Tonsefe tadutsa mu mliri wa Covid. Anthu ena adavutika pang'ono, ena adangodwala chimfine ndipo chidatha. Komabe, atachira ku Covid, ena akumvabe kuti sali bwino. "Dokotala, sindikumva ngati kale, ndatopa pang'ono tsopano," "Chifuwa changa chikundigwira pang'ono," kodi mukumvanso izi? Lero, tiyeni tikambirane za ubale womwe ulipo pakati pa Covid-19 ndi mtima wathu. Kodi ichi ndi chinthu choti tichite mantha? Kodi tiyenera kudziwa chiyani? Tiyeni tikambirane zonsezi momveka bwino komanso mosavuta.
Kodi Covid-19 imakhudzadi mtima?
Yankho losavuta ndilakuti, inde, zingatheke . Kaya muli ndi vuto lalikulu la COVID-19 kapena muli ndi vuto laling'ono ndipo mukuchira, pali mwayi woti mudzakhala ndi mavuto a mtima. Izi sizikutanthauza kuti mudzakhala ndi vuto la mtima. Koma chiopsezocho chikhoza kuwonjezeka pang'ono.
Taganizirani izi, nthawi zambiri, kachilombo kamene kamayambitsa Covid sikapita mwachindunji ku minofu ya mtima ndikukayambitsa matenda. Zimenezo sizimachitika kawirikawiri. Koma pali china chake chomwe chimachitika. Kachiromboka kakalowa m'thupi mwathu, chitetezo cha mthupi lathu chimayamba kulimbana nacho. Chifukwa cha zina mwa zomwe zimachitika pankhondoyi, mtima wathu ukhoza kuwonongeka.
Muyenera kusamala pang'ono, makamaka ngati muli ndi vuto la mtima (`(Matenda a mtima)`), zinthu zomwe zingakuike pachiwopsezo monga kuthamanga kwa magazi (`(Kuthamanga kwa magazi)`), matenda a shuga (`(Shuga)`), kunenepa kwambiri (`(Kunenepa kwambiri)`), kapena cholesterol.
Kodi Covid-19 imakhudza bwanji dongosolo lathu la mtima ndi mitsempha yamagazi?
Pa nthawi ya matenda a COVID-19, mtima ukhoza kukhudzidwa. Chimodzi mwa zinthu zazikulu ndi kuwonongeka kwa minofu ya mtima (`Myocardial injury`). Mwachidule, uku ndi kufa kwa maselo a minofu ya mtima. Anthu ena sasonyeza zizindikiro zilizonse kuwonongeka kumeneku kukachitika. Koma ena akhoza kukhala ndi zizindikiro monga kupweteka pachifuwa, kupuma movutikira (dyspnea), kapena kutupa kwa miyendo. Dokotala amatha kuzindikira vutoli pogwiritsa ntchito mayeso a magazi ndi ma scan a mtima.
Kutupa ndiye muzu wa chilichonse.
Kafukufuku wapeza kuti chifukwa chachikulu cha kuwonongeka kwa mtima chifukwa cha Covid ndi kutupa kwambiri m'thupi, kutanthauza kutupa.
Taganizirani izi motere. Kachilombo kakalowa m'thupi mwathu, chitetezo cha mthupi lathu, chitetezo cha mthupi, chimakonzekera kumenyana. Thupi limapanga mapuloteni ang'onoang'ono otchedwa ma cytokine omwe amathandiza pankhondoyi. Izi nthawi zambiri zimakhala zabwino.
Komabe, mwa anthu ena, yankho limeneli limakhala loopsa kwambiri. Zili ngati kubweretsa gulu lalikulu lankhondo kunkhondo yaying'ono. Izi zimatchedwa `(Cytokine release syndrome)` kapena `(Cytokine storm).` Kutupa kochuluka kumeneku kungawononge osati mtima wathu wokha, komanso mitsempha yathu yamagazi.
Kodi chingachitike n’chiyani ku mtima chifukwa cha kutupa kwambiri kumeneku?
`(Mphepo yamkuntho ya Cytokine)` iyi ingakhudze dongosolo lathu la mtima m'njira zosiyanasiyana. Tiyeni tiwone zotsatira zake zazikulu.
| Mkhalidwe womwe ungachitike | Mwachidule... |
|---|---|
| Kusakhazikika kwa kugunda kwa mtima (Arrhythmia) | Kutupa kungasokoneze dongosolo lamagetsi la mtima, zomwe zimapangitsa kuti mtima ugwire molakwika, mwachangu, pang'onopang'ono, kapena molakwika. |
| Magazi amaundana | Kutupa kukakhudza makoma amkati mwa mitsempha yathu yamagazi, chiopsezo cha magazi kuundana chimawonjezeka. Ngati magazi kuundanawa apita kumtima kapena ku ubongo, angayambitse matenda a mtima kapena sitiroko. |
| Kutupa kwa minofu ya mtima (Myocarditis) | Apa ndi pamene minofu ya mtima imatupa. Matendawa ndi ofala pakati pa anthu omwe ali ndi COVID. |
| Kutupa kwa nembanemba yozungulira mtima (pericarditis) | Chipolopolo choteteza chomwe chimazungulira mtima chimatupa. Izi zingayambitse kupweteka pachifuwa ndi kudzikundikira kwa madzi m'thupi mozungulira mtima. |
| Kulephera kwa mtima | Imeneyi si matenda a mtima. Imeneyi ndi vuto lomwe mtima umalephera kupompa magazi okwanira m'thupi. Izi zingayambitse madzi m'mapapo ndi m'thupi, zomwe zimapangitsa kuti miyendo ndi mapazi zitupa. |
Musazengereze kufunafuna upangiri wa dokotala!
Kudziwa zonsezi kungakhale koopsa pang'ono. Koma chofunika kwambiri ndi kusamala thupi lanu ndikupempha upangiri kwa dokotala ngati pakufunika kutero.
Pa nthawi ya mliriwu, anthu ambiri ankaopa kupita kuchipatala kapena kukaonana ndi dokotala. Koma n’koopsa kwambiri kunyalanyaza zizindikiro zomwe zingaike moyo pachiswe chifukwa cha mantha amenewo.
Ngati mwadzidzidzi mukumva kupweteka kwambiri pachifuwa, kuvutika kupuma kwambiri, kapena kumva dzanzi m'dzanja limodzi, pitani ku chipatala chapafupi cha Emergency Treatment Unit (ETU) nthawi yomweyo. Kulandira chithandizo mwachangu panthawiyi kungathandize kupewa kuwonongeka kwakukulu kwa mtima wanu.
Komanso, musazengereze kupita kukayezetsa dokotala nthawi zonse. Ngati mukupeza zizindikiro zatsopano, lankhulani ndi dokotala wanu za zizindikirozo. Ngati mwakhala ndi COVID, muuzeni momwe yakhudzira thupi lanu.
'COVID yayitali' ndi mavuto a mtima
Anthu ena amapitiriza kukhala ndi zizindikiro zina kwa milungu kapena miyezi atachira ku COVID. Izi zimatchedwa `Long COVID` kapena `(Post-acute coronavirus syndrome)`. Ngati mukukumanabe ndi mavuto milungu inayi mutachira ku COVID, ikhoza kukhala `Long COVID`.
Pali zizindikiro zingapo zomwe zingagwirizane ndi mtima mu nthawi ya 'COVID' yayitali iyi:
- Kupweteka pachifuwa komwe kumawonjezeka mukapuma mpweya wambiri.
- Kumva mtima wanu ukugunda mofulumira kapena kugunda kwambiri (`(Mtima ukugunda kwambiri)`).
- Kugunda kwa mtima mwachangu (Tachycardia).
- Kumva chizungulire kapena kukomoka.
- Ngakhale kuchita masewera olimbitsa thupi pang'ono kungayambitse kutopa kwambiri.
Ngati muli ndi zizindikiro izi, musachite mantha ndipo lankhulani ndi dokotala nthawi yomweyo. Iye akhoza kuchita mayeso monga EKG kapena Echocardiogram kuti awone momwe mtima wanu ukugwira ntchito.
Kodi Covid imakhudza ziwalo zina m'thupi?
Inde. Kachilombo ka Covid kangakhudze mtima wokha, komanso ziwalo zina zofunika monga mapapo, ubongo, ndi impso.
Chifukwa cha izi ndi chakuti kachilombo ka Covid kamagwiritsa ntchito chinthu chotchedwa `(ACE2 receptors)` kulowa m'maselo a thupi lathu. `(ACE2 receptors)` awa ali ngati `kiyi` yomwe imatsegula chitseko kuti kachilombo kalowe m'maselo. `Makiyi` awa ndi ochuluka mumtima mwathu, m'mapapo, m'mitsempha yamagazi, ndi m'impso. Chifukwa chake, n'zosavuta kuti kachilomboka kawononge ziwalo izi.
- Mapapu: Matenda oopsa a COVID angayambitse minofu ya m'mapapo kukhuthala ndi kukhala ndi zipsera. Izi zimatchedwa ``Fibrosis''.
- Ubongo: Kuchepa kwa mpweya womwe ubongo umafuna kungayambitse kuwonongeka kwa ubongo.
- Impso: COVID ingayambitsenso kulephera kwa impso.
Chifukwa chake, ndikofunikira kwambiri kudziteteza ku kachilombo ka COVID-19. Chiwopsezochi chingachepe potsatira njira zabwino zopezera thanzi monga kulandira katemera, kuvala chophimba nkhope ngati pakufunika kutero, komanso kusamba m'manja pafupipafupi.
Kuchira ku COVID sikophweka. Ndizachibadwa kumva kulemedwa mukamaganizira za mavuto a mtima otere ngakhale mutachita zimenezo. Koma musaope kulankhula momasuka ndi dokotala wanu za mavuto anu. Tsatirani malangizo ake ndikupeza chithandizo choyenera. Mudzachira posachedwa.
Uthenga Wopita Nawo Kunyumba
- Matenda a Covid-19, ngakhale atakhala ochepa, angakhudze mtima.
- Chifukwa chachikulu cha izi ndi kutupa kwambiri komwe kumachitika chifukwa cha kachilombo m'thupi, osati kachilombo komwe kamafalikira mwachindunji mumtima.
- Ngati muli ndi matenda ena monga matenda a shuga kapena kuthamanga kwa magazi, chiopsezo chanu chimakhala chachikulu pang'ono.
- Musanyalanyaze zizindikiro monga kupweteka pachifuwa mwadzidzidzi kapena kuvutika kupuma. Pitani ku Dipatimenti Yothandiza Padzidzidzi (ETU) ya chipatala nthawi yomweyo.
- Ngati mukutopabe, kupuma movutikira, kapena kupweteka pachifuwa milungu inayi mutachira COVID (COVID yayitali), lankhulani ndi dokotala wanu za vutoli.
- Ndi bwino kulankhula ndi dokotala za nkhawa zanu za thanzi popanda mantha.
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