Tus kab mob ntsws tshiab no puas cuam tshuam rau koj cov neeg haus luam yeeb thiab? Cia peb kawm txog EVALI!

Niaj hnub nim no, 'vaping', uas yog, haus luam yeeb nrog ib yam khoom siv zoo li luam yeeb hluav taws xob, tau nrov heev ntawm cov tub ntxhais hluas, puas yog? Ib txhia neeg xav tias qhov no muaj kev nyab xeeb dua li cov luam yeeb ib txwm. Tab sis koj puas paub tias cov kws kho mob tam sim no tab tom tham txog kab mob ntsws tshiab, txaus ntshai uas tshwm sim los ntawm qhov '(vaping)' no? Qhov no hu ua ' EVALI '. Cia peb tham txog qhov no kom ntxaws ntxiv, yooj yim thiab yooj yim.

`EVALI` yog dab tsi?

Hais yooj yim xwb, 'EVALI' yog ib lo lus luv rau 'E-luam yeeb, lossis vaping, kev raug mob ntawm lub ntsws uas cuam tshuam nrog kev siv cov khoom siv luam yeeb hluav taws xob lossis cov khoom siv vaping . Qhov no yog thaum koj lub ntsws o heev, txhais tau tias lawv o thiab raug mob .

Lub cuab yeej hluav taws xob me me uas koj siv los "vape" (e-luam yeeb) nqus cov kua "nicotine" thiab cov tsw qab. Cov khoom me me hauv cov kua no yog qhov ua rau muaj kab mob ntsws no. Qee zaum, txawm tias ib tus neeg uas "vape" txog li 90 hnub ua ntej pib muaj cov tsos mob tuaj yeem muaj tus mob "EVALI" no.

Tus mob no, hu ua 'EVALI', tuaj yeem tshwm sim sai sai (peb hu ua 'acute'), lossis nws tuaj yeem tshwm sim maj mam, nrog rau cov tsos mob nce ntxiv mus raws sijhawm ('subacute'). Hauv qee kis mob hnyav, nws tuaj yeem ua rau tuag taus .

'EVALI' loj npaum li cas?

Qhov no yog ib qho teeb meem loj heev . Raws li tau tshaj tawm hauv Tebchaws Meskas, 90% ntawm cov neeg uas muaj tus kab mob 'EVALI' tau raug coj mus pw hauv tsev kho mob. Thaum pib xyoo 2020, muaj ze li ntawm 3,000 tus neeg raug coj mus pw hauv tsev kho mob thiab 70 tus neeg tuag vim tus kab mob 'EVALI' no. Yog li xav seb qhov no yuav loj npaum li cas.

Qhov no puas yog teeb meem mus sij hawm ntev?

EVALI yog ib yam mob tshiab. Thawj zaug uas muaj tus kab mob no hauv Tebchaws Meskas tau tshaj tawm xyoo 2019. Yog li ntawd, cov kws kho mob thiab cov kws tshawb fawb tseem tsis tau paub meej tias cov teebmeem mus sij hawm ntev yog dab tsi, lossis nws yuav loj hlob li cas yav tom ntej. Yog li ntawd, peb tseem tsis tau paub tias yuav muaj teeb meem dab tsi yav tom ntej.

Cov tsos mob ntawm 'EVALI' yog dab tsi?

Tam sim no cia peb saib seb cov tsos mob twg yuav tshwm sim thaum qhov 'EVALI' no tshwm sim. Yog tias koj muaj ib lossis ntau yam ntawm cov no, tshwj xeeb tshaj yog tias koj yog tus neeg '(vape)', nws yog ib qho tseem ceeb uas yuav tsum nrhiav kev pab kho mob.

• Mob hauv siab . Nws tuaj yeem zoo li nws raug zawm lossis nias.
• Hnoos . Nws tuaj yeem yog hnoos qhuav lossis hnoos nrog cov hnoos qeev.
• Ua pa nyuaj(`(ua pa tsis taus)`). Tej zaum koj yuav ua tsis taus pa, tsis yog thaum koj nkees me ntsis xwb, tab sis kuj thaum koj sawv ntsug twj ywm.
• Lub plawv dhia ceev ceev ( tachycardia ). Ib qho kev xav tias koj lub hauv siab dhia ceev dua.
• Mob plab .
• Xeev siab thiab ntuav .
• Kev mob plab ( raws plab ).
• Ua npaws .
• Hnov txias (zoo li mob khaub thuas).
• Kev poob phaus yam tsis muaj laj thawj . Yog tias koj poob phaus yam tsis tau noj zaub mov lossis tawm dag zog, nws yog ib qho cim qhia tseem ceeb.

Nco ntsoov tias, qee zaum mob hnyav heev, EVALI tuaj yeem ua rau tuag tau . Yog li ntawd, tsis txhob tsis quav ntsej cov tsos mob no.

Dab tsi yog cov ua rau muaj 'EVALI'?

Qhov ua rau muaj mob no yog vim siv cov luam yeeb hluav taws xob (e-cigarettes) thiab vaping . Txawm li cas los xij, cov kws kho mob tseem tsis tau paub meej tias cov tshuaj twg hauv cov kua e-kua (piv txwv li, kua vape) ua rau mob ntsws.

Txawm li cas los xij, muaj kev xav tias tej zaum yuav muaj kev sib txuas ntawm 'EVALI' thiab cov tshuaj hu ua '(Vitamin E acetate)' . Cov vitamin E acetate no yog ib hom vitamin E uas tsim los ntawm cov tshuaj. Qee cov chaw tsim khoom ntxiv rau '(e-liquids)' uas muaj '(THC)' (tetrahydrocannabinol - qhov no yog cov tshuaj tseem ceeb uas ua rau qaug cawv hauv cannabis). Txawm hais tias vitamin E acetate muaj kev nyab xeeb rau kev noj lossis siv ua tshuaj pleev tawv nqaij, nws xav tias nws tuaj yeem ua rau lub ntsws puas tsuaj thaum cua sov thiab nqus pa ua pa .

Tus mob 'EVALI' puas kho tau?

Qhov no yog ib yam uas cov kws kho mob tseem tsis tau hais meej. Txawm li cas los xij, nrog cov ntaub ntawv tshiab los txog, nws zoo li yog tias koj tsum tsis txhob haus luam yeeb kiag li thiab nrhiav kev kho mob sai sai, koj tuaj yeem kho qee qhov kev puas tsuaj los ntawm EVALI . Qhov ntawd txhais tau tias ua sai sai yog qhov tseem ceeb heev.

Leej twg raug kev cuam tshuam ntau tshaj los ntawm 'EVALI'?

Txhua tus neeg uas haus luam yeeb hluav taws xob tuaj yeem mob EVALI. Txawm li cas los xij, qee tus neeg muaj feem yuav mob EVALI ntau dua, yuav tsum tau mus pw hauv tsev kho mob. Cov no suav nrog:

• Cov neeg hnub nyoog qis dua 35 xyoo. Qhov no pom tshwj xeeb tshaj yog ntawm cov tub ntxhais hluas.
• Cov neeg uas "vape" cov khoom uas muaj (THC) .
• Los ntawm txoj kev tsis raws cai, uas yogCov neeg uas yuav thiab siv cov kua '(vape)' uas muaj '(THC)' los ntawm cov chaw xws li online lossis los ntawm ib tug phooj ywg. Peb tsis paub tias cov tshuaj lom neeg twg nyob hauv qhov no.

Yuav kuaj mob 'EVALI' li cas?

Kev kuaj mob EVALI tuaj yeem nyuaj vim tias nws cov tsos mob zoo ib yam li lwm yam kab mob ntsws, xws li mob hawb pob thiab mob ntsws. Tus kws kho mob yuav tshuaj xyuas koj cov keeb kwm kho mob tag nrho thiab kuaj lub cev . Thaum lub sijhawm kuaj mob no, koj lub ntsws yuav raug mloog (auscultation) nrog lub stethoscope. Lawv kuj tseem yuav nug koj cov lus nug xws li:

• Koj cov tsos mob yog dab tsi?
• Koj puas haus luam yeeb (vape)?
• Koj puas tau haus luam yeeb hauv peb lub hlis dhau los?
• Koj puas haus luam yeeb (vape) vim haus luam yeeb (nicotine), haus luam yeeb (THC), los yog ob qho tib si?
• Koj tau txais cov kua (e-liquid) uas koj muab tso rau hauv koj lub (vape) qhov twg? (Ib lub tsev muag tshuaj, ib tug phooj ywg, hauv online?)

Nws yog ib qho tseem ceeb heev uas yuav tsum muab cov ntaub ntawv tseeb rau cov lus nug no, vim qhov no yuav pab tus kws kho mob kuaj pom tus kab mob kom raug. Tsis tas li ntawd, tej zaum yuav muaj kev kuaj ntxiv kom paub meej tias tus kab mob tau kuaj pom.

Cov kev kuaj twg siv los kuaj mob 'EVALI'?

Tus kws kho mob yuav xaj kom kuaj cov hauv qab no kom paub meej tias EVALI zoo li cas:

• Kev kuaj ntshav oxygen : Qhov no ntsuas seb koj cov ntshav muaj oxygen ntau npaum li cas. Cov pa oxygen tsawg txhais tau tias koj lub ntsws puas lawm. Qhov no ua tau los ntawm kev kuaj ntshav lossis siv lub cuab yeej hu ua "pulse oximetry", uas yog ib daim clip me me uas koj muab tso rau ntawm koj tus ntiv tes.
• Kev kuaj duab: Cov no yog cov kev kuaj yooj yim, tsis mob uas tuaj yeem nrhiav kev puas tsuaj rau lub ntsws. Kev thaij duab X-ray lossis CT scan hauv siab yuav ua tau.
• Kev ntsuam xyuas kev ua haujlwm ntawm lub ntsws (PFTs): Cov kev ntsuam xyuas no xyuas seb koj lub ntsws ua haujlwm zoo li cas. Lawv ntsuas tej yam xws li koj ua pa tob npaum li cas thiab koj ua pa tawm sai npaum li cas.

Yuav kho tus mob `EVALI` li cas?

Vim tias cov tsos mob ntawm EVALI zoo ib yam li cov mob ntsws, tus kws kho mob yuav sau ntawv kom siv tshuaj tua kab mob lossis tshuaj tua kab mob ua ntej kom tsis txhob muaj mob. Tsis tas li ntawd, koj txoj kev kho mob yuav suav nrog:

• Cov tshuaj Corticosteroids: Cov no yog cov tshuaj uas muab rau kom txo qhov o (o) hauv lub ntsws. Lawv tuaj yeem muab ua lub tshuaj nqus pa lossis ua cov pa uas koj ua pa los ntawm lub tshuab nebulizer.
• Kev kho mob oxygen: Qhov no suav nrog kev muab oxygen ntxiv. Cov pa oxygen no yog muab los ntawm ib lub raj yas me me (nasal cannula) uas muab tso rau hauv txhua lub qhov ntswg. Lub raj no txuas nrog lub tank oxygen.
• Lub tshuab ua pa: Qhov no yog qhov peb hu ua 'lub tshuab ua pa'. Lub tshuab no pab koj ua pa rau koj tus kheej, tag nrho lossis ib feem. Qhov no yuav tsim nyog yog tias koj tus mob EVALI hnyav heev .

Kuv yuav zoo dua sai npaum li cas tom qab pib kho mob?

Feem ntau cov neeg pib hnov ​​​​​​zoo li qub hauv ob peb hnub tom qab pib kho nrog 'EVALI'. Txawm li cas los xij, nws yuav siv sijhawm ntev ua ntej koj rov qab mus ua koj cov dej num ib txwm tom qab kho. Koj tus kws kho mob yuav qhia rau koj paub meej tias nws yuav siv sijhawm ntev npaum li cas.

Yog tias kuv muaj 'EVALI', kuv yuav tsum tau tos dab tsi?

Vim tias EVALI yog ib yam mob tshiab, cov kws kho mob tseem tsis tau paub ntau txog nws cov teebmeem mus sij hawm ntev. Tej zaum ib txhia neeg yuav muaj cov tsos mob dua tom qab kev kho mob tas. Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tsum tau mus ntsib koj tus kws kho mob ('(kev teem caij ua raws li)'). Koj tus kws kho mob kuj tseem yuav xa koj mus rau tus kws kho mob tshwj xeeb rau lub ntsws ('(pulmonologist)'). Cov '(pulmonologists)' no yog cov kws tshwj xeeb uas kuaj mob thiab kho cov kab mob ntawm lub ntsws thiab lub cev ua pa.

Puas tiv thaiv tau 'EVALI'?

Yog, nws yeej ua tau! Txoj kev zoo tshaj plaws los tiv thaiv EVALI yog tsis txhob siv cov khoom siv vaping kiag li . Tshwj xeeb tshaj yog tsis txhob siv cov khoom uas muaj THC lossis Vitamin E acetate. Yog tias koj vape, nco ntsoov yuav cov khoom vaping los ntawm tus neeg muag khoom uas tau tso cai xwb . Tsis txhob siv cov khoom uas koj pom ntawm txoj kev, thiab tsis paub leej twg ua lawv lossis muaj dab tsi nyob hauv.

Yog tias kuv muaj 'EVALI', kuv yuav tsum saib xyuas kuv tus kheej li cas?

Yog tus kws kho mob hais rau koj tias koj muaj 'EVALI', nws yuav tsim ib txoj kev npaj kho mob uas haum rau koj. Nws yog ib qho tseem ceeb heev uas yuav tsum noj tag nrho cov tshuaj uas koj tus kws kho mob sau ntawv kom raug thiab raws sijhawm .

Koj tus kws kho mob kuj tseem tuaj yeem pab koj tso tseg kev haus luam yeeb . Ntau cov lus qhia zoo sib xws rau kev tso tseg kev haus luam yeeb kuj tuaj yeem siv los tso tseg kev haus luam yeeb. Nug koj tus kws kho mob txog cov kev pab cuam uas tuaj yeem pab koj ua qhov no.

Kuv yuav tsum mus ntsib kws kho mob thaum twg?

Yog tias koj yog tus haus luam yeeb hluav taws xob thiab muaj cov tsos mob ntawm EVALI (mob hauv siab, ua tsis taus pa, thiab hnoos uas peb tau tham txog ua ntej), mus ntsib kws kho mob tam sim ntawd . Yog tias koj cov tsos mob rov qab los tom qab kho mob, qhia rau koj tus kws kho mob tam sim ntawd. Txuas ntxiv mus rau kev teem sijhawm tom qab kom pom tias koj lub ntsws ua haujlwm li cas thiab koj cov pa oxygen hauv cov ntshav.

Kuv yuav tsum mus rau chav kho mob ceev (ER) thaum twg?

Yog koj xav tias ua tsis taus pa lossis koj lub hauv siab nruj, hu rau 911 (lossis koj tus xov tooj xwm txheej ceev hauv zos) tam sim ntawd, lossis mus rau chav kho mob xwm txheej ceev hauv tsev kho mob ze tshaj plaws.Qhov no tsis yog ib yam zoo uas yuav tsum ncua.

Kuv yuav tsum nug kws kho mob li cas?

Thaum koj mus ntsib kws kho mob, nws yog ib lub tswv yim zoo los nug cov lus nug zoo li no:

• Koj paub tseeb li cas tias kuv muaj 'EVALI'?
• Puas yog kuv lub ntsws puas tau puas tsuaj mus tas li?
• Kuv yuav pib zoo dua sai npaum li cas?
• Yog tias kuv cov tsos mob rov qab los, kuv yuav ua li cas?
• Kuv yuav tsum tuaj ntsib kws kho mob ntau npaum li cas?
• Koj puas tuaj yeem pom zoo ib qho kev pab cuam lossis pab pawg txhawb nqa los pab kuv tso tseg kev haus luam yeeb?

Kuv yuav paub li cas yog tias vaping cuam tshuam rau kuv lub ntsws?

Yog tias koj yog tus neeg siv '(vape)' thiab muaj cov tsos mob ntawm kev ua pa (xws li hnoos, ua pa nrov nrov, mob hauv siab), koj lub ntsws yuav puas lawm. Tsis tas li ntawd, yog tias koj muaj lwm yam mob ntsws, xws li '(mob hawb pob),' '(vaping)' yuav ua rau cov tsos mob ntawd hnyav zuj zus.

Yuav siv sijhawm ntev npaum li cas rau kev haus luam yeeb kom cuam tshuam rau lub ntsws?

Qee qhov kev tshawb fawb qhia tias kev haus luam yeeb hluav taws xob tuaj yeem pib ua rau koj lub ntsws puas tsuaj hauv peb hnub xwb . Qhov ntawd txhais tau tias, txawm tias koj xav tias, "Kuv tsuas yog ua me ntsis xwb, qee zaum," qhov me me ntawd tuaj yeem ua rau muaj kev phom sij.

Thaum kawg, yuav tsum nco ntsoov li cas (Cov Lus Coj Mus Tsev)

EVALI yog ib yam mob hnyav uas ua rau koj cov nqaij ntsws o. Yog tias koj yog tus neeg haus luam yeeb hluav taws xob - txawm tias koj ua tsis tshua muaj - thiab muaj cov tsos mob ntawm EVALI, koj yuav tsum mus ntsib kws kho mob lossis mus rau chav kho mob ceev . Nrog kev kho mob, feem ntau cov neeg pib zoo dua hauv ob peb hnub.

Qhov tseem ceeb tshaj plaws yog, yog tias koj tsis haus luam yeeb, nws yog qhov zoo tshaj plaws kom tsis txhob pib. Yog tias koj twb haus luam yeeb lawm, muaj cov kws kho mob thiab lwm tus neeg muab kev pab kho mob uas tuaj yeem pab koj tso tseg. Tsis txhob yig kom tau lawv txoj kev pab. Koj lub ntsws tsim nyog, puas yog?