Ngemva kokululama ku-COVID-19, usazizwa ubuhlungu futhi ukhathele? Ingabe uzizwa ubuthakathaka ngisho nalapho wenza izinto ezincane? Uma kunjalo, lesi sihloko sizoba sibaluleke kakhulu kuwe. Ngoba, kwabanye abantu, isimo esingaziwa kakhulu kodwa esingakhululekile singavela ngemva kwe-COVID, esihlotshaniswa 'ne-Long COVID'. Yilokho esikhuluma ngakho namuhla.
Kuyini ama-POTS?
Kalula nje, i-POTS isifinyezo se-'Postural Orthostatic Tachycardia Syndrome'. Yigama eliyinkimbinkimbi, kodwa kulula ukuliqonda. Okwenzekayo ukuthi uma usukuma ngokuzumayo uhleli noma ulele, izinga lokushaya kwenhliziyo yakho likhuphuka ngokuzumayo. Ngokuvamile, izinga lokushaya kwenhliziyo yakho likhuphuka ngokushaya okungu-30 ngomzuzu noma ngaphezulu.
Cabanga nje, imizimba yethu inesimiso esilawula izinto ezifana nomfutho wegazi kanye nokushaya kwenhliziyo ngaphandle kokuthi siqaphele. Sisibiza ngokuthi uhlelo lwezinzwa oluzimele. Lokhu kufana nohlelo 'lokuzishayela oluzenzakalelayo' lomzimba wethu. Kumuntu one-POTS, lolu hlelo alusebenzi kahle. Ngakho-ke, uma ushintsha isikhundla, njengalapho usukuma, awukwazi ukulawula umfutho wegazi kanye nokushaya kwenhliziyo ngendlela efanele.
Lokhu akudingeki kwenzeke ngokushesha nje ngemva kokuvuka. Ngezinye izikhathi kungenzeka ngemva kwemizuzu engaba yi-10. Ungase uzizwe unesiyezi, amehlo akho angase abe luhlaza okwesibhakabhaka, futhi ungase uphelelwe amandla futhi uwe phansi.
Ngenxa yokuthi lesi simo asikaziwa kahle, abantu abaningi bachitha iminyaka bezama ukuthola ukuthi yini engalungile ngabo ngaphandle kokuqaphela ukuthi yisifo. Ngakho-ke, kuthatha isikhathi ukuthola ukuxilongwa okufanele.
Yini ehlobene phakathi kwe-COVID-19 ne-POTS?
Ama-POTS angabangelwa yizinto ezahlukahlukene. Ukuhlinzwa okukhulu noma ezinye izifo kungaba yimbangela. Kodwa izimbangela ezivame kakhulu izifo ezibangelwa amagciwane noma amagciwane. Manje ososayensi bakholelwa ukuthi i-coronavirus, ebangela i-COVID-19, ingaba yimbangela enkulu.
Isizathu salokhu ukuthi abanye abantu abalulame ku-COVID-19 babonisa izimpawu ezifana kakhulu ne-POTS. Lokhu kungase kuzwakale kujwayelekile kuwe.
| Izimpawu ezifana ne-POTS ezingaba khona ngemuva kwe-Covid |
|---|
| Ukwanda kwesilinganiso senhliziyo:Ngisho noma wenza umsebenzi omncane, uhamba kancane, noma ukhuphuka izitebhisi, ukushaya kwenhliziyo yakho kwandisa ize. |
| Inkungu yobuchopho: Kuzwakala sengathi akukho lutho oludlula ekhanda lakho, unenkinga yokugxilisa ingqondo, futhi ukhohlwa izinto kalula. |
| Ukuqaqamba: Umuzwa wokuqaqamba noma ukujikeleza lapho umi. |
| Ubuhlungu bekhanda: Ubuhlungu bekhanda obuvame ukwenzeka, ngezinye izikhathi obukhulu. |
| Isicanucanu nokuhlanza: Isisu esibuhlungu, isicanucanu. |
| Ukukhathala Okungapheli Okukhulu: Ukukhathala okungenampilo, okungachazeki, kungakhathaliseki ukuthi ulala noma uphumule kangakanani. |
Ubani osengozini enkulu yokuthola i-POTS ngemuva kwe-Covid?
Eqinisweni, lesi simo singavela kunoma ubani oke waba ne-COVID . Akunandaba ukuthi ube ne-COVID embi noma encane.
Kodwa-ke, ososayensi bakholelwa ukuthi kunezinto ezithile ezingandisa ingozi. Kodwa lokhu kusesesigabeni socwaningo.
- Uma uke waba nokulimala kwekhanda okuqinile ngaphambi kokuba ube ne-COVID.
- Uma wake waba nesiyezi noma ukuquleka .
- Uma uke waba nomlando wokushaya kwenhliziyo okusheshayo kanye nobuhlungu besifuba (ukushaya kwenhliziyo) .
Ngaphezu kwalokho, amasosha omzimba wethu ahlasela ngephutha izicubu zethu (impendulo ye-autoimmune) kubonakala sengathi ahlotshaniswa ne-POTS. I-POTS ivame kakhulu kubantu abanezifo ze-autoimmune ezifana nesifo se-thyroid kanye ne-rheumatoid arthritis. Kucatshangwa ukuthi lolu hlobo lwempendulo ye-autoimmune lungase lubangelwe yi-COVID, kodwa kudingeka ucwaningo olwengeziwe.
Yini ongayenza uma uhlangabezana nalezi zimpawu?
Uma uzizwa unesizungu noma uphelelwa amandla ngokuzumayo, hlala phansi noma ulale phansi ngokushesha. Lokhu kubaluleke kakhulu. Linda isikhashana, futhi uma uzizwa ungcono, vuka kancane futhi ngokucophelela.Nika umzimba wakho isikhathi sokujwayela indawo. Uma udinga usizo, cela usizo kothile oseduze.
Uma unezinye zalezi zimpawu, qiniseka ukuthi ubona udokotela wakho. Ungakhohlwa ukutshela udokotela wakho uma une-COVID-19 (noma usola ukuthi unayo).
Odokotela bakuthola kanjani lokhu?
Odokotela basafunda ngomthelela ogcwele we-'Covid ende', ngakho-ke ngaphambi kokunquma ukuthi i-POTS iyimbangela yezimpawu zakho, bazozama ukugwema ezinye izimbangela.
Isibonelo, i-COVID-19 ingabangela amahlule egazi noma izibazi emaphashini. Izimpawu zifana ne-POTS, kodwa ukwelashwa kuhluke ngokuphelele. Ngakho-ke, udokotela wakho uzoqala aqinisekise ukuthi azikho ezinye izimo ezingathi sína. Ngemuva kwalokho, angakudlulisela kuchwepheshe ongaxilonga i-POTS.
Yiziphi izindlela zokwelapha lokhu?
Ukwelashwa kuncike ohlotsheni lwezimpawu zakho, ubudala, kanye nempilo ejwayelekile, ngakho-ke akukho ukwelashwa okulingana nakho konke.
| Indlela yokwelapha | Incazelo |
|---|---|
| Izinguquko Zendlela Yokuphila | |
| Phuza amanzi amaningi. | Phuza okungenani amalitha amabili kuya kwamathathu amanzi ngosuku. Kubalulekile ukugcina amazinga amahle oketshezi emzimbeni. |
| Ukwengeza usawoti ekudleni | Lokhu kufanele kwenziwe kuphela ngeseluleko sikadokotela. Lokhu kungasiza ekwandiseni umfutho wegazi. |
| Amasokisi okucindezela | Kunciphisa ukuhlangana kwegazi emilenzeni futhi kusiza ukujikeleza kwegazi. |
| Imithi - kuphela ngokwelulekwa ngudokotela | |
| Ama-Beta-blockers noma ama-Calcium channel blockers | Ukunciphisa izinga lokushaya kwenhliziyo. |
| I-Fludrocortisone noma i-Midodrine | Ukusiza ukulawula umfutho wegazi. |
| Ama-SSRI nama- SNRI | Umsebenzi wesistimu yezinzwa kanye nokucindezeleka. |
| Eminye imithi | Imithi namavithamini okukhathazeka, ikhanda elibuhlungu, noma ubuhlungu bemizwa. |
Ngaphezu kwalokho, ucwaningo seluqhutshwa manje mayelana nokwelashwa okuqondiswe ohlelweni lokuzivikela komzimba (i-immunotherapy).
Umlayezo Wokuya Nawe Ekhaya
- I-POTS ngemva kwe-COVID-19 iyisimo sangempela. Akusikho wena wedwa, ngakho ungesabi.
- Uma ukushaya kwenhliziyo yakho kukhula ngokuzumayo lapho usukuma, uzizwa unesiyezi, noma uzizwa ukhathele kakhulu, kungaba uphawu lwe-POTS.
- Uma unezinye zalezi zimpawu, ungesabi futhi ubone udokotela ngokushesha. Ukuthola ukuxilongwa okufanele kanye nokwelashwa kubaluleke kakhulu.
- Lesi simo singalawulwa ngezinga elikhulu ngokushintsha indlela yokuphila elula kanye nemithi enqunywe udokotela wakho.
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