Mavuto a mtima pambuyo pa COVID-19? Tiyeni tikambirane za izi!

Kodi inunso munali ndi COVID-19 ndipo munachira? Kapena pali wina amene mumamudziwa amene anadwala COVID-19? Chimodzi mwa zinthu zomwe zikukambidwa kwambiri masiku ano ndi ngati COVID-19 ingakhudze mtima. Ichi ndi chinthu choganizira. Tiyeni tikambirane za izi mwatsatanetsatane komanso lero, sichoncho?

Kodi COVID-19 ingayambitse matenda a mtima?

Inde, kwenikweni, mukadwala COVID-19, kaya ndi matenda ocheperako kapena oopsa kwambiri, mungakhale pachiwopsezo chachikulu chokhala ndi matenda a mtima kapena kulephera kwa mtima . Sizofala kwambiri kuti kachilombo kamene kamayambitsa COVID-19 kalowe mwachindunji mu minofu ya mtima. Koma mavuto omwe kachilomboka kamayambitsa mthupi lonse amatha kuwononga mtima.

Ngakhale munthu amene sanakhalepo ndi matenda a mtima kale akhoza kukhala ndi mavuto a mtima pambuyo pa COVID-19. Koma ngati muli kale ndi vuto la mtima, kapena matenda a mtima , muli pachiwopsezo chachikulu. Ndipo ngati muli ndi zinthu zoopsa monga kuthamanga kwa magazi, matenda ashuga , kunenepa kwambiri , kapena cholesterol yambiri , muli pachiwopsezo chachikulu chokhala ndi mavuto aakulu. COVID-19 ingakhudze mtima pamene kachilomboka kali m'thupi komanso katatuluka m'thupi.

Kodi COVID-19 imakhudza bwanji dongosolo lanu la mtima ndi mitsempha yamagazi?

Mavuto ena a mtima - monga kuwonongeka kwa minofu ya mtima - amatha kuchitika mukakhala ndi COVID-19. Kuwonongeka kumeneku kwa minofu ya mtima (kuvulala kwa myocardial) ndi imfa ya maselo a minofu ya mtima. Nthawi zina anthu omwe ali ndi vuto lamtunduwu sasonyeza zizindikiro zilizonse. Ena amatha kukhala ndi zizindikiro monga kupweteka pachifuwa , kupuma movutikira (kupuma movutikira) , kapena kutupa m'miyendo. Dokotala amatha kuzindikira izi poyesa magazi ndi kujambula mtima .

Ofufuza akuyesetsabe kupeza kuchuluka kwa anthu omwe ali ndi COVID-19 omwe ali ndi vuto la mtima. Mwachidule, akuti kuyambira 7% mpaka 40% ya anthu adzadwala matendawa. Matendawa amapezeka kwambiri mwa anthu omwe akudwala kwambiri moti amafunika chisamaliro cha odwala kwambiri (ICU). Ngati mtima wanu wawonongeka, muli pachiwopsezo chachikulu cha mavuto chifukwa thupi lanu limalimbana ndi kachilomboka.

Kodi kutupa komwe kumachitika chifukwa cha COVID-19 kumawononga bwanji mtima?

Kafukufuku akusonyeza kuti kutupa ndiye chifukwa chachikulu cha kuwonongeka kwa mtima chifukwa cha COVID-19. Mukayamba kutenga kachilomboka, chitetezo cha mthupi chanu chimayamba kugwira ntchito. Izi zimapangitsa kuti maselo otupa ndi ma cytokine atulutsidwe.Kupanga zinthu zotchedwa ma cytokine. Ma cytokine awa ndi mapuloteni ang'onoang'ono omwe amachititsa chitetezo cha mthupi kugwira ntchito. Ndipotu, kutupa kumeneku, ndiko kutupa, ndi njira yomwe thupi lathu limafunikira ndipo limathandiza.

Komabe, COVID-19 imapangitsa anthu ena kukhala ndi kutupa kwambiri m'thupi lawo. Vutoli limatchedwa cytokine release syndrome kapena 'cytokine storm' . Izi nthawi zambiri zimawoneka m'matenda oopsa a COVID-19. Kutupa kochuluka kumeneku kumatha kuwononga dongosolo lanu la mtima m'njira zingapo. Mwachitsanzo:

• Arrhythmia: Kutupa kumeneku kungasinthe ma signali amagetsi mumtima. Zotsatira zake, mtima ungataye kayimbidwe kake kabwinobwino. Ngati muli kale ndi arrhythmia, cytokine storm iyi ingapangitse kuti zinthu ziipireipire.
• Magazi Oundana: Pamene kutupa kumakhudza mkati mwa mitsempha yanu yamagazi (endothelium) , pamakhala chiopsezo chowonjezeka cha magazi kuundana, matenda a mtima, kapena sitiroko.
• Matenda a mtima: Uku ndi kutupa kwa minofu ya mtima. Anthu omwe ali ndi COVID-19 ali pachiwopsezo chachikulu chotenga matenda a mtima kuposa omwe alibe COVID-19.
• Pericarditis: Uku ndi kutupa kwa nembanemba yomwe imazungulira mtima. Izi zingayambitse kupweteka pachifuwa ndi kudzikundikira kwa madzi m'thupi kuzungulira mtima.
• Kulephera kwa Mtima: Izi zimachitika chifukwa cha kuchulukana kosafunikira kwa madzi ndi kutupa (edema) m'mapapo ndi m'thupi.

Anthu omwe ali ndi matenda a mtima kapena zinthu zomwe zingawabweretsere chiopsezo chachikulu ali pachiwopsezo chachikulu

Anthu ambiri omwe ali m'chipatala ndi COVID-19 ali ndi mavuto a mtima. Komanso, anthu omwe ali ndi matenda a mtima amakhala ndi chiopsezo chachikulu chotenga matenda a cytokine.

Ngati muli ndi vuto lililonse mwa zotsatirazi, muli pachiwopsezo chachikulu chotenga mavuto chifukwa cha COVID-19:

• Kulephera kwa Mtima
• Matenda a Mitsempha ya Mtima (CAD)
• Matenda a mtima
• Matenda a Impso Osatha (CKD)
• Matenda a Shuga (Diabetes Mellitus)
• Kunenepa kwambiri/Kunenepa kwambiri
• Ngati mudadwalapo sitiroko kale
• Kuthamanga kwa magazi (BP)
• Matenda a Sickle Cell
• Thalassemias

Kodi COVID-19 ingayambitse matenda a mtima kapena sitiroko?

COVID-19 ingakulitse chiopsezo chanu chokhala ndi matenda a mtima kapena sitiroko, makamaka ngati mwakhala m'chipatala. Koma ofufuza akufufuzabe izi. Kutupa ndi vuto lalikulu pano. Kumawonjezera chiopsezo cha magazi kuundana ndipo kumachepetsa mphamvu ya thupi yochotsera magaziwo yokha.

Magazi akamaundana, ziwalo zanu, kuphatikizapo mtima wanu, zimasiya kulandira mpweya. Izi zikachitika, mumakhala pachiwopsezo chokhala ndi matenda a mtima. Izi zikutanthauza kuti mtima wanu sulandira magazi okwanira okhala ndi mpweya. Kuyeza enzyme yotchedwa troponin m'magazi anu kungathandize madokotala kuzindikira matenda a mtima.

Musachedwetse nthawi yokumana ndi dokotala kapena kulandira chithandizo chadzidzidzi.

Ofufuza apitiliza kuphunzira zambiri zokhudza COVID-19 ndi mavuto a mtima, koma pakadali pano, matenda a mtima akuchitikabe mwa anthu omwe alibe COVID-19.

"Pa nthawi ya mliriwu, anthu ambiri apewa kupita kuchipatala kukawona madokotala. Ngakhale kuti ndi zachilendo kuopa kutenga COVID-19, simuyenera kuchedwa kufunafuna chithandizo. Ndikotetezeka kwambiri kupita kuchipatala kusiyana ndi kunyalanyaza zizindikiro zomwe zingawononge moyo."

Ngati muli ndi zizindikiro za matenda a mtima, imbani 911 (kapena nambala yanu yadzidzidzi yapafupi) nthawi yomweyo. Chithandizo chachangu n'chofunikira kuti mupewe kuwonongeka kwina kwa mtima wanu. Komanso, musaphonye nthawi yokumana ndi dokotala nthawi zonse. Uzani dokotala wanu ngati muli ndi zizindikiro kapena mavuto atsopano. Ngati muli ndi COVID-19, kambiranani momwe yakhudzirani.

Kodi inenso ndidzakhala ndi vuto la mtima pambuyo pa COVID-19?

Anthu ena amadwala matenda a mtima pambuyo pa COVID-19. Muli pachiwopsezo chachikulu ngati mwakhala mu chipinda chosamalira odwala kwambiri (ICU) kapena mukugwiritsa ntchito makina opumira mpweya . Komabe, ngakhale anthu omwe amachira ku COVID-19 amathanso kudwala matenda a mtima pambuyo pake.

Mavuto amenewa angachitike ngati muli ndi vuto lotchedwa Long COVID . Izi zimatchedwanso Post-acute coronavirus (COVID-19) syndrome . Ngati muli ndi Long COVID, zikutanthauza kuti thanzi lanu silinabwerere momwe linalili musanadwale.

Madokotala amaona kuti sabata zinayi izi ndi zofunika kwambiri. Ngati mwakhala ndi COVID-19 kwa milungu inayi ndipo mukukumanabe ndi mavuto, mwina muli ndi COVID kwa nthawi yayitali. Izi zingakukhudzeni m'njira zosiyanasiyana.

Zizindikiro zatsopano kapena zosatha

Anthu omwe amadwala kwambiri ndi COVID-19 amatha kukhala ndi zizindikiro zatsopano kapena zosatha. Komanso, anthu omwe ali ndi COVID-19 yochepa kapena omwe alibe zizindikiro amatha kukhala ndi mavuto osatha. Kutopa, kupuma movutikira, ndi 'ubongo' ndi mavuto ofala kwambiri. Zizindikiro zomwe zingagwirizane ndi mtima wanu ndi izi:

• Kupweteka pachifuwa komwe kumawonjezeka mukapuma mpweya wambiri.
• Kugunda kwa mtima .
• Kugunda kwa mtima mwachangu (Tachycardia) .
• Chizungulire kapena kumva ngati mutu wayamba kufooka.
• Kuvuta kupuma panthawi yochita masewera olimbitsa thupi.

Ngati muli ndi zizindikiro izi, imbani dokotala wanu nthawi yomweyo ndipo muuzeni momwe mukumvera. Dokotala wanu angafune kuchita mayeso ena, monga electrocardiogram (EKG) kapena echocardiogram, kuti aone momwe mtima wanu umagwirira ntchito.

Zotsatirapo pa ziwalo zina

Kachilombo ka COVID-19 kangakhudze ziwalo ndi machitidwe ambiri, monga mtima wanu, mapapo, ubongo, ndi impso.

Kachilombo ka SARS-CoV-2 kamalumikiza puloteni yake yokwera ndi mapuloteni m'thupi lanu otchedwa ACE2 receptors. Awa ndi mapuloteni omwe amapezeka m'thupi lanu lonse, kuphatikizapo mumtima ndi m'mapapo. Ma ACE2 receptors amapezekanso pamitsempha yamagazi yanu. Izi zimathandiza kuti kachilombo ka SARS-CoV-2 kagwirizane mosavuta ndi ma ACE2 receptors anu ndikufalikira ku ziwalo zambiri, zomwe zimapangitsa kuwonongeka. Mwachitsanzo:

• Mapapu: Kachilombo ka COVID-19 kangawononge mapapu anu kwambiri kuposa chimfine wamba. Pa milandu yoopsa ya COVID-19, minofu ya mapapo imatha kukhuthala ndi kupsa (fibrosis) .
• Ubongo: COVID-19 ingayambitse kuwonongeka kwa ubongo chifukwa cha kusowa kwa mpweya wokwanira muubongo.
• Impso: COVID-19 ingayambitse kuti impso zanu zisagwire bwino ntchito.

Popeza COVID-19 ingakhudze thupi lanu lonse, ndikofunikira kutenga njira zodzitetezera kuti musatenge kachilomboka. Kulandira katemera ndiyo njira yabwino kwambiri yodzitetezera nokha komanso ena. Komanso, valani chigoba moyenera ngati pakufunika kutero, khalani panyumba ngati mukudwala, ndipo sambani m'manja mwanu pafupipafupi.

Zotsatira za chithandizo ndi kugonekedwa m'chipatala

Mavuto a chithandizo ndi kukhala m'chipatala kwa nthawi yayitali si a COVID-19 okha. Mutha kumva kufooka kwambiri komanso kutopa. Kapena mutha kukhala ndi vuto la kupsinjika maganizo pambuyo pa zoopsa (PTSD).Zizindikiro zingawonekerenso.

Lankhulani ndi dokotala wanu za momwe mukumvera. Ndi zachilendo kumva kudwala kwakanthawi mutachira ku COVID-19. Dzipatseni nthawi yoti muchiritse ndikubwerera ku moyo wanu watsiku ndi tsiku. Simuli nokha. Dokotala wanu adzagwira nanu ntchito kuti asankhe njira yabwino yokuthandizani paulendo wanu wochira.

Kuchira ku COVID-19 ndi chinthu chabwino kwambiri. Koma mungafunikenso kuthana ndi mavuto a mtima mutadwala COVID-19. Izi ndi zoona, ndipo nkhawa zanu ndi zomveka. Musaope kufunsa dokotala wanu mafunso okhudza momwe mukumvera. Onetsetsani kuti mukutsatira malangizo a dokotala wanu molondola, ndipo sungani nthawi yanu yonse yokumana.

Kodi ndi zinthu ziti zofunika kwambiri zomwe tiyenera kutenga kuchokera m'nkhaniyi?

Chabwino, pali zinthu zingapo zomwe muyenera kukumbukira kuchokera pa zomwe takambirana lero:

• Mukadwala COVID-19, ngakhale itakhala yofatsa, ingakhudze mtima wanu. Choncho dziwani zizindikiro zake.
• Ngati muli kale ndi matenda monga matenda a mtima, matenda a shuga, kapena kuthamanga kwa magazi, samalani kwambiri ndi mavuto omwe amabwera chifukwa cha COVID-19.
• Ngati mukumva kupweteka kwatsopano pachifuwa, kuvutika kupuma, kapena kugunda kwa mtima mofulumira pambuyo pa COVID-19 , funsani upangiri wa dokotala nthawi yomweyo.
• Musachedwetse nthawi yokumana ndi dokotala. Musanyalanyaze zizindikiro zadzidzidzi.
• Dzitetezeni ku COVID-19 mwa kulandira katemera ndikutsatira njira zina zodzitetezera ku matenda.
• Ngati mukukumana ndi mavuto omwe akupitilira pambuyo pa COVID-19, simuli nokha. Pezani upangiri ndi chithandizo chamankhwala.

"Mtima wanu ndiye chuma chamtengo wapatali kwambiri m'moyo wanu. Ndi udindo wanu kuusamalira. Tikukhulupirira kuti izi zidzakuthandizani. Khalani ndi thanzi labwino!"

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