Ðe COVID-19 gblẽ nu le wò lãkusiwo ŋua? (COVID-19 Lung Damage) Mina míaƒo nu tso esia ŋu tsitotsito!

Èɖo ŋku ɣeyiɣi si me COVID-19 xɔ xexeame dzia? Ɣemaɣi la, mí katã míelé míaƒe gbɔgbɔ ɖe te le vɔvɔ̃ ta. Eyata, ne COVID-19 dɔlékui sia ge ɖe míaƒe ŋutilã me la, ate ŋu agblẽ nu le míaƒe lãkusiwo koŋ ŋu. Le ame aɖewo gome la, ate ŋu ahe aklãdɔ sesẽ alo gbɔgbɔtsixetsixe vɛ . Le ame bubuwo gome la, ne wohaya gɔ̃ hã la, gbɔgbɔ ate ŋu asesẽ na wo eye ɖeɖi tea wo ŋu hena ɣeyiɣi aɖe.

Nukae nye nusiwo COVID-19 gblẽna le lãkusiwo ŋu?

Kpuie ko la, COVID-19 nye dɔléle si gblẽa nu le gbɔgbɔtsixe ŋu. Ne dɔlékui sia ge ɖe míaƒe lãkusiwo me la, míaƒe ŋutilã ƒe dɔlélenutsiŋutete dzea avuwɔwɔ gɔme kplii. Le avuwɔwɔ sia me la, dɔdzẽ dzɔna le lãkusiwo me. Ne womeɖu dɔdzẽ sia dzi o la, ate ŋu agblẽ nu le míaƒe lãkusi me lãmenugbagbevi siwo le lãmesẽ me hã ŋu. Ele abe aʋawɔwɔ ene, ne míele avu wɔm kple futɔ la, ɣeaɖewoɣi la, míaƒe akpa hã xɔa abi.

Zi geɖe la, gbɔgbɔmedɔlélewo abe dzamezã kple dzamezã ene ate ŋu agblẽ nu le lãkusiwo ŋu vaseɖe afi aɖe. Gake esi COVID-19 dze kaka gɔme zi gbãtɔ la, ɖɔktawo de dzesii be ate ŋu asẽ ɖe edzi kaba ŋutɔ eye wòagblẽ nu geɖe le lãkusiwo ŋu. Nyatakaka aɖewo ɖee fia be tɔtrɔ si li fifia, si nye Omicron, ate ŋu akpɔ ŋusẽ ɖe gbɔgbɔtsixe ƒe akpa si le etame (ŋɔti kple ŋɔti) dzi wu esi nɔ anyi tsã. Gake ate ŋu agblẽ nu le lãkusiwo ŋu kokoko eye wòahe kuxi sesẽwo vɛ.

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

Ne COVID-19 le ŋuwò la, nɔnɔme siwo aɖuɖɔtoe ƒe gbegblẽ hena vɛ ƒe dzesiwo ate ŋu anye:

• Yagbɔgbɔ sesẽ alo gbɔgbɔtsixetsixe .
• Sese le eɖokui me be ɖeɖi te ye ŋu ale gbegbe .
• Asrã .
• Ŋutilã, nuyi, alo asibidɛ ƒe amadede si trɔna blɔ alo ɣie (cyanosis) . Esia dzɔna ne ʋua mele oxygen si sɔ xɔm o .
• Gbɔgbɔ kabakaba, si me wowɔa dɔ sesĩe le.
• Vevesese alo akɔta ƒe tete sese .

Ke hã, ne wò lãkusi gblẽ ɣeyiɣi didi le wò hayahaya tso COVID-19 me megbe la, ɖewohĩ màkpɔ dzesi aɖeke o. Alo àte ŋu ase le ɖokuiwò me be gbɔgbɔtsixe tsi ƒowò alo ɖeɖi tea ŋuwò bɔbɔe, ne èwɔa dɔ bɔbɔe gɔ̃ hã. Ɣeaɖewoɣi la, dzesi siawo ate ŋu agblẽ ɖe edzi vivivi le ɣeyiɣi aɖe megbe.

Nukatae COVID-19 gblẽa nu le lãkusiwo ŋu?

Susu vevitɔ si tae nye be míaƒe dɔlélenutsiŋutete wɔa nu wògbɔa eme . Bu eŋu kpɔ, míaƒe dɔlélenutsiŋutete ƒe lãmenugbagbeviwo yia teƒe si dɔlékuia va ɖo hewɔa avu kplii. Ema nyo. Gake, ne avuwɔwɔ sia megate ŋu ɖua wo dzi o, si fia be ne dɔlélenutsiŋutete va le dɔ wɔm akpa la, ate ŋu agblẽ nu le lãmeka siwo le lãmesẽ me hã ŋu.

Ne ya kotoku suesuesue siwo le míaƒe lãkusi me (siwo míeyɔna be alveoli ) ƒe gliwo gblẽ eye wogbɔdzɔ la, tsi tea yɔyɔ ɖe wo me. Ekema ya mate ŋu age ɖe eme o, eye ɔksidzin hã mate ŋu age ɖe ʋua me alo ayi ŋutilãa ƒe akpa mamlɛa me o.

Dzoxɔxɔ sia ate ŋu ana aklã me ʋuʋudedi alo abi nanɔ aklã me hã. Esiawo ate ŋu axɔ ɣeyiɣi didi hafi woahaya eye woate ŋu anɔ anyi ɖaa ɣeaɖewoɣi.

Nusiwo gblẽ le ame ŋu sia ƒomevi ate ŋu adzɔ le gbɔgbɔdɔ bubuwo me ŋutɔŋutɔ, gake edze abe ɖe wòasẽ wu le COVID-19 me ene. Esia ate ŋu atso esi dɔlékuia wɔa nu ɖe ​​míaƒe dɔlélenutsiŋutete ŋu wògbɔa eme, si wɔnɛ be cytokine ahomwo , le kpɔɖeŋu me. Alo ate ŋu anye esi dɔlékuia zãa mía ŋutɔwo ƒe dɔlélenutsiŋutete ƒe lãmenugbagbeviwo tsɔ dzea lãkusiwo dzi tae.

Amekae le afɔku gã aɖe me be COVID-19 nagblẽ nu le eƒe lãkusi ŋu?

Ne nɔnɔme siawo dometɔ aɖe le ŋuwò la, anɔ eme be COVID-19 sesẽ aɖe adze dziwò eye wòagblẽ nu le wò lãkusi ŋu:

• Ne èxɔ ƒe 65 kple edzivɔ.
• Ne èfɔ fu la .
• Ne atamanolae nènye, alo no atama kpɔ va yi.
• Ne wodo ŋutinuwo na wò alo wodo lãmenugbagbeviwo na wò kpɔ la .
• Ne mèno COVID-19 ƒe atike o.
• Ne dɔlélenutsiŋutete gbɔdzɔ - esia ateŋu atso nɔnɔmewo abe kansa, atike aɖewo, HIV dɔlékui, alo dɔlélenutsiŋutete ƒe gbɔdzɔgbɔdzɔ gbãtɔ gbɔ .

Azɔ hã, ne lãmesẽkuxi siwo gbɔna dometɔ aɖe le ŋuwò la, wò afɔkua ate ŋu adzi ɖe edzi:

• Kansa.
• Aklãdɔléle siwo nɔa anyi didi alo nɔnɔme siwo gblẽa nu le lãkusi ŋu, le kpɔɖeŋu me, asrã, COPD (Chronic Obstructive Pulmonary Disease) , kple cystic fibrosis .
• Nɔnɔme siwo gblẽa nu le dzi, ayiku, aklã, ʋu, alo ahɔhɔ̃ ŋu.
• Nɔnɔme siwo wodzina, le kpɔɖeŋu me , ahɔhɔ̃mekawo ƒe dɔmawɔmawɔ nyuie alo Down syndrome .
• Suklidɔ (Suklidɔ).
• Susu ƒe lãmesẽkuxiwo.
• Amidada.
• Atike vɔ̃ɖiwo zazã.

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

Dzoxɔxɔ si COVID-19 kple dɔlékui bubuwo hena vɛ ate ŋu ahe kuxiwo abe:

• Aklãdɔ: Esia nye dɔlékui si le lãkusi me. Le esia me la, tsi yɔa yakotokuawo me fũ.
• Yagbɔgbɔ ƒe Nuxaxa Sesẽ (ARDS):Esia nye nɔnɔme sesẽ aɖe ŋutɔ. Le esia me la, tsi yɔa yakotoku geɖe siwo le wò lãkusi me, si wɔnɛ be ɔksidzin mete ŋu gena ɖe wò ʋu me o.
• Aklã me ʋuʋudedi: Aɖuɖɔtoewo ate ŋu anɔ lãkusi me le nusiwo dɔdzẽ gblẽna ta.
• Aklã me fibrosis: Aklã ƒe akpa siwo gblẽ ate ŋu axɔ abi. Ɣeaɖewoɣi la, abi sia ate ŋu ayi edzi anɔ dzidzim ɖe edzi ne èhaya tso dɔlékuia me gɔ̃ hã.
• COVID didi: Ame aɖewo ate ŋu ayi edzi anɔ dzesiwo kpɔm ɣleti geɖe alo ƒe geɖe gɔ̃ hã le COVID-19 xɔxɔ vɔ megbe.

Aleke woawɔ anya COVID-19 ƒe lãkusi ƒe gbegblẽ?

Ðɔkta atsɔ nɔnɔmetatawo dodokpɔ (e.g., X-ray, CT scan) alo bronchoscopy (mɔ̃ tsɛ aɖe si me wotsɔa fotoɖemɔ̃ dea lãkusi me be wòalé ŋku ɖe eme) atsɔ adi lãkusi ƒe nugbegblẽ. Woazã dodokpɔ bubuwo hã atsɔ anya dɔlékuiwo, abe aklãdɔ ene.

Dodokpɔ kawoe wole wɔwɔm?

Ðɔktawo ate ŋu awɔ dodokpɔwo abe esiawo ene atsɔ akpɔ alesi lãkusiwo le ahade dzesi dɔlékuiwo:

• Nasal swab: Woɖea kpɔɖeŋu tso wò ŋɔti alo ŋɔti me to kotoku me tsɔ doa COVID-19 kple dɔlékui bubuwo kpɔna.
• Pulse oximetry: Mɔ̃ sue aɖe si woda ɖe wò asibidɛ dzi dzidzea oxygen agbɔsɔsɔme si le wò ʋu me. Esia ate ŋu ana nàkpɔ alesi gbegbe wò lãkusiwo le dɔ wɔm nyuie.
• Nɔnɔmetatawo ɖeɖe: Wowɔa akɔta ƒe X-ray alo CT scan tsɔ ɖea foto lãkusiwo be woakpɔe ɖa be nu gblẽ le eŋu hã.
• Ʋudodokpɔ: Ʋudodokpɔ kpena ɖe ame ŋu wòléa ŋku ɖe dɔlékuiwo ŋu eye wòléa ŋku ɖe wò lãmesẽ bliboa ŋu.
• Aɖuɖɔtoe dodokpɔ: Esia bia be woaɖe ʋuʋudedi si dona ne èkɔ akɔta la ƒe kpɔɖeŋu eye nàlé ŋku ɖe dɔlékui aɖe ŋu hã.
• Pleural fluid culture: Le dodokpɔ sia me la, ɖɔkta zãa aŋe tsɛ aɖe tsɔ tsɔa tsi sue aɖe si ƒo xlã wò lãkusiwo tsɔ léa ŋku ɖe dɔlékuiwo ŋu hã.
• Ʋuka me gas dodokpɔ: Dodokpɔ sia na ɖɔktawo kpɔa alesi wò lãkusiwo le dɔ wɔm nyuie.
• Bronchoscopy: Woate ŋu azã bronchoscope atsɔ alé ŋku ɖe lãkusiwo ŋu eye woaɖe lãkusi alo tsi ƒe kpɔɖeŋuwo atsɔ aɖo ɖe nudokpɔƒe be woadoe kpɔ.

Aleke wokpɔa COVID-19 ƒe lãkusi ƒe nugbegblẽ gbɔe?

Le nyateƒe me la, nu geɖe meli nàte ŋu awɔ atsɔ adzra wò lãkusiwo ɖo keŋkeŋ ne wogblẽ o. Gake, ɖɔktawo ate ŋu akpe ɖe ŋuwò nàxɔ oxygen si nèhiã. Ne aklãdɔ alo ARDS le ŋuwò tso COVID-19 gbɔ la, wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàwɔ atike siwo gbɔna:

• Oxygen kpeɖeŋutɔ:Wò lãkusiwo le dɔ wɔm, gake ne oxygen mele asiwò o la, woato mɔ̃ si wotsɔ de wò ŋɔti me alo ametakpɔnu si wotsɔ de mo na wò dzi ana oxygen bubu wò.
• Tsi siwo wodona ɖe ʋuka me (IV fluids): Wotoa ʋuka me naa tsi bubuwo be tsi nagage le ŋutilãa me o.
• Mɔ̃ɖaŋununya ƒe yaƒoƒo: Ne màte ŋu agbɔ ya le ɖokuiwò si o la, woatsɔ wò aƒo ka na yagbɔgbɔmɔ̃.
• Proning: Be wò lãkusiwo nawɔ dɔ nyuie wu la, wotrɔa wò ɖe wò dɔgbo dzi gaƒoƒo ʋɛ aɖewo gbesiagbe.
• Extracorporeal Membrane Oxygenation (ECMO): Ne wò ŋutinuwo mele dɔ wɔm nyuie o la, woate ŋu atsɔ wò aƒo ka na ame aɖe si xɔa ame ɖe agbe si wɔa wò dzi kple wò lãkusi ƒe dɔ.
• Tsi si le dodom: Be ɖɔkta naɖe tsi si le wò lãkusi me dzi akpɔtɔ la, ate ŋu azã catheter alo amekoko atsɔ aɖe tsi si le eme la ɖa.

Ðɔktawo ate ŋu aŋlɔ atikewo abe esiawo ene hã be wòakpe ɖe ame ŋu wòawɔ avu kple dɔlélea:

• Atike siwo wua dɔlékuiwo: Atikewo abe Remdesivir alo PaxlovidTM ene ate ŋu akpe ɖe ame ŋu wòawɔ avu kple COVID-19 dɔlékuiwo.
• Corticosteroids: Ðɔktawo ate ŋu azã steroid alo atike bubu siwo tsia abi nu atsɔ aɖe abi dzi akpɔtɔ.
• Dɔlékuiwutike siwo nye monoclonal: Dɔlékuiwutike siwo nye monoclonal antibody, abe tocilizumab ene, ate ŋu aɖe dɔdzẽ dzi akpɔtɔ alo axe mɔ ɖe enu.
• Dɔlékuiwutikewo: Ne dɔlékui aɖe le ŋuwò tsɔ kpe ɖe COVID-19 ŋu la, wò ɖɔkta ate ŋu aŋlɔ dɔlékuiwutikewo na wò.

Ƒã hafi wodoa aklã na amesiwo ƒe lãkusiwo gblẽ vevie ɣeyiɣi didi aɖe le COVID-19 ta. Azɔ hã, ne aɖuɖɔtoe me abi (aklã me lãkusi) yi edzi le sesẽm ɖe edzi la, atike aɖewo li siwo ate ŋu ana wòagbɔdzɔ.

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

Ne aklãdɔ alo ARDS dze dziwò tso COVID-19 gbɔ la, ahiã be nànɔ kɔdzi ale be ɖɔktawo nate ŋu akpe ɖe ŋuwò nàgbɔ ya vaseɖe esime wò ŋutilã nahaya tso dɔlékuia me.

Aɖuɖɔtoewo ƒe abi ate ŋu anɔ anyi eteƒe nadidi alo anɔ anyi ɖaa. Le go aɖewo me la, abi siwo dɔlékuiwo hena vɛ ate ŋu ayi edzi anɔ sesẽm ɖe edzi le ɣeyiɣi aɖe megbe, ne wò dzesi bubuawo nu yi gɔ̃ hã.

Ɣekaɣie wòle be makpɔ nye ɖɔkta?

Ne èdo COVID-19 kpɔ la, bia wò ɖɔkta kaba ale si nàte ŋui tso dɔlékuiwutikewo nono ŋu. Ewɔa dɔ wu ne wonoe le ŋkeke atɔ̃ gbãtɔ siwo me dzesiawo dze egɔme tso esime wodze egɔme.

Ne gbɔgbɔtsixetsixe, ɖeɖiteameŋu, alo dzesi bubuwo gakpɔtɔ le ŋuwò la, ƒo nu kple wò ɖɔkta. COVID didi ate ŋu akpe ɖe ŋuwò nàse le ɖokuiwò me be yeƒe lãme sẽ.Atikewɔƒewo hã li.

Ɣekaɣie wòle be mayi Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU) ?

Ne COVID-19 le ŋuwò eye dzesi sesẽ siawo le ŋuwò la, yi xɔ si me wowɔa dɔ kpata le enumake, alo nàƒo ka na 1990 (alo wò nutoa me xexlẽdzesi kpata):

• Gbɔgbɔtsixe sesẽ alo gbɔgbɔ sesẽ.
• Tɔtɔ.
• Ŋutete manɔamesi be woanɔ ŋudzɔ.
• Ŋutilã, nuyi, alo asibidɛ ƒe amadede ƒe tɔtrɔ blɔ.

Nya kawoe wòle be mabia nye ɖɔkta?

Ate ŋu aɖe vi be nàbia wò ɖɔkta nya siawo abe esiawo ene:

• Ðe atikewɔmɔnu aɖewo li si mate ŋu awɔa?
• Ðe esia ate ŋu ada gbe le eɖokui sia?
• Aleke wòle be malé be na ɖokuinye?

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

Mɔ nyuitɔ si dzi woato axe mɔ ɖe lãkusi ƒe gbegblẽ nue nye be woaƒo asa na dɔlékui xɔxɔ. Àte ŋu awɔ nusiwo gbɔna be nàtsɔ aɖe COVID-19 sesẽ xɔxɔ ƒe afɔkua dzi akpɔtɔ:

• Do atike: Ne èdo atike na COVID-19 kple dɔléle bubuwo abe dzamezã ene la, ate ŋu aɖe afɔku si le eme be nàdze dɔ alo adze dɔ vevie dzi akpɔtɔ.
• Dzudzɔ atamanono kple atamanono si wozãna tsã: Sigaretnono gblẽa nu le wò lãkusi ŋu, si fia be anɔ eme be dɔlékui siwo ate ŋu ahe nɔnɔmewo abe aklãdɔ ene vɛ na wò.
• Klɔ asi nyuie kple adzalẽ kple tsi hafi nàɖu nu, awɔ nu ɖe ​​nuɖuɖu ŋu, eye ne èzã nugododeƒe vɔ. Ne adzalẽ meli o la, zã asikɔklɔtike si me aha le.
• Ƒo asa na kadodo kplikplikpli kple ame bubuwo kple nuawo mama .
• Dzra lãmesẽkuxi bubu ɖe sia ɖe si le asiwò la dzi, elabena ate ŋu ana COVID-19 xɔxɔ ƒe afɔku nadzi ɖe edzi.

Ne èdze dɔ la, dɔlékuiwutikewo nono le ŋkeke atɔ̃ gbãtɔ siwo me dzesiawo dze le ŋuwò me ate ŋu akpe ɖe ŋuwò be dɔlélea nagagblẽ ɖe edzi o.

Ðo ŋku edzi be dɔdzẽ nye mɔ si wò dɔlélenutsiŋutete zãna tsɔ kpɔa tawò. Gake ne edo le eɖokui dzi la, ate ŋu agblẽ nu, abe alesi COVID-19 gblẽ le lãkusi ŋu ene. Ame aɖeke mate ŋu agblɔ amesiwo adze dɔ vevie kple amesiwo akpɔ ŋusẽ ɖe edzi ɣeyiɣi didi la kple kakaɖedzi o.

Mlɔeba la, gbedasi si nàtsɔ ayi aƒemee:

COVID-19 menye fefe o, xɔ̃nyewo. Ate ŋu akpɔ ŋusẽ ɖe míaƒe lãkusiwo dzi le mɔ siwo míele mɔ kpɔm na o nu. Eyata, nɔ dedie alesi nàte ŋui. Do atike na wò, wɔ ɖe lãmesẽnyawo ŋuti mɔfiamewo dzi. Ne dzesi aɖewo le ŋuwò la, mègaŋe aɖaba ƒu wo dzi o. Di atikewɔlawo ƒe aɖaŋuɖoɖo enumake. Vevietɔ ne gbɔgbɔ sesẽ na wò alo akɔta le veve sem la, kpɔ egbɔ be yeyi ɖɔkta gbɔ.

Ne nyabiase alo dzimaɖitsitsi aɖe le asiwò ku ɖe COVID-19 ƒe lãkusi ƒe gbegblẽ ŋu la, ƒo nu kple ɖɔkta. Woate ŋu aɖe alesi woaɖe wò afɔkua dzi akpɔtɔ ahada wò dzesiwoe me. Mina mí katã míanɔ lãmesẽ me!

` COVID-19, Aklã ƒe gbegblẽ, Yagbɔgbɔ ƒe fuɖename, Aklãdɔ, ARDS, Long COVID, COVID dɔdamɔnu