Oko sikwaziyo malunga ne-sequelae kunye neempawu ezi-COVID-19 eziqhubekayo

Imfundo yezeMpilo

Kuninzi esingakakuqondi malunga ne-COVID-19, isifo esibangelwe yintsholongwane ye-SARS-CoV-2 eyaqala eWuhan, China, ngo-2019 yaza yajika yaba bubhubhane wehlabathi. Ngenxa yokuba le coronavirus yintsholongwane yenoveli (intsholongwane engakhange ichongwe ngaphambili), oososayensi kunye nabasebenzi bezempilo basekwinqanaba lokuqala lokuqonda iziphumo zalo emzimbeni. Kodwa, uphando olutsha lutyhila ngakumbi yonke imihla.

Indawo enye efumana ingqalelo ngakumbi lixesha elide, okanye iimpawu ezihleliyo (ezibizwa ngokuba yi-sequelae), abanye abantu abanazo kwi-COVID-19 emva kokuchacha kwintsholongwane. Ufanele ukhathazeke kangakanani malunga ne-coronavirus sequelae? Okokuqala, kubalulekile ukuqonda iimpawu zakudala ze-COVID-19.

Zithini iimpawu ze-COVID-19 kwaye zihlala ixesha elingakanani?

Ekuqaleni, ezona mpawu ziqhelekileyo ze-COVID-19 zibandakanya:

• Ifiva
• Khohlela
• Ukuqhawukelwa ngumphefumlo

Iingcali ziye zandiswa kolu luhlu ukubandakanya ezi zalathisi zinokubakho:

• Ubuhlungu bemisipha okanye bomzimba
• Intloko ebuhlungu
• Ukudinwa
• Ukuphulukana nokungcamla (i-ageusia)
• Ukuphulukana nephunga (anosmia)
• Umqala obuhkungu
• Ukuxinana okanye impumlo egobileyo
• Isihlunu okanye ukugabha
• Urhudo

Ezi mpawu ziyavela kwiintsuku ezimbini ukuya kwezili-14 emva kokubhencwa kwintsholongwane , ngokweZiko laseMelika lokuLawula nokuThintela izifo (CDC). Ixesha leempawu linokubakho ukuya kuthi ga kwiiveki ezimbini zamatyala amancinci ukuya kuthi ga kwiiveki ezintandathu okanye nangaphezulu ngamatyala abukhali . Into ebonakalayo, nangona kunjalo, kukuba ezinye izigulana zinokufumana i-coronavirus sequelae, okanye iingxaki ezingapheliyo eziqhubeka ngaphezulu kweli xesha.

Yintoni i-coronavirus sequelae?

I-Sequelae ligama elisetyenziselwa ukuchaza umphumo wesifo, imeko, okanye ukwenzakala. Naluphi na usulelo lwentsholongwane lunokubangela isifo se-post-virus, esibandakanya iimpawu eziqhubekayo (okanye i-sequelae) ixesha elide emva kokuba ulwe nosulelo. Zithini ezo mpawu-kwaye ukuba uya kuzifumana konke-zinokwahluka, kwaye kunokuxhomekeka kubungozi okanye ekuphenduleni komzimba wakho.

I-Sequelae inokuthi ixhaphake ngakumbi kusulelo lwe-coronavirus. Umzekelo, emva kweisifo sokuphefumula esiqatha (SARS) uqhambuko luka-2002-2003, isifundo esinye sifunyenwe ukuba abantu abosuleleke yintsholongwane baxele ukudinwa, ukuba buthathaka kwezihlunu, kunye neengxaki zokulala ukuya kwiminyaka emithathu kamva. Ubungqina bokuqala bubonisa ukuba iimpawu ezifanayo zinokuncamathisela kwizigulana ze-COVID-19 ngokunjalo.

UGqr.Anthony Fauci, umlawuli we-National Institute of Allergy and Infectious Diseases, i-NIH, ebethetha ngomngcipheko we-post-virus syndrome kunye ne-COVID-19. Ngexesha le ikhonfirensi yepresi Uye wabonisa ukuba abantu abaninzi abane-COVID-19 enamava enkungu yengqondo, ukudinwa, ubunzima ekugxileni ekubachaphazeleni iiveki ezininzi emva kokuchacha kwezinye iimpawu.

Uphando lilinganiselwe malunga ne-COVID-19 kunye ne-post-virus syndrome, kodwa ngokwe-a ileta evela kwi Ijenali yoMbutho Wezonyango waseMelika , I-87% ye-143 yezigulana ebezibhedlele eRome, e-Itali, zichaze ukuba ubuncinci bezimpawu zeenyanga ezimbini okanye ezingaphezulu. ingakumbi ukudinwa okanye ukuphefumla nzima.

Ngubani oza kufumana i-coronavirus sequelae?

Kunokuba nzima ukuqikelela ukuba ngubani oza kuba neempawu ezihleliyo, kwaye ngubani ongayi kubakho. Uphando lusavela, kwaye akukho mvumelwano phakathi koogqirha abanyanga abaguli be-COVID-19.

Esikufundileyo malunga ne-SARS-CoV-2, ukuza kuthi ga ngoku, kukuba isifo se-post-virus asiqhelekanga, ngakumbi kwabo balaliswe esibhedlele ngenxa yobukrakra bosulelo lwabo, abo baneemeko esele zikho (okt, isifo seswekile, uxinzelelo lwegazi , njl. SOS yamanye amazwe .

IMagdalena Cadet, MD ,Ingcali ye-rheumatologist yase-New York kunye nabalingane abaya kwi-NYU Langone Medical Centre bathi iya ngaphaya kwabo baneemeko ezinzima. Iingxaki ezihlala ixesha elide azihlali zinxulunyaniswa nezigulana ezinesifo esibuhlungu okanye esibhedlele, utshilo uGqirha Cadet. I-Sequelae yesi sifo ibonwe kubantu abanamatyala amancinci e-COVID-19.

Ngamanye amagama, akukangqinwa ukuba ngubani ochaphazeleka yi-sequelae.

Zithini iimpawu zecoronavirus sequelae?

Ngelixa uninzi lwabantu luya kwenza ukubuyiswa ngokupheleleyo kwi-COVID-19, kukho ezinye iimpawu ezihleliyo ekufuneka abantu bazi ngazo. Okokuqala nokuphambili, kubalulekile ukuba uxele ukuba le yintsholongwane yenoveli (okuthetha ukuba ayizange yabonwa ngaphambili) kwaye siyaqhubeka nokufunda kwaye kuninzi esingakufunda ngayo, utshilo uGqirha Quigley. Oko sikufundileyo ukuza kuthi ga ngoku, iimpawu eziqhubekayo zinokwenzeka kwaye zinokwahluka kumntu ngomntu.

Ezi mpawu zibandakanya:

• Ifiva
• Ukudinwa
• Ubuhlungu bemisipha okanye bomzimba
• Intlungu edibeneyo
• Ubuthathaka
• Ukuqhawukelwa ngumphefumlo
• Kunzima ukugxila (okanye inkungu yengqondo)
• Ukungakwazi ukugxila
• Ukunciphisa imemori
• Isihlunu, isitshisa, okanye ukugabha
• Intloko ebuhlungu
• Kunzima ukulala
• Ukuphulukana ixesha elide lokungcamla okanye kokujoja
• Ukulahleka kweenwele
• Ukungasebenzi kakuhle kwe-Erectile

Ugqirha Cadet uzibone ezi mpawu kwezinye izigulana ze-COVID-19.Abakwazi ukubuyisa amandla abo angaphambili okanye inqanaba lomsebenzi wangaphambi kokhuselo lwe-COVID-19, utshilo. Kukho abantu abanokuba nomonakalo wexesha elide wezintso, amahlwili egazi, okanye ezinye iingxaki zemithambo yegazi kunye nolusu kunye noxinzelelo lwexinzelelo (uxinzelelo lwegazi).

Mna n Ukongeza kwi-post-virus syndrome, i-COVID-19 inokubangela ukonakala komzimba ixesha elide. Ngokomnye uphando , I-COVID-19 inokuba neziphumo ezihlala zihleli entliziyweni. Kuphononongo, lwe-100 yabantu abasandula kuchacha kwi-COVID-19 kwaye bafumana ii-MRIs, i-78 ibonakalise ukubandakanyeka kwentliziyo, kwaye i-60 ibinempawu zokuvuvukala kwe-myocardial; ezazizimeleyo kwiimeko ezazisele zikho. Ubungqina bubonisa ukuba i-COVID-19 ingakhokelela kumonakalo ongapheliyo kwimiphunga, kubandakanya i-post-COVID fibrosis.

Iza kuhlala ixesha elingakanani i-coronavirus sequelae?

Kusenokwenzeka ukuba kusekutsha kakhulu ukuxelela. Ngelishwa, ukubakho kunye nexesha lokufumana iimpawu eziqhubekayo, phakathi kwabo banesivumelwano se-COVID-19 kwaye bayachacha, phantse akunakwenzeka ukuba uqikelele, utshilo uGqirha Quigley. Nangona kunjalo, uthi ngolunye usulelo lwentsholongwane abo bafumana [i-post-virus syndrome] ngokubanzi bayaphucuka ekuhambeni kwexesha.

Yintoni ebangela i-coronavirus sequelae?

Zininzi iimfihlakalo ezisajikeleze iziphumo zesifo secoronavirus, kodwa abaphandi kunye nososayensi baqala ukwenza uqikelelo malunga nokuba kutheni usulelo lwe-SARS-COV-2 lunokuchaphazela abanye abantu mbi kakhulu kunabanye, kwaye kubonakala ngathi inokuba yonxibelelwano nokudumba okunokubangelwa yi-COVID-19.

Oososayensi ngoku bayazi ukuba i-SARS-COV-2 isebenzisa iproteyini ecekeceke inwebu yayo ukuze inxibelelane kwaye ibophele kwii-ACE 2 receptors, ezinokuthi zibonakale emiphungeni, entliziyweni nakwimithambo eyahlukeneyo yokuphendula ngokukrala, utshilo uGqirha Cadet . Le mpendulo yokuvuvukala inokubangela iingxaki ezininzi emzimbeni. Xa impendulo yokuvuvukala ikwi-overdrive, isiqhwithi se-cytokine sinokubangela ii-cytokines ezininzi okanye iikhemikhali ezinokubangela ukuba iiseli zomzimba zomzimba zijolise kwizicubu ezisempilweni nakwizitho ezikhokelela kumonakalo ngamanye amaxesha ukufa.

Kubonakala ngathi kunokubakho unxibelelwano phakathi kwe-sequelae kunye noku kudumba. Kukho ubungqina bokuqala bokuba iimpawu eziqhubekayo kusulelo lwe-COVID-19 zinakoube sisiphumo sokuphendula komzimba, uGqirha Quigley uthi.

Ukuvuvukala kunokuchaphazela amalungu amakhulu, njengentliziyo kunye nemiphunga, ngokunjalo.Kuba ii-receptors ze-ACE 2 entliziyweni zichaphazeleka yile ntsholongwane, ukudumba kwentliziyo yemisipha kunokwenzeka, utshilo uGqirha Cadet. Abanye abantu bachaza ukubetha kwentliziyo, ukubetha kwentliziyo okukhawulezayo (tachycardia), ukubetha kwentliziyo okungaqhelekanga okanye uxinzelelo lwesifuba.

Kuhlala kungacaci ukuba kutheni amajoni omzimba abanye abantu ephendula ngale ndlela. Siyazi ukuba le mpendulo iyahluka ngokuxhomekeka kwizinto ezininzi (umgcini), uGqirha Quigley uthi. Ngokubanzi, impendulo yomzimba kumhlaseli welinye ilizwe kukuvelisa impendulo yokuvuvukala. Inxalenye yokuhla kweziganeko kubandakanya ukukhutshwa kwee-cytokines, egazini, ezihambisa iimpendulo zomzimba ezichasene nomhlaseli welinye ilizwe (intsholongwane). Kwimeko apho abalamli abawela isithintelo sobuchopho egazini kwaye baqokelele kwinkqubo ye-nervous system, banokuthi basebenzise iindawo zokuqala zolawulo lobuchopho, zikhokelele kuninzi lweempawu ezibonwe kwi-post-virus syndrome. Oku kwaqwalaselwa nakwizigulana ezikhethiweyo ezazifumana i-SARS ngexesha lokuqhambuka ngo-2002-2003.

Kufuneka wenze ntoni xa ufumana i-coronavirus sequelae?

Ukuba uqhubeka nokufumana iimpawu eziqhubekayo ezivela kwi-COVID-19 ekuxhalabisayo, kukho amanyathelo onokuwathatha. Kwi-post-virus syndrome, unyango lujolise ekulawuleni iimpawu zakho kwaye lunokubandakanya:

• Ukuthomalalisa iintlungu ekhawuntareni njenge UTylenol okanye ibuprofen
• Ukutya ukutya okunempilo kunye nokutya okusempilweni
• Ukufumana ubuthongo obuninzi kunye nokuphumla emini njengoko kufuneka
• Ukuziqhelanisa neendlela zokuphumla ezinje ngeyoga, unyango lokuthambisa kunye nokucamngca

Ukugcina incoko evulekileyo kunye nomboneleli wakho wezempilo kubalulekile, ngakumbi ngakumbi kwiimpawu ze-COVID-19 ezihlala zihleli. Kubalulekile ukuba unosulelo lwe-COVID-19 ukugcina ixesha lokudibana kunye nabahlohli bakho kunye nezinye iingcali, kubandakanya ugqirha wentliziyo, ugqirha wamaphaphu, ugqirha wemithambo-luvo, ugqirha wegazi, kunye nomzimba, ugqirha Cadet ucebisa.

Uninzi lwabantu abavavanya ukuba banayo i-COVID-19 bayakwenza ukubuyela ngokupheleleyo kwaye banokulindela ukuba bazive ngcono xa intsholongwane iqhubile. Ukuba ucinga ukuba uneempawu ezihleliyo, zilandelele kwaye uzixele kugqirha wakho.