Zixhaphake kangakanani Iziphumo zexesha elide ze-COVID-19?

Umxholo

• Kuthetha ukuthini ukuba ngumthuthi omde we-COVID-19?
• Zeziphi iimpawu ze-COVID-hauler syndrome?
• Ziqheleke kangakanani ezi ziphumo zexesha elide ze-COVID-19?
• Inyangwa njani i-COVID long-hauler syndrome?
• Uphengululo lwe

Kuninzi malunga nentsholongwane ye-COVID-19 (kwaye ngoku, ukwahluka kwayo okuninzi) akukacaci-kubandakanya nokuba iimpawu kunye neziphumo zosulelo zihlala ixesha elingakanani. Nangona kunjalo, kwiinyanga nje ezimbalwa kulo bhubhane wehlabathi, kuye kwacaca ngakumbi ukuba kukho abantu- nditsho abo banentsholongwane yokuqala ukuya kubumnene ukuya ekumodareyitheni- abangazange babe ngcono, nasemva kokuba intsholongwane ibonwa ingabonakali ngovavanyo. Ngapha koko, uninzi lwaluneempawu ezingapheliyo. Eli qela labantu lihlala libizwa ngokuba zii-COVID ezinde zokutsala kunye nemeko yabo njenge-hauler syndrome ende (nangona ingengawo amagama asemthethweni onyango).

Amashumi amawaka abantu eUnited States kuphela banamava okushiyeka emva kwe-COVID-19, edla ngokudinwa kakhulu, iintlungu zomzimba, ukuphefumla kancinci, ukungakwazi ukugxila, ukungakwazi ukwenza umthambo, intloko ebuhlungu, kunye nobunzima bokulala, ngokweHarvard Health.

Kuthetha ukuthini ukuba ngumthuthi omde we-COVID-19?

Amagama aqhelekileyo athi "COVID long hauler" kunye "ne-long hauler syndrome" abhekisa kwezi zigulana ze-COVID ezineempawu ezingapheliyo ezihlala ngaphezulu kweeveki ezintandathu emva kokosuleleka okokuqala, ucacisa uDenyse Lutchmansingh, MD, ukhokelo lwezonyango kwiPost-Covid-19 Recovery Inkqubo kwiYale Medicine. UGqr Lutchmansingh. Uluntu lwezonyango ngamanye amaxesha lubhekisa kula maxesha njenge "post-COVID syndrome," nangona kungekho mvisiswano phakathi kwamagqirha malunga nenkcazo esesikweni yale meko, ngokukaNatalie Lambert, Ph.D., unjingalwazi wophando onxulumene ne-biostatistics kwiYunivesithi yaseIndiana, obeqokelela idatha malunga nezi zinto zibizwa ngokuba zii-COVID ezihamba ixesha elide. Oku ngokuyinxenye kungenxa yobutsha be-COVID-19 ngokubanzi - kuninzi okungaziwa. Omnye umba kukuba kuphela yinxalenye encinci yoluntu olude oluchongiweyo oluchongiweyo, oluchongiweyo, kwaye olubandakanyekayo kuphando- kwaye uninzi lwabantu kwicandelo lophando luthathwa "njengamatyala anzima kakhulu," utshilo uLambert.

Zeziphi iimpawu ze-COVID-hauler syndrome?

Njengenxalenye yezifundo zikaLambert, upapashe i-COVID-19 "Long-Hauler" yeNgxelo yoPhononongo lweempawu, ezibandakanya uluhlu lweempawu ezingaphezulu kwe-100 ezichazwe ngabo bazichonga njengabakhweli abade.

Iziphumo zexesha elide ze-COVID-19 zinokubandakanya ezo zimpawu zidweliswe yiCDC, njengokukhathala, ukuphefumla kancinci, ukukhohlela, iintlungu ezidibeneyo, iintlungu zesifuba, ubunzima bokugxila (aka "inkungu yengqondo"), uxinzelelo, iintlungu zemisipha, intloko ebuhlungu , umkhuhlane, okanye ukubetha kwentliziyo. Ukongeza, i-COVID yexesha elide engathandekiyo inokubandakanya ukonakala kwentliziyo, ukungaphefumli kakuhle kunye nokulimala kwezintso. Kukho iingxelo zeempawu zesikhumba ezinje nge-COVID rash okanye-njengoko umdlali weqonga u-Alyssa Milano ethe unamava - ukulahleka kweenwele kwi-COVID. Iimpawu ezongezelelweyo ziquka ukuphulukana nevumba okanye incasa, iingxaki zokulala, kwaye i-COVID-19 inokubangela intliziyo, imiphunga, okanye umonakalo wobuchopho okhokelela kwiingxaki zempilo yexesha elide, ngokutsho kweKliniki yaseMayo. (Inxulumene: Ndine-Encephalitis njengesiphumo se-COVID- kwaye iphantse yandibulala)

UGqirha Lutchmansingh uthi: “Kuselithuba kakhulu ukufumanisa ukuba ngaba ezi mpawu zihlala ixesha elide okanye azinakuphela. "Siyazi kumava angaphambili kunye ne-SARS kunye ne-MERS ukuba izigulana zinokuba neempawu zokuphefumla eziqhubekayo, iimvavanyo ezingaqhelekanga zemiphunga, kunye nokunciphisa umthamo wokuzilolonga ngaphezu konyaka omnye emva kosulelo lokuqala." (I-SARS-CoV kunye ne-MERS-CoV zii-coronaviruses ezazisasazeka kwihlabathi liphela ngo-2003 nango-2012, ngokwahlukeneyo.)

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Ziqheleke kangakanani ezi ziphumo zexesha elide ze-COVID-19?

Ngelixa kungacacanga ukuba bangaphi abantu abaphethwe zezi ziphumo zibambekayo, "kuqikelelwa ukuba malunga ne-10 ukuya kwi-14 yeepesenti yazo zonke izigulana ezine-COVID ziya kuba ne-post-COVID syndrome," utshilo uRavindra Ganesh, MD, obenyanga i-COVID ixesha elide. -abakhweli kwiinyanga ezimbalwa zokugqibela kwiKliniki yaseMayo. Nangona kunjalo, elo nani linokuba phezulu kakhulu, kuxhomekeke kwindlela umntu ayichaza ngayo imeko, wongeza uLambert.

"U-COVID-19 sisifo esitsha sabantu, kwaye noluntu lwezonyango lisaleqa ukusiqonda," utshilo uWilliam W. Li, MD, ugqirha wamayeza angaphakathi, usosayensi kunye nombhali Yitya ukuBetha izifo: INzululwazi eNtsha yendlela umzimba wakho onokuziphilisa ngayo. "Ngelixa kuninzi okufundiweyo malunga nokugula okubangelwe yi-COVID-19 ebukhali okoko kwaqala ubhubhane, iingxaki zexesha elide zisabhalwa." (Inxulumene: Isebenza njani i-COVID-19 Vaccine?)

Inyangwa njani i-COVID long-hauler syndrome?

Okwangoku, akukho mgangatho wokukhathalela abo bafumana isiphumo sexesha elide se-COVID-19 okanye i-COVID ye-hauler syndrome, kwaye abanye oogqirha baziva bephuma kubunzulu bayo bayayinyanga kuba bengenazo iinkqubo zonyango, utshilo uLambert.

Kwicala eliqaqambileyo, uGqirha Lutchmnsingh uphawula ukuba izigulana ezininzi zi ukuphucula. Unyango lusagqitywa kwimeko nganye nanjengoko isigulana ngasinye sinempawu ezahlukileyo, ubuzaza bosulelo lwangaphambili, kunye neziphumo ze-radiology, "uyacacisa. "Ungenelelo esilufumene olona luncedo ukuza kuthi ga ngoku ibe yinkqubo yolwakhiwo lomzimba kwaye iyinxalenye yesizathu sokuba zonke izigulana zibonwe kwiklinikhi yethu yasemva kwe-COVID zombini zinokuvavanywa nogqirha kunye nonyango lomzimba kutyelelo lwabo lokuqala." Injongo yonyango lomzimba lokufumana kwakhona izigulana ze-COVID-19 kukuthintela ubuthathaka bemisipha, ukunyamezeleka kokuzivocavoca umzimba, ukudinwa, kunye neziphumo zengqondo ezinje ngoxinzelelo okanye uxinzelelo olunokuthi lubangelwe kukuhlala ixesha elide esibhedlele. (Ukuzahlula ixesha elide kunokukhokelela kwiziphumo ezibi zengqondo, ke enye yeenjongo zonyango lomzimba kukwenza ukuba izigulana zikwazi ukubuyela ngokukhawuleza eluntwini.)

Ngenxa yokuba akukho vavanyo lwe-long-hauler syndrome kwaye ezininzi iimpawu zingabonakali okanye zizithobele, abanye abantu abasebenzisa ixesha elide banzima ukufumana umntu oza kuthatha unyango lwabo. U-Lambert uyifanisa nezinye iimeko ekunganzima ukuba uzibone, kubandakanya isifo esinganyangekiyo seLyme kunye nesifo esingakhathali esinganyangekiyo, "apho ungaboni gazi kodwa unentlungu ebuhlungu," utshilo.

Oogqirha abaninzi abakafundiswa malunga ne-syndrome yokuthutha ixesha elide kwaye zimbalwa kakhulu iingcali ezisasazeke kwilizwe lonke, wongeza uLambert. Kwaye, ngelixa amaziko okhathalelo lwe-COVID sele eqalile ukuvela kwilizwe liphela (nantsi imephu eluncedo), uninzi lwamazwe alunasibonelelo.

Njengengxenye yophando lwakhe, uLambert wabambisana no "Survivor Corps," iqela likawonkewonke likaFacebook elinamalungu angaphezu kwe-153,000 achonga njengabakhweli abade. "Enye into engakholelekiyo abantu abayifumana kweli qela yingcebiso malunga nendlela yokuzithethela kunye nezinto abazenzayo ekhaya ukuzama ukunyanga ezinye zeempawu zabo," utshilo.

Ngelixa abaninzi abarhuqa ixesha elide be-COVID ekugqibeleni baziva bebhetele, abanye banokuhlupheka iinyanga ezininzi, ngokweCDC. "Uninzi lwezigulana ezine-COVID yexesha elide endizibonileyo bezikwindlela ecothayo yokubuyela kwimeko yesiqhelo, nangona kungekho namnye kubo obuyele esiqhelweni okwangoku," utshilo uGqirha Li. "Kodwa babenokuphuculwa, ke kufanelekile ukubabuyisela empilweni." (Idibeneyo: Ngaba i-Disinfectant Wipes ibulala iiNtsholongwane?)

Inye into ecacileyo: I-COVID-19 iya kuba nefuthe lexesha elide kwinkqubo yokhathalelo lwempilo. Kuyothusa ukucinga malunga nefuthe lesifo se-long-hauler syndrome, utshilo uGqirha Li. Khawufane ucinge ngayo: Ukuba kwindawo ethile phakathi kwe-10 kunye ne-80 yepesenti yabantu abafunyaniswe ukuba bane-COVID banesifo esinye okanye ezingaphezulu kwezi zimpawu zihlala ixesha elide, kunokubakho "amashumi ezigidi" zabantu abaphila neziphumo eziqhubekayo kunye nexesha elide Umonakalo, utsho.

ULambert unethemba lokuba uluntu lwezonyango lunokutshintsha ingqwalasela yalo ukuze lufumane isisombululo kwaba bantu bane-COVID ixesha elide. "Kufika kwinqanaba apho ungakhathaliyo ukuba yintoni unobangela," utshilo. "Kufuneka nje sifumane iindlela zokunceda abantu. Kufuneka sifunde iindlela ezisisiseko ngokuqinisekileyo, kodwa ukuba abantu bagula kangaka, kufuneka sigxile kwizinto eziza kubanceda bazive ngcono."

Ulwazi kweli bali luchanekile ngexesha lokushicilelwa. Njengoko uhlaziyo malunga ne-coronavirus i-COVID-19 iqhubeka nokuvela, kunokwenzeka ukuba ulwazi kunye neengcebiso kweli bali zitshintshile okoko kwapapashwa okokuqala. Siyakukhuthaza ukuba ujonge rhoqo ngezixhobo ezinjenge-CDC, i-WHO, kunye nesebe lezempilo likarhulumente kwindawo yakho yokufumana olona lwazi lwanamhlanje kunye neengcebiso.

Uphengululo lwe