Izvo zvatinoziva nezve sequelae uye inononoka COVID-19 zviratidzo

Dzidzo yehutano

Pane zvakawanda zvatisinganzwisise nezve COVID-19, chirwere chinokonzerwa nehutachiona hweSARS-CoV-2 hwakatanga muWuhan, China, mu2019 ndokushanduka kuita denda repasi rese. Nekuti iyi coronavirus hutachiona hutachiona (hutachiona husati hwazivikanwa kare), vesaenzi nevashandi vezvehutano vachiri mumatanho ekutanga ekunzwisisa mhedzisiro yaro pamuviri. Asi, kutsva kutsva kuri kuzivisa zvimwe mazuva ese.

Imwe nzvimbo iri kuwedzera kutariswa ndeyenguva refu, kana zviratidzo zvinomira (zvinodaidzwa kuti sequelae), izvo zvinosangana nevamwe vanhu kubva kuCOVID-19 mushure mekupora kubva kuhutachiona. Iwe unofanirwa kuve nehanya zvakadii nezve coronavirus sequelae? Kutanga, zvakakosha kuti unzwisise zvekare zviratidzo zveCOVID-19.

Ndezvipi zviratidzo zve COVID-19 uye zvinogara kwenguva yakareba sei?

Pakutanga, zviratidzo zvakajairika zve COVID-19 zvaisanganisira:

• Kupindwa nechando
• Kukosora
• Kufema kwekufema

Nyanzvi dzakatowedzera kubva pane iyi runyorwa kuisa izvi zvinowedzera zvinongedzo:

• Tsvina kana muviri kurwadza
• Kutemwa nemusoro
• Kuneta
• Kurasikirwa kwekuravira (ageusia)
• Kurasikirwa kwekunhuwa (anosmia)
• Huro inorwadza
• Kuungana kana kumhanyisa mhino
• Kusvotwa kana kurutsa
• Manyoka

Zviratidzo izvi zvinowanzoonekwa mazuva maviri kusvika gumi nemana mushure mekuratidzwa kuutachiona , maererano neU.S. Centers for Disease Control and Prevention (CDC). Iyo nguva yezviratidzo inogona kuva anosvika kumavhiki maviri emakesi akapfava uye anosvika kumavhiki matanhatu kana kupfuura kumatambudziko akakomba . Izvo zviri kuve pachena, zvisinei, ndezvekuti vamwe varwere vanogona zvakare kuona coronavirus sequelae, kana kusingaperi kunetseka kunoenderera kure kupfuura ino nguva yakatarwa.

Chii chinonzi coronavirus sequelae?

Sequelae izwi rinoshandiswa kutsanangura mhedzisiro yechirwere, mamiriro, kana kukuvara. Chero hupi hutachiona hutachiona hunogona kukonzera post-viral syndrome, iyo inosanganisira zviratidzo zvinomira (kana sequelae) kwenguva refu mushure mekunge warwisa hutachiona. Ndezvipi zviratidzo izvi-uye kana uchizozviona zvachose-zvinogona kusiyana, uye zvinogona kuvimba nenjodzi kana mhinduro yemumuviri wako.

Sequelae anogona kunyanya kuve akajairika kune coronavirus hutachiona. Semuenzaniso, mushure meyakanyanya kuoma kufema chirwere (SARS) kuputika kwa2002-2003, chidzidzo chimwe chakawanikwa kuti vanhu vakatapukirwa nehutachiona vakanzwa kunzwa kuneta, kushaya simba kwemhasuru, uye matambudziko ekurara kusvika pamakore matatu gare gare. Huchapupu hwekutanga hunoratidza kuti zviratidzo zvakafanana zvinogona kunamatira kune vamwe varwere veCOVID-19 futi.

Dr. Anthony Fauci, director weNIH's National Institute of Allergy uye Infectious Diseases, anga achitaura nezve njodzi dze post-virus syndrome neCOVID-19. Munguva ye vatori venhau musangano , akaratidzira kuti vanhu vazhinji vane yakaoma COVID-19 vanoona hutsi hwehuropi, kuneta, kunetseka kuisa pfungwa dzinovabata kwavari kwemavhiki mazhinji mushure mekupora kubva kune zvimwe zviratidzo.

Kutsvagurudza kunogumira nezve COVID-19 uye post-viral syndrome, asi zvinoenderana ne tsamba kubva ku Zvinyorwa zveAmerican Medical Association , 87% ye143 vakamboiswa muchipatara varwere muRome, Italy, vanonzi vakasangana nechiratidzo chimwe chete chemwedzi miviri kana kupfuura; kunyanya kuneta kana kunetseka kufema.

Ndiani achaona coronavirus sequelae?

Zvinogona kuve zvakaoma kufanotaura kuti ndiani achaona zviratidzo zvinononoka, uye ndiani asingadaro. Tsvagiridzo ichiri kubuda, uye hapana kuwirirana pakati pevanachiremba vanorapa varwere veCOVID-19.

Zvatakadzidza nezveSARS-CoV-2, kusvika parizvino, ndeyekuti post-viral syndrome haina kujairika, kunyanya kune avo vakaiswa muchipatara nekuda kwekukura kwehutachiona hwavo, avo vane mamiriro akange aripo (kureva, chirwere cheshuga, BP , nezvimwewo), uye zvingangoita zvevakadzi, anodaro Robert Quigley, MD, immunologist uye mukuru mutevedzeri wemutungamiri uye wedunhu director wezvekurapa SOS yepasi rose .

Magdalena Kadhi, MD ,New York-based rheumatologist uye vanobatana vanopinda kuNYU Langone Medical Center vanoti inopfuura avo vane kesi dzakakomba. Zvinetso zvinogara kwenguva refu hazviwanzo kubatanidzwa nevarwere vaive nezvirwere zvakakomba kana kurapwa muchipatara, Dr. Cadet anodaro. Sequelae wechirwere akaonekwa mune vanhu vane zvinyoro nyoro zveCOVID-19.

Mune mamwe mazwi, hazvisati zvaratidza kuti ndiani anobatwa ne sequelae.

Ndezvipi zviratidzo zvecoronavirus sequelae?

Kunyange vanhu vazhinji vachizorora zvizere kubva kuCOVID-19, pane zvimwe zviratidzo zvinononoka izvo vanhu vanofanirwa kuziva nezvazvo. Chekutanga uye chakakosha, zvakakosha kutaura kuti iyi hutachiona huturu (zvichireva zvisati zvamboonekwa) uye tiri kuenderera mberi nekudzidza uye tine zvimwe zvakawanda zvekudzidza nezvazvo, anodaro Dr. Quigley. Izvo zvatakadzidza kusvika parizvino, zviratidzo zvinononoka zvinogona kuitika uye zvinogona kusiyana kubva pamunhu kuenda kumunhu.

Zviratidzo izvi zvinosanganisira:

• Kupindwa nechando
• Kuneta
• Tsvina kana muviri kurwadza
• Joint kurwadziwa
• Kushaya simba
• Kufema kwekufema
• Dambudziko rekutarisa (kana hutsi hwehuropi)
• Kusakwanisa kutarisa
• Kuderedza ndangariro
• Kushungurudza, kuora mwoyo, kana kurutsa
• Kutemwa nemusoro
• Kunetseka kurara
• Kurasikirwa kwenguva refu kwekuravira kana hwema
• Bvudzi kurasikirwa
• Erectile kusagadzikana

Dr. Cadet vakaona zviratidzo izvi mune vamwe varwere veCOVID-19.Ivo havakwanisi kudzoreredza yavo yaimbova simba kana chiitiko chiitiko pre-COVID-19 hutachiona nyika, anodaro. Kune vamwe vanhu vanogona kukuvara kwenguva refu itsvo, kugwamba kweropa, kana mamwe matambudziko emitsipa yeropa uye ganda pamwe nekuwedzera kweBP (kukwirira kweropa).

Ini n kuwedzera kune post-viral syndrome, COVID-19 inogona kukonzera kukuvara kwenguva refu kwemuviri. Maererano neimwe ongororo , COVID-19 inogona kuva nemhedzisiro inogara pamoyo. Muchidzidzo ichi, chevanhu zana vakangopora kubva kuCOVID-19 uye vakagamuchira MRIs, 78 yakaratidza kubatanidzwa kwemoyo, uye makumi matanhatu vaive nezviratidzo zvekuzvimba myocardial; izvo zvaive zvakasununguka nemamiriro aivepo. Uchapupu hunoratidzawo iyo COVID-19 inogona kutungamira kukuvara kusingaperi kumapapu, kusanganisira post-COVID fibrosis.

Inguva yakareba sei coronavirus sequelae yekupedzisira?

Zvinogona kunge zvichinyanya kukurumidza kutaura. Nehurombo, mukana uye nguva yekuona zviratidzo zvinononoka, pakati peavo vakabata COVID-19 uye vari kupora, zvinoita kunge zvisingaite kufanotaura, Dr. Quigley anodaro. Nekudaro, iye anoti pamwe nezvimwe hutachiona hutachiona izvo zvinowana [post-viral syndrome] zvinowanzoita nani nekufamba kwenguva.

Chii chinokonzera coronavirus sequelae?

Kune zvakawanda zvakavanzika zvichiri kukomberedza mhedzisiro yechirwere cheinovhura coronavirus, asi vaongorori nemasayendisiti vari kutanga kuita fungidziro yekuti nei hutachiona hweSARS-COV-2 hungave huri kukanganisa vamwe vanhu zvakanyanya kupfuura vamwe, uye zvinoratidzika ipapo inogona kunge iri yekubatanidza kuzvimba iyo COVID-19 inogona kukonzeresa.

Masayendisiti ava kuziva kuti SARS-COV-2 inoshandisa iyo spiky protein pane yayo membrane kupindirana uye kusunga kune iyo ACE 2 receptors, iyo inogona kuoneka mumapapu, moyo, uye dzakasiyana nhengo kumutsa kupesana mhinduro, Dr. Cadet anoti . Iyi yekumutsa mhinduro inogona kukonzera matambudziko mazhinji mumuviri. Kana iko kuzvimba kupindura kuri mukuwandisa, cytokine dutu inogona kukonzeresa akawanda ma cytokines kana makemikari anogona kukonzera maseru ezvirwere mumuviri kunanga matishu ane hutano uye nhengo dzinotungamira kukuvara uye dzimwe nguva kufa.

Zvinotaridza kuti panogona kuve nekubatana pakati pe sequelae uye uku kuzvimba. Pane humbowo hwepakutanga hwekuti zviratidzo zvinomira kubva kuhutachiona hwe COVID-19 zvinogonauve mhedzisiro yekupindura kwemuviri, Dr. Quigley anodaro.

Kuzvimba kunogona kukanganisa nhengo huru, senge moyo nemapapu, futi.Sezvo maACCE 2 receptors mumoyo achikanganiswa nehutachiona uhwu, kuzvimba kwemhasuru yemoyo kunogona kuitika, Dr. Cadet vanodaro. Vamwe vanhu vanotsanangura kurovera kwemoyo, kukurumidza kwemoyo (tachycardia), kurova kwemoyo zvisina kujairika kana kumanikidza kwepfupa.

Zvinoramba zvisina kujeka kuti nei immune system yevamwe vanhu ichipindura nenzira iyi. Isu tinoziva kuti mhinduro iyi inosiyana zvichienderana nezvakawanda (zvekutambira) zvinhu, Dr. Quigley anodaro. Pakati pese, mhinduro yemuviri kune anopinda kunze kwenyika ndeyekuunza mhinduro yekuvhiringidza. Chikamu chezviitiko chinosanganisira kuburitswa kwema cytokines, muropa, ayo anopindirana nemhinduro dzekuzvidzivirira dzinotevera kune anorwisa mutorwa (hutachiona). Muchiitiko apo varevereri vakadaro vanoyambuka chipingaidzo cheropa uye vozoungana mukati mehurongwa hwepakati, vanogona kumisikidza echinyakare ekugadzirisa zvikamu zvehuropi, zvichikonzera kuwanda kwezviratidzo zvinoonekwa mumashure mehutachiona chirwere. Izvi zvakaonekwawo mune vakasarudzika varwere vakabata SARS panguva ya2002-2003 kubuda.

Chii chaunofanirwa kuita kana iwe ukawana coronavirus sequelae?

Kana iwe ukaenderera uchiona zviratidzo zvinononoka kubva kuCOVID-19 zvinokunetsa iwe, pane mamwe matanho aunotora. Kune post-viral syndrome, kurapwa kunotarisa mukugadzirisa zviratidzo zvako uye kunogona kusanganisira:

• Kutora marwadzo e-over-the-counter kunoderedza akadai Tylenol kana ibuprofen
• Kudya kudya kwakaringana uye kune hutano
• Kuwana yakawanda yekurara uye kuzorora masikati sekudiwa
• Kudzidzira maitiro ekuzorora akadai seyoga, kurapa kurapa, uye kufungisisa

Kuchengetedza nhaurirano yakavhurika nemupi wako wekuchengeta hutano kwakakosha, kunyanya kune zvakanyanya kukomba kunonoka kweECVID-19 zviratidzo. Zvakakosha kana iwe uine hutachiona hwe COVID-19 kuti uchengetedze nguva dzekuteedzera pamwe nevako vekudzidzira mabasa pamwe nevamwewo vanamazvikokota, kusanganisira chiremba wezvemwoyo, pulmonologist, neurologist, hematologist, uye physiatrist, Dr. Cadet vanopa zano.

Vanhu vazhinji vanoyedza kuratidza kuti vane COVID-19 vanozopora zvizere uye vanogona kutarisira kunzwa zvirinani kana hutachiona hwapera. Kana iwe uchifunga kuti urikusangana nezviratidzo zvinononoka, zviteedze uye uzviudze kune chiremba wako.