Ziyanda ngokukhula, izifo ezihambisanayo ziyimithombo yobunzima ekukhethweni kwemiyalelo kanye nezici eziyingozi zokubikezelwa kwesifo ngesikhathi sokwelashwa. Umqedazwe we-Covid-2020 ka-19 ungomunye wemifanekiso yalokhu. Izincazelo.

"I-Co-morbidity" ichazwa ngokuba khona ngesikhathi esifanayo kumuntu ofanayo wezifo eziningana ezingapheli lapho ngayinye idinga ukunakekelwa isikhathi eside (Haute Autorité de santé HAS 2015 *). 

Leli gama livamise ukweqa nencazelo ye- "polypathology" ethinta isiguli esihlushwa yizimo ezimbalwa ezinezimpawu eziholela ekukhubazeni isimo sonke sokugula esidinga ukunakekelwa okuqhubekayo. 

I-Social Security ichaza igama elithi "Long Term Affections" noma i-ALD ekuhlinzekeni okungu-100% kokunakekelwa, okukhona okungama-30. 

Phakathi kwabo, kutholakala:

• isifo sikashukela;
• izimila ezimbi;
• izifo zenhliziyo;
• I-HIV;
• isifuba somoya esinamandla;
• ukuphazamiseka kwengqondo;
• njll

Ucwaningo lwe-Insee-Credes lubonise ukuthi u-93% wabantu abaneminyaka engu-70 nangaphezulu babe nezifo okungenani ezimbili ngesikhathi esisodwa kanye nama-85% okungenani ezintathu.

Ukuba khona kwe-co-morbidities kuhlotshaniswa ne-polypharmacy (ukunikezwa kwezidakamizwa eziningana ngesikhathi esisodwa) okungase kubangele inkinga ngenxa yokusebenzisana kwezidakamizwa. 

Abantu abangaphezu kuka-10% abangaphezu kweminyaka engama-75 bathatha phakathi kwemithi eyi-8 neyi-10 ngosuku. Lezi ngokuvamile iziguli ezine-ALD kanye nasebekhulile. 

Kumele kuqashelwe ukuthi izifo ezithile ezingapheli ngezinye izikhathi zibangelwa abantu abasha njengesifo sikashukela, ukuphazamiseka kwengqondo noma izimila ezimbi. 

I-co-morbidities iphinde idale ingozi eyengeziwe yezinkinga uma kwenzeka ugula kakhulu njenge-Covid-19 (SARS COV-2) noma umkhuhlane wesizini. Lapho kukhona ama-comorbidities, umzimba usengozini kakhulu.

I-Comorbidities kanye neCoronavirus

Ukuba khona kwezifo ezihambisana nakho kuyisici esibalulekile sobungozi bezinkinga ngesikhathi sokutheleleka nge-SARS COV-2 (COVID 19). Yize iminyaka yobudala iyingozi enkulu ngokwayo, ukuba khona kwezifo zenhliziyo nemithambo yegazi efana nomfutho wegazi ophakeme, umlando wokuhlaselwa yinhliziyo noma unhlangothi kungaholela ekuboshweni kwenhliziyo noma unhlangothi olusha ngenxa yezinsiza zamandla ezidingwa umzimba ukulwa ne-coronavirus. Ukukhuluphala ngokweqile noma ukwehluleka ukuphefumula nakho kuyizifo ezihambisanayo ezandisa ubungozi bezinkinga zokutheleleka nge-SARS COV-2 (COVID 19).

I-Comorbidities kanye nomdlavuza

Imithi yokwelapha ngamakhemikhali esetshenziswa njengengxenye yokwelapha umdlavuza izokhuthaza ukuvela kwamahlule (amahlule egazi) ekuhambeni kwegazi ngenxa yesimo sokuvuvukala kwawo wonke umzimba okuxhumene nokuba khona kwesimila. Lezi thrombosis zingaba yimbangela ye:

• i-phlebitis;
• i-infarction yenhliziyo;
• unhlangothi;
• i-pulmonary embolism. 

Ekugcineni, ukwelapha ngamakhemikhali kungase futhi kuthinte izinso (ukuhlanzwa kwegazi) nokusebenza kwesibindi nokukhiqizwa kwamangqamuzana egazi amhlophe nabomvu, angabangela izinkinga.

Isinyathelo sokuqala siwukubeka phambili ukwelashwa, ukugxila emithini ephumelela kakhulu nokugwema ukusebenzisana kwezidakamizwa. Lena indima kadokotela osazi kahle isiguli sakhe nendlela asabela ngayo ekwelashweni ngakunye. Iphinde iqinisekise ukusebenzisana phakathi kwababambe iqhaza abahlukene ngokubuza, uma kunesidingo, izeluleko kanye nobuchule babo. 

Ukulandelelwa kwezokwelapha okuvamile nakho kuyadingeka ukuze uvumelane noshintsho lwezifo kanye nomongo wazo. Udokotela ohambelayo kufanele futhi ahlale eyiqaphile imiphumela yengqondo nezenhlalo yalezi zinkinga ezifana nokucindezeleka, ukukhubazeka noma izinga lokuphila eliphansi.