Ngaba nawe unengxaki nge-COVID emva kokuba uphilile? Masithethe nge-Long COVID!

Ngaba nawe ukhe waba ne-COVID waza wacinga ukuba uza kuphila kwiintsuku ezimbalwa okanye iiveki ezimbini, kodwa usaziva udiniwe kakhulu? Okanye uziva ngathi intloko yakho ayicacanga, kwaye unobunzima bokugxila? Mhlawumbi ukutya obekunandipha ngaphambili kunencasa engaqhelekanga ngoku, mhlawumbi kunencasa yesinyithi, okanye awukwazi kunuka nantoni na? Usenokungakhumbuli nokuba kudlule ixesha elingakanani ukusukela oko walala okokugqibela. Ezi zezinye zeempawu ze-Long COVID, esiza kuthetha ngazo namhlanje.

Yintoni i-Long COVID?

Ngamafutshane, i-Long COVID liqela leempawu ezihlala iinyanga ezintathu okanye ngaphezulu emva kokuba une-COVID-19 kwaye iimpawu zokuqala ziphelile. Akunamsebenzi nokuba ubune-COVID-19 encinci okanye enzima, inokwenzeka nakubani na. Ezi mpawu ngamanye amaxesha zinokufana nezo zezifo zokuzikhusela komzimba, imiphunga, intliziyo, inkqubo yemithambo-luvo, okanye izifo zengqondo. Ezinye iimpawu zinokuba ncinci, ngelixa ezinye zinokuba nkulu kangangokuba zenze kube nzima kuwe ukwenza imisebenzi yakho yemihla ngemihla. Ezi mpawu zinokufika zihambe, zitshintshe, okanye zibe mandundu ngokuhamba kwexesha. Ungaziva ngathi awuzange uphile emva kokuba une-COVID.

I-COVID ende ikwaziwa nangamanye amagama, njenge-COVID ende, i-post-COVID syndrome, okanye i-post-acute sequelae ye-COVID-19. Abantu abaninzi bafanisa le meko ne-Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS). Ngenxa yokuba ineempawu ezahlukeneyo kwaye inokubangelwa zizinto ezahlukeneyo, akukho nyango lunye olusebenza kuye wonke umntu.

Ixhaphake kangakanani i-Long COVID?

Okwangoku kuqikelelwa ukuba phakathi kwe-5% kunye ne-10% yabantu abosulelwe yi-COVID-19 banokuhlakulela ezi meko emva kwe-COVID. Nangona kunjalo, ngenxa yokuba iimpawu zahlukile kwaye ubude beempawu zabo buyahluka, kunzima ukutsho ngokuthe ngqo ukuba bangaphi abantu abanazo.

Zithini iimpawu ze-Long COVID?

I-COVID ende inokubangela iimpawu ezahlukeneyo. Abanye abantu banokuba neempawu ezingaphezu kwesinye, kodwa uninzi lwabantu alunazo zonke ngaxeshanye. Iimpawu ezimbini eziqhelekileyo kukudinwa, oku kukuziva ubuthathaka, kunye nokuphefumla kancinci.

Ezinye iimpawu ezinokubonwa zezi:

• Ukulahlekelwa okanye ukuguqulwa kwemvakalelo yokuvumba okanye yokungcamla: Abanye abantu basenokungakwazi ukuvumba okanye ukungcamla kwaphela (anosmia). Abanye banokufumana utshintsho kwindlela ababeziva ngayo ngaphambili yokungcamla, njengencasa yesinyithi (dysgeusia). Khawuthelekelele usitya ukutya okuthandayo kodwa ungakwazi ukukungcamla kwaphela.
• Ubunzima bokugxila - "inkungu yobuchopho": Ubunzima bokucinga ngokucacileyo nokugxila. Kuvakala ngathi intloko yakho igqunywe yinkungu. Ngamanye amaxesha kunzima ukukhumbula amagama.
• Ukukhohlela okungapheliyo: Kwanasemva kokuba i-COVID inyangiwe, ukukhohlela kunokuqhubeka iinyanga.
• Intloko ebuhlungu: Iintloko ezibuhlungu ezihlala zihleli, ngamanye amaxesha ezibuhlungu kakhulu.
• Ubunzima bokulala okanye ukungalali: Usenokuba nengxaki yokulala ebusuku, okanye usenokungakwazi ukulala kakuhle nokuba ulele.
• Uxinzelelo: Imeko yokuziva ungenathemba, imeko yokungabi nathemba ngayo yonke into.
• Ixhala: Ukuhlala uziva uloyiko kwaye ungakhululekanga.
• Intlungu yesifuba: Ngamanye amaxesha isifuba sinokuba buhlungu nangona uphefumla.
• Ukubetha kwentliziyo: Imvakalelo yokuba intliziyo ibetha ngamandla okanye ibetha ngamandla .
• Urhudo: Ukudumba.

Ukuba uyaqhubeka nokuba nenye okanye ngaphezulu kwezi mpawu emva kokuba usulelwe yi-COVID, kubalulekile ukuba uxhalabe.

Zithini izizathu ze-Long COVID?

Iingcali azikakwazi ukubona unobangela omnye we-Long COVID. Nangona kunjalo, ezinye ii-coronavirus bezisaziwa ngokuba zibangela iziphumo zexesha elide kwixesha elidlulileyo, ezifana ne-Middle East Respiratory Syndrome (MERS) kunye ne-Severe Acute Respiratory Syndrome (SARS). Ngoko ke akumangalisi ukuba iimpawu ze-COVID zinokuhlala ixesha elide. Kukho izinto ezininzi ezinokubangela i-Long COVID:

• Amahlwili egazi amancinci: La mahlwili egazi amancinci asenokungabangeli isiganeko esikhulu njengestroke, kodwa anokuphazamisana nokusebenza kakuhle kwemiphunga yakho, ingqondo, kunye nezinye izitho zomzimba.
• Ukudumba: Inkqubo yakho yomzimba yokuzikhusela isenokuba iyasebenza kakhulu ize iqhubeke nokubangela ukudumba kwizitho zakho zomzimba, nokuba sele igqibile ukulwa nosulelo lwe-COVID.
• Iingxaki zokuzikhusela komzimba: Ngezizathu esingazaziyo kakuhle, emva kosulelo lwe-COVID, inkqubo yakho yokuzikhusela yomzimba isenokuqala ukuhlasela amalungu omzimba wakho, njengesifo sokuzikhusela komzimba.
• Ukuqina kwentsholongwane: Intsholongwane ye-SARS‑CoV‑2, ebangela i-COVID‑19, inokuhlala emzimbeni wakho nasemva kokuba uphilile kwisifo sokuqala. Nokuba ufunyenwe ungenayo i-COVID, kwaye akunakwenzeka ukuba wosulele omnye umntu, intsholongwane ingaqhubeka ibangela iingxaki emzimbeni wakho.
• Ukuvuselelwa kwezinye iintsholongwane:Ezinye iintsholongwane zingalala emzimbeni wakho ungazi. Ezi ngamanye amaxesha zinokuphinda zibuye zibangele iimpawu. Ubungqina obuthile bubonisa ukuba iCovid inokuyiphinda ivuse intsholongwane ye-Epstein-Barr (intsholongwane ebangela i-mono) kwaye ibangele iimpawu zexesha elide.
• Iziphumo zengqondo zexesha elide zokugula kakhulu: Ukuba unesifo se-COVID esibi kakhulu, ingakumbi ukuba ulaliswe esibhedlele, usenokuba nexhala, ukudakumba, okanye ezinye iimeko zempilo yengqondo ngenxa yoko.

Ngubani osengozini enkulu yokuhlaselwa yi-COVID ende?

Usemngciphekweni omkhulu wokufumana i-COVID ende ukuba:

• Ukuba awukagonyelwa iCovid-19.
• Ukuba unesifo se-COVID esibi kakhulu, ingakumbi ukuba ukhe walala esibhedlele. Kodwa khumbula, nabantu abane-COVID eqhelekileyo banokufumana i-COVID ende.
• Ukuba ukhe waba neMultisystem Inflammatory Disorder (MIS-C) ngexesha okanye emva kweCOVID-19.
• Ukuba ubunezinye iingxaki zempilo ngaphambi kokuba ube ne-COVID, umzekelo, isifo semiphunga, ukutyeba kakhulu, isifo seswekile, kunye noxinzelelo lwegazi oluphezulu.
• Ukuba ungumfazi. (Isizathu esichanekileyo soku asikacaci okwangoku, kodwa uphando lubonisile oku.)

Uyazi njani ukuba une-COVID ende?

Oogqirha baya kugqiba ukuba unayo i-COVID ende ngokumamela iimpawu zakho kunye nembali yakho yempilo. Banokwenza novavanyo oluthile ukuze baqonde ngakumbi iimpawu zakho baze bagqibe ngendlela yokuzinyanga. Ngokuxhomekeke kwiimpawu zakho, banokwenza olu vavanyo lulandelayo:

• Uvavanyo lwegazi: Jonga izinto ezinje ngokudumba emzimbeni kunye nokusebenza kwamalungu omzimba.
• Ii-X-reyi zesifuba okanye ezinye iimvavanyo zomfanekiso: Imifanekiso ingathathwa ngaphakathi kwemiphunga yakho, ingqondo, okanye amanye amalungu omzimba ukuze kubonwe ukuba kukho naluphi na utshintsho olunokubangela iimpawu zakho.
• Ii-CT scan: Ukuba uneentlobo ezithile zokudumba kwemiphunga, oku kunokuchaphazela indlela ugqirha wakho akuphethe ngayo ngamayeza athile. Ugqirha wakho unokufuna ukwenza i-CT scan ukujonga oku kudumba.
• Uvavanyo lokusebenza kwemiphunga (imiphunga): Olu vavanyo lunceda ugqirha wakho azi ukuba imiphunga yakho isebenza kakuhle kangakanani.
• I-Electrocardiogram (EKG/ECG) okanye i-Echocardiogram (Echocardiogram - Echo): Olu vavanyo lunceda oogqirha bafumanise ukuba unengxaki na ngentliziyo yakho.

Yintoni enokwenziwa ukunqanda i-COVID ende?

Ngelishwa, akukho nyango lunye lwe-Long COVID. Wena nogqirha wakho kusenokufuneka nizame iindlela ezahlukeneyo zonyango ukuze nifumane ukuba yintoni enifaneleyo. Ngokuxhomekeke kwiimpawu zenu, iindlela zonyango zingabandakanya:

• Amayeza: Oogqirha banokunyanga ezinye iimpawu kunye neemeko, ezinje ngokukhwehlela, intloko ebuhlungu, ixhala, kunye nokudakumba, ngamayeza. Ukuba unobangela oyintloko (umz., ukuqhekeka kwegazi) unokufunyanwa kwi-Long COVID, loo nobangela unokunyangelwa ngamayeza.
• I-Stellate ganglion block okanye uqeqesho ngokutsha lwe-olfactory: Oogqirha banokusebenzisa olu nyango ukuzama ukufumana ivumba lakho kunye nokungcamla kwakhona. I-stellate ganglion block ivala imithambo-luvo entanyeni yakho echaphazela ivumba lakho. Uqeqesho ngokutsha lwe-olfactory lusebenzisa amavumba aqhelekileyo ukukhumbuza ingqondo yakho indlela izinto ezimele zinuke ngayo.
• Unyango lomzimba: Unyango lomzimba luquka ukuzilolonga, ukuphulula umzimba, kunye nolunye unyango olunokukunceda ukunciphisa iintlungu kunye nokuphucula ukuhambahamba.
• Ukuvuselelwa kweMiphunga: Le yinkqubo ekhethekileyo yokuzilolonga kunye neyokufundisa ekunceda ukuba uphefumle lula kwaye ufunde indlela yokulawula ubunzima bokuphefumla ekhaya.
• Ingcebiso: Ingcebiso ikunika umntu onokuthetha naye ukuze akuncede ulawule imiphumo yeemvakalelo zesifo esinzulu okanye esihlala ixesha elide.

Eyona nto ibalulekileyo kukuba, akufuneki ujongane nale meko wedwa. Kubaluleke kakhulu ukufuna ingcebiso kagqirha.

Yintoni onokuyilindela ukuba une-COVID ende?

Iimpawu ze-COVID ezinde zinokufika ziphele, okanye zinokuba ngcono okanye zibe mbi ngokuhamba kwexesha. "Abantu abaninzi abasebenzisa le meko," okanye abantu abaphethwe yile meko, ekugqibeleni bayachacha. Kodwa ukuba kuthatha ixesha elingakanani kuyahluka kumntu nomntu. Kusenokufuneka wenze ezi zinto:

• Bona ugqirha wezonyango oluphambili (PCP) kunye nengcali enye okanye ezingaphezulu ukuze zilawule iimpawu zakho. Ukuba kukho ikliniki ye-Long COVID kwindawo okuyo, banokukuthumela kwingcali efanelekileyo kwiimpawu zakho ezithile.
• Yiba nomonde kwaye ungayeki xa uzama ukufumana unyango olukufaneleyo.
• Zinike ixesha elingaphezulu kunesiqhelo kwimisebenzi yakho yesiqhelo, kwaye uthathe ikhefu rhoqo imini yonke. Abanye abantu banokufuna ukuthatha ikhefu elide emsebenzini okanye esikolweni ukuze baphile.

Iimpawu ezifana nokudinwa zingahlala ixesha elingakanani emva kokuba usulelwe yi-COVID?

Abantu abaninzi baziva bediniwe kwaye bediniwe kangangeeveki ezimbalwa emva kokuba benesifo se-COVID. Kodwa kwabanye, oku kudinwa kunye nezinye iimpawu zinokuhlala iinyanga okanye nangaphezulu. Abantu abaninzi abane-COVID ende baqala ukuba ngcono phakathi kweenyanga ezili-12 kunye ne-18.

Ngaba i-COVID ende ingathintelwa?

Akukho ndlela inye yokuthintela i-COVID ende. Kodwa kukho iindlela ezahlukeneyo zokunciphisa umngcipheko wakho. Nazi:

• Amayeza okulwa nentsholongwane: Olunye uphando lubonisa ukuba ukuthatha iyeza lokulwa nentsholongwane iNirmatrelvir (igama lophawu: iPaxlovid®) kwiintsuku ezintlanu emva kokuvavanywa ukuba une-COVID kunokunciphisa umngcipheko we-COVID yexesha elide. Olu phononongo lujonge kuphela abantu ababesengozini enkulu ye-COVID enzima. Khumbula, oogqirha badla ngokukunika amayeza okulwa nentsholongwane kwiintsuku ezintlanu emva kokuba iimpawu zakho ziqalile.
• Ukugonywa: Abo bangakhange bagonyelwe i-COVID basengozini enkulu yokufumana i-COVID ende ukuba bosulelekile.
• Ukuphepha usulelo: Ukuba awunayo i-COVID, awunakufumana i-Long COVID. Unganciphisa umngcipheko wakho wokufumana i-COVID ngokwenza imikhwa emihle yokuhlamba izandla kunye nokunxiba imaski evala umlomo wakho ngokufanelekileyo (umz., imaski enezitezi ezininzi njenge-N95 okanye i-KN95) xa uphakathi kwabanye abantu. Kuphephe abanye ukuba wena okanye abanye abantu niyagula, okanye ukuba umntu ukhe wachaphazeleka yi-COVID.

Ufanele ufune nini ingcebiso kagqirha?

Bona ugqirha ukuba unayo nayiphi na kwezi:

• Iimpawu zeCovid eziqatha.
• Nokuba iimpawu zakho zokuqala zilungile, iimpawu ezihlala ixesha elide.
• Naziphi na iimpawu eziphazamisa ubomi bakho bemihla ngemihla.

Xelela ugqirha wakho ngeempawu zakho kunye nendlela ezichaphazela ngayo ubomi bakho. Mxelele ukuba wafunyaniswa nini ukuba une-COVID kwaye ziqale nini iimpawu zakho zangoku.

Kuphantsi kweziphi iimeko apho kufuneka uye kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) ?

Ukuba iimpawu zakho ziya zisiba mandundu ngequbuliso, okanye ukuba uneempawu ezinzima ezifana nezi, yiya kwigumbi likaxakeka ngokukhawuleza:

• Umkhuhlane ophezulu (ngaphezulu kwama-degrees Fahrenheit ayi-103 okanye ngaphezulu kwama-degrees Celsius angama-40).
• Ubunzima bokuphefumla.
• Intlungu ebuhlungu okanye engapheliyo esifubeni okanye esiswini (esiswini).
• Ukudinwa rhoqo.
• Ukudideka.
• Intlungu okanye ubuthathaka obukhulu bemisipha.
• Ukungakwazi ukuvuka okanye ukuhlala uphaphile.
• Ukuxhuzula.
• Umbala oluhlaza okwesibhakabhaka wolusu, imilebe, okanye iinzipho (iCyanosis - oku kungaba luphawu lokuba amanqanaba e-oksijini aphantsi egazini okanye kwizicubu zakho).

Yeyiphi imibuzo omele uyibuze ugqirha wakho?

Kungakunceda ukubuza le mibuzo xa ubona ugqirha:

• Ziziphi iindlela zonyango endinazo?
• Uyazi ukuba yintoni ebangela iimpawu zam?
• Ngaba abantu abaneempawu ezifana nezam badla ngokuchacha?
• Ndingawathatha njani amayeza am?
• Ndingakubona nini kwakhona?
• Ziziphi iimpawu ezifuna ukuya kwigumbi likaxakeka?

Eyona nto ibalulekileyo ekufuneka siyikhumbule (Umyalezo Wokuya Ekhaya)

Ngamanye amaxesha, ulwazi lwezonyango lunokuba semva kancinci koko izigulane bezisoloko zikubona ixesha elide. Ngethamsanqa, sihambe indlela ende ekuqondeni ezinye zeempawu ze-COVID ezihlala ixesha elide. Oogqirha abaninzi ngoku basebenza namaqela ahlukeneyo azinikele ekuqondeni nasekunyangeni iimpawu zakho.

Le iseyinkqubo yokufunda - zama izinto ezimbalwa ukuze ufumane unyango olukulungeleyo, kwaye unokwenza iimpazamo. Ukuba awukwazi ukuzithethelela, fumana uncedo kumntu onokukwazi. Banokukunceda ufumane oogqirha, amaqela enkxaso, kunye neengcebiso. Xelela usapho lwakho, abahlobo, kunye nendawo osebenza kuyo okanye esikolweni ukuba unokufuna ixesha elingakumbi lokwenza izinto ezithile, okanye unokufuna ukuphumla okungakumbi. Ukuzivumela ukuba ube nobubele kuwe ngelixa uphola kunokuba linyathelo lokuqala lokuchacha. Yiba nomonde kwaye ulandele icebiso likagqirha wakho. Awuwedwa!

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