Kodi Vaping Ingakulitse Chiwopsezo Chanu cha Coronavirus?

Zamkati

• Kodi chimachitika ndi chiyani m'mapapu anu mukamakonda?
• Ndipo COVID-19 imakhudza bwanji mapapu anu, kachiwiri?
• Ndiye, kafukufukuyu akuti chiyani za vaping ndi COVID-19?
• Kodi madokotala akuti chiyani pakadali pano?
• Onaninso za

Pamene buku la coronavirus (COVID-19) lidayamba kufalikira ku US, panali chiwopsezo chachikulu chopewa kutenga ndi kufalitsa matendawa makamaka kuti ateteze okalamba ndi anthu omwe alibe chitetezo chamthupi. Inde, ndikofunikirabe kuyang'anira anthu awa. Koma pakapita nthawi komanso zambiri, ofufuza akuphunzira kuti ngakhale achichepere, apo ayi anthu athanzi amatha kukumana ndi milandu yayikulu ya COVID-19.

Mu lipoti laposachedwa, ofufuza ochokera ku Centers for Disease Control and Prevention (CDC) adasanthula zitsanzo pafupifupi 2,500 zomwe zidanenedwa za COVID-19 pakati pa February 12 ndi Marichi 16 ndipo zidapeza kuti, mwa anthu pafupifupi 500 omwe amafunikira kugonekedwa m'chipatala, 20 peresenti anali. azaka zapakati pa 20 ndi 44.

Uku kunali kuyitanitsa kwachinyamata ku America, komanso kunadzutsa mafunso. Poganizira kuti ma coronavirus ena ndi matenda opumira okhudzana ndi kachilomboka samakhudza kwambiri achinyamata, chifukwa chiyani achinyamata ambiri akugonekedwa m'chipatala chifukwa cha COVID-19? (Zogwirizana: Zomwe ER Doc Akufuna Mukudziwa Zokhudza Kupita Kuchipatala cha Coronavirus RN)

Zachidziwikire, pakhoza kukhala (ndipo mwina pali) zinthu zingapo zomwe zingaseweredwe pano. Koma funso limodzi lomwe labwera ndi ili: Kodi kutulutsa mpweya - zomwe zimachitika mwa achikulire, makamaka - zitha kukulitsa chiwopsezo cha zovuta za coronavirus?

Pakalipano, ndi chiphunzitso chabe chomwe chimafuna kufufuza zambiri. Ngakhale zili choncho, madokotala akuchenjeza kuti kuphulika kumathandizanso kuti chiwopsezo cha matenda a coronavirus chiwonjezeke. "Matenda aliwonse omwe amakhudza mapapu, monga mphumu kapena matenda osokoneza bongo (COPD), atha kubweretsa zotsatira zoyipa ndi COVID-19, chifukwa chake zikuwoneka kuti china chake chomwe chimavulaza m'mapapo ngati vaping chitha kuchita chimodzimodzi," akutero Kathryn Melamed, MD, dotolo wama pulmonary and critical care ku UCLA Health.

"Kujambula kungayambitse kusintha kwamapapu komwe, ngati atakhala ndi COVID-19 nthawi yomweyo, munthuyo atha kukhala ndi mavuto ambiri olimbana ndi matendawa kapena kudwala matenda akakhala ndi kachilombo," akuwonjezera Joanna Tsai, MD, pulmonologist ku Ohio State University Wexner Medical Center.

Kodi chimachitika ndi chiyani m'mapapu anu mukamakonda?

Kafufuzidwe ka vaping sikokwanira, popeza ikadali njira yatsopano yosutira. "Tikuphunzirabe zambiri za zomwe vaping imachita m'mapapo, mofanana ndi momwe zinatengera zaka zambiri kuti tipeze zotsatira zenizeni za kusuta fodya wamba," akufotokoza Dr. Melamed.

Pofika pano, CDC imatenga kaimidwe kozama kwambiri pa vaping. Pomwe bungweli lati ndudu za e-fodya sizabwino kwa achinyamata, achinyamata, amayi apakati, ndi achikulire omwe samasuta, CDC ndiyakuti "e-ndudu zimatha kupindulitsa omwe amasuta omwe alibe pakati "akagwiritsidwa ntchito ngati" cholowa m'malo chathunthu "ndudu zanthawi zonse ndikusuta fodya.

Komabe, vaping adalumikizidwa ndi zoopsa zingapo zaumoyo, kuphatikiza vuto lalikulu m'mapapo lotchedwa "e-ndudu, kapena vaping, mankhwala omwe amagwiritsidwa ntchito ndi mapapo" (aka EVALI), makamaka anthu omwe amapaka madzi omwe ali ndi vitamini E acetate ndi THC , mankhwala a khansa omwe amakupatsani inu apamwamba. EVALI, yomwe idadziwika koyamba mu 2019, imatha kuyambitsa matenda monga kupuma pang'ono, malungo ndi kuzizira, chifuwa, kusanza, kutsegula m'mimba, mutu, chizungulire, kugunda kwamtima mwachangu, komanso kupweteka pachifuwa. Ngakhale kuti matendawa akadali atsopano (ndipo sakudziwika), akuganiza kuti 96 peresenti ya anthu omwe ali ndi EVALI amafunikira kuchipatala, malinga ndi American Lung Association (ALA).

Osati anthu onse amene vape mgwirizano EVALI, ngakhale. Mwambiri, kuphulika kumayambitsa kutupa m'mapapu komwe kumayambitsidwa ndimadontho omwe mumapumira, atero a Frank T. Leone, MD, director of the University of Pennsylvania's Penn Stop Comprehensive Smoking Treatment Program. "Mapapu ndiwo gawo loyamba lodzitetezera kumatenda owopseza, kuphatikiza ma virus, motero amakhala ndi maselo otupa omwe ali okonzeka kumenya nkhondo," akufotokoza. "Mlengalenga [kuchokera ku vaping] umapangitsa kuti pakhale kutupa kwapafupipafupi komwe kumatha kuwononga mapapo pakapita nthawi." (Chotsatira china chotheka cha kuphulika: mapapu am'mapapo.)

Vaping amathanso kuyambitsa kutupa kwa monocyte (maselo oyera amwazi omwe amathandizira chitetezo cha mthupi kuwononga omwe akubwera). Izi "mwina zitha kupangitsa kuti matenda azikhala opatsirana," akufotokoza Dr. Leone. Kuphatikiza apo, kuphulika kumatha kukulitsa kutha kwa mabakiteriya ena, komwe kumatha kupangitsa chibayo chowopsa kwambiri cha bakiteriya kuti chizikike pambuyo poti matenda ali ndi kachilombo, akutero.

Ndipo COVID-19 imakhudza bwanji mapapu anu, kachiwiri?

Nthawi zambiri, COVID-19 imayambitsa kutupa m'mapapo, atero a Robert Goldberg, MD, dokotala wama pulmonologist ku Mission Hospital ku Mission Viejo, California. M'mavuto akulu, kutupako kumatha kubweretsa matenda opatsirana opatsirana (ARDS), vuto lomwe madzimadzi amalowerera m'mapapu ndikuwononga thupi la oxygen, malinga ndi ALA.

COVID-19 amathanso kupangitsa magazi kukhala ochepa kwambiri m'mapapu, omwe amathanso kupangitsa kuti kupuma kupuma, akuwonjezera Dr. Leone. (Zokhudzana: Kodi Iyi ndi Njira Yopumira ya Coronavirus Ndi Yovomerezeka?)

“Poyang’anizana ndi chipongwe chimenechi, mapapu amakhala ndi vuto lalikulu kusamutsira mpweya m’mwazi monga momwe amayenera kuchitira,” akufotokoza motero Dr. Leone.

Ndiye, kafukufukuyu akuti chiyani za vaping ndi COVID-19?

Phukusi lofunika: Kuyambira pano, palibe deta yolumikiza molunjika ku zovuta zazikulu za coronavirus. Komabe, kachilomboka kakadali katsopano, ndipo ofufuza akuphunzira za momwe zimakhalira komanso machitidwe omwe angakuike pachiwopsezo chachikulu chotenga matendawa.

Izi zati, zina zoyambirira (zowerengedwa: zoyambirira osati zowunikiridwa ndi anzawo) zapeza mayanjano pakati pa kusuta ndudu ndi milandu yayikulu ya COVID-19. Ndemanga imodzi yamaphunziro ochokera ku China, yofalitsidwa mu magazini yazachipatala Matenda Oyambitsa Fodya, adapeza kuti odwala a COVID-19 omwe amasuta amakhala ndi mwayi wambiri 1.4 wokhala ndi zizindikilo zowopsa za kachilomboka ndipo nthawi 2.4 angavomerezedwe ku ICU, amafunikira makina opumira, ndi / kapena kufa poyerekeza ndi omwe samasuta. Kafukufuku wina wofalitsidwa mu The Lancet idayang'ana kwambiri odwala 191 a COVID-19, nawonso ku China. Mwa odwalawo, 54 adamwalira, ndipo mwa omwe adamwalira, 9% anali osuta, pomwe 4% ya omwe adapulumuka adasuta, malinga ndi kafukufukuyu.

Apanso, kafukufukuyu adayang'ana pa kusuta ndudu, osati kutuluka. Koma ndizotheka kuti zomwe apezazi zitha kugwiranso ntchito, akutero Dr. Melamed. Dr. Leone anati: “Kukoka mpweya wa ndudu ya e-fodya n’kofanana ndi [kusuta ndudu] m’nkhani ino n’cholinga chofuna kukhala ndi nkhawa ngati imeneyi.

Madokotala ena akuwona kulumikizana kotheka pakati pa mitundu ya vaping ndi yoopsa kwambiri ya COVID-19 m'munda, naponso. "Posachedwapa ndinali ndi wodwala wazaka 23 yemwe amafunikira kukhala ndi makina opumira kwa milungu yopitilira iwiri - vuto lake lokhalo ndiloti adatuluka," akutero Dr. Goldberg. (Yogwirizana: Fitness Tracker Yanu Itha Kukuthandizani Kugwira Zizindikiro za Under-the-Radar Coronavirus)

Kuphatikiza apo, zomwe zitha kuvulaza m'mapapu, mwanjira zina, zikufanana ndendende ndi momwe COVID-19 imawukira gawo ili la thupi, akuwonjezera Dr. Leone. Ndikutuluka, tinthu tating'onoting'ono tomwe timatuluka mu aerosol timachoka m'malo ampweya m'mapapu kupita m'mitsempha yaying'ono yam'mapapu, akufotokoza. "Zikupezeka, COVID-19 ikugwirizanitsidwa ndi timatumba tating'onoting'ono m'mapapu, m'mitsempha yamagazi momwemo," akutero. "Ndili ndi nkhawa kuti aerosol [kuchokera ku vaping] ikhoza kutsekeka."

Kodi madokotala akuti chiyani pakadali pano?

Mwachidule: Chonde musati vape. "Mosasamala kanthu kuti tili pakati pa mliri wapadziko lonse lapansi kapena ayi, ndingalangize aliyense kuti asatengere chizolowezi chosuta kapena kuyesa kusiya ngati ayamba kale," akutero Dr. Tsai. "Mliri wapadziko lonse lapansi womwe umayambitsa matenda opuma ngati COVID-19 umangondipangitsa kutsindika kwambiri uthengawo chifukwa ukhoza kupangitsa kuti mapapu athe kuthana ndi matendawa."

"Izi zinali zofunika isanachitike COVID-19," akuwonjezera Dr. Goldberg. "Koma izi zimakhala zovuta kwambiri panthawi ya mliri wapadziko lonse lapansi," akufotokoza motero, ndikulimbikitsa kuti anthu asiye kusuta "nthawi yomweyo."

Dr.Leone akuzindikira kuti kusiya ntchito sikophweka monga kumvekera. "Nthawi zolemetsazi zimayika munthu m'ndende: Nthawi zambiri amamva kuti akufunika kuti asiye nthawi yomweyo pamene akumva kuti akufunikirabe kugwiritsa ntchito kuti athetse nkhawa," akutero. "N'zotheka kukwaniritsa zolinga zonsezi bwinobwino."

Ngati mukumva, Dr. Leone akukulimbikitsani kuti muyang'ane ndi dokotala kuti mukambirane njira zomwe mungasiyire. Iye anati: “Zikhale zosavuta kuchita ndipo zitheke.

Zomwe zili munkhaniyi ndizolondola monga nthawi yolemba. Pomwe zosintha za coronavirus COVID-19 zikupitilizabe kusintha, ndizotheka kuti zina ndi zina zomwe zanenedwa m'nkhaniyi zasintha kuyambira pomwe zidasindikizidwa koyamba. Tikukulimbikitsani kuti mumayang'anitsitsa pafupipafupi ndi zinthu monga CDC, WHO, ndi dipatimenti yazaumoyo yakwanuko kuti mumve zambiri zamtunduwu komanso malingaliro awo.

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