So COVID-19 kaa w’ahurututu? (COVID-19 Lung Damage) Momma yɛnka eyi ho asɛm nkɔ akyiri!

Wokae bere a COVID-19 gyee wiase no? Saa bere no, yɛn nyinaa de ehu kaa yɛn home. Enti, sɛ saa COVID-19 mmoawa yi hyɛn yɛn nipadua mu a, ebetumi asɛe yɛn ahurututu titiriw. Wɔ nnipa binom fam no, ebetumi de ahurututu mu yare a emu yɛ den anaasɛ ɔhome mu haw aba . Wɔ afoforo fam no, bere a wɔn ho atɔ wɔn mpo no, ebetumi ayɛ den sɛ wɔbɛhome na wɔabrɛ kakra.

Dɛn ne ɔsɛeɛ a COVID-19 de ba ahurututu mu?

Sɛ yɛbɛka no tiawa a, COVID-19 yɛ yareɛ a ɛka ɔhome mu. Sɛ saa mmoawa yi hyɛn yɛn ahurututu mu a, yɛn nipadua mu tumi a ɛko tia nyarewa no fi ase ko tia no. Wɔ saa ɔko yi mu no, ɔfe ba ahurututu no mu. Sɛ wɔanhyɛ saa ɔfe yi so a, ebetumi asɛe yɛn ahurututu mu nkwammoaa a ɛte apɔw no nso. Ɛte sɛ ɔko, sɛ yɛreko atia ɔtamfo a, ɛtɔ da bi a yɛn afã nso pira.

Mpɛn pii no, ɔhome mu nyarewa te sɛ atiridii ne atiridiinini betumi aka ahurututu no akodu baabi. Nanso bere a COVID-19 fii ase trɛwee nea edi kan no, nnuruyɛfo hui sɛ ebetumi ayɛ den ntɛmntɛm paa na asɛe ahurututu no kɛse. Nsɛm bi kyerɛ sɛ mprempren ɔkwan a wɔfa so yɛ, Omicron, no betumi aka ɔhome akwaa a ɛwɔ soro (hwene ne menewa) sen nea atwam no. Nanso, ɛda so ara tumi sɛe ahurututu no na ɛde nsɛnnennen a emu yɛ den ba.

Dɛn ne COVID-19 ahurututu mu yareɛ ho sɛnkyerɛnne?

Sɛ wowɔ COVID-19 a, tebea horow a ahurututu mu asɛe de ba no ho sɛnkyerɛnne betumi ayɛ:

• Ɔhome a ɛyɛ den anaasɛ ahome a ɛyɛ tiaa .
• Ɔbrɛ a wontumi nnyina ano a wɔte nka .
• Huraeɛ .
• Honam ani, anofafa, anaa nsateaa nnadewa a ɛsakra kɔla bruu anaa fitaa (cyanosis) . Eyi ba bere a mogya no nnya mframa pa a ɛdɔɔso no .
• Ahomegye a ɛyɛ ntɛmntɛm na ɛyɛ adwumaden.
• Ɛyaw anaasɛ wo koko a ɛyɛ den a wobɛte nka .

Nanso, sɛ w’ahurututu mu asɛe bere tenten bere a wo ho atɔ wo wɔ COVID-19 mu akyi a, ebia worenhu sɛnkyerɛnne biara. Anaasɛ ebia wobɛte nka sɛ wo home yɛ wo yaw anaasɛ wobrɛ ntɛm, sɛ woyɛ adwuma a emu nyɛ den mpo a. Ɛtɔ mmere bi a, saa sɛnkyerɛnne ahorow yi betumi asɛe nkakrankakra bere a bere kɔ so no.

Adɛn nti na COVID-19 sɛe ahurututu mu?

Ade titiriw nti a ɛte saa ne sɛ yɛn nipadua no mu tumi a ɛko tia nyarewa no yɛ ade boro so . Fa no sɛ, yɛn nipadua mu nkwammoaa a ɛko tia nyarewa no kɔ baabi a mmoawa no adu no na wɔko tia. Ɛno yɛ. Nanso, sɛ saa ɔko yi ntumi nni so, kyerɛ sɛ, sɛ nipadua no mu tumi a ɛko tia nyarewa no yɛ adwuma boro so a, ebetumi asɛe ntini a ɛte apɔw nso.

Sɛ mframa kotoku nketenkete a ɛwɔ yɛn ahurututu mu (a yɛfrɛ no alveoli ) no afasu sɛe na ɛyɛ mmerɛw a, nsu fi ase hyɛ mu ma. Afei mframa ntumi nkɔ mu, na oxygen ntumi nkɔ mogya no mu anaa nipadua no fã a aka no mu.

Saa ɔfe yi nso betumi ama ahurututu mu ntini anaa akuru aba ahurututu no mu. Eyinom betumi agye bere tenten ansa na asa na ɛtɔ mmere bi a ebetumi atra hɔ daa.

Saa ɔsɛeɛ yi tumi si ankasa wɔ ɔhome mu nyarewa foforɔ mu, nanso ɛte sɛ nea ɛyɛ den kɛseɛ wɔ COVID-19 mu. Eyi betumi aba esiane sɛ mmoawa no yɛ yɛn nipadua mu tumi a ɛko tia nyarewa no ho adwuma boro so, na ɛde cytokine ahum ba , sɛ nhwɛso no. Anaasɛ ebetumi aba sɛ esiane sɛ mmoawa no de yɛn ankasa nipadua mu nkwammoaa a ɛko tia nyarewa no di dwuma de tow hyɛ ahurututu no so nti.

Hena na ɔwɔ asiane kɛse sɛ COVID-19 bɛsɛe wɔn ahurututu?

Sɛ wowɔ tebea horow a edidi so yi mu biara a, ɛda adi sɛ wubenya COVID-19 a emu yɛ den na asɛe w’ahurututu:

• Sɛ woadi boro mfe 65 a.
• Sɛ onyinsɛn a .
• Sɛ woyɛ obi a ɔnom sigaret, anaasɛ woanom sigaret bere bi a atwam a.
• Sɛ wɔde akwaa foforo ama wo anaasɛ wɔde ntini mu nkwammoaa foforo ama wo a .
• Sɛ woannom COVID-19 vaccine no a.
• Sɛ wowɔ nipadua mu ahoɔden a ɛko tia nyarewa a ɛyɛ mmerɛw a - eyi betumi afi tebea horow te sɛ kokoram, nnuru bi, HIV yare mmoawa, anaasɛ nipadua mu ahoɔden a ɛko tia nyarewa titiriw mu aba .

Afei nso, sɛ wowɔ akwahosan ho nsɛm a edidi so yi mu biara a, asiane a ɛwɔ hɔ no betumi ayɛ kɛse:

• Kokoram.
• Ahurututu mu nyarewa a ɛtra hɔ kyɛ anaa tebea horow a ɛka ahurututu no, sɛ nhwɛso no, ayamtu, COPD (Chronic Obstructive Pulmonary Disease) , ne cystic fibrosis .
• Tebea horow a ɛka koma, asaabo, mmerɛbo, mogya, anaa amemene.
• Tebea horow a wonya fi awo mu, sɛ nhwɛso no , amemene mu yare anaa Down syndrome .
• Asikreyare (Asikreyare).
• Adwene mu akwahosan ho haw ahorow.
• Obolo.
• Nnubɔne a wɔde di dwuma.

Nsɛnnennen bɛn na ɛwɔ COVID-19 ahurututu mu ɔsɛe mu?

Ɔfe a COVID-19 ne nyarewa afoforo de ba no betumi de nsɛnnennen te sɛ:

• Ahurututu mu yare: Eyi yɛ yare a ɛba ahurututu mu. Wɔ eyi mu no, nsu hyɛ mframa kotoku no ma.
• Ɔhome mu Ahokyere a Ɛyɛ Hu (ARDS):Eyi yɛ tebea a emu yɛ den yiye. Wɔ eyi mu no, nsu hyehyɛ mframa kotoku a ɛwɔ w’ahurututu mu no pii ma, na ɛmma mframa pa nkɔ wo mogya mu.
• Ahurututu mu ntini: Ntini betumi akɔ so atra ahurututu no mu esiane ɔsɛe a ɔfe de ba nti.
• Pulmonary fibrosis: Ahurututu no mmeae a asɛe no betumi ayɛ akuru. Ɛtɔ da bi a, saa akuru yi betumi akɔ so ayɛ kɛse bere a wo ho atɔ wo afi ɔyare no mu mpo akyi.
• Long COVID: Ebia nnipa binom bɛkɔ so anya yareɛ no ho sɛnkyerɛnne asram anaa mfeɛ mpo wɔ COVID-19 a wɔanya no akyi.

Ɔkwan bɛn so na wobetumi ahu sɛ COVID-19 ahurututu mu asɛe?

Oduruyɛfo de mfoniniyɛ mu nhwehwɛmu (e.g., X-ray, CT scan) anaa bronchoscopy (afiri teateaa a wɔde mfoninitwa afiri ahyɛ ahurututu no mu de ahwɛ mu) ahwehwɛ ahurututu mu nneɛma a asɛe. Wɔde nhwehwɛmu afoforo nso bedi dwuma de ahu ɔyare mmoawa te sɛ ahurututu mu yare.

Sɔhwɛ ahorow bɛn na wɔreyɛ?

Ebia nnuruyɛfo bɛyɛ nhwehwɛmu te sɛ eyinom de ahwɛ sɛnea ahurututu no te na wɔahu ɔyare mmoawa:

• Nasal swab: Wɔde cotton swab gye nhwɛsode bi fi wo hwene anaa wo menewa mu de sɔ COVID-19 ne mmoawa afoforo hwɛ.
• Pulse oximetry: Afiri ketewaa bi a wɔde si wo nsateaa so na ɛkyerɛ oxygen dodow a ɛwɔ wo mogya mu. Eyi betumi ama woanya sɛnea w’ahurututu reyɛ adwuma yiye no ho adwene.
• Mfoninitwa: Wɔyɛ koko mu X-ray anaa CT scan de twa ahurututu no mfonini hwɛ sɛ ebia biribi asɛe anaa.
• Mogya mu nhwehwɛmu: Mogya mu nhwehwɛmu boa ma wɔhwɛ sɛ nyarewa bi wɔ hɔ anaa na wɔhwɛ w’akwahosan nyinaa.
• Sputum test: Nea ɛka eyi ho ne sɛ wobɛfa nsu a ɛba bere a woafefe no bi na woahwɛ sɛ ɔyare mmoawa bi wɔ mu anaa.
• Pleural fluid culture: Wɔ sɔhwɛ yi mu no, oduruyɛfo de ade a ɛyɛ tratraa di dwuma de fa nsu no kakraa bi twa w’ahurututu ho hyia de hwɛ sɛ ɔyare mmoawa bi wɔ mu anaa.
• Arterial blood gas test: Saa nhwehwɛmu yi ma nnuruyɛfo hu sɛnea w’ahurututu reyɛ adwuma yiye.
• Bronchoscopy: Wobetumi de ahurututu mu nhwehwɛmu ahwɛ ahurututu no na wɔafa ntini anaa nsu nhwɛsode de akɔ aduruyɛdan mu akɔyɛ nhwehwɛmu.

Ɔkwan bɛn so na wɔsa COVID-19 ahurututu mu yareɛ?

Nokwarem no, pii nni hɔ a wubetumi ayɛ de asiesie w’ahurututu no koraa bere a asɛe awie no. Nanso, nnuruyɛfo betumi aboa wo ma woanya oxygen a wuhia. Sɛ wowɔ ahurututu mu yareɛ anaa ARDS a ɛfiri COVID-19 mu a, wo duruyɛfoɔ bɛtumi akamfo ayaresa a ɛdidi soɔ yi akyerɛ wo:

• Oxygen a wɔde ka ho:W’ahurututu reyɛ adwuma, nanso sɛ wunnya mframa pa a ɛdɔɔso a, wɔbɛma wo mframa pa foforo denam afiri bi a wɔde ahyɛ wo hwene mu anaasɛ akataso a wɔde ahyɛ w’anim so.
• Nsu a wɔde fa ntini mu (IV nsu): Wɔnam IV so de nsu foforo ma na ama nipadua no mu nsu agyae.
• Mfiri a wɔde ma mframa: Sɛ w’ankasa wuntumi nhome a, wɔde wo bɛka mframa a wɔde ma ho.
• Proning: Nea ɛbɛyɛ na w’ahurututu no ayɛ adwuma yiye no, wɔdan wo kɔ wo yafunu so nnɔnhwerew kakraa bi da biara.
• Extracorporeal Membrane Oxygenation (ECMO): Sɛ w’akwaa ntumi nyɛ adwuma yiye a, ebia wɔde wo bɛka afiri bi a egye nkwa a ɛyɛ wo koma ne w’ahurututu adwuma ho.
• Nsu a ɛkɔ w’ahurututu mu: Nea ɛbɛyɛ na oduruyɛfo betumi atew nsu a ɛwɔ w’ahurututu mu no so no, obetumi de catheter anaa oprehyɛn bi adi dwuma de ayi nsu no afi mu.

Nnuruyɛfo nso betumi akyerɛw nnuru te sɛ eyinom de aboa ma wɔako atia ɔyare mmoawa no:

• Nnuru a ɛko tia mmoawa: Nnuru te sɛ Remdesivir anaa PaxlovidTM tumi boa ma wɔko tia COVID-19 yareɛ.
• Corticosteroids: Nnuruyɛfo betumi de steroid anaa nnuru afoforo a ekum ɔyare mmoawa adi dwuma de atew ɔfe so.
• Monoclonal antibodies: Monoclonal antibody ayaresa te sɛ tocilizumab betumi atew ɔfe so anaasɛ esiw ano.
• Nnuru a ekum ɔyare mmoawa: Sɛ wowɔ ɔyare mmoawa bi a ɛka COVID-19 ho a, ebia wo duruyɛfo bɛkyerɛw wo nnuru a ekum ɔyare mmoawa.

Wɔntaa nyɛ ahurututu mu nsakrae wɔ nnipa a COVID-19 asɛe wɔn ahurututu mu bere tenten, kɛse no mu. Afei nso, sɛ ahurututu mu akuru (pulmonary fibrosis) kɔ so yɛ kɛse a, nnuru bi wɔ hɔ a ebetumi ama ayɛ brɛoo.

Sɛ COVID-19 ahurututu mu asɛe a, dɛn na ɛsɛ sɛ mehwɛ kwan?

Sɛ wo nya ahurututu mu yareɛ anaa ARDS firi COVID-19 mu a, ɛbɛhia sɛ wotena ayaresabea hɔ sɛdeɛ ɛbɛyɛ a nnuruyɛfoɔ bɛtumi aboa wo ma woahome kɔsi sɛ wo nipadua bɛnya ahoɔden afiri mmoawa no ho.

Ahurututu mu akuru betumi atra hɔ akyɛ anaasɛ ɛbɛtra hɔ daa. Wɔ tebea horow bi mu no, akuru a ɔyare mmoawa de ba no betumi akɔ so ayɛ kɛse bere a bere kɔ so no, bere a wo sɛnkyerɛnne afoforo no afi hɔ mpo no.

Bere bɛn na ɛsɛ sɛ mekɔ me duruyɛfo nkyɛn?

Sɛ wohu sɛ wowɔ COVID-19 a, bisa wo duruyɛfo ntɛm ara fa nnuru a ekum ɔyare mmoawa a wobɛnom ho. Sɛ wɔnom wɔ nnanu a edi kan bere a yare no ho sɛnkyerɛnne afi ase no mu a, etu mpɔn kɛse.

Sɛ woda so ara wɔ ahome a ɛyɛ den, wobrɛ, anaa sɛnkyerɛnne afoforo a, wo ne wo duruyɛfo nkasa. COVID a ɛkyɛ betumi aboa wo ma wo ho atɔ wo.Ayaresabea ahorow nso wɔ hɔ.

Bere bɛn na ɛsɛ sɛ mekɔ Emergency Department (ETU) ?

Sɛ wowɔ COVID-19 na wowɔ saa nsɛnkyerɛnneɛ a emu yɛ den yi a, kɔ ntɛmpɛ dan mu ntɛm ara, anaa frɛ 1990 (anaa wo mpɔtam hɔ ntɛmpɛ nɔma):

• Ɔhome a ɛyɛ tiaa kɛse anaasɛ ɛyɛ den sɛ ɔbɛhome.
• Kesereneeyɛ.
• Sɛ obi ntumi ntra ase.
• Honam ani, anofafa, anaa nsateaa nnadewa a ɛsakra kɔla bruu.

Nsɛm bɛn na ɛsɛ sɛ mibisa me duruyɛfo?

Ebia ɛbɛyɛ nea mfaso wɔ so sɛ wubebisa wo duruyɛfo nsɛm te sɛ eyinom:

• So ayaresa bi wɔ hɔ a metumi apaw?
• So eyi ankasa betumi asa yare?
• Ɔkwan bɛn so na ɛsɛ sɛ mehwɛ me ho?

So wobetumi asiw COVID-19 ahurututu mu ɔsɛe no ano?

Ɔkwan a eye sen biara a wobɛfa so asiw ahurututu mu ɔhaw ano ne sɛ wobɛkwati sɛ wobɛnya ɔyare mmoawa. Wubetumi ayɛ nea edidi so yi de atew asiane a ɛwɔ hɔ sɛ wubenya COVID-19 a emu yɛ den no so:

• Nya vaccination: Sɛ wobɔ wo ho ban fi COVID-19 ne nyarewa afoforo te sɛ atiridiinini ho a, ebetumi atew asiane a ɛwɔ hɔ sɛ wobɛyare anaa wobɛyare denneennen no so.
• Sigaretnom a wubegyae ne sigaretnom a wobɛkwati: Sigaretnom sɛe w’ahurututu, na ɛkyerɛ sɛ ɛda adi sɛ wubenya nyarewa a ebetumi de tebea horow te sɛ ahurututu mu yare aba.
• Fa samina ne nsu hohoro wo nsa yiye ansa na woadi, adi aduan ho dwuma, ne bere a woakɔ tiafi awie no. Sɛ samina nni hɔ a, fa aduru a wɔde tew nsa a nsa wom di dwuma.
• Kwati sɛ wo ne afoforo bedi nkitaho kɛse na woakyɛ nneɛma .
• Di akwahosan tebea foforo biara a wowɔ ho dwuma, efisɛ ebetumi ama asiane a ɛwɔ hɔ sɛ wubenya COVID-19 no ayɛ kɛse.

Sɛ woyare a, nnuru a ekum ɔyare mmoawa a wobɛnom wɔ nnanu a edi kan a woanya yare no ho sɛnkyerɛnne no mu no betumi aboa ma yare no ansɛe.

Kae sɛ ɔfe yɛ ɔkwan a wo nipadua mu tumi a ɛko tia nyarewa no fa so bɔ wo ho ban. Nanso sɛ ɛyɛ nea wontumi nni so a, ebetumi asɛe ade, te sɛ ahurututu mu ɔsɛe a COVID-19 de ba no. Obiara ntumi nka no pen sɛ hena na ɔbɛyare denneennen na obenya nkɛntɛnso a ɛtra hɔ kyɛ.

Awiei koraa no, nkrasɛm a wode bɛkɔ fie:

COVID-19 nyɛ agodie, me nnamfonom. Ebetumi aka yɛn ahurututu wɔ akwan horow a yɛnhwɛ kwan so. Enti, tra hɔ dwoodwoo sɛnea wubetumi biara. Nya vaccination, di akwahosan ho akwankyerɛ akyi. Sɛ wowɔ sɛnkyerɛnne bi a, mmu w’ani ngu so. Hwehwɛ nnuruyɛfo afotu ntɛm ara. Titiriw sɛ ɛyɛ den ma wo sɛ wobɛhome anaasɛ wo koko yɛ wo yaw a, hwɛ hu sɛ wobɛkɔ oduruyɛfo nkyɛn.

Sɛ wowɔ nsɛmmisa anaa dadwen bi fa COVID-19 ahurututu a ɛsɛe ho a, wo ne oduruyɛfo nkasa. Wobetumi akyerɛkyerɛ sɛnea wobɛtew asiane a ɛwɔ hɔ no so na wɔasa wo sɛnkyerɛnne ahorow no mu. Momma yɛn nyinaa ntra apɔwmuden!

` COVID-19, Ahurututu mu yareɛ, Ɔhome mu haw, Ahurututu mu yareɛ, ARDS, Long COVID, COVID ayaresa