Ðe COVID-19 Gblẽ Ðe Wò Aklãwo Ŋua? (COVID-19 Lung Damage) - Mina Míadzro eme le Nirogi Lanka

Èɖo ŋku ɣeyiɣi si me COVID-19 gblẽ nu le xexeame katã ŋua? Le ŋkeke mawo me la, mí katã míenɔa agbe kple dzimaɖitsitsi ɣesiaɣi ɖe gbɔgbɔ ɖesiaɖe si míegbɔna ŋu. Ne COVID-19 dɔlékuia ge ɖe wò ŋutilã me la, ate ŋu agblẽ nu geɖe, vevietɔ na wò lãkusiwo. Le ame aɖewo gome la, esia ate ŋu ahe nɔnɔme sesẽwo abe aklãdɔ alo gbɔgbɔtsixetsixe kpata ene vɛ . Ne dɔnɔ geɖe haya gɔ̃ hã la, dzesi siwo nɔa anyi didi abe gbɔgbɔtsixetsixe kple ɖeɖiteameŋu atraɖii ene yia edzi nɔa wo ŋu. Le Nirogi Lanka la, míele afisia be míado alɔ wò hayahaya; ne ètsi dzi ɖe wò gbɔgbɔtsixe ƒe lãmesẽ ŋu la, taflatse yi wò ɖɔkta gbɔ alo te ɖe dɔwɔƒe siwo kpɔa nudzɔdzɔ kpatawo gbɔ enumake ne gbɔgbɔtsixe tsia ƒowò vevie.

Nukae nye nusi COVID-19 gblẽna le wò lãkusiwo ŋu?

Kpuie ko la, COVID-19 nye gbɔgbɔmedɔléle. Ne dɔlékuia ge ɖe wò lãkusiwo me la, wò dɔlélenutsiŋutete dzea ametakpɔnu sesẽ aɖe gɔme. Aʋa sia hea abi vɛ le lãkusiwo me. Ne womete ŋu ɖu dɔdzẽ sia dzi o la, ate ŋu agblẽ nu le wò lãkusi si le lãmesẽ me ŋu—abe alesi wògblẽa nu le wò lãkusi me le dzrewɔwɔ me ene.

Togbɔ be gbɔgbɔmedɔléle geɖe siwo bɔ ate ŋu agblẽ nu le lãkusiwo ŋu hã la, ɖɔktawo de dzesii be COVID-19 ate ŋu adzi ɖe edzi kabakaba, si agblẽ nu le lãkusiwo ŋu vevie. Togbɔ be nyatakaka siwo ku ɖe vovototo siwo le abe Omicron ene ŋu ɖee fia be wodina be yewoakpɔ ŋusẽ ɖe gbɔgbɔtsixe ƒe akpa si le etame (ŋɔti kple ŋɔti) dzi wu hã la, vovototo siawo ate ŋu agblẽ nu le lãkusiwo ŋu eye woahe kuxi sesẽwo vɛ kokoko.

Nukae nye COVID-19 ƒe lãkusi ƒe gbegblẽ ƒe dzesiwo?

Ne COVID-19 le ŋuwò fifia la, nɔ ŋudzɔ ɖe dzesi siawo siwo fia be aɖuɖɔtoe me dɔléle ate ŋu adze ŋuwò la ŋu:

• Gbɔgbɔtsixe alo gbɔgbɔ sesẽ.
• Ðeɖiteameŋu si gbɔ eme .
• Asrã si nɔa anyi ɖaa .
• Cyanosis: Dzesi si le blɔ alo ɣie le wò ŋutigbalẽ, nuyiwo, alo asibidɛwo ŋu, si fia be oxygen ƒe agbɔsɔsɔ si le wò ʋu me dzi ɖe kpɔtɔ afɔkutɔe.
• Gbɔgbɔ kabakaba, si me wowɔa dɔ sesĩe le.
• Akɔtave alo eƒe tete.

Taflatse mide dzesii be ne èhaya tso COVID-19 me gɔ̃ hã la, àte ŋu akpɔ nusiwo gblẽ le ŋuwò ɣeyiɣi didi evɔ dzesi aɖeke manɔ ŋuwò enumake o. Le go bubu me la, àte ŋu ade dzesii be kamedede fafɛ gɔ̃ hã nana ya ƒoa ya alo ɖeɖi tea ŋuwò bɔbɔe. Dzesi siawo ate ŋu agblẽ ɖe edzi ɣeaɖewoɣi le ɣeyiɣi aɖe megbe.

Nukatae COVID-19 gblẽa nu le lãkusi ŋu?

Fɔɖila vevitɔe nye dɔlélenutsiŋutete ƒe dɔwɔwɔ fũ akpa . Togbɔ be enyo be wò dɔlélenutsiŋutete ƒe lãmenugbagbeviwo naƒu du awɔ avu kple dɔlékuia hã la, aʋa sia ate ŋu azu nusi dzi womate ŋu aɖu o. Ne dɔlélenutsiŋutete wɔ nu wògbɔ eme la, edzea lãmenugbagbevi siwo le lãmesẽ me dzi le manyamanya me.

Ne wò ya kotoku sue siwo woyɔna be alveoli , ƒe gliwo gblẽ la, ate ŋu ana tsi naƒo ƒu. Esia xea mɔ na ya megena ɖe eme o, si wɔnɛ be ɔksidzin mete ŋu ɖoa wò ʋukawo kple wò ŋutilã ƒe akpa mamlɛa gbɔ o.

Dɔdzẽ sia ate ŋu ana aklã me ʋukawo alo abi naxɔ hã , si ate ŋu axɔ ɣeyiɣi didi hafi wòahaya eye le go aɖewo me la, ate ŋu ava nɔ anyi ɖaa.

Togbɔ be gbɔgbɔmedɔléle bubuwo ate ŋu agblẽ nu ma tɔgbe hã la, edze abe afɔkua lolo wu le COVID-19 gome ene. Esia ate ŋu atso dɔlékuia ƒe dɔlélenutsiŋutete ƒe dɔwɔwɔ sesẽwo abe cytokine ahomya ene alo mɔ tɔxɛ si dzi dɔlékuia zãa wò ŋutɔ wò dɔlélenutsiŋutete ƒe lãmenugbagbeviwo tsɔ gena ɖe wò lãkusiwo me gbɔ.

Amekawoe le afɔku gã me be woaxɔ COVID-19 ƒe lãkusi ƒe gbegblẽ?

Àte ŋu anɔ afɔku gã aɖe me be nàxɔ COVID-19 sesẽwo kple lãkusi me kuxiwo ne ège ɖe hatsotso siwo gbɔna dometɔ aɖe me:

• Ƒe 65 alo esi wu nenema.
• Fɔfu .
• Atamanola fifia alo amesi noa atama tsã.
• Ame si wodo ŋutinu alo lãmenugbagbevi si wotsɔ do lãmenugbagbeviwo na ame .
• Womedo atike na COVID-19 o.
• Dɔlélenutsiŋutete ƒe dɔmawɔmawɔ nyuie nanɔ asiwò le kansa, atike tɔxɛwo, HIV dɔlékui, alo dɔlélenutsiŋutete ƒe gbɔdzɔgbɔdzɔ gbãtɔ ta .

Wò afɔkua ate ŋu adzi ɖe edzi hã ne lãmesẽkuxi siwo li xoxo, abe:

• Kansa.
• Aɖuɖɔtoedɔléle siwo nɔa anyi didi abe asrã, COPD , alo cystic fibrosis ene .
• Nɔnɔme siwo gblẽa nu le dzi, ayiku, aklã, ʋu, alo ahɔhɔ̃ ŋu.
• Nɔnɔme siwo wodzina abe ahɔhɔ̃mekawo ƒe dɔmawɔmawɔ nyuie alo Down syndrome ene .
• Suklidɔ ƒe Dɔléle.
• Susu ƒe lãmesẽkuxiwo.
• Amidada.
• Atike muamewo zazã ɖe mɔ gbegblẽ nu ƒe nyawo.

Nukawoe nye kuxi siwo COVID-19 ƒe lãkusi gblẽna le ame ŋu?

Dzoxɔxɔ si COVID-19 kple dɔlékui evelia hena vɛ ate ŋu ahe kuxi sesẽwo vɛ, siwo dometɔ aɖewoe nye:

• Aklãdɔ: Aɖuɖɔtoedɔléle si me ya kotokuawo yɔ fũ kple tsi.
• Acute Respiratory Distress Syndrome (ARDS): Nɔnɔme sesẽ aɖe si me tsi si kaka ɖe yakotokuwo me xea mɔ na oxygen be wòagage ɖe wò ʋu me o.
• Aklã ƒe ʋuʋudedi: Teƒe siwo lãmeka siwo gblẽ le siwo susɔ le dɔdzẽ megbe.
• Aklã me fibrosis: Abi si nɔa lãkusia ŋu tegbee, si ate ŋu agblẽ ɖe edzi ɣeaɖewoɣi ne dɔlékuia kɔ gɔ̃ hã.
• COVID didi: Dzesi siwo nɔa anyi ɖaa siwo ate ŋu anɔ anyi ɣleti geɖe alo ƒe geɖe gɔ̃ hã le dɔlélea xɔxɔ zi gbãtɔ megbe.

Aleke wokpɔa COVID-19 ƒe lãkusi ƒe nugbegblẽ le ame ŋu?

Be wò ɖɔkta nanya nenye be wò lãme gblẽ la, anɔ eme be azã nɔnɔmetatawo dodokpɔ (abe X-ray alo CT scan ene) alo awɔ bronchoscopy (dɔdamɔnu si me wofiaa mɔ mɔ̃ tsɛ aɖe si te ŋu trɔna bɔbɔe si ŋu fotoɖemɔ̃ le yia wò yaƒoƒomɔ̃wo me). Woate ŋu azã dodokpɔ vovovowo hã le nudokpɔƒe atsɔ ade dzesi dɔlékuiwo abe aklãdɔ ene.

Dodokpɔ kawoe nàto?

Wò lãmesẽnyawo gbɔ kpɔha ate ŋu awɔ dodokpɔ siwo gbɔna atsɔ ada wò lãkusi ƒe dɔwɔwɔ kpɔ ahakpɔe ɖa be dɔlékuiwo le ŋuwò hã:

• Nasal swab: Wozãa aŋɔ falɛfalɛ tsɔ xɔa kpɔɖeŋu tso wò ŋɔti alo ŋɔti me tsɔ doa COVID-19 kple dɔlékui bubuwo ƒe anyinɔnɔ kpɔna.
• Pulse oximetry: Mɔ̃ sue aɖe si wotso ɖe wò asibidɛ ŋu dzidzea oxygen ƒe agbɔsɔsɔ le wò ʋu me, si naa nèsea alesi wò lãkusiwo le oxygen tsɔm na wò nyuie la gɔme.
• Nɔnɔmetatawo ɖeɖe: Wozãa akɔta ƒe X-ray alo CT scan tsɔ léa wò lãkusi ƒe nɔnɔmetatawo be woakpɔ nusiwo ate ŋu agblẽ alo abi si ate ŋu ado tso eme la le susu me.
• Ʋudodokpɔ: Esiawo kpena ɖe wò ƒuƒoƒoa ŋu be woalé ŋku ɖe dɔlékui ƒe dzesiwo ŋu eye woada wò lãmesẽ ƒe nɔnɔme bliboa kpɔ.
• Aɖuɖɔtoe dodokpɔ: Wodaa tsi si nèkɔna ƒe kpɔɖeŋu aɖe kpɔna be woakpɔ dɔlékui ƒomevi aɖewo koŋ.
• Pleural fluid culture: Le dɔ sia wɔwɔ me la, wò ɖɔkta zãa aŋe nyui aɖe tsɔ ƒoa tsi sue aɖe nu ƒu tso teƒe si ƒo xlã wò lãkusi be yeadoe kpɔ be dɔlékui le ŋuwò hã.
• Ʋukawo me ʋu ƒe gas dodokpɔ: Ʋudodokpɔ sia naa wò ɖɔkta kpɔa nyatakaka siwo de pɛpɛpɛ ku ɖe alesi wò lãkusiwo le ya ɖɔlim nyuie ŋu.
• Bronchoscopy: Esia wɔnɛ be wò ɖɔkta te ŋu léa ŋku ɖe wò yaƒoƒomɔ̃wo ŋu kple ŋku eye wòƒoa lãkusi alo tsi ƒe kpɔɖeŋuwo nu ƒu hena dodokpɔ le nudokpɔƒe.

Aleke wokpɔa COVID-19 ƒe lãkusi ƒe nugbegblẽ gbɔe?

Togbɔ be mɔ aɖeke meli si dzi woato atrɔ asi le lãkusi ƒe gbegblẽ si woɖo anyi ŋu keŋkeŋ o hã la, míaƒe ƒuƒoƒo si le Nirogi Lanka ate ŋu ana kpekpeɖeŋu vevi si wò ŋutilã hiã be wòahaya. Ne aklãdɔ alo ARDS dze dziwò le COVID-19 ta la, wò atikewɔwɔ ƒe ɖoɖoa ate ŋu anye:

• Oxygen kpeɖeŋutɔ: Ne wò lãkusiwo le agbagba dzem be yeana oxygen si sɔ la, míezãa aɖuɖɔtoe alo motsyɔnu tsɔ kpena ɖe wò gbɔgbɔ ŋu.
• IV-tsi: Wodoa esiawo be tsi nanɔ ŋuwò eye wò ŋutilã nada asɔ vevie.
• Mɔ̃ɖaŋununya ƒe yaƒoƒo: Ne wò ŋutilã mete ŋu le gbɔgbɔm le eɖokui si o la, yagbɔgbɔmɔ̃ aɖe axɔ wò lãkusiwo ƒe dɔwɔwɔ esime nèle hayahayam.
• Proning: Wò dada ɖe wò dɔgbo dzi gaƒoƒo geɖe gbesiagbe ate ŋu akpe ɖe wò lãkusiwo ŋu wòakeke eye wòawɔ dɔ nyuie wu.
• ECMO (Extracorporeal Membrane Oxygenation): Le nɔnɔme sesẽwo me la, mɔ̃ sia si doa alɔ agbe la wɔa wò dzi kple lãkusi ƒe dɔ, si wɔnɛ be wogbɔna ɖe eme hedaa gbe le wo ŋu.
• Lãmetsi ƒe dodo:Ne tsi ƒo xlã wò lãkusiwo la, wò ɖɔkta ate ŋu azã catheter alo amekoko aɖe atsɔ aɖee ɖa.

Gakpe ɖe eŋu la, wò atikewɔlawo ƒe ƒuƒoƒo ate ŋu aŋlɔ atike siwo akpe ɖe wò ŋutilã ŋu wòawɔ avu kple dɔlékuia:

• Dɔlékuiwutikewo: Wozãa atikewo abe Remdesivir alo PaxlovidTM ene tsɔ xea mɔ na dɔlékuia tẽ.
• Corticosteroids: Wozãa esiawo tsɔ ɖea dɔdzẽ dzi kpɔtɔna eye wokpɔa wò dɔlélenutsiŋutete ƒe dɔwɔwɔ dzi.
• Dɔlékuiwutike siwo nye monoclonal antibodies: Atikewɔwɔwo abe tocilizumab ene kpena ɖe ame ŋu be dɔdzẽ ƒe ŋuɖoɖo siwo gblẽa nu le ame ŋu dzi ɖena kpɔtɔna.
• Dɔlékuiwutikewo: Ne dɔlékui evelia ƒe dɔléle aɖe na wò COVID-19 dɔlélea sesẽ la, wò ɖɔkta aŋlɔ dɔlékuiwutike siwo sɔ na wò.

Le nɔnɔme siwo mebɔ o, siwo nu sẽ ŋutɔ siwo gblẽa nu le ame ŋu ɣeyiɣi didi me la, woate ŋu abu lãkusi dodo na ame ŋu. Tsɔ kpe ɖe eŋu la, ne aklã me ʋu ƒe sisi (aɖuɖɔtoe me abi) dze dziwò la, atike tɔxɛ aɖewo li siwo akpe ɖe ŋuwò nàɖe eƒe ŋgɔyiyi blewu.

Nukae wòle be nàkpɔ mɔ na ne COVID-19 ƒe lãkusi gblẽ?

Ne aklãdɔ alo ARDS dze dziwò tso COVID-19 gbɔ la, ate ŋu ahiã be nànɔ kɔdzi afisi míate ŋu ana gbɔgbɔtsixe ƒe kpekpeɖeŋu le esime wò ŋutilã le avu wɔm kple dɔlékuia.

Aklã ƒe abi ate ŋu anɔ anyi eteƒe nadidi alo anɔ anyi ɖaa ɣeaɖewoɣi. Le go aɖewo me la, ne dɔléle sesẽa va yi gɔ̃ hã la, abi ate ŋu ayi edzi anɔ tɔtrɔm le ɣeyiɣi aɖe megbe, eye míaƒe ƒuƒoƒoa awɔ dɔ kpli wò akpɔ wò dzesi siwo yi edzi la gbɔ.

Ɣekaɣie wòle be nàkpɔ wò ɖɔkta?

Ne èdo COVID-19 kpɔ la, te ɖe wò ɖɔkta ŋu kaba ne miadzro eme nenye be dɔlékuiwutikewo sɔ na wò. Dɔdamɔnu siawo wɔa dɔ wu ne wodze egɔme le ŋkeke atɔ̃ gbãtɔ siwo me dzesiawo dze egɔme me.

Ne gbɔgbɔtsixe tsi ƒowò, ɖeɖi te ŋuwò vevie, alo dzesi bubu siwo nɔa anyi ɖaa le ŋuwò la, taflatse do asi ɖe wò ɖɔkta gbɔ. Míele afisia be míado alɔ wò hayahaya, eye Long COVID dɔdaƒe tɔxɛwo li be woakpe ɖe ŋuwò.

Ɣekaɣie wòle be nàyi Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ?

Ne COVID-19 le ŋuwò eye dzesi sesẽ siwo gbɔna la dometɔ aɖe dze ŋuwò la, taflatse di beléle kpata enumake to yiyi ɖe xɔ si me wowɔa dɔ kpata le si te ɖe ŋuwò me alo ƒo ka na 911:

• Gbɔgbɔtsixe sesẽ alo gbɔgbɔ sesẽ.
• Tɔtɔ kpata.
• Ŋutete manɔanyi be woanɔ ŋudzɔ alo nyɔnyrɔ̃ sesẽna.
• Amadede blɔtɔ le wò nuyiwo, ŋutigbalẽ, alo ɖa ƒe abawo ŋu.

Nya kawoe wòle be mabia nye ɖɔkta?

Ate ŋu aɖe vi ŋutɔ be nàbia nya siawo wò lãmesẽdɔwɔla:

• Nukawoe nye atikewɔmɔnu siwo li na nye nɔnɔmea?
• Ðe esia nye nane si ate ŋu akpɔ egbɔ le eɖokui sia?
• Afɔ kawoe wòle be maɖe atsɔ alé be na ɖokuinye le aƒeme?

Àte ŋu axe mɔ ɖe COVID-19 ƒe lãkusi ƒe gbegblẽ nua?

Mɔ nyuitɔ kekeake si dzi woato axe mɔ ɖe lãkusi ƒe gbegblẽ nue nye be woaƒo asa na dɔlékuiwo xɔxɔ kura. Be nàɖe afɔku si le eme be nàxɔ COVID-19 sesẽ dzi akpɔtɔ la, bu afɔɖeɖe siawo ŋu:

• Nɔ atikewɔmɔnu yeyewo nyam: Ne èdo atike na COVID-19 kple asrãdɔ la, eɖea wò dɔléle sesẽ alo kɔdziyiyi ƒe afɔkua dzi kpɔtɔna ŋutɔ.
• Dzudzɔ atamanono eye nàƒo asa na atamanono: Sigaretnono gblẽa nu le wò lãkusi ŋu eye wònana dɔlékuiwo abe aklãdɔ ene ate ŋu adze dziwò bɔbɔe.
• Wɔ asi dzadzɛnyenye nyuie: Klɔ asi nyuie kple adzalẽ kple tsi hafi nàɖu nu kple le nugododeƒea zazã vɔ megbe. Ne adzalẽ meli o la, zã asikɔklɔtike si me aha le.
• Seɖoƒe na kadodo kplikplikpli: Ƒo asa na kadodo kplikplikpli si mehiã o kple ame bubuwo eye nàƒo asa na ame ŋutɔ ƒe nuwo mamã.
• Dzra lãmesẽ ƒe nɔnɔme siwo le ete dzi: Na lãmesẽnya siwo nɔa anyi didi la nanɔ anyi, elabena woate ŋu ana COVID-19 ƒe kuxi sesẽwo ƒe afɔku nadzi ɖe edzi.

Ne dɔlékuia dze dziwò la, dɔlékuiwutikewo zazã gɔmedzedze le ŋkeke atɔ̃ gbãtɔ siwo me dzesiawo dze egɔme me ate ŋu akpe ɖe ŋuwò nàxe mɔ ɖe dɔlélea nu be wòagasẽ o.

Taflatse ɖo ŋku edzi be dɔdzẽ nye wò ŋutilã ƒe dzɔdzɔme dɔlélenutsiŋutete be wòawɔ avu kple dɔlékuiwo. Gake ne eyi ʋukuku fũu akpa me la, ate ŋu agblẽ nu le lãkusiwo kple teƒe bubuwo ŋu. Manya wɔ be woagblɔ amesiwo tututu axɔ dɔléle sesẽ alo lãmesẽkuxi siwo anɔ anyi eteƒe nadidi o.

Gbedasi Safui Si Wotsɔ Yi Aƒeme

Ele be woabu COVID-19 nu vevii ɣesiaɣi. Ate ŋu akpɔ ŋusẽ ɖe wò lãkusi dzi le mɔ siwo màkpɔ mɔ na o nu. Nɔ dɔ dzi do ŋgɔ to atikewɔmɔnuwo zazã kple dzadzɛnyenye nyui me léle ɖe asi me. Mègagbe dzesi yeyewo gbeɖe o. Di atikewɔlawo ƒe aɖaŋuɖoɖo kaba, eye ne gbɔgbɔ sesẽ na wò alo akɔta le veve sem la, taflatse ƒo ka na 911 alo nàdi beléle kpata enumake.

Ne ètsi dzi ɖe nusiwo ate ŋu agblẽ le wò lãkusi ŋu tso COVID-19 gbɔ la, dze dze faa kple wò ɖɔkta le Nirogi Lanka. Woate ŋu akpe ɖe ŋuwò nàse wò afɔku tɔxɛwo kple alesi nàwɔ akpɔ wò dzesiwo gbɔ nyuie gɔme. Mina míawɔ dɔ ɖekae be míanɔ lãmesẽ me!

Nya veviwo: COVID-19, lãkusi ƒe gbegblẽ, gbɔgbɔtsixetsixe, aklãdɔ, ARDS, Long COVID, COVID dɔdamɔnu