Ngaba ukuvota kungayandisa ingozi yakho yeCoronavirus?

Umxholo

• Kwenzeka ntoni kwimiphunga yakho xa uvota?
• Kwaye i-COVID-19 iyichaphazela njani imiphunga yakho, kwakhona?
• Ke, luthini uphando malunga ne-vaping kunye ne-COVID-19?
• Luthini uluvo loluntu kwezonyango ngokuphefumla ngoku?
• Uphengululo lwe

Xa inoveli ye-coronavirus (i-COVID-19) yaqala ukusasazeka e-US, kwabakho into enkulu yokuthintela ukosuleleka kunye nokusasaza isigulo ikakhulu ukukhusela abantu abadala kunye nabantu abangenawo amandla. Ewe, kusabalulekile ukubajonga aba bantu. Kodwa ngokuhamba kwexesha kunye nedatha eninzi, abaphandi bafunda ukuba nabancinci, kungenjalo abantu abasempilweni banokufumana iimeko ezinzima ze-COVID-19.

Kwingxelo yakutshanje, abaphandi abavela kumaziko oLawulo lweZifo noKhuselo (CDC) bahlalutye isampulu yamatyala angama-2 500 axelwe ngamatyala e-COVID-19 phakathi kukaFebruwari 12 noMatshi 16 kwaye bafumanisa ukuba, phakathi kwabantu abangama-500 abafuna isibhedlele, iipesenti ezingama-20 phakathi kwama-20 nama-44 eminyaka ubudala.

Yayiyifowuni yokuvusa abantu baseMelika abancinci, kodwa yaphakamisa nemibuzo. Ukujonga ukuba ezinye ii-coronaviruses kunye nezifo zokuphefumla ezinxulumene nentsholongwane azibethi abantu abadala ukuba nzima, kutheni uninzi lwabantu abancinci belaliswa esibhedlele ngenxa ye-COVID-19? (Idibeneyo: Yintoni i-ER Doc efuna ukuba uyazi ngokuya kwisibhedlele seCoronavirus RN)

Ngokucacileyo, kunokubakho (kwaye mhlawumbi) kukho izinto ezininzi ezidlalayo apha. Kodwa umbuzo omnye ovelileyo ngulo: Ngaba ukuphuphuma-umkhwa kubantu abadala abancinci, ngakumbi-kungonyusa umngcipheko weengxaki ze-coronavirus?

Okwangoku, yithiyori nje efuna uphando ngakumbi. Nokuba kunjalo, oogqirha balumkisa ukuba ukufunxa ngenene kunokonyusa umngcipheko weengxaki zekoronavirus. "Nayiphi na imeko yezonyango echaphazela imiphunga, njengesifuba okanye isifo esingapheliyo semiphunga (COPD), inokukhokelela kwiziphumo ezibi kakhulu nge-COVID-19, ngoko ngokuqinisekileyo kubonakala ngathi into ebangela ukwenzakala kwimiphunga efana ne-vaping inokwenza okufanayo," utsho uKathryn Melamed, MD, ugqirha we-pulmonary kunye nokhathalelo olubalulekileyo kwi-UCLA Health.

"I-vaping inokubangela utshintsho oluthile kwimiphunga, ukuba, ukuba wosulelwe yi-COVID-19 ngaxeshanye, umntu unokuba nengxaki enkulu yokulwa usulelo okanye abe nesigulo esiqatha xa wosulelekile," wongeza uJoanna Tsai, MD, ugqirha wamaphaphu. kwiziko lezonyango laseOhio State University Wexner.

Kwenzeka ntoni kwimiphunga yakho xa uvota?

Uphando malunga nokuphuma kunqabile, ngenxa yokuba iseyindlela entsha yokutshaya. "Sisafunda okuninzi malunga nokuba i-vaping yenza ntoni emiphungeni, ngokufanayo nendlela eyathatha amashumi eminyaka ukufumana iziphumo zokwenyani zokusebenzisa imidiza yendabuko," kuchaza uGqr. Melamed.

Ukuza kuthi ga ngoku, i-CDC ithatha indawo entle ebanzi malunga ne-vaping. Ngelixa i-arhente ithi i-e-cigarettes ayikhuselekanga kulutsha, abantu abadala abancinci, abafazi abakhulelweyo kunye nabantu abadala abangatshayiyo okwangoku, imeko yeCDC kukuba "i-e-cigarettes inamandla okunceda abantu abadala abatshayayo abangakhulelwanga. "xa zisetyenziswa" njengendawo ebambeleyo "yecuba eliqhelekileyo kunye nemveliso yecuba.

Nangona kunjalo, ukuphefumla kunxulunyaniswe nemingcipheko emininzi yempilo, kubandakanya imeko enzulu yemiphunga ebizwa ngokuba yi-e-cigarette, okanye vaping, product-associated associated lung " , i-cannabis compound ekunika phezulu. I-EVALI, eyaqala ukuchongwa ngo-2019, inokubangela iimpawu ezifana nokuphefumla, umkhuhlane kunye nokubanda, ukukhohlela, ukugabha, urhudo, intloko ebuhlungu, isiyezi, ukubetha kwentliziyo ngokukhawuleza, kunye neentlungu zesifuba. Nangona isigulo sisesitsha (kwaye ke akucingelwanga), kucingelwa ukuba i-96 ekhulwini labantu abane-EVALI bafuna ukulaliswa esibhedlele, ngokutsho kwe-American Lung Association (ALA).

Asingabo bonke abantu abafumana isivumelwano se-EVALI, nangona. Ngokubanzi, umphunga ubangela ukudumba kwimiphunga okubangelwa ngamathontsi arosolized ophefumla ngawo, utshilo uFrank T. Leone, M.D., umlawuli weYunivesithi yasePennsylvania's Penn Stop Comprehensive Smoking Treatment Programme. "Imiphunga yindawo yokuqala yomzimba yokuzikhusela kwizisongelo eziphefumlelweyo, kubandakanya neentsholongwane, kwaye ke igcwele iiseli ezitshisayo ezikulungeleyo ukwenza idabi," ucacisa. "I-aerosol [esuka ekuphumeni] ivuselela ukuvuvukala okuphakathi kwinqanaba elinokubangela ukonakalisa umonakalo emiphungeni kwixesha elide." (Esinye isiphumo esinokubakho somphunga: ipopcorn lung.)

I-Vaping inokubangela nokudumba kwii-monocytes (iiseli ezimhlophe zegazi ezinceda amajoni omzimba atshabalalise abahlaseli). UGqr. Leone uthi: “Kusenokwenzeka ukuba loo nto inokwenza kube lula ukuba usulelo lulawuleke. Ngaphezu koko, ukukhupha umoya kunokuphucula ukosuleleka okubangela intsholongwane ethile, enokuthi ivumele inyumoniya ebukhali ngakumbi ukuba inyuse iingcambu emva kokosuleleka yintsholongwane, utshilo.

Kwaye i-COVID-19 iyichaphazela njani imiphunga yakho, kwakhona?

Ngokubanzi, i-COVID-19 ibangela ukudumba kwimiphunga, utshilo uRobert Goldberg, MD, ugqirha wemiphunga kunye neSibhedlele saseMishini eMission Viejo, eCalifornia. Kwiimeko ezinzima, oko kudumba kungakhokelela kwisifo sokuphefumla esiqatha (i-ARDS), imeko apho ulwelo luvuza khona emiphungeni kwaye lubambe umzimba weoksijini, ngokwe-ALA.

I-COVID-19 isenokubangela amahlwili egazi amancinci, amancinci emiphungeni, anokwenza kube nzima ukuphefumla, wongeza uGqr. Leone. (Eyeleleneyo: Ngaba le teknoloji yokuphefumla iCoronavirus isemthethweni?)

"Xa ujongene nezi zithuko, imiphunga inengxaki yokuhambisa ioksijini egazini ngendlela ebekufanele ukuba ichaze ngayo," ucacisa uGqirha Leone.

Ke, luthini uphando malunga ne-vaping kunye ne-COVID-19?

Isilumkiso esibalulekileyo: Ukuza kuthi ga ngoku, akukho datha inxibelelanisa ngokuthe ngqo i-vaping kwiimeko ezinzima ze-coronavirus. Nangona kunjalo, intsholongwane isentsha, kwaye abaphandi bafunda malunga nendlela eziphatha ngayo kwaye zeziphi iindlela zokuziphatha ezinokukubeka emngciphekweni omkhulu weengxaki ezinzima ezivela kwintsholongwane.

Oko kwathiwa, enye kwangoko (funda: eyokuqala kunye nengaphononongwa ngoontanga) ifumene unxibelelwano phakathi kokutshaya icuba kunye neemeko ezinzima ze-COVID-19. Olunye uphononongo lwezifundo ezivela China, epapashwe kwijenali yezonyango Izifo ezibangelwa licuba, ifumanise ukuba abaguli be-COVID-19 abatshayayo banamathuba angama-1.4 okuba neempawu ezigwenxa zentsholongwane kunye namaxesha ama-2.4 amathuba okuba angeniswe kwi-ICU, adinga impepho, kunye / okanye afe xa kuthelekiswa nabantu abangatshayiyo. Olunye uphononongo olupapashwe kwi ILancet igxile kwizigulana ezili-191 ze-COVID-19, eTshayina. Kwezi zigulana, ezingama-54 zafa, kwaye kwabo baswelekayo, iipesenti ezisi-9 zazingabantu abatshayayo, ngelixa iipesenti ezi-4 zabo basindayo betshaya, ngokweziphumo zophando.

Kwakhona, olu phando lujonge ukutshaya icuba, hayi ukufutha. Kodwa kunokwenzeka ukuba okufunyenweyo kunokusebenza nasemphefumlweni, utshilo uGqirha Melamed. "Ukusezela intsholongwane ye-e-cigarette aerosol kufana ngokwaneleyo [nokutshaya icuba] kule meko ukuvumela inkxalabo efanayo, utshilo uGqirha Leone.

Abanye oogqirha babona unxibelelwano olunokwenzeka phakathi kwe-vaping kunye neendlela ezinzima ngakumbi ze-COVID-19 ebaleni, nazo. UGqr. Goldberg uthi: “Kutshanje bendinesigulana esineminyaka engama-23 ubudala ebekufuneka sifakwe umatshini wokuphefumla ngaphezu kweeveki ezimbini—ekuphela kwento eyenzeka kuye kukuba uye waphefumla. (Eyeleleneyo: I-Tracker yakho yoFitness ingakunceda ukuba ubambe iiMpawu zeCoronavirus eziphantsi kweRadar)

Ngapha koko, iziphumo ezinokuba yingozi zokuphefumla emiphungeni, ngandlela thile, ziyafana ngendlela i-COVID-19 ehlasela ngayo eli candelo lomzimba, wongeza uGqirha Leone. Ngomphunga, amasuntswana amahle kakhulu kwi-aerosol ahamba ukusuka kwiindawo zomoya emiphungeni ukuya kwimithambo yegazi emincinci emiphungeni, uyacacisa. "Kuyavela ukuba, i-COVID-19 inxulunyaniswa namahlwili amancinci emiphungeni, kanye kule mithambo yegazi," utshilo. "Ndixhalabile ukuba i-erosoli [ukusuka ekuphumeni] inokubeka phambili ekunqandeni."

Luthini uluvo loluntu kwezonyango ngokuphefumla ngoku?

Ngamafutshane: Nceda ungavoti. "Nokuba siphakathi kwesibetho sehlabathi okanye hayi, ndingacebisa wonke umntu ukuba angawuthathi umkhwa wokuphefumla okanye azame ukuyeka ukuba sele efutha," utshilo uGqr. Tsai. "Ubhubhane wehlabathi obangela ukugula okuphefumla njenge-COVID-19 kundenza ndigxininise kulo myalezo nangakumbi kuba oko kunokuba nzima kwimiphunga ukulwa usulelo."

Oku kwakubalulekile ngaphambi kwe-COVID-19, utshilo uGqirha Goldberg. "Kodwa oku kuye kubaluleke ngakumbi ngeli xesha lobhubhani wehlabathi," uyacacisa, ecebisa ukuba abantu bayeke ukuphefumla "kwangoko."

UGqr. Leone uyaqonda ukuba ukuyeka akulula njengoko kuvakala, kodwa. "La maxesha anzima afaka umntu ekubopheni: Bahlala beziva bengxamisekile ukuba bayeke ngexesha elifanayo njengoko beziva befuna ukuqhubeka besebenzisa ukuze balawule uxinzelelo," utsho. "Kungenzeka ukufezekisa iinjongo zombini ngokukhuselekileyo."

Ukuba u vape, uGqirha Leone ucebisa ukuba ungene kugqirha ukuze uxoxe ngeendlela ezinokubakho zokuyeka. “Yigcine ilula kwaye uyenze,” utshilo.

Ulwazi kweli bali luchanekile ngexesha lokushicilelwa. Njengoko uhlaziyo malunga ne-coronavirus i-COVID-19 iqhubeka nokuvela, kunokwenzeka ukuba ulwazi kunye neengcebiso kweli bali zitshintshile okoko kwapapashwa okokuqala. Siyakukhuthaza ukuba ujonge rhoqo ngezixhobo ezinjenge-CDC, i-WHO, kunye nesebe lezempilo likarhulumente kwindawo yakho yokufumana olona lwazi lwanamhlanje kunye neengcebiso.

Uphengululo lwe