He aha ka Comorbidity, a pehea e pili ai i kāu pilikia COVID-19?

Anter

• He aha ka comorbidity?
• Pehea e hoʻopili ai ka comorbidity iā COVID-19?
• He aha ka hopena o ka comorbidity i ka kano COVID-19?
• Nānā no

I kēia manawa i ka maʻi ahulau coronavirus, ua kamaʻāina paha ʻoe me kahi puke wehewehe ʻōlelo ʻoiaʻiʻo o nā huaʻōlelo a me nā huaʻōlelo hou: ka noho kaiāulu ʻana, ka mea hoʻomeamea, ka pulse oximeter, nā protein spike, i waena o lehulehu kekahi. ʻO ka huaʻōlelo hou loa e hui pū me ke kamaʻilio? ʻO Comorbidity.

A ʻoiai ʻaʻohe mea hou o ka comorbidity i ka honua olakino, ke kamaʻilio nui ʻia nei ka huaʻōlelo ʻoiai ke hoʻomau nei ka hoʻopaʻa ʻana i ka coronavirus. Ma muli o ka hapa nui o ka neʻe ʻana o kekahi mau wahi ma mua o ka hoʻopaʻa ʻana i nā limahana koʻikoʻi mua wale nō a me kēlā mau makahiki 75 a ʻoi aʻe a hiki i kēia manawa ke hoʻokomo i nā poʻe me kekahi mau comorbidities a i lalo o ke kūlana olakino. O kahi laʻana, Maka MakaUa lawe ʻo Jonathan Van Ness i Instagram i kēia manawa e koi aku i ka poʻe e "nānā i nā papa inoa a ʻike inā hiki iā ʻoe ke komo i ka laina" ma hope o ka ʻike ʻana i kona kūlana maʻi HIV i hiki ai iā ia ke hana kano ma New York.

No laila, he maʻi hōʻemi ke HIV ... akā he aha ke ʻano o ia manaʻo? A he aha nā pilikia olakino ʻē aʻe i manaʻo ʻia he comorbidities? Ma mua, kōkua ka poʻe loea e wehewehe i nā mea āpau e pono ai ʻoe e ʻike e pili ana i ka comorbidity ma ka laulā a me ka comorbidity e pili ana i ka COVID.

He aha ka comorbidity?

ʻO ka mea nui, ʻo ka comorbidity ke ʻano o kekahi ma mua o hoʻokahi maʻi a i ʻole ke kūlana mau i ka manawa like, e like me nā Centers for Disease Control and Prevent (CDC). Hoʻohana pinepine ʻia nā comorbidities e wehewehe i "nā maʻi olakino ʻē aʻe i loaʻa i ke kanaka e hiki ke hōʻeha i kekahi maʻi ʻē aʻe a lākou e hoʻomohala ai," wehewehe ka loea maʻi infectious Amesh A. Adalja, MD, haumāna kula kiʻekiʻe ma Johns Hopkins Center for Health Security. . No laila, ʻo ka loaʻa ʻana o kahi ʻano pilikino hiki ke hoʻokau iā ʻoe i kahi makaʻu kiʻekiʻe loa no ka hopena i hōʻole ʻia inā ʻoe e hoʻomōhala i kahi maʻi ʻē aʻe, e like me COVID-19.

ʻOiai ua piʻi nui mai ka comorbidity i loko o ka pōʻaiapili o COVID-19, aia no ia no nā kūlana olakino ʻē aʻe kekahi. "Ma ka laulā, inā loaʻa iā ʻoe kekahi mau maʻi ma mua e like me ka maʻi ʻaʻai, maʻi maʻi ʻaʻai paʻa, a i ʻole ka momona nui, hāʻawi ʻia iā ʻoe i ka makaʻu no ka maʻi ʻoi aku ka nui o nā maʻi, e like me nā maʻi infectious," wahi a Martin Blaser, MD, alakaʻi. o ka Center for Advanced Biotechnology and Medicine at the Rutgers Robert Wood Johnson Medical School.ʻO ke ʻano: ʻO ka maʻi maʻi maʻi wale nō inā loaʻa iā ʻoe ʻelua a ʻoi aku paha nā kūlana i ka manawa like, no laila inā loaʻa iā ʻoe, e ʻōlelo ʻoe, type 2 diabetes, loaʻa iā ʻoe ka comorbidity. ina ua loaʻa maoli ʻoe i ka COVID-19.

Akā "inā maikaʻi kou olakino - maikaʻi ʻoe a ʻaʻohe ou mau maʻi - a laila ʻaʻohe ou comorbidities i ʻike ʻia," wahi a Thomas Russo, MD, polofesa a me ke poʻo o nā maʻi infectious ma ke Kulanui ma Buffalo ma New York. .  

Pehea e hoʻopili ai ka comorbidity iā COVID-19?

Hiki ke loaʻa kahi maʻi ola kino, ʻaelike iā SARS-CoV-2 (ka maʻi i hoʻokumu ʻia ai ka COVID-19), a maikaʻi wale nō; akā hiki i kou ʻano olakino olakino ke hoʻokau iā ʻoe i ka makaʻu kiʻekiʻe loa o ka loaʻa ʻana o kekahi ʻano o ka maʻi, wahi a Kauka Adalja. (FYI - ho'ākāka ka CDC i ka "maʻi nui loa mai COVID-19" ke ʻano o ka haukapila, ke komo ʻana i ka ICU, ke komo ʻana a i ʻole ka ea ʻana o ka mīkini, a i ʻole ka make.)

"Hoʻonui pinepine ka Comorbidities i nā maʻi maʻi viral no ka mea e hōʻemi lākou i ka mālama physiological i loaʻa i ke kanaka," wehewehe ʻo ia. ʻO kahi laʻana, ʻo ke kanaka me ka maʻi maʻi mau (ʻo ia hoʻi ʻo COPD) ua hoʻonāwaliwali paha i nā māmā a me ka hiki o ka hanu. "Hiki pinepine nā Comorbidities i ka pōʻino preexisting ma kahi pūnaewele kahi e hoʻopili ai kahi maʻi," hoʻohui ʻo ia.

Hiki i kēia ke hoʻonui i nā manawa e hana ʻo COVID-19 i nā mea hou aku i hōʻino ʻia (ʻo ia hoʻi ka mumū, ka puʻuwai, ka lolo) ma mua o ka mea olakino ʻē aʻe. ʻO ka poʻe me kekahi comorbidities kekahi he ʻōnaehana pale wale nō kā, ma kā Kauka Russo ʻōlelo, "ʻaʻole hiki i ka snuff" no ko lākou kūlana olakino olakino, e loaʻa ana iā lākou ka COVID-19 ma mua, wahi a ia. (Pili: Eia nā mea āpau āu e ʻike ai e pili ana i ka Coronavirus a me nā Deficiencies Immune)

Akā ʻaʻole kūlike nā kūlana āpau. No laila, ʻoiai he huehue, no ka laʻana, ʻo ia ʻaʻole ua manaʻo ʻia e hōʻeha nui iā ʻoe inā e maʻi ʻoe, nā pilikia olakino ʻē aʻe - ʻo ia hoʻi ka maʻi diabetes, nā maʻi puʻuwai - i hōʻike ʻia e hāpai i kāu makaʻu o nā hōʻailona COVID-19 koʻikoʻi. ʻO ka ʻoiaʻiʻo, ua loiloi kahi noiʻi ʻo Iune 2020 i ka ʻikepili mai nā ʻatikala i loiloi ʻia e nā hoa i paʻi ʻia mai Ianuali a ʻApelila 20, 2020, a ʻike ʻia ʻo ka poʻe me nā kūlana olakino lalo a me ka hiki o ka comorbidity ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i ka maʻi koʻikoʻi a hiki i ka make ʻana mai COVID- 19. "Pono nā poʻe maʻi me nā comorbidities e mālama i nā mea āpau e pono ai e pale aku i ka maʻi me ka SARS CoV-2, no ka mea, ʻoi aku ka maikaʻi o ka prognosis," i kākau ai ka poʻe noiʻi, ka mea i ʻike pū i nā mea maʻi me nā pilikia e pili ana i ka maʻi nui loa. :

• Hypertension
• ʻObesity
• Maʻi maʻi maʻi
• Diabetes
• ʻO ka maʻi puʻuwai

ʻO nā comorbidities ʻē aʻe no COVID-19 koʻikoʻi e komo pū me ka maʻi ʻaʻai, Down syndrome, a me ka hāpai keiki, e like me ka CDC, kahi papa inoa o nā kūlana comorbid i nā mea maʻi coronavirus. Hoʻokaʻawale ʻia ka papa inoa i ʻelua ʻāpana: nā kūlana e hoʻonui ai i ka pilikia o ke kanaka no ka maʻi koʻikoʻi mai COVID-19 (e like me nā mea i ʻōlelo ʻia) a me nā mea ikaika paha e hoʻonui i kou pilikia o ka maʻi koʻikoʻi mai COVID-19 (ʻo ia hoʻi, ka hānō haʻahaʻa a koʻikoʻi, cystic fibrosis, dementia, HIV).

ʻLelo ia, he mea nui e hoʻomanaʻo he virus virus hou ka coronavirus, no laila aia ka palena o ka ʻikepili a me ka ʻike e pili ana i ka hopena o ka hopena o ka hopena i ka COVID-19 paʻakikī. E like me ia, ʻo ka papa inoa o ka CDC wale nō "me nā kūlana me ka lawa o nā hōʻike e huki ai i nā hopena." (BTW, pono paha ʻoe e pale pāpālua e pale aku ai i ka coronavirus?)

He aha ka hopena o ka comorbidity i ka kano COVID-19?

Kākoʻo ka CDC i kēia manawa me nā poʻe me nā comorbidities e hoʻokomo ʻia i ka pae 1C o ka lāʻau lapaʻau - kikoʻī, nā mea ma waena o nā makahiki o 16 a me 64 me nā kūlana olakino e hoʻonui i kā lākou maʻi o COVID-19. Kau ia iā lākou i ka laina ma hope o nā limahana olakino, nā poʻe noho o nā keʻena mālama wā lōʻihi, nā limahana pono mua, a me nā poʻe he 75 a ʻoi paha makahiki. (E pili pū ana: 10 ʻEleʻele nā ​​mea hana pono e hōʻike i ke ʻano o ka hoʻomaʻamaʻa ʻana iā lākou iho i ka wā maʻi maʻi)

Eia nō naʻe, ua hana kēlā me kēia mokuʻāina i nā kulekele like ʻole no kāna iho wili a, ʻoiai, "e hoʻokumu nā mokuʻāina ʻokoʻa i nā papa inoa like ʻole," e pili ana i nā kūlana e kū nei i manaʻo ʻia he mea hopohopo, wahi a Dr. Russo.

"He kumu nui nā Comorbidities e hoʻoholo ai i ka mea e hoʻomohala i ka COVID-19 koʻikoʻi, ka mea e koi ai i ka haukapila, a ʻo wai ka mea i make," wahi a Kauka Adalja. "ʻO kēia ke kumu i kau nui ʻia ai ka lāʻau lapaʻau i kēlā mau kānaka no ka mea e hoʻoneʻe ia i ka hiki ʻana i ka COVID i maʻi nui no lākou, a e hoʻemi ana hoʻi i ka hiki ke hoʻolaha i ka maʻi." (Pili: ʻO nā mea āpau āu e ʻike ai e pili ana iā Johnson & Johnson's COVID-19 Vaccine)

Inā loaʻa iā ʻoe kahi ʻano olakino olakino a ʻaʻole maopopo iā ʻoe inā hopena ia i kāu pono lāʻau āpau, e kamaʻilio me kāu kauka, ʻo wai ka mea hiki ke hāʻawi i ke alakaʻi.

Pololei ka ʻike ma kēia moʻolelo e like me ka manawa paʻi. Ke hoʻomau nei nā mea hou e pili ana i ka coronavirus COVID-19, ua loli paha kekahi mau ʻike a me nā manaʻo i kēia moʻolelo mai ka hoʻolaha mua ʻana. Paipai mākou iā ʻoe e nānā pinepine me nā kumuwaiwai e like me ka CDC, ka WHO, a me kāu keʻena olakino kūloko kūloko no ka ʻikepili a me nā ʻōlelo aʻoaʻo hou loa.

Nānā no