Nā pilikia puʻuwai ma hope o ke COVID-19? E kamaʻilio kākou e pili ana i kēia!

Ua loaʻa anei iā ʻoe ke COVID-19 a ua ola hou? A i ʻole ua loaʻa i kekahi āu i ʻike ai ka maʻi COVID-19? ʻO kekahi o nā mea e kamaʻilio nui ʻia nei i kēia mau lā, ʻo ia ka hiki i ka COVID-19 ke loaʻa ka hopena i ka puʻuwai. He mea maoli kēia e noʻonoʻo ai. E kamaʻilio kākou e pili ana i kēia me nā kikoʻī a maʻalahi i kēia lā, ʻeā?

Hiki i ka COVID-19 ke hoʻoulu i nā maʻi puʻuwai?

ʻAe, ʻoiaʻiʻo, ke loaʻa iā ʻoe ka COVID-19, inā he maʻi ʻoluʻolu a i ʻole he maʻi ʻoi aku ka koʻikoʻi, hiki iā ʻoe ke piʻi aʻe ka pilikia o ka loaʻa ʻana o ka hōʻeha puʻuwai a i ʻole ka hāʻule ʻana o ka puʻuwai . He mea kākaʻikahi loa ka maʻi e hoʻoulu ai i ka COVID-19 e hoʻopili pololei i ka ʻiʻo puʻuwai. Akā, ʻo nā pilikia a kēia maʻi e hana ai ma ke kino holoʻokoʻa hiki ke hōʻino i ka puʻuwai.

ʻOiai kekahi mea i loaʻa ʻole i ka maʻi puʻuwai ma mua, hiki nō ke loaʻa nā pilikia puʻuwai ma hope o COVID-19. Akā inā loaʻa iā ʻoe kahi maʻi puʻuwai, a i ʻole ka maʻi cardiovascular , ʻoi aku kou pilikia. A inā loaʻa iā ʻoe nā mea pilikia e like me ke koko kiʻekiʻe, ka maʻi diabetes , ka momona , a i ʻole ke kolamu kiʻekiʻe , ʻoi aku kou pilikia o ka loaʻa ʻana o nā pilikia koʻikoʻi. Hiki i ka COVID-19 ke hoʻopilikia i ka puʻuwai i ka wā e noho ana ka maʻi i loko o ke kino a ma hope o kona haʻalele ʻana i ke kino.

Pehea ka hopena o COVID-19 i kou ʻōnaehana cardiovascular?

Hiki ke ulu aʻe kekahi mau pilikia puʻuwai - e like me ka hōʻino ʻana i ka ʻiʻo puʻuwai - ke loaʻa iā ʻoe ka COVID-19. ʻO kēia hōʻino ʻana i ka ʻiʻo puʻuwai (ʻeha myocardial) ka make ʻana o nā hunaola ʻiʻo puʻuwai. I kekahi manawa ʻaʻole hōʻike nā poʻe me kēia ʻano hōʻino i kekahi mau hōʻailona. Hiki i kekahi ke ʻike i nā hōʻailona e like me ka ʻeha o ka umauma , ka pōkole o ka hanu (dyspnea) , a i ʻole ka pehu ʻana i nā wāwae. Hiki i ke kauka ke ʻike i kēia me nā hoʻāʻo koko a me ke kiʻi ʻana o ka puʻuwai .

Ke hoʻāʻo nei nā kānaka noiʻi e ʻike i ka nui o ka poʻe me COVID-19 e loaʻa i ka ʻeha myocardial. Ma ke ʻano kikoʻī, ua manaʻo ʻia ma kahi o 7% a 40% o ka poʻe e loaʻa i kēia maʻi. ʻO ka mea maʻamau ia i ka poʻe maʻi e pono ai ka mālama ʻana i ka hale mālama koʻikoʻi (ICU). Inā ua hōʻino ʻia kou puʻuwai, ʻoi aku ka nui o kou pilikia o nā pilikia i ka wā e hakakā ai kou kino i ka maʻi.

Pehea e hōʻino ai ka mumū i hoʻokumu ʻia e COVID-19 i ka puʻuwai?

Hōʻike ka noiʻi ʻo ka mumū ke kumu nui o ka hōʻino ʻana o ka puʻuwai mai COVID-19. Ke loaʻa mua iā ʻoe ka maʻi, hoʻāla ʻia kāu ʻōnaehana pale. Hoʻokuʻu ʻia nā hunaola mumū a me nā cytokines.ʻO ka hana ʻana o nā mea i kapa ʻia ʻo cytokines. He mau protein liʻiliʻi kēia mau cytokines e hoʻoulu ai i ka pane pale kino. ʻO ka ʻoiaʻiʻo, ʻo kēia mumū, ʻo ia hoʻi, ka mumū, he hana ia e pono ai ko mākou kino a kōkua.

Eia nō naʻe, ke kumu o COVID-19 i kekahi poʻe e loaʻa ai ka nui o ka mumū i loko o ko lākou kino. Ua kapa ʻia kēia ʻano he cytokine release syndrome a i ʻole 'cytokine storm' . ʻIke pinepine ʻia kēia i nā hihia koʻikoʻi o COVID-19. Hiki i kēia mumū nui ke hōʻino i kāu ʻōnaehana cardiovascular ma nā ʻano he nui. Eia kekahi laʻana:

• Arrhythmia: Hiki i kēia mumū ke hoʻololi i nā hōʻailona uila i loko o ka puʻuwai. ʻO ka hopena, hiki i ka puʻuwai ke nalowale i kona ʻano maʻamau. Inā loaʻa iā ʻoe kahi arrhythmia, hiki i kēia ʻino cytokine ke hoʻonui i ka ʻino.
• Nā ʻAʻa Koko: Ke hoʻopilikia ka mumū i ka uhi o loko (endothelium) o kou mau kīʻaha koko, aia kahi piʻi o ka pilikia o nā ʻaʻa koko, ka hōʻeha puʻuwai, a i ʻole ka hahau.
• Myocarditis: He mumū kēia o ka ʻiʻo puʻuwai. ʻOi aku ka nui o ka pilikia o ka poʻe me COVID-19 i ka loaʻa ʻana o ka myocarditis ma mua o ka poʻe me ka ʻole o COVID-19.
• Pericarditis: He mumū kēia o ka membrane e hoʻopuni ana i ka puʻuwai. Hiki i kēia ke hōʻeha i ka umauma a me ka hōʻiliʻili ʻana o ka wai a puni ka puʻuwai.
• Ka Holo ʻole o ka Puʻuwai: Hana ʻia kēia e ka hōʻiliʻili pono ʻole ʻana o ka wai a me ka pehu (edema) i loko o nā māmā a me ke kino.

ʻOi aku ka nui o ka pilikia o ka poʻe me ka maʻi puʻuwai a i ʻole nā ​​​​kumu pilikia

He nui ka poʻe i hoʻokomo ʻia i ka haukapila me COVID-19 i loaʻa nā pilikia puʻuwai. Eia kekahi, ʻoi aku ka nui o ka poʻe me ka maʻi cardiovascular e loaʻa i ka cytokine storm.

Inā loaʻa iā ʻoe kekahi o kēia mau kūlana, ʻoi aku kou pilikia o ka loaʻa ʻana o nā pilikia mai COVID-19:

• Ka hāʻule ʻana o ka puʻuwai
• Ka Maʻi ʻAʻa Coronary (CAD)
• ʻO ke cardiomyopathy
• Maʻi Puʻupaʻa Mau Loa (CKD)
• Maʻi diabetes (Diabetes Mellitus)
• Kaumaha Loa/Momona Loa
• Inā ua loaʻa iā ʻoe kahi hahau ma mua
• Ke koko kiʻekiʻe (Hypertension)
• Maʻi ʻeha o ke kelepona ʻokiʻoki
• Nā maʻi Thalassemia

Hiki iā COVID-19 ke hoʻoulu i ka hōʻeha puʻuwai a i ʻole ka hahau?

Hiki i ka COVID-19 ke hoʻonui i kou pilikia o ka loaʻa ʻana o ka hōʻeha puʻuwai a i ʻole ka hahau ʻana, ʻoiai inā ua hoʻokomo ʻia ʻoe i ka haukapila. Akā ke noiʻi nei nā mea noiʻi i kēia. ʻO ka mumū kekahi kumu nui ma ʻaneʻi. Hoʻonui ia i ka pilikia o nā ʻūpā koko a hōʻemi i ka hiki o ke kino ke hoʻomaʻemaʻe iā lākou ma kāna iho.

Ke paʻa ke koko, e pau ka loaʻa ʻana o ka oxygen i kou mau kino, me kou puʻuwai. Ke hana ʻia kēia, aia ʻoe i ka pilikia o ka loaʻa ʻana o ka hōʻeha puʻuwai. ʻO ia hoʻi, ʻaʻole lawa ke koko momona i ka oxygen i kou puʻuwai. ʻO ke ana ʻana i kahi enzyme i kapa ʻia ʻo troponin i loko o kou koko e hiki ke kōkua i nā kauka e ʻike i ka hōʻeha puʻuwai.

Mai hoʻopaneʻe i nā manawa hoʻonohonoho lapaʻau a i ʻole ka mālama ʻana i ka pilikia.

E hoʻomau nā kānaka noiʻi i ke aʻo hou aku e pili ana i ka COVID-19 a me nā pilikia o ka puʻuwai, akā i kēia manawa, ke hana mau nei nā hōʻeha puʻuwai i nā poʻe i loaʻa ʻole iā COVID-19.

"I ka wā maʻi ahulau, ua pale aku ka nui o ka poʻe i ka ʻike ʻana i nā kauka a me ka hele ʻana i nā haukapila. ʻOiai he mea maʻamau ka makaʻu i ka loaʻa ʻana o COVID-19, ʻaʻole pono ʻoe e hoʻokaʻulua i ka ʻimi ʻana i ka lāʻau lapaʻau. ʻOi aku ka palekana o ka ʻike ʻana i ke kauka a i ʻole ka hele ʻana i ka haukapila ma mua o ka hoʻowahāwahā ʻana i nā hōʻailona e hoʻoweliweli paha i ke ola."

Inā loaʻa iā ʻoe nā hōʻailona o ka hōʻeha puʻuwai, e kelepona koke i ka 911 (a i ʻole kāu helu ulia pōpilikia kūloko). He mea nui ka mālama koke ʻana e pale aku i ka hōʻino hou ʻana i kou puʻuwai. Eia kekahi, mai poina i kāu mau manawa kauka maʻamau. E haʻi i kāu kauka inā loaʻa iā ʻoe kekahi mau hōʻailona hou a pilikia paha. Inā loaʻa iā ʻoe ʻo COVID-19, e kūkākūkā pehea i hoʻopilikia ai iā ʻoe.

E loaʻa anei iaʻu nā pilikia puʻuwai ma hope o COVID-19?

Loaʻa i kekahi poʻe nā pilikia puʻuwai ma hope o COVID-19. ʻOi aku kou pilikia inā ua noho ʻoe i loko o ka lumi mālama koʻikoʻi (ICU) a i ʻole ma kahi ventilator . Eia nō naʻe, hiki i ka poʻe i ho'ōla wale mai ka COVID-19 ke loaʻa i nā pilikia puʻuwai ma hope.

Hiki ke loaʻa kēia mau pilikia inā loaʻa iā ʻoe kahi maʻi i kapa ʻia ʻo Long COVID . Ua kapa ʻia hoʻi kēia ʻo Post-acute coronavirus (COVID-19) syndrome . Inā loaʻa iā ʻoe ʻo Long COVID, ʻo ia hoʻi, ʻaʻole i hoʻi hou kou olakino i ke kūlana ma mua o kou maʻi ʻana.

Manaʻo nā kauka he hanana koʻikoʻi ka hōʻailona ʻehā pule. Inā ua loaʻa iā ʻoe ka COVID-19 no ʻehā pule a ke loaʻa mau nei nā pilikia, loaʻa paha iā ʻoe ka COVID lōʻihi. Hiki i kēia ke hoʻopilikia iā ʻoe ma nā ʻano like ʻole.

Nā hōʻailona hou a mau paha

ʻO ka poʻe i maʻi nui me COVID-19 e loaʻa paha nā hōʻailona hou a mau paha. Eia kekahi, ʻo ka poʻe i loaʻa i ka COVID-19 akahai a i ʻole asymptomatic paha e loaʻa paha nā pilikia mau. ʻO ka luhi, ka pōkole o ka hanu, a me ka 'noe lolo' nā pilikia maʻamau. ʻO nā hōʻailona e pili ana paha i kou puʻuwai:

• ʻEha umauma e hoʻonui ana i ka wā e hanu hohonu ai.
• Nā palpitations o ka puʻuwai .
• Ka wikiwiki o ka puʻuwai (Tachycardia) .
• Ka poniuniu a i ʻole ke poʻo māmā.
• Ka paʻakikī o ka hanu ʻana i ka wā hoʻoikaika kino.

Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​e kāhea koke aku i kāu kauka a haʻi iā lākou i kou manaʻo. Makemake paha kāu kauka e hana i kekahi mau hoʻokolohua, e like me ka electrocardiogram (EKG) a i ʻole ka echocardiogram, e nānā i ka hana o kou puʻuwai.

Nā hopena ma nā ʻōpū ʻē aʻe pū kekahi

Hiki i ka maʻi COVID-19 ke hoʻopilikia i nā ʻōkana a me nā ʻōnaehana he nui, e like me kou puʻuwai, nā māmā, ka lolo, a me nā puʻupaʻa.

Hoʻopili ka maʻi SARS-CoV-2 i kāna protein spike i nā protein i loko o kou kino i kapa ʻia ʻo ACE2 receptors. He mau protein kēia i loaʻa ma kou kino holoʻokoʻa, me kou puʻuwai a me kou māmā. Loaʻa pū nā mea hoʻokipa ACE2 ma ka ʻili o kou mau kīʻaha koko. ʻAe kēia i ka maʻi SARS-CoV-2 e hoʻopili maʻalahi i kāu mau mea hoʻokipa ACE2 a laha i nā ʻōpū he nui, e hōʻino ana. Eia kekahi laʻana:

• Nā māmā: Hiki i ka maʻi COVID-19 ke hōʻino nui i kou mau māmā ma mua o ka maʻi flu maʻamau. I nā hihia koʻikoʻi o COVID-19, hiki i nā ʻiʻo māmā ke lilo i mānoanoa a me nā ʻeha (fibrosis) .
• Lolo: Hiki i ka COVID-19 ke hōʻino i ka lolo ma muli o ka nele o ka oxygen i ka lolo.
• Nā puʻupaʻa: Hiki i ka COVID-19 ke hana maikaʻi ʻole i kou mau puʻupaʻa.

No ka mea hiki i ka COVID-19 ke hoʻopilikia i kou kino holoʻokoʻa, he mea nui e hana i nā hana palekana e pale aku ai i ka loaʻa ʻana o ka maʻi. ʻO ka loaʻa ʻana o ka lāʻau pale ke ala maikaʻi loa e pale aku ai iā ʻoe iho a me nā poʻe ʻē aʻe. Eia kekahi, e ʻaʻahu pono i ka pale maka i ka wā e pono ai, e noho ma ka home inā maʻi ʻoe, a holoi pinepine i kou mau lima.

Nā hopena o ka mālama ʻana a me ka hoʻokipa ʻana i ka haukapila

ʻAʻole kū hoʻokahi nā pilikia o ka mālama ʻana a me ka noho lōʻihi ʻana ma ka haukapila iā COVID-19. Hiki iā ʻoe ke manaʻo ua nāwaliwali loa a luhi hoʻi. A i ʻole e loaʻa paha iā ʻoe ka maʻi kaumaha post-traumatic (PTSD).Hiki ke ʻike ʻia nā hōʻailona.

E kamaʻilio me kāu kauka e pili ana i kou manaʻo. He mea maʻamau ke manaʻo ʻino no kekahi manawa ma hope o kou hoʻōla ʻana mai COVID-19. E hāʻawi iā ʻoe iho i ka manawa e hoʻōla ai a hoʻi i kāu hana maʻamau. ʻAʻole ʻoe hoʻokahi. E hana pū kāu kauka me ʻoe e hoʻoholo i ke ala maikaʻi loa e kōkua iā ʻoe i kāu huakaʻi hoʻōla.

He mea maikaʻi loa ka ho'ōla ʻana mai COVID-19. Akā, pono paha ʻoe e hoʻoponopono i nā pilikia puʻuwai ma hope o COVID-19. He ʻoiaʻiʻo kēia, a he kūpono kou mau hopohopo. Mai makaʻu e nīnau i kāu kauka e pili ana i kou manaʻo. E hōʻoia e hahai pono i nā ʻōlelo aʻoaʻo a kāu kauka, a e mālama i kāu mau manawa a pau.

He aha nā mea nui a kākou e lawe ai mai kēia moʻolelo mai?

ʻAe, no laila, eia kekahi mau mea e pono ai ʻoe e hoʻomanaʻo mai nā mea a mākou i kamaʻilio ai i kēia lā:

• Ke loaʻa iā ʻoe ke COVID-19, ʻoiai inā he akahai, hiki iā ia ke hoʻopilikia i kou puʻuwai. No laila e makaʻala i nā hōʻailona.
• Inā loaʻa iā ʻoe kahi maʻi e like me ka maʻi puʻuwai, ka maʻi diabetes, a i ʻole ke koko kiʻekiʻe, e hopohopo nui e pili ana i nā pilikia mai COVID-19.
• Inā loaʻa iā ʻoe ka ʻeha hou o ka umauma, ka paʻakikī o ka hanu ʻana, a i ʻole ka puʻuwai wikiwiki ma hope o COVID-19 , e ʻimi koke i ke kōkua lapaʻau.
• Mai hoʻopaneʻe i nā manawa lapaʻau. Mai hoʻowahāwahā i nā hōʻailona ulia pōpilikia.
• E pale iā ʻoe iho mai COVID-19 ma ka loaʻa ʻana o ka lāʻau pale a me ka hahai ʻana i nā hana palekana olakino ʻē aʻe.
• Inā ʻoe e loaʻa nei i nā pilikia e hoʻomau nei ma hope o COVID-19, ʻaʻole ʻoe hoʻokahi. E ʻimi i ke kōkua lapaʻau a me ke kōkua.

"ʻO kou puʻuwai ka waiwai makamae loa i kou ola. ʻO kou kuleana ke mālama iā ia. Lana ko mākou manaʻo e pono kēia ʻike iā ʻoe. E noho olakino!"

Covid , maʻi puʻuwai, puʻuwai, mumū, ʻūlū koko, Covid lōʻihi, nā hōʻailona