Uma uthola i-COVID-19, izimpawu zakho cishe zizoba zincane futhi ungazilawula ekhaya. Lokho kuyiqiniso kubantu abaningi. Kodwa uma usukhulile noma unezinye izimo zempilo, njengesifo sikashukela noma isifo senhliziyo, usengozini enkulu yokuthola izinkinga ezinkulu ezivela ku-COVID-19. Abanye abantu, cishe oyedwa kwabayisithupha, bathola izinkinga ezisongela ukuphila. Imbangela enkulu yalokhu yisimo esibizwa ngokuthi 'isiphepho se-cytokine.' Kalula nje, lapho sithola ukutheleleka, amasosha ethu omzimba aya ngokweqile futhi akhiphe amaprotheni okuvuvukala abizwa ngokuthi ama-cytokine egazini lethu. Lokhu kungalimaza izicubu zethu futhi kulimaze izitho ezibalulekile njengamaphaphu, inhliziyo, nezinso.
Yiziphi izinkinga ezinkulu ezingaba khona ngenxa ye-Covid-19?
I-COVID-19 akuyona nje isifo sokuphefumula. Ingathinta izinhlelo eziningi ezahlukene emzimbeni. Ake sibheke izinkinga eziyinhloko ezingaba khona.
| Inkinga | Incazelo elula |
|---|
| Ukwehluleka Okukhulu Kokuphefumula | Amaphaphu awakwazi ukunikeza igazi umoya-mpilo eliwudingayo noma ukususa ikhabhoni-dioksayidi egazini. Lesi yisona sizathu esiyinhloko sokufa kwe-COVID-19. |
| I-pneumonia Enzima | Amasaka omoya emaphashini womabili ayavuvukala futhi agcwale uketshezi kanye nobomvu, okwenza kube nzima kakhulu ukuphefumula. |
| I-Acute respiratory distress syndrome (ARDS) | Amaphaphu onakele kakhulu futhi uketshezi luyavuza, okuvimbela igazi ekutholeni umoya-mpilo owanele. Lokhu kudinga umshini wokuphefumula. |
| Ukulimala Kwezitho | Ukulimala kwesibindi okukhulu, ukulimala kwenhliziyo okukhulu, kanye nokulimala kwezinso okukhulu. |
| Amahlule egazi | Ukuphazamiseka ohlelweni lokujiya kwegazi lomzimba (DIC), okungabangela ukwakheka kwamahlule egazi angavamile emilenzeni (DVT), emaphashini (PE), nakwezinye izindawo. |
| I-Multi-system inflammatory syndrome ezinganeni (MIS-C) | Isimo esibi kakhulu esingathinta izingane kanye nabantu abasha, okubangela ukuvuvukala ezingxenyeni ezahlukene zomzimba. |
Ake sibheke lezi zimo ngemininingwane ethe xaxa.
Imiphumela emaphashini
Imbangela enkulu yokufa ngenxa ye-COVID-19 ukulimala kwamaphaphu. Cabanga ngakho, lapho kuvela i-pneumonia, amasaka amancane omoya emaphashini ayavuvukala, okwenza kube nzima kakhulu ukuphefumula. Uma uhlola amaphaphu eziguli ze-COVID-19 ezinzima, ungabona ukuthi agcwele uketshezi kanye nobomvu.
Uma lesi simo siba sibi kakhulu, siholela esimweni esibizwa ngokuthi i-ARDS (Acute Respiratory Distress Syndrome) . Lapha, amaphaphu onakele kangangokuthi igazi alikwazi ukuthola umoya-mpilo . Yilapho-ke kudingeka khona usizo lomshini wokuphefumula owenziwe (i-ventilator) ukuze kusindiswe impilo.
Ukulimala kwenhliziyo, isibindi kanye nezinso
I-Covid-19 ayisona isifo esithinta amaphaphu kuphela.
- Ukulimala Kwesibindi Okukhulu: Isibindi yisitho esivame ukulimala kakhulu ngemuva kwamaphaphu. Akukacaci okwamanje ukuthi lokhu kubangelwa yigciwane uqobo noma ukucindezeleka emzimbeni okubangelwa ukugula. Kodwa-ke, lesi yisimo esiphuthumayo esisongela impilo.
- Ukulimala Kwenhliziyo Okukhulu: Iziguli eziningi ze-COVID ezilaliswe esibhedlela nazo zibike izimpawu zenhliziyo ezifana nokuphazamiseka kwenhliziyo. Ngezinye izikhathi, ngisho nangemva kokululama ku-COVID-19, izimo zokuvuvukala kwemisipha yenhliziyo, njenge-myocarditis, zingavela.
- Ukulimala Okukhulu Kwezinso :Lokhu akuvamile, kodwa kungaba kubi kakhulu uma kwenzeka. Uma izinso ziyeka ukusebenza, uzodinga i-dialysis ukuze ususe ukungcola emzimbeni. Ngezinye izikhathi lo monakalo ungase ungapholi ngokuphelele futhi ungase ukhule ube yisifo sezinso esingamahlalakhona .
Amahlule egazi nezinye izimo ezibucayi
Enye inkinga eyingozi ye-Covid-19 ukuqhekeka kwegazi.
- Amahlule Egazi: Isiguli se-COVID sisengozini enkulu yokuthola amahlule egazi kunesiguli esivamile somkhuhlane. Lokhu kungakheka emithanjeni yemilenze (Deep Vein Thrombosis - DVT ), emaphashini (Pulmonary Embolism - PE), noma emithanjeni yegazi.
- Isimo se-DIC: I-DIC (Disseminated Intravascular Coagulation) yisimo esibi lapho uhlelo lokujiya kwegazi luphazamiseka khona ngokuphelele. Lokhu kungaholela ekuphumeni kwegazi ngaphakathi noma ekuhlulekeni kwezitho zomzimba.
- Ukushaqeka Okubangelwa Yizifo Ezithathelwanayo: I-Sepsis yilapho umzimba uphelelwa amandla ngenxa yokutheleleka bese uqala ukulimaza izitho zomzimba. Uma lokhu kungalawulwa, umfutho wegazi ungehla kakhulu, okuholela ekushaqekeni okubangelwa yizifo ezithathelwanayo ngisho nokufa.
- Ukutheleleka Kwesibili: Lapho umzimba ubuthakathaka ngenxa yokulwa ne-COVID-19, kungavela olunye ukutheleleka kwamagciwane (isb., i-strep, i-staph). Lokhu kwandisa nengozi.
Ake sifunde futhi ngezingane nemiphumela yesikhathi eside.
I-Multi-system inflammatory syndrome ezinganeni (MIS-C)
Nakuba izingane ngokuvamile zingathinteki kakhulu yi-COVID-19, ezinye izingane ziye zaba nesimo esibizwa ngokuthi
i-MIS-C (Multisystem Inflammatory Syndrome in Children) . Lokhu kufaka phakathi izimpawu ezifana nomkhuhlane, ubuhlungu besisu, ukuhlanza, kanye nokuqubuka kwesikhumba. Lesi yisimo esibi esifana nesifo sikaKawasaki esidinga ukunakekelwa kwezokwelapha ngokushesha.
I-COVID ende
Abanye abantu bangase babe nezimpawu eziqhubeka izinyanga eziningi ngemva kokululama ku-COVID-19. Lokhu sikubiza nangokuthi 'i-Long COVID' noma ukukhathala okungamahlalakhona.
- Ukukhathala okukhulu
- Ubunzima bokugxilisa ingqondo noma 'inkungu yobuchopho'
- Ubuhlungu bomzimba
- Isiyezi
Uma lezi zimpawu ziqhubeka ngisho nangemva kokululama, kubaluleke kakhulu ukukhuluma nodokotela wakho ngazo.
Umlayezo Wokuya Nawe Ekhaya
- Nakuba i-COVID-19 iyisifo esincane kubantu abaningi, abanye bangaba nezinkinga ezinkulu nezisongela ukuphila.
- Abantu abanezinye izifo ezifana nesifo sikashukela nesifo senhliziyo, kanye nabantu asebekhulile, basengozini enkulu yokuthola lezi zinkinga.
- Ukulimala kwamaphaphu, inhliziyo, isibindi nezinso, kanye namahlule egazi, kuphakathi kwezinkinga ezinkulu.
- Hlala uqaphele izimpawu eziyisixwayiso ezinjengobunzima bokuphefumula, ubuhlungu besifuba obuqhubekayo, ukudideka, kanye nezindebe noma ubuso obuluhlaza okwesibhakabhaka.
- Uma unokungabaza noma izimpawu ezingathi sína, ungachithi isikhathi bese ubona udokotela wakho ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
Izinkinga ze-Covid, izinkinga ze-COVID-19 IsiSinhala, i-pneumonia, i-ARDS, amahlule egazi, imiphumela ye-Covid ngemuva, i-COVID ende IsiSinhala
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