Sonke sidlule kubhubhane lwe-Covid. Abanye abantu babe nesikhathi esinzima, abanye bamane baba nomkhuhlane futhi waphela. Kodwa-ke, ngemva kokululama ku-Covid, abanye abantu basazizwa bengaphilile kahle. "Dokotela, angisazizwa ngendlela engangizizwa ngayo, sengikhathele kancane manje," "Isifuba sami sizizwa siqinile kancane," ingabe nawe uzizwa lokhu? Ngakho-ke namuhla, ake sixoxe ngobuhlobo phakathi kwe-Covid-19 nenhliziyo yethu. Ingabe lokhu kuyinto okufanele siyesabe? Yini okudingeka siyazi? Ake sixoxe ngakho konke lokhu ngokucacile nangokulula.
Ingabe i-Covid-19 iyayithinta ngempela inhliziyo?
Impendulo elula ithi, yebo, ingenzeka . Kungakhathaliseki ukuthi unecala elibi le-COVID-19 noma unecala elincane futhi uyalulama, kunethuba lokuthi uzoba nezinkinga zenhliziyo. Lokhu akusho ukuthi uzoba nesifo senhliziyo. Kodwa ingozi inganda kancane.
Cabanga ngakho, isikhathi esiningi, igciwane elibangela i-Covid aliyi ngqo emisipheni yenhliziyo bese liyithelela. Lokho kwenzeka kaningi. Kodwa kukhona okunye okwenzekayo. Lapho igciwane lingena emizimbeni yethu, amasosha omzimba wethu aqala ukulwa nalo. Kungenxa yezinye zezindlela ezenzeka kule mpi ukuthi inhliziyo yethu ingalimala.
Kufanele uqaphele kakhudlwana, ikakhulukazi uma unesifo senhliziyo esivele sikhona (`(Isifo senhliziyo)`), izici eziyingozi njengomfutho wegazi ophezulu (`(Umfutho wegazi ophezulu)`), isifo sikashukela (`(Isifo Sikashukela)`), ukukhuluphala ngokweqile (`(Ukukhuluphala ngokweqile)`), noma i-cholesterol).
I-Covid-19 iyithinta kanjani isimiso sethu senhliziyo nemithambo yegazi?
Ngesikhathi sokutheleleka yi-COVID-19, inhliziyo ingathinteka. Enye yezinto eziyinhloko ukulimala kwemisipha yenhliziyo (`ukulimala kwe-Myocardial`). Kalula nje, lokhu ukufa kwamaseli emisipha yenhliziyo. Abanye abantu ababonisi zimpawu lapho kwenzeka lo monakalo. Kodwa abanye bangase babe nezimpawu ezifana nobuhlungu besifuba, ukuphelelwa umoya (ukuphelelwa umoya), noma ukuvuvukala kwemilenze. Udokotela angaxilonga lesi simo ngokuhlolwa kwegazi kanye nokuskena kwenhliziyo.
Ukuvuvukala kuyimpande yakho konke.
Ucwaningo luthole ukuthi imbangela eyinhloko yokulimala kwenhliziyo ngenxa ye-Covid ukuvuvukala ngokweqile emzimbeni, okungukuthi, ukuvuvukala.
Cabanga ngale ndlela. Uma igciwane lingena emizimbeni yethu, izivikelo zomzimba wethu, isimiso somzimba sokuzivikela, zilungiselela ukulwa. Umzimba ukhiqiza amaprotheni amancane abizwa ngokuthi ama-cytokine asiza kulokhu kulwa. Lokhu ngokuvamile kuyinto enhle.
Kodwa-ke, kwabanye abantu, le mpendulo iba nzima kakhulu. Kufana nokuletha ibutho elikhulu empini encane. Lokhu kubizwa ngokuthi `(Cytokine release syndrome)` noma `(Cytokine storm).` Lokhu kuvuvukala okweqile kungalimaza hhayi inhliziyo yethu kuphela, kodwa nemithambo yegazi yethu.
Yini engenzeka enhliziyweni ngenxa yalokhu kuvuvukala okweqile?
Lesi `(isiphepho se-Cytokine)` singathinta uhlelo lwethu lwenhliziyo nemithambo yegazi ngezindlela ezahlukene. Ake sibheke imiphumela eyinhloko.
| Isimo esingenzeka | Kalula nje... |
|---|---|
| Ukuphazamiseka kwenhliziyo (i-Arrhythmia) | Ukuvuvukala kungaphazamisa uhlelo lokubonisana lukagesi lwenhliziyo, okubangela ukuba inhliziyo ishaye ngokungajwayelekile, ngokushesha, kancane, noma ngokungajwayelekile. |
| Amahlule egazi | Uma ukuvuvukala kuthinta izindonga zangaphakathi zemithambo yethu yegazi, ingozi yokuqhekeka kwegazi iyanda. Uma la maqhubu egazi eya enhliziyweni noma ebuchosheni, angabangela ukuhlaselwa yinhliziyo noma isifo sohlangothi. |
| Ukuvuvukala kwemisipha yenhliziyo (i-Myocarditis) | Yilapho imisipha yenhliziyo ivuvukala khona. Lesi simo sivamile kubantu abane-COVID. |
| Ukuvuvukala kolwelwesi oluzungeze inhliziyo (i-pericarditis) | Ulwelwesi oluvikela inhliziyo luyavuvukala. Lokhu kungabangela ubuhlungu esifubeni kanye nokunqwabelana koketshezi oluzungeze inhliziyo. |
| Ukwehluleka kwenhliziyo | Lokhu akusikho ukuhlaselwa yinhliziyo. Lesi yisimo lapho inhliziyo ingakwazi ukupompa igazi elanele emzimbeni. Lokhu kungabangela uketshezi olunqwabelanayo emaphashini nasemzimbeni, okubangela ukuvuvukala emilenzeni nasezinyaweni. |
Ungalibali ukufuna iseluleko sezokwelapha!
Ukwazi konke lokhu kungaba yinto eyesabekayo kancane. Kodwa into ebaluleke kakhulu ukunaka umzimba wakho nokufuna iseluleko sezokwelapha uma kudingeka.
Ngesikhathi sobhubhane, abantu abaningi babesaba ukuya esibhedlela noma ukubona udokotela. Kodwa kuyingozi nakakhulu ukunganaki izimpawu ezingaba yingozi empilweni ngenxa yalolo valo.
Uma ngokuzumayo uzwa ubuhlungu obukhulu esifubeni, ubunzima obukhulu bokuphefumula, noma umuzwa wokuba ndikindiki engalweni eyodwa, iya e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze ngokushesha. Ukuthola ukwelashwa ngokushesha ngalesi sikhathi kungavimbela ukulimala okukhulu enhliziyweni yakho.
Futhi, ungayeki ukuhlolwa kwakho okuvamile kwezokwelapha. Uma uthola izimpawu ezintsha, khuluma nodokotela wakho ngazo. Uma uke waba ne-COVID, mtshele ukuthi iwuthinte kanjani umzimba wakho.
'I-COVID ende' nezinkinga zenhliziyo
Abanye abantu bayaqhubeka nokuba nezimpawu ezithile amasonto noma izinyanga ngemva kokuba belulame ku-COVID. Lokhu kubizwa ngokuthi 'i-Long COVID' noma '(Post-acute coronavirus syndrome)'. Uma usenezinkinga amasonto amane ngemva kokuba une-COVID, kungaba 'i-Long COVID'.
Kunezimpawu eziningana ezingase zihlobane nenhliziyo kulesi simo 'se-COVID eside':
- Ubuhlungu besifuba obukhula uma uphefumula kakhulu.
- Ukuzwa inhliziyo yakho ishaya ngokushesha noma ishaya ngamandla (`(Ukushaya kwenhliziyo)`).
- Inhliziyo esheshayo (i-Tachycardia).
- Ukuzizwa unesizungu noma ubuthakathaka.
- Ngisho nokuzivocavoca okuncane kungabangela ukukhathala okukhulu.
Uma unezinye zalezi zimpawu, ungesabi futhi ukhulume nodokotela wakho ngokushesha. Angenza izivivinyo ezifana ne-EKG noma i-Echocardiogram ukuhlola ukuthi inhliziyo yakho isebenza kanjani.
Ingabe i-Covid ithinta ezinye izitho zomzimba?
Yebo. Igciwane le-Covid lingathinta hhayi inhliziyo kuphela, kodwa nezinye izitho ezibalulekile njengamaphaphu, ubuchopho nezinso.
Isizathu salokhu ukuthi igciwane le-Covid lisebenzisa into ebizwa ngokuthi `(ama-ACE2 receptors)` ukungena emaseli omzimba wethu. Lawa `(ama-ACE2 receptors)` afana 'nesihluthulelo' esivula umnyango wokuthi igciwane lingene emaseli. Lawa 'mahluthulelo' atholakala kakhulu enhliziyweni yethu, emaphashini, emithanjeni yegazi nasezinso. Ngakho-ke, kulula ukuthi igciwane lilimaze lezi zitho zomzimba.
- Amaphaphu: Ukutheleleka okukhulu kwe-COVID kungabangela ukuthi izicubu zamaphaphu zijiye futhi zibe nezibazi. Lokhu kubizwa ngokuthi "i-Fibrosis".
- Ubuchopho: Ukwehla kwenani lomoya-mpilo oludingwa ubuchopho kungabangela ukulimala kobuchopho.
- Izinso: I-COVID ingabangela nokwehluleka kwezinso.
Ngakho-ke, kubaluleke kakhulu ukuzivikela egciwaneni le-COVID-19. Le ngozi ingancishiswa ngokulandela imikhuba emihle yezempilo njengokugonywa, ukugqoka imaski uma kudingeka, nokugeza izandla zakho njalo.
Ukululama ku-COVID akulula. Kuvamile ukuzizwa usinda uma ucabanga ngezinkinga ezinjalo zenhliziyo ngisho nangemva kwalokho. Kodwa ungesabi ukukhuluma ngokukhululekile nodokotela wakho ngezinkinga zakho. Landela iseluleko sakhe bese uthola ukwelashwa okufanele. Uzolulama maduze.
Umlayezo Wokuya Nawe Ekhaya
- Ukutheleleka kwe-Covid-19, noma ngabe kuncane kangakanani, kungathinta inhliziyo.
- Isizathu esiyinhloko salokhu ukuvuvukala okukhulu okubangelwa yigciwane emzimbeni, hhayi igciwane elihlasela inhliziyo ngqo.
- Uma unezinye izifo ezifana nesifo sikashukela noma umfutho wegazi ophakeme, ingozi yakho iphakeme kancane.
- Ungalokothi ungazinaki izimpawu ezifana nobuhlungu besifuba obungazelelwe noma ubunzima bokuphefumula. Yiya eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU) ngokushesha.
- Uma usabhekene nokukhathala okungajwayelekile, ukuphelelwa umoya, noma ubuhlungu besifuba emavikini amane ngemuva kokululama kwe-COVID (i-Long COVID), khuluma nodokotela wakho ngakho.
- Kungcono ukukhuluma nodokotela ngezinkinga zakho zempilo ngaphandle kokwesaba.
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