Sonke sidlule kubhubhane weCovid. Abanye abantu babenexesha elinzima, abanye babenomkhuhlane kwaye waphela. Nangona kunjalo, emva kokuphola kwiCovid, abanye abantu basaziva bengonwabanga. "Gqirha, andiziva ngendlela endandiziva ngayo ngaphambili, ndidiniwe kancinci ngoku," "Isifuba sam siva ngathi sixinene kancinci," ngaba nawe uziva oku? Ngoko ke namhlanje, masithethe ngolwalamano phakathi kweCovid-19 nentliziyo yethu. Ngaba le yinto ekufuneka siyoyike? Yintoni ekufuneka siyazi? Masithethe ngayo yonke le nto ngokucacileyo nangokulula.
Ngaba iCovid-19 iyayichaphazela intliziyo ngenene?
Impendulo elula yile, ewe, inokwenzeka . Nokuba unesifo se-COVID-19 esibi kakhulu okanye isifo esincinci kwaye uyaphila, kukho ithuba lokuba uza kuba neengxaki zentliziyo. Oku akuthethi ukuba uza kuba nesifo sentliziyo. Kodwa umngcipheko unokwanda kancinci.
Cinga ngayo, uninzi lwexesha, intsholongwane ebangela iCovid ayingeni ngqo kwimisipha yentliziyo ize iyosulele. Oko kwenzeka rhoqo. Kodwa kukho enye into eyenzekayo. Xa intsholongwane ingena emzimbeni wethu, inkqubo yomzimba yethu yokuzikhusela iqala ukulwa nayo. Kungenxa yezinye zeendlela ezenzeka ngayo kule mfazwe ukuba intliziyo yethu inokonakala.
Kufuneka ulumke ngakumbi, ingakumbi ukuba unesifo sentliziyo esele sikhona (`(Isifo sentliziyo)`), izinto ezinobungozi ezifana noxinzelelo lwegazi oluphezulu (`(Uxinzelelo lwegazi oluphezulu)`), isifo seswekile (`(Isifo seswekile)`), ukutyeba kakhulu (`(Ukutyeba kakhulu)`), okanye i-cholesterol).
I-Covid-19 iyichaphazela njani inkqubo yethu yentliziyo?
Ngexesha losulelo lwe-COVID-19, intliziyo inokuchaphazeleka. Enye yezona zinto ziphambili kukonakala kwemisipha yentliziyo (`ukulimala kwentliziyo`). Ngamafutshane, oku kukufa kweeseli zemisipha yentliziyo. Abanye abantu ababonisi zimpawu xa lo monakalo usenzeka. Kodwa abanye banokufumana iimpawu ezifana nentlungu yesifuba, ukuphefumla okufutshane (ukuphelelwa ngamandla), okanye ukudumba kwemilenze. Ugqirha unokuxilonga le meko ngovavanyo lwegazi kunye neeskeni zentliziyo.
Ukudumba yingcambu yayo yonke into.
Uphando lufumanise ukuba eyona nto ibangela ukonakala kwentliziyo ngenxa yeCovid kukudumba okugqithisileyo emzimbeni, oko kukuthi, ukudumba.
Cinga ngale ndlela. Xa intsholongwane ingena emzimbeni wethu, amajoni omzimba wethu, amajoni omzimba, alungiselela ukulwa. Umzimba uvelisa iiproteni ezincinci ezibizwa ngokuba zii-cytokines ezinceda kulo mlo. Oku kudla ngokuba yinto elungileyo.
Nangona kunjalo, kwabanye abantu, le mpendulo iba qatha kakhulu. Kufana nokuzisa umkhosi omkhulu kwidabi elincinci. Oku kubizwa ngokuba yi-`(Cytokine release syndrome)` okanye `(Cytokine storm).` Oku kuvutha okugqithisileyo kungonakalisa kungekuphela nje intliziyo yethu, kodwa nemithambo yegazi yethu.
Yintoni enokwenzeka entliziyweni ngenxa yokudumba okugqithisileyo?
Esi `(isiphepho seCytokine)` sinokuchaphazela inkqubo yethu yentliziyo ngeendlela ezahlukeneyo. Makhe sijonge iziphumo eziphambili.
| Imeko enokwenzeka | Kalula nje... |
|---|---|
| Ukungahambi kakuhle kwentliziyo (i-Arrhythmia) | Ukudumba kunokuphazamisa inkqubo yokubonisa umbane yentliziyo, okubangela ukuba intliziyo ibethe ngendlela engaqhelekanga, ngokukhawuleza, kancinci, okanye ngendlela engaqhelekanga. |
| Amahlwili egazi | Xa ukudumba kuchaphazela udonga lwangaphakathi lwemithambo yethu yegazi, umngcipheko wokuqhekeka kwegazi uyanda. Ukuba la mahlwili egazi aya entliziyweni okanye engqondweni, anokubangela ukuhlaselwa yintliziyo okanye isifo sohlangothi. |
| Ukudumba kwemisipha yentliziyo (Myocarditis) | Kulapho izihlunu zentliziyo zivuvukala khona. Le meko ixhaphakile kubantu abane-COVID. |
| Ukudumba kwenwebu ejikeleze intliziyo (i-pericarditis) | Inwebu ekhuselayo ejikeleze intliziyo iyavuvukala. Oku kunokubangela iintlungu esifubeni kunye nokwakheka kolwelo olujikeleze intliziyo. |
| Ukumelwa yintliziyo | Oku akusiso isifo sentliziyo. Esi sisifo apho intliziyo ingakwaziyo ukupompa igazi elaneleyo emzimbeni. Oku kunokubangela ulwelo oluqokelelene emiphungeni nasemzimbeni, nto leyo ebangela ukudumba emilenzeni nasezinyaweni. |
Musa ukulibazisa ukufuna ingcebiso kagqirha!
Ukwazi konke oku kunokuba yinto eyoyikisayo kancinci. Kodwa eyona nto ibalulekileyo kukunika ingqalelo emzimbeni wakho kwaye ufune iingcebiso zonyango xa kuyimfuneko.
Ngexesha lobhubhane, abantu abaninzi babesoyika ukuya esibhedlele okanye ukubona ugqirha. Kodwa kuyingozi nangakumbi ukungawahoyi iimpawu ezinokuba yingozi ebomini ngenxa yolo loyiko.
Ukuba ngequbuliso ufumana iintlungu eziqatha esifubeni, ubunzima obukhulu bokuphefumla, okanye uzive ngathi ungaphefumli kakuhle engalweni enye, yiya kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele esikufutshane ngoko nangoko. Ukufumana unyango ngokukhawuleza ngeli xesha kunokuthintela umonakalo omkhulu entliziyweni yakho.
Kwakhona, musa ukulibazisa ukuvavanywa rhoqo ngugqirha. Ukuba ufumanisa naziphi na iimpawu ezintsha, thetha nogqirha wakho ngazo. Ukuba ukhe waba ne-COVID, mxelele indlela ewuchaphazele ngayo umzimba wakho.
'I-COVID ende' kunye neengxaki zentliziyo
Abanye abantu bayaqhubeka nokuba neempawu ezithile kangangeeveki okanye iinyanga emva kokuba bephilile kwi-COVID. Oku kubizwa ngokuba yi-'Long COVID' okanye '(Post-acute coronavirus syndrome)'. Ukuba useneengxaki kwiiveki ezine emva kokuba une-COVID, isenokuba yi-'Long COVID'.
Kukho iimpawu ezininzi ezinokuthi zinxulunyaniswe nentliziyo kule meko 'ye-COVID ende':
- Intlungu yesifuba eyandayo xa uphefumla nzulu.
- Ukuva intliziyo yakho ibetha ngokukhawuleza okanye ibetha ngamandla (`(Intliziyo ibetha ngamandla)`).
- Ukubetha kwentliziyo ngokukhawuleza (iTachycardia).
- Ukuziva unesizungu okanye utyhafile.
- Nokuba ukwenza umthambo omncinci kunokubangela ukudinwa okukhulu.
Ukuba unayo nayiphi na kwezi mpawu, musa ukoyika kwaye uthethe nogqirha wakho ngoko nangoko. Angenza uvavanyo olufana ne-EKG okanye i-Echocardiogram ukujonga ukuba intliziyo yakho isebenza njani.
Ngaba iCovid ichaphazela amanye amalungu omzimba?
Ewe. Intsholongwane yeCovid ayinakuchaphazela intliziyo kuphela, kodwa nezinye izitho ezibalulekileyo ezifana nemiphunga, ingqondo kunye nezintso.
Isizathu soku kukuba intsholongwane yeCovid isebenzisa into ebizwa ngokuba yi-`(ACE2 receptors)` ukungena kwiiseli zomzimba wethu. Ezi `(ACE2 receptors)` zifana 'nesitshixo' esivula ucango lokuba intsholongwane ingene kwiiseli. Ezi 'sitshixo' zininzi entliziyweni yethu, emiphungeni, kwimithambo yegazi, nakwizintso. Ke ngoko, kulula ukuba intsholongwane yonakalise la malungu omzimba.
- Imiphunga: Usulelo oluqatha lwe-COVID lunokubangela ukuba izicubu zemiphunga zijiye kwaye zibe namanxeba. Oku kubizwa ngokuba yi-'Fibrosis''.
- Ubuchopho: Ukuncipha komthamo weoksijini efunekayo engqondweni kunokubangela umonakalo engqondweni.
- Izintso: I-COVID inokubangela ukungasebenzi kakuhle kwezintso.
Kungoko ke, kubaluleke kakhulu ukuzikhusela kwintsholongwane ye-COVID-19. Le ngozi ingancitshiswa ngokulandela iindlela ezilungileyo zempilo ezinje ngokugonywa, ukunxiba imaski xa kuyimfuneko, kunye nokuhlamba izandla zakho rhoqo.
Ukuchacha kwi-COVID akulula. Kuqhelekile ukuba uzive unzima xa ucinga ngeengxaki ezinjalo zentliziyo nasemva koko. Kodwa ungoyiki ukuthetha ngokukhululekileyo nogqirha wakho ngeengxaki zakho. Landela icebiso lakhe kwaye ufumane unyango olufanelekileyo. Uza kuphila kungekudala.
Umyalezo Wokuya Ekhaya
- Ukosuleleka yiCovid-19, nokuba kuncinci kangakanani, kunokuchaphazela intliziyo.
- Isizathu esiphambili soku kukudumba okugqithisileyo okubangelwa yintsholongwane emzimbeni, kungekhona intsholongwane ehlasela intliziyo ngokuthe ngqo.
- Ukuba unezinye izifo ezifana nesifo seswekile okanye uxinzelelo lwegazi oluphezulu, umngcipheko wakho uphezulu kancinci.
- Ungaze ungazihoyi iimpawu ezifana nentlungu yesifuba ngequbuliso okanye ubunzima bokuphefumla. Yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) esibhedlele ngoko nangoko.
- Ukuba usadinwa ngendlela engaqhelekanga, ukuphefumla okufutshane, okanye iintlungu zesifuba emva kweeveki ezine uphilile kwi-COVID (i-Long COVID), thetha nogqirha wakho ngayo.
- Kungcono ukuthetha nogqirha malunga neengxaki zakho zempilo ngaphandle koloyiko.
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