Iingxaki zentliziyo emva kwe-COVID-19? Masithethe ngale nto!

Ngaba nawe ukhe waba ne-COVID-19 waza wachacha? Okanye ngaba kukho umntu omaziyo oye wahlaselwa yi-COVID-19? Enye yezinto ezithethwa kakhulu kule mihla kukuba ingaba i-COVID-19 inokuba nefuthe na entliziyweni. Le yinto ekufuneka uyicinge. Makhe sithethe ngale nto ngokweenkcukacha kwaye namhlanje, akunjalo?

Ngaba i-COVID-19 ingabangela isifo sentliziyo?

Ewe, eneneni, xa ufumana i-COVID-19, nokuba sisifo esincinci okanye esinzima ngakumbi, unokuba semngciphekweni omkhulu wokuba nesifo sentliziyo okanye ukungasebenzi kakuhle kwentliziyo . Kunqabile kakhulu ukuba intsholongwane ebangela i-COVID-19 yosulele izihlunu zentliziyo ngokuthe ngqo. Kodwa iingxaki ezibangelwa yile ntsholongwane emzimbeni wonke zingonakalisa intliziyo.

Nokuba umntu ongazange abe nesifo sentliziyo ngaphambili usenokuba neengxaki zentliziyo emva kweCOVID-19. Kodwa ukuba sele unesifo sentliziyo, okanye isifo sentliziyo , usemngciphekweni omkhulu. Kwaye ukuba unezinto ezinobungozi ezifana noxinzelelo lwegazi oluphezulu, isifo seswekile , ukutyeba kakhulu , okanye i-cholesterol ephezulu , usemngciphekweni omkhulu wokuba neengxaki ezinkulu. I-COVID-19 inokuchaphazela intliziyo ngelixa intsholongwane isemzimbeni nasemva kokuba iphumile emzimbeni.

I-COVID-19 iyichaphazela njani inkqubo yakho yentliziyo?

Ezinye iingxaki zentliziyo – ezinje ngokonakala kwemisipha yentliziyo – zinokuvela xa une-COVID-19. Lo monakalo kwimisipha yentliziyo (ukulimala kwentliziyo) kukufa kweeseli zemisipha yentliziyo. Ngamanye amaxesha abantu abanolu hlobo lomonakalo ababonisi zimpawu. Abanye banokufumana iimpawu ezifana nentlungu yesifuba , ukuphefumla okufutshane (ukuphelelwa ngamandla) , okanye ukudumba emilenzeni. Ugqirha unokukufumanisa oku ngovavanyo lwegazi kunye nomfanekiso wentliziyo .

Abaphandi basazama ukufumanisa ukuba bangaphi abantu abane-COVID-19 abafumana ukwenzakala kwentliziyo. Xa sithetha nje, kuqikelelwa ukuba ukusuka kwi-7% ukuya kwi-40% yabantu baya kuba nale meko. Ixhaphake kakhulu kubantu abagulayo kangangokuba badinga ukhathalelo lweyunithi yokhathalelo olunzulu (ICU). Ukuba intliziyo yakho yonakele, usemngciphekweni omkhulu weengxaki njengoko umzimba wakho ulwa nentsholongwane.

Ukuvuvukala okubangelwa yi-COVID-19 kuyonakalisa njani intliziyo?

Uphando lubonisa ukuba ukudumba yeyona nto ibangela umonakalo wentliziyo ngenxa ye-COVID-19. Xa uqala ukosuleleka, inkqubo yakho yomzimba iyasebenza. Oku kubangela ukuba kukhutshwe iiseli ezidumbayo kunye nee-cytokines.Ukuveliswa kwezinto ezibizwa ngokuba zii-cytokines. Ezi cytokines ziiproteni ezincinci ezivuselela impendulo yomzimba. Enyanisweni, oku kuvutha, oko kukuthi, ukudumba, yinkqubo efunekayo kwaye inceda umzimba wethu.

Nangona kunjalo, i-COVID-19 ibangela ukuba abanye abantu babe nokuvuvukala okuninzi emizimbeni yabo. Le meko ibizwa ngokuba yi -cytokine release syndrome okanye 'i-cytokine storm' . Oku kuhlala kubonakala kwiimeko ezinzima ze-COVID-19. Oku kukuvuvukala okugqithisileyo kunokonakalisa inkqubo yakho yentliziyo ngeendlela ezahlukeneyo. Umzekelo:

• I-Arrhythmia: Oku kuvutha kunokutshintsha imiqondiso yombane entliziyweni. Ngenxa yoko, intliziyo inokulahlekelwa sisigqi sayo esiqhelekileyo. Ukuba sele une-arrhythmia, esi siphepho se-cytokine sinokuyenza ibe mandundu.
• Amahlwili Egazi: Xa ukudumba kuchaphazela ulwelo lwangaphakathi (i-endothelium) lwemithambo yakho yegazi, kukho umngcipheko okhulayo wamahlwili egazi, ukuhlaselwa yintliziyo, okanye isifo sohlangothi.
• I-Myocarditis: Oku kukudumba kwemisipha yentliziyo. Abantu abane-COVID-19 basengozini enkulu yokufumana i-myocarditis kunabo bangenayo i-COVID-19.
• I-Pericarditis: Oku kukuvuvukala kwe-membrane ejikeleze intliziyo. Oku kunokubangela iintlungu esifubeni kunye nokwakheka kolwelo olujikeleze intliziyo.
• Ukusilela kwentliziyo: Oku kubangelwa kukuqokelelana kolwelo ngokungeyomfuneko kunye nokudumba (i-edema) emiphungeni nasemzimbeni.

Abantu abanesifo sentliziyo okanye izinto ezinobungozi basengozini enkulu

Abantu abaninzi abalaliswe esibhedlele abane-COVID-19 baneengxaki zentliziyo ezingaphantsi. Kwakhona, abantu abanesifo sentliziyo banamathuba amaninzi okufumana isifo se-cytokine.

Ukuba unenye yezi meko zilandelayo, usengozini enkulu yokufumana iingxaki ezivela kwi-COVID-19:

• Ukumelwa yintliziyo
• Isifo seMitha yeCoronary (CAD)
• I-Cardiomyopathy
• Isifo sezintso esinganyangekiyo (CKD)
• Isifo Seswekile (iDiabetes Mellitus)
• Ukutyeba kakhulu/Ukutyeba kakhulu
• Ukuba ukhe waba nestroke ngaphambili
• Uxinzelelo lwegazi oluphezulu (uxinzelelo lwegazi oluphezulu)
• Isifo seSickle Cell
• IiThalassemia

Ngaba i-COVID-19 ingabangela ukuhlaselwa yintliziyo okanye isifo sohlangothi?

I-COVID-19 inokunyusa umngcipheko wokuba nesifo sentliziyo okanye isifo sohlangothi, ingakumbi ukuba ukhe walala esibhedlele. Kodwa abaphandi basaphanda oku. Ukudumba yeyona nto iphambili apha. Iyandisa umngcipheko wokuqhekeka kwegazi kwaye inciphisa amandla omzimba okuzisusa ngokwawo.

Xa igazi liqhekeka, amalungu akho omzimba, kuquka nentliziyo yakho, ayayeka ukufumana ioksijini. Xa oku kusenzeka, usengozini yokuba nesifo sentliziyo. Oko kuthetha ukuba intliziyo yakho ayifumani igazi elaneleyo elineoksijini. Ukulinganisa i-enzyme ebizwa ngokuba yi-troponin egazini lakho kunokunceda oogqirha ukuba bafumanise isifo sentliziyo.

Musa ukulibazisa ukuya kugqirha okanye unyango olungxamisekileyo.

Abaphandi baza kuqhubeka nokufunda okungakumbi malunga ne-COVID-19 kunye neengxaki zentliziyo, kodwa okwangoku, ukuhlaselwa yintliziyo kusenzeka nakubantu abangenayo i-COVID-19.

"Ngexesha lobhubhane, abantu abaninzi baye bakuphepha ukubona oogqirha nokuya ezibhedlele. Nangona kuqhelekile ukoyika ukosulelwa yi-COVID-19, akufanele ulibazise ukufuna unyango. Kukhuselekile ukubona ugqirha okanye ukuya esibhedlele kunokungazinaki iimpawu ezinokuba yingozi ebomini."

Ukuba uneempawu zokuhlaselwa yintliziyo, fowunela u-911 (okanye inombolo yakho yongxamiseko yasekuhlaleni) ngoko nangoko. Unyango olukhawulezileyo lubalulekile ukuthintela umonakalo ongakumbi entliziyweni yakho. Kwakhona, ungaphoswa ziintlanganiso zakho eziqhelekileyo nogqirha. Xelela ugqirha wakho ukuba uneempawu okanye iingxaki ezintsha. Ukuba une-COVID-19, xoxa ngendlela ekuchaphazele ngayo.

Ngaba nam ndiza kuba neengxaki zentliziyo emva kwe-COVID-19?

Abanye abantu baneengxaki zentliziyo emva kwe-COVID-19. Usengozini enkulu ukuba ubukwiyunithi yokhathalelo olunzulu (ICU) okanye usebenzisa i-ventilator . Nangona kunjalo, nabantu abalulama kwi-COVID-19 banokuba neengxaki zentliziyo kamva.

Ezi ngxaki zinokwenzeka ukuba unemeko ebizwa ngokuba yiLong COVID . Oku kukwabizwa ngokuba yiPost-acute coronavirus (COVID-19) syndrome . Ukuba uneLong COVID, oko kuthetha ukuba impilo yakho ayikabuyeli kwimeko eyayikuyo ngaphambi kokuba ugule.

Oogqirha bajonga uphawu lweeveki ezine njengenyathelo elibalulekileyo. Ukuba ubune-COVID-19 kangangeeveki ezine kwaye useneengxaki, usenokuba ne-COVID ixesha elide. Oku kunokukuchaphazela ngeendlela ezahlukeneyo.

Iimpawu ezintsha okanye ezingapheliyo

Abantu abagula kakhulu yi-COVID-19 banokuba neempawu ezintsha okanye ezingapheliyo. Kwakhona, abantu abane-COVID-19 encinci okanye abangenazo iimpawu banokuba neengxaki ezingapheliyo. Ukudinwa, ukuphefumla nzima, kunye 'nenkungu yengqondo' zezona ngxaki zixhaphakileyo. Iimpawu ezinokuthi zihambelane nentliziyo yakho ziquka:

• Intlungu yesifuba eyandayo xa uphefumla nzulu.
• Ukubetha kwentliziyo .
• Ukubetha kwentliziyo ngokukhawuleza (iTachycardia) .
• Ukuba nesiyezi okanye ukuziva ukhathazekile.
• Ubunzima bokuphefumla ngexesha lokuzilolonga.

Ukuba unayo nayiphi na kwezi mpawu, fowunela ugqirha wakho ngoko nangoko umxelele indlela oziva ngayo. Ugqirha wakho usenokufuna ukwenza uvavanyo oluthile, olufana ne -electrocardiogram (EKG) okanye i- echocardiogram, ukujonga ukusebenza kwentliziyo yakho.

Imiphumo nakwezinye izitho zomzimba

Intsholongwane ye-COVID-19 inokuchaphazela amalungu amaninzi kunye neenkqubo zomzimba, njengentliziyo yakho, imiphunga, ubuchopho kunye nezintso.

Intsholongwane ye-SARS-CoV-2 incamathisela iproteni yayo ebukhali kwiiproteni emzimbeni wakho ezibizwa ngokuba zii-ACE2 receptors. Ezi ziiproteni ezifumaneka kuwo wonke umzimba wakho, kuquka nentliziyo yakho nemiphunga. Ii-ACE2 receptors zikwafumaneka kwimibhobho yegazi yakho. Oku kuvumela intsholongwane ye-SARS-CoV-2 ukuba inamathele ngokulula kwii-ACE2 receptors zakho kwaye isasazeke kumalungu amaninzi omzimba, nto leyo ebangela umonakalo. Umzekelo:

• Imiphunga: Intsholongwane ye-COVID-19 inokonakalisa imiphunga yakho kakhulu kunomkhuhlane oqhelekileyo. Kwiimeko ezinzima ze-COVID-19, izicubu zemiphunga zinokuba nkulu kwaye zibe namanxeba (fibrosis) .
• Ubuchopho: I-COVID-19 inokubangela umonakalo engqondweni ngenxa yokunqongophala kweoksijini engqondweni.
• Izintso: I-COVID-19 inokubangela ukuba izintso zakho zingasebenzi kakuhle.

Ngenxa yokuba i-COVID-19 inokuchaphazela umzimba wakho wonke, kubalulekile ukuthatha amanyathelo okhuseleko ukuthintela ukufumana intsholongwane. Ukugonywa yeyona ndlela ilungileyo yokuzikhusela wena nabanye. Kwakhona, nxiba imaski ngokufanelekileyo xa kuyimfuneko, hlala ekhaya ukuba uyagula, kwaye uhlambe izandla zakho rhoqo.

Imiphumo yonyango kunye nokulaliswa esibhedlele

Imingeni yonyango kunye nokuhlala ixesha elide esibhedlele ayifani ne-COVID-19 kuphela. Usenokuziva ubuthathaka kakhulu kwaye udiniwe. Okanye usenokuba nengxaki yoxinzelelo emva kwesiganeko esibuhlungu (PTSD).Iimpawu nazo zinokubonakala.

Thetha nogqirha wakho malunga nendlela oziva ngayo. Kuqhelekile ukuziva ungaphilanga okwethutyana emva kokuba uphilile kwi-COVID-19. Zinike ixesha lokuchacha kwaye ubuyele kwisiqhelo sakho. Awuwedwa. Ugqirha wakho uza kusebenza nawe ukuze agqibe ngeyona ndlela ilungileyo yokukunceda kuhambo lwakho lokuchacha.

Ukuchacha kwi-COVID-19 yinto entle kakhulu. Kodwa kusenokwenzeka ukuba ujongane neengxaki zentliziyo emva kwe-COVID-19. Oku kuyinyani, kwaye iinkxalabo zakho zifanelekile. Ungoyiki ukubuza ugqirha wakho imibuzo malunga nendlela oziva ngayo. Qiniseka ukuba ulandela iingcebiso zikagqirha wakho ngokuchanekileyo, kwaye ugcine zonke ii-aphoyintimenti zakho.

Zeziphi izinto ezibalulekileyo esifanele sizithathele ekhaya kweli bali?

Kulungile, ngoko ke, kukho izinto ezimbalwa ekufuneka uzikhumbule koko sithethe ngako namhlanje:

• Xa ufumana i-COVID-19, nokuba incinci, inokuchaphazela intliziyo yakho. Ngoko ke ziqaphele iimpawu zayo.
• Ukuba sele unemeko efana nesifo sentliziyo, isifo seswekile, okanye uxinzelelo lwegazi oluphezulu, xhalaba ngakumbi ngeengxaki ezibangelwa yi-COVID-19.
• Ukuba ufumana iintlungu ezintsha esifubeni, ubunzima bokuphefumla, okanye ukubetha kwentliziyo ngokukhawuleza emva kwe-COVID-19 , funa ingcebiso kagqirha ngoko nangoko.
• Musa ukulibazisa ukuya kugqirha. Musa ukuzityeshela iimpawu zongxamiseko.
• Zikhusele kwi-COVID-19 ngokugonywa nangokulandela eminye imithetho yezempilo.
• Ukuba uneengxaki eziqhubekayo emva kwe-COVID-19, awuwedwa. Funa ingcebiso kunye nenkxaso yezonyango.

"Intliziyo yakho yeyona nto ixabisekileyo ebomini bakho. Luxanduva lwakho ukuyinyamekela. Siyathemba ukuba olu lwazi luya kuba luncedo kuwe. Hlala usempilweni!"

I- Covid, isifo sentliziyo, intliziyo, ukudumba, amahlwili egazi, i-Covid yexesha elide, iimpawu