Ubwongereza, Essex, Harlow, bwashyize ahagaragara imyumvire y'umugore ukora siporo hanze mu busitani bwe
Kugarura imitsi n'imbaraga, kwihangana kumubiri, ubushobozi bwo guhumeka, kumvikana mumutwe, kumererwa neza mumarangamutima hamwe ningufu zingufu za buri munsi nibyingenzi kubarwayi bahoze mubitaro ndetse na COVID ndende. Hasi, abahanga bapima icyo gukiza COVID-19 birimo.
Gahunda Yuzuye yo Kugarura
Gukenera kugiti cyawe biratandukanye bitewe numurwayi n'amasomo yabo ya COVID-19. Ibice byingenzi byubuzima bikunze kwibasirwa kandi bigomba gukemurwa harimo:
- Imbaraga no kugenda. Kwinjira mubitaro no kwandura virusi ubwabyo birashobora kwangiza imitsi hamwe na misa. Kudahagarara kuva kuryama mubitaro cyangwa murugo birashobora guhinduka buhoro buhoro.
- Kwihangana. Umunaniro nikibazo kinini hamwe na COVID ndende, bisaba ibikorwa byitondewe.
- Guhumeka. Ingaruka z'ibihaha ziterwa na COVID umusonga zirashobora gukomeza. Ubuvuzi bwongeyeho ubuvuzi bwubuhumekero burashobora kunoza guhumeka.
- Imikorere myiza. Iyo ibikorwa byubuzima bwa buri munsi nko guterura ibintu byo murugo bitagikora byoroshye, imikorere irashobora kugarurwa.
- Ubwenge bwo mumutwe / kuringaniza amarangamutima. Ibyo bita igihu cyubwonko bituma bigora gukora cyangwa kwibanda, kandi ingaruka nukuri, ntabwo ari ibitekerezo. Kunyura muburwayi bukomeye, kumara igihe kinini mubitaro nibibazo byubuzima bikomeje birababaje. Inkunga ivura ifasha.
- Ubuzima rusange. Icyorezo cyakunze guhisha impungenge nko kwita kuri kanseri, kwisuzumisha amenyo cyangwa kwisuzumisha bisanzwe, ariko muri rusange ibibazo byubuzima nabyo bisaba kwitabwaho.
Imbaraga no kugenda
Iyo sisitemu ya musculoskeletal ifashe hit muri COVID-19, isubira mumubiri. Suzette Pereira, umushakashatsi mu buzima bw’imitsi hamwe na Abbott, isosiyete yita ku buzima ku isi, agira ati: “Imitsi igira uruhare runini. Ati: “Ifite hafi 40% yuburemere bwumubiri kandi ni urugingo rukora rukora izindi ngingo nuduce twumubiri. Itanga intungamubiri ku ngingo zikomeye mu gihe cy'uburwayi, kandi gutakaza byinshi birashobora gushyira ubuzima bwawe mu kaga. ”
Kubwamahirwe, utitaye kubushake kubuzima bwimitsi, imbaraga zimitsi nimikorere birashobora kwangirika cyane kubarwayi ba COVID-19. Brianne Mooney, umuvuzi w’umubiri mu bitaro by’ubuvuzi budasanzwe mu mujyi wa New York, agira ati: “Ni Catch-22. Asobanura ko kubura kugenda byongera cyane gutakaza imitsi, mu gihe kugenda bishobora kumva bidashoboka n'indwara itwara ingufu. Kugirango ibintu birusheho kuba bibi, atrophy yimitsi yongera umunaniro, bigatuma kugenda bidashoboka.
Ubushakashatsi bwerekana ko abarwayi bashobora gutakaza imitsi igera kuri 30% mu minsi 10 ya mbere y’ubuvuzi bukomeye. Dr. Sol M. Abreu-Sosa, inzobere mu buvuzi bw’umubiri n’inzobere mu buzima busanzwe, avuga ko abarwayi bari mu bitaro kubera COVID-19 ubusanzwe bari mu bitaro byibuze ibyumweru bibiri, mu gihe abinjira muri ICU bamarayo hafi ukwezi nigice. ukorana n’abarwayi ba COVID-19 mu kigo cy’ubuvuzi cya kaminuza ya Rush i Chicago.
Kugumana imbaraga z'imitsi
Ndetse no mubihe byiza, kubantu bafite ibimenyetso bikomeye bya COVID-19, birashoboka ko hari imitsi yatakara. Mooney, umwe mu bagize itsinda ryashyizeho ibitaro by’ubuvuzi bwihariye bwo kubaga COVID-19 amabwiriza agenga imirire no gusubiza mu buzima busanzwe, avuga ko abarwayi bashobora kugira uruhare runini mu gutakaza imitsi kandi, mu bihe byoroheje, bashobora gukomeza ubuzima bw’imitsi.
Izi ngamba zirashobora gufasha kurinda imitsi, imbaraga nubuzima muri rusange mugihe cyo gukira:
- Himura uko ubishoboye.
- Ongeraho guhangana.
- Shyira imbere imirire.
Himura nkuko ubishoboye
Abreu-Sosa agira ati: "Iyo wimutse vuba, ni byiza.", Asobanura ko, mu bitaro, abarwayi ba COVID-19 bakorana bafite amasaha atatu yo kuvura umubiri iminsi itanu mu cyumweru. Ati: “Hano mu bitaro, dutangiye imyitozo ndetse no ku munsi wo kwinjira niba vitamine zihamye. Ndetse no mu barwayi bafite intubate, dukora ku buryo bworoshye bwo kugenda, tuzamura amaboko n'amaguru ndetse n'imitsi ihagarara. ”
Ageze murugo, Mooney arasaba abantu guhaguruka bakimuka buri minota 45 cyangwa irenga. Kugenda, gukora ibikorwa byubuzima bwa buri munsi nko kwiyuhagira no kwambara kimwe nimyitozo itunganijwe nko gusiganwa ku magare no guswera ni ingirakamaro.
Agira ati: "Igikorwa icyo ari cyo cyose cy'umubiri kigomba gushingira ku bimenyetso ndetse no ku rwego rw'imikorere igezweho." Umunaniro, guhumeka neza no kuzunguruka byose bitera guhagarika imyitozo.
Ongeraho Kurwanya
Mugihe winjije urujya n'uruza muri gahunda yawe yo gukira, shyira imbere imyitozo ishingiye ku kurwanya irwanya imitsi minini y'umubiri wawe, Mooney arasaba. Avuga ko kurangiza imyitozo itatu yiminota 15 buri cyumweru ari intangiriro ikomeye, kandi abarwayi barashobora kongera inshuro nigihe kirekire uko gukira gutera imbere.
Witondere cyane kwibanda ku kibuno n'amatako kimwe n'umugongo n'ibitugu, kuko ayo matsinda y'imitsi akunda gutakaza imbaraga nyinshi mu barwayi ba COVID-19 kandi akagira ingaruka nini ku bushobozi bwo guhagarara, kugenda no gukora imirimo ya buri munsi, Abreu-Sosa ati.
Kugirango ukomeze umubiri wo hasi, gerageza imyitozo nka squats, glute ibiraro nintambwe kuruhande. Kubwumubiri wo hejuru, shyiramo umurongo nigitugu-kanda bitandukanye. Mooney avuga ko uburemere bw'umubiri wawe, utwuma tworoheje hamwe na bande yo kurwanya byose bikora ibikoresho bikomeye murugo.
Shyira imbere imirire
Pereira agira ati: "Poroteyine irakenewe mu kubaka, gusana no kubungabunga imitsi, ariko kandi kugira ngo ishyigikire umusaruro wa antibodi na selile z'umubiri." Kubwamahirwe, gufata proteine akenshi usanga biri munsi yibyo byakagombye kuba kubarwayi ba COVID-19. Yagiriye inama ati: “Intego ya garama 25 kugeza kuri 30 za poroteyine kuri buri funguro niba bishoboka, urya inyama, amagi n'ibishyimbo cyangwa ukoresheje inyongera yo mu kanwa.”
Pereira avuga ko Vitamine A, C, D na E na zinc ari ingenzi mu mikorere y’umubiri, ariko kandi bigira uruhare mu buzima bw’imitsi ndetse n’ingufu. Arasaba kwinjiza amata, amafi yuzuye amavuta, imbuto n'imboga n'ibindi bimera nk'imbuto, imbuto n'ibishyimbo mu ndyo yawe yo gukira. Niba ufite ikibazo cyo gutekera wenyine murugo, tekereza kugerageza serivisi nziza zo gutanga ibiryo kugirango bigufashe kubona intungamubiri zitandukanye.
Kwihangana
Gusunika mumunaniro n'intege nke birashobora kutabyara inyungu mugihe ufite COVID ndende. Kubaha umunaniro nyuma ya COVID ni igice cyinzira yo gukira.
Umunaniro ukabije
Umunaniro uri mu bimenyetso bya mbere bizana abarwayi bashaka ubuvuzi bw’umubiri mu itsinda rya Johns Hopkins Post-Acute COVID-19, nk'uko byatangajwe na Jennifer Zanni, inzobere mu mavuriro y’umutima n’imitsi n’ibihaha muri Johns Hopkins Rehabilitation i Timonium, muri Maryland. Agira ati: "Ntabwo ari ubwoko bw'umunaniro byanze bikunze wabonana n'umuntu umaze gucika intege cyangwa watakaje imbaraga nyinshi z'imitsi." Ati: "Ni ibimenyetso bigabanya ubushobozi bwabo bwo gukora ibikorwa bisanzwe bya buri munsi - ishuri cyangwa ibikorwa byabo."
Kwitegura wenyine
Igikorwa gito cyane kirashobora kuzana umunaniro utagereranywa kubantu barwaye COVID nyuma ya COVID. Zanni agira ati: "Ubuvuzi bwacu bugomba kuba bwihariye ku murwayi, nk'urugero, niba umurwayi agaragaje kandi afite icyo twita 'nyuma yo gukomera." Asobanura ko ibyo ari igihe umuntu akora imyitozo ngororamubiri nko gukora siporo cyangwa se akazi ko mu mutwe nko gusoma cyangwa kuba kuri mudasobwa, kandi bigatera umunaniro cyangwa ibindi bimenyetso kuba bibi cyane mu masaha 24 cyangwa 48 ari imbere.
Zanni agira ati: "Niba umurwayi afite ibimenyetso nk'ibyo, tugomba kwitondera cyane uburyo twandika imyitozo, kuko ushobora rwose gutuma umuntu aba mubi." Ati: "Turashobora rero kuba dukora ibijyanye no kwihuta no kureba ko banyura mu bikorwa bya buri munsi, nko guca ibintu mu mirimo mito."
Abarwayi barashobora kuvuga ko ibyunvikana nkibintu bigufi, byoroshye mbere ya COVID-19 bishobora kuba impungenge zikomeye. Zanni agira ati: "Birashobora kuba ikintu gito, nko kugenda ibirometero kandi ntibashobora kuva mu buriri mu minsi ibiri iri imbere - bityo, inzira yo kugereranya n'ibikorwa." Ati: "Ariko ni nkaho imbaraga zabo ziboneka ari nke cyane kandi iyo zirenze ibyo bisaba igihe kirekire kugirango ukire."
Nkuko ukora amafaranga, koresha imbaraga zawe zingirakamaro. Nukwiga kwihuta, urashobora kwirinda umunaniro ukabije gushira.
Guhumeka
Ingorane z'ubuhumekero nka pnewoniya zirashobora kugira ingaruka zo guhumeka igihe kirekire. Byongeye kandi, Abreu-Sosa avuga ko mu kuvura COVID-19, abaganga rimwe na rimwe bakoresha steroyide hamwe n’abarwayi, ndetse n’imiti igabanya ubukana hamwe n’imitsi y’imitsi ikenera umuyaga uhumeka, ibyo byose bikaba bishobora kwihutisha imitsi no gucika intege. Mu barwayi ba COVID-19, uku kwangirika ndetse karimo imitsi y'ubuhumekero igenzura guhumeka no guhumeka.
Imyitozo yo guhumeka nigice gisanzwe cyo gukira. Agatabo k'abarwayi kakozwe na Zanni na bagenzi be hakiri kare icyorezo cyerekana ibyiciro byo gukira. "Uhumeka cyane" nubutumwa muburyo bwo guhumeka. Guhumeka cyane bigarura imikorere yibihaha ukoresheje diaphragm, agatabo kanditse, kandi ishishikariza uburyo bwo kugarura no kwidagadura muri sisitemu y'imitsi.
- Icyiciro cyo gutangira. Witoze guhumeka cyane ku mugongo no mu nda. Kuvuza cyangwa kuririmba bikubiyemo guhumeka cyane, kimwe.
- Icyiciro cyo kubaka. Mugihe wicaye kandi uhagaze, ubishaka ukoreshe guhumeka cyane mugihe ushyira amaboko yawe kuruhande rwinda yawe.
- Kuba icyiciro. Uhumeka cyane uhagaze no mubikorwa byose.
Amahugurwa yo mu kirere, nk'amasomo kuri podiyumu cyangwa imyitozo ya siporo, ni bumwe mu buryo bwuzuye bwo kubaka ubushobozi bwo guhumeka, ubuzima bwiza no kwihangana.
Igihe icyorezo cyagendaga cyiyongera, byaragaragaye ko ibibazo by'ibihaha bikomeje bishobora kugora gahunda ndende yo gukira. Zanni agira ati: "Mfite abarwayi bamwe bafite ibibazo by'ibihaha bikomeje, kubera ko kugira COVID byangiritse ku bihaha byabo." Ati: “Ibyo birashobora gutinda cyane kubikemura cyangwa rimwe na rimwe burundu. Bamwe mu barwayi bakeneye ogisijeni mu gihe runaka. Gusa biterwa n'uburwayi bwabo bwari bukomeye n'uburyo bakize. ”
Rehab kumurwayi ufite ibihaha byangiritse bifata inzira zitandukanye. Zanni agira ati: "Turimo gukorana n'abaganga duhereye ku buvuzi kugira ngo imikorere yabo y'ibihaha ihindurwe." Urugero, avuga ko ibyo bishobora gusobanura ko abarwayi bakoresha imiti ihumeka kugira ngo babemerera gukora siporo. Ati: “Natwe dukora imyitozo mu buryo bashobora kwihanganira. Niba rero umuntu afite ikibazo cyo guhumeka cyane, dushobora gutangira imyitozo myinshi hamwe n'amahugurwa make yo hagati, bivuze ko igihe gito cyo gukora imyitozo hamwe no kuruhuka gake. ”
Imikorere myiza
Gukora imirimo ya buri munsi wafataga nkibisanzwe, nko kugenda hasi cyangwa guterura ibintu byo murugo, nibice byubuzima bwiza. Nukugira imbaraga nubushobozi bwo gukora akazi kawe.
Kubakozi benshi, ibyifuzo gakondo byo gukora cyane mumasaha arangiye ntibikiri impamo kuko bakomeje gukira COVID-19.
Nyuma yo gutangira kwambere hamwe na COVID-19, gusubira kukazi birashobora kugorana. Zanni agira ati: “Ku bantu benshi, akazi karagoye. Ati: “Ndetse no kwicara kuri mudasobwa ntibishobora gusora ku mubiri, ariko birashobora gusoreshwa mu bwenge, bishobora (gutera) umunaniro rimwe na rimwe.”
Amahugurwa yimikorere atuma abantu basubira mubikorwa bifatika mubuzima bwabo, atari ukubaka imbaraga gusa ahubwo no gukoresha imibiri yabo neza. Kwiga uburyo bwiza bwo kugenda no gushimangira amatsinda yingenzi yimitsi birashobora gufasha kugarura uburinganire nubworoherane, guhuza, guhagarara nimbaraga zo kwitabira amateraniro yumuryango, ibikorwa byo hanze nko gutembera cyangwa gahunda zakazi nko kwicara no gukora kuri mudasobwa.
Ariko, ntibishoboka ko abakozi bamwe basubukura imirimo isanzwe nkuko bisanzwe. Agira ati: “Abantu bamwe ntibashobora gukora na gato kubera ibimenyetso byabo. Ati: “Abantu bamwe bagomba guhindura gahunda zabo z'akazi cyangwa akazi bava murugo. Abantu bamwe ntibafite ubushobozi bwo kudakora - barakora ariko hafi buri munsi baba banyuze mu mbaraga zabo, ibyo bikaba ari ibintu bitoroshye. ” Avuga ko ibyo bishobora kuba ikibazo ku bantu benshi badafite uburambe bwo kudakora cyangwa nibura gufata ikiruhuko igihe bakeneye.
Bamwe mubatanga ubuvuzi bwa COVID burashobora gufasha kwigisha abakoresha abarwayi, urugero nko kohereza amabaruwa kugirango abamenyeshe ibijyanye na COVID ndende, kugirango bashobore kumva neza ingaruka zishobora kubaho kubuzima kandi bakire neza mugihe bikenewe.
Kuringaniza mu mutwe / Amarangamutima
Itsinda ryuzuye ryabatanga ubuvuzi bazemeza ko gahunda yawe yo gukira yihariye, yuzuye kandi yuzuye, ikubiyemo ubuzima bwumubiri nubwenge. Mu rwego rwibyo, Zanni avuga ko abarwayi benshi bagaragara ku ivuriro rya Hopkins PACT bahabwa ibizamini ku bibazo by’imitekerereze n’ubwenge.
Agahimbazamusyi hamwe na rehab ni uko abarwayi bafite amahirwe yo kumenya ko atari bonyine. Bitabaye ibyo, birashobora guca intege mugihe abakoresha, inshuti cyangwa nabagize umuryango bakubajije niba koko ukiri umunyantege nke, unaniwe cyangwa mumutwe cyangwa amarangamutima mugihe uzi ko aribyo. Igice cya COVID ndende kirahabwa inkunga no kwizera.
Zanni agira ati: "Benshi mu barwayi banjye bavuga ko kugira umuntu wemeza ibyo bahura nabyo birashoboka ko ari ikintu gikomeye." Ati: "Kubera ko ibimenyetso byinshi aribyo abantu bakubwira ntabwo aribyo ibizamini bya laboratoire byerekana."
Zanni na bagenzi be babona abarwayi ari abarwayi bo ku ivuriro cyangwa binyuze kuri telehealth, ibyo bikaba byoroshye kubigeraho. Kwiyongera, ibigo byubuvuzi bitanga porogaramu nyuma ya COVID kubafite ibibazo bitinze. Umuganga wawe wibanze arashobora kuguha inama mugace kanyu, cyangwa urashobora kugenzura nibigo byubuvuzi byaho.
Ubuzima Rusange
Ni ngombwa kuzirikana ko ikibazo gishya cyubuzima cyangwa ibimenyetso bishobora guterwa nikindi kintu kitari COVID-19. Zanni avuga ko itumanaho rinyuranye ari ngombwa iyo abarwayi basuzumwe igihe kirekire cyo kuvura COVID.
Hamwe nimpinduka zumubiri cyangwa ubwenge, ibibazo byimikorere cyangwa ibimenyetso byumunaniro, abaganga bagomba kwirinda ibishoboka bitari COVID. Nkibisanzwe, umutima, endocrine, oncology cyangwa izindi ndwara zifata ibihaha zirashobora gutera ibimenyetso byinshi byuzuye. Zanni avuga ko ibyo byose bivuga uburyo bwiza bwo kwivuza, kandi hakenewe isuzumabumenyi ryuzuye aho kuvuga gusa: Ibi byose ni COVID ndende.
Igihe cyo kohereza: Jun-30-2022