Ntau thiab ntau ntxiv nrog rau cov hnub nyoog dhau los, comorbidities yog qhov teeb meem ntawm kev xaiv cov tshuaj thiab cov kev pheej hmoo rau kev kuaj mob ntawm tus kab mob thaum kho. 2020 Covid-19 kis thoob qhov txhia chaw yog ib qho piv txwv ntawm qhov no. Kev piav qhia.

"Co-morbidity" yog txhais los ntawm qhov muaj nyob rau tib lub sijhawm hauv tib tus neeg ntawm ntau cov kab mob ntev uas txhua tus yuav tsum tau saib xyuas mus ntev (Haute Autorité de santé HAS 2015 *). 

Lo lus no feem ntau sib tshooj nrog lub ntsiab lus ntawm "polypathology" uas cuam tshuam rau tus neeg mob raug kev txom nyem los ntawm ntau yam xwm txheej uas ua rau muaj kev cuam tshuam tag nrho ntawm lub xeev pathological uas yuav tsum tau saib xyuas tas li. 

Social Security txhais lub sij hawm "Kev Hlub Nyob Rau Ib Lub Sijhawm Ntev" lossis ALD rau 100% kev pab them nqi kho mob, uas muaj 30. 

Ntawm lawv, pom:

• ntshav qab zib;
• hlav qog;
• kab mob plawv;
• HIV;
• mob hawb pob;
• kev puas siab puas ntsws;
• thiab lwm yam

Ib qho kev tshawb fawb Insee-Credes tau qhia tias 93% ntawm cov neeg muaj hnub nyoog 70 thiab tshaj saud muaj tsawg kawg yog ob yam mob tib lub sijhawm thiab 85% tsawg kawg yog peb.

Lub xub ntiag ntawm co-morbidities yog txuam nrog polypharmacy (tshwj xeeb ntawm ntau yam tshuaj tib lub sijhawm) uas tuaj yeem tsim teeb meem vim kev sib cuam tshuam ntawm cov tshuaj. 

Ntau tshaj 10% ntawm cov neeg muaj hnub nyoog tshaj 75 xyoo noj ntawm 8 thiab 10 tshuaj ib hnub twg. Cov no feem ntau yog cov neeg mob ALD thiab cov neeg laus. 

Nws yuav tsum raug sau tseg tias qee qhov kev mob ntev ntev yog qee zaum tshwm sim los ntawm cov neeg hluas xws li ntshav qab zib, mob hlwb lossis qog nqaij hlav malignant. 

Cov kab mob sib kis kuj tseem ua rau muaj kev pheej hmoo ntxiv ntawm cov teeb meem thaum muaj mob hnyav xws li Covid-19 (SARS COV-2) lossis mob khaub thuas raws caij nyoog. Nyob rau hauv lub xub ntiag ntawm comorbidities, cov kab mob yog yooj yim dua.

Comorbidities thiab Coronavirus

Kev muaj cov kab mob sib kis yog qhov tseem ceeb ntawm kev pheej hmoo rau cov teeb meem thaum kis tus kab mob SARS COV-2 (COVID 19). Thaum lub hnub nyoog yog qhov muaj feem pheej hmoo tseem ceeb hauv nws tus kheej, muaj cov kab mob plawv xws li ntshav siab, keeb kwm ntawm lub plawv nres lossis mob stroke tuaj yeem ua rau lub plawv nres lossis mob stroke tshiab vim yog lub zog xav tau los ntawm lub cev los tawm tsam tus kabmob coronavirus. Kev rog dhau lossis ua pa tsis ua haujlwm kuj yog cov kab mob sib kis uas ua rau muaj kev pheej hmoo ntawm kev kis kab mob SARS COV-2 (COVID 19).

Comorbidities thiab mob qog noj ntshav

Cov kev kho mob chemotherapy tau siv los ua ib feem ntawm kev kho mob qog noj ntshav yuav txhawb nqa qhov tshwm sim ntawm thromboses (ntshav txhaws) hauv cov ntshav ncig vim lub xeev ntawm o ntawm tag nrho cov kab mob txuas nrog rau qhov muaj cov qog. Cov thromboses tuaj yeem ua rau:

• phlebitis;
• plawv infarction;
• hlab ntshav tawm;
• pulmonary embolism. 

Thaum kawg, kev siv tshuaj khomob kuj tuaj yeem cuam tshuam rau lub raum (ntshav huv) thiab lub siab ua haujlwm thiab tsim cov qe ntshav dawb thiab ntshav liab, uas tuaj yeem ua rau muaj teeb meem.

Thawj kauj ruam yog los saib xyuas qhov tseem ceeb ntawm kev kho mob, tsom mus rau cov tshuaj muaj txiaj ntsig zoo tshaj plaws thiab zam kev sib cuam tshuam ntawm cov tshuaj. Qhov no yog lub luag haujlwm ntawm tus kws kho mob uas paub nws tus neeg mob zoo thiab nws yuav ua li cas rau txhua qhov kev kho mob. Nws tseem ua kom muaj kev sib koom tes ntawm ntau tus neeg koom nrog los ntawm kev nug, thaum tsim nyog, lawv cov lus qhia thiab kev txawj ntse. 

Kev saib xyuas kev kho mob tsis tu ncua kuj tseem tsim nyog los hloov kho cov kev hloov pauv ntawm cov kab mob thiab lawv cov ntsiab lus. Tus kws kho mob tuaj koom yuav tsum tau ceev faj txog qhov tshwm sim ntawm kev puas siab puas ntsws ntawm cov kab mob xws li kev nyuaj siab, kev tsis taus lossis lub neej tsis zoo.