Ibibazo by'umutima nyuma ya COVID-19? Reka tubiganireho!

Ese nawe warwaye COVID-19 ukakira? Cyangwa hari umuntu uzi warwaye COVID-19? Kimwe mu bintu bivugwa cyane muri iyi minsi ni ukumenya niba COVID-19 ishobora kugira ingaruka ku mutima. Iki ni ikintu cyo gutekerezaho. Reka tubiganireho birambuye kandi uyu munsi, si byo se?

Ese COVID-19 ishobora gutera indwara z'umutima?

Yego, mu by’ukuri, iyo urwaye COVID-19, yaba ari indwara yoroheje cyangwa ikomeye kurushaho, ushobora kuba ufite ibyago byinshi byo kurwara indwara y’umutima cyangwa kunanirwa k’umutima . Ni gake cyane virusi itera COVID-19 yandurira mu mitsi y’umutima. Ariko ibibazo iyi virusi itera mu mubiri wose bishobora kwangiza umutima.

Ndetse n'umuntu utarigeze arwara indwara y'umutima mbere ashobora kurwara indwara z'umutima nyuma ya COVID-19. Ariko niba usanzwe ufite indwara y'umutima, cyangwa indwara z'umutima , uba uri mu kaga gakomeye. Kandi niba ufite ibintu bishobora gutera ibyago nko kuzamuka k'umuvuduko w'amaraso, diyabete , umubyibuho ukabije , cyangwa cholesterol nyinshi , uba uri mu kaga gakomeye ko kugira ibibazo bikomeye. COVID-19 ishobora kugira ingaruka ku mutima haba mu gihe virusi iri mu mubiri ndetse na nyuma yuko ivuye mu mubiri.

Ni gute COVID-19 igira ingaruka ku mikorere y'umutima n'imitsi yawe?

Hari ibibazo bimwe na bimwe by'umutima - nko kwangirika kw'imitsi y'umutima - bishobora kugaragara iyo urwaye COVID-19. Uku kwangirika kw'imitsi y'umutima (imvune y'umutima) ni urupfu rw'uturemangingo tw'imitsi y'umutima. Hari igihe abantu bafite ubwo bwoko bw'ibyangiritse batagaragaza ibimenyetso. Abandi bashobora kugira ibimenyetso nko kubabara mu gituza , kubura umwuka (kubura umwuka) , cyangwa kubyimba amaguru. Muganga ashobora kubisuzuma akoresheje ibizamini by'amaraso no gupima umutima .

Abashakashatsi baracyagerageza kumenya umubare w'abantu barwaye COVID-19 barwaye indwara y'umutima. Mu buryo bugaragara, bivugwa ko hagati ya 7% na 40% by'abantu bazarwara iyi ndwara. Ikunze kugaragara cyane ku bantu barwaye bihagije ku buryo bakeneye kwitabwaho mu cyumba cy'indembe (ICU). Iyo umutima wawe wangiritse, uba uri mu kaga gakomeye ko kugira ibibazo mu gihe umubiri wawe urwanya virusi.

Ni gute ububyimbirwe buterwa na COVID-19 bwangiza umutima?

Ubushakashatsi bwerekana ko kubyimba ari yo mpamvu nyamukuru itera kwangirika k'umutima biturutse kuri COVID-19. Iyo wanduye bwa mbere, ubudahangarwa bw'umubiri bwawe burakora. Ibi bituma uturemangingo tw'ububyimbirwe na za cytokine birekurwa.Ikorwa ry'ibintu byitwa cytokines. Izi cytokines ni poroteyine nto zikora ku buryo ubudahangarwa bw'umubiri bukora. Mu by'ukuri, uku kubyimba, ni ukuvuga kubyimba, ni inzira umubiri wacu ukeneye kandi ikagufasha.

Ariko, COVID-19 ituma bamwe bagira ububyimbirwe bwinshi mu mibiri yabo. Iyi ndwara yitwa cytokine release syndrome cyangwa 'cytokine storm' . Ibi bikunze kugaragara mu bihe bikomeye bya COVID-19. Ubu bubyimbirwe bukabije bushobora kwangiza uturemangingo tw'umutima n'imitsi mu buryo butandukanye. Urugero:

• Arrhythmia: Uku kubyimba gushobora guhindura ibimenyetso by'amashanyarazi mu mutima. Kubera iyo mpamvu, umutima ushobora gutakaza umuvuduko wawo usanzwe. Niba usanzwe ufite arrhythmia, iyi cytokine storm ishobora gutuma ibintu birushaho kuba bibi.
• Uduce tw’amaraso: Iyo ubushyuhe bugize ingaruka ku gice cy’imbere cy’imitsi yawe (endothelium) , habaho ibyago byinshi byo kurwara amaraso, indwara z’umutima, cyangwa indwara zo mu bwonko.
• Myocarditis: Iyi ni indwara ifata imitsi y'umutima. Abantu barwaye COVID-19 bafite ibyago byinshi byo kurwara myocarditis kurusha abadafite COVID-19.
• Pericardite: Iyi ni indwara ifata uturemangingo dukikije umutima. Ibi bishobora gutera ububabare mu gituza no kwibumbira mu mazi hirya no hino mu mutima.
• Umutima unanirwa: Ibi biterwa no kwirundanya kw'amazi no kubyimba (edema) mu bihaha no ku mubiri bitari ngombwa.

Abantu barwaye indwara z'umutima cyangwa ibintu bishobora gutera ibyago byinshi

Abantu benshi bari mu bitaro barwaye COVID-19 bafite ibibazo by’umutima. Nanone, abantu barwaye indwara z’umutima n’imitsi bashobora kurwara indwara ya cytokine.

Niba ufite imwe muri izi ndwara zikurikira, uri mu kaga gakomeye ko kugira ibibazo biturutse kuri COVID-19:

• Umutima unanirwa
• Indwara y'imitsi ifata umutima (CAD)
• Indwara y'umutima
• Indwara y'impyiko idakira (CKD)
• Diyabete (Diabete Mellitus)
• Umubyibuho ukabije/Umubyibuho ukabije
• Niba warigeze kugira stroke mbere
• Umuvuduko ukabije w'amaraso (Hypertension)
• Indwara y'uturemangingo tw'umusemburo
• Thalassemia

Ese COVID-19 ishobora gutera indwara y'umutima cyangwa indwara yo gucika kw'imitsi?

COVID-19 ishobora kongera ibyago byo kurwara indwara y'umutima cyangwa indwara yo gucika kw'imitsi, cyane cyane niba warajyanywe mu bitaro. Ariko abashakashatsi baracyakora iperereza kuri ibi. Kubyimba ni ikibazo gikomeye hano. Byongera ibyago byo kuvura amaraso kandi bikagabanya ubushobozi bw'umubiri bwo kuyakiza ubwawo.

Iyo amaraso apfunditse, ingingo zawe, harimo n'umutima wawe, zihagarika kubona umwuka wa ogisijeni. Iyo ibi bibaye, uba uri mu kaga ko kugira indwara y'umutima. Ibyo bivuze ko umutima wawe udahabwa amaraso ahagije akungahaye kuri ogisijeni. Gupima enzyme yitwa troponin mu maraso yawe bishobora gufasha abaganga gusuzuma indwara y'umutima.

Ntugatinde kujya kwa muganga cyangwa kuvurwa byihutirwa.

Abashakashatsi bazakomeza kumenya byinshi kuri COVID-19 n'ibibazo by'umutima, ariko hagati aho, indwara z'umutima ziracyagaragara ku bantu badafite COVID-19.

"Mu gihe cy'icyorezo, abantu benshi birinze kujya kwa muganga no kujya mu bitaro. Nubwo ari ibisanzwe gutinya kwandura COVID-19, ntugakwiye gutinda gushaka ubuvuzi. Ni byiza cyane kujya kwa muganga cyangwa kujya kwa muganga kuruta kwirengagiza ibimenyetso bishobora gushyira ubuzima mu kaga."

Niba ufite ibimenyetso by'indwara y'umutima, hamagara 911 (cyangwa nimero y'ubutabazi bw'ibanze yo mu gace utuyemo) ako kanya. Gukira vuba ni ngombwa kugira ngo wirinde kwangirika k'umutima wawe. Nanone, ntucikwe na gahunda za muganga usanzwe. Bwira muganga wawe niba ufite ibimenyetso bishya cyangwa ibibazo. Niba ufite COVID-19, vugana nawe uburyo yagukozeho.

Ese nanjye nzarwara ibibazo by'umutima nyuma ya COVID-19?

Hari abantu bagira ibibazo by'umutima nyuma ya COVID-19. Uba uri mu kaga gakomeye niba warigeze kuba uri mu cyumba cyita ku barwayi barembye cyane (ICU) cyangwa uri ku cyuma gifasha guhumeka guhumeka . Ariko, n'abantu bakira COVID-19 bashobora kugira ibibazo by'umutima nyuma.

Ibi bibazo bishobora kubaho iyo ufite indwara yitwa Long COVID . Iyi nayo yitwa Post-acute coronavirus (COVID-19) syndrome . Niba ufite Long COVID, bivuze ko ubuzima bwawe butarasubira uko bwari buri mbere yuko urwara.

Abaganga babona ko iki gihe cy'ibyumweru bine ari intambwe ikomeye. Niba umaze ibyumweru bine urwaye COVID-19 kandi ugifite ibibazo, ushobora kuba ufite COVID y'igihe kirekire. Ibi bishobora kukugiraho ingaruka mu buryo butandukanye.

Ibimenyetso bishya cyangwa bidashira

Abantu barwaye COVID-19 cyane bashobora kugira ibimenyetso bishya cyangwa bidashira. Nanone, abantu bafite COVID-19 yoroheje cyangwa badafite ibimenyetso bashobora kugira ibibazo bidashira. Umunaniro, guhumeka nabi, n'indwara y'ubwonko ni byo bibazo bikunze kugaragara. Ibimenyetso bishobora kuba bifitanye isano n'umutima wawe birimo:

• Ububabare bwo mu gituza bwiyongera iyo ufashe umwuka mwinshi.
• Umutima utera cyane .
• Umutima utera vuba cyane (Tachycardia) .
• Kuzungera cyangwa kumva ufite umutwe ukeye.
• Kugorwa no guhumeka mu gihe cy'imyitozo ngororamubiri.

Niba ufite kimwe muri ibi bimenyetso, hamagara muganga wawe vuba umubwire uko umerewe. Muganga wawe ashobora gushaka gukora ibizamini bimwe na bimwe, nka electrocardiogram (EKG) cyangwa echocardiogram, kugira ngo arebe imikorere y'umutima wawe.

Ingaruka no ku zindi ngingo z'umubiri

Virusi ya COVID-19 ishobora kugira ingaruka ku ngingo nyinshi n'imitsi, nk'umutima wawe, ibihaha, ubwonko n'impyiko.

Virusi ya SARS-CoV-2 ifata poroteyine yayo ikomeye kuri poroteyine mu mubiri wawe yitwa ACE2 receptors. Izi ni poroteyine ziboneka mu mubiri wawe wose, harimo no mu mutima wawe no mu bihaha. ACE2 receptors nazo ziboneka ku gice cy'imitsi y'amaraso yawe. Ibi bituma virusi ya SARS-CoV-2 ifata byoroshye kuri ACE2 receptors zawe kandi igakwirakwira mu ngingo nyinshi, bigatera kwangirika. Urugero:

• Ibihaha: Virusi ya COVID-19 ishobora kwangiza ibihaha byawe cyane kurusha ibicurane bisanzwe. Mu bihe bikomeye bya COVID-19, ibihaha bishobora kubyimba no gucika inkovu (fibrosis) .
• Ubwonko: COVID-19 ishobora kwangiza ubwonko bitewe no kubura umwuka wa ogisijeni mu bwonko.
• Impyiko: COVID-19 ishobora gutuma impyiko zawe zidakora neza.

Kubera ko COVID-19 ishobora kugira ingaruka ku mubiri wawe wose, ni ngombwa gufata ingamba zo kwirinda kwandura virusi. Gukingirwa ni bwo buryo bwiza bwo kwirinda no kwirinda abandi. Nanone, ambara agapfukamunwa neza igihe bibaye ngombwa, guma mu rugo niba urwaye, kandi ukaraba intoki zawe kenshi.

Ingaruka zo kuvurwa no gushyirwa mu bitaro

Ingorane zo kuvurwa no kumara igihe kirekire mu bitaro si byo byonyine bitera COVID-19. Ushobora kumva ufite intege nke cyane kandi unaniwe. Cyangwa ushobora kugira PTSD (post-traumatic stress disorder).Ibimenyetso nabyo bishobora kugaragara.

Vugana na muganga wawe uko umerewe. Ni ibisanzwe kumva utameze neza igihe runaka nyuma yo gukira COVID-19. Ihe umwanya wo gukira no gusubira mu buzima bwawe busanzwe. Nturi wenyine. Muganga wawe azakorana nawe kugira ngo agufashe mu rugendo rwawe rwo gukira.

Gukira COVID-19 ni ikintu cyiza cyane. Ariko ushobora no guhura n'ibibazo by'umutima nyuma ya COVID-19. Ibi ni ukuri, kandi impungenge zawe zifite ishingiro. Ntutinye kubaza muganga wawe ibibazo bijyanye n'uko wiyumva. Menya neza ko ukurikiza inama za muganga wawe neza, kandi ukurikize gahunda zawe zose.

Ni ibihe bintu by'ingenzi tugomba kujyana mu nkuru?

Noneho rero, hari ibintu bike ugomba kwibuka mu byo twaganiriyeho uyu munsi:

• COVID-19, nubwo yaba yoroheje, ishobora kugira ingaruka ku mutima. Bityo rero menya ibimenyetso byayo.
• Niba usanzwe ufite indwara nk'indwara y'umutima, diyabete, cyangwa umuvuduko ukabije w'amaraso, hangayikishwa cyane n'ingaruka ziterwa na COVID-19.
• Niba ugize ububabare bushya mu gituza, ugorwa no guhumeka, cyangwa umutima utera cyane nyuma ya COVID-19 , shaka ubufasha bwa muganga ako kanya.
• Ntugatinde kubonana na muganga. Ntukirengagize ibimenyetso byihutirwa.
• Irinde COVID-19 uhabwa urukingo kandi ukurikize izindi ngamba z'ubuzima.
• Niba ufite ibibazo bikomeje nyuma ya COVID-19, ntabwo uri wenyine. Shaka inama n'ubufasha kwa muganga.

"Umutima wawe ni wo mutungo w'agaciro kanini mu buzima bwawe. Ni inshingano zawe kuwuyitaho. Twizeye ko aya makuru azagufasha. Komeza ugire ubuzima bwiza!"

Covid , indwara z'umutima, umutima, kubyimba, kubyimba kw'amaraso, Covid y'igihe kirekire, ibimenyetso