Ingabe Ijwayelekile Kangakanani Imiphumela Yesikhathi Eside ye-COVID-19?

-Delile

• Kusho ukuthini ukuba umthuthi omude we-COVID-19?
• Yiziphi izimpawu ze-COVID long-hauler syndrome?
• Ivamise kangakanani le miphumela yesikhathi eside ye-COVID-19?
• Iphathwa kanjani i-COVID long-hauler syndrome?
• Buyekeza kwe-

Kuningi ngegciwane le-COVID-19 (futhi manje, izinhlobo zalo eziningi ezahlukahlukene) akukacaci - kufaka phakathi ukuthi izimpawu nemiphumela yokutheleleka ihlala isikhathi esingakanani. Kodwa-ke, ezinyangeni ezimbalwa kulo bhubhane lomhlaba jikelele, kwacaca ngokusobala ukuthi kunabantu - ngisho nalabo abanesifo sokuqala esinaleli gciwane esasiphakathi nendawo ukuya esilinganisweni - ababengabi ngcono, noma ngabe igciwane lalibonakala lingatholakali ngokuhlolwa. Eqinisweni, abaningi babenezimpawu eziqhubekayo. Leli qembu labantu livame ukubizwa ngokuthi yi-COVID abadonsa isikhathi eside kanye nesimo sabo njenge-hauler syndrome ende (yize lokho kungewona amagama asemthethweni wezokwelapha).

Amashumi ezinkulungwane zabantu e-United States kuphela abe nezimpawu ezihlala isikhathi eside ngemuva kwe-COVID-19, okuvame kakhulu ukukhathala, ubuhlungu bomzimba, ukuphelelwa umoya, ubunzima bokugxila, ukungakwazi ukuzivocavoca, ikhanda elibuhlungu, nobunzima bokulala, ngokusho kweHarvard Health.

Kusho ukuthini ukuba umthuthi omude we-COVID-19?

Amagama asetshenziswayo athi "COVID long hauler" kanye "long hauler syndrome" ngokuvamile abhekisa kulezo ziguli ze-COVID ezinezimpawu ezingapheli ezihlala isikhathi esingaphezu kwamasonto ayisithupha ngemuva kokutheleleka kwazo kokuqala, kuchaza uDenyse Lutchmansingh, MD, ohola emtholampilo wePost-Covid-19 Recovery. Uhlelo eYale Medicine. UDkt Lutchmansingh. Umphakathi wezokwelapha kwesinye isikhathi ubhekisa kulezi zimo njenge- "post-COVID syndrome," noma kungekho ukuvumelana phakathi kodokotela mayelana nencazelo esemthethweni yalesi simo, ngokusho kukaNatalie Lambert, Ph.D., uprofesa ocwaningisanayo wezocwaningo e-Indiana University, obelokhu ehlanganisa imininingwane mayelana nalaba bantu okuthiwa yi-COVID long-haulers. Lokhu ngokwengxenye kungenxa yobusha be-COVID-19 ngokujwayelekile - okuningi akukaziwa. Olunye udaba ukuthi ingxenye encane kuphela yomphakathi othwala abantu abade ikhonjwe, yatholakala, futhi yabandakanyeka ocwaningweni - futhi abantu abaningi endaweni yokucwaninga bathathwa "njengamacala anzima kakhulu," kusho uLambert.

Yiziphi izimpawu ze-COVID long-hauler syndrome?

Njengengxenye yezifundo zikaLambert, ushicilele Umbiko Wocwaningo Lwezimpawu lwe-COVID-19 "Long-Hauler", olufaka phakathi uhlu lwezimpawu ezingaphezu kwezili-100 ezibikwe yilabo abazibonakalisa njengabakhiphi abade.

Le miphumela yesikhathi eside ye-COVID-19 ingabandakanya lezo zimpawu ezisohlwini lwe-CDC, njengokukhathala, ukuphelelwa umoya, ukukhwehlela, ubuhlungu bamalunga, ubuhlungu besifuba, ubunzima bokugxila (okubizwa ngokuthi “inkungu yobuchopho”), ukudangala, ubuhlungu bemisipha, ikhanda elibuhlungu. , umkhuhlane, noma ukushaya kwenhliziyo. Ukwengeza, imiphumela yesikhathi eside ye-COVID engavamile kakhulu kodwa eyingozi kakhulu ingase ihlanganise ukulimala kwenhliziyo nemithambo yegazi, ukukhubazeka kokuphefumula, nokulimala kwezinso. Kukhona nemibiko yezimpawu ze-dermatologic ezifana nokuqubuka kwe-COVID noma - njengomlingisi u-Alyssa Milano uthe useke wabhekana nakho - ukulahleka kwezinwele ku-COVID. Izimpawu ezingeziwe zifaka ukulahleka kwephunga noma ukunambitheka, izinkinga zokulala, kanye ne-COVID-19 kungadala ukulimala kwenhliziyo, amaphaphu, noma ubuchopho okuholela ezinkingeni zezempilo zesikhathi eside, ngokusho kweMayo Clinic. (Okuhlobene: Ngithole i-Encephalitis Njengomphumela we-COVID - futhi icishe yangibulala)

"Kusesekuseni kakhulu ukucacisa ukuthi lezi zimpawu zihlala isikhathi eside noma zihlala njalo," kusho uDkt. Lutchmansingh. "Siyazi ngokuhlangenwe nakho kwangaphambilini nge-SARS ne-MERS ukuthi iziguli zingaba nezimpawu zokuphefumula eziphikelelayo, izivivinyo zomsebenzi wamaphaphu, nokunciphisa amandla okuzivocavoca ngaphezu konyaka owodwa ngemuva kokutheleleka kokuqala." (I-SARS-CoV kanye ne-MERS-CoV bekungama-coronavirus asabalale emhlabeni wonke ngo-2003 nango-2012, ngokulandelana.)

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Ivamise kangakanani le miphumela yesikhathi eside ye-COVID-19?

Yize kungacaci kahle ukuthi bangaki abantu abahlushwa yile miphumela esalindelekile, "kulinganiselwa ukuthi cishe amaphesenti ayi-10 kuye kwayi-14 azo zonke iziguli ezine-COVID azoba ne-post-COVID syndrome," kusho uRavindra Ganesh, MD, obeselapha i-COVID isikhathi eside -abathutha izinyanga ezimbalwa ezedlule eMayo Clinic. Kodwa-ke, lelo nani empeleni lingaphakama kakhulu, kuya ngokuthi umuntu usichaza kanjani isimo, ungeza uLambert.

"I-COVID-19 yisifo esisha somuntu, futhi umphakathi wezokwelapha usagijimela ukusiqonda," kusho uWilliam W. Li, MD, udokotela wezangaphakathi, usosayensi nomlobi we I-Eat to Beat Disease: Isayensi Entsha Yendlela Umzimba Wakho Ongaziphilisa Ngayo. "Yize kuningi okufundiwe mayelana nokugula okudalwe yi-COVID-19 eyingozi selokhu kwaqala lolu bhubhane, izinkinga zesikhathi eside zisabhalwa phansi." (Okuhlobene: Usebenza Kangakanani Umgomo we-COVID-19?)

Iphathwa kanjani i-COVID long-hauler syndrome?

Njengamanje, alikho izinga lokunakekelwa lalabo abathola imiphumela yesikhathi eside ye-COVID-19 noma i-COVID-hauler syndrome, futhi abanye odokotela bazizwa bephelelwe amandla okuyelapha njengoba bengenazo izimiso zokwelapha, kusho uLambert.

Ngasohlangothini oluqhakazile, uDkt Lutchmnsingh uphawula ukuthi iziguli eziningi kukhona ngcono. "Ukwelashwa kusalokhu kunqunywa ngamacala ngamacala njengoba isiguli ngasinye sinezimpawu ezahlukahlukene, ubucayi bokutheleleka kwangaphambili, kanye nokutholwa ngemisebe," kuchaza yena. "Ukungenelela esikuthole kuwusizo kakhulu kuze kube manje kube wuhlelo oluhlelekile lokwelapha ngokomzimba futhi kuyingxenye yesizathu esenza zonke iziguli ezibonwa emtholampilo wethu wangemva kwe-COVID zibe nakho kokubili ukuhlolwa nodokotela kanye nomelaphi womzimba ekuhambeleni kwazo kokuqala." Inhloso yokwelashwa ngokomzimba yokubuyisela iziguli ze-COVID-19 ukuvimbela ubuthakathaka bemisipha, ukukhuthazela okuphansi kokuzivocavoca, ukukhathala, kanye nemiphumela engokwengqondo enjengokucindezeleka noma ukukhathazeka konke okungaba umphumela wokuhlala isikhathi eside, ukuhlala yedwa esibhedlela. (Ukuhlukaniswa isikhathi eside kungaholela emiphumeleni emibi yengqondo, ngakho-ke enye yezinhloso zokwelashwa ngokomzimba ukwenza iziguli zikwazi ukubuyela ngokushesha emphakathini.)

Ngenxa yokuthi akukho ukuhlolwa kwe- long-hauler syndrome futhi eziningi zezimpawu zingase zingabonakali noma zizimele, abanye abadonsa isikhathi eside bayazabalaza ukuthola umuntu ozothatha imishanguzo yabo. U-Lambert uyifanisa nezinye izimo ezingelapheki okunzima ukuzixilonga, okuhlanganisa nesifo seLyme esingamahlalakhona kanye nesifo sokukhathala okungamahlalakhona, “lapho ungabonakali khona wopha kodwa uhlushwa ubuhlungu obukhulu,” esho.

Odokotela abaningi namanje abakafundiseki nge-long hauler syndrome futhi bambalwa kakhulu ochwepheshe abasakazeke ezweni lonke, kunezela uLambert. Futhi, ngenkathi izikhungo zokunakekelwa ngemuva kwe-COVID seziqalile ukuvela ezweni lonke (nansi imephu ewusizo), izifundazwe eziningi azinayo indawo.

Njengengxenye yocwaningo lwakhe, uLambert ubambisene ne- "Survivor Corps," iqembu lomphakathi le-Facebook elinamalungu angaphezu kwe-153,000 akhomba njengabadonsa isikhathi eside. Into eyodwa emangalisayo abantu abayithola eqenjini iseluleko sokuthi bangazimela kanjani nokuthi benzani ekhaya ukuzama ukwelapha ezinye zezimpawu zabo, "usho kanje.

Ngenkathi abaningi abadonsa isikhathi eside be-COVID ekugcineni bezizwa bengcono, abanye bangahlupheka izinyanga eziningi, ngokusho kwe-CDC. "Iningi leziguli ezine-COVID yesikhathi eside engizibonile bezisendleleni ehamba kancane yokululama, yize kungekho nesisodwa esibuyele kwesejwayelekile," kusho uDkt. "Kodwa baba nentuthuko, ngakho-ke kungenzeka ukuthi babuyiselwe empilweni." (Kuhlobene: Ingabe Izibulala-magciwane Ziwasula Amagciwane?)

Into eyodwa ecacile: I-COVID-19 izoba nomthelela wesikhathi eside ohlelweni lokunakekelwa kwezempilo. "Kuyamangaza ukucabanga ngemiphumela ye-long-hauler syndrome," kusho uDkt Li. Cabanga nje ngakho: Uma endaweni ethile phakathi kwamaphesenti ayi-10 kuya kwangama-80 abantu okutholakala ukuthi bane-COVID behlushwa eyodwa noma ngaphezulu yalezi zimpawu ezihlala isikhathi eside, kungaba “amashumi ezigidi” zabantu abaphila nemiphumela ehlala isikhathi eside kanye nesikhathi eside. uthi umonakalo.

ULambert unethemba lokuthi umphakathi wezokwelapha ungasusa ukunaka kwawo ukuthola isisombululo salaba bantu abagula isikhathi eside be-COVID. "Kufika esikhathini lapho uvele ungabi nandaba nokuthi yini imbangela," esho. "Kumele nje sithole izindlela zokusiza abantu. Kumele sifunde izindlela eziwumsuka, kodwa uma abantu begula kangaka, sidinga nje ukugxila ezintweni ezizobasiza bazizwe bengcono."

Imininingwane ekule ndaba inembile njengesikhathi sokushicilela. Njengoba izibuyekezo ezimayelana ne-coronavirus COVID-19 ziqhubeka nokuvela, kungenzeka ukuthi eminye imininingwane nezincomo kule ndaba zishintshile selokhu kwashicilelwa okokuqala. Sikukhuthaza ukuthi uhlole njalo izinsiza ezifana ne-CDC, i-WHO, kanye nomnyango wezempilo womphakathi wendawo ukuze uthole imininingwane yakamuva nezincomo.

Buyekeza kwe-