Chii chinonzi Comorbidity, uye Inobata Sei Dambudziko Rako reCOVID-19?

Zvemukati

• Chii chinonzi comorbidity?
• Comorbidity inobata sei COVID-19?
• Chii chinonzi comorbidity chinobata iyo COVID-19 jekiseni?
• Ongororo ye

Panguva ino mudenda rekonavirus, ungangove unoziva duramazwi rechokwadi rinokodzera mazwi nemitsara mitsva: kutenderera munharaunda, kufefetedza, kupomba oximeter, mapuroteni epiki, pakati zvakawanda vamwe. Nguva ichangoburwa yekujoinha dialog? Comorbidity.

Uye nepo comorbidity isiri chinhu chitsva munyika yekurapa, izwi iri riri kuramba richikurukurwa sezvo vaccination yekoronavirus iri kuramba ichibuda. Izvo zvinokodzera zvakanyanya muchikamu chekuti dzimwe nzvimbo dzakatama kupfuura kubaya chete epamberi vashandi vanokosha uye avo makumi manomwe nemashanu nekure kusvika zvino vanosanganisira vanhu vane zvimwe zvinokanganisa kana mamiriro ehutano ari pasi. Semuyenzaniso, Queer EyeJonathan Van Ness munguva pfupi yapfuura akaenda ku Instagram kukurudzira vanhu kuti "vatarise zvinyorwa uye vaone kana muchikwanisa kupinda mumutsara" mushure mekuona kuti hutano hwake hweHIV hwamuita kuti akodzere kubaiwa nhomba kuNew York.

Saka, HIV inyonganiso ... asi izvi zvinorevei chaizvo? Uye ndedzipi dzimwe nyaya dzehutano dzinoonekwawo se comorbidities? Mberi, nyanzvi dzinobatsira kutsanangura zvese zvaunoda kuti uzive nezve comorbidity zvakawandisa uye comorbidity sezvazvinoenderana zvakanyanya neCOVID.

Chii chinonzi comorbidity?

Chaizvoizvo, comorbidity zvinoreva kuti mumwe munhu ane chinopfuura chimwe chirwere kana chirwere chisingaperi panguva imwe chete, maererano neCenters for Disease Control and Prevention (CDC). Comorbidities inowanzo shandiswa kutsanangura "mamwe marapirwo angave nemunhu anogona kukuvadza chero humwe hunhu hwaanogona [zvakare] kukura," anotsanangura kudaro chirwere chinotapukira nyanzvi Amesh A. Adalja, MD, nyanzvi yepamusoro paJohn Hopkins Center for Health Security . Saka, kuve nechimwe chimiro kunogona kukuisa panjodzi huru yemhedzisiro kana ukaitika chimwe chirwere, chakadai seCOVID-19.

Kunyange comorbidity yauya yakawanda mumamiriro eCCIDID-19, iripo kune mamwe mamiriro ehutano, zvakare. "Kazhinji, kana uine chirwere chisati chavapo senge kenza, chirwere cheitsvo chisingaperi, kana kufutisa zvakanyanya, zvinokuisa panjodzi yekurwara zvakanyanya nezvirwere zvakawanda, kusanganisira zvirwere zvinotapukira," anodaro Martin Blaser, MD, director. yeCentre for Advanced Biotechnology neMishonga paRutgers Robert Wood Johnson Medical School.Zvinoreva: Kukonzeresa kuri chete kana iwe uine maviri kana anopfuura mamiriro panguva imwe chete, saka kana iwe uine, toti, nyora 2 chirwere cheshuga, iwe unenge uine comorbidity kana iwe wakabatira COVID-19.

Asi "kana uine hutano hwakakwana - uine chimiro chakanaka uye [usina] zvirwere - saka hauna hutachiona hunozivikanwa," anodaro Thomas Russo, MD, purofesa uye mukuru wechirwere chinotapukira paYunivhesiti kuBuffalo kuNew York. .  

Comorbidity inobata sei COVID-19?

Zvinokwanisika kuve nehutano hwepasi, chibvumirano SARS-CoV-2 (hutachiona hunokonzera COVID-19), uye uve wakanaka; asi mamiriro ako ehutano epasi anogona kukuisa panjodzi huru yekuva nemhando yakakomba yechirwere, anodaro Dr. Adalja. (FYI - CDC inotsanangura "chirwere chakakomba kubva kuCOVID-19" sekuchengetwa muchipatara, kubvumirwa kuICU, intubation kana meya ventilation, kana kufa.)

"Comorbidities inowanzowedzera hutachiona hwehutachiona huzhinji nekuti hunodzikisira physiological reserve iyo munhu angave nayo," anotsanangura kudaro. Semuenzaniso, munhu ane chirwere chisingaperi chemapapu (kureva COPD) anogona kunge atova nemapapu asina simba uye kugona kufema. "Comorbidities inogona kazhinji kukonzera kukuvadzwa kwagara kuripo panzvimbo inotapurira hutachiona," anowedzera.

Izvi zvinogona kuwedzera mikana yekuti COVID-19 iite zvakanyanya kukuvadza kunzvimbo idzodzo (kureva mapapu, moyo, huropi) kupfuura zvaizoita kune mumwe munhu ane hutano. Vanhu vane mamwe ma comorbidities zvakare vanogona kungova ne immune system iyo, mumashoko aDr. Russo, "haisi kupfuhwira" nekuda kwehutano hwavo huri pasi, zvichiita kuti vakwanise kuwana COVID-19 pekutanga, anodaro. (Inoenderana: Hezvino Zvese zvaunoda Kuti Uzive Nezve Coronavirus uye Immune Deficiency)

Asi hazvisi zvese zvakagara zviripo zvakaenzana. Saka, nepo uine acne, semuenzaniso, ndizvo kwete inofungidzirwa kukukuvadza zvakanyanya kana ukarwara, zvimwe Zvinetso zvekurapa - kureva chirwere cheshuga, chirwere chemoyo - zvakaratidzwa kukwidza njodzi yako yezviratidzo zvakanyanya zveCOVID-19. Muchokwadi, ongororo yaJune 2020 yakaongorora data kubva kuzvinyorwa zvakadzokororwa nevezera zvakaburitswa kubva munaNdira kusvika Kubvumbi 20, 2020, uye ndokuona kuti vanhu vane mamiriro ehutano hwakadzika uye mukana wekukanganisa vane mukana wakakura wekurwara zvakanyanya uye kutofa ne COVID- 19. "Varwere vane comorbidities vanofanirwa kutora matanho ekudzivirira kuti varege kutapukirwa neSARS CoV-2, sezvo vachiwanzova nechirwere chakaipisisa," vakanyora vatsvagurudzo, avo vakaonawo kuti varwere vanezvinhu zvinotevera zviri panjodzi huru yechirwere chakakomba. :

• Hypertension
• Kufutisa
• Chirwere chemapapu chisingaperi
• Chirwere cheshuga
• Chirwere chemoyo

Zvimwe zvinokanganisa zveECVID-19 zvakanyanya zvinosanganisira cancer, Down syndrome, uye nhumbu, zvinoenderana neCDC, ine rondedzero yemamiriro e comorbid muvarwere vecoronavirus. Rondedzero yacho yakapatsanurwa kuita zvikamu zviviri: mamiriro anosimudza njodzi yemunhu yekurwara zvakanyanya kubva kuCOVID-19 (senge iya yatotaurwa) uye izvo izvo simba wedzera njodzi yako yechirwere chakakomba kubva kuCOVID-19 (kureva.

Izvo zvakati, zvakakosha kuyeuka kuti iyo coronavirus ichiri hutachiona hutsva, saka pane diki data uye ruzivo pahupamhi huzere hwekuti mamiriro ari pasi anokanganisa sei COVID-19 kuomarara. Nekudaro, runyorwa rweCDC chete "runosanganisira mamiriro ane humbowo hwakakwana kuti uwane mhedziso." (BTW, iwe unofanirwa kuve uchivhara kaviri kudzivirira kubva ku coronavirus?)

Chii chinonzi comorbidity chinobata iyo COVID-19 jekiseni?

ICDC parizvino inokurudzira vanhu vane comorbidities kuverengerwa muchikamu 1C chekudzivirira - kunyanya, avo vari pakati pemakore gumi nematanhatu nemakumi matanhatu nematanhatu ane mamiriro ehutano anowedzera mukana wehosha dzakakomba kubva kuCOVID-19. Izvi zvinovaisa mumutsara kuseri kwevashandi vehutano, vagari venzvimbo dzekugara kwenguva refu, vashandi vakakosha vepamberi, uye vanhu vane makore makumi manomwe nemashanu zvichikwira. (Inoenderana: 10 Vatema Vakakosha Vashandi Govana Zvavari Kuita Kudzidzira-Kuzvichengeta Pakati PeNjodzi)

Nekudaro, nyika dzese dzakagadzira nhungamiro dzakasiyana dzekuburitsa nhomba kwadzo uye, kunyangwe zvakadaro, "nyika dzakasiyana dzichaburitsa mazita akasiyana," nezve mamiriro aripo avanofunga kuti anonetsa, anodaro Dr. Russo.

"Comorbidities chinhu chikuru chinotaridza kuti ndiani anokura zvakanyanya COVID-19, anoda kurapwa, uye ndiani anofa," anodaro Dr. Adalja. "Ndokusaka mushonga wakanangana zvakanyanya nevanhu ivavo nekuti uchabvisa mukana wekuti COVID ive chirwere chakakomba kwavari, pamwe nekuderedza kugona kwavo kuparadzira chirwere." (Inoenderana: Zvese zvaunoda Kuti Uzive nezve Johnson & Johnson's COVID-19 Vaccine)

Kana iwe uine hutano hwepasi uye hauna chokwadi kana zvichikanganisa kukodzera kwako jekiseni, taura nachiremba wako, uyo anokwanisa kukwanisa kupa hutungamiriri.

Mashoko ari munyaya iyi akarurama seye nguva yekudhinda. Sezvo zvigadziriso nezve coronavirus COVID-19 ichiramba ichichinja, zvinokwanisika kuti rumwe ruzivo uye kurudziro munyaya iyi zvachinja kubva pakatanga kuburitswa. Tinokukurudzira kuti uongorore nguva zhinji zviwanikwa zvakaita seCDC, iyo WHO, uye nedhipatimendi rako rezvehutano reveruzhinji kune yakanyanya-kudhara dhata uye kurudziro.

Ongororo ye