Ese COVID-19 yagize ingaruka ku bihaha byawe? (Ibihaha bya COVID-19 byangiritse) Reka tubiganireho birambuye!

Uribuka igihe COVID-19 yafataga isi? Icyo gihe, twese twafashe umwuka dutinya. Rero, iyo iyi virusi ya COVID-19 yinjiye mu mibiri yacu, ishobora kwangiza ibihaha byacu by'umwihariko. Kuri bamwe, ishobora gutera umusonga ukomeye cyangwa ibibazo by'ubuhumekero . Ku bandi, ndetse na nyuma yo gukira, bashobora kugira ikibazo cyo guhumeka no kumva bananiwe igihe runaka.

Ni iki cyangiritse ku bihaha giterwa na COVID-19?

Muri make, COVID-19 ni indwara igira ingaruka ku buryo bw'ubuhumekero. Iyo iyi virusi yinjiye mu bihaha byacu, ubudahangarwa bw'umubiri wacu butangira kuyirwanya. Muri uru rugamba, ububyimbirwe buba mu bihaha. Iyo ubu bubyimbirwe budagenzuwe, bushobora no kwangiza uturemangingo tw'ibihaha dufite ubuzima bwiza. Ni nk'intambara, iyo turwana n'umwanzi, rimwe na rimwe uruhande rwacu narwo rurakomereka.

Ubusanzwe, indwara z'ubuhumekero nka grippe n'ibicurane bishobora kugira ingaruka ku bihaha ku rugero runaka. Ariko ubwo COVID-19 yatangiraga gukwirakwira, abaganga babonye ko ishobora gukomera vuba cyane kandi ikangiza ibihaha cyane. Amakuru amwe agaragaza ko ubwoko bwa Omicron, busanzweho, bushobora kugira ingaruka ku myanya yo hejuru y'ubuhumekero (izuru n'umuhogo) kurusha ubundi bwa mbere. Ariko, buracyashobora kwangiza ibihaha no guteza ingorane zikomeye.

Ni ibihe bimenyetso by'ibyangiritse mu bihaha bya COVID-19?

Niba ufite COVID-19, ibimenyetso by'indwara ziterwa no kwangirika kw'ibihaha bishobora kuba birimo:

• Kugorwa no guhumeka cyangwa kubura umwuka .
• Kumva unaniwe cyane.
• Umuriro .
• Guhinduka kw'ibara ry'ubururu cyangwa imvi ku ruhu, iminwa, cyangwa inzara (cyanosis) . Ibi bibaho iyo amaraso adahawe ogisijeni ihagije.
• Guhumeka vuba kandi bigoye.
• Kumva ububabare cyangwa gufungana mu gituza .

Ariko, niba wagize ikibazo cy'ibihaha igihe kirekire nyuma yo gukira COVID-19 , ushobora kutagira ibimenyetso na bimwe uhura na byo. Cyangwa ushobora kumva unaniwe cyangwa unaniwe byoroshye, ndetse no mu gihe ukora ibintu byoroheje. Hari igihe ibi bimenyetso bishobora kwiyongera buhoro buhoro uko igihe kigenda gihita.

Kuki COVID-19 yangiza ibihaha?

Impamvu nyamukuru ibitera ni uko ubudahangarwa bwacu bw'umubiri bukora cyane . Tekereza, uturemangingo tw'umubiri wacu tujya aho virusi yageze tukayirwanya. Ibyo ni byiza. Ariko, iyi ntambara niramuka inaniwe, ni ukuvuga ko ubudahangarwa bw'umubiri bukora cyane, bushobora no kwangiza ingingo nzima.

Iyo inkuta z'udusaho duto tw'umwuka mu bihaha byacu (twita alveoli ) twangiritse kandi tugacika intege, dutangira kuzura amazi. Hanyuma umwuka ntushobora kwinjira, kandi ogisijeni ntishobora kwinjira mu maraso cyangwa mu bindi bice by'umubiri.

Uku kubyimba gushobora kandi gutera uduheri two mu bihaha cyangwa inkovu mu bihaha. Ibi bishobora gufata igihe kirekire kugira ngo bikire kandi rimwe na rimwe bishobora kuba burundu.

Ubu bwoko bw'ibyangiritse bushobora kubaho mu zindi ndwara z'ubuhumekero, ariko bisa nkaho bishobora kuba bikomeye muri COVID-19. Ibi bishobora guterwa n'uko virusi ikora cyane ku budahangarwa bw'umubiri wacu, bigatera imiraba ya cytokine , urugero. Cyangwa bishobora guterwa n'uko virusi ikoresha uturemangingo twayo bwite mu kwibasira ibihaha.

Ni nde uri mu kaga gakomeye ko kwangirika kw'ibihaha bivuye kuri COVID-19?

Niba ufite imwe muri izi ndwara zikurikira, ushobora kurwara COVID-19 ikomeye no kwangiza ibihaha byawe:

• Niba ufite imyaka irenga 65.
• Niba utwite .
• Niba unywa itabi cyangwa warigeze kurinywa mbere.
• Niba waratewe urugingo cyangwa waratewe uturemangingo fatizo .
• Niba utarafata urukingo rwa COVID-19.
• Niba ufite ubudahangarwa bw'umubiri budakomeye - ibi bishobora guterwa n'indwara nka kanseri, imiti imwe n'imwe, ubwandu bwa virusi itera SIDA, cyangwa indwara zisanzwe zidafite ubudahangarwa bw'umubiri .

Nanone, niba ufite imwe muri izi ndwara zikurikira, ibyago byawe bishobora kwiyongera:

• Kanseri.
• Indwara z'igihe kirekire z'ibihaha cyangwa indwara zigira ingaruka ku bihaha, urugero, asima, COPD (Indwara idakira y'ibihaha) , na cystic fibrosis .
• Indwara zigira ingaruka ku mutima, impyiko, umwijima, amaraso, cyangwa ubwonko.
• Urugero, indwara zo mu mutwe ziterwa no kurwara indwara zo mu bwonko (cerebral palsy) cyangwa indwara ya Down syndrome .
• Diyabete (Diabete Mellitus).
• Ibibazo by'ubuzima bwo mu mutwe.
• Umubyibuho ukabije.
• Gukoresha ibiyobyabwenge.

Ni izihe ngorane ziterwa no kwangirika kw'ibihaha bya COVID-19?

Ububyimbirwe buterwa na COVID-19 n'izindi ndwara bushobora gutera ingorane nka:

• Umusonga: Iyi ni indwara y’ibihaha. Muri iyi ndwara, udufuka tw’umwuka twuzuyemo amazi.
• Indwara yo mu myanya y'ubuhumekero ikabije (ARDS):Iyi ni indwara ikomeye cyane. Muri ibi, udufuka twinshi tw’umwuka mu bihaha byawe twuzuyemo amazi, bigatuma ogisijeni itinjira mu maraso yawe.
• Utudomo tw’ibihaha: Utudomo dushobora kuguma mu bihaha bitewe n’ibyangiritse bitewe n’ububyimba.
• Indwara y'ibihaha: Ibice byangiritse mu bihaha bishobora kugira inkovu. Hari igihe iyi nkovu ishobora gukomeza kwiyongera ndetse na nyuma yo gukira indwara.
• COVID ndende: Hari abantu bashobora gukomeza kugira ibimenyetso mu gihe cy'amezi cyangwa imyaka nyuma yo kwandura COVID-19.

Ni gute wasuzuma ibyangiritse mu bihaha bya COVID-19?

Muganga azareba niba ibihaha byangiritse akoresheje ibizamini byo gufata amashusho (urugero: X-ray, CT scan) cyangwa bronchoscopy (umuyoboro muto ufite kamera yinjijwe mu bihaha kugira ngo arebe imbere). Bazakoresha kandi ibindi bizamini kugira ngo bamenye indwara zandura, nka pneumonia.

Ni ibihe bizamini birimo gukorwa?

Abaganga bashobora gukora ibizamini nk'ibi kugira ngo barebe uko ibihaha byifashe no kumenya indwara zandurira mu bihaha:

• Agapfukamunwa ko mu mazuru: Icyitegererezo gifatwa mu mazuru cyangwa mu muhogo hakoreshejwe agapfukamunwa gakozwe mu ipamba kugira ngo hamenyekane COVID-19 n'izindi virusi.
• Oximetry y'imitsi: Agakoresho gato gashyirwa ku rutoki rwawe gapima ingano ya ogisijeni mu maraso yawe. Ibi bishobora kuguha ishusho y'uburyo ibihaha byawe bikora neza.
• Amashusho: Hakorwa isuzuma rya X-ray cyangwa CT scan mu gituza kugira ngo hafatwe amafoto y'ibihaha kugira ngo harebwe niba hari icyangiritse.
• Gupima amaraso: Gupima amaraso bifasha gusuzuma ubwandu no kugenzura ubuzima bwawe muri rusange.
• Gupima amatembabuzi: Ibi bikubiyemo gufata icyitegererezo cy'amatembabuzi asohoka iyo ukorora no gusuzuma niba nta bwandu.
• Gupima amazi yo mu bwoko bwa Pleural: Muri iki kizamini, umuganga akoresha urushinge ruto kugira ngo afate amazi make akikije ibihaha byawe kugira ngo arebe niba nta ndwara yanduye.
• Ikizamini cy'imyuka mu maraso: Iki kizamini gifasha abaganga kureba uburyo ibihaha byawe bikora neza.
• Bronchoscopy: Bronchoscopy ishobora gukoreshwa mu kureba ibihaha no gufata ingero z'uturemangingo cyangwa amazi kugira ngo yoherezwe muri laboratwari kugira ngo bipimwe.

Ni gute ibyangiritse mu bihaha bya COVID-19 bivurwa?

Nta byinshi ushobora gukora kugira ngo usane neza ibihaha byawe nyuma yuko byangiritse. Ariko, abaganga bashobora kugufasha kubona umwuka wa ogisijeni ukeneye. Niba urwaye umusonga cyangwa ARDS iterwa na COVID-19, muganga wawe ashobora kukugira inama yo kuvura ibi bikurikira:

• Ogisijeni y'inyongera:Ibihaha byawe birakora, ariko niba udafite umwuka uhagije wa ogisijeni, uzahabwa umwuka w'inyongera binyuze mu muyoboro washyizwe mu mazuru yawe cyangwa agapfukamunwa gashyirwa mu maso.
• Amazi yo mu mitsi (IV fluids): Amazi y'inyongera atangwa binyuze muri IV kugira ngo umubiri udacika intege.
• Guhumeka hakoreshejwe ikoranabuhanga: Niba udashobora guhumeka wenyine, uzahuzwa n'icyuma gihumeka.
• Guterura: Kugira ngo ibihaha byawe bikore neza, uhindurirwa igifu amasaha make ku munsi.
• Gutanga ogisijeni mu mubiri (ECMO): Niba ingingo zawe zidakora neza, ushobora kuba wahujwe n'imashini ikiza ubuzima ikora akazi k'umutima n'ibihaha byawe.
• Gusohora amazi mu bihaha: Kugira ngo ugabanye amazi mu bihaha byawe, muganga ashobora gukoresha catheter cyangwa kubaga kugira ngo akuremo ayo mazi.

Abaganga bashobora kandi gutanga imiti nk'iyi kugira ngo ifashe mu kurwanya ubwandu:

• Imiti igabanya ubukana bwa virusi: Imiti nka Remdesivir cyangwa Paxlovid™ ishobora gufasha mu kurwanya ubwandu bwa COVID-19.
• Corticosteroids: Abaganga bashobora gukoresha imiti igabanya ububabare cyangwa indi miti igabanya ububabare kugira ngo bagabanye kubyimba.
• Udukoko tw’umubiri duto: Uburyo bwo kuvura utwo dukoko duto, nka tocilizumab, bushobora kugabanya cyangwa gukumira ububyimbirwe.
• Antibiyotike: Niba ufite ubwandu bwa bagiteri usibye COVID-19, muganga wawe ashobora kukwandikira antibiyotike.

Gutera ibihaha mu buryo butunguranye ntibyigeze bikorwa ku bantu bafite ibibazo by’igihe kirekire kandi bikomeye by’ibihaha bivuye kuri COVID-19. Nanone, niba inkovu z’ibihaha (pulmonary fibrosis) zikomeje kwiyongera, hari imiti ishobora kugabanya umuvuduko.

Ni iki nkwiye kwitega mu gihe nagize ikibazo cy'ibihaha cya COVID-19?

Niba urwaye umusonga cyangwa ARDS bivuye kuri COVID-19, uzakenera kuguma mu bitaro kugira ngo abaganga bagufashe guhumeka kugeza umubiri wawe ukize virusi.

Inkovu zo mu bihaha zishobora kumara igihe kirekire cyangwa zikarangira. Hari ubwo inkovu ziterwa n'ubwandu zishobora gukomeza kwiyongera uko igihe kigenda gihita, ndetse na nyuma y'uko ibindi bimenyetso byawe bishize.

Ni ryari ngomba kubonana na muganga wanjye?

Niba ugaragaye ko wanduye COVID-19, baza muganga wawe vuba bishoboka ku bijyanye no gufata imiti igabanya ubukana bw'imiti. Igira akamaro cyane iyo uyifashe mu minsi itanu ya mbere uhereye igihe ibimenyetso bitangiriye.

Niba ugifite ikibazo cyo guhumeka nabi, umunaniro, cyangwa ibindi bimenyetso, vugana na muganga wawe. COVID irambye ishobora kugufasha kumva umeze neza.Hariho kandi amavuriro.

Ni ryari nkwiye kujya mu Ishami ry’Ubuvuzi bw’Ingoboka (ETU) ?

Niba urwaye COVID-19 kandi ufite ibimenyetso bikomeye, jya mu cyumba cy’ubutabazi bw’ibanze ako kanya, cyangwa uhamagare 1990 (cyangwa nimero y’ubutabazi bw’ibanze yo mu gace utuyemo):

• Guhumeka nabi cyane cyangwa guhumeka bigoranye.
• Urujijo.
• Kudashobora gukomeza kuba maso.
• Ibara ry'ubururu ry'uruhu, iminwa, cyangwa inzara.

Ni ibihe bibazo ngomba kubaza muganga wanjye?

Bishobora kuba byiza kubaza muganga wawe ibibazo nk'ibi:

• Ese hari uburyo bwo kuvura bushoboka kuri njye?
• Ese ibi bishobora gukira ubwabyo?
• Nkwiye kwiyitaho nte?

Ese kwangirika kw'ibihaha bya COVID-19 bishobora kwirindwa?

Uburyo bwiza bwo kwirinda kwangirika kw'ibihaha ni ukwirinda kwandura indwara. Ushobora gukora ibi bikurikira kugira ngo ugabanye ibyago byo kwandura COVID-19 ikomeye:

• Gira urukingo: Gukingirwa COVID-19 n'izindi ndwara nk'ibicurane bishobora kugabanya ibyago byo kurwara cyangwa kurwara bikomeye.
• Kureka kunywa itabi no kwirinda umwotsi w'itabi: Kunywa itabi byangiza ibihaha byawe, bivuze ko ushobora kwandura indwara zishobora gutera indwara nk'umusonga.
• Karaba intoki zawe neza n'isabune n'amazi mbere yo kurya, gukora ku biryo, na nyuma yo kuva mu bwiherero. Niba isabune idahari, koresha umuti wica intoki urimo alukolo.
• Irinde kwegerana n'abandi no gusangira ibintu .
• Cunga izindi ndwara zose ufite, kuko zishobora kongera ibyago byo kurwara COVID-19 ikomeye.

Iyo urwaye, gufata imiti igabanya ubukana bw'imiti mu minsi itanu ya mbere y'ibimenyetso bishobora gufasha kwirinda ko indwara irushaho kwiyongera.

Wibuke ko ubushyuhe ari uburyo ubudahangarwa bw'umubiri bwawe bukoresha kugira ngo bukurinde. Ariko iyo bunaniwe, bushobora kwangiza ibihaha, nk'ubwangirike bwa COVID-19. Ntawe ushobora kuvuga neza uzarwara bikomeye n'uzagira ingaruka z'igihe kirekire.

Hanyuma, ubutumwa bwo kujyana mu rugo:

COVID-19 si umukino, nshuti zanjye. Ishobora kugira ingaruka ku bihaha byacu mu buryo butunguranye. Rero, nimukomeze umutekano uko bishoboka kose. Fata urukingo, kurikiza amabwiriza y'ubuzima. Niba ufite ibimenyetso, ntubyirengagize. Shaka inama z'abaganga ako kanya. Cyane cyane niba ufite ikibazo cyo guhumeka cyangwa ububabare mu gatuza, menya neza ko wagiye kwa muganga.

Niba ufite ikibazo cyangwa impungenge ku bijyanye n'ibyago byo mu bihaha bya COVID-19, vugana na muganga. Bashobora gusobanura uburyo bwo kugabanya ibyago byawe no kuvura ibimenyetso byawe. Twese dukomeze kugira ubuzima bwiza!

COVID -19, Kwangirika kw'ibihaha, Kubabara mu myanya y'ubuhumekero, Umusonga, ARDS, COVID ndende, kuvurwa na COVID