Ðe COVID hã sesẽna na wò le hayahaya vɔ megbea? Mina míaƒo nu tso Long COVID ŋu!

Ðe COVID le ŋuwò hã eye nèsusu be yeƒe lãme asẽ le ŋkeke ʋee aɖewo alo kwasiɖa eve megbe, gake ɖeɖi te ŋuwò kokokoa? Alo ɖe nèsena le ɖokuiwò me be yeƒe ta mekɔ o, eye wòsesẽna na wò be wò susu nanɔ nu ŋua? Ðewohĩ nuɖuɖu siwo doa dzidzɔ na wò tsã la vivina nukutɔe fifia, ɖewohĩ wovivina abe ga ene, alo màte ŋu ase naneke ƒe ʋeʋẽ kura oa? Ðewohĩ màɖo ŋku ɣeyiɣi didi si wòxɔ tso esime nèdɔ alɔ̃ zi mamlɛtɔ dzi gɔ̃ hã o. Esiawo nye Long COVID ƒe dzesi aɖewo, siwo ŋu míele nu ƒom tsoe egbea.

Nukae nye Long COVID?

Kpuie ko la, Long COVID nye dzesi siwo nɔa anyi ɣleti etɔ̃ alo esi wu nenema le COVID-19 xɔxɔ vɔ megbe eye dzesi gbãtɔawo nu fa. Mehiã be COVID-19 si nu mesẽ o alo esi nu sẽ ŋutɔ nɔ ŋuwò o, ate ŋu adzɔ ɖe ame sia ame dzi. Dzesi siawo ate ŋu asɔ kple dɔlélenutsiŋutete ƒe dɔlélewo, lãkusi, dzi, lãmekawo, alo tagbɔdɔlélewo ɣeaɖewoɣi. Dzesi aɖewo ate ŋu anɔ bɔbɔe, gake bubuwo ya nu sẽ ale gbegbe be wòana wòasesẽ na wò be nàwɔ wò gbesiagbedɔwo. Dzesi siawo ate ŋu ava eye woadzo, atrɔ, alo agblẽ ɖe edzi le ɣeyiɣi aɖe megbe. Àte ŋu ase le ɖokuiwò me be yemehaya ŋutɔŋutɔ gbeɖe le COVID xɔxɔ vɔ megbe o.

Wotsɔ ŋkɔ bubuwo hã yɔa COVID didi, abe COVID si yia didiƒe, COVID megbe dɔléle, alo COVID-19 ƒe emetsonu sesẽwo megbe ene. Ame geɖe tsɔa nɔnɔme sia sɔna kple Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS). Esi wònye be dzesi vovovowo le eŋu eye nu vovovowo ate ŋu atsoe ta la, atike ɖeka aɖeke meli si awɔ dɔ na amesiame o.

Aleke gbegbee Long COVID bɔe?

Fifia wobu akɔnta be ame siwo ŋu COVID-19 le la dometɔ 5% va ɖo 10% ate ŋu axɔ COVID megbe nɔnɔme siawo. Gake esi wònye be dzesiawo to vovo eye ɣeyiɣi didi si woƒe dzesiwo nɔa anyi hã toa vovo ta la, esesẽna be woagblɔ ame agbɔsɔsɔme si tututu wòdzena.

Nukae nye Long COVID ƒe dzesiwo?

COVID didi ate ŋu ahe dzesi vovovowo vɛ. Dzesi siwo wu ɖeka ate ŋu anɔ ame aɖewo ŋu, gake wo katã medzena le ame akpa gãtɔ ŋu zi ɖeka o. Dzesi eve siwo bɔ wue nye ɖeɖiteameŋu, si nye gbɔdzɔgbɔdzɔ ƒe seselelãme, kple gbɔgbɔtsixetsixe.

Dzesi bubu siwo woate ŋu akpɔe nye:

• Ʋeʋẽ alo vivisese ƒe bu alo eƒe tɔtrɔ: Ðewohĩ ame aɖewo mate ŋu ase ʋeʋẽ alo avivi nu kura o (anosmia). Ame bubuwo ate ŋu akpɔ tɔtrɔ le woƒe vivisese si wokpɔ va yi me, abe ga ƒe vivisese (dysgeusia) ene. Kpɔe ɖa le susu me be èɖu nuɖuɖu si nèlɔ̃na wu eye màte ŋu aɖɔe kpɔ kura o.
• Sesẽ be woatsɔ susu aɖo nu ŋu - "ahɔhɔ̃ ƒe afu": Esesẽ be woabu tame nyuie ahatsɔ susu aɖo nu ŋu. Ewɔna na wò abe afu xɔ wò ta ene. Ɣeaɖewoɣi la, esesẽna be woaɖo ŋku nyawo dzi.
• Kɔdzidede atraɖii: Ne woda COVID vɔ gɔ̃ hã la, kɔdzi ate ŋu anɔ anyi ɣleti geɖe.
• Taɖuame: Taɖuame enuenu, ɣeaɖewoɣi la, esẽna ŋutɔ.
• Alɔ̃dɔdɔ sesẽ alo alɔ̃madɔmadɔ: Ðewohĩ alɔ̃dɔdɔ sesẽ na wò le zã me, alo màte ŋu adɔ alɔ̃ nyuie o ne èdɔ alɔ̃ gɔ̃ hã.
• Blanuiléle: Nɔnɔme si me ame sena le eɖokui me be mɔkpɔkpɔ bu ɖe ye, nɔnɔme si me mɔkpɔkpɔ bu ɖe ame le nusianu ŋu.
• Dzimaɖitsitsi: Vɔvɔ̃ kple dzimaɖitsitsi ɣesiaɣi.
• Akɔtave: Ɣeaɖewoɣi la, akɔta ate ŋu ave ne ele gbɔgbɔm gɔ̃ hã.
• Dzi ƒe tsotso: Seselelãme be dzi le du dzi alo le du dzi .
• Aɖuɖɔtoe: Ʋuʋudedi.

Ne èyi edzi le dzesi siawo dometɔ ɖeka alo esi wu nenema kpɔm le COVID xɔxɔ vɔ megbe la, ele vevie be nàtsi dzi.

Nukae nye nusiwo gbɔ Long COVID tsona?

Eŋutinunyalawo mete ŋu de dzesi nu ɖeka pɛ si gbɔ Long COVID tsona haɖe o. Ke hã, wonya be coronavirus bubuwo hã gblẽa nu le ame ŋu ɣeyiɣi didi va yi, abe Middle East Respiratory Syndrome (MERS) kple Severe Acute Respiratory Syndrome (SARS) ene. Eyata mewɔ nuku o be COVID ƒe dzesiwo ate ŋu anɔ anyi eteƒe nadidi. Nu geɖewo li siwo ate ŋu ana Long COVID nadzɔ:

• Ʋu ƒe sisi suesuesuewo: Ðewohĩ ʋu suesuesue siawo mahe nudzɔdzɔ gã aɖe abe ʋusɔgbɔdɔ ene vɛ o, gake woate ŋu ado kplamatse wò lãkusi, ahɔhɔ̃, kple ŋutinu bubuwo ƒe dɔwɔwɔ nyuie.
• Dɔdzẽ: Wò dɔlélenutsiŋutete ate ŋu awɔ dɔ akpa eye wòayi edzi anɔ dɔdzẽ hem vɛ le wò ŋutinuwo kple lãmekawo me, ne ewu avuwɔwɔ kple COVID dɔlékuia nu gɔ̃ hã.
• Dɔlélenutsiŋutete ƒe dɔlélewo: Le susu siwo míenya tututu o ta la, le COVID dɔlékui aɖe xɔxɔ vɔ megbe la, wò dɔlélenutsiŋutete ate ŋu adze wò ŋutɔ wò ŋutilã ƒe akpa aɖewo dzi dzedze gɔme, abe alesi dɔlélenutsiŋutete ƒe dɔléle ene.
• Dɔlékui ƒe anyinɔnɔ: SARS‐CoV‐2 dɔlékui, si hea COVID‐19 vɛ la ate ŋu anɔ wò ŋutilã me ne èhaya tso dɔléle gbãtɔa me gɔ̃ hã. Ne èdoe kpɔ be COVID mele ŋuwò o, eye anɔ eme be màxɔ ame bubu aɖeke o hã la, dɔlékuia ate ŋu ayi edzi anɔ kuxiwo hem vɛ le wò ŋutilã me.
• Dɔlékui bubuwo ƒe dɔwɔwɔ ake:Dɔlékui aɖewo ate ŋu anɔ alɔ̃ dɔm le wò ŋutilã me evɔ mànya o. Esiawo ate ŋu agawɔ dɔ ake ɣeaɖewoɣi eye woahe dzesiwo vɛ. Kpeɖodzi aɖewo ɖee fia be Covid ateŋu agbugbɔ Epstein-Barr dɔlékui (dɔlékui si hea mono) vɛ eye wòahe dzesi siwo anɔ anyi ɣeyiɣi didi vɛ.
• Dɔléle sesẽ ƒe nugbegblẽ le susu me ɣeyiɣi didi: Ne COVID dɔléle sesẽ aɖe le ŋuwò, vevietɔ ne woxɔ wò ɖe kɔdzi la, àte ŋu axɔ dzimaɖitsitsi, blanuiléle, alo susumedɔléle bubuwo le esia ta.

Amekawoe le afɔku gã me be woaxɔ Long COVID?

Afɔku gã aɖe le asiwò be nàxɔ Long COVID ne è:

• Ne womedo atike na wò ɖe Covid-19 ŋu o.
• Ne COVID dɔ sesẽ aɖe le ŋuwò, vevietɔ ne woxɔ wò ɖe kɔdzi. Gake ɖo ŋku edzi be ame siwo ŋu COVID si sɔ le gɔ̃ hã ate ŋu axɔ Long COVID.
• Ne èxɔ Multisystem Inflammatory Disorder (MIS-C) le COVID-19 ƒe ɣeyiɣia me alo emegbe.
• Ne lãmesẽkuxi bubuwo nɔ ŋuwò hafi nèva xɔ COVID, le kpɔɖeŋu me, lãkusidɔ, lolo akpa, suklidɔ, kple ʋusɔgbɔdɔ.
• Ne nyɔnue nènye. (Susu si tututu tae wòle alea ɖo la me mekɔ haɖe o, gake numekukuwo ɖe esia fia).

Aleke nàwɔ anya ne Long COVID le ŋuwò?

Ðɔktawo atso nya me nenye be Long COVID le ŋuwò to toɖoɖo wò dzesiwo kple wò lãmesẽ ŋutinya me. Woate ŋu awɔ dodokpɔ aɖewo hã be woase wò dzesiwo gɔme nyuie wu eye woatso nya me le alesi woada woe ŋu. Le wò dzesiwo nu la, woate ŋu awɔ dodokpɔ siwo gbɔna:

• Ʋudodokpɔ: Kpɔ nuwo abe dɔdzẽ le ŋutilãa me kple ŋutinuwo ƒe dɔwɔwɔ ene ɖa.
• Akɔta ƒe X-ray alo nɔnɔmetatawo dodokpɔ bubuwo: Woate ŋu aɖe foto wò lãkusi, ahɔhɔ̃, alo ŋutinu bubuwo ƒe ememe akpɔe ɖa be tɔtrɔ aɖewo li siwo ate ŋu ahe wò dzesiwo vɛ hã.
• CT-dɔdamɔnu: Ne dɔdzẽ ƒomevi aɖewo le ŋuwò la, ate ŋu akpɔ ŋusẽ ɖe alesi wò ɖɔkta atsɔ atike aɖewo awɔ dɔe na wòe dzi. Ðewohĩ ahiã be wò ɖɔkta nawɔ CT scan be wòalé ŋku ɖe dɔdzẽ sia ŋu.
• Aklã (aklã) ƒe dɔwɔwɔ dodokpɔ: Dodokpɔ siawo kpena ɖe wò ɖɔkta ŋu wònyaa alesi wò lãkusi le dɔ wɔm nyuie.
• Electrocardiogram (EKG/ECG) alo Echocardiogram (Echocardiogram - Echo): Dodokpɔ siawo kpena ɖe ɖɔktawo ŋu be woanya ne kuxi aɖe le wò dzi ŋu.

Nukae woate ŋu awɔ atsɔ aƒo asa na Long COVID?

Nublanuitɔe la, atike ɖeka aɖeke meli na Long COVID o. Ðewohĩ ahiã be mia kple wò ɖɔkta miate atike vovovo geɖe kpɔ be miakpɔ esiwo awɔ dɔ na mi. Le wò dzesiwo nu la, atikewɔmɔnu siwo nàte ŋu awɔ dometɔ aɖewoe nye:

• Atikewo: Ðɔktawo ate ŋu atsɔ atikewo ada dzesi kple nɔnɔme aɖewo, abe kɔdzi, taɖuame, dzimaɖitsitsi, kple blanuiléle ene. Ne woate ŋu akpɔ nusi gbɔ wòtso (e.g., ʋu ƒe sisi) na Long COVID la, woate ŋu atsɔ atike ada nusi gbɔ wòtso ma hã.
• Stellate ganglion block alo olfactory retraining: Ðɔktawo ate ŋu azã atike siawo atsɔ adze agbagba be yewoagase ʋeʋẽ kple vivisese ake. Ɣletivimefakaka ƒe ganglion block naa lãmeka siwo le wò kɔ me siwo kpɔa ŋusẽ ɖe wò ʋeʋẽse dzi la dometɔ aɖewo tsia dzodzodzoe. Ʋeʋẽse ƒe hehexɔxɔ gbugbɔgazãa ʋeʋẽ nyanyɛwo tsɔ ɖoa ​​ŋku alesi wòle be nuwo naʋẽe dzi na wò ahɔhɔ̃.
• Lãmesẽfefewɔwɔ: Lãmesẽdɔdada lɔ kamedede, asilili ame ŋu, kple dɔdamɔnu bubu siwo ate ŋu akpe ɖe ŋuwò nàɖe vevesese dzi akpɔtɔ eye nànɔ ʋuʋum nyuie wu ɖe eme.
• Aklã ƒe ɖɔɖɔɖo: Esia nye kamedede kple hehenana ƒe ɖoɖo tɔxɛ aɖe si kpena ɖe ŋuwò nègbɔa ya bɔbɔe eye nèsrɔ̃a alesi nàwɔ akpɔ gbɔgbɔmekuxiwo gbɔ le aƒeme.
• Aɖaŋuɖoɖo: Aɖaŋuɖoɖo naa ame aɖe nèƒoa nu kplii be wòakpe ɖe ŋuwò nàkpɔ seselelãme ƒe ŋusẽkpɔɖeamedzi siwo dɔléle sesẽ alo ɣeyiɣi didi aɖe agblẽ le ŋuwò la gbɔ.

Nu vevitɔe nye be, mehiã be wò ɖeka nàdze ŋgɔ esia o. Ele vevie ŋutɔ be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo.

Nukae nàte ŋu akpɔ mɔ na ne Long COVID le ŋuwò?

COVID ƒe dzesi didiwo ate ŋu ava eye woadzo, alo ate ŋu anyo ɖe edzi alo agblẽ ɖe edzi le ɣeyiɣi aɖe megbe. "Amesiwo zɔa mɔ didi" alo amesiwo ŋu nɔnɔme sia le la dometɔ geɖe va hayana mlɔeba. Gake ɣeyiɣi didi si wòxɔna la toa vovo tso ame ɖeka gbɔ yi bubu gbɔ. Ðewohĩ ahiã be nàwɔ nusiawo:

• Kpɔ atikewɔla gbãtɔ (PCP) kple eŋutinunyala bibi ɖeka alo esi wu nenema be nàkpɔ wò dzesiwo gbɔ. Ne Long COVID dɔdaƒe le miaƒe nutoa me la, woate ŋu aɖo wò ɖe dɔdala bibi aɖe si sɔ nyuie wu na wò dzesi tɔxɛwo.
• Gbɔ dzi ɖi eye mègana ta ne èle agbagba dzem be yeadi atike si awɔ dɔ na wò o.
• Na ɣeyiɣi geɖe ɖokuiwò wu alesi nàwɔe na wò dɔwɔna siwo nèwɔna edziedzi, eye nàgbɔ ɖe eme enuenu le ŋkekea me katã. Ðewohĩ ahiã be ame aɖewo nagbɔ ɖe eme vie tso dɔ alo suku hafi ahaya.

Ɣeyiɣi didi kae dzesiwo abe ɖeɖiteameŋu ene ate ŋu anɔ anyi le COVID xɔxɔ vɔ megbe?

Ame geɖewo sena le wo ɖokui me be ɖeɖi te yewo ŋu eye yewogbɔdzɔ kwasiɖa ʋee aɖewo le COVID xɔxɔ vɔ megbe. Gake le ame aɖewo gome la, ɖeɖiteameŋu sia kple dzesi bubuwo ate ŋu anɔ anyi ɣleti geɖe alo wu nenema gɔ̃ hã. Ame geɖe siwo ŋu Long COVID le la dzea hayahaya gɔme tso ɣleti 12 va ɖo 18 dome.

Ðe woate ŋu axe mɔ ɖe Long COVID nua?

Mɔ ɖeka aɖeke meli si dzi woato axe mɔ ɖe Long COVID nu o. Gake mɔ geɖe li siwo dzi nàto aɖe wò afɔkua dzi akpɔtɔ. Woawoe nye:

• Atike siwo wua dɔlékuiwo: Numekuku aɖe ɖee fia be ne wono dɔlékuiwutike si nye Nirmatrelvir (si ƒe ŋkɔ: Paxlovid®) le ŋkeke atɔ̃ me tso esime wodoe kpɔ be COVID le ye ŋu la, ate ŋu aɖe COVID xɔxɔ ƒe afɔkua dzi akpɔtɔ. Ame siwo le afɔku gã me be woaxɔ COVID sesẽ la ko ŋue numekuku sia lé ŋku ɖo. Nenɔ susu me na wò be zi geɖe la, ŋkeke atɔ̃ tso esime wò dzesiawo dze egɔme ko hafi ɖɔktawo ŋlɔa dɔlékuiwutikewo na wò.
• Atikewɔmɔnu: Amesiwo womedo atike na COVID o la le afɔku gã aɖe me be woaxɔ Long COVID ne woxɔ dɔa.
• Ƒo asa na dɔlékuiwo xɔxɔ: Ne COVID mele ŋuwò o la, màte ŋu axɔ Long COVID o. Àte ŋu aɖe COVID xɔxɔ ƒe afɔkua dzi akpɔtɔ ne èwɔ asikɔklɔ ƒe nɔnɔme nyuiwo eye nèdo ametakpɔnu si tsyɔa nu wò nu nyuie (e.g., ametakpɔnu si me nu geɖe le abe N95 alo KN95 ene) ne èle ame bubuwo gbɔ. Ƒo asa na ame bubuwo ne wò alo ame bubuwo le dɔ lém, alo ne ame aɖe do go COVID.

Ɣekaɣie wòle be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo?

Kpɔ ɖɔkta ne nusiawo dometɔ aɖe le ŋuwò:

• Covid ƒe dzesi sesẽwo.
• Ne wò dzesi gbãtɔwo nyo hã la, dzesi siwo nɔa anyi didi.
• Dzesi ɖesiaɖe si ado kplamatse wò gbesiagbegbenɔnɔ.

Gblɔ wò dzesiwo kple alesi wole ŋusẽ kpɔm ɖe wò agbe dzii na wò ɖɔkta. Gblɔ ɣeyiɣi si me wokpɔ COVID le ŋuwò kple ɣeyiɣi si me wò dzesi siwo li fifia dze egɔme na wo.

Nɔnɔme kawo me wòle be nàyi Atikewɔwɔ Kpata ƒe Dɔwɔƒe (ETU) ?

Ne wò dzesiwo nu sẽ zi ɖeka, alo ne dzesi sesẽwo abe esiawo ene le ŋuwò la, yi xɔ si me wokpɔa dɔnɔwo gbɔ kpata le enumake:

• Asrã sesẽ (si wua Celsius dzidzenu 103 alo wu dzidzenu Celsius 40).
• Yagbɔgbɔ sesẽ.
• Vevesese sesẽ alo esi nu metsina o le akɔta alo ƒodo (ƒodo) me.
• Taɖuame enuenu.
• Tɔtɔ.
• Lãmetsiwo ƒe vevesese sesẽ alo gbɔdzɔgbɔdzɔ.
• Ŋutete manɔamesi be woanyɔ alo anɔ ŋudzɔ.
• Alɔ̃madɔmadɔ.
• Ŋutilã, nuyi, alo asibidɛ ƒe amadede blɔ (Cyanosis - esia ateŋu anye dzesi be oxygen ƒe agbɔsɔsɔ si le wò ʋu alo lãkusiwo me mede o).

Nya kawoe wòle be nàbia wò ɖɔkta?

Ate ŋu aɖe vi na wò be nàbia nya siawo ne èyi ɖɔkta gbɔ:

• Atikewɔwɔmɔnu kawoe le asinye?
• Ènya nusi le nye dzesiwo hem vɛa?
• Ðe amesiwo ŋu dzesiwo abe tɔnye ene le la hayana zi geɖea?
• Aleke wòle be mano nye atike?
• Ɣekaɣie wòle be magakpɔ wò ake?
• Dzesi kawoe hiã be woayi xɔ si me wowɔa dɔ kpata le?

Nu vevitɔ kekeake si wòle be wòanɔ susu me na mí (Take-Home Message) .

Ɣeaɖewoɣi la, atikewɔwɔ ŋuti sidzedze ate ŋu atsi megbe vie le nusi me dɔnɔwo to ɣeyiɣi didi aɖee nye sia. Dzɔgbenyuietɔe la, míezɔ mɔ didi aɖe le COVID ƒe dzesi siwo nɔa anyi didi la dometɔ aɖewo gɔmesese me. Fifia ɖɔkta geɖe wɔa dɔ kple ƒuƒoƒo vovovo siwo tsɔ wo ɖokui na be yewoase wò dzesiwo gɔme ahada wo.

Esia gakpɔtɔ nye nusɔsrɔ̃ ƒe ɖoɖo - te nu ʋee aɖewo kpɔ be nàkpɔ atike si awɔ dɔ nyuie na wò, eye àte ŋu awɔ vodada. Ne màte ŋu aƒo nu na ɖokuiwò o la, di kpekpeɖeŋu tso ame aɖe si ate ŋui gbɔ. Woate ŋu akpe ɖe ŋuwò nàkpɔ ɖɔktawo, kpekpeɖeŋunahawo, kple aɖaŋuɖolawo. Gblɔ na wò ƒometɔwo, xɔlɔ̃wo, kple wò dɔwɔƒe alo suku be ɖewohĩ yeahiã ɣeyiɣi geɖe hafi awɔ nu aɖewo, alo be ɖewohĩ ahiã be nàgbɔ ɖe eme geɖe wu. Mɔɖeɖe na ɖokuiwò be nànyo dɔme na ɖokuiwò esime nèle dɔ dam ate ŋu anye afɔɖeɖe gbãtɔ si ana nàhaya. Gbɔ dzi ɖi eye nàwɔ ɖe wò ɖɔkta ƒe aɖaŋuɖoɖowo dzi. Menye wò ɖeka koe o!

` Covid Didi, COVID Didi, Covid megbe Dzesiwo, Coronavirus, Ðeɖiteameŋu, Gbɔgbɔtsixe, Covid Dada