Inā loaʻa iā ʻoe ke COVID-19, e palupalu paha kāu mau hōʻailona a hiki iā ʻoe ke mālama iā lākou ma ka home. He ʻoiaʻiʻo kēlā no ka hapa nui o ka poʻe. Akā inā ʻelemakule ʻoe a i ʻole he mau maʻi olakino ʻē aʻe, e like me ka maʻi diabetes a i ʻole ka maʻi puʻuwai, ʻoi aku kou pilikia o ka loaʻa ʻana o nā pilikia koʻikoʻi mai COVID-19. ʻO kekahi poʻe, ma kahi o 1 i loko o 6, e loaʻa i nā pilikia e hoʻoweliweli ana i ke ola. ʻO ke kumu nui o kēia he kūlana i kapa ʻia ʻo 'cytokine storm.' I ka ʻōlelo maʻalahi, ke loaʻa iā mākou kahi maʻi, hele nui kā mākou ʻōnaehana pale a hoʻokuʻu i nā protein inflammatory i kapa ʻia ʻo cytokines i loko o ko mākou kahe koko. Hiki i kēia mau mea ke hōʻino i ko mākou mau ʻiʻo a hōʻino i nā ʻōpū koʻikoʻi e like me nā māmā, ka puʻuwai, a me nā puʻupaʻa.
He aha nā pilikia nui e hiki ke kū mai ma muli o Covid-19?
ʻAʻole wale ka COVID-19 he maʻi hanu. Hiki iā ia ke hoʻopilikia i nā ʻōnaehana like ʻole o ke kino. E nānā kākou i nā pilikia nui e hiki ke hana.
| Ka pilikia | He wehewehe maʻalahi |
|---|
| Ka hāʻule ʻana o ka hanu koʻikoʻi | ʻAʻole hiki i nā māmā ke hāʻawi i ka oxygen lawa i ke koko a i ʻole e wehe i ke kalapona ʻokikene mai ke koko. ʻO kēia ke kumu nui o ka make ʻana o COVID-19. |
| Ka maʻi niumonia koʻikoʻi | Pehu a piha nā ʻeke ea i loko o nā māmā ʻelua i ke wai a me ka pus, e paʻakikī loa ai ka hanu ʻana. |
| ʻO ka maʻi pilikia hanu koʻikoʻi (ARDS) | Ua hōʻino nui ʻia nā māmā a ua kahe ka wai i waho, e pale ana i ke koko mai ka loaʻa ʻana o ka oxygen lawa. Pono kēia i kahi mīkini hanu. |
| Ka pōʻino o nā kino | ʻEha nui o ke akepaʻa, ʻeha nui o ka puʻuwai, a me ka ʻeha nui o ka puʻupaʻa. |
| Nā ʻūpā koko | Nā haunaele i loko o ka ʻōnaehana hoʻopaʻa koko o ke kino (DIC), hiki ke hana i nā ʻūpā koko maʻamau ʻole i nā wāwae (DVT), nā māmā (PE), a ma nā wahi ʻē aʻe. |
| ʻO ka maʻi mumū multi-system i nā keiki (MIS-C) | He maʻi koʻikoʻi e hiki ke hoʻopilikia i nā keiki a me nā ʻōpio, e hoʻoulu ai i ka pehu ʻana ma nā ʻāpana like ʻole o ke kino. |
E nānā kākou i kēia mau kūlana me nā kikoʻī hou aku.
Nā hopena ma nā māmā
ʻO ke kumu nui o ka make mai COVID-19 ka hōʻino ʻana o ka māmā. E noʻonoʻo e pili ana i ia mea, ke ulu ka maʻi niumonia, e pehu nā ʻeke ea liʻiliʻi i loko o nā māmā, e paʻakikī loa ai ka hanu ʻana. Ke nānā ʻoe i nā māmā o nā maʻi COVID-19 koʻikoʻi, hiki iā ʻoe ke ʻike ua piha lākou i ka wai a me ka pus.
Ke lilo kēia ʻano i mea koʻikoʻi, alakaʻi ia i kahi ʻano i kapa ʻia ʻo ARDS (Acute Respiratory Distress Syndrome) . Maanei, ua hōʻino nui ʻia nā māmā a ʻaʻole hiki i ke koko ke loaʻa ka oxygen . ʻO kēia ka manawa e pono ai ke kōkua o kahi mīkini hanu hana (ventilator) e hoʻopakele i ke ola.
Ka hōʻino ʻana i ka puʻuwai, ke akepaʻa, a me nā puʻupaʻa
ʻAʻole ʻo Covid-19 he maʻi i kaupalena ʻia i nā māmā.
- ʻEha ʻAkepaʻa: ʻO ke akepaʻa ka ʻōkana i ʻeha pinepine ʻia ma hope o nā māmā. ʻAʻole maopopo inā paha na ka maʻi ponoʻī kēia i hana a i ʻole ke kaumaha ma ke kino i hoʻokumu ʻia e ka maʻi. Eia nō naʻe, he pilikia weliweli kēia e ola ai.
- ʻEha Puʻuwai Koʻikoʻi: Ua hōʻike pū kekahi mau maʻi COVID i ka haukapila i nā hōʻailona puʻuwai e like me nā arrhythmias. I kekahi manawa, ʻoiai ma hope o ka hoʻōla ʻana mai COVID-19, hiki ke loaʻa nā kūlana mumū o ka ʻiʻo puʻuwai, e like me ka myocarditis.
- ʻEha puʻupaʻa koʻikoʻi :He mea maʻamau ʻole kēia, akā hiki ke lilo i mea koʻikoʻi loa inā hana ia. Inā pau ka hana ʻana o nā puʻupaʻa, pono ʻoe i ka dialysis e wehe i nā ʻōpala mai ke kino. I kekahi manawa, ʻaʻole paha e ho'ōla loa kēia pōʻino a hiki ke lilo i maʻi puʻupaʻa mau loa .
Nā ʻūpā koko a me nā kūlana koʻikoʻi ʻē aʻe
ʻO kekahi pilikia weliweli o Covid-19, ʻo ia ka paʻa ʻana o ke koko.
- Nā ʻAʻa Koko: ʻOi aku ka nui o ka pilikia o ka maʻi COVID i ka loaʻa ʻana o nā ʻaʻa koko ma mua o ka maʻi maʻamau. Hiki i kēia ke hana i loko o nā aʻa koko o nā wāwae (Deep Vein Thrombosis - DVT ), i loko o nā māmā (Pulmonary Embolism - PE), a i ʻole i loko o nā aʻa.
- Ke kūlana DIC: ʻO ka DIC (Disseminated Intravascular Coagulation) kahi kūlana koʻikoʻi kahi e hoʻopilikia loa ʻia ai ka ʻōnaehana clotting koko. Hiki i kēia ke alakaʻi i ke kahe koko kūloko a i ʻole ka hāʻule ʻana o nā ʻōkana.
- ʻO ka Septic Shock: ʻO ka Sepsis ka wā e hele ai ke kino i ka overdrive i ka pane ʻana i kahi maʻi a hoʻomaka e hōʻino i nā ʻōpū. Inā ʻaʻole kēia i kāohi ʻia, hiki i ke koko ke hāʻule haʻahaʻa loa, e alakaʻi ana i ka septic shock a me ka make.
- Nā Maʻi Lua: Ke nāwaliwali ke kino mai ke kaua ʻana iā COVID-19, hiki ke ulu mai kahi maʻi bacteria ʻē aʻe (e laʻa me ka strep, staph). Hoʻonui pū kēia i ka pilikia.
E aʻo pū kākou e pili ana i nā keiki a me nā hopena lōʻihi.
ʻO ka maʻi mumū multi-system i nā keiki (MIS-C)
ʻOiai ʻaʻole i hoʻopilikia nui ʻia nā keiki e COVID-19, ua loaʻa i kekahi mau keiki kahi maʻi i kapa ʻia ʻo
MIS-C (Multisystem Inflammatory Syndrome in Children) . Hoʻokomo pū kēia i nā hōʻailona e like me ke kuni, ka ʻeha o ka ʻōpū, ka luaʻi ʻana, a me nā ʻulaʻula o ka ʻili. He ʻano koʻikoʻi kēia e like me ka maʻi Kawasaki e pono ai ke kōkua koke ʻia e ke kauka.
COVID lōʻihi
Loaʻa paha i kekahi poʻe nā hōʻailona e mau ana no nā mahina ma hope o ka ho'ōla ʻana mai COVID-19. Kāhea pū mākou i kēia ʻo 'Long COVID' a i ʻole Chronic Fatigue.
- Luhi nui
- Ka paʻakikī i ka noʻonoʻo ʻana a i ʻole 'noe lolo'
- ʻEha kino
- Pōʻino
Inā hoʻomau kēia mau hōʻailona ma hope o ka hoʻōla ʻana, he mea nui loa e kamaʻilio me kāu kauka e pili ana iā lākou.
Leka Lawe-Home
- ʻOiai he maʻi ʻoluʻolu ʻole ka COVID-19 no ka hapa nui o ka poʻe, hiki i kekahi ke loaʻa i nā pilikia koʻikoʻi e hoʻoweliweli ana i ke ola.
- ʻO ka poʻe me nā maʻi ʻē aʻe e like me ka maʻi diabetes a me ka maʻi puʻuwai, a me ka poʻe ʻelemakule, ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i kēia mau pilikia.
- ʻO ka hōʻino ʻana i nā māmā, ka puʻuwai, ke akepaʻa, a me nā puʻupaʻa, a me nā ʻūpā koko, kekahi o nā pilikia nui.
- E makaʻala mau i nā hōʻailona hōʻike e like me ka paʻakikī o ka hanu ʻana, ka ʻeha mau o ka umauma, ka huikau, a me nā lehelehe a i ʻole ka helehelena polū.
- Inā he kānalua a he mau hōʻailona koʻikoʻi paha kāu, mai hoʻonele i ka manawa a e ʻike koke i kāu kauka a i ʻole e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa.
Nā pilikia Covid, nā pilikia COVID-19 Sinhala, pneumonia, ARDS, nā ʻūpā koko, nā hopena ma hope o Covid, COVID lōʻihi Sinhala
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