Izinkinga zenhliziyo ngemva kwe-COVID-19? Ake sixoxe ngalokhu!

Ingabe nawe uke waba ne-COVID-19 wabe usululama? Noma ingabe kukhona omaziyo oke wahlushwa yi-COVID-19? Enye yezinto okukhulunywa ngazo kakhulu kulezi zinsuku ukuthi ngabe i-COVID-19 ingaba nomthelela enhliziyweni. Lokhu kuyinto okufanele uyicabangele ngempela. Ake sixoxe ngalokhu ngokuningiliziwe futhi namuhla, akunjalo?

Ingabe i-COVID-19 ingadala isifo senhliziyo?

Yebo, empeleni, uma uthola i-COVID-19, kungaba yisifo esincane noma esibi kakhulu, ungase ube sengozini enkulu yokuba nesifo senhliziyo noma ukwehluleka kwenhliziyo . Akuvamile kakhulu ukuthi igciwane elibangela i-COVID-19 lithelele ngqo imisipha yenhliziyo. Kodwa izinkinga ezibangelwa yileli gciwane emzimbeni wonke zingalimaza inhliziyo.

Ngisho nomuntu ongakaze abe nesifo senhliziyo ngaphambili angase abe nezinkinga zenhliziyo ngemva kwe-COVID-19. Kodwa uma usuvele unesifo senhliziyo, noma isifo senhliziyo , usengozini enkulu. Futhi uma unezici eziyingozi njengomfutho wegazi ophakeme, isifo sikashukela , ukukhuluphala ngokweqile , noma i-cholesterol ephezulu , usengozini enkulu yokuthola izinkinga ezinkulu. I-COVID-19 ingathinta inhliziyo kokubili ngenkathi igciwane lisemzimbeni nangemva kokuba seliphumile emzimbeni.

I-COVID-19 iyithinta kanjani isimiso sakho senhliziyo nemithambo yegazi?

Ezinye izinkinga zenhliziyo - njengokulimala kwemisipha yenhliziyo - zingavela uma une-COVID-19. Lo monakalo emisipheni yenhliziyo (ukulimala kwe-myocardial) ukufa kwamaseli emisipha yenhliziyo. Ngezinye izikhathi abantu abanalolu hlobo lomonakalo ababonisi zimpawu. Abanye bangase babe nezimpawu ezifana nobuhlungu besifuba , ukuphelelwa umoya (ukuphelelwa umoya) , noma ukuvuvukala emilenzeni. Udokotela angakuxilonga lokhu ngokuhlolwa kwegazi kanye nokuthwebula izithombe zenhliziyo .

Abacwaningi basazama ukuthola ukuthi bangaki abantu abane-COVID-19 abathola ukulimala kwenhliziyo. Uma sikhuluma nje, kulinganiselwa ukuthi kusukela ku-7% kuya ku-40% wabantu bazoba nalesi simo. Sivame kakhulu kubantu abagulayo ngokwanele ukuthi badinga ukunakekelwa kweyunithi yokunakekelwa okujulile (ICU). Uma inhliziyo yakho ilimele, usengozini enkulu yezinkinga njengoba umzimba wakho ulwa negciwane.

Ukuvuvukala okubangelwa yi-COVID-19 kulimaza kanjani inhliziyo?

Ucwaningo lusikisela ukuthi ukuvuvukala kuyimbangela eyinhloko yokulimala kwenhliziyo okubangelwa yi-COVID-19. Uma uqala ukutheleleka, amasosha omzimba wakho ayaqala ukusebenza. Lokhu kubangela ukuthi kukhishwe amaseli okuvuvukala nama-cytokine.Ukukhiqizwa kwezinto ezibizwa ngokuthi ama-cytokine. Lawa ma-cytokine amaprotheni amancane avuselela impendulo yomzimba. Eqinisweni, lokhu kuvuvukala, okungukuthi, ukuvuvukala, kuyinqubo umzimba wethu oyidingayo futhi osizayo.

Kodwa-ke, i-COVID-19 ibangela abanye abantu ukuba babe nokuvuvukala okukhulu emizimbeni yabo. Lesi simo sibizwa ngokuthi i-cytokine release syndrome noma 'i-cytokine storm' . Lokhu kuvame ukubonakala ezimweni ezimbi kakhulu ze-COVID-19. Lokhu kuvuvukala okweqile kungalimaza uhlelo lwakho lwenhliziyo ngezindlela eziningi. Isibonelo:

• I-Arrhythmia: Lokhu kuvuvukala kungashintsha izimpawu zikagesi enhliziyweni. Ngenxa yalokho, inhliziyo ingase ilahlekelwe yisigqi sayo esijwayelekile. Uma usuvele une-arrhythmia, lesi siphepho se-cytokine singenza kube kubi kakhulu.
• Amahlule Egazi: Uma ukuvuvukala kuthinta ulwelwesi lwangaphakathi (i-endothelium) lwemithambo yakho yegazi, kuba nengozi eyengeziwe yamahlule egazi, ukuhlaselwa yinhliziyo, noma isifo sohlangothi.
• I-Myocarditis: Lokhu ukuvuvukala kwemisipha yenhliziyo. Abantu abane-COVID-19 basengozini enkulu yokuthola i-myocarditis kunalabo abangenayo i-COVID-19.
• I-Pericarditis: Lokhu ukuvuvukala kolwelwesi oluzungeze inhliziyo. Lokhu kungabangela ubuhlungu esifubeni kanye nokunqwabelana koketshezi oluzungeze inhliziyo.
• Ukwehluleka Kwenhliziyo: Lokhu kubangelwa ukunqwabelana okungadingekile koketshezi kanye nokuvuvukala (i-edema) emaphashini nasemzimbeni.

Abantu abanesifo senhliziyo noma izinto eziyingozi basengozini enkulu

Abantu abaningi abalaliswe esibhedlela ngenxa ye-COVID-19 banezinkinga zenhliziyo ezingaphansi. Futhi, abantu abanesifo senhliziyo banamathuba amaningi okuthola isifo se-cytokine.

Uma unezinye zezimo ezilandelayo, usengozini enkulu yokuthola izinkinga ezivela ku-COVID-19:

• Ukwehluleka Kwenhliziyo
• Isifo Semithambo Yenhliziyo (CAD)
• I-cardiomyopathy
• Isifo Sezinso Esingapheli (CKD)
• Isifo Sikashukela (i-Diabetes Mellitus)
• Ukukhuluphala ngokweqile/Ukukhuluphala ngokweqile
• Uma uke waba nesifo sohlangothi ngaphambilini
• Umfutho wegazi ophezulu (i-Hypertension)
• Isifo Se-Sickle Cell
• I-Thalassemia

Ingabe i-COVID-19 ingadala ukuhlaselwa yinhliziyo noma isifo sohlangothi?

I-COVID-19 ingandisa ingozi yakho yokuba nesifo senhliziyo noma isifo sohlangothi, ikakhulukazi uma uke walaliswa esibhedlela. Kodwa abacwaningi basaphenya ngalokhu. Ukuvuvukala kuyimbangela enkulu lapha. Kukhulisa ingozi yokuqhekeka kwegazi futhi kunciphisa ikhono lomzimba lokuzihlanza ngokwawo.

Uma igazi liqina, izitho zakho zomzimba, okuhlanganisa nenhliziyo yakho, ziyeka ukuthola umoya-mpilo. Uma lokhu kwenzeka, usengozini yokuba nesifo senhliziyo. Lokho kusho ukuthi inhliziyo yakho ayitholi igazi elanele elinomoya-mpilo. Ukulinganisa i-enzyme ebizwa ngokuthi i-troponin egazini lakho kungasiza odokotela ukuthola isifo senhliziyo.

Ungalibazisi ukuqokwa kwezokwelapha noma ukwelashwa okuphuthumayo.

Abacwaningi bazoqhubeka nokufunda kabanzi nge-COVID-19 nezinkinga zenhliziyo, kodwa okwamanje, ukuhlaselwa yinhliziyo kusaqhubeka kubantu abangenayo i-COVID-19.

"Ngesikhathi sobhubhane, abantu abaningi baye bagwema ukubona odokotela nokuya ezibhedlela. Nakuba kujwayelekile ukwesaba ukuthola i-COVID-19, akufanele uhlehlise ukufuna ukwelashwa. Kuphephile kakhulu ukubona udokotela noma ukuya esibhedlela kunokungazinaki izimpawu ezingaba yingozi empilweni."

Uma unezimpawu zokuhlaselwa yinhliziyo, shayela u-911 (noma inombolo yakho yesimo esiphuthumayo yasendaweni) ngokushesha. Ukwelashwa okusheshayo kubalulekile ukuvimbela ukulimala okwengeziwe enhliziyweni yakho. Futhi, ungaphuthelwa ama-aphoyintimenti akho avamile kadokotela. Tshela udokotela wakho uma unezimpawu noma izinkinga ezintsha. Uma une-COVID-19, xoxa ngokuthi ikuthinte kanjani.

Ingabe nami ngizoba nezinkinga zenhliziyo ngemva kwe-COVID-19?

Abanye abantu baqala ukuba nezinkinga zenhliziyo ngemva kwe-COVID-19. Usengozini enkulu uma ubusegunjini lokunakekelwa okujulile (ICU) noma usebenzisa umshini wokuphefumula . Kodwa-ke, ngisho nabantu abalulama kalula ku-COVID-19 bangaba nezinkinga zenhliziyo kamuva.

Lezi zinkinga zingavela uma unesifo esibizwa ngokuthi i-Long COVID . Lokhu kubizwa nangokuthi i-Post-acute coronavirus (COVID-19) syndrome . Uma une-Long COVID, kusho ukuthi impilo yakho ayikabuyeli esimweni eyayikuso ngaphambi kokuba ugule.

Odokotela babheka uphawu lwamasonto amane njengengqophamlando ebalulekile. Uma usune-COVID-19 amasonto amane futhi usenezinkinga, ungase ube ne-COVID yesikhathi eside. Lokhu kungakuthinta ngezindlela ezahlukene.

Izimpawu ezintsha noma eziqhubekayo

Abantu abagula kakhulu nge-COVID-19 bangase babe nezimpawu ezintsha noma eziqhubekayo. Futhi, abantu abane-COVID-19 encane noma abangenazo izimpawu bangase babe nezinkinga eziqhubekayo. Ukukhathala, ukuphefumula kanzima, kanye 'nenkungu yobuchopho' yizinkinga ezivame kakhulu. Izimpawu ezingase zihlobane nenhliziyo yakho zifaka:

• Ubuhlungu besifuba obukhula uma uphefumula kakhulu.
• Ukushaya kwenhliziyo .
• Ukushaya kwenhliziyo okusheshayo (i-Tachycardia) .
• Ukuzizwa unesizungu noma uzizwa ukhathazekile.
• Ubunzima bokuphefumula ngesikhathi sokuzivocavoca.

Uma unezinye zalezi zimpawu, shayela udokotela wakho ngokushesha umtshele ukuthi uzizwa kanjani. Udokotela wakho angase afune ukwenza ezinye izivivinyo, njenge -electrocardiogram (EKG) noma i- echocardiogram, ukuhlola ukusebenza kwenhliziyo yakho.

Imiphumela nakwezinye izitho zomzimba

Igciwane le-COVID-19 lingathinta izitho eziningi zomzimba nezinhlelo, njengenhliziyo yakho, amaphaphu, ubuchopho nezinso.

Igciwane le-SARS-CoV-2 linamathisela iphrotheni yalo ekhulayo kumaprotheni emzimbeni wakho abizwa ngokuthi ama-ACE2 receptors. Lawa ngamaprotheni atholakala kuwo wonke umzimba wakho, kufaka phakathi enhliziyweni nasemaphashini akho. Ama-ACE2 receptors atholakala nasolwelweni lwemithambo yegazi yakho. Lokhu kuvumela igciwane le-SARS-CoV-2 ukuthi linamathele kalula kuma-ACE2 receptors akho futhi lisakazekele ezithweni eziningi zomzimba, okubangela umonakalo. Isibonelo:

• Amaphaphu: Igciwane le-COVID-19 lingalimaza amaphaphu akho kakhulu kune-flu evamile. Ezimweni ezimbi kakhulu ze-COVID-19, izicubu zamaphaphu zingaba lukhuni futhi zibe nezibazi (fibrosis) .
• Ubuchopho: I-COVID-19 ingabangela ukulimala kobuchopho ngenxa yokuntuleka komoya-mpilo ebuchosheni.
• Izinso: I-COVID-19 ingabangela ukuthi izinso zakho zingasebenzi kahle.

Ngenxa yokuthi i-COVID-19 ingathinta umzimba wakho wonke, kubalulekile ukuthatha izinyathelo zokuphepha ukuze ugweme ukuthola igciwane. Ukugonywa kuyindlela engcono kakhulu yokuzivikela wena nabanye. Futhi, gqoka imaski kahle uma kudingeka, hlala ekhaya uma ugula, futhi ugeze izandla zakho njalo.

Imiphumela yokwelashwa kanye nokulaliswa esibhedlela

Izinselele zokwelashwa kanye nokuhlala isikhathi eside esibhedlela aziyona into eyenzeka ku-COVID-19 kuphela. Ungase uzizwe ubuthakathaka kakhulu futhi ukhathele. Noma ungase ube nesifo sokucindezeleka ngemva kwenhlekelele (PTSD).Izimpawu zingase zivele.

Khuluma nodokotela wakho ngendlela ozizwa ngayo. Kuvamile ukuzizwa ungaphilile isikhashana ngemuva kokuba usululame ku-COVID-19. Zinike isikhathi sokululama futhi ubuyele esimisweni sakho esijwayelekile. Awuwedwa. Udokotela wakho uzosebenza nawe ukuze anqume indlela engcono kakhulu yokukusiza ohambweni lwakho lokululama.

Ukululama ku-COVID-19 kuyinto enhle kakhulu. Kodwa kungase kudingeke ubhekane nezinkinga zenhliziyo ngemva kwe-COVID-19. Lokhu kuyiqiniso, futhi ukukhathazeka kwakho kunengqondo. Ungesabi ukubuza udokotela wakho imibuzo mayelana nokuthi uzizwa kanjani. Qiniseka ukuthi ulandela izincomo zikadokotela wakho ngqo, futhi ugcine wonke ama-aphoyintimenti akho.

Yiziphi izinto ezibaluleke kakhulu okufanele sizithathe ekhaya kule ndaba?

Kulungile, ngakho-ke, kunezinto ezimbalwa okudingeka uzikhumbule kulokho esikhulume ngakho namuhla:

• I-COVID-19, noma ngabe incane, ingathinta inhliziyo. Ngakho-ke qaphela izimpawu.
• Uma usuvele unesifo esifana nesifo senhliziyo, isifo sikashukela, noma umfutho wegazi ophakeme, khathazeka kakhulu ngezinkinga ezivela ku-COVID-19.
• Uma uzwa ubuhlungu obusha esifubeni, ubunzima bokuphefumula, noma ukushaya kwenhliziyo okusheshayo ngemva kwe-COVID-19 , funa iseluleko sezokwelapha ngokushesha.
• Ungalibazisi ukuya emtholampilo. Ungazinaki izimpawu eziphuthumayo.
• Zivikele ku-COVID-19 ngokugonywa nangokulandela ezinye izinyathelo zokuphepha zempilo.
• Uma unezinkinga eziqhubekayo ngemva kwe-COVID-19, awuwedwa. Funa iseluleko nokusekelwa kwezokwelapha.

"Inhliziyo yakho iyimpahla eyigugu kakhulu empilweni yakho. Kungumthwalo wakho ukuyinakekela. Sithemba ukuthi lolu lwazi luzoba wusizo kuwe. Hlala uphilile!"

I- Covid, isifo senhliziyo, inhliziyo, ukuvuvukala, amahlule egazi, i-Covid yesikhathi eside, izimpawu