Ngati muli ndi matenda a shuga, muyenera kusamala kwambiri ndi kachilombo ka COVID, sichoncho? Ndi zoona. Koma kodi mudamvapo za matenda otchedwa 'Long COVID', omwe amakhala kwa milungu kapena miyezi mutachira ku COVID? Mwinanso mukuvutika ndi matendawa. Lero, tikambirana mwachidule komanso mwaulemu za momwe izi zimakhudzira anthu odwala matenda a shuga, komanso mafunso omwe anthu ambiri amakhala nawo okhudza ngati COVID ingayambitse matenda atsopano a shuga.
Choyamba, tiyeni tiwone, kodi 'COVID Yaitali' iyi ndi chiyani?
Mwachidule, timatcha 'Covid yayitali' zizindikiro zomwe zimapitirira kwa milungu kapena miyezi pambuyo pa matenda a Covid, kutanthauza kuti, kachilomboka katachotsedwa m'thupi. M'mawu azachipatala, izi zimatchedwanso ``Post-acute sequelae of SARS-CoV-2 infection`` kapena ``PASC```. Matendawa amapezeka mwa anthu ambiri omwe ali ndi Covid. Palinso lingaliro lakuti mwina amapezeka kwambiri mwa anthu odwala matenda ashuga. Koma nkhani yabwino ndi yakuti kwa anthu ambiri, zizindikirozi zimachepa pang'onopang'ono pakapita nthawi.
Tiyeni tiwone zizindikiro za Long Covid. Izi zimatha kusiyana malinga ndi munthu.
| Gulu la zizindikiro | Zizindikiro zomwe zingaphatikizepo |
|---|---|
| Zinthu zodziwika bwino | • Kumva kutopa kwambiri komanso kutopa nthawi zonse. • Zizindikiro zimakula kwambiri munthu akachita zinthu zochepa kapena zamaganizo. • Malungo nthawi zina. |
| Makhalidwe a dongosolo la kupuma | • Kuvuta kupuma kapena kupuma movutikira. • Chifuwa chosalekeza. |
| Matenda a mitsempha ndi zizindikiro zamaganizo | • Mutu. • Kusowa tulo kapena mavuto ogona. • Kumva ngati ubongo wanu uli ndi chifunga (ubongo), kusatha kuganiza bwino, komanso kuvutika kuika maganizo pa chinthu. • Chizungulire munthu akadzuka pamalo omwe wakhala. • Kusamva bwino m'miyendo. • Kutaya fungo kapena kukoma. • Kuvutika maganizo kapena nkhawa. |
| Zina mwazinthu | • Kupweteka kwa mafupa ndi minofu. • Kupweteka pachifuwa, kumva ngati mtima wanu ukugunda mofulumira. • Mavuto a m'mimba monga kupweteka m'mimba ndi kutsegula m'mimba. • Kusintha kwa nthawi ya msambo kwa akazi. • Ziphuphu pakhungu. • Mavuto okhudza magazi kuundana (monga magazi kuundana omwe amapita ku mapapo - Pulmonary Embolism). |
Kuchiza zizindikiro izi mwa munthu amene ali ndi matenda a shuga nthawi zina kumakhala kovuta kwambiri. Mwachitsanzo, kufooka kwa minofu komwe kumachitika chifukwa cha COVID kungatenge nthawi yayitali kuti kuthetsedwe chifukwa ndi vuto la matenda a shuga.
Kodi pali kugwirizana kotani pakati pa matenda a shuga, Covid, ndi Long Covid?
Funso ili ndi lofunika kwambiri. Ngati muli ndi matenda a shuga, muli pachiwopsezo chachikulu cha mavuto aakulu ngati mutadwala COVID. Chiwopsezochi chimakhala chachikulu makamaka ngati matenda anu a shuga sakulamulirika .
Taganizirani ngati linga. Ngati matenda a shuga sakulamuliridwa, makoma a linga limenelo amakhala ofooka pang'ono. Kenako mdani ngati Covid angalowe ndikuwononga kwambiri. Ngati matenda a shuga sakulamuliridwa, ziwalo za thupi, makamaka mitsempha yamagazi yaying'ono (microvascular), zitha kuwonongeka. Kuwonongeka kumeneku kungakhale koipitsitsa ndi matenda a Covid.
Komabe, ngati matenda anu a shuga alamuliridwa bwino, chiopsezo chake chimakhala chochepa kwambiri. Chifukwa chake, ndikofunikira kwambiri kutsatira malangizo a dokotala wanu ndikuwongolera bwino kuchuluka kwa shuga m'magazi mwanu.
Chinthu china chomwe kafukufuku akuwonetsa ndichakuti anthu ena amatha kukhala ndi mavuto a shuga m'magazi kwa nthawi yayitali ngakhale atachira ku COVID. Anthu ena, ngakhale omwe sanali ndi matenda a shuga atadwala COVID, adakumana ndi kuchuluka kwa shuga m'magazi, matenda otchedwa "Hyperglycemia," atatuluka kuchipatala.
Kodi matenda a Covid angayambitse matenda a shuga?
Funso limene anthu ambiri amafunsa ndi ili. Sizinatsimikizidwebe kuti kachilombo ka Covid kamayambitsa matenda a shuga mwachindunji. Komabe, kafukufuku wasonyeza kuti pali kugwirizana pakati pa ziwirizi.
- Kafukufuku wina adapeza kuti anthu omwe anali ndi COVID (ngakhale odwala pang'ono) anali pachiwopsezo chachikulu chotenga matenda a shuga chaka chamawa kuposa omwe sanapezeke nawo. Ambiri mwa odwala matenda a shuga omwe angopezeka kumene anali ndi matenda a shuga a Mtundu Wachiwiri.
- Koma panali zoletsa zina pa maphunzirowa. Mwachitsanzo, maphunziro ena anachitika pa anthu omwe kale anali ndi zinthu zomwe zimayambitsa matenda a shuga, monga kunenepa kwambiri komanso kuthamanga kwa magazi. Chifukwa chake n'zovuta kunena motsimikiza ngati COVID ndiye inayambitsa matenda a shuga.
- Madokotala ena amakhulupirira kuti anthu ena omwe adapezeka ndi matenda a shuga atangogonekedwa m'chipatala chifukwa cha Covid mwina adapezeka ndi matenda a shuga omwe sanadziwikepo kale.
Ponena za matenda a shuga a mtundu woyamba, kafukufuku wina akusonyeza kuti pali kuwonjezeka kwa chiwerengero cha matenda a shuga a mtundu woyamba pambuyo pa matenda a COVID, makamaka pakati pa ana, poyerekeza ndi matenda ena opumira. Komabe, palibe chitsimikizo chotsimikizika pa izi pakadali pano.
Pachifukwa ichi, madokotala akunena kuti anthu omwe achira ku COVID, makamaka omwe ali ndi zoopsa, ayenera kusamala za thanzi lawo, makamaka zizindikiro za matenda ashuga.
Kodi Long Covid imakhudza bwanji munthu amene ali ndi matenda a shuga?
Palibe kafukufuku wambiri wokhudza momwe Long Covid imakhudzira anthu odwala matenda ashuga. Koma kutengera zomwe zapezeka pano, pali zinthu zingapo zomwe muyenera kukumbukira.
1. MIMBA: Iyi ndi vuto lomwe kugunda kwa mtima kumawonjezeka mwadzidzidzi mukayimirira kuchokera pamalo okhala kapena mukayimirira. Izi zimatchedwa `(Postural Tachycardia Syndrome - POTS)`. Vutoli limathanso kuchitika mwa anthu omwe ali ndi matenda a shuga. Vutoli limapezeka nthawi zambiri ndi Covid yayitali.
2. Kufooka kwa minofu: Kufooka kwa minofu kumatha kuchitika, zomwe zingayambitse kutopa kwambiri komanso kuvutika kuyenda. Izi zingatenge nthawi yayitali kuti anthu omwe ali ndi matenda ashuga achire.
3. Mavuto a mitsempha yamagazi yaying'ono: Matenda a shuga amatha kuwononga mitsempha yamagazi yaying'ono (microvascular) m'maso, impso, ndi mitsempha. Pali kukayikira kuti COVID-19 yanthawi yayitali ingawonjezere chiopsezochi.
Chifukwa chake, ngati muli ndi matenda a shuga ndipo mukuyamba zizindikiro za COVID zomwe zatchulidwazi kwa nthawi yayitali (makamaka kutopa kwambiri, kupuma movutikira, komanso kusintha kwa kugunda kwa mtima) mutatenga COVID, musanyalanyaze ngati zachilendo.
Chonde onani dokotala wanu ndipo mukambirane naye izi. Adzakuyesani, adzakutumizani kuti mukayesedwenso ngati pakufunika kutero, ndikukupatsani chithandizo choyenera komanso upangiri.
Uthenga Wopita Nawo Kunyumba
- COVID yayitali ndi zizindikiro zomwe zimapitirira pambuyo poti COVID-19 yatha. Anthu omwe ali ndi matenda a shuga akhoza kukhala pachiwopsezo chachikulu.
- Kusunga bwino matenda anu a shuga ndiyo njira yabwino kwambiri yodzitetezera ku mavuto aakulu a Covid ndi Covid ya nthawi yayitali.
- Ngati muli ndi kutopa kosalekeza, kupuma movutikira, kapena mavuto okumbukira zinthu mutatenga COVID, musawanyalanyaze. Lankhulani ndi dokotala wanu za izi.
- Ngakhale kuti kafukufuku akadali pa siteji yofufuza ngati Covid imayambitsa matenda atsopano a shuga, ndikofunikira kudziwa zimenezo.
- Pa vuto lililonse la thanzi, musadalire kungoganizira chabe koma pitani kwa dokotala wanu kuti akupatseni upangiri ndi chithandizo cholondola kwambiri.
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