Ingabe nawe unenkinga nge-COVID ngemva kokululama? Ake sixoxe nge-Long COVID!

Uke waba ne-COVID futhi wacabanga ukuthi uzoba ngcono ezinsukwini ezimbalwa noma amasonto amabili, kodwa usazizwa ukhathele kakhulu? Noma uzizwa sengathi ikhanda lakho alicacile, futhi unobunzima bokugxilisa ingqondo? Mhlawumbe ukudla owawukujabulela kunambitheka ngendlela engavamile manje, mhlawumbe kunambitheka njengensimbi, noma awukwazi ukuhogela lutho nhlobo? Ungase ungakhumbuli nokuthi sekuphele isikhathi esingakanani kusukela ulale okokugcina. Lezi ezinye zezimpawu ze-Long COVID, esizokhuluma ngazo namuhla.

Kuyini i-Long COVID?

Kalula nje, i-Long COVID iyiqoqo lezimpawu eziqhubeka izinyanga ezintathu noma ngaphezulu ngemva kokuba une-COVID-19 futhi izimpawu zokuqala seziphelile. Akunandaba ukuthi ube ne-COVID-19 encane noma enzima, ingenzeka kunoma ubani. Lezi zimpawu ngezinye izikhathi zingafana nezezifo zokuzivikela komzimba, amaphaphu, inhliziyo, isimiso sezinzwa, noma izifo zengqondo. Ezinye izimpawu zingaba zincane, kanti ezinye zingaba zimbi kakhulu kangangokuthi zenze kube nzima ngawe ukwenza imisebenzi yakho yansuku zonke. Lezi zimpawu zingase zifike zihambe, zishintshe, noma zibe zimbi kakhulu ngokuhamba kwesikhathi. Ungase uzizwe sengathi awukaze ululame ngempela ngemva kokuba ne-COVID.

I-COVID ende yaziwa nangamanye amagama, njenge-COVID ende, i-post-COVID syndrome, noma i-post-acute sequelae ye-COVID-19. Abantu abaningi bafanisa lesi simo ne-Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS). Ngenxa yokuthi inezimpawu eziningi futhi ingabangelwa izinto ezahlukahlukene, ayikho indlela eyodwa yokwelapha esebenza kuwo wonke umuntu.

Ivame kangakanani i-Long COVID?

Okwamanje kulinganiselwa ukuthi phakathi kuka-5% no-10% wabantu abangenwe yi-COVID-19 bangase babe nalezi zimo zangemva kwe-COVID. Kodwa-ke, ngenxa yokuthi izimpawu ziyahlukahluka futhi ubude bezimpawu zabo buyahlukahluka, kunzima ukusho ukuthi bangaki abantu abanazo.

Ziyini izimpawu ze-Long COVID?

I-COVID ende ingadala izimpawu ezahlukahlukene. Abanye abantu bangase babe nezimpawu ezingaphezu kweyodwa, kodwa iningi labantu alinazo zonke ngesikhathi esisodwa. Izimpawu ezimbili ezivame kakhulu ukukhathala, okuwumuzwa wobuthakathaka, kanye nokuphelelwa umoya.

Ezinye izimpawu ezingase zibonakale yilezi:

• Ukulahlekelwa noma ukuguqulwa kwemizwa yokuhogela noma yokunambitha: Abanye abantu bangase bangakwazi ukuhogela noma ukunambitha nhlobo (anosmia). Abanye bangase babhekane nezinguquko emzweni wabo wokunambitha abawubonile ngaphambilini, njengokunambitheka kwensimbi (dysgeusia). Cabanga ngokudla ukudla okuthandayo kodwa ungakwazi ukukunambitha nhlobo.
• Ubunzima bokugxilisa ingqondo - "inkungu yobuchopho": Ubunzima bokucabanga ngokucacile nokugxila. Kuzwakala sengathi ikhanda lakho limbozwe inkungu. Ngezinye izikhathi kunzima ukukhumbula amagama.
• Ukukhwehlela Okungapheli: Ngisho nangemva kokuba i-COVID isiphelile, ukukhwehlela kungaqhubeka izinyanga.
• Ubuhlungu bekhanda: Ubuhlungu bekhanda obuvame ukwenzeka, ngezinye izikhathi obukhulu.
• Ubunzima bokulala noma ukuqwasha: Ungase ube nenkinga yokulala ebusuku, noma ungase ungakwazi ukulala kahle ngisho nalapho ulala.
• Ukucindezeleka: Isimo sokuzizwa ungenathemba, isimo sokungabi nathemba ngakho konke.
• Ukukhathazeka: Ukuzizwa usaba futhi ungakhululekile njalo.
• Ubuhlungu besifuba: Ngezinye izikhathi isifuba singase sibe buhlungu ngisho nalapho uphefumula.
• Ukushaya kwenhliziyo: Umuzwa wokugijima kwenhliziyo noma ukugijima kwenhliziyo.
• Uhudo: Ukuqunjelwa.

Uma uqhubeka nokuba nesinye noma ngaphezulu salezi zimpawu ngemva kokuthola i-COVID, kubalulekile ukukhathazeka.

Yiziphi izimbangela ze-Long COVID?

Ochwepheshe abakakwazi ukuthola imbangela eyodwa ye-Long COVID. Kodwa-ke, amanye ama-coronavirus ayaziwa ukuthi abangela imiphumela yesikhathi eside esikhathini esidlule, njenge-Middle East Respiratory Syndrome (MERS) kanye ne-Severe Acute Respiratory Syndrome (SARS). Ngakho-ke akumangazi ukuthi izimpawu ze-COVID zingahlala isikhathi eside. Kunezici eziningana ezingaba nomthelela ku-Long COVID:

• Amahlule egazi amancane: Lawa mahlule egazi amancane angase angabangeli isenzakalo esikhulu njengesihlava sohlangothi, kodwa angaphazamisa ukusebenza kahle kwamaphaphu akho, ubuchopho, nezinye izitho zomzimba.
• Ukuvuvukala: Amasosha omzimba wakho angase asebenze ngokweqile futhi aqhubeke nokubangela ukuvuvukala ezithweni nasezicutshini zakho, ngisho noma eseqedile ukulwa nokutheleleka kwe-COVID.
• Izinkinga zokuzivikela komzimba: Ngezizathu esingazazi kahle, ngemva kokutheleleka yi-COVID, amasosha omzimba wakho angase aqale ukuhlasela izingxenye zomzimba wakho, njengesifo sokuzivikela komzimba.
• Ukuphikelela kwegciwane: Igciwane le-SARS‑CoV‑2, elibangela i-COVID‑19, lingaqhubeka emzimbeni wakho ngisho nangemva kokuba usululame ekuguleni kokuqala. Ngisho noma uhlolwe ungenayo i-COVID, futhi cishe ngeke uthelele omunye umuntu, igciwane lingaqhubeka nokudala izinkinga emzimbeni wakho.
• Ukuvuselelwa kwamanye amagciwane:Amanye amagciwane angalala emzimbeni wakho ngaphandle kokuthi wena wazi. Lokhu ngezinye izikhathi kungavuselela futhi kubangele izimpawu. Ubufakazi obuthile busikisela ukuthi i-Covid ingavuselela igciwane le-Epstein-Barr (igciwane elibangela i-mono) futhi libangele izimpawu zesikhathi eside.
• Imiphumela yengqondo yesikhathi eside yokugula okunzima: Uma unesimo esibi se-COVID, ikakhulukazi uma ulaliswe esibhedlela, ungase ube nokukhathazeka, ukucindezeleka, noma ezinye izimo zempilo yengqondo ngenxa yalokho.

Ubani osengozini enkulu yokuthola i-COVID ende?

Usengozini enkulu yokuthola i-COVID ende uma:

• Uma ungakagonyelwa i-Covid-19.
• Uma unesimo esibi se-COVID, ikakhulukazi uma uke walaliswa esibhedlela. Kodwa khumbula, ngisho nabantu abane-COVID evamile bangathola i-COVID ende.
• Uma uke waba ne- Multisystem Inflammatory Disorder (MIS-C) ngesikhathi noma ngemva kwe-COVID-19.
• Uma ubunezinye izinkinga zempilo ngaphambi kokuba ube ne-COVID, isibonelo, isifo samaphaphu, ukukhuluphala ngokweqile, isifo sikashukela kanye nomfutho wegazi ophakeme.
• Uma ungowesifazane. (Isizathu sangempela salokhu asikacaci okwamanje, kodwa izifundo zikhombisile lokhu.)

Wazi kanjani ukuthi une-COVID ende?

Odokotela bazonquma ukuthi une-COVID ende yini ngokulalela izimpawu zakho kanye nomlando wakho wezempilo. Bangase futhi benze ezinye izivivinyo ukuze baqonde izimpawu zakho futhi banqume ukuthi bazozelapha kanjani. Kuye ngezimpawu zakho, bangenza lezi zivivinyo ezilandelayo:

• Ukuhlolwa kwegazi: Hlola izinto ezifana nokuvuvukala emzimbeni kanye nokusebenza kwezitho zomzimba.
• Ama-X-ray esifubeni noma ezinye izivivinyo zezithombe: Izithombe zingathathwa ngaphakathi kwamaphaphu akho, ubuchopho, noma ezinye izitho ukuze kubonakale ukuthi kukhona yini izinguquko ezingase zibangele izimpawu zakho.
• Ukuskena kwe-CT: Uma unezinhlobo ezithile zokuvuvukala kwamaphaphu, kungathinta indlela udokotela wakho akuphatha ngayo ngemithi ethile. Udokotela wakho kungadingeka enze ukuskena kwe-CT ukuze abheke lokhu kuvuvukala.
• Ukuhlolwa kokusebenza kwamaphaphu (amaphaphu): Lokhu kuhlolwa kungasiza udokotela wakho azi ukuthi amaphaphu akho asebenza kahle kangakanani.
• I-Electrocardiogram (EKG/ECG) noma i-Echocardiogram (Echocardiogram - Echo): Lezi zivivinyo zisiza odokotela ukuthola ukuthi unezinkinga ngenhliziyo yakho.

Yini engenziwa ukuze kugwenywe i-COVID ende?

Ngeshwa, ayikho ikhambi elilodwa le-Long COVID. Wena nodokotela wakho kungadingeka nizame izindlela zokwelapha eziningana ezahlukene ukuze nithole ukuthi yini enisebenzelayo. Kuye ngezimpawu zenu, izinketho zokwelapha zingafaka:

• Imithi: Odokotela bangelapha ezinye izimpawu nezimo, njengokukhwehlela, ikhanda elibuhlungu, ukukhathazeka, kanye nokucindezeleka, ngemithi. Uma imbangela eyisisekelo (isb., amahlule egazi) ingatholakala ye-Long COVID, leyo nkinga ingelashwa nangemithi.
• I-Stellate ganglion block noma ukuqeqeshwa kabusha kwe-olfactory: Odokotela bangasebenzisa lezi zindlela zokwelapha ukuze bazame ukuthola umuzwa wakho wokuhogela nokunambitha. I-stellate ganglion block iqeda amandla eminye yemizwa entanyeni yakho ethinta umuzwa wakho wokuhogela. Ukuqeqeshwa kabusha kwe-olfactory kusebenzisa amaphunga ajwayelekile ukukhumbuza ubuchopho bakho ukuthi izinto kufanele zinuke kanjani.
• Ukwelashwa ngokomzimba: Ukwelashwa ngokomzimba kuhlanganisa ukuzivocavoca, ukubhucungwa, kanye nokunye ukwelashwa okungakusiza ukunciphisa ubuhlungu nokuthuthukisa ukuhamba.
• Ukuvuselelwa Kwemiphunga: Lolu uhlelo olukhethekile lokuzivocavoca kanye nohlelo lokufundisa olukusiza ukuthi uphefumule kalula futhi ufunde ukuthi ungabhekana kanjani nobunzima bokuphefumula ekhaya.
• Ukwelulekwa: Ukwelulekwa kukunikeza umuntu ongakhuluma naye ukuze akusize ulawule imiphumela yemizwa yokugula okungathí sina noma kwesikhathi eside.

Into ebaluleke kakhulu ukuthi, akudingeki ubhekane nalokhu wedwa. Kubaluleke kakhulu ukufuna iseluleko sezokwelapha.

Yini ongayilindela uma une-COVID ende?

Izimpawu ze-COVID ezinde zingase zifike zidlule, noma zingase zibe ngcono noma zibe zimbi kakhulu ngokuhamba kwesikhathi. "Abantu abaningi abasebenzisa i-long-hour," noma abantu abahlushwa yilesi simo, bagcina belulame. Kodwa ukuthi kuthatha isikhathi esingakanani kuyahlukahluka kumuntu nomuntu. Kungadingeka wenze lezi zinto:

• Bona udokotela wokunakekelwa okuyisisekelo (PCP) kanye nochwepheshe oyedwa noma ngaphezulu ukuze baphathe izimpawu zakho. Uma kukhona umtholampilo we-Long COVID endaweni yakini, bangakudlulisela kuchwepheshe ofaneleka kakhulu izimpawu zakho ezithile.
• Yiba nesineke futhi ungapheli amandla lapho uzama ukuthola ukwelashwa okukusebenzelayo.
• Zinike isikhathi esiningi kunesivamile semisebenzi yakho evamile, futhi uthathe ikhefu elivamile phakathi nosuku. Abanye abantu kungadingeka bathathe ikhefu elide emsebenzini noma esikoleni ukuze balulame.

Izimpawu ezifana nokukhathala zingahlala isikhathi esingakanani ngemva kokuthola i-COVID?

Abantu abaningi bazizwa bekhathele futhi bekhathele amasonto ambalwa ngemva kokuthola i-COVID. Kodwa kwabanye, lokhu kukhathala nezinye izimpawu kungahlala izinyanga noma ngisho nangaphezulu. Abantu abaningi abane-COVID ende baqala ukuba ngcono phakathi kwezinyanga eziyi-12 neziyi-18.

Ingabe i-COVID ende ingavinjelwa?

Ayikho indlela eyodwa yokuvimbela i-COVID ende. Kodwa kunezindlela eziningana zokunciphisa ingozi yakho. Nazi:

• Imithi yokulwa namagciwane: Ucwaningo olulodwa lusikisela ukuthi ukuthatha umuthi wokulwa namagciwane i-Nirmatrelvir (igama lomkhiqizo: i-Paxlovid®) zingakapheli izinsuku ezinhlanu zokuhlolwa ukuthi une-COVID kunganciphisa ingozi ye-COVID yesikhathi eside. Lolu cwaningo lubheke kuphela abantu ababesengozini enkulu ye-COVID enzima. Khumbula, odokotela bavame ukukunikeza imithi yokulwa namagciwane zingakapheli izinsuku ezinhlanu izimpawu zakho ziqalile.
• Ukugonywa: Labo abangakagonyelwa i-COVID basengozini enkulu yokuthola i-COVID ende uma bethelelekile.
• Ukugwema ukutheleleka: Uma ungenayo i-COVID, awukwazi ukuthola i-Long COVID. Unganciphisa ingozi yakho yokuthola i-COVID ngokwenza imikhuba emihle yokugeza izandla nokugqoka imaski evala umlomo wakho kahle (isb., imaski enezingqimba eziningi njenge-N95 noma i-KN95) uma uphakathi kwabanye abantu. Gwema abanye uma wena noma abanye nigula, noma uma othile evezwe yi-COVID.

Kufanele ufune nini iseluleko sezokwelapha?

Bona udokotela uma unanoma yikuphi kwalokhu:

• Izimpawu ze-Covid ezinzima.
• Ngisho noma izimpawu zakho zokuqala zinhle, izimpawu ezihlala isikhathi eside.
• Noma yiziphi izimpawu eziphazamisa impilo yakho yansuku zonke.

Tshela udokotela wakho ngezimpawu zakho nokuthi zithinta kanjani impilo yakho. Mtshele ukuthi watholakala nini une-COVID nokuthi izimpawu zakho zamanje ziqale nini.

Kukuziphi izimo lapho kudingeka uye e-Emergency Treatment Unit (ETU) ?

Uma izimpawu zakho ziba zimbi ngokuzumayo, noma uma unezimpawu ezimbi njengalezi, iya ekamelweni lezimo eziphuthumayo ngokushesha:

• Umkhuhlane ophezulu (ngaphezu kwama-degrees Fahrenheit angu-103 noma ngaphezu kwama-degrees Celsius angu-40).
• Ubunzima bokuphefumula.
• Ubuhlungu obukhulu noma obungapheli esifubeni noma esiswini (esiswini).
• Ukuzizwa unesizungu njalo.
• Ukudideka.
• Ubuhlungu obukhulu bemisipha noma ubuthakathaka.
• Ukungakwazi ukuvuka noma ukuhlala uphapheme.
• Ukuquleka.
• Umbala oluhlaza okwesibhakabhaka wesikhumba, izindebe, noma izinzipho (i-Cyanosis - lokhu kungaba uphawu lwamazinga aphansi omoya-mpilo egazini noma ezicutshini zakho).

Yimiphi imibuzo okufanele uyibuze udokotela wakho?

Kungaba usizo ngawe ukubuza le mibuzo uma ubona udokotela:

• Yiziphi izindlela zokwelapha enginazo?
• Uyazi ukuthi yini ebangela izimpawu zami?
• Ingabe abantu abanezimpawu ezifana nezami bavame ukuphola?
• Ngingawuthatha kanjani umuthi wami?
• Kufanele ngiphinde ngikubone nini futhi?
• Yiziphi izimpawu ezidinga ukuya ekamelweni eliphuthumayo?

Into ebaluleke kakhulu okudingeka siyikhumbule (Umyalezo Wokuya Ekhaya)

Ngezinye izikhathi, ulwazi lwezokwelapha lungaba ngemuva kancane kwalokho iziguli ebezikubhekana nakho isikhathi eside. Ngenhlanhla, sesihambe ibanga elide ekuqondeni ezinye zezimpawu zesikhathi eside ze-COVID. Odokotela abaningi manje basebenza namaqembu ahlukene azinikele ekuqondeni nasekwelapheni izimpawu zakho.

Lokhu kuseyinqubo yokufunda - zama izinto ezimbalwa ukuthola ukwelashwa okukusebenzela kahle, futhi ungase wenze amaphutha. Uma ungakwazi ukuzikhulumela, thola usizo kothile ongakusiza. Bangakusiza ukuthola odokotela, amaqembu okusekela, kanye nokwelulekwa. Tshela umndeni wakho, abangani, kanye nendawo yakho yokusebenza noma yesikole ukuthi ungase udinge isikhathi esengeziwe sokwenza izinto ezithile, noma ukuthi ungase udinge ukuphumula okwengeziwe. Ukuzivumela ukuba ube nomusa kuwe ngenkathi welapheka kungaba yisinyathelo sokuqala sokululama. Yiba nesineke futhi ulandele iseluleko sikadokotela wakho. Awuwedwa!

I- Covid Ende, I-COVID Ende, Izimpawu Zangemva Kwe-Covid, I-Coronavirus, Ukukhathala, Ukuphelelwa Ukuphefumula, Ukwelashwa Kwe-Covid