Kwabo bahlala okanye banakekela umntu onesifo esinganyangekiyo semiphunga (COPD), kubalulekile ukuba wazi imingcipheko COVID-19 unokubuza. Eli nqaku lichaza indlela abaguli beCOPD abanokuhlala ngayo besempilweni kangangoko ukunciphisa umngcipheko wokubamba COVID-19.
Zithini iiCOPD kunye COVID-19?
ICoronavirus, eyaziwa njenge COVID or COVID-19 Ngokufutshane, sisifo esosulelayo esisasazeke kwihlabathi lonke, sibangela ubhubhane wehlabathi. Kubantu abaninzi, iimpawu zithambile, kodwa kumaqela amadala, abo banamajoni omzimba abuthathaka, okanye abo baneemeko zempilo zexesha elide, kunokuba nzima kakhulu.
Ngokuqinisekileyo kunjalo kwabo bahlala nemeko yexesha elide COPD, Igama elinikwa iqela leemeko zemiphunga ezibangela iingxaki zokuphefumla, ezinjenge-bronchitis engapheliyo kunye ne-emphysema. Uphando lubonakalisile ukuba umngcipheko wokubandezeleka ngenxa yeengxaki zokuphefumla ezinzima, iingxaki, kunye nesidingo sokulaliswa esibhedlele kunye COVID-19 iphezulu ngeCOPD.
Iimpawu eziphambili ze COVID-19 ziquka:
- Ukukhwehlela okutsha okuqhubekayo
- U bushushu obuphezulu
- Ukuqhawukelwa ngumphefumlo
- Ukuphulukana nokungcamla okanye ivumba.
Uninzi lwabantu abaneCoronavirus luya kuba ubuncinci kwezi mpawu.
Ukuba unazo naziphi na iimpawu zeCoronavirus, fumana uvavanyo ngokukhawuleza. Okwangoku, wena kunye nabani na ohlala ekhayeni lakho kufuneka nizihlukanise ngokuhlala ekhaya kude kube ufumana iziphumo zovavanyo. Akufanelekanga ukuba uye emsebenzini xa unempawu ezinokubakho ze-coronavirus.
I-Coronavirus inokukuchaphazela njani ukuba uneCOPD?
Kulabo baphila neCOPD, iimpawu zokuphefumla kunye nemiphunga COVID-19 baleka umngcipheko wokuba nefuthe elikhulu kunelabo bangenayo i-COPD. Sele iyaziwa kakuhle into yokuba umkhuhlane (umkhuhlane) ungadala iingxaki ezinkulu ukuba une-COPD, njengokunyusa umngcipheko wenyumoniya, kwaye ityala liyafana COVID-19.
I-bronchitis engapheliyo kunye ne-emphysema, ezinengxaki yokuphefumla ebangelwa yi-COPD, zombini zibangela ukonakala emiphungeni. I-bronchitis engapheliyo ibangela ukudumba kwexesha elide lomoya, ngelixa i-emphysema yonakalisa iisaka zomoya emiphungeni. Amajoni omzimba anokuchaphazeleka, ngenxa yoko usulelo olunjenge COVID-19 izakushiya abaguli beCOPD bakufumanisa kunzima kakhulu ukulwa nayo.
Ukongeza kwiimpawu ze COVID-19, njengesiqhelo Iimpawu zeCOPD inokuba mandundu ngakumbi, ibangele ukuphefumla kakhulu kunye nobunzima bokuphefumla. Ukuncipha kwemiphunga kwenza iingxaki ezinje nge-pneumonia kunokwenzeka kwaye ukuba ukuphefumla kuchaphazeleka kakhulu, kungafuneka uye esibhedlele.
Kutheni iCoronavirus inokukuchaphazela ngakumbi ukuba uneCOPD?
Uphando malunga nezizathu ezichanekileyo zokuba i-COPD inyuse umngcipheko wobunzima COVID-19 Iyaqhubeka, kodwa izifundo zakuqala zibonisa izinto ezininzi. Ezi zinto zibandakanya:
- Amanqanaba eprotheni ACE-2 (i-angiotensin eguqula i-enzyme-2) -abantu abane-COPD bathambekele ekubeni namanqanaba anyukayo e-ACE-2 kwindawo yabo yokuphefumla esezantsi kunye COVID-19 Intsholongwane isebenzisa le protein ukubopha kuyo
- Ukuchaphazeleka kwintsholongwane- ukuba unayo i-COPD, waziwa ngokuba sengozini yosulelo lokuphefumula, COVID-19 ngumzekelo omnye
- Ukungasebenzi kakuhle komzimba - i-COPD ibangela ukungasebenzi kakuhle komzimba, isenza ukuba kube nzima emzimbeni wakho ukulwa nosulelo
- Ubudala - COVID-19 ithande ukuba mandundu kwizigulana ezindala kwaye i-COPD ixhaphake kakhulu kubantu abadala
- Iimeko eziphantsi-kunokwenzeka ukuba ufumane COVID-19 ukuba sele unengxaki kwimeko esele ikhona okanye esempilweni yezempilo, enje ngeCOPD, ebeka esichengeni ukusebenza kwepulmonary.
Zibeka mngcipheko mni?
I-COPD sisifo esibuhlungu semiphunga kwaye COVID-19 ichaphazela nokuphefumla. Izifundo zibonisa ukuba ukubamba COVID-19 xa uneCOPD yonyusa umngcipheko wokufuna ukulaliswa esibhedlele kunye nonyango lweyunithi yonyango (i-ICU). Ikwonyusa umngcipheko wokufa COVID-19, ngakumbi ukuba nawe uyatshaya.
Nangona kunjalo, ukuba neCOPD akuthethi ngokuzenzekelayo ukuba uyakubamba COVID-19. Olunye uphononongo lufumanise ukuba kuphela sisi-2% sabantu abangeniswe esibhedlele COVID-19 e-China yayine-COPD engaphantsi (imeko yonke ye-COPD e-China isusela kwi-5-13%).
Olunye uphononongo lwakutsha nje lubonise inani eliphantsi lezigulana kwizibhedlele ezineCOPD kunye COVID-19 kunabo banobulungisa COVID. Abanye abantu bacebisa ukuba mhlawumbi izigulana zeCOPD ziphumeza ngempumelelo amanyathelo, njengokuphambuka ekuhlaleni kunye nokunxiba ubuso, ukunqanda ukubamba. COVID-19.
Njani ukunciphisa umngcipheko?
Ukuba uhlala neCOPD kubalulekile ukuba uqaphele ngakumbi ukunciphisa umngcipheko wokubamba COVID-19. Nanga amanyathelo onokuwathatha ukunciphisa umngcipheko wokufumana i-coronavirus:
- Nxiba isigqubuthelo ebusweni - ukunxiba isigqubuthelo sobuso, esifaka imaski yobuso okanye i-visor, kuya kunciphisa umngcipheko wokuphefumla ngamathontsi aphethe intsholongwane. Ukugquma ubuso kuyanceda ekunciphiseni ukusasazeka kosulelo ngokukhusela nabani na odibana naye. Khumbula ukuhlamba ubuso bakho rhoqo.
- Ziqhelanise nomgama ekuhlaleni -Ukugcina umgama kwabanye abantu xa uphumile kunceda ukunciphisa ukusasazeka kwe COVID-19. Jonga iingcebiso zikarhulumente kwindawo yakho malunga nomgama ekuhlaleni okhuthazwayo.
- Ziphephe iindawo ezixineneyo -Kuphephe ukudibana namaqela abantu nokuba ngaphakathi okanye ngaphandle.
- Hlamba izandla zakho rhoqo - hlamba uhlamba izandla zakho rhoqo ngesepha kunye namanzi ashushu kwaye usebenzise ijel yotywala xa uphumile.
- Lawula i-COPD yakho kakuhle - ukuba i-COPD yakho ilawulwa kakuhle kwaye ilawulwa, ke umngcipheko wokuba neengxaki COVID-19 iyancitshiswa. Landela eyakho isicwangciso sokuzilawula, qhubeka uthatha onke amayeza omlomo kunye ne-inhalers njengoko ukhokelwa ngugqirha wakho, kwaye ungatshintshi indlela yakho yezempilo ngaphandle kokuba ucetyisiwe.
- Unamayeza aneleyo - Qinisekisa ukuba unamayeza aneleyo ekhaya ukuba unayo i-COPD flare-up kwaye kufuneka uthathe ii-steroids okanye ii-antibiotics. Iimpawu zokuqhambuka zibandakanya ukwanda kokuphefumla, ukukhohlela, kunye ne-phlegm.
- Coca izixhobo zakho - Ungalibali ukucoca rhoqo izixhobo ozisebenzisayo, ezinje ngee-spacers, iimitha zokuhamba okuphezulu, kunye nee-nebulizers. Sebenzisa ulwelo lokuhlamba okanye ulandele imiyalelo ekhuthaziweyo enikiweyo.
- Ziphephe izinto ezinokubangela - yenza konke okusemandleni akho ukunqanda ukunxibelelana nazo naziphi na izinto ezaziwayo ezinokukhulisa i-COPD yakho, enje ngomsi wecuba, imichiza okanye imisi.
- Kulumkele ukuthuthwa kwabantu - ukuba uqeshiwe kwaye awunakho ukusebenza ekhaya, zama ukunqanda ukusebenzisa izithuthi zikawonkewonke apho kunokwenzeka.
- Ukukhusela - ukuba uyacetyiswa ukuba wenze ikhuselo, landela isikhokelo osinikiweyo.
- Yeka ukutshaya - ukuba uyatshaya, zama ukuyeka. Ayizukukunceda kuphela ukulawula i-COPD yakho, kodwa iya kunciphisa umngcipheko wakho COVID-19.
Ukuba ukhathalele umntu one-COPD, yazi ukuba iindlela zokucoca umoya ukwenza i-phlegm okanye isikhohlela sinokuzisa amathontsi asulelayo kwimeko-bume. Ke, umntu osebenzisa obu buchule kufuneka enjenjalo kwigumbi elinomoya ongcolileyo kude nabanye abantu ukunciphisa umngcipheko wokusasaza ngabom isifo.
Ukubuyisela
COVID-19 iseyintsholongwane entsha, ke uphando kunye nokuqonda iziphumo kunye nendlela abantu abachacha ngayo kuyaqhubeka.
Ngokuqhelekileyo COVID-19 ibandakanya inyumoniya, kwaye sele isaziwa ukuba inyumoniya iyodwa inokuthatha izigulana zeCOPD iiveki okanye iinyanga ukuze iphinde ibuye, ebonisa ukuba ingakanani COVID-19 inokuchaphazela ubomi. Uphando lubonisa ukuba ukubuyela kwimeko yesiqhelo COVID-19 yinkqubo ethe chu kwaye inokubandakanya amahla-ndinyuka. Kuqhelekile ukufumana amava athile-COVID-19 Iimpawu, ezinje ngokudinwa, ukuqhubeka nelahleko kunye nokunambitheka, kunye nokuphefumla.
Ityala ngalinye lilodwa kwaye lixhomekeke kwizinto ezifana Inqanaba leCOPD yakho, ubudala bakho, kwaye bunzima kangakanani COVID-19 bekunjalo.
COVID-19 inokuchaphazela umzimba kunye nengqondo kwaye akuqhelekanga ukufumana imiba yengqondo kunye nemvakalelo, njengokwesaba, ukukhathazeka okanye ukuxhalaba emva kokuba COVID-19.
Khokelwa ziingcali zakho zonyango malunga nokuba ungachacha njani kulunge lwakho COVID-19 amava, ngelixa ulawula iimpawu zakho eziqhelekileyo zeCOPD. Musa ukubeka uxinzelelo kuwe ukuba wenze okuninzi kwaye uthathe usuku ngalunye njengoko lusiza. Ukuba uziva ungazuza kwindlebe ephulaphulayo okanye inkxaso eyongezelelweyo yempilo yengqondo, buza ugqirha wakho malunga nonyango lwengqondo okanye lokuthetha.
SOURCES
I-Attaway AA, i-Zein J kunye ne-Hatipoglu yase-US. Usulelo lwe-SARS-CoV-2 kubemi beCOPD linxulunyaniswa nokusetyenziswa kwezempilo okunyukayo: Uhlalutyo lweklinikhi yaseCleveland COVID-19 Ubhaliso. Lancet; vol 26: 100515, Septemba 1 2020. INGXELO: https://doi.org/10.1016/j.eclinm.2020.100515
Isiseko seBritish Lung. ICoronavirus kunye COVID-19.
Isiseko seBritish Lung. Ndiza kuphila njani ukuba ndineCoronavirus?
I-Higham A, uMathioudakis A, uVestbo J, uSingh D. COVID-19 kunye neCOPD: uphononongo olubalisayo lwesayensi esisiseko kunye neziphumo zeklinikhi. Ukuphefumla kwe-Eur Rev. 2020 Novemba 5; 29 (158): 200199. ikhonkco: 10.1183 / 16000617.0199-2020.
Leung JM, Niikura M, Yang CWT okqhubekayo. COVID-19 kunye neCOPD. Ijenali yokuphefumla yaseYurophu Ngo-2020 56: 2002108; INGXELO: 10.1183 / 13993003.02108-2020
INTLE. 2020. COVID-19 isikhokelo esikhawulezayo: ukhathalelo olusekwe ekuhlaleni kwizigulana ezinesifo esinganyangekiyo semiphunga (ICOPD).
INTLE. Isifo esinganyangekiyo semiphunga kubantu abadala.
UOlloquequi J. COVID-19 Ukuchaphazeleka kwisifo esinganyangekiyo semiphunga. Utyalo mali ka J J Clin. Ngo-2020 Oktobha; 50 (10): e13382. ikhonkco: 10.1111 / eci.13382. Epub 2020 Sep 2. PMID: 32780415; IINKCUKACHA: PMC7435530.
Iisimoni SO, Hurst JR, Miravitlles M et al. Ukunyamekela abaguli abaneCOPD kunye COVID-19: umbono wokuvusa ingxoxo. Thorax. NgoSeptemba 2 2020. 10.1136. http://dx.doi.org/10.1136/thoraxjnl-2020-215095
Isono DD. COVID-19 kwi-COPD: Inkxalabo ekhulayo. Lancet. NgoSeptemba 19 2020. https://doi.org/10.1016/j.eclinm.2020.100546
IVenkata VS, iKiernan G. COVID-19 kunye neCOPD: Uhlalutyo oluhlanganisiweyo lwezifundo zokujonga. Ipapashwe kwi: the KUKHULU Intlanganiso yoNyaka yoNyaka; Okthobha 18-21, 2020. Abstract 2469.