Ngaba wakha waziva udiniwe, uphelelwa ngumphefumlo, okanye udiniwe nje emva kokuba uphole kwi-COVID-19 kangangeeveki okanye iinyanga? Isenokungabi kukudinwa emva kwentsholongwane kuphela. Namhlanje sithetha ngemiphumo yexesha elide ye-COVID, imeko abantu abaninzi abathetha ngayo kule mihla.
Yintoni le i-Long COVID?
Ngamafutshane, i-Long COVID ibhekisa kwiingxaki zempilo ezihlala ixesha elide emva kokuba uphilile kwi-COVID-19. Abanye abantu bayibiza ngokuba yi-'long-haul COVID', 'post-COVID conditions (PCC)', njl. Ngokwezonyango, ikwabizwa ngokuba yi-'post-acute sequelae of SARS-CoV-2 infection (PASC).'
Ezi mpawu zinokuhlala iiveki, iinyanga, okanye iminyaka. Nangona ezinye iimpawu zifana nezo ze-COVID, ezinye zahlukile ngokupheleleyo. Cinga ngoku: Uphando lufumanise ukuba malunga nomntu omnye kwabahlanu abane-COVID uya kuba neempawu kangangenyanga nangaphezulu. Phakathi kwabo banzima ngokwaneleyo ukuba bafune ukulaliswa esibhedlele, eli nani lingaphezulu kwama-30%.
Eyona nto ilungileyo kukuba, nangona le meko ye-COVID ende inokuchaphazela nabani na, uninzi lwabantu luyaphola kancinci kancinci ngokuhamba kwexesha.
Kutheni i-COVID ende isenzeka?
Oogqirha kunye nososayensi basazama ukufumana unobangela ochanekileyo, kodwa kukho iingcamango ezimbalwa eziphambili:
- Ukuvuselelwa kwentsholongwane: Kusenokwenzeka ukuba intsholongwane ye-SARS-CoV-2 ebangela i-COVID-19 ayiphumi ngokupheleleyo emzimbeni, kodwa kamva iyasebenza kwaye ibangele iimpawu.
- Ukusebenza kakhulu kwenkqubo yomzimba yokuzikhusela: Xa silwa nentsholongwane, inkqubo yethu yokuzikhusela yomzimba iba namandla kakhulu, nto leyo eyonakalisa amalungu omzimba asempilweni.
- Ukwakheka kwee-autoantibodies: Inkqubo yomzimba yokuzikhusela iyabhideka ngenxa yosulelo kwaye ivelise uhlobo lwe-antibody oluhlasela amalungu omzimba wethu.
- Zonke ezi zinto zidibene: Mhlawumbi esinye okanye ezingaphezulu kwezi zizathu ziyadibana ukuze zibangele le meko.
Ngubani osengozini enkulu yokuhlaselwa yi-COVID ende?
Abantu abalandelayo banokuba semngciphekweni omkhulu wokufumana i-COVID ende:
- Abantu abagula kakhulu yi-COVID: Ingakumbi ukuba bekufuneka bangeniswe esibhedlele.
- Abantu abanezinye iimeko zempilo: Ukuba uneemeko ezifana nesifo seswekile, i-asthma, okanye izifo ezibangelwa kukuzikhusela komzimba.
- Abantu abatyebe kakhulu.
- Abo bangakhange bafumane ugonyo lweCovid.
- Abantu abane-MIS: Ukuba unesifo esingaqhelekanga esibizwa ngokuba yi-'multisystem inflammatory syndrome (MIS)', nokuba ngexesha okanye emva kwe-COVID-19. Oku kwenzeka xa amalungu amaninzi emzimbeni (njengentliziyo, imiphunga, kunye nengqondo) evuvukala, okanye evuvukala.
- Abafazi: Ezinye izifundo zibonisa ukuba abafazi banamathuba aphindwe kayi-1.5 okuba ne-COVID ende kunamadoda.
- Abantu abangaphezu kweminyaka engama-40 ubudala.
Ziziphi iimpawu eziphambili ze-Long COVID?
I-COVID ende ichaphazela wonke umntu ngokwahlukileyo. Kunokubakho iimpawu ezininzi. Jonga ukuba unayo na enye okanye ezingaphezulu kwezi.
| Udidi lweempawu | Iimpawu ezinokubonwa |
|---|---|
| Iimpawu ngokubanzi | Ukudinwa rhoqo, ukuziva udiniwe kakhulu nasemva kokwenza imisebenzi elula (umz., ukuya evenkileni), kunye nokuziva ushushu (umkhuhlane). |
| Iimpawu zemiphunga nentliziyo | Ubunzima bokuphefumla, ukukhohlela, iintlungu zesifuba, ukunyuka kwesantya sentliziyo. |
| Iimpawu zenkqubo yemithambo-luvo (ubuchopho) | Inkungu yobuchopho, ubunzima bokukhumbula nokugxila, ukungalali, ukulahlekelwa yivumba nencasa, iintloko ezibuhlungu, ukungaziva mnandi, ukukhala kweendlebe (tinnitus), ixhala, kunye nokudakumba. |
| Iimpawu zenkqubo yokugaya ukutya | Intlungu yesisu, urhudo, ukuqhina, ukudumba kwesifuba. |
| Ezinye iimpawu | Iintlungu zamalungu nezihlunu, ukulahleka kweenwele, ukurhawuzelelwa lusu, utshintsho kumjikelo wokuya exesheni. |
Ukuba unale mpawu, kubalulekile ukuthetha nogqirha wakho, kuba ezi mpawu zinokuba zibanzi kakhulu kwaye ngamanye amaxesha zinokubhidaniswa nezinye iimeko.
Ngaba abantwana nabo bafumana i-COVID ende?
Ewe, nabantwana abancinci kunye nabantu abadala abancinci banokuba ne-COVID ende. Ngamanye amaxesha, nomntwana ongakhange abonise zimpawu ziphambili ze-COVID unokuba nale meko. Iimpawu abantwana abanokuba nazo ziquka:
- Ndihlala ndidiniwe
- Ukulahlekelwa ngumdla kumsebenzi wesikolo nokudlala
- Inkungu yobuchopho
- Ukubetha kwentliziyo
- Ukulahleka kweenwele
Njengabazali, kufuneka nikhathazeke ngakumbi ukuba isantya sentliziyo yomntwana wenu sinyuka ngendlela engaqhelekanga okanye ukuba unengxaki yokuphefumla. Kwimeko ezinjalo, funa ingcebiso kagqirha ngokukhawuleza.
Wazi njani ukuba une-COVID ende?
Akukho vavanyo lukhethekileyo lwe-Long COVID. Ugqirha wakho uza kujonga ukuba unayo na i-COVID, zithini iimpawu zakho, ukuba zikho ixesha elingakanani, kwaye ingaba kukho ezinye izizathu (umz. ezinye izifo) ezinokuba negalelo kwezi mpawu. Banokwenza uvavanyo olufana nolu:
- Uvavanyo lwegazi
- I-X-reyi yesifuba
- Uvavanyo lwe-EKG (i-Electrocardiogram)
- Uvavanyo lokunyamezela umthambo
Zithini iindlela zonyango ze-Long COVID?
Ekubeni kungekho ndlela ithile yonyango lwesi sifo, unyango lujolise kakhulu ekulawuleni iimpawu. Ungafumana isiqabu ngokufaka le mikhwa kwindlela ophila ngayo.
- Phumla: Thatha ikhefu elifutshane imini yonke. Zama ukuba unamandla angakanani kwaye ucwangcise imisebenzi yakho ebalulekileyo ngaloo maxesha. Musa ukungxama ukwenza iprojekthi enkulu ngaxeshanye.
- Ukuzilolonga: Zilolonge ukuba unako. Kodwa qala ngononophelo. Abanye abantu banokubona iimpawu emva kokuzivocavoca kancinci. Oku kubizwa ngokuba yi-'post-exertional malaise (PEM).' Ngoko ke ungaqala ngento elula njengokuhamba uze wonyuse kancinci amandla akho. Ngaphambi kokuba uqale naluphi na umthambo, kubalulekile ukuthetha nogqirha wakho.
- Inkumbulo kunye nengqalelo: Ukuba uzilibele izinto, zibhale phantsi kwifowuni yakho okanye encwadini. Zama ukunciphisa iziphazamiso ngelixa usebenza.
- Impilo Yengqondo:Kuqhelekile ukuziva udiniwe kwaye uxhalabile xa uhlala ugula. Thetha nabahlobo bakho kunye nosapho. Ukuba kuyimfuneko, funa uncedo kumcebisi wezempilo yengqondo.
Ukuba ngequbuliso ufumana ukuphelelwa ngumphefumlo okanye iintlungu zesifuba, musa ukuzama ukuzinyanga ekhaya. Bona ugqirha ngoko nangoko, okanye uye kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane.
Ngaba i-COVID ende ingathintelwa?
Eyona ndlela ilungileyo yokuthintela i-Long COVID kukuphepha ukufumana i-COVID-19 kwaye ugonywe ngokupheleleyo. Uphando lubonise ngokucacileyo ukuba abantu abagonywayo banomngcipheko omncinci wokufumana i-Long COVID. Kubalulekile nokuqhubeka nokuziqhelanisa nemikhwa emihle yempilo, njengokunxiba imaski esidlangalaleni nokuhlamba izandla zakho.
Umyalezo Wokuya Ekhaya
- I-COVID ende ibhekisa kwiimpawu ezihlala iiveki, iinyanga, okanye iminyaka emva kokuphola kwi-COVID-19.
- Iimpawu eziqhelekileyo ziquka ukudinwa, ukuphefumla kancinci, inkungu yobuchopho, kunye nentlungu yamalungu.
- Nangona kungekho ndlela ithile yokunyanga oku, iimpawu zinokulawulwa ngokuphumla, ukuzilolonga kancinci, kunye nokutshintsha indlela yokuphila.
- Ukuba ukhathazekile ngeempawu zakho, qiniseka ukuba uthetha nogqirha wakho.
- Iindaba ezimnandi zezokuba uninzi lwabantu abane-COVID ende bayachacha kancinci kancinci ngokuhamba kwexesha. Ngoko ke hlala uqinile.
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