Teeb meem plawv tom qab COVID-19? Cia peb tham txog qhov no!

Koj puas tau muaj COVID-19 thiab tau zoo lawm? Los yog puas muaj leej twg koj paub uas tau raug COVID-19? Ib qho uas tau tham txog ntau heev niaj hnub no yog seb COVID-19 puas muaj feem cuam tshuam rau lub plawv. Qhov no yog ib yam uas yuav tsum xav txog. Cia peb tham txog qhov no kom meej thiab yooj yim hnub no, puas yog?

COVID-19 puas ua rau mob plawv?

Yog lawm, qhov tseeb, thaum koj tau txais COVID-19, txawm tias nws yog mob me me lossis mob hnyav dua, koj yuav muaj feem yuav mob plawv nres lossis mob plawv tsis ua haujlwm ntau dua. Nws tsis tshua muaj tus kab mob uas ua rau COVID-19 kis ncaj qha rau cov leeg nqaij plawv. Tab sis cov teeb meem uas tus kab mob no ua rau thoob plaws lub cev tuaj yeem ua rau lub plawv puas tsuaj.

Txawm tias ib tug neeg uas tsis tau muaj kab mob plawv dua li los tseem tuaj yeem muaj teeb meem plawv tom qab COVID-19. Tab sis yog tias koj twb muaj mob plawv, lossis kab mob plawv , koj muaj kev pheej hmoo siab dua. Thiab yog tias koj muaj cov yam txaus ntshai xws li ntshav siab , ntshav qab zib , rog dhau , lossis roj cholesterol ntau , koj kuj muaj kev pheej hmoo siab dua ntawm kev muaj teeb meem loj. COVID-19 tuaj yeem cuam tshuam rau lub plawv thaum tus kab mob nyob hauv lub cev thiab tom qab nws tawm hauv lub cev.

COVID-19 cuam tshuam li cas rau koj lub plawv thiab cov hlab ntsha?

Qee yam teeb meem plawv - xws li kev puas tsuaj rau cov leeg plawv - tuaj yeem tshwm sim thaum koj muaj COVID-19. Qhov kev puas tsuaj rau cov leeg plawv (myocardial raug mob) yog kev tuag ntawm cov hlwb leeg plawv. Qee zaum cov neeg uas muaj hom kev puas tsuaj no tsis qhia cov tsos mob. Lwm tus yuav muaj cov tsos mob xws li mob hauv siab , ua pa luv luv (ua tsis taus pa) , lossis o ntawm ob txhais ceg. Tus kws kho mob tuaj yeem kuaj mob qhov no los ntawm kev kuaj ntshav thiab kev thaij duab plawv .

Cov kws tshawb nrhiav tseem tab tom sim xam seb muaj pes tsawg tus neeg uas muaj COVID-19 raug mob plawv. Kwv yees li ntawm 7% txog 40% ntawm cov neeg yuav muaj tus mob no. Nws feem ntau tshwm sim rau cov neeg uas muaj mob txaus kom xav tau kev saib xyuas hauv chav kho mob hnyav (ICU). Yog tias koj lub plawv puas lawm, koj muaj feem yuav muaj teeb meem ntau dua thaum koj lub cev tawm tsam tus kab mob.

Kev o ntawm COVID-19 ua rau lub plawv puas tsuaj li cas?

Kev tshawb fawb qhia tau hais tias kev o yog qhov ua rau lub plawv puas tsuaj los ntawm COVID-19. Thaum koj thawj zaug kis tus kab mob, koj lub cev tiv thaiv kab mob yuav ua haujlwm. Qhov no ua rau cov hlwb o thiab cov cytokines raug tso tawm.Kev tsim cov khoom hu ua cytokines. Cov cytokines no yog cov protein me me uas ua rau lub cev tiv thaiv kab mob ua haujlwm. Qhov tseeb, qhov kev o no, uas yog, kev o, yog ib qho txheej txheem uas peb lub cev xav tau thiab pab.

Txawm li cas los xij, COVID-19 ua rau qee tus neeg muaj kev o ntau dhau hauv lawv lub cev. Qhov mob no hu ua cytokine release syndrome lossis 'cytokine storm' . Qhov no feem ntau pom muaj nyob rau hauv cov mob hnyav ntawm COVID-19. Qhov kev o ntau dhau no tuaj yeem ua rau koj lub plawv puas tsuaj rau ntau txoj kev. Piv txwv li:

• Arrhythmia: Qhov kev o no tuaj yeem hloov cov teeb liab hluav taws xob hauv lub plawv. Yog li ntawd, lub plawv yuav poob nws lub suab ib txwm. Yog tias koj twb muaj arrhythmia lawm, cua daj cua dub cytokine no tuaj yeem ua rau nws hnyav dua.
• Cov Ntshav Txhaws: Thaum o tuaj yeem cuam tshuam rau sab hauv ntawm koj cov hlab ntsha (endothelium) , muaj kev pheej hmoo ntawm cov ntshav txhaws, mob plawv nres, lossis mob stroke.
• Mob plawv dhia tsis taus (Myocarditis): Qhov no yog kev o ntawm cov leeg plawv. Cov neeg uas muaj COVID-19 muaj feem yuav mob plawv dhia tsis taus ntau dua li cov neeg uas tsis muaj COVID-19.
• Kab mob Pericarditis: Qhov no yog kev o ntawm daim nyias nyias uas nyob ib puag ncig lub plawv. Qhov no tuaj yeem ua rau mob hauv siab thiab cov kua dej sib sau ua ke nyob ib puag ncig lub plawv.
• Lub Plawv Tsis Ua Haujlwm: Qhov no yog tshwm sim los ntawm kev sib sau ua ke ntawm cov kua dej thiab o (edema) hauv lub ntsws thiab lub cev.

Cov neeg uas muaj kab mob plawv lossis cov yam ntxwv uas ua rau muaj kev pheej hmoo siab dua

Muaj coob tus neeg uas tau pw hauv tsev kho mob vim muaj COVID-19 muaj teeb meem plawv. Tsis tas li ntawd, cov neeg uas muaj kab mob plawv feem ntau yuav muaj tus kab mob cytokine storm.

Yog koj muaj ib qho ntawm cov mob hauv qab no, koj muaj feem yuav mob hnyav dua los ntawm COVID-19:

• Lub plawv tsis ua haujlwm
• Kab Mob Hlwb Hauv Lub Plawv (CAD)
• Kab mob plawv
• Kab Mob Raum Ntev (CKD)
• Kab mob ntshav qab zib (Diabetes Mellitus)
• Rog dhau/Poob phaus
• Yog tias koj tau muaj mob stroke yav dhau los
• Ntshav siab (Tshuaj ntshav siab)
• Kab mob hlwb Sickle
• Cov kab mob Thalassemia

COVID-19 puas ua rau mob plawv lossis mob hlwb?

COVID-19 tej zaum yuav ua rau koj muaj feem yuav mob plawv lossis mob hlwb, tshwj xeeb tshaj yog tias koj tau mus pw hauv tsev kho mob. Tab sis cov kws tshawb fawb tseem tab tom tshawb nrhiav qhov no. Kev o yog ib qho tseem ceeb ua rau muaj kev mob ntshav txhaws thiab. Nws ua rau muaj kev pheej hmoo ntawm cov ntshav txhaws thiab txo qhov muaj peev xwm ntawm lub cev los ntxuav lawv ntawm nws tus kheej.

Thaum cov ntshav txhaws, koj cov kab mob, suav nrog koj lub plawv, tsis tau txais oxygen. Thaum qhov no tshwm sim, koj muaj feem yuav mob plawv nres. Qhov ntawd txhais tau tias koj lub plawv tsis tau txais cov ntshav uas muaj oxygen txaus. Kev ntsuas ib qho enzyme hu ua troponin hauv koj cov ntshav tuaj yeem pab cov kws kho mob kuaj mob plawv nres.

Tsis txhob ncua sijhawm teem caij kho mob lossis kev kho mob thaum muaj xwm txheej ceev.

Cov kws tshawb nrhiav yuav txuas ntxiv kawm ntxiv txog COVID-19 thiab cov teeb meem plawv, tab sis lub sijhawm no, kev mob plawv tseem tshwm sim rau cov neeg uas tsis muaj COVID-19.

"Thaum muaj tus kab mob sib kis thoob ntiaj teb, ntau tus neeg tsis mus ntsib kws kho mob thiab mus rau tsev kho mob. Txawm hais tias nws yog ib qho ib txwm muaj uas yuav ntshai kis tus kab mob COVID-19, koj yuav tsum tsis txhob ncua kev nrhiav kev kho mob. Nws muaj kev nyab xeeb dua los mus ntsib kws kho mob lossis mus rau tsev kho mob dua li tsis quav ntsej cov tsos mob uas yuav ua rau tuag taus."

Yog tias koj muaj cov tsos mob ntawm kev mob plawv nres, hu rau 911 (lossis koj tus xov tooj xwm txheej ceev hauv zos) tam sim ntawd. Kev kho mob sai yog qhov tseem ceeb kom tiv thaiv kev puas tsuaj ntxiv rau koj lub plawv. Tsis tas li ntawd, tsis txhob mus ntsib kws kho mob tsis tu ncua. Qhia rau koj tus kws kho mob yog tias koj muaj cov tsos mob tshiab lossis teeb meem. Yog tias koj muaj COVID-19, tham txog seb nws tau cuam tshuam li cas rau koj.

Kuv puas yuav muaj teeb meem plawv tom qab COVID-19?

Muaj ib txhia neeg muaj teeb meem plawv tom qab muaj COVID-19. Koj muaj feem yuav mob plawv ntau dua yog tias koj tau nyob hauv chav saib xyuas mob hnyav (ICU) lossis siv lub tshuab ua pa . Txawm li cas los xij, txawm tias cov neeg uas nyuam qhuav zoo los ntawm COVID-19 tuaj yeem muaj teeb meem plawv tom qab.

Cov teeb meem no tuaj yeem tshwm sim yog tias koj muaj tus mob hu ua Long COVID . Qhov no kuj hu ua Post-acute coronavirus (COVID-19) syndrome . Yog tias koj muaj Long COVID, nws txhais tau tias koj txoj kev noj qab haus huv tseem tsis tau rov qab mus rau lub xeev nws yog ua ntej koj mob.

Cov kws kho mob suav tias lub cim plaub lub lis piam yog ib qho tseem ceeb. Yog tias koj tau muaj COVID-19 rau plaub lub lis piam thiab tseem muaj teeb meem, tej zaum koj yuav muaj COVID ntev. Qhov no tuaj yeem cuam tshuam rau koj ntau txoj kev.

Cov tsos mob tshiab lossis cov tsos mob uas kav ntev

Cov neeg uas mob hnyav heev los ntawm COVID-19 yuav muaj cov tsos mob tshiab lossis mob ntev. Tsis tas li ntawd, cov neeg uas muaj COVID-19 me me lossis tsis muaj tsos mob yuav muaj teeb meem mob ntev. Qaug zog, ua pa luv luv, thiab 'lub hlwb tsis meej' yog cov teeb meem feem ntau. Cov tsos mob uas yuav cuam tshuam nrog koj lub plawv suav nrog:

• Mob hauv siab uas mob ntxiv thaum ua pa tob tob.
• Lub plawv dhia ceev .
• Lub plawv dhia ceev (Tachycardia) .
• Kiv taub hau los yog xav tias lub taub hau me me.
• Ua pa nyuaj thaum lub sijhawm ua si.

Yog koj muaj ib qho ntawm cov tsos mob no, hu rau koj tus kws kho mob tam sim ntawd thiab qhia rau lawv paub tias koj xav li cas. Tej zaum koj tus kws kho mob yuav xav ua qee qhov kev kuaj mob, xws li kev ntsuas hluav taws xob (EKG) lossis kev ntsuas echocardiogram, los xyuas koj lub plawv ua haujlwm.

Cov teebmeem rau lwm yam kabmob thiab

Tus kab mob COVID-19 tuaj yeem cuam tshuam rau ntau yam kabmob thiab cov kab ke, xws li koj lub plawv, lub ntsws, lub hlwb, thiab lub raum.

Tus kab mob SARS-CoV-2 txuas nws cov protein spike rau cov protein hauv koj lub cev hu ua ACE2 receptors. Cov no yog cov protein uas pom thoob plaws koj lub cev, suav nrog hauv koj lub plawv thiab lub ntsws. ACE2 receptors kuj pom muaj nyob rau ntawm daim ntaub ntawm koj cov hlab ntsha. Qhov no tso cai rau tus kab mob SARS-CoV-2 yooj yim txuas rau koj cov ACE2 receptors thiab kis mus rau ntau lub cev, ua rau puas tsuaj. Piv txwv li:

• Mob ntsws: Tus kab mob COVID-19 tuaj yeem ua rau koj lub ntsws puas tsuaj ntau dua li tus mob khaub thuas. Hauv cov mob hnyav ntawm COVID-19, cov nqaij ntsws tuaj yeem ua rau tuab thiab muaj qhov txhab (fibrosis) .
• Lub Hlwb: COVID-19 tuaj yeem ua rau lub hlwb puas tsuaj vim tsis muaj oxygen mus rau lub hlwb.
• Raum: COVID-19 tej zaum yuav ua rau koj lub raum ua haujlwm tsis zoo.

Vim tias COVID-19 tuaj yeem cuam tshuam rau koj lub cev tag nrho, nws yog ib qho tseem ceeb uas yuav tsum ceev faj kom tsis txhob kis tus kab mob. Kev txhaj tshuaj tiv thaiv kab mob yog txoj hauv kev zoo tshaj plaws los tiv thaiv koj tus kheej thiab lwm tus. Tsis tas li ntawd, hnav lub npog ntsej muag kom raug thaum tsim nyog, nyob hauv tsev yog tias koj mob, thiab ntxuav koj txhais tes tsis tu ncua.

Cov teebmeem ntawm kev kho mob thiab kev pw hauv tsev kho mob

Cov teeb meem ntawm kev kho mob thiab kev nyob hauv tsev kho mob ntev tsis yog tsuas yog muaj rau COVID-19 xwb. Tej zaum koj yuav xav tias tsis muaj zog thiab nkees heev. Los yog koj yuav muaj kev ntxhov siab tom qab raug mob (PTSD).Cov tsos mob kuj tseem yuav tshwm sim.

Tham nrog koj tus kws kho mob txog koj txoj kev xav. Nws yog ib qho ib txwm muaj uas koj yuav mob ib pliag tom qab koj zoo los ntawm COVID-19. Muab sijhawm rau koj tus kheej kom rov zoo thiab rov qab mus rau koj txoj kev ua neej ib txwm. Koj tsis yog tib leeg xwb. Koj tus kws kho mob yuav ua haujlwm nrog koj los txiav txim siab txoj hauv kev zoo tshaj plaws los pab koj ntawm koj txoj kev rov zoo.

Kev rov zoo los ntawm COVID-19 yog ib qho zoo heev. Tab sis koj kuj tseem yuav tau daws teeb meem plawv tom qab COVID-19. Qhov no yog qhov tseeb, thiab koj qhov kev txhawj xeeb yog qhov tseeb. Tsis txhob ntshai nug koj tus kws kho mob txog koj txoj kev xav. Nco ntsoov ua raws li koj tus kws kho mob cov lus qhia kom meej, thiab ua raws li koj cov sijhawm teem tseg.

Dab tsi yog yam tseem ceeb tshaj plaws uas peb yuav tsum coj los tsev los ntawm zaj dab neeg no?

Zoo, yog li, muaj ob peb yam koj yuav tsum nco ntsoov los ntawm qhov peb tau tham txog hnub no:

• Thaum koj tau txais COVID-19, txawm tias nws tsis hnyav heev los xij, nws tuaj yeem cuam tshuam rau koj lub plawv. Yog li ntawd, ceev faj txog cov tsos mob.
• Yog tias koj twb muaj mob xws li kab mob plawv, ntshav qab zib, lossis ntshav siab, yuav tsum txhawj xeeb txog cov teeb meem los ntawm COVID-19.
• Yog tias koj mob hauv siab tshiab, ua pa nyuaj, lossis lub plawv dhia ceev tom qab COVID-19 , nrhiav kev pab kho mob tam sim ntawd.
• Tsis txhob ncua sijhawm teem caij kho mob. Tsis txhob tsis quav ntsej cov tsos mob thaum muaj xwm txheej ceev.
• Tiv thaiv koj tus kheej ntawm COVID-19 los ntawm kev txhaj tshuaj tiv thaiv kab mob thiab ua raws li lwm yam kev ceev faj txog kev noj qab haus huv.
• Yog tias koj muaj teeb meem tas mus li tom qab COVID-19, koj tsis yog tib leeg xwb. Nrhiav kev pab tswv yim thiab kev txhawb nqa los ntawm kws kho mob.

"Koj lub siab yog qhov khoom muaj nqis tshaj plaws hauv koj lub neej. Nws yog koj lub luag haujlwm los saib xyuas nws. Peb vam tias cov ntaub ntawv no yuav pab tau koj. Nyob kom noj qab nyob zoo!"

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