Ucwaningo lwamuva nje luhlole imiphumela yokwelashwa komoya-mpilo ophakeme ekusebenzeni kwenhliziyo kwabantu ababhekene ne-COVID ende, okubhekisela ezinkingeni ezahlukahlukene zempilo eziqhubekayo noma eziphinde zenzeke ngemva kokutheleleka yi-SARS-CoV-2.
Lezi zinkinga zingafaka phakathi ukungalingani kwenhliziyo kanye nengozi eyengeziwe yokungasebenzi kahle kwenhliziyo. Abacwaningi bathole ukuthi ukuphefumula umoya-mpilo ohlanzekile nocindezelekile kungasiza ekuthuthukiseni ukufinyela kwenhliziyo ezigulini ezine-COVID isikhathi eside.
Lolu cwaningo luholwa nguSolwazi uMarina Leitman waseSackler School of Medicine eTel Aviv University kanye naseShamir Medical Center kwa-Israyeli. Nakuba okutholakele kwethulwe engqungqutheleni eyayibanjwe yi-European Society of Cardiology ngoMeyi 2023, ayikakahlolwa ngontanga.
I-COVID ende kanye nokukhathazeka kwenhliziyo
I-Long COVID, ebizwa nangokuthi i-post-COVID syndrome, ithinta cishe abantu abayi-10-20% abaye baba ne-COVID-19. Nakuba abantu abaningi belulama ngokugcwele kuleli gciwane, i-long COVID ingatholakala uma izimpawu ziqhubeka okungenani izinyanga ezintathu ngemva kokuqala kwezimpawu ze-COVID-19.
Izimpawu ze-COVID ende zihlanganisa izinkinga ezahlukene zempilo, okuhlanganisa ukuphelelwa umoya, ubunzima bokuqonda (okubizwa ngokuthi inkungu yobuchopho), ukucindezeleka, kanye nezinkinga eziningi zenhliziyo nemithambo yegazi. Abantu abane-COVID ende basengozini enkulu yokuthola isifo senhliziyo, ukwehluleka kwenhliziyo, nezinye izimo ezihlobene.
Ngisho nabantu ababengenazo izinkinga zenhliziyo ngaphambilini noma ababenengozi enkulu yesifo senhliziyo baye babhekana nalezi zimpawu, njengoba kuboniswe ucwaningo olwenziwe ngo-2022.
Izindlela zocwaningo
UDkt. Leitman nabalingani bakhe baqashe iziguli ezingu-60 ezazinezimpawu zesikhathi eside ze-COVID-19, ngisho nangemva kwezimo ezincane kuya kweziphakathi, ezithathe okungenani izinyanga ezintathu. Leli qembu lalihlanganisa abantu abasezibhedlela kanye nabangebona abalaliswe esibhedlela.
Ukuze benze ucwaningo lwabo, abacwaningi bahlukanise abahlanganyeli baba amaqembu amabili: elinye lithola ukwelashwa komoya-mpilo okwandayo (i-HBOT) kanti elinye lithola inqubo yokulingisa (i-fake). Umsebenzi wenziwa ngokungahleliwe, ngenani elilinganayo lezifundo eqenjini ngalinye. Phakathi namasonto ayisishiyagalombili, umuntu ngamunye wayenezifundo ezinhlanu ngesonto.
Iqembu le-HBOT lithole umoya-mpilo ongu-100% ngokucindezela kwemimoya-mpilo emibili imizuzu engama-90, ngamakhefu amafushane njalo ngemizuzu engama-20. Ngakolunye uhlangothi, iqembu elingamanga lithole umoya-mpilo ongu-21% ngokucindezela kwemimoya-mpilo eyodwa isikhathi esifanayo kodwa ngaphandle kwamakhefu.
Ngaphezu kwalokho, bonke ababambiqhaza bahlolwe i-echocardiography, ukuhlolwa kokuhlola ukusebenza kwenhliziyo, ngaphambi kweseshini yokuqala ye-HBOT kanye nesonto eli-1 kuya kwama-3 ngemuva kweseshini yokugcina.
Ekuqaleni kocwaningo, abangu-29 kwabangu-60 ababambiqhaza babenenani elimaphakathi lomhlaba wonke le-longitudinal strain (GLS) elingu--17.8%. Phakathi kwabo, abangu-16 babelwa eqenjini le-HBOT, kanti abanye abangu-13 babeseqenjini elingamanga.
Imiphumela yocwaningo
Ngemva kokuthola ukwelashwa, iqembu lokungenelela lathola ukwanda okuphawulekayo kwesilinganiso se-GLS, safinyelela ku--20.2%. Ngokufanayo, iqembu elingamanga nalo landa kwesilinganiso se-GLS, esafinyelela ku--19.1%. Kodwa-ke, isilinganiso sangaphambilini kuphela esabonisa umehluko omkhulu uma kuqhathaniswa nesilinganiso sokuqala ekuqaleni kocwaningo.
UDkt. Leitman wenze ukuqaphela ukuthi cishe ingxenye yeziguli ze-COVID ezinde zazinokukhubazeka kokusebenza kwenhliziyo ekuqaleni kocwaningo, njengoba kuboniswe yi-GLS. Noma kunjalo, bonke abahlanganyeli ocwaningweni babonise ingxenye evamile yokukhipha, okuyisilinganiso esijwayelekile esisetshenziselwa ukuhlola amandla okufinyela kwenhliziyo nokuphumula ngesikhathi sokupompa igazi.
UDkt. Leitman uphethe ngokuthi ingxenye yokukhipha isisu iyodwa ayizweli ngokwanele ukuhlonza iziguli ze-COVID ezinde okungenzeka ukuthi zinokungasebenzi kahle kwenhliziyo.
Ukusetshenziswa kokwelashwa nge-oxygen kungaba nezinzuzo ezingaba khona.
Ngokusho kukaDkt. Morgan, okutholakele kulolu cwaningo kusikisela ukuthi kukhona ukuthambekela okuhle kokwelashwa nge-hyperbaric oxygen.
Kodwa-ke, weluleka ukuba kuqashelwe, ethi ukwelashwa nge-hyperbaric oxygen akuyona indlela yokwelapha eyamukelwa yiwo wonke umuntu futhi kudinga uphenyo olwengeziwe. Ngaphezu kwalokho, kukhona ukukhathazeka mayelana nokwanda okungenzeka kwe-arrhythmias ngokusekelwe ocwaningweni oluthile.
UDkt. Leitman nabalingani bakhe baphetha ngokuthi ukwelashwa nge-hyperbaric oxygen kungaba yinzuzo ezigulini ezine-COVID ende. Uphakamisa ukuthi kudingeka ucwaningo olwengeziwe ukuze kutholakale ukuthi yiziphi iziguli ezingazuza kakhulu, kodwa kungaba yinzuzo kuzo zonke iziguli ezine-COVID ende ukuthi zihlolwe ukucindezeleka kwe-longitudinal emhlabeni wonke futhi zicabangele ukwelashwa nge-hyperbaric oxygen uma ukusebenza kwenhliziyo yazo kuphazamiseka.
UDkt. Leitman uphinde aveze ithemba lokuthi izifundo ezengeziwe zinganikeza imiphumela yesikhathi eside futhi zisize ochwepheshe bezempilo ekunqumeni inani elifanele lezikhathi zokwelapha nge-hyperbaric oxygen.
Isikhathi sokuthunyelwe: Agasti-05-2023