Zomwe timadziwa za sequelae ndi kuchepa kwa zizindikiro za COVID-19

Maphunziro a Zaumoyo

Pali zambiri zomwe sitikumvetsetsa za COVID-19, matenda omwe amayambitsidwa ndi kachilombo ka SARS-CoV-2 omwe adayamba ku Wuhan, China, mu 2019 ndikusandulika mliri wapadziko lonse lapansi. Chifukwa coronavirus iyi ndi kachilombo koyambitsa matenda (kachilombo kamene sikanadziwikepo kale), asayansi ndi ogwira ntchito zaumoyo akadali m'magawo oyambilira kuti amvetsetse zomwe zimakhudza thupi. Koma, kafukufuku watsopano akuwulula zambiri tsiku lililonse.

Dera limodzi lomwe likusamalidwa kwambiri ndi zizindikilo zazitali, kapena zazitali (zotchedwa sequelae), zomwe anthu ena amaziwona kuchokera ku COVID-19 atachira ku kachilomboka. Kodi muyenera kukhala okhudzidwa bwanji ndi ma coronavirus sequelae? Choyamba, ndikofunikira kumvetsetsa zizindikilo zachikale za COVID-19.

Kodi zizindikiro za COVID-19 ndi ziti ndipo zimatenga nthawi yayitali bwanji?

Poyambirira, zizindikiro zofala kwambiri za COVID-19 zidaphatikizapo:

• Malungo
• Tsokomola
• Kupuma pang'ono

Akatswiri akhala akukulira pamndandandawu kuphatikiza zowonjezerazi:

• Kupweteka kwa minofu kapena thupi
• Mutu
• Kutopa
• Kutayika kwa kukoma (ageusia)
• Kutaya fungo (anosmia)
• Chikhure
• Kukhazikika kapena mphuno
• Nseru kapena kusanza
• Kutsekula m'mimba

Zizindikirozi zimawonekera masiku awiri kapena 14 mutakumana ndi kachilomboka , malinga ndi U.S. Centers for Disease Control and Prevention (CDC). Kutalika kwa zizindikilo kungakhale mpaka milungu iwiri yazigawenga zochepa mpaka milungu isanu ndi umodzi kapena kupitilira apo pamavuto akulu . Zomwe zikuwonekera, komabe, ndikuti odwala ena amathanso kukumana ndi matenda a coronavirus sequelae, kapena zovuta zomwe zimapitilira kupitirira nthawi ino.

Kodi coronavirus sequelae ndi chiyani?

Sequelae ndi mawu omwe amagwiritsidwa ntchito pofotokoza zotsatira za matenda, chikhalidwe, kapena kuvulala. Matenda aliwonse amtunduwu amatha kuyambitsa matendawa pambuyo pake, omwe amakhudzana ndi zizindikilo (kapena sequelae) zanthawi yayitali mutalimbana ndi matenda. Zizindikirozi ndi ziti-ndipo ngati mungadzakhale nazo-zimatha kusiyanasiyana, ndipo zimadalira zoopsa kapena chitetezo chamthupi lanu.

Sequelae amatha kukhala ofala makamaka pama matenda a coronavirus. Mwachitsanzo, pambuyo pamatenda oopsa a kupuma (SARS) kuphulika kwa 2002-2003, kafukufuku wina adapeza kuti anthu omwe ali ndi kachilomboka akuti akumva kutopa, kufooka kwa minofu, komanso kugona mpaka zaka zitatu pambuyo pake. Umboni woyambirira ukuwonetsa kuti zizindikilo zofananira zimatha kukhalanso kwa odwala ena a COVID-19 nawonso.

Dr. Anthony Fauci, mkulu wa NIH's National Institute of Allergy and Infectious Diseases, wakhala akunena za kuopsa kwa matenda omwe amabwera pambuyo pa ma virus ndi COVID-19. Pakati pa msonkhano wa atolankhani , adawonetsa kuti anthu ambiri omwe ali ndi vuto lalikulu la COVID-19 amakumana ndi utsi wamaubongo, kutopa, zovuta kuzilingalira zomwe zimawakhudza milungu ingapo atachira kuzizindikiro zina.

Kafukufuku amakhala ochepa pa COVID-19 komanso post-virus syndrome, koma malinga ndi a kalata yochokera ku Zolemba pa American Medical Association , 87% mwa odwala 143 omwe kale anali mchipatala ku Rome, Italy, akuti anali ndi chizindikiro chimodzi chosatha kwa miyezi iwiri kapena kupitirira apo; makamaka kutopa kapena kupuma movutikira.

Ndani adzakumana ndi ma coronavirus sequelae?

Kungakhale kovuta kuneneratu yemwe ati akumane ndi zisonyezo zomwe zikuchepa, ndipo ndani sadzatero. Kafukufuku akuwonekabe, ndipo palibe mgwirizano pakati pa madotolo omwe amathandizira odwala a COVID-19.

Zomwe taphunzira za SARS-CoV-2, pakadali pano, ndikuti matenda a post-virus siwachilendo, makamaka kwa iwo omwe adagonekedwa chifukwa chakuopsa kwa matenda awo, omwe ali ndi matenda omwe analipo kale (mwachitsanzo, matenda ashuga, matenda oopsa , etc.), komanso mwina azimayi, atero a Robert Quigley, MD, immunologist komanso wamkulu wachiwiri kwa purezidenti komanso director of Regional Mayiko SOS .

Magdalena Cadet, MD ,katswiri wina wamaphunziro a nyamakazi ku New York komanso mnzake wopezeka ku NYU Langone Medical Center akuti amapitilira omwe ali ndi vuto lalikulu. Mavuto okhalitsa nthawi zambiri samalumikizidwa ndi odwala omwe ali ndi matenda opatsirana kapena kuchipatala, akutero Dr. Cadet. Sequelae wa matendawa awonedwa mwa anthu omwe ali ndi vuto la COVID-19.

Mwanjira ina, sizinatsimikizidwebe yemwe akukhudzidwa ndi sequelae.

Kodi zizindikiro za matenda a coronavirus sequelae ndi ziti?

Ngakhale anthu ambiri adzachira kwathunthu ku COVID-19, pali zina zomwe zikuwonetsa kuti anthu akuyenera kudziwa. Choyambirira komanso chofunikira, ndikofunikira kunena kuti ichi ndi kachilombo koyambitsa matenda (kutanthauza kuti sizinawonekepo) ndipo tikupitiliza kuphunzira ndikukhala ndi zambiri zoti tiphunzire za izi, akutero Dr. Quigley. Zomwe taphunzira pakadali pano, zizindikilo zikutha zimatha kuchitika ndipo zimatha kusiyanasiyana pakati pa anthu ndi anthu.

Zizindikirozi ndi monga:

• Malungo
• Kutopa
• Kupweteka kwa minofu kapena thupi
• Ululu wophatikizana
• Kufooka
• Kupuma pang'ono
• Zovuta kulingalira (kapena utsi wamaubongo)
• Kulephera kuyang'ana
• Kuchepetsa kukumbukira
• Nseru, kutentha pa chifuwa, kapena kusanza
• Mutu
• Kuvuta kugona
• Kutaya kwakutali kapena kununkhiza
• Kutaya tsitsi
• Kulephera kwa Erectile

Dr. Cadet wawona izi mwa odwala ena a COVID-19.Sangathe kupezanso mphamvu zawo zakale kapena zochitika za pre-COVID-19 matenda, akutero. Pali anthu ena omwe atha kukhala ndi kuwonongeka kwa impso kwa nthawi yayitali, kuundana kwa magazi, kapena mavuto ena amitsempha yamagazi ndi khungu komanso kuthamanga kwa magazi (kuthamanga kwa magazi).

Ine n kuwonjezera pa matenda a post-virus, COVID-19 atha kuwononga ziwalo za nthawi yayitali. Malinga ndi kafukufuku wina , COVID-19 ikhoza kukhala ndi zotsatira zokhalitsa pamtima. Pakafukufuku, mwa anthu 100 omwe posachedwa adachira ku COVID-19 ndikulandila ma MRIs, 78 adawonetsa kukhudzidwa kwamtima, ndipo 60 anali ndi zizindikilo zotupa m'mnyewa wamtima; zomwe zinali zopanda zinthu zomwe zidalipo kale. Umboni umasonyezanso kuti COVID-19 itha kubweretsa kuwonongeka kosatha m'mapapu, kuphatikiza post-COVID fibrosis.

Kodi corelavirus sequelae itenga nthawi yayitali bwanji?

Atha kukhala molawirira kwambiri kuti anene. Tsoka ilo, kuthekera ndi nthawi yakukhala ndi zisonyezo zakanthawi, pakati pa omwe adatenga COVID-19 ndipo akuchira, ndizosatheka kuneneratu, Dr Quigley akuti. Komabe, akunena kuti ndimatenda ena omwe amatenga [post-virus syndrome] amatha kusintha pakapita nthawi.

Kodi chimayambitsa coronavirus sequelae ndi chiyani?

Pali zinsinsi zambiri zomwe zikadali pafupi ndi zovuta zamatenda amtundu wa coronavirus, koma ofufuza ndi asayansi ayamba kuneneratu chifukwa chomwe matenda a SARS-COV-2 atha kukhudzira anthu ena moipa kwambiri kuposa ena, ndipo zikuwoneka pamenepo Kungakhale kulumikizana ndi kutupa komwe COVID-19 imatha kuyambitsa.

Asayansi tsopano akudziwa kuti SARS-COV-2 imagwiritsa ntchito puloteni wonyezimira pakakhungu kake kuti agwirizane ndikumangiriza kwa zolandilira za ACE 2, zomwe zimawoneka m'mapapu, mumtima, ndi ziwalo zosiyanasiyana kuti ziyambitse kuyankha, Dr. . Kuyankha kotupa kumeneku kumatha kuyambitsa mavuto ambiri mthupi. Matenda otupa akagwa mopitilira muyeso, mkuntho wa cytokine umatha kubweretsa ma cytokines ambiri kapena mankhwala omwe angapangitse ma cell amthupi kuthana ndi ziwalo zathanzi ndi ziwalo zomwe zimawononga ndipo nthawi zina zimafa.

Zikuwoneka kuti pakhoza kukhala kulumikizana pakati pa sequelae ndi kutupa uku. Pali umboni woyambirira wosonyeza kuti kuchepa kwa matenda kuchokera ku kachilombo ka COVID-19 kumathazikhale zotsatira za kuyankha kwamthupi kotupa, Dr. Quigley akutero.

Kutupa kumatha kukhudzanso ziwalo zazikulu, monga mtima ndi mapapo.Popeza kuti zolandilira za ACE 2 mumtima zimakhudzidwa ndi vutoli, kutukusira kwa minofu yamtima kumatha kuchitika, Dr. Cadet akuti. Anthu ena amafotokoza kugunda kwa mtima, kugunda kwamtima (tachycardia), kugunda kwamtima mosasinthasintha kapena kuthamanga pachifuwa.

Sizikudziwika bwinobwino chifukwa chake chitetezo chamthupi cha anthu ena chimayankha motere. Tikudziwa kuti kuyankha uku ndikosiyanasiyana kutengera zinthu zingapo (zochereza), a Quigley akutero. Mwambiri, kuyankha kwa thupi kwa wowononga wakunja ndikomwe kumayambitsa kuyankha kotupa. Chimodzi mwazomwe zachitika ndikuphatikizanso kutulutsa ma cytokines, m'magazi, omwe amalumikizana ndi mayankho amthupi motsutsana ndi wowukira wakunja (virus). Ngati oyimira pakati oterowo adutsa chotchinga cha ubongo wamagazi ndikuchulukirachulukira mkatikati mwa manjenje, amatha kuyambitsa magawo oyambilira azomwe zimachitika muubongo, zomwe zimabweretsa zizindikilo zambiri zomwe zimawoneka pambuyo pa ma virus. Izi zidawonekeranso pakusankha odwala omwe adalandira SARS panthawi yamatenda a 2002-2003.

Kodi muyenera kuchita chiyani mukakumana ndi coronavirus sequelae?

Ngati mupitiliza kukumana ndi zizindikiro zakanthawi kuchokera ku COVID-19 zomwe zimakukhudzani, pali zina zomwe mungachite. Kwa post-virus syndrome, chithandizo chimayang'ana pakuwongolera zizindikilo zanu ndipo mwina ndi izi:

• Kumwa kupweteka kwapafupipafupi monga Tylenol kapena ibuprofen
• Kudya chakudya chopatsa thanzi komanso chopatsa thanzi
• Kugona mokwanira ndi kupumula masana ngati pakufunika kutero
• Kuyeserera njira zopumulira monga yoga, kutikita minofu, ndi kusinkhasinkha

Kusunga zokambirana momasuka ndi omwe amakuthandizani pa zaumoyo ndikofunikira, makamaka pazizindikiro zazikulu za COVID-19. Ndikofunikira ngati muli ndi kachilombo ka COVID-19 kuti musunge nthawi yotsatira ndi akatswiri anu komanso akatswiri ena, kuphatikiza katswiri wamtima, pulmonologist, neurologist, hematologist, ndi physiatrist, a Dr. Cadet akulangiza.

Anthu ambiri omwe akupezeka kuti ali ndi kachilombo ka COVID-19 adzachira kwathunthu ndipo amatha kuyembekezera kudzamva bwino kachilomboka katatha. Ngati mukuganiza kuti mukukumana ndi zizindikiro zomwe zikuchedwa, tsatirani ndikuwauza dokotala wanu.