Kuthiwani uma uthola i-COVID-19 ngesikhathi ukhulelwe? Ake sixoxe ngalokhu!

Uma ulindele umntwana kulezi zinsuku, cishe ukhathazekile kancane ngobhubhane lwe-COVID-19, akunjalo? Ungase ukhathazeke ngokuthi kuzokwenzekani kuwe nakumntanakho uma ungangenwa yi-COVID ngokuzumayo. Kodwa ungakhathazeki. Isayensi yezokwelapha isithuthuke kakhulu manje, futhi sazi okuningi nge-COVID kunangaphambili. Ngakho-ke, kungakhathaliseki ukuthi uhlolwe waba ne-COVID ekhaya noma uma ucabanga ukuthi unezimpawu ze-COVID, kubalulekile ukutshela udokotela wakho ngokushesha.

Kwenzekani uma uthola i-COVID ngesikhathi sokukhulelwa?

Kalula nje, uma uthola i-COVID-19 (igciwane le-SARS-CoV-2) ngesikhathi ukhulelwe, kungenzeka ukuthi unesifo esibi kakhulu kunomuntu ongakhulelwe. Kodwa ungakhathazeki, lokhu akusho ukuthi kuyafana kuwo wonke umuntu.

Manje, odokotela bazi okuningi ngegciwane kunangesikhathi kuqala ubhubhane lwe-COVID-19. Bafunda izinto ezintsha ngaso sonke isikhathi. Ngakho-ke, uma ucabanga ukuthi unezimpawu ze-COVID, noma uma uthola ukuhlolwa kwe-COVID okuhle ekhaya, bona umhlinzeki wakho wokunakekelwa kokukhulelwa ngokushesha. Angakusiza ukuthi uphathe izimpawu zakho futhi unqume ukuthi udinga ukunakekelwa okuphuthumayo yini.

Yiziphi izingozi zokuthola i-COVID ngesikhathi sokukhulelwa?

Uma uthola i-COVID-19 ngesikhathi ukhulelwe, kunengozi yezinkinga ezithile. Lokhu kungenxa yokuthi amasosha omzimba wakho, inhliziyo, namaphaphu kuyashintsha ngesikhathi sokukhulelwa. Lezi zinguquko zikwenza ube sengozini enkulu yokugula kakhulu ngenxa yamagciwane okuphefumula afana ne-COVID-19.

Cabanga ngakho, isimiso sakho somzimba sokuzivikela sisebenza ukuvikela wena nomntwana wakho ongakazalwa ezifweni. Ngenxa yalokho, ezinye izingxenye zesimiso sakho somzimba sokuzivikela ziba buthakathaka kancane, ngoba ingxenye yaso ivikela nengane yakho. Lokhu kungakwenza ube sengozini enkulu yokutheleleka okuthile. Futhi, izinguquko ohlelweni lwakho lokuphefumula, isibonelo, i-diaphragm ecindezelwayo phezulu, zingabangela ubunzima bokuphefumula.

Uma uthola i-COVID ngenkathi ukhulelwe, cishe uzoba nezimpawu ezincane . Kodwa-ke, izifundo zikhombisile ukuthi uma uba ne-COVID-19 emaphakathi noma enzima, ungase ube sengozini enkulu yezinkinga ezilandelayo:

• Izinkinga zokujiya kwegazi : Lokhu kusho ukuthi igazi lingajiya ngokuzenzekelayo ngaphakathi emithanjeni.
• Ukuvinjelwa kokukhula kombungu : Ngesikhathi esesibelethweni, umntwana angakhula kancane kunesilinganiso sokukhula esivamile sobudala bakhe.
• Isifo sikashukela sokukhulelwa : Isifo sikashukela esenzeka ngesikhathi sokukhulelwa kuphela.
• Ukopha ngemva kokubeletha : Ukopha ngokweqile ngemva kokubeletha.
• Isisindo sokuzalwa esiphansi: Ingane enesisindo esingaphansi kwamakhilogremu angu-2.5 (amakhilogremu angu-5, ama-ounces angu-8) ngesikhathi izalwa.
• I-Preeclampsia : Isimo esiyingozi esenzeka nomfutho wegazi ophezulu ngesikhathi sokukhulelwa.
• Ukuzalwa ngaphambi kwesikhathi : Ukuzalwa ngaphambi kwamasonto angu-37.
• Ukuzalwa Kwengane Efile : Abacwaningi basathola ingozi eqondile yalokhu.

Ingozi yalezi zinkinga iphezulu kakhulu ku-trimester yesithathu (kusukela ngesonto lama-29). Lokhu kungenzeka ukuthi amaphaphu acindezeleke kakhulu ngalesi sikhathi. Kodwa-ke, khumbula, ingozi iyonke yezinkinga ezinkulu ezivela ku-COVID ngesikhathi sokukhulelwa isephansi kakhulu.

Yiziphi ezinye izinto ezingabangela ukugula okukhulu ngenxa ye-Covid ngesikhathi sokukhulelwa?

Ngesikhathi ukhulelwe, ingozi yakho yokugula kakhulu ngenxa ye-COVID inganda uma unezimo ezilandelayo:

• Uma unezinye izimo zezokwelapha ezingamahlalakhona njengesifo sikashukela , umfutho wegazi ophakeme , noma isifo senhliziyo .
• Uma isisindo somzimba wakho singaphezu kwesilinganiso esijwayelekile (`Okhuluphele kakhulu` noma `Ukukhuluphala ngokweqile`) .
• Uma unezindawo zokwelapha ezilinganiselwe noma ungenazo nhlobo izikhungo.

Ingabe igciwane le-Covid lingadlula ku-placenta liye enganeni?

Ucwaningo olwanyatheliswa ngo-2024 lwathola ukuthi izingcezu ezincane kakhulu zamaprotheni zegciwane le-Covid-19 zingawela i-placenta . Lokhu okutholakele kusikisela ukuthi ukusabalala kwegciwane kusuka kumama okhulelwe kuya kumntwana wakhe osesiswini (okubizwa ngokuthi 'ukudluliselwa okuqondile ') kungase kuvame kakhulu kunalokho abacwaningi ababekucabanga ngaphambili.

Ngaphezu kwalokho, lolu cwaningo luthole ukuthi impendulo yamasosha omzimba wakho ekuthelelekeni nge-COVID-19 ingathinta ingane esanda kuzalwa. Ngokukhethekile, ingabangela ukusabela kokuvuvukala engane esanda kuzalwa, yize kungekho bufakazi bokuthi ingane esanda kuzalwa ine-COVID-19.

Izifundo ezivela kwiNational Institutes of Health (NIH) zibonisa ukuthi inani elincane kakhulu lezingane lizalwa line-COVID-19. Odokotela abakakwazi ukusho ngokuqinisekile ukuthi ingane yayitheleleke ngaleli gciwane ngaphambi, ngesikhathi, noma ngemva kokuzalwa.

Ingabe izimpawu ze-Covid zihlukile ngesikhathi sokukhulelwa?

Cha, izimpawu ziyafana. Izimpawu eziningi ziqala njengomkhuhlane . Kodwa zingaba zimbi kakhulu.

Lezi kungaba izimpawu ezincane ze-COVID-19 ngesikhathi sokukhulelwa:

• Imfiva
• Ukugodola
• Ukukhwehlela kanye nokuminyana kwamakhala
• Ikhanda elibuhlungu kanye nobuhlungu bomzimba
• Ukukhathala
• Ukulahlekelwa okusha kokunambitha noma iphunga

Uma unezinye zezimpawu ezilandelayo ezinzima , kufanele ufune usizo lwezokwelapha oluphuthumayo ngokushesha :

• Ukuphefumula okunenkinga
• Ubuhlungu noma ingcindezi esifubeni sakho
• Ukudideka, ukulahlekelwa ukwazi
• Ukungakwazi ukuvuka noma ukuhlala uphapheme

I-Covid-19 ithuthuka kanjani?

I-COVID-19 ibangelwa yigciwane elibizwa ngokuthi i-'SARS-CoV-2' (Severe Acute Respiratory Syndrome Coronavirus 2) . Ama-Coronaviruses ayiqembu lamagciwane angabangela izifo zokuphefumula kubantu. Ungayithola kumuntu osevele ethelelekile yileli gciwane. Lokhu kungenzeka ngezindlela ezilandelayo:

• Uphefumula amaconsi okuphefumula aphuma lapho umuntu onegciwane ekhwehlela noma ethimula.
• Uma usondelene nomuntu onegciwane (njengokuxhawulana noma ukuxhawulana) bese uthinta ubuso bakho.

Ungayithola kanjani i-Covid ngesikhathi sokukhulelwa?

I-COVID-19 itholakala ngesikhathi sokukhulelwa ngendlela efanayo naleyo etholakala ngayo kumuntu ongakhulelwe. Udokotela wakho angase asole i-COVID-19 ngokusekelwe ezimpawini zakho kanye nokuchayeka okungenzeka kugciwane. Kodwa-ke, ukuhlolwa kwelabhorethri, okubandakanya ukuthatha i-swab yamakhala, kungaqinisekisa i-COVID-19.

Yini okufanele uyenze uma uhlolwe ukuthi une-COVID ngesikhathi sokukhulelwa?

Uma uhlolwe watholakala une-COVID-19 ekuhlolweni kwakho ekhaya , into yokuqala okufanele uyenze ukuxhumana nodokotela wakho. Mtshele ngezimpawu zakho. Udokotela wakho anganquma ukuthi une-COVID ngokusekelwe ezimpawu zakho kanye nemiphumela yokuhlolwa kwakho ekhaya. Kwezinye izimo, bangase ba-ode nokuhlolwa kwelebhu ukuqinisekisa ukuxilongwa.

Iphathwa kanjani i-COVID-19 ngesikhathi sokukhulelwa?

Udokotela wakho angase akunike imithi yokwelapha i-COVID-19 ngesikhathi sokukhulelwa. Njengamanje, ukwelashwa okuyinhloko okunconywayo kwe-COVID-19 kwabesifazane abakhulelwe ukuhlanganiswa kwemithi i-normotensive kanye ne-ritonavir (Paxlovid®) . Lona umuthi olwa namagciwane . Utholakala ngamaphilisi amaningana. Udokotela wakho uzokutshela ngqo ukuthi uwuthatha kanjani.

Uma izimpawu zakho zincane, udokotela wakho angase akuncome okulandelayo:

• Ukuphumula kahle.
• Ukuphuza uketshezi olwengeziwe (njengamanzi, ijusi yezithelo).
• Phuza i-acetaminophen (kodwa hhayi i-ibuprofen) ukuze unciphise ubuhlungu.
• Ukusebenzisa i- humidifier ukunciphisa i-mucus.
• I-Dextromethorphan yokunciphisa ukukhwehlelaUkuthatha umuthi oqukethe (ngemuva kokubonisana nodokotela).

Buza udokotela wakho ukuthi kuwumqondo omuhle yini ukusebenzisa i-pulse oximeter ( idivayisi elinganisa amazinga omoya-mpilo egazini) kanye/noma i-blood pressure monitor (idivayisi elinganisa umfutho wegazi) ekhaya. Uzokutshela ukuthi yiziphi izimpawu zesixwayiso nokuthi yini okufanele uyenze uma zenzeka.

Uma izimpawu zakho zinzima, udokotela wakho angase akuncome ukuthi ulaliswe esibhedlela. Lokhu kuzokunikeza ukunakekelwa okwengeziwe. Nakuba ingozi yokulaliswa esibhedlela iphansi, usesengozini enkulu kunomuntu ongakhulelwe. Udokotela wakho uthatha lesi sinyathelo ukuze akuvikele wena nomntwana wakho.

Ingabe kufanele wesabe i-Covid ngesikhathi sokukhulelwa?

Kuvamile ukuzizwa wesaba uma uthola i-COVID ngesikhathi sokukhulelwa. Nakuba ungase uzizwe uhlukile kakhulu kunokuvamile ngesikhathi sokukhulelwa, kanye nokuzizwa ugula, ungase uzibuze nokuthi i-COVID izokuthinta yini ukubeletha.

Yebo, kunezingozi ezithile. Kodwa khumbula lokhu: Iningi labesifazane abakhulelwe abathola i-COVID-19 banezimpawu ezincane kuphela futhi balulama ngokuphelele.

Into ebaluleke kakhulu ukukhuluma nodokotela wakho njalo bese ulandela iseluleko sakhe. Angahlola izimpawu zakho futhi akutshele uma udinga usizo lwezokwelapha ngokushesha.

Khumbula, ukunakekela impilo yakho yinto ebaluleke kakhulu. Phumula ngokwanele, phuza amanzi amaningi, futhi uma uhlala nabanye abantu, zama ukuzihlukanisa nabo uze uzizwe ungcono.

Ingabe ingane ingaba nezinkinga zokuzalwa uma ithola i-Covid ngesikhathi sokukhulelwa?

Ucwaningo lusaqhubeka mayelana nendlela i-COVID-19 ethinta ngayo ingane esanda kuzalwa. Kodwa-ke, izifundo eziningi zibonisa ukuthi ukukhubazeka kokuzalwa noma izifo zokuzalwa ezibangelwa yi-COVID-19 azivamile.

Kufanele ngimbone nini udokotela wami?

Uma izimpawu zakho ze-COVID-19 zingathuthuki ngemva kwezinsuku ezimbalwa, khuluma nodokotela wakho. Iningi lamacala e-COVID-19 lincane futhi lizophela ngokuphumula. Buza udokotela wakho ukuthi yiziphi izimpawu okufanele uziqaphele nokuthi wenzeni uma ungazizwa kahle.

Kufanele ngiye nini e-ER (Igumbi Eliphuthumayo)?

Uma unezinye zezimpawu ezilandelayo, iya ekamelweni lezimo eziphuthumayo eliseduze (ER):

• Umkhuhlane omkhulu (ongaphezu kuka-103 Fahrenheit noma u-39 Celsius)
• Uhudo nokuhlanza
• Ubunzima obukhulu bokuphefumula (`Unenkinga yokuphefumula`)
• Ubuhlungu besifuba
• Ukudideka noma ukudideka
• Ukushintsha kombala wezindebe okuluhlaza okwesibhakabhaka, okumpunga, noma okumhlophe (i-cyanosis)
• Ukudideka, ukudinwa noma ukuba nenkinga yokuhlala uphapheme

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Kuvamile ukuzizwa wesaba uma uthola ukuthi une-COVID-19 ngesikhathi sokukhulelwa. Ungase ube nemibuzo eminingi. Nansi eminye imibuzo ongayibuza udokotela wakho:

• "Dokotela/Nkosikazi, njengoba ngine-COVID, ingabe kukhona ingozi yokuthi ingane yami engakazalwa nayo izoyithola? "
• " Yiziphi izimpawu ezingabhekwa njengezinzima? "
• " Uwubona kanjani umehluko phakathi kokuphelelwa umoya okuvamile ngesikhathi sokukhulelwa kanye nokuphelelwa umoya okukhulu okubangelwa yi-COVID? "
• " Yiziphi izimpawu ezingenza ngicabange ukuthi ngidinga ukuya ku-ER? "
• " Yiziphi izinkinga ezingaba khona zokuthola i-Covid ngesikhathi sokukhulelwa? "
• "Ingabe ngidinga ukuhlukaniswa nomndeni wami wonke? "
• "Ingabe ukuba ne-COVID kuzothinta uhlelo lwami lokuzalwa? "

Yini engingayenza ukuze ngivimbele ukuthola i-COVID ngesikhathi sokukhulelwa?

Izinto ongazenza ukuvimbela ukuthola i-COVID-19 ngesikhathi sokukhulelwa ziyafana nalokho obungakwenza ngokujwayelekile.

• Ukuthola umuthi wokugomela i-COVID-19 kuyindlela engcono kakhulu yokuzivikela egciwaneni. Kuphephile futhi kuyasebenza ukugomela ngesikhathi sokukhulelwa. Kungumqondo omuhle futhi ukuthola umuthi wokugomela umkhuhlane (kanye nanoma yimiphi eminye imithi yokugomela oyincomayo udokotela wakho).

Ezinye izinto ongazenza:

• Geza izandla zakho kahle njalo.
• Gwema abantu abagulayo.
• Hlala kude nabanye ezindaweni ezinabantu abaningi, ezingaphakathi endlini, noma ugweme imicimbi enezixuku ezinkulu.
• Gqoka imaski ezindaweni zomphakathi ezingaphakathi nasezindaweni ezinabantu abaningi ngaphandle.
• Ungathinti amehlo akho, ikhala, noma umlomo kuze kube yilapho izandla zakho sezihlanzekile.
• Hlanza njalo izindawo ezivame ukuthintwa njengezibambo zomnyango, amadivayisi kagesi, kanye namakhawunta.

Kubalulekile futhi ukugcina ama-aphoyintimenti akho ngaphambi kokubeletha. Udokotela wakho angahlola impilo yakho kanye nokukhula komntwana wakho. Angakuqondisa ekuphatheni noma yiziphi izingozi zempilo ezingase zivele ngesikhathi sokukhulelwa.

Umkhuhlane omkhulu ngesikhathi sokukhulelwa (ikakhulukazi phakathi namaviki okuqala angu-12) kwandisa ingozi yezinkinga zokukhulelwa. Ngakho-ke, kubaluleke kakhulu ukuzivikela kuzo zonke izifo ngesikhathi sokukhulelwa, hhayi i-COVID-19 kuphela.

Ekugcineni, kufanele ngithi...

Wenza konke okusemandleni akho ukuze uhlale uphilile futhi uphephile ngesikhathi sokukhulelwa kwakho. Yilapho-ke uthola khona ukuhlolwa kwe-COVID-19 ngokuzumayo. Ukuthola i-COVID-19 ngesikhathi ukhulelwe kungaba yinto ecindezelayo nedidayo. Kodwa ukwazi lokhu kungakusiza ukuthi ukhululeke: Izifundo zibonisa ukuthi abesifazane abaningi abakhulelwe abathola i-COVID banezimpawu ezincane kuphela futhi balulama ngokuphelele.

Kodwa-ke, kungcono ukuqaphela. Uma utholakala une-COVID-19, xhumana nodokotela wakho ngokushesha. Uzokunikeza isiqondiso esidingekayo.

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