Comorbidity yog dab tsi, thiab nws cuam tshuam li cas rau koj qhov kev pheej hmoo ntawm COVID-19?

Zoo Siab

• Dab tsi yog comorbidity?
• Kev sib kis cuam tshuam li cas rau COVID-19?
• Dab tsi ua rau muaj kev sib kis cuam tshuam rau cov tshuaj tiv thaiv COVID-19?
• Ntsuam xyuas rau

Los ntawm lub sijhawm no hauv tus kabmob coronavirus, koj yuav tau paub txog phau ntawv txhais lus tseeb tsim nyog ntawm cov lus tshiab thiab kab lus: kev nyob sib nrug deb, lub tshuab ua pa, mem tes oximeter, spike proteins, ntawm ntau lwm tus. Lub sijhawm kawg los koom nrog kev sib tham? Comorbidity.

Thiab thaum comorbidity tsis muaj dab tsi tshiab hauv ntiaj teb kev kho mob, lub sijhawm tau nce los tham txog raws li kev txhaj tshuaj tiv thaiv tus kabmob coronavirus tseem txuas ntxiv mus. Qhov ntawd feem ntau yog ib feem ntawm qhov tseeb tias qee thaj chaw tau dhau mus txhaj tshuaj tiv thaiv tsuas yog cov neeg ua haujlwm tseem ceeb hauv ntej thiab cov 75 thiab laus dua rau tam sim no suav nrog cov neeg uas muaj qee yam comorbidities lossis lwm yam mob. Piv txwv li, Queer Qhov MuagJonathan Van Ness tsis ntev los no tau coj mus rau Instagram kom cov neeg "kuaj cov npe thiab saib seb koj puas tuaj yeem nkag mus rau hauv kab" tom qab pom tias nws tus kab mob HIV ua rau nws tsim nyog txhaj tshuaj tiv thaiv hauv New York.

Yog li, HIV yog comorbidity ... tab sis qhov ntawd txhais li cas tiag? Thiab lwm yam teeb meem kev noj qab haus huv twg tseem suav tias yog comorbidities? Ua ntej, cov kws tshaj lij pab piav qhia txhua yam uas koj xav paub txog kev sib xyaw ua ke feem ntau thiab tsis sib xws raws li nws cuam tshuam tshwj xeeb rau COVID.

Dab tsi yog comorbidity?

Qhov tseem ceeb, comorbidity txhais tau tias ib tus neeg muaj ntau dua ib tus kab mob lossis mob ntev nyob rau tib lub sijhawm, raws li Lub Chaw Tiv Thaiv thiab Tiv Thaiv Kab Mob (CDC). Comorbidities feem ntau yog siv los piav qhia "lwm yam kev mob uas tus neeg yuav muaj uas tuaj yeem ua rau lwm yam mob uas lawv tuaj yeem [txhim kho]," piav qhia tus kws paub txog kab mob sib kis Amesh A. Adalja, MD, tus kws tshaj lij ntawm Johns Hopkins Center for Health Security . Yog li, muaj ib qho mob tshwj xeeb tuaj yeem ua rau koj muaj kev pheej hmoo siab dua rau qhov tshwm sim tsis zoo yog tias koj tshwm sim los tsim lwm yam mob, xws li COVID-19.

Thaum muaj kev sib kis tau tshwm sim ntau heev hauv cov ntsiab lus ntawm COVID-19, nws muaj rau lwm yam kev noj qab haus huv, ib yam nkaus. "Feem ntau, yog tias koj muaj qee yam mob ua ntej xws li mob qog noj ntshav, mob raum tsis zoo, lossis rog dhau, nws ua rau koj muaj kev pheej hmoo mob ntau rau ntau tus kab mob, suav nrog cov kab mob sib kis," hais tias Martin Blaser, MD, tus thawj coj. ntawm Lub Chaw rau Advanced Biotechnology thiab Tshuaj ntawm Rutgers Robert Wood Johnson Tsev Kawm Kho Mob.Lub ntsiab lus: comorbidity tsuas yog thaum koj muaj ob lossis ntau qhov xwm txheej nyob rau tib lub sijhawm, yog li yog tias koj muaj, hais, hom 2 mob ntshav qab zib, koj yuav muaj comorbidity yog koj yeej tau cog lus rau COVID-19.

Tab sis "yog tias koj noj qab nyob zoo - koj muaj lub cev zoo thiab [muaj] tsis muaj kab mob - ces koj tsis paub tias muaj kab mob sib kis," Thomas Russo, MD, tus kws tshaj lij thiab tus thawj coj kis mob ntawm University of Buffalo hauv New York hais. .  

Kev sib kis cuam tshuam li cas rau COVID-19?

Nws muaj peev xwm ua kom muaj kev noj qab haus huv zoo, cog lus SARS-CoV-2 (tus kab mob uas ua rau COVID-19), thiab ua tib zoo; tab sis koj qhov kev noj qab haus huv nyob ib puag ncig tuaj yeem ua rau koj muaj kev pheej hmoo siab muaj tus mob hnyav, hais tias Dr. Adalja. (FYI-CDC piav qhia "mob hnyav los ntawm COVID-19" raws li mus pw hauv tsev kho mob, nkag mus rau ICU, tso dej tawm hauv lub cev lossis tshuab ua pa tawm, lossis tuag.)

"Cov kab mob sib kis feem ntau ua rau ntau tus kab mob kis tau zoo vim tias lawv txo qis lub cev nqaij daim tawv tus neeg yuav muaj," nws piav qhia. Piv txwv li, ib tug neeg uas muaj kab mob ntsws ntev (xws li COPD) tej zaum yuav muaj lub ntsws tsis muaj zog thiab muaj peev xwm ua pa. "Comorbidities feem ntau tuaj yeem ua rau muaj kev puas tsuaj nyob rau ntawm qhov chaw uas tus kab mob tuaj yeem kis tau," nws hais ntxiv.

Qhov no tuaj yeem ua rau muaj feem pheej hmoo tias COVID-19 yuav ua rau muaj kev puas tsuaj ntau ntxiv rau cov chaw ntawd (piv txwv li lub ntsws, lub plawv, lub hlwb) ntau dua li nws yuav nyob hauv ib tus neeg uas tsis muaj kev noj qab haus huv. Cov neeg uas muaj qee tus mob comorbidities kuj tseem tuaj yeem muaj lub cev tiv thaiv kab mob uas, hauv Dr. Russo cov lus, "tsis yog hnoos" vim yog lawv qhov kev noj qab haus huv nyob hauv qab, ua rau lawv muaj feem yuav tau txais COVID-19 ua ntej, nws hais. (Muaj feem cuam tshuam: Ntawm no Txhua Yam Koj Yuav Tsum Paub Txog Tus Kab Mob Coronavirus thiab Kev Tiv Thaiv Tsis Zoo)

Tab sis tsis yog txhua qhov xwm txheej ua ntej muaj vaj huam sib luag. Yog li, thaum muaj pob txuv, piv txwv li, yog tsis xav tias yuav ua rau muaj kev phom sij loj rau koj yog tias muaj mob, lwm yam teeb meem kho mob hauv qab - piv txwv li ntshav qab zib, kab mob plawv - tau pom tias yuav ua rau koj muaj kev pheej hmoo ntawm cov tsos mob hnyav ntawm COVID-19. Qhov tseeb, kev tshawb fawb Lub Rau Hli 2020 tau tshuaj xyuas cov ntaub ntawv los ntawm cov neeg txheeb xyuas cov ntawv luam tawm txij Lub Ib Hlis Ntuj txog Lub Plaub Hlis 20, 2020, thiab pom tias cov neeg muaj mob hauv qab no thiab muaj peev xwm ua rau muaj kev pheej hmoo siab dua los ntawm kev mob hnyav thiab txawm tias tuag los ntawm COVID- 19. "Cov neeg mob uas muaj comorbidities yuav tsum tau ua txhua yam kev tiv thaiv tsim nyog kom tsis txhob kis tus kab mob SARS CoV-2, vim tias lawv feem ntau muaj qhov tshwm sim tsis zoo," cov kws tshawb fawb tau sau tseg, uas tseem pom tau tias cov neeg mob uas muaj cov teeb meem hauv qab no muaj kev pheej hmoo siab tshaj plaws ntawm cov kab mob hnyav. :

• Ntshav siab
• Kev rog
• Mob ntsws ntev
• Ntshav Qab Zib
• Mob plawv

Lwm yam kev sib kis mob hnyav rau COVID-19 muaj xws li mob qog noj ntshav, Down syndrome, thiab cev xeeb tub, raws li CDC, uas muaj cov npe ntawm cov kab mob sib kis hauv cov neeg mob coronavirus. Cov npe tau faib ua ob ntu: cov xwm txheej uas ua rau tib neeg muaj kev pheej hmoo mob hnyav los ntawm COVID-19 (xws li cov uas tau hais los lawm) thiab cov uas tej zaum nce koj txoj kev pheej hmoo ntawm tus kab mob hnyav los ntawm COVID-19 (xws li mob ntsws asthma nruab nrab mus rau hnyav, cystic fibrosis, dementia, HIV).

Qhov ntawd tau hais tias, nws yog ib qho tseem ceeb kom nco ntsoov tias tus mob coronavirus tseem yog tus kab mob tshiab, yog li muaj cov ntaub ntawv thiab cov ntaub ntawv qhia txog qhov xwm txheej ntawm qhov xwm txheej cuam tshuam li cas rau COVID-19 qhov hnyav. Xws li, CDC cov npe tsuas yog "suav nrog cov xwm txheej uas muaj pov thawj txaus los txiav txim siab." (BTW, koj puas yuav tsum tau npog ob zaug los tiv thaiv tus kabmob coronavirus?)

Dab tsi ua rau muaj kev sib kis cuam tshuam rau cov tshuaj tiv thaiv COVID-19?

CDC tam sim no pom zoo rau cov neeg uas muaj tus mob comorbidities suav nrog hauv theem 1C ntawm kev txhaj tshuaj tiv thaiv-tshwj xeeb, cov uas muaj hnub nyoog 16 txog 64 xyoos nrog rau lwm yam kev noj qab haus huv uas ua rau lawv muaj kev pheej hmoo kis mob hnyav los ntawm COVID-19. Qhov ntawd ua rau lawv nyob hauv kab tom qab cov neeg saib xyuas kev noj qab haus huv, cov neeg nyob hauv cov chaw saib xyuas mus sij hawm ntev, cov neeg ua haujlwm tseem ceeb, thiab cov neeg hnub nyoog 75 xyoos thiab laus dua. (Txog: 10 Tus Neeg Ua Haujlwm Tseem Ceeb Tshaj Tawm Qhia Lawv Yuav Ua Li Cas Kho Tus Kheej Thaum Muaj Kab Mob Sib Kis)

Txawm li cas los xij, txhua lub xeev tau tsim cov txheej txheem sib txawv rau nws tus kheej cov tshuaj tiv thaiv tawm thiab, txawm li cas los xij, "txhua lub xeev yuav tsim cov npe sib txawv," raws li cov xwm txheej uas lawv xav tias muaj kev txhawj xeeb, hais tias Dr. Russo.

Dr. Adalja hais tias "Comorbidities yog qhov tseem ceeb txiav txim siab leej twg txhim kho COVID-19 hnyav, leej twg yuav tsum tau mus pw hauv tsev kho mob, thiab leej twg tuag," hais tias Dr. "Qhov no yog vim li cas cov tshuaj tiv thaiv tau tsom mus rau cov tib neeg ntawd vim tias nws yuav tshem tawm qhov muaj peev xwm ntawm COVID yog mob hnyav rau lawv, nrog rau txo lawv lub peev xwm kis tus kab mob." (Muaj feem cuam tshuam: Txhua Yam Koj Yuav Tsum Paub Txog Johnson & Johnson's COVID-19 Vaccine)

Yog tias koj muaj ib qho kev noj qab haus huv nyob ib puag ncig thiab koj tsis paub meej tias nws cuam tshuam rau koj li peev xwm txhaj tshuaj tiv thaiv kab mob, tham nrog koj tus kws kho mob, leej twg yuav tsum muaj peev xwm muab lus qhia.

Cov ntaub ntawv hauv zaj dab neeg no muaj tseeb raws li lub sijhawm nias. Raws li kev hloov tshiab hais txog tus mob coronavirus COVID-19 txuas ntxiv mus, nws muaj peev xwm hais tias qee cov ntaub ntawv thiab cov lus pom zoo hauv zaj dab neeg no tau hloov pauv txij li kev tshaj tawm thawj zaug. Peb txhawb kom koj mus xyuas tsis tu ncua nrog cov peev txheej xws li CDC, WHO, thiab koj lub chaw saib xyuas kev noj qab haus huv hauv zos kom paub cov ntaub ntawv tshiab thiab cov lus pom zoo.

Ntsuam xyuas rau