Da yawa da yawa tare da tsufa, ƙwayoyin cuta sune tushen matsaloli a cikin zaɓin takaddun magani da abubuwan haɗari don hasashen cutar yayin jiyya. Cutar sankarau ta 2020 Covid-19 shine misalin wannan. Bayani.

"Co-cutuwa" an bayyana shi ta kasancewa a lokaci guda a cikin mutum ɗaya na cututtuka masu yawa waɗanda kowannensu ke buƙatar kulawa na dogon lokaci (Haute Autorité de santé HAS 2015 *). 

Wannan kalma sau da yawa yana mamaye ma'anar "polypathology" wanda ya shafi majiyyaci da ke fama da yanayin yanayi da yawa wanda ke haifar da nakasa gabaɗayan yanayin cututtukan cututtukan da ke buƙatar ci gaba da kulawa. 

Tsaron Jama'a yana ma'anar kalmar "Ƙaunar Dogon Lokaci" ko ALD don ɗaukar nauyin kulawa 100%, wanda akwai 30. 

Daga cikinsu akwai:

• ciwon sukari;
• mummunan ciwace-ciwace;
• cututtuka na zuciya da jijiyoyin jini;
• HIV;
• asma mai tsanani;
• cututtuka na hauka;
• da dai sauransu.

Wani bincike na Insee-Credes ya nuna cewa kashi 93% na mutane masu shekaru 70 zuwa sama suna da aƙalla cututtuka biyu a lokaci guda kuma 85% aƙalla uku.

Kasancewar cututtukan haɗin gwiwa yana haɗuwa da polypharmacy (rubutun magunguna da yawa a lokaci guda) wanda zai iya haifar da matsala saboda hulɗar miyagun ƙwayoyi. 

Fiye da kashi 10% na mutane sama da 75 suna shan tsakanin magunguna 8 zuwa 10 kowace rana. Waɗannan su ne galibi marasa lafiya tare da ALD da tsofaffi. 

Ya kamata a lura da cewa wasu lokuta masu tasowa suna haifar da wasu cututtuka na yau da kullum ta hanyar samari irin su ciwon sukari, ciwon hauka ko ciwon daji. 

Cututtukan haɗin gwiwa kuma sun zama ƙarin haɗarin rikitarwa a cikin yanayin rashin lafiya mai tsanani kamar Covid-19 (SARS COV-2) ko mura na yanayi. A gaban cututtukan cututtuka, kwayoyin halitta sun fi sauƙi.

Cututtuka da Coronavirus

Kasancewar cututtukan haɗin gwiwa muhimmin abu ne mai haɗari don rikitarwa yayin kamuwa da cuta tare da SARS COV-2 (COVID 19). Yayin da shekaru ke da mahimmancin haɗari a cikin kanta, kasancewar cututtukan cututtukan zuciya kamar hauhawar jini, tarihin bugun zuciya ko bugun jini na iya haifar da kamawar zuciya ko sabon bugun jini saboda albarkatun kuzarin da jiki ke buƙata don yaƙar coronavirus. Kiba ko gazawar numfashi suma cututtukan haɗin gwiwa ne waɗanda ke ƙara haɗarin rikitarwa daga kamuwa da SARS COV-2 (COVID 19).

Cututtuka da ciwon daji

Magungunan chemotherapy da aka aiwatar a matsayin wani ɓangare na maganin ciwon daji zai inganta abin da ya faru na thromboses (jini) a cikin jini a cikin jini saboda yanayin kumburi na dukan kwayoyin halitta da ke da alaka da kasancewar ciwon daji. Wadannan thrombosis na iya zama sanadin:

• phlebitis;
• ciwon zuciya;
• bugun jini;
• huhu embolism. 

A ƙarshe, ilimin chemotherapy kuma yana iya shafar koda (tsarkakar jini) da aikin hanta da samar da fararen jini da jajayen ƙwayoyin jini, waɗanda ke haifar da rikitarwa.

Mataki na farko shine ba da fifikon jiyya, mai da hankali kan magunguna mafi inganci da guje wa hulɗar magunguna. Wannan shine aikin likitan da ke halartar wanda ya san majiyyacinsa sosai da kuma yadda yake amsa kowane magani. Hakanan yana tabbatar da haɗin kai tsakanin masu ruwa da tsaki daban-daban ta hanyar tambayar, idan ya cancanta, shawarwari da ƙwarewar su. 

Bibiyar likita na yau da kullun yana da mahimmanci don daidaita jiyya ga canje-canjen cututtuka da mahallin su. Likitan da ke halarta kuma dole ne ya kasance a faɗake ga sakamakon zamantakewar zamantakewa na waɗannan cututtuka kamar baƙin ciki, nakasa ko rashin ingancin rayuwa.