Koma mu haw wɔ COVID-19 akyi? Momma yɛnka eyi ho asɛm!

So wo nso woanya COVID-19 na wo ho atɔ wo? Anaasɛ obi a wunim no anya COVID-19 amane? Ade biako a wɔreka ho asɛm pii nnansa yi ne sɛ ebia COVID-19 betumi anya koma no so nkɛntɛnso bi anaa. Eyi yɛ biribi a ɛsɛ sɛ wususuw ho ankasa. Momma yɛnka eyi ho asɛm nkɔ akyiri na yɛnka nnɛ ara kwa, ɛnte saa?

SO COVID-19 betumi de komayare aba?

Yiw, nokwarem no, sɛ wunya COVID-19 a, sɛ ɛyɛ yare a emu nyɛ den anaa nea emu yɛ den kɛse a, ebia asiane a ɛwɔ hɔ sɛ wubenya komayare anaa komayare kɛse mu. Ɛntaa mma paa sɛ mmoawa a ɛma COVID-19 kɔ koma ntini no mu tẽẽ. Nanso ɔhaw ahorow a mmoawa yi de ba nipadua no nyinaa mu no betumi asɛe koma no.

Obi a onnyaa komayare da mpo da so ara tumi nya komayare wɔ COVID-19 akyi. Nanso sɛ wowɔ komayare, anaa koma ne ntini mu yare dedaw a, wowɔ asiane kɛse mu. Na sɛ wowɔ nneɛma a ɛde asiane ba te sɛ mogya mmoroso , asikreyare , kɛseyɛ mmoroso , anaa srade a ɛkɔ soro a, asiane kɛse nso wom sɛ wubenya ɔhaw ahorow a emu yɛ den. COVID-19 tumi ka koma no bere a mmoawa no wɔ nipadua no mu ne bere a wafi nipadua no mu akyi.

Ɔkwan bɛn so na COVID-19 ka wo koma ne ntini nhyehyɛe?

Koma mu haw bi – te sɛ koma ntini a ɛsɛe – betumi aba bere a woanya COVID-19 no. Saa ɔsɛe a ɛba koma ntini no so (myocardial opira) yi yɛ koma mu ntini mu nkwammoaa a ewuwu. Ɛtɔ da bi a nnipa a wɔwɔ saa ɔhaw yi nkyerɛ yareɛ no ho sɛnkyerɛnne biara. Ebia afoforo nso benya sɛnkyerɛnne ahorow te sɛ wɔn koko mu yaw, ahome a ɛyɛ tiaa (dyspnea) , anaa wɔn nan a ɛho ahonhon. Oduruyɛfo betumi de mogya mu nhwehwɛmu ne koma ho mfonini ahu eyi .

Nhwehwɛmufo da so ara rebɔ mmɔden sɛ wobehu nnipa dodow a wɔwɔ COVID-19 a wonya koma ntini mu opira. Sɛ yɛbɛka no tiawa a, wɔbu akontaa sɛ nnipa 7% kɔsi 40% bɛnya saa tebea yi. Ɛtaa ba nnipa a wɔyare araa ma wohia intensive care unit (ICU) hwɛ mu. Sɛ wo koma sɛe a, asiane kɛse wom sɛ wubenya nsɛnnennen bere a wo nipadua ko tia mmoawa no.

Ɔkwan bɛn so na ɔfe a COVID-19 de ba no sɛe koma no?

Nhwehwɛmu kyerɛ sɛ ɔfe ne ade titiriw a ɛde koma sɛe esiane COVID-19 nti. Sɛ wudi kan nya ɔyare no a, wo nipadua mu tumi a ɛko tia nyarewa no yɛ adwuma. Eyi ma nkwammoaa a ɛma ɔhyew ne cytokines fi adi.Nneɛma a wɔfrɛ no cytokines a wɔyɛ. Saa cytokines yi yɛ protein nketenkete a ɛma nipadua no mu tumi a ɛko tia nyarewa no yɛ adwuma. Nokwarem no, ɔfe yi, kyerɛ sɛ, ɔfe, yɛ adeyɛ a yɛn nipadua hia na ɛboa.

Nanso, COVID-19 ma nnipa binom nya ɔfe dodo wɔ wɔn nipadua mu. Wɔfrɛ saa tebea yi cytokine release syndrome anaa ‘cytokine ahum’ . Wɔtaa hu eyi wɔ COVID-19 a emu yɛ den mu. Saa ɔfe a ɛboro so yi betumi asɛe wo koma ne ntini nhyehyɛe wɔ akwan horow pii so. Nhwɛsoɔ:

• Apɔw-mu-teɛteɛ: Saa ɔfe yi betumi asakra anyinam ahoɔden nsɛnkyerɛnne a ɛwɔ koma no mu. Ne saa nti, ebia koma no bɛhwere ne nnyigyei a ɛfata. Sɛ wowɔ arrhythmia dedaw a, saa cytokine ahum yi betumi ama ayɛ kɛse.
• Mogya a Ɛtwetwe: Sɛ ɔfe ka wo mogya ntini no mu ntini (endothelium) a, asiane a ɛwɔ hɔ sɛ mogya bɛtɔ, komayare, anaa ɔyare a ɛma obi hwe ase no yɛ kɛse.
• Myocarditis: Eyi yɛ koma ntini a ɛyɛ hyew. Nnipa a wɔwɔ COVID-19 no wɔ asiane kɛse mu sɛ wobenya komayare sen wɔn a wonni COVID-19.
• Pericarditis: Eyi yɛ ntini a atwa koma no ho ahyia no mu ɔfe. Eyi betumi ama koko ayɛ no yaw na nsu aboaboa ano atwa koma no ho ahyia.
• Koma a Ɛnyɛ Den: Eyi fi nsu a ɛboaboa ano a ɛho nhia ne ɔfe (edema) wɔ ahurututu ne nipadua no mu.

Nnipa a wɔwɔ komayare anaa nneɛma a ɛde asiane ba no wɔ asiane kɛse mu

Nnipa pii a wɔde COVID-19 akɔ ayaresabea no wɔ komayare a ɛda adi. Afei nso, nnipa a wɔwɔ koma ne ntini mu yare no taa nya cytokine storm.

Sɛ wowɔ tebea horow a edidi so yi mu biara a, wowɔ asiane kɛse mu sɛ wubenya ɔhaw ahorow a efi COVID-19 mu:

• Koma a Ɛnyɛ Den
• Atiridiinini a Ɛma Ahurututu Mu Yare (CAD) .
• Koma ne ntini mu yare
• Asaabo mu Yare a Enni Sabea (CKD) .
• Asikreyare (Asikreyare) .
• Mu duru a ɛboro so/Kyeyɛ mmoroso
• Sɛ woadi kan anya akisikuru a
• Mogya mmoroso (Hypertension) .
• Sickle Cell Yare a Ɛyɛ Fɛ
• Thalassemia a ɛwɔ nipadua no mu

So COVID-19 betumi ama obi anya komayare anaa akisikuru?

COVID-19 betumi ama asiane a ɛwɔ hɔ sɛ wobɛnya komayare anaa akisikuru no ayɛ kɛse, titiriw sɛ wɔde wo akɔ ayaresabea a. Nanso nhwehwɛmufo da so ara reyɛ eyi mu nhwehwɛmu. Ɔfe yɛ ade titiriw a ɛde ba wɔ ha nso. Ɛma asiane a ɛwɔ hɔ sɛ mogya bɛtɔ no yɛ kɛse na ɛtew tumi a nipadua no ankasa tumi yi fi hɔ no so.

Sɛ mogya tu a, wo akwaa ahorow a wo koma ka ho no gyae oxygen a wobenya. Sɛ eyi ba a, wowɔ asiane mu sɛ wobɛnya komayare. Ɛno kyerɛ sɛ wo koma nnya mogya a oxygen wom a ɛdɔɔso. Sɛ wosusuw enzyme bi a wɔfrɛ no troponin wɔ wo mogya mu a, ebetumi aboa nnuruyɛfo ma wɔahu sɛ obi anya komayare.

Mma nntwentwɛn wo nan ase sɛ wobɛkɔ ayaresa anaa ayaresa a egye ntɛmpɛ mu.

Nhwehwɛmufoɔ bɛkɔ so asua pii afa COVID-19 ne komayareɛ ho, nanso saa berɛ yi, komayareɛ da so ara rekɔ so wɔ nnipa a wɔnni COVID-19 mu.

"Wɔ ɔyaredɔm no mu no, nnipa pii akwati sɛ wɔbɛkɔ nnuruyɛfo nkyɛn na wɔakɔ ayaresabea. Bere a ɛyɛ ade a ɛfata sɛ wusuro sɛ wubenya COVID-19 de, nanso ɛnsɛ sɛ wotwentwɛn wo nan ase sɛ wobɛhwehwɛ ayaresa. Ɛyɛ ahobammɔ kɛse sɛ wobɛkɔ oduruyɛfo nkyɛn anaa wobɛkɔ ayaresabea sen sɛ wubebu w'ani agu sɛnkyerɛnne ahorow a ebetumi de wo nkwa ato asiane mu no so."

Sɛ wowɔ komayare ho sɛnkyerɛnne a, frɛ 911 (anaa wo mpɔtam hɔ nɔma a egye ntɛmpɛ) ntɛm ara. Ɛho hia sɛ wɔsa wo yare ntɛm na amma wo koma ansɛe bio. Afei nso, mma wo bere a wo ne oduruyɛfo kɔ hɔ daa no nmpa wo ti so. Sɛ wowɔ sɛnkyerɛnne anaa ɔhaw foforo bi a, ka kyerɛ wo duruyɛfo. Sɛ wowɔ COVID-19 a, susuw sɛnea aka wo ho.

So mɛnya komayare nso wɔ COVID-19 akyi?

Nnipa binom nya komayare wɔ COVID-19 akyi. Sɛ woakɔ baabi a wɔhwɛ wɔn a wɔyare denneennen (ICU) anaasɛ woakɔ afiri a wɔde ma mframa mu a , wowɔ asiane kɛse mu . Nanso, nnipa a wɔn ho tɔ wɔn kɛkɛ wɔ COVID-19 mu mpo betumi anya komayare akyiri yi.

Saa ɔhaw ahorow yi betumi aba sɛ wowɔ tebea bi a wɔfrɛ no Long COVID a . Wɔsan frɛ eyi Post-acute coronavirus (COVID-19) syndrome . Sɛ wowɔ Long COVID a, ɛkyerɛ sɛ w’akwahosan nnya nsan nkɔ tebea a na ɛwɔ mu ansa na woreyare no.

Nnuruyɛfo bu adapɛn anan agyiraehyɛde no sɛ ade titiriw a ɛho hia. Sɛ woanya COVID-19 adapɛn nnan na woda so ara rehyia ɔhaw a, ebia wobɛnya COVID a ɛkyɛ. Eyi betumi aka wo wɔ akwan horow so.

Nsɛnkyerɛnne foforo anaa nea ɛkɔ so daa

Nnipa a COVID-19 yare denneennen no betumi anya yare no ho sɛnkyerɛnne foforo anaa nea ɛkɔ so daa. Afei nso, nnipa a wɔwɔ COVID-19 a emu nyɛ den anaasɛ wonni sɛnkyerɛnne biara no betumi anya ɔhaw a ɛkɔ so daa. Ɔbrɛ, ahome a ɛyɛ tiaa, ne ‘amemene mu sum’ ne ɔhaw a ɛtaa ba. Nsɛnkyerɛnne a ebia ɛne wo koma wɔ abusuabɔ no bi ne:

• Koko mu yaw a ɛkɔ soro bere a worehome denneennen no.
• Koma a ɛbɔ denneennen .
• Koma a ɛbɔ ntɛmntɛm (Tachycardia) .
• Adwene a ɛyɛ basaa anaasɛ te nka sɛ ne ti ayɛ hare.
• Ɔhome a ɛyɛ den bere a wɔreyɛ apɔw-mu-teɛteɛ.

Sɛ wowɔ saa sɛnkyerɛnne yi bi a, frɛ wo duruyɛfo ntɛm ara na ka sɛnea wote nka kyerɛ wɔn. Ebia wo duruyɛfo bɛpɛ sɛ ɔyɛ nhwehwɛmu ahorow bi te sɛ electrocardiogram (EKG) anaa echocardiogram de hwɛ sɛnea wo koma no yɛ adwuma.

Nkɛntɛnso a enya wɔ akwaa afoforo nso so

COVID-19 mmoawa no tumi ka akwaa ne nhyehyɛe pii, te sɛ wo koma, w’ahurututu, w’amemene, ne w’asaabo.

SARS-CoV-2 mmoawa no de ne spike protein no bata protein ahorow a ɛwɔ wo nipadua mu a wɔfrɛ no ACE2 receptors ho. Eyinom yɛ protein ahorow a ɛwɔ wo nipadua nyinaa mu, a wo koma ne w’ahurututu mu ka ho. Wohu ACE2 agyefo nso wɔ wo mogya ntini no mu. Eyi ma ɛnyɛ den sɛ SARS-CoV-2 mmoawa no bɛbata wo ACE2 agyefo no ho na ɛtrɛw kɔ akwaa pii mu, na ɛsɛe ade. Nhwɛsoɔ:

• Ahurututu: COVID-19 mmoawa no tumi sɛe w’ahurututu kɛse sen atiridii a ɛtaa ba. Wɔ COVID-19 a emu yɛ den mu no, ahurututu mu ntini betumi ayɛ den na ayɛ akuru (fibrosis) .
• Amemene: COVID-19 tumi sɛe amemene esiane oxygen a enni amemene no mu nti.
• Asaabo: COVID-19 tumi ma w’asaabo ntumi nyɛ adwuma yiye.

Esiane sɛ COVID-19 tumi ka wo nipadua nyinaa nti, ɛho hia sɛ woyɛ ahwɛyiye na woannya mmoawa no. Vaccine a wobɛma no ne ɔkwan a eye sen biara a wobɛfa so abɔ wo ho ne afoforo ho ban. Afei nso, hyɛ akatawia yiye bere a ɛho hia, tena fie sɛ woyare a, na hohoro wo nsa mpɛn pii.

Nkɛntɛnso a ayaresa ne ayaresabea a wɔde wɔn kɔ no nya

Nsɛnnennen a ɛwɔ ayaresa ne ayaresabea a wɔbɛtra bere tenten mu no nyɛ COVID-19 nkutoo. Ebia wobɛte nka sɛ woayɛ mmerɛw na woabrɛ. Anaasɛ ebia wubenya adwenemhaw a ɛba wɔ ahodwiriw akyi (PTSD).Nsɛnkyerɛnne nso betumi ada adi.

Wo ne wo duruyɛfo nkasa mfa sɛnea wote nka ho. Ɛyɛ ade a ɛfata sɛ wobɛte nka sɛ wo ho nyɛ wo den kakra bere a wo ho atɔ wo wɔ COVID-19 mu akyi. Ma wo ho bere ma wo ho tɔ wo na san kɔ wo dwumadi a wotaa yɛ no so. Ɛnyɛ wo nkutoo na wowɔ hɔ. Wo duruyɛfoɔ ne wo bɛyɛ adwuma de asi ɔkwan pa a ɔbɛfa so aboa wo wɔ w’akwantuo a ɛbɛma wo ho atɔ wo no mu.

COVID-19 ho a wobɛnya no yɛ ade kɛseɛ. Nanso ebia ɛsɛ sɛ wudi komayare nso ho dwuma wɔ COVID-19 akyi. Eyi yɛ nokware, na nea ɛhaw wo no yɛ nokware. Nsuro sɛ wubebisa wo duruyɛfo nsɛm afa sɛnea wote nka ho. Hwɛ hu sɛ wubedi wo duruyɛfo nyansahyɛ ahorow akyi pɛpɛɛpɛ, na di bere a woahyɛ no nyinaa so.

Nneɛma bɛn na ɛho hia paa a ɛsɛ sɛ yɛde fi saa asɛm yi mu kɔ fie?

Okay, enti, nneɛma kakraa bi wɔ hɔ a ɛsɛ sɛ wokae fi nea yɛaka ho asɛm nnɛ no mu:

• Sɛ wonya COVID-19 a, sɛ ɛnyɛ den mpo a, ebetumi aka wo koma. Enti hwɛ yare no ho sɛnkyerɛnne ahorow no yiye.
• Sɛ wowɔ tebea bi te sɛ komayare, asikreyare, anaa mogya mmoroso dedaw a, dwen nsɛnnennen a efi COVID-19 mu ba no ho titiriw.
• Sɛ wo koko mu yaw foforo, ɛyɛ den sɛ wobɛhome, anaa wo koma bɔ ntɛmntɛm wɔ COVID-19 akyi a , hwehwɛ aduruyɛfo afotu ntɛm ara.
• Mma nntwentwɛn wo nan ase sɛ wobɛkɔ akɔhwɛ ayaresa. Mmu w’ani ngu yare no ho sɛnkyerɛnne ahorow a egye ntɛmpɛ so.
• Bɔ wo ho ban firi COVID-19 ho denam vaccine a wobɛma wo ne akwahosan ho ahwɛyie foforɔ a wobɛdi akyi so.
• Sɛ worehyia ɔhaw a ɛkɔ so wɔ COVID-19 akyi a, ɛnyɛ wo nko ara. Hwehwɛ aduruyɛ mu afotu ne mmoa.

"Wo koma yɛ agyapade a ɛsom bo sen biara wɔ w'asetra mu. Ɛyɛ w'asɛyɛde sɛ wobɛhwɛ so. Yɛwɔ anidaso sɛ saa nsɛm yi so bɛba wo mfaso. Tena apɔwmuden!"

` Covid, komayare, koma, ɔfe, mogya a ɛtɔ, bere tenten Covid, sɛnkyerɛnne