Ma hope o kou ho'ōla ʻana mai COVID-19, ke manaʻo nei anei ʻoe i ka ʻeha a me ka luhi? Ke manaʻo nei anei ʻoe i ka nāwaliwali ʻoiai ke hana nei i nā mea liʻiliʻi? Inā pēlā, he mea nui loa kēia ʻatikala iā ʻoe. No ka mea, no kekahi poʻe, hiki ke loaʻa kahi kūlana i ʻike ʻole ʻia akā ʻoluʻolu ʻole ma hope o COVID, kahi e pili ana me 'Long COVID'. ʻO ia ka mea a mākou e kamaʻilio nei i kēia lā.
He aha ka POTS?
I ka ʻōlelo maʻalahi, ʻo POTS ka pōkole no 'Postural Orthostatic Tachycardia Syndrome'. He inoa paʻakikī ia, akā maʻalahi ke hoʻomaopopo. ʻO ka mea e hana ʻia, ke kū koke ʻoe mai kahi noho a moe paha, piʻi koke kou puʻuwai. ʻO ka maʻamau, piʻi ka puʻuwai o kou puʻuwai ma 30 mau kuʻi i kēlā me kēia minuke a ʻoi aku paha.
E noʻonoʻo, aia i ko mākou kino kahi ʻōnaehana e kaohi ana i nā mea e like me ke koko a me ka helu o ka puʻuwai me ka ʻike ʻole ʻia e mākou. Kāhea mākou iā ia ʻo ka ʻōnaehana nerve autonomic. Ua like kēia me ka ʻōnaehana 'auto-pilot' o ko mākou kino. I loko o kekahi me POTS, ʻaʻole hana pono kēia ʻōnaehana. No laila, ke hoʻololi ʻoe i ke kūlana, e like me kou kū ʻana i luna, ʻaʻole hiki iā ʻoe ke kaohi pono i kou koko a me ka helu o ka puʻuwai.
ʻAʻole pono kēia e hana koke ma hope o kou ala ʻana. I kekahi manawa hiki ke hana ma hope o 10 mau minuke. Hiki iā ʻoe ke poniuniu, hiki i kou mau maka ke polū, a hiki paha iā ʻoe ke maule a hāʻule i ka honua.
No ka mea, ʻaʻole i ʻike nui ʻia kēia maʻi, nui ka poʻe e hoʻolilo i nā makahiki e hoʻāʻo nei e ʻike i ke kumu o ko lākou pilikia me ka ʻike ʻole he maʻi ia. No laila, he manawa ka lōʻihi e loaʻa ai kahi hōʻailona kūpono.
He aha ka pilina ma waena o COVID-19 a me POTS?
Hiki ke hoʻoulu ʻia nā POTS e nā kumu like ʻole. Hiki i ke ʻoki kino nui a i ʻole nā maʻi ʻē aʻe ke lilo i kumu. Akā ʻo nā kumu maʻamau ka maʻi viral a bacteria paha. I kēia manawa, manaʻoʻiʻo nā kānaka ʻepekema ʻo ka coronavirus, ka mea e hoʻoulu ai i ka COVID-19, he kumu nui paha ia.
ʻO ke kumu o kēia, ʻo kekahi poʻe i ho'ōla ʻia mai ka COVID-19 e hōʻike ana i nā hōʻailona like loa me ka POTS. He mea maʻa paha kēia iā ʻoe.
| Nā hōʻailona like me ka POTS e hiki ke kū mai ma hope o Covid |
|---|
| Hoʻonui ʻia ka helu o ka puʻuwai:ʻOiai inā ʻoe e hana iki i kahi hana, hele iki, a piʻi paha i kahi alapiʻi, piʻi wale kou puʻuwai i ka makehewa. |
| Noe lolo: Me he mea lā ʻaʻohe mea e hele nei i loko o kou poʻo, pilikia ʻoe i ka noʻonoʻo ʻana, a poina maʻalahi iā ʻoe nā mea. |
| Māmā ke poʻo: He manaʻo o ka māmā o ke poʻo a i ʻole ka wili ʻana i ke kū ʻana. |
| ʻEha poʻo: Pinepine, i kekahi manawa ʻeha poʻo nui. |
| Ka luaʻi a me ka luaʻi: ʻŌpū ʻeha, ka luaʻi. |
| Luhi Koʻikoʻi Mau Loa: Luhi ola ʻole, hiki ʻole ke wehewehe ʻia, me ka nānā ʻole i ka nui o ka hiamoe a i ʻole ka hoʻomaha āu e loaʻa ai. |
ʻO wai ka mea i ʻoi aku ka pilikia o ka loaʻa ʻana o ka POTS ma hope o Covid?
ʻO ka ʻoiaʻiʻo, hiki ke loaʻa kēia ʻano maʻi i kekahi mea i loaʻa iā COVID . ʻAʻole ia he mea nui inā he COVID koʻikoʻi a ʻoluʻolu paha kou.
Eia nō naʻe, manaʻoʻiʻo nā kānaka ʻepekema aia kekahi mau mea e hiki ke hoʻonui i ka pilikia. Akā, aia nō kēia ma ke kahua noiʻi.
- Inā ua loaʻa iā ʻoe kahi haʻalulu lolo ma muli o kahi kuʻi ikaika i ke poʻo ma mua o kou loaʻa ʻana o COVID.
- Inā ua loaʻa iā ʻoe ka poniuniu a i ʻole ka hiolo ʻana .
- Inā he moʻolelo kou o ka puʻuwai wikiwiki a me ka ʻeha o ka umauma (palpitations) .
Eia kekahi, ʻo ka ʻōnaehana pale ponoʻī o ko mākou kino e hoʻouka hewa ana i kā mākou mau ʻiʻo ponoʻī (pane autoimmune) me he mea lā e pili ana i ka POTS. ʻOi aku ka maʻamau o ka POTS i nā poʻe me nā maʻi autoimmune e like me ka maʻi thyroid a me ka rheumatoid arthritis. Manaʻo ʻia e hiki ke hoʻoulu ʻia kēia ʻano pane autoimmune e COVID, akā pono ka noiʻi hou aku.
He aha kāu e hana ai inā ʻike ʻoe i kēia mau hōʻailona?
Inā manaʻo koke ʻoe i ka poniuniu a i ʻole ka nāwaliwali, e noho koke a moe paha. He mea nui loa kēia. E kali iki, a i kou manaʻo ʻana ua maikaʻi aʻe, e ala mālie a akahele.E hāʻawi i kou kino i ka manawa e hoʻomaʻamaʻa ai i ke kūlana. Inā makemake ʻoe i ke kōkua, e noi i kekahi kokoke no ke kōkua.
Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, e ʻike pono i kāu kauka. Mai poina e haʻi i kāu kauka inā loaʻa iā ʻoe (a i ʻole kānalua ʻoe he COVID-19 kāu).
Pehea e ʻike ai nā kauka i kēia?
Ke aʻo nei nā kauka i ka hopena piha o ke 'Covid lōʻihi', no laila ma mua o ka hoʻoholo ʻana inā ʻo POTS ke kumu o kāu mau hōʻailona, e hoʻāʻo lākou e kāpae i nā kumu ʻē aʻe.
Eia kekahi laʻana, hiki i ka COVID-19 ke hoʻoulu i nā ʻūpā koko a i ʻole nā ʻeha ma nā māmā. Ua like nā hōʻailona me ka POTS, akā ʻokoʻa loa nā lāʻau lapaʻau. No laila, e hōʻoia mua kāu kauka ʻaʻohe mau maʻi koʻikoʻi ʻē aʻe. A laila, e kuhikuhi paha lākou iā ʻoe i kahi loea e hiki ke nānā i ka POTS.
He aha nā lāʻau lapaʻau no kēia?
Aia ka lāʻau lapaʻau i ke ʻano o kou mau hōʻailona, ka makahiki, a me ke olakino laulā, no laila ʻaʻohe lāʻau lapaʻau hoʻokahi e kūpono i nā mea āpau.
| ʻAno lapaʻau | Wehewehena |
|---|---|
| Nā Hoʻololi o ke ʻAno Nohona | |
| E inu i ka wai nui. | E inu ma ka liʻiliʻi he 2-3 lita o ka wai i ka lā. He mea nui e mālama i nā pae wai maikaʻi i loko o ke kino. |
| Hoʻohui i ka paʻakai i ka meaʻai | Pono e hana ʻia kēia ma ke ʻōlelo aʻo a ke kauka. Hiki i kēia ke kōkua i ka hoʻonui ʻana i ke koko. |
| Nā kāmaʻa hoʻopaʻa | Hoʻēmi i ke kahe koko ma nā wāwae a kōkua i ke kahe koko. |
| Nā lāʻau lapaʻau - ma ke ʻōlelo aʻoaʻo lapaʻau wale nō | |
| Nā mea pale Beta a i ʻole nā mea pale kahawai Calcium | E hōʻemi i ka helu o ka puʻuwai. |
| ʻO Fludrocortisone a i ʻole Midodrine | I mea e kōkua ai i ka kaohi ʻana i ke koko. |
| Nā SSRI a me nā SNRI | Ka hana a me ke kaumaha o ka ʻōnaehana nerve. |
| Nā lāʻau lapaʻau ʻē aʻe | Nā lāʻau lapaʻau a me nā wikamina no ka hopohopo, ka ʻeha poʻo, a i ʻole ka ʻeha o ke aʻalolo. |
Eia kekahi, ke hana ʻia nei nā noiʻi ʻana i nā lāʻau lapaʻau e pili ana i ka ʻōnaehana pale (immunotherapy).
Leka Lawe-Home
- He maʻi maoli ka maʻi ʻōpū ma hope o ke COVID-19. ʻAʻole ʻo ʻoe wale nō, no laila mai hopohopo.
- Inā piʻi koke ka nui o kou puʻuwai ke kū ʻoe i luna, manaʻo ʻoe ua poniuniu, a luhi loa paha ʻoe, he hōʻailona paha ia o ka POTS.
- Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, mai hopohopo a e ʻike koke i ke kauka. He mea nui loa ka loaʻa ʻana o ka hōʻailona kūpono a me ka lāʻau lapaʻau.
- Hiki ke hoʻomalu ʻia kēia ʻano i kahi nui me nā loli maʻalahi o ke ʻano o ka nohona a me nā lāʻau lapaʻau i kuhikuhi ʻia e kāu kauka.
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