Reka twige byinshi kuri COVID Pneumonia, umusonga uzanwa na COVID.

Ese uhangayikishijwe n'uko hari ikintu kizaba ku bihaha byawe nurwara COVID? Hari igihe iyo urwaye COVID-19 (`COVID-19`) ihita igaragara nk'umuriro cyangwa ibicurane hanyuma ikagenda neza mu minsi mike, ariko kuri bamwe ishobora kuba ikomeye kurushaho. Ni bwo iyi ndwara yitwa ``COVID pneumonia'' cyangwa ``COVID Pneumonia'' ibaho. Reka tuvuge kuri ibi mu buryo bworoshye, mu buryo ushobora kumva, nk'aho uri kuganira n'inshuti yawe ya hafi.

Umusonga wa COVID ni iki?

Muri make, COVID pneumonia ni indwara ifata ibihaha byawe. Iterwa na virusi yitwa SARS-CoV-2, itera COVID-19. Ushobora kwandura COVID-19 ukarwara pneumonia nk'ikibazo. Iki ni cyo gihe ubudahangarwa bw'umubiri wawe burwanya ubwandu bwa virusi mu bihaha byawe, bigatuma ibihaha bibyimba kandi byuzura amazi. Ibi bituma guhumeka bigorana cyane.

Ushobora kuba warumvise ikintu cyitwa `(Bilateral interstitial pneumonia)`. Umusonga ujyana na Covid-19 ukunze kugaragara mu bihaha byombi icyarimwe. Niyo mpamvu witwa `(Bilateral)`. Uturemangingo dukikije udusaho tw'umwuka n'imitsi y'amaraso mu bihaha twitwa `(Interstitial tissue). Muri iki kibazo, iyi turemangingo mu bihaha byombi irangirika. Hari abantu bashobora kugira ibibazo by'ibihaha `(COVID cyangwa PASC - nyuma y'igihe kirekire nyuma y'igitutu cya SARS CoV-2)` ndetse na nyuma yo gukira Covid.

Ni gute COVID-19 igira ingaruka ku bihaha?

Covid-19 ni indwara y'ubuhumekero iterwa na virusi `(SARS-CoV-2)`. Iyi virusi yinjira mu buryo butaziguye mu myanya y'ubuhumekero ikangiza ibihaha byawe. Rero, uko ubudahangarwa bw'umubiri wawe bukora mu kurwanya iyi ndwara, ububyimbirwe butera bushobora no kwangiza ibihaha byawe. Nanone, amazi atangira kwirundanya mu dusako duto tw'umwuka `(alveoli)` turi mu bihaha. Ibyo ni byo twita pneumonia.

Ese umusonga ushobora kwandura nyuma yo kwandura Covid-19?

Yego, birashoboka. Virusi itera COVID-19 ishobora kwanduza ibihaha byawe igatera umusonga. Hari igihe, iyo ubudahangarwa bw'umubiri bwawe bucitse intege kubera COVID, hari indi bagiteri ishobora kwanduza ibihaha byawe igatera umusonga. Ibi byitwa "superinfection." Nanone, niba ufite ikibazo cyo guhumeka bitewe na COVID-19 kandi ukaba uhujwe na "ventilator", hari ibyago byo kurwara "pneumonia ifitanye isano na ventilator."

Ese Covid pneumonia na Covid-19 ni indwara ebyiri?

Oya, si indwara ebyiri. Mu by’ukuri, izi ni indwara ebyiri zitandukanye z’indwara imwe. Covid-19 ni indwara y’ubuhumekero iterwa na virusi ya `(SARS-CoV-2)`. Covid pneumonia ni ikibazo cya Covid-19, indwara ituma ibihaha bibyimba kandi byuzuye amazi, bigatuma guhumeka bigorana.

Ni irihe tandukaniro riri hagati ya Covid pneumonia n'ubundi bwoko bwa pneumonia?

Ubwoko ubwo aribwo bwose bwa pneumonia butuma ibihaha bibyimba kandi byuzura amazi. Ariko, ubushakashatsi bwagaragaje ko uburyo virusi itera pneumonia ya COVID, SARS-CoV-2, ikwirakwira mu bihaha bitandukanye gato n'umusonga uterwa n'izindi virusi na bagiteri.

Tekereza muri ubu buryo. Ubusanzwe, ubundi bwoko bwa pneumonia ni ikintu gikwirakwira vuba mu bihaha, nk'inkongi y'umuriro. Ibimenyetso biza mu buryo butunguranye kandi bikarushaho kwiyongera vuba. Ariko ntibimara igihe kirekire.

Ariko muri Covid pneumonia, virusi isa nkaho yinjira ahantu henshi mu bihaha icyarimwe ikaguma aho. Hanyuma, ukoresheje ubudahangarwa bwawe bwite, itangira gukwirakwira no mu bindi bice by'ibihaha. Ni nko gutwika umuriro muke mu ishyamba. Nyuma y'igihe gito, ibishashi by'uwo muriro birakwirakwira, bigatwika ahantu hashya, kandi bigakwirakwiza buhoro buhoro ibyangiritse mu gace kose. Bityo Covid pneumonia ishobora kumara igihe kirekire kandi ikangiza ibice byinshi by'ibihaha .

Ni nde ufite ibyago byinshi byo kurwara Covid pneumonia?

Hari abantu bamwe na bamwe bafite ibyago byinshi byo kurwara indwara ikomeye ya COVID-19 n'indwara nk'umusonga wa COVID. Niba uguye muri rimwe muri aya matsinda, ni byiza kwitonda gato, sibyo?

• Niba ufite imyaka irenga 65.
• Niba utwite.
• Niba unywa itabi, cyangwa niba warigeze kurinywa mbere.
• Niba hari umuntu watewe urugingo cyangwa uturemangingo tw’amaraso.

Nanone, niba ufite imwe muri izi ndwara zikurikira, ibyago byawe biba byinshi kurushaho:

• Indwara z'amaraso (urugero: indwara ya sickle cell, thalassemia).
• Indwara za kanseri.
• Indwara z'imitsi yo mu bwonko (urugero: indwara yo gucika kw'imitsi).
• Indwara z'umwijima cyangwa impyiko zidakira (urugero: umwijima, cirrhose, indwara y'umwijima udafite ibinure bivanze n'inzoga (NAFLD)).
• Indwara z'ibihaha zidakira (urugero: asima, COPD, fibrosis y'ibihaha, umuvuduko ukabije w'amaraso mu bihaha, indwara zo mu bihaha zo mu bwoko bwa pulmonary embolism).
• Indwara ya cystic fibrosis.
• Indwara z'imitsi nka dementia na Alzheimer's.
• Diyabete (Ubwoko bwa 1 cyangwa Ubwoko bwa 2) `(Diyabete - Ubwoko bwa 1 cyangwa Ubwoko bwa 2)`.
• Ubusembwa bw'ivuka nka cerebral palsy na Down syndrome.
• Indwara z'umutima (urugero: kunanirwa k'umutima, indwara z'imitsi ifungana, umuvuduko ukabije w'amaraso).
• VIH/SIDA cyangwa izindi ndwara zica intege ubudahangarwa bw'umubiri.
• Ingorane z'ubuzima bwo mu mutwe (urugero: kwiheba, schizophrenia ).
• Umubyibuho ukabije.
• Gukoresha ibiyobyabwenge (nk'inzoga, opioid, kokayine).
• Igituntu.

Ni bangahe bandura COVID-19 barwara umusonga?

Ubusanzwe, abantu bagera kuri 15% bandura COVID-19 bagira ibibazo bikomeye, harimo n'umusonga wa COVID-19. Ibyo bivuze ko abantu barenga miliyoni 77 ku isi ubu bahuye n'ibibazo bikomeye bya COVID-19. Ibi rero si ibintu byoroshye gufata.

Ni ibihe bimenyetso by'umusonga wa Covid?

Ibimenyetso bya COVID-19 pneumonia bishobora gusa n'iby'ubwandu busanzwe bwa COVID-19. Ariko, niba ibi bimenyetso bisa n'ibishya cyangwa ibimenyetso bihari bikarushaho gukomera , bishobora gusobanura ko COVID-19 yawe irimo kugenda ihinduka pneumonia. Ibi nibibaho, ni ngombwa gushaka inama kwa muganga vuba.

• Guhumeka nabi (kubura umwuka) cyangwa kubura umwuka.
• Kumva utazi icyo utekereza, nko guta umutwe.
• Kumva unaniwe cyane kandi unaniwe.
• Inkorora (wenda inkorora irimo amatembabuzi).
• Umuriro.
• Kubabara mu gituza cyangwa gufungana.
• Ibara ry'ubururu ry'iminwa, uruhu, cyangwa inzara (cyanosis).

Niba kimwe muri ibi bimenyetso kigaragara ko ari gishya cyangwa kirushijeho kuba kibi, ni byiza guhita ubonana na muganga. Ntukirengagize, cyane cyane niba bijyana no guhumeka nabi.

Namenya nte niba ubwandu bwanjye bwa COVID-19 burimo kwiyongera bukaba umusonga?

Ibimenyetso bya COVID-19 na pneumonia birasa cyane, bityo rimwe na rimwe bishobora kugorana kubisuzuma. Ariko, iyo ubwandu bwa COVID-19 bugeze kuri pneumonia, ikimenyetso nyamukuru kandi kigaragara cyane ni ukwiyongera kw'ingorane zo guhumeka. Niba wumva ufite ikibazo cyo guhumeka, cyangwa niba wumva uhumeka nabi, jya kwa muganga uri hafi yawe vuba.

Ese Covid pneumonia yandura?

Virusi itera COVID-19 irandura. Iyo wanduye, ushobora kwanduza abandi iyo ukorora, witsamuye, uvuga cyangwa uhumeka gusa. Umusonga ni indwara igaragara mu bihaha byawe iyo urwaye COVID-19. Ushobora kwanduza COVID-19 undi muntu uyikuye ku muntu urwaye umusonga wa COVID-19. Ariko, ntabwo byemejwe ko uwo muntu azarwara umusonga.

Ariko, hari igihe ushobora kurwara umusonga bitewe n'ubwandu bwa bagiteri hamwe na Covid-19, nk'uko twabivuze mbere, "ubwandu bukomeye." Ubwo bwandu bwa bagiteri bushobora kwanduzanya. Bushobora kandi gutera umusonga ku wundi muntu.

Ni gute wasuzuma indwara ya Covid pneumonia? (Isuzuma)

Kugira ngo amenye neza niba urwaye COVID pneumonia, muganga azakubaza ibimenyetso byawe kandi agukorere isuzuma ry’umubiri. Bazatega amatwi ibihaha byawe bakoresheje stethoscope, barebe umuvuduko w’amaraso yawe, ubushyuhe, n’urugero rwa ogisijeni (pulse oximetry). Akenshi, umuntu ashobora no gufata agatambaro ko mu mazuru kugira ngo yemeze niba urwaye COVID-19 cyangwa ubundi bwandu bwa virusi.

Byongeye kandi, hari ibindi bizamini byinshi bishobora gukorwa:

• Ishusho y'ibihaha:Hakorwa isuzuma rya X-ray cyangwa CT mu gituza kugira ngo harebwe niba hari indwara z’ibihaha zanduye.
• Gupima amaraso: Hazafatwa icyitegererezo cy'amaraso yawe kugira ngo hamenyekane niba umusonga wawe uterwa na COVID-19 cyangwa bagiteri.
• Ikizamini cy'inkorora: Usabwa gukorora, hanyuma icyitegererezo cy'inkorora kijyanwa muri laboratwari kugira ngo harebwe niba hari ubwandu n'icyabuteye.
• Guteranya amazi mu mitsi: Hari igihe umuntu afata amazi make akikije ibihaha akoresheje urushinge ruto hanyuma agapimwa.
• Ikizamini cy'umwuka mu maraso: Ikizamini cy'amaraso gifatwa mu mitsi iri mu kuboko kwawe, mu kuboko, cyangwa mu kibuno kugira ngo harebwe urugero rwa ogisijeni mu maraso yawe. Ibi bishobora gutanga igitekerezo cy'uburyo ibihaha byawe bikora neza.
• Isuzuma ry’imitsi: Mu gihe cy’impanuka, umuyoboro muto kandi urimo urumuri (bronchoscope) ushobora koherezwa mu bihaha kugira ngo harebwe imbere hagafatwa ingero z’uturemangingo cyangwa amazi.

Umusonga wa Covid uvurwa ute?

Niba usanzwe urwaye COVID pneumonia, ushobora kujya mu bitaro. Aho ngaho, ushobora kuvurwa nka:

• Imiti igabanya ubukana bwa virusi: Hari imiti imwe n'imwe igabanya ubukana bwa virusi, nka Remdesivir cyangwa Paxlovid™, yibasira virusi itera COVID-19 kandi igafasha mu kugenzura ubwandu.
• Antibiyotike: Iyi itangwa ku musonga uterwa na bagiteri. Iyi miti itangwa iyo byemejwe ko ufite ubwandu bwa bagiteri hamwe na COVID pneumonia. Hari igihe ishobora no gutangwa mu rwego rwo kwirinda niba hari ukeka ko ushobora kuba ufite ubwandu bwa bagiteri.
• Ogisijeni y'inyongera: Niba ibihaha byawe bikora ariko umubiri wawe ntubone ogisijeni ihagije, ogisijeni y'inyongera itangwa binyuze mu muyoboro ushyirwa mu mazuru yawe cyangwa agapfukamunwa gashyirwa mu maso.
• Ibinyobwa bya IV: Ibintu nk'umunyu wa IV bitangwa kugira ngo umubiri udacika intege.
• Gukuraho amazi mu bihaha: Amazi yakusanyije mu bihaha ashobora gukurwaho haba hakoreshejwe catheter cyangwa hakoreshejwe kubagwa.
• Corticosteroids: Imiti yo mu bwoko bwa steroid, nka Dexamethasone, ikoreshwa mu kugabanya kubyimba mu bihaha.
• Udukoko tw’umubiri twitwa monoclonal: Uburyo bwo kuvura nka Tocilizumab bushobora gufasha kugabanya cyangwa gukumira ububyimbirwe.
• Guhumeka hakoreshejwe ikoranabuhanga: Niba udashobora guhumeka neza wenyine, uzahuzwa n'icyuma gihumeka. Muri ibi, umuyoboro ushyirwa mu muhogo wawe mu muhogo wawe, hanyuma imashini ikoreshwa mu kuguhumeka. Muri icyo gihe, uzasinzira.
• Gutanga ogisijeni hanze y'umubiri (ECMO): Niba ibihaha cyangwa umutima wawe bidakora neza, ushobora kuba wahujwe n'imashini ya ECMO. Ubu ni uburyo bwo kuvura butanga ubuzima bufata imirimo y'umutima n'ibihaha byawe.

Wibuke ko muganga wawe azasuzuma buri buryo bwo kuvura maze amenye icyo bugukwiriye. Kubwibyo, ni ngombwa gukurikiza amabwiriza ye neza.

Ni gute wakwirinda Covid pneumonia?

Uburyo bwiza bwo kwirinda COVID pneumonia ni ukugabanya ibyago byo kurwara COVID-19 n'izindi ndwara zishobora kwangiza ibihaha byawe. Ushobora gukora ibi bikurikira:

• Kubona urukingo rwa Covid-19.
• Ukingiwe indwara ya pneumococcal, ishobora gutera pneumonia ya bagiteri.
• Irinde kunywa itabi kandi wirinde itabi ry'inkongi y'umuriro.
• Karaba intoki zawe neza n'isabune n'amazi mbere yo kurya, mbere yo gutegura ibiryo, na nyuma yo kuva mu bwiherero. Niba isabune idahari, koresha umuti wica intoki urimo alukolo.
• Niba wowe cyangwa undi muntu afite COVID-19, irinde kwegerana no gusangira ibintu.
• Niba ufite izindi ndwara (ziri mu matsinda y’abantu bashobora kwandura twavuze mbere), zivure neza, kuko izo ndwara zishobora gutuma COVID-19 irushaho kuba mbi.

Bifata igihe kingana iki kugira ngo umuntu akire indwara ya Covid pneumonia?

Ntibishoboka kuvuga neza igihe umusonga wa COVID uzamara. Urashobora gutandukana bitewe n'umunsi. Hari iminsi ushobora kumva umeze neza, ariko nyuma bikarushaho kwiyongera. Ubusanzwe, indwara yoroheje ifata ibyumweru bitatu kugeza kuri bitandatu kugira ngo ikire. Ariko, iyo indwara ikomeye, bishobora gufata amezi kugira ngo ikire. Uburyo wumva umeze neza vuba biterwa na:

• imyaka yawe.
• Ubukana bw'umusonga.
• Waba ufite izindi ngorane z'ubuzima cyangwa ingorane.

Niba ukomeje kugira ibibazo by'ubuzima nyuma yo kuvurwa indwara ya COVID pneumonia, ni ngombwa kongera kubonana na muganga wawe kugira ngo akugire inama.

Ni izihe ngorane zishobora guterwa n'umusonga wa Covid?

Umusonga wa Covid ni ikibazo cy'ubwandu bwa Covid-19. Hari ibyiciro bitandukanye by'uburyo ushobora kwandura virusi ya `(SARS-CoV-2)`. Tekereza kuri ibi:

1. Indwara z'ubuhumekero ziterwa na virusi: Iyi ni yo ndwara yoroheje cyane ya COVID-19. Ariko ishobora gutera ibimenyetso nk'umuriro, kuribwa mu muhogo, no kugorwa no guhumeka, ibyo bikaba bishobora kuba bibi cyane. Abantu benshi bashobora kwihanganira ibimenyetso byabo mu rugo. Ariko, iyo ibimenyetso birushijeho kuba bibi, bashobora gukenera kujya mu bitaro.

2. Umusonga wa COVID:Iki ni cyo gihe ibihaha byandura, bikabyimba, kandi byuzuyemo amazi, bigatuma bigorana guhumeka. Niba urwaye COVID pneumonia, uzakenera gukurikiranirwa hafi mu bitaro no kuvurwa ibimenyetso byawe. Ubusanzwe ibi bifatwa nk'ikibazo kiri hagati y'ibinini kugeza ku bikomeye cya COVID-19.

3. Indwara yo guhumeka ikabije (ARDS): Indwara yo guhumeka ikabije (ARDS) ni indwara ituma uburyo bwo guhumeka bunanirwa. Ibi bibaho igihe ibihaha byawe bidakora neza, bigatuma umubiri wawe udahabwa umwuka uhagije. Niba ugeze muri iki cyiciro gikomeye cya COVID-19, ushobora gukenera guhumekwa n'icyuma gihumeka kugira ngo gihumeke.

Igipimo cyo gukira indwara ya Covid pneumonia ni ikihe?

Mu bihe bisanzwe, aho ibitaro bitarengerwa n'ubwinshi bw'abarwayi, igipimo cyo gukira indwara ya COVID pneumonia kiri hafi 80%. Ibyo bivuze ko abantu bagera kuri 80 ku 100 bakira. Ariko, iyo umubare munini w'abarwayi ugeze icyarimwe ukarenga ibitaro, umubare w'impfu ziturutse kuri COVID pneumonia ushobora kwikuba kabiri. Kubwibyo, gushaka ubufasha vuba bishoboka byongera amahirwe yo gukiza ubuzima bwawe no gukira vuba.

Ni iki nakora kugira ngo nkomeze kugira ubuzima bwiza mu gihe mfite COVID pneumonia?

Umaze kuva mu bitaro, ushobora gukora ibi bikurikira kugira ngo ukomeze urugendo rwawe rwo gukira uri mu rugo:

• Genzura ibimenyetso byawe ukoresheje imiti n'ubundi buryo bwo kuvura busabwa na muganga wawe.
• Fata imiti yose yandikiwe n'ubuvuzi nkuko byategetswe, kugeza igihe izarangirira ku gihe.
• Ruhuka bihagije. Ntugakore cyane umubiri wawe.
• Komeza gukurikirana ibimenyetso byawe. Niba wumva utameze neza igihe icyo ari cyo cyose, cyangwa niba ugaragaje ibimenyetso bishya, hamagara muganga wawe ako kanya.

Ni ibihe bimenyetso bigaragaza ko Covid pneumonia irimo koroherwa?

Uko utangira gukira indwara ya COVID pneumonia, ntugomba kongera kugira ingorane zo guhumeka. Uko ubuzima bwawe bugenda burushaho kuba bwiza, abaganga bawe bazagabanya umubare w'imashini ukoresha kugira ngo zigufashe guhumeka ndetse n'ingano y'umwuka uhumeka.

Niba wumva ushobora gukora bimwe mu bikorwa byawe bisanzwe nyuma yo kugera mu rugo, icyo nacyo ni ikimenyetso cyiza cy'uko uri gukira.

Ni ryari ngomba kujya kwa muganga?

Niba ufite ibimenyetso bya COVID-19, nko kubura uburyohe cyangwa impumuro, kuribwa mu muhogo, umuriro, inkorora, cyangwa guhumeka bigoranye, jya kwipimisha COVID-19. Niba uri mu kaga ko kurwara COVID-19 ikomeye, cyangwa niba ufite ibibazo bijyanye n'uburyo bwo kwifata, hamagara muganga wawe.

Ni ryari nkwiye kujya mu cyumba cy’ubutabazi bw’ibanze?

Niba ufite COVID-19 kandiNiba ugaragaje ibimenyetso bishya cyangwa niba hari ikimenyetso kimaze kwiyongera, cyane cyane niba ufite ikibazo cyo guhumeka, wumva utazi icyo ukora, usa n'aho utagishoboye kuguma maso, cyangwa niba uruhu rwawe, iminwa, cyangwa inzara zisa n'izihinduka ubururu, jya mu cyumba cy'ubutabazi bwihuse cyangwa uhamagare 911.

Hari abantu bafite ibimenyetso byoroheje cyane bya COVID-19. Ariko abandi bashobora kurwara indwara zikomeye nka COVID pneumonia. Ni ngombwa kwitondera ibimenyetso byawe. Ibi ni ingenzi cyane cyane niba ufite imyaka irenga 65 cyangwa ufite izindi ndwara zidakira zishobora gutuma COVID-19 irushaho kuba mbi.

Iyi virusi ishobora kwangiza bikomeye uko igihe kigenda gihita. Rero, niba ibimenyetso byawe bikomeye, ntutinde kujya kwa muganga cyangwa kujya kwa muganga. Ibimenyetso nko kugorwa no guhumeka, kugorwa no kuba maso, urujijo, n'uruhu rw'ubururu, iminwa, n'inzara ntabwo ari ibisanzwe. Bigomba kuvurwa vuba.

Amaherezo, ibuka (Ubutumwa bwo kujyana mu rugo)

Umusonga wa Covid si ikintu cyo gukinishwa, nshuti zanjye. Ni ikibazo gikomeye cya Covid-19.

• Menya ibintu bishobora gutera ibyago n'ibimenyetso kugira ngo ubashe gufata ingamba vuba.
• Kwirinda ni bwo buryo bwiza. Gira inkingo neza kandi ugire isuku.
• Niba ibimenyetso bikomeye, cyane cyane iyo uhumeka nabi, shaka ubufasha bwa muganga vuba. Guvurwa vuba bishobora kurokora ubuzima.

Twese twitonze kandi tugerageze gukira iki cyorezo vuba bishoboka. Niba ufite ikibazo icyo ari cyo cyose, ntutinye kuvugana na muganga.

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