Yu kin gɛt prɔblɛm bak wit COVID afta yu dɔn wɛl? Mek wi tok abaut Long COVID!

Yu dɔn gɛt COVID bak ɛn tink se yu go bɛtɛ insay sɔm dez ɔ tu wiks, bɔt yu stil de fil bad bad wan? Ɔ yu kin fil lɛk se yu ed nɔ klia, ɛn i nɔ kin izi fɔ yu fɔ pe atɛnshɔn? Sɔntɛm di it dɛn we yu bin de ɛnjɔy trade kin te strenj naw, sɔntɛm dɛn kin te lɛk mɛtal, ɔ yu nɔ kin smɛl ɛnitin atɔl? Sɔntɛm yu nɔ go ivin mɛmba aw lɔng i dɔn pas we yu las slip. Dis na sɔm pan di sayn dɛm fɔ Lɔng COVID, we wi go tɔk bɔt tide.

Wetin na Lɔng COVID?

Fɔ tɔk am simpul wan, Lɔng COVID na wan sɛt ɔf simptom dɛm we kin de fɔ tri mɔnt ɔ mɔ afta yu dɔn gɛt COVID-19 ɛn di fɔs simptom dɛm dɔn stɔp. I nɔ mata if yu bin gɛt mild ɔr siriɔs COVID-19, i kin apin to ɛnibɔdi. Sɔntɛnde, dɛn sayn ya kin tan lɛk aw pɔrsin kin gɛt di sik wae de kam pan pɔrsin in bɔdi, in lɔng, at, nervɔs sistɛm, ɔr maynd sik. Sɔm sayn dɛm kin nɔr kin so, ɔda wan kin so tranga dat kin mek i nɔr izi fɔ yu fɔ du di tin dɛm wae yu kin du ɛvride. Dɛn sayn ya kin kam ɛn go, chenj, ɔr kin wɔs as tɛm de go. Yu kin fil lɛk se yu nɔ ɛva rili wɛl afta yu gɛt COVID.

Dɛn kin kɔl Lɔng COVID wit ɔda nem dɛn bak, lɛk lɔng-haul COVID, post-COVID syndrome, ɔ post-acute sequelae of COVID-19. Bɔrku pipul dɛn kin ikwal dis kɔndishɔn wit Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS). Bikɔs i gɛt bɔku bɔku sayn dɛm ɛn i kin kam wit difrɛn tin dɛm, no wan tritmɛnt nɔr de we go woke fɔ ɔlman.

Aw kɔmɔn tin na Lɔng COVID?

Naw dɛn se bitwin 5% ɛn 10% pan di pipul dɛn we gɛt COVID-19 kin gɛt dɛn kayn tin ya we kin apin afta COVID. Bɔt bikɔs di sayn dɛn kin difrɛn ɛn aw lɔng dɛn kin gɛt dis sik kin difrɛn, i nɔ kin izi fɔ tɔk klia wan ɔmɔs pipul dɛn gɛt dɛn.

Wetin na di sayn dɛm fɔ Lɔng COVID?

Lɔng COVID kin mek yu gɛt difrɛn sayn dɛm. Sɔm pipul kin gɛt pas wan sayn, bɔt bɔrku pipul nɔr kin gɛt ɔl dis wan tɛm. De tu sayn dɛm wae kin kam pan pɔrsin na wae yu taya, wae de fil wae yu de fil wik, ɛn yu nɔr de blo fayn.

Ɔda sayn dɛm wae yu kin si na:

• Lɔs ɔ chenj di sɛns fɔ smɛl ɔ teist: Sɔm pipul dɛn nɔ kin ebul fɔ smɛl ɔ teist atɔl (anosmia). Ɔda pipul dɛn kin gɛt chenj na di we aw dɛn bin de teist trade, lɛk we dɛn de te lɛk mɛtal (dysgeusia). Imajin se yu de it di it we yu lɛk ɛn yu nɔ ebul fɔ test am atɔl.
• Difεlεnt fכ kכnsantreyt - "bren fכg": I at fכ tink klia wan εn kכnsantreyt. I kin tan lɛk se fɔg kɔba yu ed. Sɔntɛnde, i kin at fɔ mɛmba wɔd dɛn.
• Kɔf we nɔ de dɔn: Ivin afta COVID dɔn wɛl, kɔf kin de fɔ sɔm mɔnt.
• Ɛd we de at: I kin at bɔku tɛm, sɔntɛnde i kin at bad bad wan.
• I nɔ kin izi fɔ slip ɔ yu nɔ kin slip: Yu kin gɛt prɔblɛm fɔ slip na nɛt, ɔ yu nɔ kin ebul fɔ slip fayn ivin we yu kin slip.
• Pwɛl hat: Na wae pɔrsin kin fil fɔ fil se yu nɔr gɛt op, wae yu nɔr gɛt op fɔ ɔltin.
• Wae yu de wɔri: Yu kin fil fɔ fred ɛn nɔr kin fil fayn ɔltɛm.
• Chɛst pen: Sɔntɛnde, di chɛst kin at ivin we yu de blo.
• Hat palpitations: Na filin wae yu hat de rεs ɔr de rεs .
• Dayarɛa: Fɔ blo.

If yu kɔntinyu fɔ gɛt wan ɔ mɔ pan dɛn sik ya afta yu gɛt COVID, i impɔtant fɔ wɔri.

Wetin na di tin dɛn we de mek pɔsin gɛt Long COVID?

Di masta sabi pipul dɛn stil nɔ ebul fɔ no wan singl kɔz fɔ Lɔng COVID. Bɔt dɛn dɔn no se ɔda korona vayrɔs kin mek dɛn gɛt lɔng tɛm ifɛkt trade, lɛk Midul Is Rɛspiratɔri Sindrɔm (MERS) ɛn Sivɛri Akyu Respiratɔri Sindrɔm (SARS). So i nɔ sɔprayz fɔ no se COVID simptom kin las fɔ lɔng tɛm. Bɔku tin dɛn de we kin mek pɔsin gɛt Lɔng COVID:

• Smɔl smɔl blɔd klɔt: Dɛn smɔl smɔl blɔd ya nɔ kin mek big tin lɛk strok, bɔt dɛn kin ambɔg yu lɔng, bren, ɛn ɔda pat dɛn fɔ wok fayn fayn wan.
• Inflameshɔn: Yu imyun sistɛm kin wok pasmak ɛn kɔntinyu fɔ mek yu ɔgan ɛn tisu dɛn inflamɛns, ivin afta i dɔn fɔ fɛt di COVID infɛkshɔn.
• Awtoimyun dizayd: Fɔ rizin we wi nɔ no gud gud wan, afta yu gɛt COVID infɛkshɔn, yu imyun sistɛm kin bigin fɔ atak sɔm pat dɛn na yu yon bɔdi, lɛk aw ɔtoimyun sik.
• Viral persistence: Di SARS‐CoV‐2 vayrɔs, we de mek COVID‐19, kin de na yu bɔdi ivin afta yu dɔn wɛl frɔm di fɔs sik. Ivin if yu test negatif fɔ COVID, ɛn yu nɔ go gɛt ɛni ɔda pɔsin, di vayrɔs kin kɔntinyu fɔ kɔz prɔblɛm na yu bɔdi.
• Riaktiveshɔn fɔ ɔda vayrɔs dɛn:Sɔm vayrɔs kin ledɔm na yu bɔdi we yu nɔ no. Sɔntɛnde, dɛn tin ya kin kam bak ɛn mek yu gɛt sɔm kayn sik. Sɔm pruf sho se Covid kin mek di Epstein-Barr vayrɔs (di vayrɔs we de mek pɔsin gɛt mono) bak ɛn mek i gɛt lɔng tɛm simptom.
• Lɔng tɛm saykilɔjik ifɛkt dɛm wae gɛt siriɔs sik: If yu gɛt siriɔs kes fɔ COVID, mɔ if yu de na ɔspitul, yu kin gɛt wɔri, pwɛl hat, ɔr ɔda mental wɛl bɔdi kɔndishɔn as a rizulta.

Udat de pan ay risk fɔ gɛt Lɔng COVID?

Yu de pan ay risk fɔ gɛt Long COVID if yu:

• If yu nɔ gɛt vaysin agens Covid-19.
• If yu gɛt siriɔs kes fɔ COVID, mɔ if dɛn dɔn put yu na ɔspitul. Bɔt mɛmba se ivin pipul dɛn we gɛt nɔmal COVID kin gɛt Lɔng COVID.
• If yu dɔn gɛt Multisystem Inflammatory Disorder (MIS-C) di tɛm ɔ afta COVID-19.
• If yu bin gɛt ɔda wɛlbɔdi prɔblɛm bifo yu gɛt COVID, fɔ ɛgzampul, lɔng sik, fat, dayabitis, ɛn ay blɔd prɛshɔn.
• If yu na uman. (Di rayt rizin fɔ dis nɔ klia yet, bɔt stɔdi dɛn dɔn sho dis.)

Aw yu go no if yu gɛt Long COVID?

Dɔktɔ dɛn go disayd if yu gɛt Lɔng COVID bay we dɛn de lisin to yu simptom ɛn yu wɛlbɔdi histri. Dɛn kin du sɔm tɛst bak fɔ ɔndastand yu sik dɛn mɔ ɛn disayd aw fɔ trit dɛn. Dipen pan yu sayn dɛm, dɛn kin du dɛn tɛst ya:

• Blɔd tɛst: Chɛk fɔ tin dɛn lɛk inflamɛns na di bɔdi ɛn di ɔgan dɛn we de wok.
• Chɛst X-ray ɔ ɔda imej tɛst: Dɛn kin tek pikchɔ dɛn insay yu lɔng, bren, ɔ ɔda pat dɛn fɔ si if ɛni chenj de we go de mek yu gɛt di sik.
• CT skan: If yu gɛt sɔm kayn lɔng inflamɛns, i kin afɛkt di we aw yu dɔktɔ de trit yu wit sɔm mɛrɛsin dɛn. Yu dɔktɔ kin nid fɔ du CT skan fɔ si dis inflamɛns.
• Lכng (pulmonary) fכnshכn tεst: Dɛn tεst ya de εp yu dכkta fכ no aw yu lכng dεm de wok fayn fayn wan.
• Ilɛktrokardiogram (EKG/ECG) ɔ Echocardiogram (Echocardiogram - Echo): Dɛn tɛst ya kin ɛp dɔktɔ dɛn fɔ no if yu gɛt ɛni prɔblɛm wit yu at.

Wetin dɛn kin du fɔ avɔyd Long COVID?

Na ɔnfɔni, no wan mɛrɛsin nɔ de fɔ Lɔng COVID. Yu ɛn yu dɔktɔ go nid fɔ tray bɔku difrɛn tritmɛnt dɛn fɔ no wetin go wok fɔ yu. Dipen pan yu sayn dɛm, di tritmɛnt dɛm wae yu kin gɛt kin bi:

• Mɛrɛsin: Dɔktɔ kin trit sɔm sayn dɛm ɛn tin dɛm lɛk fɔ kɔf, ed pen, wɔri, ɛn pwɛl hat, wit mɛrɛsin. If dɛn kin fɛn wan ɔndalayn kɔz (e.g., blɔd klot) fɔ Lɔng COVID, dɛn kin trit da kɔz de bak wit mɛrɛsin.
• Stellate ganglion block or olfactory retraining: Dɔktɔ dɛn kin yuz dɛn tritmɛnt ya fɔ tray fɔ mek yu gɛt sɛns fɔ smɛl ɛn test bak. Wan stellate ganglion block de numb sɔm pan di nerves na yu nek we de afɛkt yu sɛns fɔ smɛl. Olfactory retraining de yuz smɛl dɛm we yu sabi fɔ mɛmba yu bren aw tin fɔ smɛl.
• Fizik tritmɛnt: Fizik tritmɛnt na fɔ du ɛksɛsayz, masaj, ɛn ɔda tritmɛnt dɛm wae kin ɛp yu fɔ ridyus pen ɛn fɔ mek yu ebul fɔ muv fayn fayn wan.
• Pulmonary rehabilitation: Dis na spɛshal ɛksɛsayz ɛn ɛdyukeshɔn program we de ɛp yu fɔ blo izi ɛn lan aw fɔ kɔntrol di prɔblɛm dɛn we yu kin gɛt we yu de blo na os.
• Kɔnsul: Kɔnsul de gi yu pɔsin fɔ tɔk to fɔ ɛp yu fɔ kɔntrol di kayn we aw yu de fil we yu gɛt siriɔs ɔr lɔng tɛm sik.

Di tin we impɔtant pas ɔl na dat, yu nɔ nid fɔ fes dis yu wan. I rili impɔtant fɔ go to dɔktɔ fɔ advays.

Wetin yu kin ɛkspɛkt if yu gɛt Lɔng COVID?

Lɔng COVID simptom kin kam ɛn go, ɔr kin bɛtɛ ɔr wɔs as tɛm de go. Bɔrku "lɔng-haulers," ɔr pipul dɛm wae de sɔfa wit dis sik, kin dɔn wɛl. Bɔt aw lɔng i kin tek kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Sɔntɛm yu go nid fɔ du dɛn tin ya:

• Si praymari kia dɔktɔ (PCP) ɛn wan ɔr mɔr spɛshal pipul dɛm fɔ mɛn yu sik dɛm. If Long COVID klinik de na yu eria, dɛn kin rifer yu to spɛshal pɔsin we fit fɔ yu patikyula simptom.
• Peshɛnt ɛn nɔ giv ɔp we yu de tray fɔ fɛn di tritmɛnt we go wok fɔ yu.
• Gi yusɛf mɔ tɛm pas aw yu kin du fɔ di tin dɛn we yu kin du ɔltɛm, ɛn brɛk bɔku tɛm ɔl di de. Sɔm pipul dɛn kin nid fɔ blo fɔ lɔng tɛm frɔm wok ɔ skul fɔ mek dɛn wɛl.

Aw lɔŋ di sayn dɛm lɛk taya kin las afta yu gɛt COVID?

Bɔku pipul dɛn kin fil taya ɛn taya fɔ sɔm wiks afta dɛn dɔn gɛt COVID. Bɔt fɔ sɔm pipul dɛn, dis taya ɛn ɔda sayn dɛn kin te fɔ sɔm mɔnt ɔ ivin lɔng pas dat. Bɔku pipul dɛn we gɛt Lɔng COVID kin bigin fɔ wɛl bitwin 12 ɛn 18 mɔnt.

Yu tink se dɛn go ebul fɔ protɛkt Long COVID?

No wan we nɔ de fɔ mek wi nɔ gɛt Long COVID. Bɔt bɔku we dɛn de fɔ ridyus di prɔblɛm we yu gɛt. Dɛn na:

• Antivayral mɛrɛsin: Wan stɔdi sho se if pɔsin tek di antivayrɔs drɔg Nirmatrelvir (brand nem: Paxlovid®) insay fayv dez afta dɛn dɔn tɛst pɔsin fɔ COVID, dat kin mek i nɔ gɛt bɔku COVID fɔ lɔng tɛm. Dis stɔdi bin jɔs luk pan pipul dɛn we bin de pan ay risk fɔ gɛt siriɔs COVID. Yu fɔ mɛmba se, dɔktɔ dɛn kin jɔs gi yu antivayrɔs mɛrɛsin insay fayv dez frɔm we yu bigin fɔ gɛt di sik.
• Vaysin: Di wan dɛn we nɔ gɛt vaysin agens COVID de pan ay risk fɔ gɛt Lɔng COVID if dɛn gɛt di sik.
• Avoiding infection: If yu nɔ gɛt COVID, yu nɔ go ebul fɔ gɛt Long COVID. Yu kin ridyus yu risk fɔ gɛt COVID bay we yu de praktis gud abit fɔ was yu an ɛn wɛr mask we kɔba yu mɔt fayn fayn wan (e.g., mask we gɛt bɔku layt lɛk N95 ɔ KN95) we yu de nia ɔda pipul dɛn. Avɔyd ɔda pipul dɛn if yu ɔ ɔda pipul dɛn sik, ɔ if pɔsin dɔn gɛt COVID.

Ustɛm yu fɔ go to dɔktɔ?

Si dɔktɔ if yu gɛt ɛni wan pan dɛn tin ya:

• Sivεr Covid simptom dεm.
• Ivin if yu fɔs sayn dɛm fayn, sayn dɛm wae de teik lɔng tɛm.
• Ɛni sayn wae de ambɔg yu ɛvride layf.

Tɛl yu dɔktɔ bɔt yu sik ɛn aw dɛn de afɛkt yu layf. Tɛl dɛn ustɛm dɛn kam fɔ no se yu gɛt COVID ɛn ustɛm di sik dɛn we yu gɛt naw bigin.

Insay us sityueshɔn yu nid fɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU) ?

If yu sik kin wɔs wantɛm wantɛm, ɔ if yu gɛt siriɔs sik lɛk dis, go na di imejensi rum wantɛm wantɛm:

• Ay fiva (i pas 103 digri F ɔ pas 40 digri sɛlshiɔs).
• I nɔ kin izi fɔ yu fɔ blo.
• Siriɔs ɔ nɔ de taya pen na di chɛst ɔ bɛlɛ (bɛlɛ).
• Diziz we pɔsin kin gɛt ɔltɛm.
• Kɔnfyus.
• Di mɔsul dɛn kin pen bad bad wan ɔ i kin wik.
• Nɔ ebul fɔ wek ɔ wek.
• Di sik dɛn we kin mek pɔsin sik.
• Blu kכla fכ di skin, lip, כ finga nεl (Cyanosis - dis kin bi sayn fכ lכw כksijεn lεvεl na yu bכdi כ tisu dεm).

Us kwɛstyɔn dɛn yu fɔ aks yu dɔktɔ?

I go fayn fɔ mek yu aks dɛn kwɛstyɔn ya we yu go to dɔktɔ:

• Us tritmɛnt opshɔn dɛn a gɛt?
• Yu no wetin de mek a gɛt dis sik?
• Pipul wae gɛt sɔm kayn sik lɛk mi kin wɛl?
• Aw a fɔ tek mi mɛrɛsin?
• Ustɛm a fɔ si yu bak?
• Us sayn dɛn we yu fɔ go na di imejensi rum?

Di tin we impɔtant pas ɔl we wi nid fɔ mɛmba (Take-Home Message) .

Sɔmtɛm, di no bɔt mɛrɛsin kin bi smɔl biɛn wetin di sik pipul dɛn dɔn de gɛt fɔ lɔng tɛm. Laki, wi dɔn kam fa fɔ ɔndastand sɔm pan di lɔng tɛm simptom dɛm fɔ COVID. Naw bɔku dɔktɔ dɛn de wok wit difrɛn tim dɛn we de wok tranga wan fɔ ɔndastand ɛn trit yu sik dɛn.

Dis stil na tin wae yu de lan - tray sɔm tin dɛm fɔ fɛn de tritmɛnt wae go woke fayn fɔ yu, ɛn yu kin mek mistek. If yu nɔ ebul fɔ tɔk fɔ yusɛf, gɛt ɛp frɔm pɔsin we ebul fɔ tɔk. Dɛn kin ɛp yu fɔ fɛn dɔktɔ, sɔpɔt grup, ɛn advays. Tɛl yu fambul, padi dɛn, ɛn yu wokples ɔ skul se yu go nid mɔ tɛm fɔ du sɔm tin dɛn, ɔ yu go nid fɔ rɛst mɔ. Fɔ alaw yusɛf fɔ du gud to yusɛf we yu de wɛl kin bi di fɔs tin fɔ mek yu wɛl. Peshɛnt ɛn fala yu dɔktɔ in advays. Nɔto yu wan de!