

Yintoni comorbidity?

Okubalulekileyo, ukunganyaniseki kuthetha ukuba umntu unesifo esingaphezulu kwesinye okanye imeko engapheliyo ngexesha elinye, ngokutsho kwamaZiko oLawulo lweNtsholongwane kunye noKhuseleko (CDC). I-Comorbidities idla ngokusetyenziselwa ukuchaza "ezinye iimeko zonyango umntu anokuba nazo ezinokuthi zibe mandundu kuyo nayiphi na enye imeko anokuthi [nayo] aphuhlise," kuchaza ingcali yezifo ezosulelayo u-Amesh A. Adalja, MD, umphengululi ophezulu kwiZiko le-Johns Hopkins loKhuseleko lwezeMpilo. . Ke, ukuba nemeko ethile kunokukubeka emngciphekweni omkhulu wesiphumo esibi ngakumbi ukuba kunokwenzeka uphuhlise esinye isigulo, njenge-COVID-19.

Ngelixa i-comorbidity ize kakhulu kumxholo we-COVID-19, ikhona kwezinye iimeko zempilo, nazo. "Ngokubanzi, ukuba unesifo esele sikhona njengomhlaza, isifo sezintso ezinganyangekiyo, okanye ukutyeba kakhulu, oko kukubeka emngciphekweni wokugula ngakumbi kwizifo ezininzi, kubandakanya nezifo ezosulelayo, utshilo uMartin Blaser, MD, umlawuli Iziko le-Advanced Biotechnology kunye neyeza kwiRutgers Robert Wood Johnson Medical School.Iintsingiselo: Ukuxhamla kuphela xa unemiqathango emibini okanye ngaphezulu ngexesha elifanayo, ngoko ukuba unayo, yithi, thayipha i-2 yeswekile, uya kuba ne-comorbidity ukuba uyifumene ikhontrakthi i-COVID-19.

Kodwa "ukuba uphilile ngokugqibeleleyo - ukwimo entle kwaye [awunayo] izifo - awunazinto zaziwayo, utshilo uThomas Russo, MD, unjingalwazi kunye nomphathi wezifo ezosulelayo kwiYunivesithi yaseBuffalo eNew York .  

I-commorbidity iyichaphazela njani i-COVID-19?

Kuyenzeka ukuba ube nemeko yezempilo esisiseko, ikhontrakthi ye-SARS-CoV-2 (intsholongwane ebangela i-COVID-19), kwaye ulunge; kodwa imeko yakho yempilo esisiseko inokukubeka emngciphekweni omkhulu wokuba nesi sifo, utsho uGqr. Adalja. (I-FYI-i-CDC ichaza "isifo esibuhlungu esivela kwi-COVID-19" njengokulaliswa esibhedlele, ukwamkelwa kwi-ICU, intubation okanye umatshini wokungenisa umoya, okanye ukufa.)

"I-comorbidities ihlala isiba mandundu izifo ezininzi zentsholongwane ngenxa yokuba zinciphisa indawo yomzimba umntu anokuba nayo," ucacisa. Umzekelo, umntu onesifo esinganyangekiyo semiphunga (okt i-COPD) usenokuba sele ebuthathaka imiphunga kunye namandla okuphefumla. "Ukuchaneka kunokubangela umonakalo osele ukho kwindawo apho intsholongwane inokuthi yosulele khona," uyongeza.

Oku kunokonyusa amathuba okuba i-COVID-19 yenze umonakalo omkhulu kwezo ndawo (okt imiphunga, intliziyo, ingqondo) kunokuba ibinokwenza kumntu osempilweni ngenye indlela. Abantu abane comorbidities kananjalo banokuba nesistim somzimba sokuzikhusela kwizifo, ngokwamazwi kaGqirha Russo, "ayizukunqanda" ngenxa yemeko yezempilo, ibenza ukuba babe nakho ukufumana i-COVID-19 kwasekuqaleni, utshilo. (Eyeleleneyo: Nantsi yonke into omawuyazi malunga neCoronavirus kunye nokusilela kwamajoni omzimba)

Kodwa ayizizo zonke iimeko esele zikho ziyalingana. Ke, ngelixa une-acne, umzekelo, kunjalo hayi Kucingelwa ukuba kukwenzakalise kakhulu ukuba uyagula, eminye imiba yezonyango - okt isifo seswekile, isifo sentliziyo - zibonakalisiwe zinyusa umngcipheko wakho weempawu ezinzima ze-COVID-19. Ngapha koko, isifundo sangoJuni 2020 sihlalutye idatha evela kumanqaku aphononongwa ngoontanga apapashwe ukusuka kuJanuwari ukuya ku-Epreli 20, 2020, kwaye wafumanisa ukuba abantu abaneemeko zempilo ezingaphantsi kunye nokubanakho kokungaziphathi kakuhle banomngcipheko ophezulu wokuhlaselwa sisifo esibi kwaye nokufa ngenxa ye-COVID- 19. "Izigulana ezine-comorbidities kufuneka zithathe onke amanyathelo okhuseleko ukuthintela ukosulelwa yi-SARS CoV-2, njengoko zihlala zinesona sifo sibi kakhulu," babhala abaphandi, nabafumanisa ukuba izigulana ezinale miba ilandelayo zisemngciphekweni omkhulu wezifo eziqatha. :

• Uxinzelelo lwegazi
• Ukutyeba ngokugqithisileyo
• Isifo esingapheliyo semiphunga
• Seswekile
• Isifo sentliziyo

Ezinye izinto ezidityanisiweyo ze-COVID-19 zibandakanya umhlaza, i-Down syndrome, kunye nokukhulelwa, ngokwe-CDC, enoluhlu lweemeko ze-comorbid kwizigulana ze-coronavirus. Uluhlu lwahlulwe lwangamacandelo amabini: iimeko eziphakamisa umngcipheko womntu wokugula kakhulu kwi-COVID-19 (njengaleyo sele ikhankanyiwe) kunye nezo amandla wandise umngcipheko wesifo esibuhlungu esivela kwi-COVID-19 (okt i-asthma yokumodareyitha, i-cystic fibrosis, isifo sengqondo esixhalabisayo, i-HIV).

Oko kwathethi, kubalulekile ukuba ukhumbule ukuba i-coronavirus iseyintsholongwane, ngenxa yoko kukho idatha encinci kunye nolwazi kubungakanani bokuba iimeko ezingaphantsi zichaphazela njani ubungqongqo be-COVID-19. Kananjalo, uluhlu lweCDC kuphela "lubandakanya iimeko ezinobungqina obaneleyo bokufikelela kwizigqibo." (BTW, ngaba kufanelekile ukuba ubambe imaski kabini ukukhusela i-coronavirus?)

Yintoni i-comorbidity inefuthe kugonyo lwe-COVID-19?

I-CDC okwangoku icebisa ukuba abantu abane-comorbidities bafakwe kwisigaba 1C sokugonya - ngakumbi, abo baphakathi kweminyaka eli-16 kunye ne-64 kunye neemeko zempilo ezisezantsi ezonyusa umngcipheko wesifo esiqatha kwi-COVID-19. Oko kubabeka emgceni emva kwabasebenzi bezempilo, abahlali bamaziko onyango lwexesha elide, abasebenzi abaphambili abaphambili, kunye nabantu abaneminyaka engama-75 nangaphezulu. (Idibeneyo: Abasebenzi aba-10 abaNtsundu abaBalulekileyo abaBelana ngoKwenza kwabo ukuziKhathalela ngexesha loBhubhane)

Nangona kunjalo, urhulumente ngamnye udale izikhokelo ezahlukeneyo zokukhutshwa kwesitofu sokugonya kwaye, nalapho, "amazwe ahlukeneyo aya kuvelisa uluhlu olwahlukileyo," malunga nokuba zeziphi iimeko ezikhoyo abazithatha njengezixhalabisayo, utshilo uGqirha Russo.

"I-Comorbidities yeyona nto iphambili emisela ukuba ngubani othi aphuhlise i-COVID-19, ngubani ofuna ukulaliswa esibhedlele, kwaye ngubani osweleyo," utshilo uGqr. Adalja. "Kungenxa yoko le nto isitofu sokugonya sijolise kakhulu kwabo bantu kuba siyakususa ukuba kungenzeka ukuba i-COVID isigulo esinzima kubo, kunye nokunciphisa amandla abo okusasaza esi sifo." (Eyeleleneyo: Yonke into ekufuneka uyazi malunga noGonyo lukaJohnson & Johnson lwe-COVID-19)

Ukuba unesimo sempilo esisemgangathweni kwaye awuqinisekanga ukuba ichaphazela ukufaneleka kokugonya, thetha nogqirha wakho, ngubani onokukwazi ukunika isikhokelo.

Ulwazi kweli bali luchanekile ngexesha lokushicilelwa. Njengoko uhlaziyo malunga ne-coronavirus i-COVID-19 iqhubeka nokuvela, kunokwenzeka ukuba ulwazi kunye neengcebiso kweli bali zitshintshile okoko kwapapashwa okokuqala. Siyakukhuthaza ukuba ujonge rhoqo ngezixhobo ezinjenge-CDC, i-WHO, kunye nesebe lezempilo likarhulumente kwindawo yakho yokufumana olona lwazi lwanamhlanje kunye neengcebiso.

Uphengululo lwe