Muchirevo chisinganzwisisiki, kufara kunoreva kuvepo kwehutano humwe chete mumunhu mumwe chete. Semuenzaniso, kana munhu akaonekwa kuti ane chirwere chinokonzera kushungurudzika kwevanhu (SAD) uye chikuru chekuora mwoyo chirwere (MDD) , vanonzi vane comorbid (zvinoreva kuti kune-iripo) kuzvidya mwoyo uye kuora mwoyo kunetseka.
Izwi rokuti comorbidity rakagadzirwa muma1970 neAA
Feinstein, chiremba anozivikanwa weAmerica, uye epidemiologist. Feinstein akaratidzira kufanana nemuenzaniso wekuti vanhu vanotambura ne rheumatic fever, vanowanzotambura nedzimwe zvirwere zvakawanda.
Kurasikirwa Hakusi Kazhinji
Hazvisi zvisizvo kuti vanhu vatambure kubva kune zvinetso zviviri kana zvirwere panguva imwe chete. Kutaura zvazviri, vashandi vezvoutano vanoti huwandu hwevanhu vanotambura nezvirwere zvakawanda huri kuwedzera gore negore. Inenge 80 kubva muzana yemari yekushandisa Medicare muUnited States inopihwa kune vanhu vanotambura nevana kana kupfuura inorwara zvirwere kana zvepfungwa.
Muzvokwadi, vanopfuura 68 muzana yevanhu vakuru vane chirwere chepfungwa chinokonzera kushungurudzika vanewo zvimwe imwe mamiriro ekurapa.
Kuda kunogona kunogona kusanganisira mamiriro ezvinhu apo munhu anogamuchira kurapwa kwechiremba inoteverwa nehutano hwehupfumi hwevanhu, kana inogona kuva dambudziko rimwe rinoteverwa nerimwe dambudziko.
Studies
MuUnited States National Comorbidity Survey, 51 muzana yevarwere vane chirwere chekudengenyeka kukuru kwaivawo nechinetso chekuzvidya mwoyo chimwe chete uye 26 muzana chete yavo vakanga vasina rimwe dambudziko repfungwa.
Zvisinei, mumatambudziko ekutanga ekuvandudzika kwepfungwa yepfungwa, 48.6 muzana yevarwere vane chirwere chekuora mwoyo kukuru uye vane dambudziko rimwe chete rekushungurudzika uye 34,8 kubva muzana yavo vakanga vasina chimwe chirwere chepfungwa.
Tsvakurudzo dzakawanda dzakagumisa kuti kunyadzisa kunowanzove kwakajairika ikozvino kupfuura munguva yakapfuura.
Izvi zvinogona kunge zvakakodzera, muchikamu, kuongorora zviri nani kwehutano hwemagariro evanhu. Mushonga wezvokurapa wakanyanya kufunga nezvekubatana kwemazwi uye kushungurudzika kwepfungwa, uyewo psychosis uye kushandiswa kwemishonga yekushandisa.
Psychiatric Comorbidity
Kusapindira mumashoko ekurapa kunobatanidza nemunhu anotambura nemararamiro maviri ehutano akasiyana kana matambudziko panguva imwechete. Zvisinei, mumagariro evanhu vezvepfungwa, comorbid inogona kureva munhu ane chirwere chakasiyana-siyana apo chiremba chepfungwa haakwanisi kuuya nehumwe hutano hwepfungwa.
Nekudzokorora kwega kweDaagnostic uye Statistical Manual yeMental Disorders (DSM), kufungidzika kwepfungwa kwakave kwakanyanya kune vanhu vakawanda. Vamwe vari munharaunda yezvokurapa vanoti izvi ndezvekuti DSM-V inosanganisira kutsanangurwa kwakanyanya kunoparadzanisa mafungiro emapfungwa uye zviratidzo zvakasiyana zvakasiyana, asi zvakasiyana-siyana zvinongororwa.
Sources:
Mario Maj, The British Journal of Psychiatry Feb 2005, 186, Psychiatric comorbidity ': chiitiko chezvino chekuongorora zvirongwa?
US National Library of Medicine, World Psychiatry. 2004 Feb; 3 (1): 18-23.