Ukuba ufumana i-COVID-19, iimpawu zakho ziya kuba zincinci kwaye ungazilawula ekhaya. Oko kuyinyani kubantu abaninzi. Kodwa ukuba umdala okanye unezinye iimeko zempilo, ezifana nesifo seswekile okanye isifo sentliziyo, usemngciphekweni omkhulu wokufumana iingxaki ezinkulu ezivela kwi-COVID-19. Abanye abantu, malunga nomntu omnye kwabathandathu, bafumana iingxaki ezisongela ubomi. Eyona nto iphambili yoku yimeko ebizwa ngokuba yi-'cytokine storm.' Ngamafutshane, xa sifumana usulelo, inkqubo yethu yomzimba yokuzikhusela iya kwi-overdrive kwaye ikhuphe iiproteni ezivuthayo ezibizwa ngokuba zii-cytokines egazini lethu. Ezi zingonakalisa izicubu zethu kwaye zonakalise amalungu abalulekileyo njengemiphunga, intliziyo, kunye nezintso.
Zeziphi iingxaki eziphambili ezinokubakho ngenxa yeCovid-19?
I-COVID-19 ayisosifo sokuphefumla nje kuphela. Ingachaphazela iinkqubo ezahlukeneyo emzimbeni. Makhe sijonge iingxaki eziphambili ezinokubakho.
| Ingxaki | Ingcaciso elula |
|---|
| Ukungaphumeleli kokuphefumla ngokukhawuleza | Imiphunga ayikwazi ukubonelela ngeoksijini eyaneleyo egazini okanye ukususa ikharbon diokside egazini. Le yeyona nto iphambili ebangela ukufa kwabantu ngenxa yeCOVID-19. |
| I-Pneumonia Enzima | Iingxowa zomoya kwimiphunga yomibini ziyadumba zize zizaliswe lulwelo kunye nobovu, nto leyo eyenza kube nzima kakhulu ukuphefumla. |
| I-Acute Respiratory Distress Syndrome (ARDS) | Imiphunga yonakele kakhulu kwaye ulwelo luphuma, nto leyo ethintela igazi ukuba lingafumani ioksijini eyaneleyo. Oku kufuna i-ventilator. |
| Umonakalo Wezitho Zomzimba | Ukulimala kwesibindi okukhawulezileyo, ukwenzakala kwentliziyo okukhawulezileyo, kunye nokulimala kwezintso okukhawulezileyo. |
| Amahlwili egazi | Ukuphazamiseka kwinkqubo yokugalela igazi emzimbeni (DIC), okunokubangela ukuba kubekho amahlwili egazi angaqhelekanga emilenzeni (DVT), emiphungeni (PE), nakwezinye iindawo. |
| I-Multi-system inflammatory syndrome ebantwaneni (MIS-C) | Imeko embi kakhulu enokuchaphazela abantwana kunye nabantu abancinci, ebangela ukudumba kwiindawo ezahlukeneyo zomzimba. |
Makhe sijonge ezi meko ngokweenkcukacha ezithe vetshe.
Iziphumo kwimiphunga
Eyona nto ibangela ukufa ngenxa ye-COVID-19 kukulimala kwemiphunga. Cinga ngayo, xa kuvela i-pneumonia, iingxowa zomoya ezincinci emiphungeni ziyavuvukala, nto leyo eyenza kube nzima kakhulu ukuphefumla. Xa uhlola imiphunga yezigulana ezine-COVID-19 ezinzima, ungabona ukuba zizaliswe lulwelo kunye nobomvu.
Xa le meko iba mandundu ngakumbi, ikhokelela kwimeko ebizwa ngokuba yi -ARDS (Acute Respiratory Distress Syndrome) . Apha, imiphunga yonakele kangangokuba igazi alikwazi ukufumana ioksijini . Kulapho ke kufuneka uncedo lomatshini wokuphefumla owenziweyo (i-ventilator) ukusindisa ubomi.
Ukonakala kwentliziyo, isibindi, kunye nezintso
I-Covid-19 ayisosifo esichaphazela imiphunga kuphela.
- Ukulimala Kwesibindi Okubukhali: Isibindi sesona sitho senzakala kakhulu emva kwemiphunga. Akukacaci nokuba oku kubangelwa yintsholongwane ngokwayo okanye luxinzelelo emzimbeni olubangelwa sisifo. Nangona kunjalo, le yimeko engxamisekileyo esongela ubomi.
- Ukonzakala Kwentliziyo Okubukhali: Uninzi lwezigulane ze-COVID ezilaliswe esibhedlele nazo zibike iimpawu zentliziyo ezifana nokungasebenzi kakuhle kwentliziyo. Ngamanye amaxesha, nokuba emva kokuphila kwi-COVID-19, iimeko zokudumba kwemisipha yentliziyo, ezifana ne-myocarditis, zinokwenzeka.
- Ukulimala Okubukhali Kwezintso :Oku kuqhelekile kancinci, kodwa kunokuba yingozi kakhulu ukuba kwenzeka. Ukuba izintso ziyeka ukusebenza, kuya kufuneka u-dialysis ukuze ususe inkunkuma emzimbeni. Ngamanye amaxesha lo monakalo usenokungapholi ngokupheleleyo kwaye usenokukhula ube sisifo sezintso esingapheliyo .
Amahlwili egazi kunye nezinye iimeko ezinzulu
Enye ingxaki eyingozi yeCovid-19 kukuqhekeka kwegazi.
- Amahlwili egazi: Isigulana se-COVID sisengozini enkulu yokuba namahlwili egazi kunesigulana esiqhelekileyo somkhuhlane. La mahlwili anokwakheka kwimithambo yemilenze (Deep Vein Thrombosis - DVT ), kwimiphunga (Pulmonary Embolism - PE), okanye kwimithambo yegazi.
- Imeko ye-DIC: I-DIC (Disseminated Intravascular Coagulation) yimeko enzima apho inkqubo yokuxinana kwegazi iphazamiseka ngokupheleleyo. Oku kunokukhokelela ekopheni kwangaphakathi okanye ekungasebenzini kwamalungu omzimba.
- I-Septic Shock: I-Sepsis kuxa umzimba uphelelwa ngamandla ngenxa yosulelo kwaye uqala ukonakalisa amalungu omzimba. Ukuba oku akulawulwa, uxinzelelo lwegazi lunokwehla kakhulu, nto leyo ekhokelela kwi-septic shock kwanokufa.
- Usulelo lwesibini: Xa umzimba ubuthathaka ngenxa yokulwa ne-COVID-19, olunye usulelo lwebhaktiriya (umz., i-strep, i-staph) lunokukhula. Oku kwandisa umngcipheko.
Masifunde ngabantwana kunye nemiphumo yabo yexesha elide.
I-Multi-system inflammatory syndrome ebantwaneni (MIS-C)
Nangona abantwana ngokubanzi bengachaphazeleki kakhulu yi-COVID-19, abanye abantwana baye baba nesifo esibizwa ngokuba
yi-MIS-C (Multisystem Inflammatory Syndrome in Children) . Oku kuquka iimpawu ezinje ngomkhuhlane, iintlungu zesisu, ukuhlanza, kunye nokurhawuzelelwa lusu. Esi sisifo esibi kakhulu esifana nesifo sikaKawasaki esifuna unyango olukhawulezileyo.
I-COVID ende
Abanye abantu banokuba neempawu ezihlala iinyanga emva kokuba bephilile kwi-COVID-19. Oku sikubiza ngokuba yi-'Long COVID' okanye i-Chronic Ditigue.
- Ukudinwa kakhulu
- Ubunzima bokugxila okanye 'inkungu yengqondo'
- Intlungu yomzimba
- Isiyezi
Ukuba ezi mpawu ziyaqhubeka nokuba sele ziphilile, kubaluleke kakhulu ukuthetha nogqirha wakho ngazo.
Umyalezo Wokuya Ekhaya
- Nangona i-COVID-19 sisifo esincinci kubantu abaninzi, abanye banokuba neengxaki ezinzulu nezisongela ubomi.
- Abantu abanezinye izifo ezifana nesifo seswekile nesifo sentliziyo, kunye nabantu abadala, basengozini enkulu yokufumana ezi ngxaki.
- Ukonakala kwemiphunga, intliziyo, isibindi, nezintso, kunye nokuqhekeka kwegazi, zezinye zezona ngxaki ziphambili.
- Hlala uqaphela iimpawu ezilumkisayo ezinje ngobunzima bokuphefumla, iintlungu zesifuba ezingapheliyo, ukudideka, kunye nemilebe okanye ubuso obuluhlaza okwesibhakabhaka.
- Ukuba unamathandabuzo okanye iimpawu ezinzulu, musa ukuchitha ixesha kwaye ngoko nangoko bona ugqirha wakho okanye uye kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane.
Iingxaki zeCovid, iingxaki zeCOVID-19 IsiSinhala, inyumoniya, i-ARDS, amahlwili egazi, iziphumo zeCovid emva koko, iCOVID ende IsiSinhala
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