Kulabo abahlala noma abanakekela umuntu onesifo esingapheliyo sokuphazamiseka kwamaphaphu (COPD), kubalulekile ukuthi wazi izingozi COVID-19 kungaba pose. Lo mbhalo uchaza ukuthi abagulayo be-COPD bangahlala kanjani bephilile ngangokunokwenzeka ukunciphisa ubungozi bokubamba COVID-19. 

Yini amaCOPD futhi COVID-19?

ICoronavirus, eyaziwa njenge COVID or COVID-19 ngamafuphi, yisifo esithathelwanayo ebesisakazeka emhlabeni wonke, sibangela ubhadane lomhlaba wonke. Kubantu abaningi, izimpawu zimnene, kepha kumaqembu asebekhulile, labo abanamasosha omzimba abuthakathaka, noma labo abanezimo zezempilo zesikhathi eside ezikhona, kungaba nzima kakhulu.

Impela kunjalo kulabo abaphila nesimo sesikhathi eside COPD, igama elinikezwa iqembu lezimo zamaphaphu ezidala izinkinga zokuphefumula, njenge-bronchitis engapheli ne-emphysema. Ucwaningo lukhombisile ukuthi ubungozi bokuhlushwa izinkinga ezinzima zokuphefumula, izinkinga, kanye nesidingo sokulaliswa esibhedlela COVID-19 kuphakeme nge-COPD. 

Izimpawu eziyinhloko ze COVID-19 zihlanganisa:

  • Ukukhwehlela okusha okuqhubekayo
  • Ukushisa okuphezulu
  • Ukuphelelwa umoya
  • Ukulahlekelwa ukunambitheka noma iphunga.

Iningi labantu abane-Coronavirus lizoba okungenani neyodwa yalezi zimpawu. 

Uma unezinye izimpawu zeCoronavirus, thola isivivinyo ngokushesha okukhulu. Okwamanje, wena kanye nanoma ngubani ohlala ekhaya lakho kufanele uzihlukanise ngokuhlala ekhaya uze uthole imiphumela yokuhlolwa. Akufanele uye emsebenzini uma unezimpawu ezingaba khona ze-coronavirus. 

ICoronavirus ingakuthinta kanjani uma une-COPD?

Kulabo abaphila ne-COPD, izimpawu zokuphefumula nezamaphaphu ze COVID-19 baba sengozini yokuba nomthelela omkhulu kakhulu kunalabo abangenayo i-COPD. Sekuvele kwaziwa kahle ukuthi umkhuhlane (umkhuhlane) ungadala izinkinga ezinkulu uma une-COPD, njengokukhulisa ubungozi be-pneumonia, kanti necala liyafana COVID-19. 

I-bronchitis engapheli ne-emphysema, okuyizinkinga zokuphefumula ezibangelwa yi-COPD, zombili zidala ukulimala emaphashini. I-bronchitis engapheli ibangela ukuvuvukala kwesikhathi eside kwemigwaqo yomoya, kanti i-emphysema ilimaza izikhwama zomoya emaphashini. Amasosha omzimba nawo angathinteka, ngakho ukutheleleka okunjenge COVID-19 izoshiya iziguli ze-COPD zikuthola kunzima kakhulu ukulwa nayo. 

Ngaphezu kwezimpawu ze COVID-19, okwejwayelekile izimpawu ze-COPD kungaba kubi kakhulu, kubangele ukuphefumula kanzima nokuphefumula kanzima. Ukwehla kokusebenza kwamaphaphu kwenza izinkinga ezinjenge-pneumonia zibekhona futhi uma ukuphefumula kuthinteka kakhulu, kungadingeka ukuthi uye esibhedlela. 

Kungani iCoronavirus ingakuthinta kakhulu uma une-COPD?

Ucwaningo ngezizathu eziqondile zokuthi kungani i-COPD inyusa ubungozi bokuqina COVID-19 kuyaqhubeka, kepha izifundo zakuqala zikhombisa izici eziningana. Lezi zinto zifaka:

  • Izinga leprotheyini i-ACE-2 (i-angiotensin iguqula i-enzyme-2) - abantu abane-COPD bavame ukuba namazinga akhuphukile e-ACE-2 emkhakheni wabo wokuphefumula ophansi kanye COVID-19 Igciwane lisebenzisa le protein ukubophela kulo
  • Ukutholakala kwamagciwane - uma une-COPD, waziwa ukuthi usengcupheni yokutheleleka ngokuphefumula ngamagciwane, okuyiwo COVID-19 isibonelo esisodwa 
  • Ukungasebenzi komzimba - i-COPD ibanga ukungasebenzi komzimba, okwenza kube nzima emzimbeni wakho ukulwa nezifo
  • Ubudala - COVID-19 kuvame ukuba kubi kakhulu ezigulini ezindala futhi i-COPD ivame kakhulu kubantu abadala 
  • Izimo ezingaphansi - kungenzeka uthole COVID-19 uma usuvele uhlushwa yisimo sempilo esivele sikhona noma esiyisisekelo, njenge-COPD, ebeka engcupheni umsebenzi wamaphaphu. 

Kungaba naziphi izingozi?

I-COPD yisifo samaphaphu esibi futhi COVID-19 kuthinta nokuphefumula. Ucwaningo lukhombisa ukuthi ukubamba COVID-19 uma une-COPD yandisa ubungozi bokudinga ukwelashwa esibhedlela nokunakekelwa kwe-ICU. Futhi kwandisa ingozi yokufa kusuka COVID-19, ikakhulukazi uma nawe ubhema

Noma kunjalo, ukuba ne-COPD akusho ukuthi uzobamba ngokuzenzakalela COVID-19. Ucwaningo oluthile luthole ukuthi bangaba-2% kuphela abantu abangeniswe esibhedlela COVID-19 eChina kwakune-COPD engaphansi (izehlakalo zonke zeCOPD eChina zisuka ku-5-13%). 

Olunye ucwaningo lwakamuva lukhombise inani eliphansi leziguli ezibhedlela ezine-COPD futhi COVID-19 kunalabo abalungile COVID. Abanye abantu basikisela ukuthi mhlawumbe iziguli ze-COPD zisebenzisa ngempumelelo izindlela, njengokuphambuka komphakathi nokugqoka ubuso, ukugwema ukubamba COVID-19. 

Ungazinciphisa kanjani izingozi?

Uma uhlala neCOPD kubalulekile ukuthi uqaphele ukuze unciphise ubungozi bokubamba COVID-19. Nazi ezinye izinyathelo ezingokoqobo ongazithatha ukunciphisa ubungozi bokuthola i-coronavirus:  

  • Gqoka isembozo sobuso - ukugqoka okokumboza ubuso, okufana nesifihla-buso sobuso noma i-visor, kuzonciphisa ubungozi bokuphefumula ngamaconsi athwala igciwane. Ukumboza ubuso futhi kukusiza ukunciphisa ukusabalala kwesifo ngokuvikela noma ngubani ohlangana naye. Khumbula ukugeza okokumboza ubuso njalo.
  • Prakthiza ukuqhela emphakathini - Ukugcina ibanga ukusuka kwabanye abantu uma uphumile kusiza ukunciphisa ukusabalala kwe- COVID-19. Bheka izeluleko zikahulumeni endaweni yakho ukuthola ibanga lomphakathi elinconywayo njengamanje.
  • Gwema izindawo eziminyene - gwema ukuhlangana namaqembu abantu endlini noma ngaphandle.
  • Geza izandla zakho kaningi - qhubeka ugeza izandla zakho kaningi ngensipho namanzi afudumele futhi usebenzise ijeli yezandla yotshwala uma uphumile.
  • Phatha i-COPD yakho kahle - uma i-COPD yakho iphethwe futhi ilawulwa kahle, khona-ke ingozi yokuba nezinkinga nayo COVID-19 kuncishisiwe. Landela i- uhlelo lokuzilawula, qhubeka uphuza yonke imishanguzo yakho yomlomo kanye nama-inhalers njengokuholwa ngudokotela wakho, futhi ungaguquli inqubo yakho yezempilo ngaphandle kwalapho welulekwa ngayo.
  • Yiba nemithi eyanele - qiniseka ukuthi unemithi eyanele ekhaya uma kwenzeka une-COPD flare-up futhi udinga ukuthatha ama-steroids noma ama-antibiotics. Izimpawu zokuqhuma zihlanganisa ukwanda kokuphefumula, ukukhwehlela, ne-phlegm. 
  • Hlanza imishini yakho - ungakhohlwa ukuhlanza njalo okokusebenza okusebenzisayo, njengama-spacers, i-peak flow meters, nama-nebulizers. Sebenzisa uketshezi lokuwasha noma ulandele imiyalo enconyiwe enikeziwe. 
  • Gwema izimbangela - yenza okusemandleni akho ukugwema ukuthintana nanoma yiziphi izimbangela ezaziwayo ezingakhuphula i-COPD yakho, njengentuthu kagwayi, amakhemikhali noma umusi. 
  • Gwema izithuthi zomphakathi - uma uqashiwe futhi ungakwazi ukusebenza ekhaya, zama ukugwema ukusebenzisa izithuthi zomphakathi lapho kungenzeka khona. 
  • Ukuvikela - uma welulekwa ukuthi usebenzise ukuzivikela, landela inkombandlela oyinikezwayo. 
  • Yeka ukubhema - uma ubhema, zama ukuyeka. Akuzukusiza kuphela ukuphatha i-COPD yakho, kepha kuzonciphisa nobungozi bakho COVID-19.

Uma unakekela umuntu one-COPD, qaphela ukuthi amasu okuvulwa komoya ukuze enze i-phlegm noma isikhwehlela angangenisa amaconsi angatheleleka emvelweni. Ngakho-ke, umuntu osebenzisa lezi zindlela kufanele akwenze lokho egumbini elinomoya ongcono kude nabanye abantu ukunciphisa ubungozi bokusabalalisa izifo bengahlosile.  

Ukubuyisa

COVID-19 kusesegciwane elisha, ngakho-ke ucwaningo nokuqonda ngemiphumela nokuthi abantu balulama kanjani kusaqhubeka. 

Ngokuvamile COVID-19 ifaka i-pneumonia, futhi sekuvele kwaziwa ukuthi inyumoniya ngokwayo ingathatha iziguli ze-COPD amasonto noma izinyanga ukuthola kabusha, okukhombisa ukuthi kungakanani COVID-19 kungathinta izimpilo. Ucwaningo luphakamisa ukuthi ukutakula kusuka COVID-19 kuyinqubo ehamba kancane futhi ingahle ifake okwehla nokwenyuka. Kujwayelekile ukuzwa okuthunyelwe-COVID-19 izimpawu, njengokukhathala, ukulahlekelwa okuqhubekayo kwephunga nokunambitha, nokungaphefumuli. 

Lonke icala lingenye futhi kuya ngezici ezifana isigaba seCOPD yakho, iminyaka yakho, nokuthi iqine kangakanani yakho COVID-19 kwaba. 

COVID-19 kungathinta kokubili umzimba nengqondo futhi akuyona into engavamile ukuhlangabezana nezinkinga ezingokwengqondo nezingokomzwelo, ezinjengokwesaba, ukukhathazeka, noma ukukhathazeka ngemuva kokuthola COVID-19. 

Holwa ochwepheshe bakho bezokwelapha ukuthi ungalulama kanjani kangcono kusuka ku- COVID-19 isipiliyoni, ngenkathi futhi uphatha izimpawu zakho ezijwayelekile ze-COPD. Ungazifaki ingcindezi yokwenza okuningi futhi uthathe usuku ngalunye njengoba luza. Uma uzizwa ungazuza endlebeni elalelayo noma ekusekelweni okwengeziwe kwezempilo yengqondo, buza udokotela wakho ngezindlela zokwelapha ezingokwengqondo noma zokukhuluma.

 

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U-Olloquequi J. COVID-19 Ukutholakala kwesifo esingamahlalakhona sokuphazamiseka kwamaphaphu. U-J J Clin Invest. 2020 Okthoba; 50 (10): e13382. i-doi: 10.1111 / eci.13382. I-Epub 2020 Sep 2. PMID: 32780415; I-PMCID: PMC7435530.

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Your Covid Ukutakula. NHS