ʻAno o ka ʻatikala
ʻAʻole ʻo Comorbidity kahi manaʻo a mākou e hālāwai pinepine ai. No laila "He aha ka comorbidity? kahaha.
He aha ka comorbidity?
E pili ana i ka loaʻa ʻana o nā maʻi ʻelua a ʻoi aʻe paha a i ʻole nā kūlana i ka manawa hoʻokahi a i ʻole i ka holomua. ʻO ia hoʻi, ʻoi aku ka nui o ka maʻi o ke kanaka i ka manawa like. No ka laʻana, inā loaʻa iā ʻoe ka maʻi maʻi a me ke koko kiʻekiʻe, ʻo kēia mau maʻi ʻelua he mau comorbidities kekahi i kekahi.
ʻO nā comorbidities nā maʻi hiki ʻole i hiki ke helu ʻia ma kahi o ʻelua hapakolu o nā make āpau a puni ka honua. ʻO ke koko kiʻekiʻe, ka maʻi maʻi maʻi, ka maʻi maʻi maʻi maʻi, ka maʻi ʻāʻī, ka hahau ʻana, a me nā maʻi ʻino he mau laʻana o ka maʻi maʻi.
ʻO nā ʻano like ʻole o nā comorbidities
He mea maʻamau ka comorbidity i kēia mau maʻi:
Momona
He kūlana paʻakikī ia e hōʻike ʻia e ka momona o ke kino. Wahi a ka Society for Obesity Medicine, pili ka obesity i kahi o 236 mau maʻi olakino (me 13 mau ʻano maʻi kanesa).
Diabetes
Eia kekahi o nā maʻi maʻamau e pili ana i ka maʻi diabetes:
- dyslipidemia
- maʻi ʻaʻai momona ʻaʻole i hoʻokumu ʻia e ka ʻona
- ʻO ka hāʻule ʻana o ka naʻau a me ka maʻi ʻaʻaʻa coronary
- maʻi kīkī
- Momona
He aha nā hōʻailona o ka comorbidity?
ʻO nā hōʻailona o ka comorbidity penei:
- pale ʻana i ka insulin
- ʻano maʻi diabetes type 2
- Hypertension
- cholesterol kiʻekiʻe kiʻekiʻe o ke koko lipid pae, e like me
- maʻi maʻi cardiovascular
- ʻO ka lolo
- Pākuʻi
- Apnea (ka hiamoe hiamoe)
- ka maʻi ʻōpū
- hyperuricemia
- Calcification
- ka maʻi maʻi umauma, ka ma'i 'a'ai kala a me ka ma'i 'a'ai
- Kaumaha
He aha ke kumu o ka comorbidity?
Loaʻa ka comorbidity ke hoʻokaʻawale ʻelua a i ʻole ke kau ʻana o nā mea pilikia. Ua māhele ʻia kēia mau kumu i ʻekolu:
- Hoʻololi kekahi maʻi i ka hoʻomaka ʻana o ka lua.
l. : ʻO ka hoʻohana mau ʻana i ka waiʻona hiki ke hoʻoulu i ka cirrhosis ate.
- Hoʻopili nā hopena kūwaho o kekahi maʻi i ka hoʻomaka ʻana o kahi maʻi ʻē aʻe.
l. : Hiki ke loaʻa kahi maʻi puʻuwai ma muli o ke koʻikoʻi e pili ana i nā loli ola.
- Nā kumu maʻamau.
l. : ʻO ka ʻike ʻana i nā hanana traumatic e alakaʻi i ka hopohopo a me nā maʻi naʻau.
ʻO wai ka pilikia no nā comorbidities?
Hiki i kekahi ke hoʻomohala i nā comorbidities, akā ʻoi aku ka nui o ka pilikia o kekahi mau pūʻulu no nā pilikia olakino ma mua o nā poʻe ʻē aʻe.
- ʻOi aku ka nui o ka pilikia o ka comorbidity me ka makahiki. ʻO ia ke kumu o ka loaʻa ʻana o nā pilikia olakino ma mua o ka poʻe ʻōpio.
- ʻO ka poʻe me ka liʻiliʻi o ka loaʻa ʻana o ka mālama ola kino pū kekahi.
ʻO nā pūʻulu ʻē aʻe i ka pilikia:
- wahine hāpai
- ʻO nā kānaka me nā maʻi hānau a ʻōpiopio paha.
- Hoʻonui pū kekahi mau ʻano nohona i ka hoʻomohala ʻana i kekahi mau kūlana. No ka laʻana, puhi, inu waiʻona…
Pehea ka hopena o ka comorbidity i ka lāʻau lapaʻau?
- ʻO ka loaʻa ʻana o nā co-morbidities e paʻakikī i ka mālama ʻana no kahi kūlana olakino. No ka laʻana, ʻoi aku ka nui o ka pilikia o ka poʻe me nā maʻi hoʻohana lāʻau a me nā maʻi maʻi noʻonoʻo e hoʻopau i ka mālama ʻana ma mua o ka poʻe me ka maʻi ʻole.
- Pono pinepine ka mālama ʻana i nā maʻi comorbid i ka hui pū ʻana me nā loea kūikawā e hoʻomohala i kahi hoʻolālā lapaʻau no kēlā me kēia maʻi.
- Pono paha nā kūlana like ʻole e hoʻohana i nā lāʻau lapaʻau ʻokoʻa. ʻAʻole palekana paha kekahi mau lāʻau i ka lawe pū ʻana, a i ʻole e hōʻemi paha kekahi i ka pono o kekahi.
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