Nanga bwanji ngati mutadwala COVID-19 muli ndi pakati? Tiyeni tikambirane za izi!

Ngati mukuyembekezera mwana masiku ano, mwina mukuda nkhawa pang'ono ndi mliri wa COVID-19, sichoncho? Mutha kuda nkhawa ndi zomwe zingakuchitikireni inu ndi mwana wanu ngati mwadzidzidzi mutadwala COVID. Koma musadandaule. Sayansi ya zamankhwala yapita patsogolo kwambiri tsopano, ndipo tikudziwa zambiri zokhudza COVID kuposa kale. Chifukwa chake, kaya mwapezeka ndi COVID kunyumba kapena ngati mukuganiza kuti muli ndi zizindikiro za COVID, ndikofunikira kuuza dokotala wanu nthawi yomweyo.

Kodi chimachitika ndi chiyani ngati mutatenga COVID panthawi ya mimba?

Mwachidule, ngati mutatenga kachilombo ka COVID-19 (kachilombo ka SARS-CoV-2) muli ndi pakati, muli ndi mwayi wokhala ndi matenda oopsa pang'ono kuposa munthu amene alibe pakati. Koma musadandaule, izi sizikutanthauza kuti ndi chimodzimodzi kwa aliyense.

Tsopano, madokotala akudziwa zambiri zokhudza kachilomboka kuposa momwe ankadziwira pamene mliri wa COVID-19 unayamba. Akuphunzira zinthu zatsopano nthawi zonse. Chifukwa chake, ngati mukuganiza kuti muli ndi zizindikiro za COVID, kapena ngati mwayesedwa COVID kunyumba, onani dokotala wanu wa mimba nthawi yomweyo. Iye angakuthandizeni kuthana ndi zizindikiro zanu ndikusankha ngati mukufuna chithandizo chadzidzidzi.

Kodi zoopsa zotenga COVID panthawi ya mimba ndi ziti?

Ngati mutadwala COVID-19 muli ndi pakati, pali chiopsezo cha mavuto ena. Izi zili choncho chifukwa chitetezo cha mthupi lanu, mtima, ndi mapapo zimasintha panthawi ya mimba. Kusintha kumeneku kumakupangitsani kudwala kwambiri chifukwa cha mavairasi opumira monga COVID-19.

Taganizirani izi, chitetezo chanu cha mthupi chimagwira ntchito yoteteza inu ndi mwana wanu wosabadwayo ku matenda. Zotsatira zake, ziwalo zina za chitetezo chanu cha mthupi zimakhala zofooka pang'ono, chifukwa mbali ina imatetezanso mwana wanu. Izi zingakupangitseni kukhala pachiwopsezo chachikulu cha matenda ena. Komanso, kusintha kwa dongosolo lanu la kupuma, mwachitsanzo, diaphragm ikakankhira mmwamba, kungayambitse mavuto opuma.

Ngati mutadwala COVID muli ndi pakati, mwina mudzakhala ndi zizindikiro zochepa . Komabe, kafukufuku wasonyeza kuti ngati mutadwala COVID-19 pang'ono kapena kwambiri, mungakhale pachiwopsezo chachikulu cha mavuto awa:

• Matenda a magazi kuundana : Izi zikutanthauza kuti magazi amatha kuundana okha mkati mwa mitsempha.
• Kuchepa kwa kukula kwa mwana wosabadwayo : Ali m'mimba, mwana akhoza kukula pang'onopang'ono kuposa kukula kwachibadwa kwa msinkhu wake.
• Matenda a shuga a mimba : Matenda a shuga omwe amapezeka panthawi ya mimba yokha.
• Kutuluka magazi ambiri pambuyo pa kubereka: Kutuluka magazi ambiri pambuyo pobereka.
• Kulemera kochepa kwa mwana: Mwana wolemera makilogalamu osakwana 2.5 (mapaundi 5, ma ounces 8) akabadwa.
• Preeclampsia : Matenda oopsa omwe amabwera chifukwa cha kuthamanga kwa magazi panthawi ya mimba.
• Kubereka mwana asanakwane nthawi yobereka : Kubereka mwana asanakwane milungu 37.
• Kubadwa kwa mwana wosafa : Ofufuza akufufuzabe zoopsa zenizeni za izi.

Chiwopsezo cha mavuto amenewa chimakhala chachikulu kwambiri mu trimester yachitatu (kuyambira pa sabata la 29). Izi zitha kukhala chifukwa chakuti mapapu amakhala ndi nkhawa kwambiri panthawiyi. Komabe, kumbukirani, chiopsezo chonse cha mavuto aakulu ochokera ku COVID panthawi ya mimba chikadali chochepa kwambiri.

Ndi zinthu zina ziti zomwe zingayambitse matenda aakulu chifukwa cha Covid panthawi ya mimba?

Mukakhala ndi pakati, chiopsezo chanu chodwala kwambiri ndi COVID chingachuluke ngati muli ndi matenda awa:

• Ngati muli ndi matenda ena osatha monga matenda a shuga , kuthamanga kwa magazi , kapena matenda a mtima .
• Ngati kulemera kwa thupi lanu kuli kopitirira muyezo (`Kunenepa kwambiri` kapena `Kunenepa kwambiri`) .
• Ngati muli ndi mwayi wochepa wopita kuchipatala kapena mulibe malo ochitirako zinthu zina.

Kodi kachilombo ka Covid kangadutse kudzera mu placenta kupita kwa mwana?

Kafukufuku wofalitsidwa mu 2024 adapeza kuti zidutswa zazing'ono kwambiri za kachilombo ka Covid-19 zimatha kudutsa mu placenta . Zomwe zapezekazi zikusonyeza kuti kufalikira kwa kachilomboka kuchokera kwa mayi wapakati kupita kwa mwana wake wosabadwayo (kotchedwa 'vertical transmission ') kungakhale kofala kwambiri kuposa momwe ofufuza ankaganizira kale.

Kuphatikiza apo, kafukufukuyu adapeza kuti momwe chitetezo cha mthupi lanu chimayankhira matenda a COVID-19 chingakhudzire mwana wosabadwayo. Makamaka, izi zingayambitse kutupa kwa mwana wosabadwayo, ngakhale palibe umboni woti mwana wosabadwayo ali ndi COVID-19.

Kafukufuku wochokera ku National Institutes of Health (NIH) akusonyeza kuti ana ochepa kwambiri amabadwa ndi COVID-19. Madokotala sanganenebe motsimikiza ngati mwanayo adatenga kachilomboka asanabadwe, panthawi yake, kapena atabadwa.

Kodi zizindikiro za Covid zimasiyana panthawi ya mimba?

Ayi, zizindikiro zake ndi zofanana. Zizindikiro zambiri zimayamba ngati chimfine . Koma zimatha kukhala zoopsa kwambiri.

Izi zitha kukhala zizindikiro zochepa za COVID-19 panthawi ya mimba:

• Malungo
• Kuzizira
• Chifuwa ndi mphuno yodzaza
• Mutu ndi kupweteka kwa thupi
• Kutopa
• Kutayika kwatsopano kwa kukoma kapena fungo

Ngati muli ndi zizindikiro zotsatirazi zoopsa , muyenera kupeza chithandizo chamankhwala mwamsanga :

• Kuvuta kupuma
• Ululu kapena kupanikizika pachifuwa panu
• Kusokonezeka, kutaya chidziwitso
• Kulephera kudzuka kapena kukhala maso

Kodi Covid-19 imayamba bwanji?

COVID-19 imayambitsidwa ndi kachilombo kotchedwa `SARS-CoV-2` (Severe Acute Respiratory Syndrome Coronavirus 2) . Ma Coronavirus ndi gulu la mavairasi omwe angayambitse matenda opumira mwa anthu. Mutha kuwatenga kuchokera kwa munthu amene ali kale ndi kachilomboka. Izi zitha kuchitika m'njira zotsatirazi:

• Mumapuma madontho a mpweya omwe amatuluka munthu amene ali ndi kachilomboka akamatsokomola kapena kutsamwitsa.
• Ngati mwakhudzana kwambiri ndi munthu amene ali ndi kachilomboka (monga kugwirana chanza kapena kugwirana chanza) kenako gwirani nkhope yanu.

Kodi mungadziwe bwanji Covid panthawi ya mimba?

COVID-19 imapezeka panthawi ya mimba mofanana ndi momwe imachitikira kwa munthu amene si wapakati. Dokotala wanu angaganize kuti muli ndi COVID-19 kutengera zizindikiro zanu komanso momwe mungadziwire kachilomboka. Komabe, mayeso a labotale, omwe amaphatikizapo kutenga swab ya m'mphuno, angatsimikizire COVID-19.

Kodi muyenera kuchita chiyani ngati mwapezeka ndi kachilombo ka COVID panthawi ya mimba?

Ngati mwapezeka ndi COVID-19 pa mayeso anu kunyumba , chinthu choyamba chomwe muyenera kuchita ndikulankhula ndi dokotala wanu. Muuzeni za zizindikiro zanu. Dokotala wanu angasankhe kuti muli ndi COVID kutengera zizindikiro zanu ndi zotsatira za mayeso anu kunyumba. Nthawi zina, angafunenso kuyitanitsa mayeso a labu kuti atsimikizire matendawa.

Kodi COVID-19 imachiritsidwa bwanji panthawi ya mimba?

Dokotala wanu angakulembereni mankhwala ochizira COVID-19 panthawi ya mimba. Pakadali pano, chithandizo chachikulu chomwe amayi apakati amalangizidwa kuti alandire pa COVID-19 ndi kuphatikiza mankhwala a normotensive ndi ritonavir (Paxlovid®) . Uwu ndi mankhwala oletsa mavairasi . Umapezeka m'mapiritsi angapo. Dokotala wanu adzakuuzani momwe mungamwere.

Ngati zizindikiro zanu zili zochepa, dokotala wanu angakulangizeni izi:

• Kupumula bwino.
• Kumwa madzi ochulukirapo (monga madzi, madzi a zipatso).
• Imwani acetaminophen (koma osati ibuprofen) kuti muchepetse ululu.
• Kugwiritsa ntchito chotenthetsera kuti muchepetse ntchofu.
• Dextromethorphan yochepetsa chifuwaKutenga mankhwala okhala ndi mankhwala (mutakambirana ndi dokotala).

Funsani dokotala wanu ngati ndi bwino kugwiritsa ntchito chipangizo choyezera kuthamanga kwa magazi ( chipangizo chomwe chimayesa kuchuluka kwa mpweya m'magazi) ndi/kapena choyezera kuthamanga kwa magazi (chipangizo chomwe chimayesa kuthamanga kwa magazi) kunyumba. Iye adzakuuzani zizindikiro zochenjeza ndi zomwe mungachite ngati zitachitika.

Ngati zizindikiro zanu zili zazikulu, dokotala wanu angakulangizeni kuti mugonekedwe m'chipatala. Izi zikuthandizani kuti musamalidwe kwambiri. Ngakhale kuti chiopsezo chogonekedwa m'chipatala n'chochepa, muli pachiwopsezo chachikulu kuposa munthu amene alibe pakati. Dokotala wanu akutenga izi kuti akutetezeni inu ndi mwana wanu.

Kodi muyenera kuopa Covid mukakhala ndi pakati?

Ndizachilendo kumva mantha ngati mutadwala COVID panthawi ya mimba. Ngakhale kuti mungamve mosiyana kwambiri ndi masiku onse panthawi ya mimba, komanso kumva kudwala, mungadabwenso ngati COVID ingakhudze kubereka.

Inde, pali zoopsa zina. Koma kumbukirani izi: Amayi ambiri oyembekezera omwe amatenga COVID-19 amakhala ndi zizindikiro zochepa chabe ndipo amachira kwathunthu.

Chofunika kwambiri ndikulankhula ndi dokotala wanu nthawi zonse ndikutsatira malangizo ake. Iye akhoza kuwunika zizindikiro zanu ndikukuuzani ngati mukufuna thandizo lachipatala mwachangu.

Kumbukirani, kusamalira thanzi lanu ndiye chinthu chofunika kwambiri. Pumulani mokwanira, imwani madzi ambiri, ndipo ngati mukukhala ndi anthu ena, yesani kudzipatula kwa iwo mpaka mutamva bwino.

Kodi mwana angakhale ndi vuto lobadwa nalo ngati atatenga Covid panthawi ya mimba?

Kafukufuku akupitirirabe pankhani ya momwe COVID-19 imakhudzira mwana wosabadwayo. Komabe, kafukufuku wambiri akuwonetsa kuti zilema zobadwa nazo kapena matenda obadwa nawo omwe amayamba chifukwa cha COVID-19 ndi osowa kwambiri.

Ndiyenera kupita liti kwa dokotala wanga?

Ngati zizindikiro zanu za COVID-19 sizikuchepa patatha masiku angapo, lankhulani ndi dokotala wanu. Milandu yambiri ya COVID-19 ndi yochepa ndipo imatha mukapuma. Funsani dokotala wanu zizindikiro zomwe muyenera kuziyang'anira komanso zomwe mungachite ngati simukumva bwino.

Kodi ndiyenera kupita ku ER (Emergency Room) liti?

Ngati muli ndi zizindikiro zotsatirazi, pitani ku chipinda chapafupi chadzidzidzi (ER):

• Malungo aakulu (oposa 103 Fahrenheit kapena 39 Celsius)
• Kutsegula m'mimba ndi kusanza
• Kuvuta kwambiri kupuma ('Vuto lopuma')
• Kupweteka pachifuwa
• Kusokonezeka maganizo kapena chisokonezo
• Kusintha kwa mtundu wa milomo kukhala buluu, imvi, kapena yoyera (cyanosis)
• Kusokonezeka, kutopa kapena kukhala ndi vuto lokhala maso

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

Ndizachilendo kuchita mantha mukazindikira kuti muli ndi COVID-19 mukakhala ndi pakati. Mungakhale ndi mafunso ambiri. Nazi mafunso ena omwe mungafunse dokotala wanu:

• "Dokotala/Madam, popeza ndili ndi COVID, kodi pali chiopsezo choti mwana wanga wosabadwayo nayenso angatenge kachilomboka? "
• " Ndi zizindikiro ziti zomwe zingaganizidwe kuti ndi zoopsa? "
• " Mungasiyanitse bwanji pakati pa kupuma movutikira nthawi zonse panthawi ya mimba ndi kupuma movutikira kwambiri komwe kumachitika chifukwa cha COVID? "
• " Ndi zizindikiro ziti zomwe zimandipangitsa kuganiza kuti ndiyenera kupita ku ER? "
• " Kodi ndi mavuto otani omwe angayambitse matenda a Covid panthawi ya mimba? "
• "Kodi ndiyenera kuikidwa paokha kwa abale anga onse? "
• "Kodi kukhala ndi COVID kungakhudze dongosolo langa lobereka? "

Kodi ndingatani kuti ndipewe kutenga COVID panthawi ya mimba?

Zinthu zomwe mungachite kuti mupewe kutenga COVID-19 panthawi ya mimba ndi zofanana ndi zomwe mumachita nthawi zambiri.

• Kulandira katemera wa COVID-19 ndiyo njira yabwino kwambiri yodzitetezera ku kachilomboka. Ndikotetezeka komanso kothandiza kulandira katemera panthawi ya mimba. Ndi bwinonso kulandira katemera wa chimfine (ndi katemera wina uliwonse womwe dokotala wanu akulangiza).

Zinthu zina zomwe mungachite:

• Sambani m'manja mwanu nthawi zonse.
• Pewani anthu odwala.
• Khalani kutali ndi ena m'malo odzaza anthu, m'nyumba, kapena pewani zochitika zomwe anthu ambiri amakhala.
• Valani chigoba m'malo opezeka anthu ambiri m'nyumba komanso m'malo odzaza anthu.
• Musakhudze maso anu, mphuno, kapena pakamwa panu mpaka manja anu atayera.
• Thirani mankhwala ophera tizilombo nthawi zonse pamalo omwe amakhudzidwa kawirikawiri monga zogwirira zitseko, zipangizo zamagetsi, ndi makauntala.

Ndikofunikanso kusunga nthawi yanu yokumana ndi mwana asanabadwe. Dokotala wanu akhoza kuyang'ana thanzi lanu komanso kukula kwa mwana wanu. Iye akhoza kukutsogolerani pakuwongolera zoopsa zilizonse zaumoyo zomwe zingachitike panthawi ya mimba.

Malungo aakulu panthawi ya mimba (makamaka mkati mwa milungu 12 yoyambirira) amawonjezera chiopsezo cha mavuto a mimba. Chifukwa chake, ndikofunikira kwambiri kudziteteza ku matenda onse panthawi ya mimba, osati COVID-19 yokha.

Pomaliza, ndiyenera kunena...

Mumachita zonse zomwe mungathe kuti mukhale athanzi komanso otetezeka panthawi ya mimba yanu. Pamenepo ndi pomwe mwadzidzidzi mumayesedwa kuti muli ndi COVID-19. Kupeza COVID-19 muli ndi pakati kungakhale kovuta komanso kosokoneza. Koma kudziwa izi kungakuthandizeni kukhala ndi mtendere wamumtima: Kafukufuku akusonyeza kuti amayi ambiri apakati omwe amatenga COVID amakhala ndi zizindikiro zochepa chabe ndipo amachira kwathunthu.

Komabe, ndi bwino kusamala. Ngati mwapezeka ndi COVID-19, funsani dokotala wanu nthawi yomweyo. Iye adzakupatsani malangizo ofunikira.

Covid -19, mimba, kachilombo ka corona, mayi woyembekezera, kubereka, zizindikiro za Covid, chithandizo cha Covid, kupewa Covid