Kuwanda uye kuwanda nekukura kwezera, comorbidities ndiwo mavambo ematambudziko mukusarudza kwezvinyorwa uye zvezvipingamupinyi zvekufungidzira kwechirwere panguva yekurapa. Denda ra2020 Covid-19 mumwe mufananidzo weizvi. Tsanangudzo.

"Co-morbidity" inotsanangurwa nekuvapo panguva imwechete mumunhu mumwechete wezvirwere zvisingaperi zvisingaperi izvo chimwe nechimwe chinoda kutarisirwa kwenguva refu (Haute Autorité de santé HAS 2015 *). 

Iri izwi rinowanzo pindirana netsanangudzo ye "polypathology" iyo ine chekuita nemurwere ari kutambura kubva kune akati wandei mamiriro anokonzeresa kuremadza iyo yese pathological mamiriro ayo anoda kuramba achitarisirwa. 

Social Security inotsanangura izwi rekuti "Long Term Affections" kana ALD ye100% yekuvhara yekuchengetedza, iyo ine makumi matatu. 

Pakati pavo vanowanikwa:

• chirwere cheshuga;
• tumarara twakaipa;
• zvirwere zvemwoyo;
• HIV;
• asima yakaoma;
• chirwere chepfungwa;
• etc.

Ongororo yeInsee-Credes yakaratidza kuti 93% yevanhu vane makore makumi manomwe zvichikwira vaive nezvirwere zviviri panguva imwe chete uye 70% inokwana matatu.

Kuvapo kwe-co-morbidities kunobatanidza ne polypharmacy (kunyorerwa kwemishonga yakawanda panguva imwe chete) iyo inogona kuunza dambudziko nekuda kwekubatana kwezvinodhaka. 

Vanopfuura 10% yevanhu vanopfuura 75 vanotora pakati pe8 uye 10 mishonga pazuva. Izvi zvinowanzova varwere vane ALD nevakwegura. 

Izvo zvinofanirwa kucherechedzwa kuti mamwe asingaperi pathologies dzimwe nguva anokonzerwa nevanhu vadiki senge chirwere cheshuga, chirwere chepfungwa kana mamota anouraya. 

Co-morbidities zvakare inoumba imwezve njodzi yekunetsekana muchiitiko chehurwere hwakanyanya seCovid-19 (SARS COV-2) kana mwaka furuwenza. Muhupo hwehuporidhi, chipenyu chinowedzera kutambura.

Comorbidities uye Coronavirus

Kuvapo kwe-co-morbidities chinhu chakakosha chenjodzi yematambudziko panguva yekutapukirwa neSARS COV-2 (COVID 19). Nepo zera riri njodzi huru pachayo, kuvepo kwezvirwere zvemoyo senge hypertension, nhoroondo yekurova kwemoyo kana sitiroko inogona kukonzera kusungwa kwemoyo kana sitiroko nyowani nekuda kwezviwanikwa zvesimba zvinodikanwa nemuviri kurwisa coronavirus. Kufutisa kana kutadza kufema zvakare ma-co-morbidities anowedzera njodzi yematambudziko kubva mukutapukirwa neSARS COV-2 (COVID 19).

Comorbidities uye cancer

Mishonga yechemotherapy inoshandiswa sechikamu chekurapa kenza inosimudzira kuitika kwethromboses (kugwamba kweropa) mukutenderera kweropa nekuda kwemamiriro ekuzvimba kwemuviri wese wakabatana nekuvapo kwebundu. Izvi zvinogona kukonzera thrombosis:

• phlebitis;
• cardiac infarction;
• sitiroko;
• pulmonary embolism. 

Pakupedzisira, chemotherapy inogona kukanganisa itsvo (kucheneswa kweropa) uye kushanda kwechiropa uye kugadzirwa kwemasero machena uye matsvuku eropa, izvo zvinogona kukonzera matambudziko.

Danho rekutanga nderekutanga kurapwa, kutarisa pamishonga inoshanda zvakanyanya uye kudzivirira kusangana kwezvinodhaka. Iri ibasa rachiremba ari kuenda anonyatsoziva murwere wake uye maitiro aanoita pakurapwa kwega kwega. Inovimbisawo kurongeka pakati pevatambi vakasiyana nekubvunza, kana zvichidikanwa, zano ravo uye hunyanzvi. 

Kugara uchitevera kurapwa kunodiwawo kugadzirisa marapiro kune shanduko yezvirwere uye mamiriro azvo. Chiremba anoenda anofanirwawo kuramba akangwarira mhedzisiro yepfungwa yezviitiko izvi zvakadai sekuora mwoyo, kuremara kana hurombo hwehupenyu.