Kodi COVID-19 yakhudza mapapu anu? (COVID-19 Kuwonongeka kwa Mapapo) Tiyeni tikambirane izi mwatsatanetsatane!

Kodi mukukumbukira nthawi imene COVID-19 inatenga dziko lonse? Kalelo, tonse tinali ndi mantha. Chifukwa chake, kachilombo ka COVID-19 akalowa m'thupi mwathu, kangawononge mapapu athu makamaka. Kwa anthu ena, kangachititse chibayo chachikulu kapena kuvutika kupuma . Kwa ena, ngakhale atachira, angavutike kupuma ndipo amamva kutopa kwa kanthawi.

Kodi kuwonongeka kwa mapapo chifukwa cha COVID-19 ndi kotani?

Mwachidule, COVID-19 ndi matenda omwe amakhudza dongosolo la kupuma. Kachiromboka kakalowa m'mapapo mwathu, chitetezo cha mthupi lathu chimayamba kulimbana nacho. Pankhondoyi, kutupa kumachitika m'mapapo. Ngati kutupa kumeneku sikulamuliridwa, kungawonongenso maselo athu athanzi a m'mapapo. Zili ngati nkhondo, polimbana ndi mdani, nthawi zina mbali yathu imavulalanso.

Kawirikawiri, matenda opuma monga chimfine ndi chimfine amatha kukhudza mapapo pang'ono. Koma pamene COVID-19 inayamba kufalikira, madokotala adazindikira kuti ikhoza kukhala yoopsa kwambiri mwachangu ndikuwononga mapapo kwambiri. Deta ina ikusonyeza kuti mtundu wa Omicron womwe ulipo panopa, ukhoza kukhudza kwambiri njira yopumira yapamwamba (mphuno ndi pakhosi) kuposa mtundu wakale. Komabe, ukhoza kuwononga mapapo ndikuyambitsa mavuto aakulu.

Kodi zizindikiro za kuwonongeka kwa mapapo a COVID-19 ndi ziti?

Ngati muli ndi COVID-19, zizindikiro za matenda omwe amayamba chifukwa cha kuwonongeka kwa mapapo zingaphatikizepo:

• Kuvuta kupuma kapena kupuma movutikira .
• Kumva kutopa kwambiri.
• Malungo .
• Kusinthika kwa khungu, milomo, kapena misomali kukhala yabuluu kapena imvi (cyanosis) . Izi zimachitika magazi akamalephera kulandira mpweya wokwanira.
• Kupuma mwachangu komanso movutikira.
• Kumva kupweteka kapena kufinya pachifuwa .

Komabe, ngati mwavulala mapapo kwa nthawi yayitali mutachira ku COVID-19 , simungaone zizindikiro zilizonse. Kapena mungamve kupuma movutikira kapena kutopa mosavuta, ngakhale mukuchita zinthu zochepa. Nthawi zina zizindikirozi zimatha kukulirakulira pang'onopang'ono pakapita nthawi.

Chifukwa chiyani COVID-19 imawononga mapapo?

Chifukwa chachikulu cha izi ndichakuti chitetezo chathu cha mthupi chimachita zinthu mopitirira muyeso . Tangoganizirani, maselo athu a chitetezo chamthupi amapita kumalo komwe kachilomboka kafika n’kumenyana nako. Ndi bwino zimenezo. Koma, ngati nkhondoyi isalamulirike, ndiko kuti, ngati chitetezo chamthupi chikagwira ntchito mopitirira muyeso, chingawonongenso minofu yathanzi.

Makoma a timatumba tating'onoting'ono ta mpweya m'mapapo mwathu (omwe timawatcha kuti alveoli ) akawonongeka ndi kufooka, amayamba kudzaza ndi madzi. Kenako mpweya sungalowe, ndipo mpweya sungalowe m'magazi kapena m'thupi lonse.

Kutupa kumeneku kungayambitsenso ziphuphu m'mapapo kapena zipsera m'mapapo. Izi zingatenge nthawi yayitali kuti zichiritsidwe ndipo nthawi zina zimatha kukhala zokhalitsa.

Kuwonongeka kwamtunduwu kumatha kuchitika m'matenda ena opumira, koma zikuwoneka kuti kungakhale koopsa kwambiri mu COVID-19. Izi zitha kukhala chifukwa kachilomboka kamakhudza chitetezo chathu chamthupi mopitirira muyeso, zomwe zimayambitsa ma cytokine , mwachitsanzo. Kapena zitha kukhala chifukwa kachilomboka kamagwiritsa ntchito maselo athu oteteza thupi kuukira mapapo.

Ndani ali pachiwopsezo chachikulu cha kuwonongeka kwa mapapo chifukwa cha COVID-19?

Ngati muli ndi vuto lililonse mwa zotsatirazi, muli ndi mwayi waukulu wokhala ndi COVID-19 yoopsa ndikuwononga mapapu anu:

• Ngati muli ndi zaka zoposa 65.
• Ngati ali ndi pakati .
• Ngati ndinu wosuta fodya kapena munasuta kale.
• Ngati mwaikidwa chiwalo kapena kuikidwa maselo oyambira .
• Ngati simunatenge katemera wa COVID-19.
• Ngati muli ndi chitetezo chamthupi chofooka - izi zitha kuchitika chifukwa cha matenda monga khansa, mankhwala ena, kachilombo ka HIV, kapena kusowa kwa chitetezo chamthupi .

Komanso, ngati muli ndi matenda otsatirawa, chiopsezo chanu chikhoza kuwonjezeka:

• Khansa.
• Matenda a m'mapapo a nthawi yayitali kapena matenda omwe amakhudza mapapo, mwachitsanzo, mphumu, COPD (Chronic Obstructive Pulmonary Disease) , ndi cystic fibrosis .
• Matenda omwe amakhudza mtima, impso, chiwindi, magazi, kapena ubongo.
• Matenda obadwa nawo, mwachitsanzo , matenda a ubongo kapena matenda a Down syndrome .
• Matenda a shuga (Diabetes Mellitus).
• Mavuto amisala.
• Kunenepa kwambiri.
• Kugwiritsa ntchito mankhwala osokoneza bongo.

Kodi mavuto otani omwe amabwera chifukwa cha kuwonongeka kwa mapapo a COVID-19?

Kutupa komwe kumachitika chifukwa cha COVID-19 ndi matenda ena kungayambitse mavuto monga:

• Chibayo: Ichi ndi matenda a m'mapapo. Mu izi, matumba a mpweya amadzaza ndi madzi.
• Matenda Ovuta Kwambiri Okhudza Kupuma (ARDS):Uwu ndi vuto lalikulu kwambiri. Pachifukwa ichi, matumba ambiri a mpweya m'mapapo mwanu amadzaza ndi madzi, zomwe zimalepheretsa mpweya kulowa m'magazi mwanu.
• Matumbo a m'mapapo: Matumbo amatha kukhalabe m'mapapo chifukwa cha kuwonongeka komwe kumachitika chifukwa cha kutupa.
• Matenda a m'mapapo: Malo owonongeka a m'mapapo amatha kukhala ndi zipsera. Nthawi zina, zipserazi zimatha kupitirira kukula ngakhale mutachira ku matendawa.
• COVID Yaitali: Anthu ena angapitirize kukhala ndi zizindikiro kwa miyezi ingapo kapena zaka zambiri atatenga COVID-19.

Kodi mungazindikire bwanji kuwonongeka kwa mapapo a COVID-19?

Dokotala adzafufuza ngati mapapo awonongeka pogwiritsa ntchito mayeso ojambulira zithunzi (monga X-ray, CT scan) kapena bronchoscopy (chubu chopyapyala chokhala ndi kamera yoyikidwa m'mapapo kuti ayang'ane mkati). Adzagwiritsanso ntchito mayeso ena kuti adziwe matenda, monga chibayo.

Ndi mayeso ati omwe akuchitidwa?

Madokotala angachite mayeso ngati awa kuti aone momwe mapapo alili ndi kupeza matenda:

• Chisambitso cha m'mphuno: Chitsanzo chimatengedwa kuchokera mkati mwa mphuno kapena pakhosi pogwiritsa ntchito chisambitso cha thonje kuti muyese COVID-19 ndi mavairasi ena.
• Kuyeza kuchuluka kwa mpweya m'magazi: Kachipangizo kakang'ono kamene kamayikidwa pa chala chanu kamayesa kuchuluka kwa mpweya m'magazi anu. Izi zingakupatseni lingaliro la momwe mapapu anu akugwirira ntchito.
• Kujambula: Kujambula pachifuwa pa X-ray kapena CT scan kumachitika kuti atenge zithunzi za mapapo kuti awone ngati pali kuwonongeka kulikonse.
• Kuyezetsa magazi: Kuyezetsa magazi kumathandiza kuwona ngati muli ndi matenda komanso kuwona thanzi lanu lonse.
• Kuyesa makoswe: Izi zimaphatikizapo kutenga chitsanzo cha mamina omwe amatuluka mukamatsokomola ndikuwona ngati ali ndi kachilombo.
• Kumera kwa madzi m'mapapo: Pa mayesowa, dokotala amagwiritsa ntchito singano yopyapyala kuti atenge madzi pang'ono ozungulira mapapo anu kuti aone ngati ali ndi matenda.
• Kuyesa mpweya wa m'magazi: Kuyesa kumeneku kumathandiza madokotala kuona momwe mapapu anu akugwirira ntchito.
• Bronchoscopy: Bronchoscope ingagwiritsidwe ntchito kuyang'ana mapapo ndikutenga zitsanzo za minofu kapena madzi kuti zitumizidwe ku labotale kuti zikayesedwe.

Kodi kuwonongeka kwa mapapo kwa COVID-19 kumachiritsidwa bwanji?

Palibe zambiri zomwe mungachite kuti mukonze bwino mapapu anu atawonongeka. Koma, madokotala angakuthandizeni kupeza mpweya womwe mukufuna. Ngati muli ndi chibayo kapena ARDS kuchokera ku COVID-19, dokotala wanu angakulangizeni njira zotsatirazi:

• Mpweya wowonjezera:Mapapu anu akugwira ntchito, koma ngati simukupeza mpweya wokwanira, mudzapatsidwa mpweya wowonjezera kudzera mu chubu chomwe chimayikidwa m'mphuno mwanu kapena chophimba nkhope chomwe chimayikidwa pankhope panu.
• Madzi olowa m'mitsempha (madzi a m'mitsempha): Madzi owonjezera amaperekedwa kudzera mu IV kuti thupi lisathe madzi m'thupi.
• Mpweya wopumira ndi makina: Ngati simungathe kupuma nokha, mudzalumikizidwa ndi makina opumira.
• Kuyang'ana m'mimba: Kuti mapapu anu agwire ntchito bwino, amakulowetsani m'mimba kwa maola angapo patsiku.
• Kutulutsa mpweya m'thupi (ECMO): Ngati ziwalo zanu sizikugwira ntchito bwino, mutha kulumikizidwa ndi makina opulumutsa moyo omwe amagwira ntchito ya mtima ndi mapapo anu.
• Kutulutsa madzi m'mapapo: Kuti achepetse madzi m'mapapo mwanu, dokotala angagwiritse ntchito catheter kapena opaleshoni kuti achotse madziwo.

Madokotala angaperekenso mankhwala ngati awa kuti athandize kulimbana ndi matendawa:

• Mankhwala oletsa mavairasi: Mankhwala monga Remdesivir kapena Paxlovid™ angathandize kulimbana ndi matenda a COVID-19.
• Corticosteroids: Madokotala angagwiritse ntchito ma steroids kapena mankhwala ena oletsa kutupa kuti achepetse kutupa.
• Ma antibodies a monoclonal: Mankhwala a monoclonal antibody, monga tocilizumab, amatha kuchepetsa kapena kuletsa kutupa.
• Mankhwala Opha Utoto: Ngati muli ndi kachilombo ka bakiteriya kuwonjezera pa COVID-19, dokotala wanu angakulembereni mankhwala opha tizilombo toyambitsa matenda.

Kuika mapapo sikunachitike kawirikawiri mwa anthu omwe avulala kwambiri m'mapapo kwa nthawi yayitali chifukwa cha COVID-19. Komanso, ngati zipsera za m'mapapo (pulmonary fibrosis) zikupitirirabe kukulirakulira, pali mankhwala ena omwe angathandize kuchepetsa vutoli.

Kodi ndiyenera kuyembekezera chiyani ngati ndavulala ndi mapapo a COVID-19?

Ngati mudwala chibayo kapena matenda a ARDS chifukwa cha COVID-19, muyenera kukhala m'chipatala kuti madokotala akuthandizeni kupuma mpaka thupi lanu litachira ku kachilomboka.

Zipsera m'mapapo zimatha kukhala zokhalitsa kapena zosatha. Nthawi zina, zipsera zomwe zimayambitsidwa ndi matenda zimatha kupitirirabe kukulirakulira pakapita nthawi, ngakhale zizindikiro zina zitatha.

Ndiyenera kupita kwa dokotala liti?

Ngati mwapezeka ndi COVID-19, funsani dokotala wanu mwamsanga momwe mungathere za kumwa mankhwala oletsa mavairasi. Mankhwalawa amagwira ntchito bwino kwambiri ngati atengedwa mkati mwa masiku asanu oyamba kuchokera pamene zizindikiro zayamba.

Ngati mukupuma movutikira, kutopa, kapena zizindikiro zina, lankhulani ndi dokotala wanu. COVID yayitali ingakuthandizeni kumva bwino.Palinso zipatala.

Kodi ndiyenera kupita liti ku Emergency Treatment Unit (ETU) ?

Ngati muli ndi COVID-19 ndipo muli ndi zizindikiro zoopsa izi, pitani ku chipinda chodzidzimutsa nthawi yomweyo, kapena imbani 1990 (kapena nambala yanu yadzidzidzi yapafupi):

• Kupuma movutikira kwambiri kapena kupuma movutikira.
• Chisokonezo.
• Kulephera kukhala maso.
• Kusintha kwa mtundu wa buluu wa khungu, milomo, kapena misomali.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

Zingakhale zothandiza kufunsa dokotala wanu mafunso monga awa:

• Kodi pali njira zina zochiritsira zomwe ndingapeze?
• Kodi izi zitha kudzichiritsa zokha?
• Kodi ndiyenera kudzisamalira bwanji?

Kodi kuwonongeka kwa mapapo a COVID-19 kungapewedwe?

Njira yabwino yopewera kuwonongeka kwa mapapo ndi kupewa kutenga matenda. Mutha kuchita izi kuti muchepetse chiopsezo chanu chokhala ndi COVID-19 yoopsa:

• Katemera: Katemera wa COVID-19 ndi matenda ena monga chimfine angachepetse chiopsezo chanu chodwala kapena kudwala kwambiri.
• Kusiya kusuta fodya ndi kupewa utsi wa fodya wogwiritsidwa ntchito ndi munthu wina: Kusuta fodya kumawononga mapapo anu, zomwe zikutanthauza kuti muli ndi mwayi waukulu wopeza matenda omwe angayambitse matenda monga chibayo.
• Sambani m'manja mwanu bwino ndi sopo ndi madzi musanadye, musanagwire chakudya, komanso mutagwiritsa ntchito chimbudzi. Ngati sopo palibe, gwiritsani ntchito mankhwala oyeretsera m'manja okhala ndi mowa.
• Pewani kukhudzana kwambiri ndi ena komanso kugawana zinthu .
• Konzani matenda ena aliwonse omwe muli nawo, chifukwa angakulitse chiopsezo chanu cha COVID-19 yoopsa.

Ngati mwadwala, kumwa mankhwala oletsa mavairasi mkati mwa masiku asanu oyambirira kuchokera pamene zizindikiro za matendawa zingakuthandizeni kupewa matendawo kuti asakule kwambiri.

Kumbukirani, kutupa ndi njira yomwe chitetezo cha mthupi lanu chimagwiritsa ntchito kuti chikutetezeni. Koma ngati sichingathe kulamulira, chingayambitse kuwonongeka, monga kuwonongeka kwa mapapo komwe kumachitika chifukwa cha COVID-19. Palibe amene anganene motsimikiza yemwe adzadwala kwambiri komanso yemwe adzakhala ndi zotsatirapo zake kwa nthawi yayitali.

Pomaliza, uthenga wopita nawo kunyumba:

COVID-19 si masewera, anzanga. Ingakhudze mapapu athu mwanjira zosayembekezereka. Chifukwa chake, khalani otetezeka momwe mungathere. Katemerani, tsatirani malangizo azaumoyo. Ngati muli ndi zizindikiro zilizonse, musanyalanyaze. Funani upangiri wachipatala nthawi yomweyo. Makamaka ngati mukuvutika kupuma kapena kupweteka pachifuwa, onetsetsani kuti mwawonana ndi dokotala.

Ngati muli ndi mafunso kapena nkhawa zokhudzana ndi kuwonongeka kwa mapapo a COVID-19, lankhulani ndi dokotala. Angakuuzeni momwe mungachepetsere chiopsezo chanu ndikuchiza zizindikiro zanu. Tiyeni tonse tikhale athanzi!

COVID -19, Kuwonongeka kwa mapapo, Kuvutika kupuma, Chibayo, ARDS, COVID yayitali, chithandizo cha COVID