COVID-19 yakosa amawuggwe go? (COVID-19 Lung Damage) Katukwogere ku nsonga eno mu bujjuvu!

Ojjukira COVID-19 lwe yakwata ensi yonna? Mu kiseera ekyo, ffenna twakwata omukka olw’okutya. Kale, akawuka kano aka COVID-19 bwe kayingira mu mibiri gyaffe, kasobola okwonoona amawuggwe gaffe naddala. Ku bantu abamu, kiyinza okuvaako ekifuba eky’amaanyi oba okulemererwa okussa . Ate abalala ne bwe baba nga bateredde, bayinza okufuna obuzibu mu kussa ne bawulira nga bakooye okumala akaseera.

Okwonoonebwa ki ku mawuggwe olwa COVID-19?

Mu ngeri ennyangu, COVID-19 bulwadde obukosa enkola y’okussa. Akawuka kano bwe kayingira mu mawuggwe gaffe, abaserikale b’omubiri gwaffe batandika okukalwanyisa. Mu lutalo luno, okuzimba kubaawo munda mu mawuggwe. Singa okuzimba kuno tekufugibwa, era kuyinza okwonoona obutoffaali bwaffe obw’amawuggwe obulamu. Kiba ng'olutalo, bwe tulwanyisa omulabe, oluusi n'oludda lwaffe lulumizibwa.

Mu budde obwabulijjo, endwadde z’okussa nga ssennyiga n’omusujja zisobola okukosa amawuggwe okutuuka ku ddaala eritali limu. Wabula COVID-19 bweyasooka okutandika okusaasaana, abasawo baakiraba nti eyinza okweyongera okwonooneka amangu ddala n’okwongera okwonoona amawuggwe. Ebimu ku biwandiiko biraga nti enkyukakyuka eriwo kati, Omicron, etera okukosa enkola y’okussa eya waggulu (ennyindo n’emimiro) okusinga enkyukakyuka eyasooka. Kyokka kikyayinza okwonoona amawuggwe n’okuleeta ebizibu eby’amaanyi.

Bubonero ki obwa COVID-19 okwonooneka kw'amawuggwe?

Bw’oba ​​olina COVID-19, obubonero bw’embeera eziva ku kwonooneka kw’amawuggwe buyinza okuli:

• Okukaluubirirwa okussa oba okussa obubi .
• Okuwulira ng'okooye mu ngeri etagumiikiriza .
• Omusujja .
• Okukyusa langi y’olususu, emimwa oba enjala mu bbululu oba enzirugavu (cyanosis) . Kino kibaawo ng'omusaayi tegufuna mukka gwa oxygen gumala .
• Okussa okw’amangu, okuzibu ennyo.
• Okuwulira obulumi oba okunyiga mu kifuba .

Wabula singa oba olina okwonooneka kw’amawuggwe okumala ebbanga eddene ng’omaze okuwona ekirwadde kya COVID-19 , oyinza obutafuna bubonero bwonna. Oba oyinza okuwulira ng’omukka gukutte oba ng’okooye mangu, ne bw’oba ​​okola emirimu emitonotono. Oluusi obubonero buno buyinza okweyongera mpolampola okumala ekiseera.

Lwaki COVID-19 eyonoona amawuggwe?

Ensonga enkulu lwaki kino kikoleddwa eri nti abaserikale baffe abaserikale basusse okukola . Teebereza, obutoffaali bwaffe obw’abaserikale b’omubiri bugenda mu kifo akawuka we katuuse ne kabulwanyisa. Ekyo kirungi. Naye, singa olutalo luno luva mu buyinza, kwe kugamba, singa abaserikale b’omubiri bakola ekisusse, era luyinza okwonoona ebitundu ebiramu.

Ebisenge by’obusawo obutonotono obw’empewo mu mawuggwe gaffe (bwe tuyita alveoli ) bwe byonoonebwa era ne binafuwa, bitandika okujjula amazzi. Olwo empewo tesobola kuyingira, ate ne oxygen tasobola kuyingira mu musaayi oba mu mubiri gwonna.

Okuzimba kuno era kuyinza okuvaako ebizimba by’amawuggwe oba enkovu mu mawuggwe. Bino bisobola okutwala ekiseera ekiwanvu okuwona era oluusi bisobola okubeera eby’olubeerera.

Okwonoonebwa okw’ekika kino mu butuufu kuyinza okubaawo mu ndwadde endala ez’okussa, naye kirabika kusinga kuba kwa maanyi mu COVID-19. Kino kiyinza okuba nga kiva ku kawuka kano kasusse okukola ku baserikale baffe abaserikale b’omubiri, ne kaleeta emiyaga gya cytokine , okugeza. Oba kiyinza okuba nga kiva ku kuba nti akawuka kakozesa obutoffaali bwaffe obw’abaserikale b’omubiri okulumba amawuggwe.

Ani ali mu bulabe obw’amaanyi obw’okukosebwa amawuggwe olw’ekirwadde kya COVID-19?

Bw’oba ​​olina emu ku mbeera zino wammanga, otera okufuna COVID-19 ow’amaanyi n’okwonoona amawuggwe:

• Bw’oba ​​olina emyaka egisukka mu 65.
• Singa oba olubuto .
• Bw’oba ​​onywa ssigala oba ng’obadde onywa sigala emabega.
• Bwoba nga obadde okyusiddwa ebitundu by'omubiri oba okusimbuliza obutoffaali obusibuka mu mubiri .
• Bwoba tonnamira ddagala lya COVID-19.
• Bw’oba ​​n’abaserikale b’omubiri abanafu - kino kiyinza okuva ku mbeera nga kookolo, eddagala erimu, okukwatibwa akawuka ka siriimu, oba obutaba na busimu obusookerwako .

Ate era, bw’oba ​​olina emu ku mbeera z’obulamu zino wammanga, akabi kwo kayinza okweyongera:

• Kookolo.
• Endwadde z’amawuggwe eziwangaala oba embeera ezikwata amawuggwe, okugeza, asima, COPD (Chronic Obstructive Pulmonary Disease) , ne cystic fibrosis .
• Embeera ezikosa omutima, ensigo, ekibumba, omusaayi oba obwongo.
• Embeera z’obuzaale, okugeza , okusannyalala kw’obwongo oba Down syndrome .
• Ssukaali (Obulwadde bwa sukaali).
• Ebizibu by‟obulamu bw‟obwongo.
• Obunene.
• Okukozesa ebiragalalagala.

Bizibu ki ebiva mu COVID-19 okwonooneka amawuggwe?

Obuzimba obuva ku COVID-19 n’obulwadde obulala buyinza okuvaako ebizibu nga:

• Pneumonia: Buno bulwadde bwa mawuggwe. Mu kino, ensawo z’empewo zijjula amazzi.
• Obulwadde bw’okusannyalala mu kussa (ARDS):Eno mbeera ya maanyi nnyo. Mu kino, ensawo z’empewo nnyingi mu mawuggwe go zijjula amazzi, ekiziyiza omukka gwa oxygen okuyingira mu musaayi gwo.
• Ensigo z’amawuggwe: Ensigo ziyinza okusigala mu mawuggwe olw’okwonooneka okuva mu kuzimba.
• Obulwadde bw’amawuggwe: Ebitundu by’amawuggwe ebyonooneddwa bisobola okufuuka enkovu. Oluusi, enkovu eno esobola okweyongera okukula ne bw’oba ​​owonye obulwadde buno.
• Long COVID: Abantu abamu bayinza okusigala nga balina obubonero okumala emyezi oba n’emyaka oluvannyuma lw’okukwatibwa COVID-19.

Ozuula otya obulwadde bwa COVID-19 okwonooneka kw'amawuggwe?

Omusawo ajja kunoonya okwonooneka kw’amawuggwe ng’akozesa okukebera ebifaananyi (e.g., X-ray, CT scan) oba bronchoscopy (ekyuma ekigonvu nga kiriko kkamera eyingiziddwa mu mawuggwe okutunula munda). Bagenda kukozesa n’okukeberebwa okulala okuzuula yinfekisoni, gamba ng’ekifuba.

Bigezo ki ebikolebwa?

Abasawo bayinza okukola ebigezo nga bino okukebera embeera y’amawuggwe n’okuzuula yinfekisoni:

• Ennyindo: Sampuli eggyibwa munda mu nnyindo oba emimiro ng’okozesa ppamba okukebera COVID-19 n’akawuka akalala.
• Pulse oximetry: Akauma akatono akateekebwa ku ngalo yo kapima obungi bwa oxygen mu musaayi gwo. Kino kiyinza okukuwa endowooza ku ngeri amawuggwe go gye gakolamu.
• Okukuba ebifaananyi: Bakolebwa X-ray oba CT scan mu kifuba okukuba ebifaananyi by’amawuggwe okulaba oba waliwo okwonooneka kwonna.
• Okukebera omusaayi: Okukebera omusaayi kiyamba okukebera yinfekisoni n’okukebera obulamu bwo okutwalira awamu.
• Okukebera amalusu: Kino kizingiramu okutwala sampuli y’omusulo ogufuluma ng’osesema n’okukebera oba temuli yinfekisoni.
• Pleural fluid culture: Mu kukebera kuno, omusawo akozesa empiso ennyimpi okutwala akatono ku mazzi okwetoloola amawuggwe go okukebera oba olina yinfekisoni.
• Okukebera omukka gw’omusaayi mu misuwa: Okukebera kuno kusobozesa abasawo okulaba engeri amawuggwe go gye gakola obulungi.
• Bronchoscopy: Bronchoscope esobola okukozesebwa okutunuulira amawuggwe n’okutwala sampuli z’ebitundu by’omubiri oba amazzi okuzisindika mu laboratory okukeberebwa.

Obulwadde bw’amawuggwe bwa COVID-19 bujjanjabwa butya?

Mazima ddala tewali kinene ky’oyinza kukola okuddaabiriza ddala amawuggwe go nga gamaze okwonooneka. Naye, abasawo basobola okukuyamba okufuna omukka gwa oxygen gwe weetaaga. Bw’oba ​​olina ekifuba oba ARDS okuva ku COVID-19, omusawo ayinza okukuwa amagezi ku bujjanjabi buno:

• Oxygen ey’okugattako:Amawuggwe go gakola naye bw’oba ​​tofuna mukka gwa oxygen gumala, ojja kuweebwa oxygen ow’enjawulo ng’oyita mu ttanka eteekebwa mu nnyindo oba masiki eteekeddwa ku maaso.
• Amazzi agayingira mu misuwa (IV fluids): Amazzi ag’enjawulo gaweebwa nga gayita mu IV okulemesa omubiri okuggwaamu amazzi.
• Okussa empewo mu makanika: Bw’oba ​​tosobola kussa ku bubwo, ojja kuyungibwa ku kyuma ekissa.
• Proning: Okusobola okuyamba amawuggwe okukola obulungi, okyusibwa ku lubuto okumala essaawa ntono olunaku.
• Extracorporeal Membrane Oxygenation (ECMO): Singa ebitundu byo tebikola bulungi, oyinza okuyungibwa ku kyuma ekitaasa obulamu ekikola emirimu gy’omutima n’amawuggwe.
• Okufulumya amazzi: Okukendeeza ku mazzi agali mu mawuggwe go, omusawo ayinza okukozesa ekituli oba okulongoosebwa okuggyamu amazzi ago.

Abasawo bayinza n’okuwandiika eddagala nga lino okuyamba okulwanyisa obulwadde buno:

• Eddagala eritta akawuka: Eddagala nga Remdesivir oba PaxlovidTM liyinza okuyamba okulwanyisa obulwadde bwa COVID-19.
• Corticosteroids: Abasawo bayinza okukozesa eddagala eriweweeza ku bulwadde oba eddagala eddala eriziyiza okuzimba okukendeeza ku kuzimba.
• Obuziyiza obuziyiza endwadde (monoclonal antibodies): Obujjanjabi bw’obutoffaali obuziyiza endwadde obuyitibwa monoclonal antibody, nga tocilizumab, busobola okukendeeza oba okuziyiza okuzimba.
• Eddagala eritta obuwuka: Bw’oba ​​olina obulwadde bwa bakitiriya ng’oggyeeko COVID-19, omusawo ayinza okukuwa eddagala eritta obuwuka.

Okukyusa amawuggwe tekutera kukolebwa mu bantu abalina amawuggwe agaayonoonebwa ennyo okumala ebbanga eddene olw’ekirwadde kya COVID-19. Ate era singa enkovu z’amawuggwe (pulmonary fibrosis) zeeyongera okweyongera, waliwo eddagala erimu eriyinza okuzikendeeza ku sipiidi.

Kiki kye nsuubira singa mba nfunye obuzibu bw'amawuggwe olwa COVID-19?

Bw’ofuna ekifuba oba ARDS okuva ku COVID-19, ojja kwetaaga okusigala mu ddwaaliro abasawo basobole okukuyamba okussa okutuusa ng’omubiri gwo guwonye akawuka.

Enkovu z’amawuggwe ziyinza okuwangaala oba ez’olubeerera. Mu mbeera ezimu, enkovu eziva ku yinfekisoni ziyinza okweyongera okwonooneka okumala ekiseera, ne bwe kiba nti obubonero bwo obulala buweddewo.

Ddi lwe nnina okulaba omusawo wange?

Bw’okeberebwa n’ofuna ekirwadde kya COVID-19, buuza omusawo wo mu bwangu ku by’okumira eddagala eritta akawuka. Kisinga kukola bulungi singa kimira mu nnaku ttaano ezisooka ng’obubonero butandise.

Bw’oba ​​okyalina obuzibu bw’okussa, obukoowu oba obubonero obulala, yogerako n’omusawo wo. Long COVID esobola okukuyamba okuwulira obulungi.Waliwo n’obulwaliro.

Ddi lwe nnina okugenda mu kitongole ekijjanjaba abalwadde ab’amangu (ETU) ?

Bw’oba ​​olina COVID-19 era ng’olina obubonero buno obw’amaanyi, genda mu kisenge ky’abalwadde ab’amangu mu bwangu, oba kuba 1990 (oba ennamba y’abalwadde ab’amangu mu kitundu kyo):

• Okussa ennyo oba okukaluubirirwa okussa.
• Okusoberwa.
• Obutasobola kusigala nga otunula.
• Okukyuka langi ya bbululu mu lususu, emimwa oba enjala.

Bibuuzo ki bye nnina okubuuza omusawo wange?

Kiyinza okuba eky’omugaso okubuuza omusawo wo ebibuuzo nga bino:

• Waliwo obujjanjabi bwonna bwe nsobola okukozesa?
• Kino kisobola okuwona ku bwakyo?
• Nsaanidde kwerabirira ntya?

COVID-19 okwonooneka kw'amawuggwe kuyinza okuziyizibwa?

Engeri esinga okutangira amawuggwe okwonooneka kwe kwewala okufuna yinfekisoni. Osobola okukola bino wammanga okukendeeza ku bulabe bw’okulwala COVID-19 ow’amaanyi:

• Gemebwa: Okugema COVID-19 n’endwadde endala nga ssennyiga kiyinza okukendeeza ku bulabe bw’okulwala oba okulwala ennyo.
• Okulekera awo okunywa sigala n’okwewala okunywa sigala: Okunywa sigala kwonoona amawuggwe go ekitegeeza nti otera okufuna yinfekisoni eziyinza okuvaako embeera ng’ekifuba.
• Naaba bulungi mu ngalo ne ssabbuuni n’amazzi nga tonnalya, okukwata emmere, n’oluvannyuma lw’okukozesa kaabuyonjo. Ssabbuuni bw’aba taliiwo, kozesa eddagala erirongoosa mu ngalo eririmu omwenge.
• Weewale okukwatagana ennyo n'abalala n'okugabana ebintu .
• Dukanya embeera z’obulamu endala zonna z’olina, kubanga ziyinza okwongera ku bulabe bw’okulwala COVID-19 ow’amaanyi.

Bw’olwala, okumira eddagala eriweweeza ku kawuka mu nnaku ttaano ezisooka ng’obubonero bulaga kiyinza okuyamba okutangira obulwadde buno okweyongera.

Jjukira nti okuzimba y’engeri abaserikale b’omubiri gy’akozesa okukukuuma. Naye singa kiva mu buyinza, kiyinza okuleeta obulabe, okufaananako okwonooneka kw’amawuggwe olwa COVID-19. Tewali ayinza kwogera bulungi ani agenda kulwala nnyo era ani agenda okukosebwa okumala ebbanga eddene.

N’ekisembayo, obubaka obutwala awaka:

COVID-19 si muzannyo banange. Kiyinza okukosa amawuggwe gaffe mu ngeri gye tutasuubira. N’olwekyo, sigala ng’oli mutebenkevu nga bwe kisoboka. Gemebwa, goberera ebiragiro by’ebyobulamu. Bw’oba ​​olina obubonero bwonna, tobubuusa maaso. Noonya abasawo amagezi mu bwangu. Naddala bw’oba ​​olina obuzibu mu kussa oba okulumwa mu kifuba, kakasa nti ogenda ew’omusawo.

Bw’oba ​​olina ekibuuzo kyonna oba ekikweraliikiriza ku COVID-19 okwonooneka kw’amawuggwe, yogerako n’omusawo. Basobola okunnyonnyola engeri y’okukendeeza ku bulabe bwo n’okujjanjaba obubonero bwo. Ffenna tusigale nga tuli balamu!

` COVID-19, Okwonooneka kw'amawuggwe, Obuzibu mu kussa, Pneumonia, ARDS, Long COVID, COVID treatment