Ndezvipi uye Zvinogona Kuita Sei Kuti Ushuga Wako Here?
Kuda kwechirwere chirwere kana chirwere chinogara pamwe nehosha yepamusoro asiwo chinomira pachako sechimwe chirwere chaiyo. Zvinodhaka zvinogona kuva muviri kana mupfungwa. Somuenzaniso, mumwe munhu anogona kuva nehutachiona (high blood pressure) uye asina chirwere cheshuga . Asi kune rumwe rutivi, mumwe munhu ane chirwere cheshuga kazhinji kazhinji ane hypertension zvakare.
Nokudaro, kuwedzera kwehutano kwakanyanya kufanana nekushuga kwechirwere cheshuga.
Zvinyorwa zvinowanikwa zvakanyanya kudarika kwete. Vanenge 80% yemari yekushandisa Medicare ndeyevatano vane zvirwere zvina kana zvinopfuura zvisingaperi panguva imwe chete. Zviri nyore kuona kuti sei kuve nekugadzikana kunowedzera kune mari yekutarisira. Murwere mumwe nomumwe angave achiona nyanzvi ina kunze kwechiremba wavo mukuru wekuchengeta, mumwe nomumwe achitsanangura kurapa kwakasiyana-siyana uye zvinodhaka uye zvinoda kugadza, mavhenekeri, maitiro ekufungidzira, uye kuongororwa kwema laboratori. Zvadaro izvi zvinofanira kunge zvose zvakarongedzwa nechiremba wekuchirapa. Ava ndivo varwere vanodhura zvikuru kuhurongwa.
Izwi rokuti multimorbidity rinoshandiswa zvakare, kunyanya kana risina kunyatsojeka kuti ndeiyo mamiriro ekutanga kana chimiro chechimiro. Zvinoreva kuti zvirwere zvakawanda zvisingagumi kana zvekare uye zvirwere zvinowanikwa mukati memunhu mumwe chete, pasina kusarudza imwe sendimi mamiriro.
Dzimwe nguva zvinoratidzika zvinowanzoitika nokuti vanogovana zvinowanzoisa njodzi uye vanogona kunge vane chikonzero chakafanana.
Semuenzaniso, mumwe munhu anorema zvakanyanya ari pangozi yekuwedzera chirwere cheshuga. Dzimwe nguva comorbid mamiriro acho anowanzoitika semugumisiro wokuva nemamiriro ekutanga, zvakadai sekushaya kukanganisa kunowedzera kune vanhu vane chirwere cheshuga.
Kurwisa muShuga
Kunyanya kuwirirana kwevana nevechiri kuyaruka vane chirwere cheshuga chechipiri chirwere cheshuga , dyslipidemia , uye nonalcoholic fatty chiropa chirwere .
Vakawanda vakura vane chirwere cheshuga vane nhengo imwechete yechirwere chisingaperi uye kusvika ku40 muzana vane inenge mitatu. Kusvikira 75 muzana yevanhu vakuru vane chirwere cheshuga vanewo kuwedzera kwehutano . Zvimwe zvinokonzerwa nehutachiwana hwehuga zvirwere zvehutachiona, hyperlipidemia , chirwere chepfungwa, chirwere chepvo, nonalcoholic mafuta ane chiropa, chirwere chekudzivirira chirwere chekurara, uye kuneta . Zvimwe zvinokonzerwa nechirwere cheshuga zvinogona kukonzera njodzi dzemamwe marudzi ekenza.
Kutarisira Kurasikirwa Muropa reShuga
Kana iwe une chirwere cheshuga, unogona kuderedza dambudziko rako rekukudziridza hutano nekugadzirisa mararamiro ehupenyu anokuisa pangozi. Izvi zvinosanganisira kudzora uremu hwemuviri wako kudzivirira kuneta , kurega kusvuta, kuwana muviri wakakwana, nekudzora shuga yako yehuga.
Iva nenguva yekuongorora zvekurapa uye upedze zvose zvehutano kuongororwa zvinokurudzirwa. Izvi zvinogona kuziva mamiriro ekutanga mumatambudziko avo uye zvinogona kudzivirira zvirwere zvinoputika. Zvokudzivirira zvehutano mazano zvinosanganiswa muzvirongwa zvehutano-iwe unogona kugara uchishevedza inshuwarisi yako kuti uone kuti chii chine chinyorwa chaunacho.
Kana uine comorbid chiitiko, iva nechokwadi chokuti vanachiremba vako vari kushanda pamwe chete, saka chirwere chako cheshuga chinotarirwa mukurapa komorbid conditions.
Chiremba wako mukuru wekuchengeta kana chiremba wehutachiwana anozivikanwa anogona kubatsira kurongedza kutarisira uku. Zvinonyanya kukosha kuti vese vapei vako vave ikozvino pamishonga yako uye zvirongwa zvekurapa.
Tsananguro Inobva
Kuva nechirwere cheshuga kunowedzera dambudziko rako kune mamwe maitiro, asi izvozvo hazvirevi kuti iwe uchazowanikwa uine imwe. Kuwana check-ups nguva dzose kunogona kukubatsira kupindira mangwanani kana zvichidiwa. Mukuwedzera, kuchengeta muviri wako wehuremu uye sutu yeropa mumiganhu yakakwana kunogona kubatsira kuderedza ngozi dzako. Iwe unogona kudzora zvimwe zvinhu, zvakadai sekudya, kuita muviri, uye kusvuta kusvuta. Kana uchida rubatsiro kutanga kudya kwakanaka kana kuronga muviri, usatya kutsvaka rubatsiro rwezvenyanzvi.
Vanhu vakawanda vane chirwere cheshuga vane chikafu uye chirwere cheshuga chekuchengetedza dzidzo yekudzidzira muhurongwa hwavo hweinishuwarenzi. Kana iwe uine mibvunzo, taura newachiremba wako wekutanga kuti utumire kana mamwe mashoko.
Sources:
John D. Piette, PHD naEvha A. Kerr, MD, MPH "The Impact of Comorbid Chronic Conditions maererano neKukama Kwechirwere Cheshuga." Dhiyabhorosi Kutarisira March 2006 vol. 29 no. 3 725-731.
Medha N. Munshi, MD. "Kutarisa Kazhinji Diabetes Kurwisa: Kuenda Kunze Kwekuchengetedza Kwazvo." Physicians Weekly, Nov 13, 2012.
Rita Rastogi Kalyani, et. al. "Kushamwaridzana Kwechirwere Cheshuga, Zvirwere, uye A1C Nechiremera Chekushanda muVakuru Vakwegura Zvibereko kubva muNational Health uye Nutrition Examination Survey (NHANESI), 1999-2006." Dhiyabhorosi Kutarisira May 2010 vol. 33 no. 5 1055-1060.
Valderas JM et al. "Kurondedzera Kusagadzikana: Zvinoreva Kunzwisisa Utano Nehutano Hwezvipatara." Ann Fam Med. 2009 Jul; 7 (4): 357-363.