Ngokwemigca elula, ukunyaniseka kubhekisela ebukhompini obungaphezu kweyodwa kumntu ofanayo. Ngokomzekelo, ukuba umntu ufumanisa ukuba unesifo soxinzelelo lwezenhlalakahle (SAD) kunye nengxaki enkulu yokudandatheka (MDD) , kuthiwa zine-comorbid (intsingiselo ekhoyo) ukukhathazeka nokukhathazeka.
Ixesha elidityanisiweyo liye lahlanganiswa ngowe-1970 ngu-AR
UFeinstein, ugqirha owaziwayo waseMerika, kunye ne-epidemiologist. UFeinstein wabonisa ukungabi nantoni ngomzekelo wendlela abantu abahlupheke ngayo i-rheumatic fever, nabo bahlala behlushwa izifo ezininzi.
Ukunyaniseka akuqhelekanga
Akuqhelekanga ukuba abantu bahlupheke ngeengxaki ezimbini okanye izifo ngokukhawuleza. Enyanisweni, abaqeqeshi bempilo bathi inani labantu ababhekene nezifo ezininzi landa ngonyaka. Phantse iipesenti ezingama-80 ze-Medicare imali e-United States zinikezelwa kubantu abaneziganeko ezine okanye ezingapheliyo zonyango okanye zeengqondo.
Enyanisweni, ngaphezu kweepesenti ezingama-68 zabantu abadala abanengxaki yokuxhalaba kwentlalo banokunye ubuncinane kwimeko ethile yezokwelapha.
Ukuxhatshazwa kunokubandakanya imeko apho umntu efumana ukuxilongwa kwezonyango ezilandelwa yintlupheko yokuxhalabisa abantu, okanye ingaba sisifo esisodwa esilandelwa esinye isifo.
Studies
Ku-US National Comorbidity Survey, ama-51 eepesenti zezigulane ezinokuxilongwa kwengcinezelo enkulu zine-least one disorder illness and only 26 percent of them had no other disorder disorder.
Nangona kunjalo, kwiiNqanaba zokuPhuhliswa koPhuhliso lweSifo seNtliziyo, ama-48.6 eepesenti zezigulane ezinokuxilongwa kwengcinezelo enkulu zinesifo esisodwa kunye neengxaki ezingama-34.8 zazingenayo enye ingxaki yengqondo.
Uphando oluninzi luye lwagqiba ukuba ukuxhatshazwa kweyona nto ixhaphakileyo ngakumbi kunoko ngaphambili.
Oku kunokwenzeka, ngenxa yecandelo, ukuba kuhlolwe ngakumbi ukukhathazeka kwezentlalo. Inqanaba lonyango lijolise kakhulu kwingqalelo yokubambisana kunye neengxaki zokuxhalabisa, kunye neengqondo zengqondo kunye nokuphazamiseka kwezidakamizwa.
Ukuxhatshazwa kweengqondo
I-Comorbid ngokwemigqirha yezokwelapha ihambelana nomntu obandezelekayo kwiimeko ezimbini zonyango okanye ukuphazamiseka ngexesha elinye. Nangona kunjalo, kwintlalo yesifo sengqondo, i-comorbid ingabhekisela kumntu obhekene neempawu ezininzi apho umfo-mpilo akakwazi ukufumana ukuxilongwa kwesifo sengqondo.
Ngomhla wokuhlaziywa ngamnye kweNcwadana yokuHlola kunye neSatistim of Disabilities (DSM), ukuxhatshazwa kwengqondo kuye kwaqhelekileyo kubantu bonke. Abanye kwilizwe lezonyango bathi le nto kukuba i-DSM-V ibandakanya iinkcazo eziphuculweyo ezahlula iziphathamandla zengqondo kunye neempawu zibe zihluke kakhulu, kodwa ziyahlukileyo.
Imithombo:
U-Mario Maj, i-British Journal ye-Psychiatry Feb 2005, 186, i-Psychiatric comorbidity ': i-artefact yeenkqubo zokuxilonga zangoku?
ILayibrari yeSizwe ka-US yamayeza, i-World Psychiatry. 2004 Feb; 3 (1): 18-23.