Kuthekani ukuba ufumana i-COVID-19 ngelixa ukhulelwe? Masithethe ngale nto!

Ukuba ulindele umntwana kule mihla, mhlawumbi ukhathazekile kancinci ngobhubhane we-COVID-19, akunjalo? Usenokuba ukhathazekile ngento eza kwenzeka kuwe nakumntwana wakho ukuba ngequbuliso une-COVID. Kodwa ungakhathazeki. Isayensi yezonyango iphucuke kakhulu ngoku, kwaye sazi okuninzi nge-COVID kunangaphambili. Ke ngoko, nokuba uvavanywe une-COVID ekhaya okanye ukuba ucinga ukuba uneempawu ze-COVID, kubalulekile ukuxelela ugqirha wakho ngoko nangoko.

Kwenzeka ntoni ukuba ufumana i-COVID ngexesha lokukhulelwa?

Ngamafutshane, ukuba ufumana i-COVID-19 (intsholongwane ye-SARS-CoV-2) ngelixa ukhulelwe, usenokuba nesifo esibi kancinci kunomntu ongakhulelwanga. Kodwa ungakhathazeki, oku akuthethi ukuba kuyafana kuye wonke umntu.

Ngoku, oogqirha bazi okuninzi ngale ntsholongwane kunakuqala xa kwaqala ubhubhane we-COVID-19. Bafunda izinto ezintsha ngalo lonke ixesha. Ngoko ke, ukuba ucinga ukuba uneempawu ze-COVID, okanye ukuba ufumana uvavanyo lwe-COVID oluqinisekileyo ekhaya, bonana nomboneleli wakho wokhathalelo lokukhulelwa ngoko nangoko. Angakunceda ulawule iimpawu zakho aze agqibe kwelokuba ufuna unyango olungxamisekileyo.

Zithini iingozi zokufumana i-COVID ngexesha lokukhulelwa?

Ukuba ufumana i-COVID-19 ngelixa ukhulelwe, kukho umngcipheko wokuba neengxaki ezithile. Oku kungenxa yokuba inkqubo yakho yomzimba yokuzikhusela , intliziyo, kunye nemiphunga iyatshintsha ngexesha lokukhulelwa. Olu tshintsho lukwenza ube sengozini enkulu yokugula kakhulu ngenxa yeentsholongwane zokuphefumla ezifana ne-COVID-19.

Cinga ngayo, inkqubo yakho yokuzikhusela komzimba isebenza ukukhusela wena nosana lwakho olungekazalwa kwizifo. Ngenxa yoko, ezinye iindawo zenkqubo yakho yokuzikhusela komzimba ziba buthathaka kancinci, kuba inxalenye yayo ikwakhusela nosana lwakho. Oku kunokukwenza ube sesichengeni sosulelo oluthile. Kwakhona, utshintsho kwinkqubo yakho yokuphefumla, umzekelo, i-diaphragm etyhalelwa phezulu, lunokubangela ubunzima bokuphefumla.

Ukuba ufumana i-COVID ngelixa ukhulelwe, kusenokwenzeka ukuba uneempawu ezincinci . Nangona kunjalo, izifundo zibonise ukuba ukuba ufumana i-COVID-19 ephakathi okanye embi kakhulu, unokuba semngciphekweni omkhulu weengxaki ezilandelayo:

• Iingxaki zokunqanda igazi : Oku kuthetha ukuba igazi linokunqanda ngokuzenzekelayo ngaphakathi emithanjeni.
• Ukuthintelwa kokukhula kosana olusandul’ ukuzalwa : Ngethuba esesibelekweni, umntwana usenokukhula kancinci kunesantya sokukhula esiqhelekileyo seminyaka yakhe.
• Isifo seswekile sokukhulelwa : Isifo seswekile esenzeka ngexesha lokukhulelwa kuphela.
• Ukopha emva kokubeletha : Ukopha kakhulu emva kokubeletha.
• Ubunzima obuphantsi bokuzalwa: Umntwana onobunzima obungaphantsi kweekhilogram eziyi-2.5 (iikhilogram ezi-5, ii-ounces ezi-8) ekuzalweni.
• I-Preeclampsia : Yimeko eyingozi eyenzeka xa umntu ekhulelwe ngenxa yoxinzelelo lwegazi oluphezulu.
• Ukuzalwa kwangaphambi kwexesha : Ukuzalwa ngaphambi kweeveki ezingama-37.
• Ukuzalwa kwe-Stillbirth : Abaphandi basafumanisa umngcipheko ochanekileyo woku.

Umngcipheko wezi ngxaki uphezulu kakhulu kwi-trimester yesithathu (ukuqala kwiveki yama-29). Oku kusenokuba kungenxa yokuba imiphunga ixinezelekile kakhulu ngeli xesha. Nangona kunjalo, khumbula, umngcipheko jikelele weengxaki ezinkulu ezivela kwi-COVID ngexesha lokukhulelwa usephantsi kakhulu.

Zeziphi ezinye izinto ezinokubangela ukugula kakhulu ngenxa yeCovid ngexesha lokukhulelwa?

Ngelixa ukhulelwe, umngcipheko wakho wokugula kakhulu yi-COVID unokwanda ukuba unezi meko zilandelayo:

• Ukuba unezinye izifo ezingapheliyo ezifana nesifo seswekile , uxinzelelo lwegazi oluphezulu , okanye isifo sentliziyo .
• Ukuba ubunzima bomzimba wakho bungaphezulu kwesiqhelo (`Ubunzima obugqithisileyo` okanye `Ukutyeba kakhulu`) .
• Ukuba unokufikelela okulinganiselweyo kwiindawo zonyango okanye awunazo kwaphela izibonelelo.

Ngaba intsholongwane yeCovid ingadlula kwi-placenta iye kumntwana?

Uphononongo olwapapashwa ngo-2024 lufumanise ukuba iziqwenga ezincinci kakhulu zeproteni yentsholongwane yeCovid-19 zinokunqumla i-placenta . Ezi ziphumo zibonisa ukuba ukusasazeka kwentsholongwane ukusuka kumama okhulelweyo ukuya kumntwana wakhe ongekazalwa (okubizwa ngokuba yi -'vertical transmission ') kusenokuba yinto eqhelekileyo kunokuba abaphandi bebecinga ngaphambili.

Ukongeza, olu phononongo lufumanise ukuba impendulo yomzimba wakho kwisifo se-COVID-19 inokuchaphazela umntwana ongekazalwa. Ngokukodwa, inokubangela ukuvuvukala kwimveku esakhulayo, nangona kungekho bungqina bokuba umntwana ongekazalwa une-COVID-19.

Izifundo ezivela kwiZiko lezeMpilo leSizwe (NIH) zibonisa ukuba inani elincinci kakhulu leentsana ezizalwa zine-COVID-19. Oogqirha abakakwazi ukutsho ngokuqinisekileyo ukuba umntwana wosulelwe yile ntsholongwane ngaphambi, ngexesha, okanye emva kokuzalwa.

Ngaba iimpawu zeCovid zahlukile ngexesha lokukhulelwa?

Hayi, iimpawu ziyafana. Uninzi lweempawu ziqala zifana nomkhuhlane . Kodwa zinokuba nzima ngakumbi.

Ezi zisenokuba ziimpawu ezincinci ze-COVID-19 ngexesha lokukhulelwa:

• Ifiva
• Ukugodola
• Ukukhwehlela kunye nokuxinana kwempumlo
• Intloko ebuhlungu kunye nomzimba obuhlungu
• Ukudinwa
• Ukulahleka okutsha kwencasa okanye ivumba

Ukuba unezinye zeempawu ezilandelayo ezinzima , kufuneka ufune uncedo lwezonyango ngokukhawuleza :

• Ubunzima bokuphefumla
• Intlungu okanye uxinzelelo esifubeni sakho
• Ukudideka, ukulahlekelwa zingqondo
• Ukungakwazi ukuvuka okanye ukuhlala uphaphile

I-Covid-19 ikhula njani?

I-COVID-19 ibangelwa yintsholongwane ebizwa ngokuba yi-'SARS-CoV-2' (Severe Acute Respiratory Syndrome Coronavirus 2) . IiCoronavirus liqela leentsholongwane ezinokubangela izifo zokuphefumla ebantwini. Ungazifumana kumntu osele esulelekile yintsholongwane. Oku kunokwenzeka ngeendlela ezilandelayo:

• Uphefumla amathontsi okuphefumla aphuma xa umntu onentsholongwane ekhohlela okanye ethimla.
• Ukuba usondelelene nomntu osulelekileyo (njengokuxhawulana okanye ukuxhawulana) uze uchukumise ubuso bakho.

Ungayixilonga njani i-Covid ngexesha lokukhulelwa?

I-COVID-19 ifunyaniswa ngexesha lokukhulelwa ngendlela efanayo naleyo ifunyaniswa kumntu ongakhulelwanga. Ugqirha wakho unokurhanela ukuba une-COVID-19 ngokusekelwe kwiimpawu zakho kunye nokuba usenokuba sesichengeni sentsholongwane. Nangona kunjalo, uvavanyo lwelabhoratri, olubandakanya ukuthatha i-swab yempumlo, lunokuqinisekisa i-COVID-19.

Yintoni omele uyenze ukuba uvavanyo lwakho lubonise ukuba une-COVID ngexesha lokukhulelwa?

Ukuba uvavanywe wafunyanwa une-COVID-19 kuvavanyo lwakho lwasekhaya , into yokuqala ekufuneka uyenze kukunxibelelana nogqirha wakho. Mxelele ngeempawu zakho. Ugqirha wakho unokugqiba ekubeni une-COVID ngokusekelwe kwiimpawu zakho kunye neziphumo zovavanyo lwakho lwasekhaya. Kwezinye iimeko, banokuyalela iimvavanyo zelebhu ukuqinisekisa ukuxilongwa.

Inyangwa njani i-COVID-19 ngexesha lokukhulelwa?

Ugqirha wakho angakunika amayeza okunyanga i-COVID-19 ngexesha lokukhulelwa. Okwangoku, unyango oluphambili olucetyiswayo lwe-COVID-19 kubafazi abakhulelweyo kukudibanisa amayeza i-normotensive kunye ne-ritonavir (Paxlovid®) . Eli liyeza elilwa neentsholongwane . Liza kwiipilisi ezahlukeneyo. Ugqirha wakho uza kukuxelela ngqo indlela yokulithatha.

Ukuba iimpawu zakho azincinci, ugqirha wakho unokucebisa oku kulandelayo:

• Ukuphumla kakuhle.
• Ukusela ulwelo olongezelelweyo (njengamanzi, ijusi yeziqhamo).
• Sela i-acetaminophen (kodwa ungasebenzisi i-ibuprofen) ukuze uthomalalise iintlungu.
• Ukusebenzisa i- humidifier ukunciphisa i-mucus.
• I-Dextromethorphan yokunciphisa ukukhwehlelaUkuthatha amayeza aqulethe (emva kokubonisana nogqirha).

Buza ugqirha wakho ukuba kulungile na ukusebenzisa i-pulse oximeter ( isixhobo esilinganisa amanqanaba eoksijini egazini) kunye/okanye isixhobo sokujonga uxinzelelo lwegazi (isixhobo esilinganisa uxinzelelo lwegazi) ekhaya. Uza kukuxelela ukuba zeziphi iimpawu zesilumkiso kunye nento omawuyenze ukuba ziyavela.

Ukuba iimpawu zakho zinzima, ugqirha wakho unokucebisa ukuba ulaliswe esibhedlele. Oku kuya kukunika ukhathalelo olungakumbi. Nangona umngcipheko wokulaliswa esibhedlele uphantsi, usesemngciphekweni ophezulu kunomntu ongakhulelwanga. Ugqirha wakho uthatha eli nyathelo ukukhusela wena nomntwana wakho.

Ngaba kufuneka uyoyike iCovid ngexesha lokukhulelwa?

Kuqhelekile ukuziva usoyika ukuba ufumana i-COVID ngexesha lokukhulelwa. Nangona usenokuziva wahlukile kunesiqhelo ngexesha lokukhulelwa, kunye nokuziva ugula, usenokuzibuza ukuba i-COVID iya kuyichaphazela na indlela yokuzala.

Ewe, kukho iingozi ezithile. Kodwa khumbula oku: Uninzi lwabasetyhini abakhulelweyo abafumana i-COVID-19 baneempawu ezingephi kwaye bayaphila ngokupheleleyo.

Eyona nto ibalulekileyo kukuthetha nogqirha wakho rhoqo uze ulandele icebiso lakhe. Yena angahlola iimpawu zakho aze akuxelele ukuba ufuna unyango olukhawulezileyo.

Khumbula, ukunyamekela impilo yakho yeyona nto ibalulekileyo. Phumla ngokwaneleyo, sela amanzi amaninzi, kwaye ukuba uhlala nabanye abantu, zama ukuzahlula kubo ude uzive ungcono.

Ngaba umntwana angaba neziphene zokuzalwa ukuba une-Covid ngexesha lokukhulelwa?

Uphando lusaqhubeka malunga nendlela i-COVID-19 eyichaphazela ngayo imveku. Nangona kunjalo, uninzi lwezifundo lubonisa ukuba iziphene zokuzalwa okanye iingxaki zokuzalwa ezibangelwa yi-COVID-19 azixhaphakanga kakhulu.

Ndifanele ndimbone nini ugqirha wam?

Ukuba iimpawu zakho ze-COVID-19 aziphucuki emva kweentsuku ezimbalwa, thetha nogqirha wakho. Uninzi lweemeko ze-COVID-19 zincinci kwaye ziya kuphela xa uphumle. Buza ugqirha wakho ukuba zeziphi iimpawu ekufuneka uzijonge kwaye wenze ntoni ukuba awuziva kakuhle.

Ndingaya nini kwi-ER (iGumbi loNgxamiseko)?

Ukuba unezinye zeempawu ezilandelayo, yiya kwigumbi likaxakeka elikufutshane (ER):

• Umkhuhlane omkhulu (ongaphezulu kwe-103 Fahrenheit okanye i-39 Celsius)
• Urhudo kunye nokuhlanza
• Ubunzima obukhulu bokuphefumla (`Ingxaki yokuphefumla`)
• Iintlungu zesifuba
• Ukudideka okanye ukudideka
• Ukutshintsha kombala wemilebe oluhlaza okwesibhakabhaka, ongwevu, okanye omhlophe (i-cyanosis)
• Ukudideka, ukudinwa okanye ukuba nengxaki yokuhlala uphaphile

Ndingayibuza yiphi imibuzo ugqirha wam?

Kuqhelekile ukuba noloyiko xa ufumanisa ukuba une-COVID-19 ngexesha lokukhulelwa. Usenokuba nemibuzo emininzi. Nazi ezinye zemibuzo onokuzibuza ugqirha wakho:

• "Gqirha/Nkosikazi, ekubeni ndine-COVID, ngaba kukho umngcipheko wokuba nomntwana wam ongekazalwa uza kuyifumana? "
• " Zithini iimpawu ezinokuthathwa njengezinzima? "
• " Uyawubona njani umahluko phakathi kokunqongophala komphefumlo okuqhelekileyo ngexesha lokukhulelwa kunye nokunqongophala komphefumlo okubangelwa yi-COVID? "
• " Zithini iimpawu ezindenza ndicinge ukuba kufuneka ndiye kwi-ER? "
• " Zithini iingxaki ezinokubakho xa umntu ekhulelwe ngenxa yeCovid? "
• "Ngaba kufuneka ndivalelwe yedwa kusapho lwam lonke? "
• "Ngaba ukuba ne-COVID kuya kuyichaphazela isicwangciso sam sokuzalwa? "

Ndingenza ntoni ukuthintela ukufumana i-COVID ngexesha lokukhulelwa?

Izinto onokuzenza ukuthintela ukosulelwa yi-COVID-19 ngexesha lokukhulelwa ziyafana nezo ubuya kuzenza ngokuqhelekileyo.

• Ukufumana isitofu se-COVID-19 yeyona ndlela ilungileyo yokuzikhusela kwintsholongwane. Kukhuselekile kwaye kuyasebenza ukugonywa ngexesha lokukhulelwa. Kukwangumbono olungileyo ukufumana isitofu somkhuhlane (kunye nezinye izitofu ezicetyiswa ngugqirha wakho).

Ezinye izinto onokuzenza:

• Hlamba izandla zakho kakuhle rhoqo.
• Ziphephe izinto ezibangela izifo.
• Hlala kude nabanye abantu kwiindawo ezixineneyo, ezingaphakathi endlwini, okanye uphephe imisitho enabantu abaninzi.
• Nxiba imaski kwiindawo zikawonke-wonke ezingaphakathi kunye neendawo ezinabantu abaninzi ngaphandle.
• Musa ukuyichukumisa amehlo akho, impumlo, okanye umlomo wakho de izandla zakho zicoceke.
• Hlambulula rhoqo iintsholongwane kwiindawo eziphathwa rhoqo ezifana nezibambo zomnyango, izixhobo ze-elektroniki, kunye neekhawuntara.

Kubalulekile ukugcina amadinga akho okuya kusana ngaphambi kokukhulelwa. Ugqirha wakho angajonga impilo yakho kunye nophuhliso lomntwana wakho. Angakunika isikhokelo ekulawuleni naziphi na iingozi zempilo ezinokuvela ngexesha lokukhulelwa.

Umkhuhlane ophezulu ngexesha lokukhulelwa (ingakumbi kwiiveki ezili-12 zokuqala) unyusa umngcipheko weengxaki zokukhulelwa. Ke ngoko, kubaluleke kakhulu ukuzikhusela kuzo zonke izifo ngexesha lokukhulelwa, kungekuphela nje kwi-COVID-19.

Okokugqibela, ndimele ndithi...

Wenza konke okusemandleni akho ukuze uhlale usempilweni kwaye ukhuselekile ngexesha lokukhulelwa kwakho. Kulapho ke ngequbuliso ufumana uvavanyo lwe-COVID-19 oluqinisekileyo. Ukufumana i-COVID-19 ngelixa ukhulelwe kunokuba ngamava axinzelelekileyo kwaye adidekayo. Kodwa ukwazi oku kunokukunceda ukhululeke: Izifundo zibonisa ukuba abafazi abaninzi abakhulelweyo abafumana i-COVID baneempawu ezincinci kwaye bayaphila ngokupheleleyo.

Nangona kunjalo, kungcono ukuba uqaphele. Ukuba ufunyenwe une-COVID-19, nxibelelana nogqirha wakho ngoko nangoko. Uza kukunika ulwalathiso olufanelekileyo.

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