Ukuba unesifo seswekile, kufuneka ulumke ngakumbi ngentsholongwane ye-COVID, akunjalo? Yiyo loo nto. Kodwa ngaba ukhe weva ngemeko ebizwa ngokuba yi-'Long COVID', ehlala iiveki okanye iinyanga emva kokuba uphilile kwi-COVID? Usenokuba unesifo esinjalo. Namhlanje, siza kuthetha ngokulula nangendlela ebachaphazela ngayo abantu abanesifo seswekile, kunye nemibuzo abantu abaninzi abanayo malunga nokuba i-COVID inokubangela isifo seswekile esitsha na.
Okokuqala, masibone, yintoni le 'COVID ende'?
Ngamafutshane, sibiza 'iCovid ende' njengeempawu ezihlala iiveki okanye iinyanga emva kosulelo lweCovid, oko kukuthi, emva kokuba intsholongwane isusiwe emzimbeni. Ngokwezonyango, oku kukwabizwa ngokuba yi-"Post-acute sequelae of SARS-CoV-2 infection" okanye "PASC". Le meko iyenzeka kubantu abaninzi abaneCovid. Kukwakho noluvo lokuba isenokuba yinto eqhelekileyo kubantu abanesifo seswekile. Kodwa iindaba ezimnandi zezokuba kubantu abaninzi, ezi mpawu ziyancipha kancinci kancinci ngokuhamba kwexesha.
Makhe sijonge iimpawu zeLong Covid. Ezi zinokuhluka kumntu nomntu.
| Udidi lweempawu | Iimpawu ezinokubandakanya |
|---|---|
| Iimpawu eziqhelekileyo | • Ukuhlala uziva udiniwe kakhulu kwaye udinwe kakhulu. • Iimpawu ziya zisiba mandundu emva komgudu omncinci womzimba okanye wengqondo. • Umkhuhlane ngamaxesha athile. |
| Iimpawu zenkqubo yokuphefumla | • Ubunzima bokuphefumla okanye ukuphefumla kancinci. • Ukukhohlela okungapheliyo. |
| Inkqubo yeemvakalelo kunye neempawu zengqondo | • Intloko ebuhlungu. • Iingxaki zokungalali okanye zokulala. • Ukuziva ngathi ingqondo yakho inenkungu (ingqondo engcolileyo), awukwazi ukucinga kakuhle, kwaye kunzima ukugxila. • Ukuba nesiyezi xa uvuka kwindawo ohleli kuyo. • Ukungaziva mnandi kwamalungu omzimba. • Ukulahlekelwa yivumba okanye incasa. • Ukudakumba okanye ixhala. |
| Ezinye iimpawu | • Intlungu yamalungu kunye nemisipha. • Intlungu esifubeni, ukuziva ngathi intliziyo yakho ibetha ngokukhawuleza. • Iingxaki zenkqubo yokugaya ukutya ezifana neentlungu zesisu kunye norhudo. • Utshintsho kwimijikelo yokuya exesheni kwabasetyhini. • Amaqhuqhuva eluswini. • Iingxaki zokujiya kwegazi (umz., ihlwili legazi eliya emiphungeni - i-Pulmonary Embolism). |
Ukunyanga ezi mpawu kumntu onesifo seswekile ngamanye amaxesha kunokuba nzima ngakumbi. Umzekelo, ubuthathaka bemisipha obubangelwa yi-COVID bungathatha ixesha elide ukuba busonjululwe kuba sele buyingxaki yesifo seswekile.
Yintoni enxulumene nesifo seswekile, iCovid, kunye neLong Covid?
Lo ngumbuzo obaluleke kakhulu. Ukuba unesifo seswekile, usemngciphekweni omkhulu weengxaki ezinkulu ukuba ufumana i-COVID. Lo mngcipheko uphezulu ngakumbi ukuba isifo sakho seswekile asilawuleki .
Cinga ngayo njengenqaba. Ukuba isifo seswekile asilawulwa, iindonga zaloo nqaba zibuthathaka kancinci. Emva koko utshaba olufana neCovid lunokungena luze lwenze umonakalo omkhulu. Xa isifo seswekile singalawulwa, amalungu omzimba, ingakumbi imithambo yegazi emincinci (microvascular), angonakala. Lo monakalo unokuba mbi ngakumbi xa usulelwe yiCovid.
Nangona kunjalo, ukuba isifo sakho seswekile silawulwa kakuhle, umngcipheko uphantsi kakhulu. Kungoko ke, kubaluleke kakhulu ukulandela imiyalelo kagqirha wakho nokulawula amanqanaba eswekile egazini lakho kakuhle.
Enye into eboniswa luphando kukuba abanye abantu banokuba neengxaki zeswekile yegazi ixesha elide nangona sele bephilile kwi-COVID. Abanye abantu, kwanabo babengenaso isifo seswekile xa babene-COVID, baye bafumana amanqanaba aphezulu eswekile egazini, imeko ebizwa ngokuba yi-"Hyperglycemia," emva kokuba bephumile esibhedlele.
Ngaba ukosuleleka yiCovid kunokubangela isifo seswekile?
Lo ngumbuzo obuzwa ngabantu abaninzi. Akukabonakali ukuba intsholongwane yeCovid ibangela isifo seswekile ngokuthe ngqo. Nangona kunjalo, uphando lubonisa ukuba kukho unxibelelwano phakathi kwezi zimbini.
- Olunye uphando lufumanise ukuba abantu ababene-COVID (nokuba bakwimeko encinci) babesengozini enkulu yokuba nesifo seswekile kunyaka olandelayo kunabo bangazange babe naso. Uninzi lwabantu abasandul’ ukuxilongwa benesifo seswekile babenesifo seswekile sohlobo lwesibini.
- Kodwa bekukho imida ethile kwezi zifundo. Umzekelo, ezinye zezifundo zenziwe kubantu ababesele benazo izinto ezibangela isifo seswekile, ezinje ngokutyeba kakhulu kunye noxinzelelo lwegazi oluphezulu. Ngoko ke kunzima ukutsho ngokuqinisekileyo ukuba ngaba i-COVID yiyo eyabangela isifo seswekile.
- Abanye oogqirha bakholelwa ukuba abanye abantu abasandul’ ukufunyanwa benesifo seswekile xa babesesibhedlele ngenxa yeCovid basenokuba babenesifo seswekile esingazange sibonwe ngaphambili.
Ngokuphathelele isifo seswekile sohlobo loku-1, ezinye izifundo zibonisa ukuba kukho ukwanda kwenani lamatyala esifo seswekile sohlobo loku-1 emva kokosulelwa yi-COVID, ingakumbi phakathi kwabantwana, xa kuthelekiswa nezinye izifo zokuphefumla. Nangona kunjalo, akukho sigqibo siqinileyo malunga noku okwangoku.
Ngenxa yesi sizathu, oogqirha bathi abantu abaphulukene ne-COVID, ingakumbi abo baneengozi, kufuneka baqaphele impilo yabo, ingakumbi iimpawu zesifo seswekile.
I-Long Covid ichaphazela njani umntu onesifo seswekile?
Akukho phando lungako okwangoku malunga nendlela iLong Covid echaphazela ngayo abantu abanesifo seswekile. Kodwa ngokusekwe kulwazi lwangoku, kukho izinto ezimbalwa ekufuneka zikhunjulwe.
1. IIPOTS: Le yimeko apho isantya sentliziyo sinyuka ngequbuliso xa usukuma uhleli okanye xa usukuma. Oku kubizwa ngokuba yi-`(Postural Tachycardia Syndrome - POTS)`. Le meko inokwenzeka nakubantu abanesifo seswekile. Le meko ibonakala rhoqo kwiCovid ende.
2. Ubuthathaka bemisipha: Ubuthathaka bemisipha bunokubakho, nto leyo enokubangela ukudinwa kakhulu kwanobunzima bokuhamba. Oku kungathatha ixesha elide ukuphiliswa kubantu abanesifo seswekile.
3. Iingxaki zemithambo yegazi emincinci: Isifo seswekile sinokubangela umonakalo kwimithambo yegazi emincinci (microvascular) emehlweni, ezintso, nakwimithambo-luvo. Kukho ukurhaneleka kokuba i-COVID-19 yexesha elide inokunyusa lo mngcipheko.
Ngoko ke, ukuba unesifo seswekile kwaye ubonakalisa iimpawu ze-COVID ezichazwe apha ngasentla (ingakumbi ukudinwa kakhulu, ukuphefumla kancinci, kunye notshintsho kwisantya sentliziyo) emva kokuba usulelwe yi-COVID, musa ukuzityeshela njengesiqhelo.
Nceda ubone ugqirha wakho uze uxoxe naye ngale nto. Uza kukuhlola, akuthumelele uvavanyo olongezelelweyo ukuba kuyimfuneko, aze akunike unyango olufanelekileyo kunye neengcebiso.
Umyalezo Wokuya Ekhaya
- I-COVID ende liqela leempawu ezihlala zikho emva kokuba i-COVID-19 idlulile. Abantu abanesifo seswekile banokuba semngciphekweni omkhulu kancinci.
- Ukulawula isifo sakho seswekile ngendlela efanelekileyo yeyona ndlela ilungileyo yokuzikhusela kwiingxaki ezinzima zeCovid kunye neCovid yexesha elide.
- Ukuba udiniwe rhoqo, ukuphelelwa ngumphefumlo, okanye uneengxaki zokukhumbula emva kokuba usulelwe yi-COVID, musa ukuzityeshela. Thetha nogqirha wakho ngale nto.
- Nangona kusekwinqanaba lophando lokuba ingaba iCovid ibangela isifo seswekile esitsha na, kubalulekile ukukwazi oko.
- Ngayiphi na ingxaki yempilo, musa ukuthembela ekuqageleni kodwa bonana nogqirha wakho kuphela ukuze ufumane icebiso elichanekileyo kunye nonyango.
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