Ua hala kekahi manawa ka maʻi ahulau Covid-19 (COVID-19), ʻeā? Ua ola paha ka hapa nui o kākou mai ia mea i kēia manawa. Akā, ua ʻike anei ʻoe hiki ke kū mai nā pilikia o ka puʻuwai i nā pule a i ʻole nā mahina ma hope o ka hala ʻana o Covid? ʻO ka mea kupanaha, hiki ke loaʻa kēia ʻano maʻi i ka poʻe i ola mai Covid me ka ʻole o ka maʻi koʻikoʻi. No laila, mai hopohopo. E makaʻala kākou i kēia i kēia lā.
He aha ka pilina ma waena o Covid-19 a me ka puʻuwai?
E like me kou ʻike, ʻo ka maʻi e hoʻoulu ai i ka COVID-19 ke kuhikuhi nui nei i ko kākou mau māmā. ʻO ia ke kumu e ʻike mua ʻia ai nā hōʻailona e like me ka paʻakikī o ka hanu ʻana. Akā, ʻaʻole i pau kēia maʻi ma laila. I kekahi manawa hiki i kēia maʻi ke hoʻopilikia i ko kākou puʻuwai.
I ka ʻōlelo maʻalahi, ke komo kahi maʻi i loko o ke kino, hakakā kā mākou ʻōnaehana pale ma luna o ia mea. Hoʻoulu kēia hakakā i kahi kūlana i kapa ʻia ʻo 'inflammation' ma ke kino holoʻokoʻa. Ua like ia me ke kaua. Hiki i kēia mumū ke laha i kekahi manawa i ka puʻuwai, e hōʻino ana i nā hunaola puʻuwai.
ʻElua mau pilikia nui e hiki ke loaʻa i ka puʻuwai ma muli o Covid-19.
1. ʻO ka maʻi puʻuwai
ʻO kēia ka manawa e pehu ai ka ʻiʻo puʻuwai. E like me ka pehu ʻana o ko kākou kino i ka wā e ʻeha ai kākou, hiki i ka ʻiʻo puʻuwai ke pehu ma muli o kahi maʻi viral. Ke hana ʻia kēia, lilo ia i mea paʻakikī i ka puʻuwai ke pamu pono i ke koko a kuʻi pono. ʻO ka myocarditis ka mea maʻamau i hoʻokumu ʻia e nā virus e like me COVID.
ʻO ka mea nui, ʻaʻole koʻikoʻi loa kēia maʻi i ka hapa nui o nā hihia. Eia nō naʻe, hiki i kekahi poʻe ke loaʻa me ka ʻole o nā hōʻailona. No laila, he mea nui loa ka makaʻala i nā hōʻailona.
| Nā hōʻailona hiki ke kū mai i ka hihia o ka myocarditis | |
|---|---|
| ʻEha umauma | He manaʻo paʻa, he ʻūmiʻi i loko o ka umauma. |
| Luhi nui | Manaʻo nui i ka luhi ʻaʻole hiki ke hana i nā hana maʻamau. |
| Paʻakikī ka hanu ʻana | Ka pōkole o ka hanu ʻoiai i ka wā e hoʻomaha ai a i ʻole e hana ana i nā hana māmā. |
| Puʻuwai puʻuwai kūpono ʻole | Manaʻo e like me ka piʻi koke ʻana o ka puʻuwai, emi ʻana, a i ʻole e lele i kahi kuʻi. |
ʻO ke ala maikaʻi loa e pale aku ai i ka myocarditis i hoʻokumu ʻia e COVID-19, ʻo ia ka loaʻa ʻana o ka lāʻau pale COVID . A laila, inā loaʻa iā ʻoe ka maʻi, e hakakā kou kino iā ia a kāohi iā ia ma mua o ka hōʻeha nui ʻana.
2. Nā ʻūpā koko
He mau puʻu koko e like me ka jelly nā ʻūpā koko. He ʻano pale maikaʻi kēia i loko o ko kākou kino. E noʻonoʻo i ka wā e ʻoki ai ʻoe i kou lima, e pau ke kahe ʻana o ke koko no ka mea e hui pū ana kēia mau ʻūpā a hoʻopaʻa i ka ʻeha. Akā ʻo ka pilikia, inā hana kēia mau ʻūpā ma nā wahi kūpono ʻole, i ka manawa kūpono ʻole. Inā paʻa kēlā ʻūpā i loko o ke kīʻaha koko, hiki iā ia ke hoʻōki i ke kahe koko a hōʻino i nā ʻōpū.
Hoʻonui ka maʻi Covid i ka pilikia o kēia mau ʻūpā koko makemake ʻole ʻia. Pono mākou e makaʻala i ʻelua ʻano nui.
- ʻO ka Deep Vein Thrombosis (DVT): He ʻōpū koko kēia e hana ʻia i loko o kahi aʻa hohonu, ma ka wāwae a i ʻole ka lima.
- ʻO ka Pulmonary Embolism (PE): He kūlana weliweli loa kēia. ʻO kēia ka wā e hele ai kahi ʻūpā koko e haki ana mai kahi DVT ma ke kahe koko a paʻa i loko o kahi aʻa koko i loko o nā māmā.
| ʻAno ʻūpā koko | Nā hōʻailona maʻamau |
|---|---|
| ʻO ka Thrombosis Vein Deep (DVT) - ke koko i loko o nā aa hohonu | |
| Ka pehu ʻana o ka lima a i ʻole ka wāwae | I ka manawa pinepine, ʻike ʻia ka pehu ma kekahi ʻaoʻao wale nō. |
| ʻEha o ka iwi kuamoʻo ma ka wāwae | Ke ʻeha nei, ʻoiai i ka wā e hele ana a kū ana paha. |
| ʻOle ke kala ʻili | ʻUlaʻula a polū paha ma kahi i pehu ʻia. |
| Ka mehana ma ka lima a i ʻole ka wāwae | ʻOi aku ka mehana o ka ʻāpana pehu ke pā ʻia ma mua o kēlā ʻaoʻao. |
| ʻO ka Pulmonary Embolism (PE) - ʻO ke koko i loko o nā māmā (he pilikia kēia!) | |
| Ka paʻakikī koke o ka hanu ʻana | Manaʻo e like me ka hiki ʻole iā ʻoe ke hanu me ke kumu ʻole. |
| Ka hoʻokahe ʻana o ka mucus me ke koko | ʻUmiʻumi i ke koko i hui pū ʻia me ka huʻa. |
| Puʻuwai puʻuwai kūpono ʻole | Manaʻo e kuʻi wikiwiki ana kou puʻuwai. |
| ʻEha ka umauma i ka wā e ʻū ai a i ʻole e hanu hohonu ana | Ka ʻeha e like me ka hou ʻoi. |
Inā he kānalua kou e ʻike ana paha ʻoe i nā hōʻailona o ka pulmonary embolism (PE) , e hele koke i ka ʻoihana pilikia o ka haukapila (ETU). ʻAʻole kēia he mea e hoʻopaneʻe ai.
Āhea ʻoe e ʻike ai i ke kauka?
Ma hope o ka ho'ōla ʻana mai ke COVID, aia kekahi mau hōʻailona e hōʻike ana ua hoʻopilikia ʻia kou puʻuwai. Inā loaʻa iā ʻoe kekahi o kēia mau mea, mai hoʻonele i ka manawa a e ʻike i kāu kauka a i ʻole e hele i ka haukapila.
- Luhi mau: Inā manaʻo ʻoe ua luhi loa ʻoe e hana i kahi hana liʻiliʻi loa, ʻoiai he mau pule ma hope o ka hoʻōla ʻana mai COVID.
- Pōkole o ka hanu: Inā pilikia ʻoe i ka hanu ʻana i kekahi manawa, e like me ke piʻi ʻana i nā alapiʻi a i ʻole ka hele wāwae ʻana me ka wikiwiki.
- Pehu: ʻOi loa inā pehu kou mau wāwae, kuʻekuʻe wāwae, a me nā wāwae.
- ʻEha umauma: Inā paʻa a ʻūmiʻi paha kou umauma.
Inā loaʻa iā ʻoe ka ʻeha o ka umauma a i ʻole ka pilikia o ka hanu ʻana, he mea nui e hele koke i ka Emergency Department (ETU) o ka haukapila.
Inā loaʻa iaʻu ka maʻi puʻuwai, palekana anei ka lāʻau pale Covid noʻu?
ʻAe loa. He palekana loa ka lāʻau pale Covid a he mea nui loa ia no ka poʻe me ka maʻi puʻuwai. Hoʻopilikia nā hopena ʻaoʻao o ka lāʻau pale iā ʻoe e like me ka hopena no kekahi me ka maʻi puʻuwai ʻole. ʻO ka ʻoiaʻiʻo, ʻoi aku ka kiʻekiʻe o ka pilikia o nā pilikia mai Covid no kekahi me ka maʻi puʻuwai. No laila, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke pale ʻana iā ʻoe iho mai ka loaʻa ʻana o Covid. ʻO ka hopena maikaʻi loa no kēlā, ʻo ia ke kiʻi ʻia i ka lāʻau pale. Inā paha ua loaʻa iā ʻoe ka maʻi, ke loaʻa iā ʻoe ka lāʻau pale, ʻoi aku ka haʻahaʻa o ka manawa e lilo ai ka maʻi i mea koʻikoʻi a pono ai ke komo ʻana i ka haukapila.
He mea weliweli anei ka lāʻau pale Covid i ka puʻuwai o kaʻu keiki?
He nīnau kēia a nā mākua he nui. I ka ʻōlelo maʻalahi, ʻo ka maʻi Covid ponoʻī he hoʻoweliweli nui ia i ka puʻuwai o ke keiki ma mua o nā hopena ʻaoʻao o ka lāʻau pale Covid . He haʻahaʻa loa ka pilikia o ka loaʻa ʻana o nā maʻi e like me Myocarditis ma muli o ka lāʻau pale. Eia nō naʻe, inā loaʻa iā ʻoe ka Covid, ʻoi aku ka kiʻekiʻe o ka pilikia o ia mau pilikia. No laila, ʻo ke ala maikaʻi loa e pale aku ai i ka puʻuwai o kāu keiki, ʻo ia ke hoʻopili ʻia e like me ke kuhikuhi a kāu kauka.
Leka Lawe-Home
- ʻOiai ma hope o ka ho'ōla ʻana mai ka maʻi COVID-19, hiki i kekahi poʻe ke loaʻa i nā pilikia pili i ka puʻuwai (myocarditis, nā ʻōpū koko).
- E makaʻala i nā hōʻailona e like me ka ʻeha o ka umauma, ka pōkole o ka hanu, ka luhi kūikawā, a me ka pehu ʻana ma nā wāwae.
- Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, mai hoʻowahāwahā iā lākou a e kelepona koke aku i kāu kauka. Inā ʻike ʻoe i ka ʻeha o ka umauma a i ʻole ka paʻakikī o ka hanu ʻana, e hele koke i ka Emergency Department (ETU).
- ʻO ka loaʻa ʻana o ka lāʻau pale COVID-19 ke ala maikaʻi loa e pale aku ai i kēia mau pilikia puʻuwai. He mea nui loa kēia no ka poʻe i loaʻa mua i ka maʻi puʻuwai.
- Mai hopohopo. ʻO ka mea nui loa, ʻo ia ka hoʻomaopopo ʻia a e ʻimi i ke aʻo lapaʻau kūpono i ka wā e pono ai.
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