Naw, ‘vaping’, dat na fɔ smok wit divays lɛk ilɛktronik sigrɛt, dɔn rili pɔpul pan yɔŋ pipul dɛn, nɔto so? Sɔm pipul dɛn kin tink se dis nɔ bad pas di sigrɛt we dɛn kin it ɔltɛm. Bɔt yu no se dɔktɔ dɛn de tɔk naw bɔt wan nyu, denja lɔng sik we dis `(vaping)` kin mek? Dɛn kɔl dis ` EVALI `. Lɛ wi tɔk bɔt dis mɔ, simpul ɛn simpul wan.

Wetin na `EVALI`?

Fɔ tɔk am simpul wan, `EVALI` na akɔdin fɔ ‘E-sigarɛt, ɔ vaping, prodakt yus-asɔsiet lɔng injuri’ . Insay Sinhala, dis min se pɔsin kin gɛt injury na in lɔng we pɔsin kin yuz ilɛktronik sigrɛt ɔ tin dɛn we dɛn kin yuz fɔ mek vayp . Dis na we yu lɔng dɛn kin inflam bad bad wan, we min se dɛn kin swel ɛn wund .

di sכmכl ilektronik divais we yu de yuz fכ ``vape'' (``e-cigarette'') de inhal wan likwid sכlushכn fכ ``nikotine'' εn wan flawa. di sכm sכm pat dεm we de insay dis sכlushכn na di praymar kכz fכ dis lכng sik. Sɔmtɛm, ivin pɔrsin wae ``vap'' te to 90 dez bifo di sik bigin kin gɛt dis ``EVALI'' kɔndishɔn.

Dis kכndyushכn, we dεn kכl `EVALI`, kin kam wan wan (wi kכl am `acute`), כ i kin kam sכmtεm, wit di simptom dεm we de go כp as tεm (`subacute`). Sɔntɛnde, i kin kil pɔsin .

Aw siriɔs `EVALI` bi?

Dis na tin we rili siriɔs . As dɛn ripɔt na di US, 90% pan di pipul dɛm we gɛt `EVALI` dɔn gɛt fɔ go na ɔspitul. Bay di biginin fɔ 2020, na bin lɛk 3,000 pipul dɛn we bin de na ɔspitul ɛn 70 pipul dɛn bin day bikɔs ɔf dis `EVALI`. So imajin aw dis kin rili siriɔs.

Yu tink se dis na prɔblɛm we go de fɔ lɔng tɛm?

EVALI na wan nyu kɔndishɔn. Dɛn bin ripɔt di fɔs pɔsin we gɛt dis sik na Amɛrika insay 2019. So, dɔktɔ ɛn pipul dɛn we de stɔdi bɔt dis sik stil nɔ shɔ wetin de apin to am fɔ lɔng tɛm , ɔ aw i go bi tumara bambay. Dat min se wi nɔ no yet us prɔblɛm dɛn go kam tumara bambay.

Wetin na di sayn dɛm fɔ `EVALI`?

Naw lɛ wi si us sayn dɛm kin apin we dis `EVALI` de divɛlɔp. If yu gɛt wan ɔ mɔ pan dɛn tin ya, mɔ if yu na `(vape)` pɔsin, i impɔtant fɔ rili go to dɔktɔ.

• Chɛst pen . I kin fil lɛk se dɛn de swɛt am ɔ swɛt am.
• Kɔf . I kin bi dray kɔf ɔ kɔf wit mכkus.
• I nɔ kin izi fɔ yu fɔ blo(`(dispnɛa)`). Yu kin fil shɔt fɔ blo, nɔto jɔs we yu taya smɔl, bɔt bak we yu jɔs tinap.
• Hat de bit kwik kwik wan ( tachycardia ). Wan filin we yu chɛst de bit fast fast.
• Bɛlɛ pen .
• Nɔs ɛn vɔmit .
• Bloating ( dayarɛa ).
• Fiva .
• Fɔ fil kol (lɛk kol).
• We yu de lɔs yu wet we yu nɔ ɛksplen . If yu de lɔs yu wet we yu nɔ de it ɔ ɛksesaiz, na impɔtant sayn.

Mɛmba se, insay sɔm kayn bad bad tin dɛn, EVALI kin ivin mek pɔsin day . So nɔ ignore dɛn sayn ya.

Wetin na di tin dɛm we de mek `EVALI`?

Di men tin we kin mek dɛn yuz ilɛktronik sigrɛt (`(e-cigarettes)`) ɛn `(vaping)` . כltu, mεdikal εkspεrt dεm stil nכ gεt klia aidia bכt us kεmikכl dεm we de insay dεn `(e-liquids)` (i.e. `(vape juice)`) εksakכtli de mek dis inflameshn na di lכng dεm.

כltu, dεn de saspek se i kin bi se wan link de bitwin `EVALI` εn wan kεmikכl we dεn kכl `(Vitamin E acetate)` . dis vaytam in E asetat na sεntetik fכm fכ vaytam in E. sכm manifakta dεm de ad am to `(e-liquids)` we gεt `(THC)` (tetrahydrocannabinol - dis na di men kεmikכl we de mek dεn dכn dכn insay kanaba). Pan ɔl we vaytamɛn E asɛtat nɔ bad fɔ it ɔ yuz am as krim fɔ yu skin, dɛn tink se i kin mek yu lɔng pwɛl we yu wam am ɛn blo am lɛk vapour .

Yu tink se dɛn kin mɛn di kɔndishɔn `EVALI`?

Dis na sɔntin we dɔktɔ dɛn stil nɔ ebul fɔ tɔk fɔ tru. Bɔt wit nyu infɔmeshɔn we de kam, i tan lɛk se if yu stɔp fɔ vap kpatakpata ɛn go to dɔktɔ kwik kwik wan, yu kin rivɛns sɔm pan di damej we EVALI dɔn mek . Dat min se fɔ du sɔntin kwik kwik wan rili impɔtant.

Udat `EVALI` kin afɛkt mɔ?

Enibodi we vapes kin divelop EVALI. Bɔt sɔm pipul dɛn kin gɛt dis sik, ɛn dɛn kin nid fɔ go na ɔspitul. Dɛn tin ya na:

• Pipul dɛn we nɔ rich 35 ia yet.Dɛn kin si dis mɔ pan yɔŋ pipul dɛn.
• Pipul dεm we de ``vape'' tin dεm we gεt (THC) .
• Bay infɔmal we, dat naPipul we de bay ɛn yuz `(vape)` likwid we gɛt `(THC)` frɔm ples lɛk ɔnlayn ɔ frɔm padi. Wi nɔ no wetin bad bad tin dɛn de insay dis.

Aw dɛn kin no bɔt `EVALI`?

Fɔ no bɔt EVALI kin tranga bikɔs di sayn dɛm we i kin gɛt kin tan lɛk bɔku ɔda sik dɛm na di lɔng, lɛk asma ɛn nyumonia. Dɔktɔ go luk yu kɔmplit mɛdikal istri ɛn du yu bɔdi ɛgzam . We dɛn de du dis ɛgzam, dɛn go lisin to yu lɔng dɛn (auscultation) wit stetɔskɔp. Dɛn kin aks yu kwɛstyɔn dɛn bak lɛk:

• Wetin na yu sayn dɛm?
• Yu de `(vape)`?
• Yu don vaped in di pas tri mun?
• Yu `(vape)` fɔ `(nikotine)`, `(THC)`, ɔ ɔl tu?
• Wea yu geht di `(e-liquid)` we yu put na yu `(vape)`? (Na famasi, na padi, na di intanɛt?)

I rili impɔtant fɔ gi kɔrɛkt infɔmeshɔn to dɛn kwɛstyɔn ya, bikɔs dis go ɛp di dɔktɔ fɔ no di sik kɔrɛkt wan. Apat frɔm dat, dɛn kin du ɔda tɛst fɔ no if pɔsin gɛt di sik.

Us tɛst dɛn kin yuz fɔ no if pɔsin gɛt `EVALI`?

Dɔktɔ kin ɔda dɛn tɛst ya fɔ kɔnfɔm EVALI stetɔs:

• Blɔd ɔksijɛn lɛvɛl tɛst : Dis de sho aw bɔku ɔksijɛn de na yu blɔd. If ɔksijɛn nɔ bɔku, dat kin min se yu lɔng dɛn dɔn pwɛl. dis kin bi bay we yu tek bכdi sεmpl כ bay we yu yuz wan tin we dεn kכl ``pulse oximetry'', we na sכmכl klip we yu de put pan yu finga.
• Imej tɛst: Dis na simpul tɛst we nɔ de mek pɔsin fil pen ɛn we kin luk fɔ di damej we di lɔng dɛn dɔn pwɛl. Dɛn kin du ɛkstrem rayt ɔ CT skan na di chɛst.
• Pulmonary function tests (PFT): Dɛn tɛst ya de chɛk aw yu lɔng dɛn de wok fayn fayn wan. Dɛn kin mɛzhɔ tin dɛn lɛk aw dip yu kin blo ɛn aw fast yu kin blo.

Aw dɛn kin trit `EVALI`?

Bikɔs di sayn dɛm fɔ EVALI tan lɛk di wan dɛm we de sho se pɔsin gɛt lɔng infɛkshɔn, dɔktɔ kin fɔs gi am antibayɔtik ɔ antivayrɔs fɔ mek i nɔ gɛt infekshɔn. Apat frɔm dat, yu tritmɛnt kin inklud:

• Kכtikostεroyd: Dis na mεdikeshכn dεm we dεn kin gi fכ ridyus inflameshn (swεl) na di lכng. Dɛn kin gi dɛn as inhala ɔ as vapour we yu de blo tru nebulizer.
• Ɔksijɛn tɛrapi: Dis kin min fɔ gi ɛkstra ɔksijɛn. dis כksijεn de gi tru wan sכmכl plastic tכb (nasal kanula) we dεn de put insay εvri nos. Dis tiub de kɔnɛkt to wan ɔksijɛn tank.
• Mɛkanikal ventilashɔn: Dis na wetin wi kɔl ‘ventilatɔ’. Dis mashin de ɛp yu fɔ blo fɔ yu, ɔl ɔ sɔm pat pan am. Dis kin nid fɔ bi if yu EVALI kɔndishɔn rili bad .

Aw kwik a go fil fayn afta a dɔn bigin fɔ trit mi?

Bɔrku pipul kin bigin fɔ fil fayn insay sɔm dez wae dɛn bigin fɔ trit dɛn wit `EVALI`. Bɔt i kin tek sɔm tɛm bifo yu go bak to yu nɔmal tin dɛn afta yu dɔn gɛt tritmɛnt. Yu dɔktɔ go tɛl yu ustɛm i go tek.

If a gɛt `EVALI`, wetin a fɔ ɛkspɛkt?

Bikɔs EVALI na nyu sik, dɔktɔ dɛn nɔ no bɔku tin yet bɔt di tin dɛn we i kin du fɔ lɔng tɛm. Sɔm pipul kin gɛt sɔm kayn sik bak afta di tritmɛnt dɔn. So, i impɔtant fɔ kip kɔmpin wit yu dɔktɔ (`(follow-up apointments)`). Yu dɔktɔ kin rifer yu bak to spɛshal dɔktɔ we de mɛn yu lɔng (`(pulmonologist)`). dis `(pulmonologists)` na spεshal pipul dεm we de no εn trit sik dεm na di lכng εn di rεspiretכri sistεm.

Yu tink se dɛn kin mek `EVALI` nɔ apin?

Yɛs, i rili pɔsibul! Di bɛst we fɔ mek yu nɔ gɛt EVALI na fɔ avɔyd fɔ yuz vaping prɔdak ɔltogɛda . Ɛspɛshali avɔyd prɔdak dɛn we gɛt THC ɔ Vitamin E asɛtat. If yu de du vape, mek shɔ se yu jɔs bay vaping prodak frɔm pɔsin we gɛt laysens fɔ sɛl . Nɔ yuz ɛni prɔdak we yu go si na strit, ɛn nɔ no udat mek am ɔ wetin de insay.

If a gɛt `EVALI`, aw a fɔ tek kia ɔf misɛf?

If dɔktɔ tɛl yu se yu gɛt `EVALI`, i go mek wan tritmɛnt plan we go fayn fɔ yu. I rili impɔtant fɔ tek ɔl di mɛrɛsin dɛn we yu dɔktɔ gi yu di rayt we ɛn di rayt tɛm .

Yu dɔktɔ kin ɛp yu bak fɔ lɛf fɔ yuz vaping . Bɔku pan di sem advays dɛn fɔ lɛf fɔ smok kin yuz bak fɔ lɛf fɔ smok. Aks yu dɔktɔ bɔt program dɛn we go ɛp yu fɔ du dis.

Ustɛm a fɔ go to dɔktɔ?

If yu na vaper ɛn yu gɛt sayn dɛn fɔ EVALI (di chɛst pen, shɔt briz, ɛn kɔf we wi bin dɔn tɔk bɔt), go to dɔktɔ wantɛm wantɛm . If yu sik kam bak afta yu dɔn trit yu, tɛl yu dɔktɔ wantɛm wantɛm. Kɔntinyu fɔ go fɔ fala-ap apɔntin fɔ si aw yu lɔng dɛn de wok ɛn di ɔksijɛn lɛvɛl na yu blɔd.

Ustɛm a fɔ go na imejensi rum (ER)?

If yu fil se yu nɔ de blo bɛtɛ ɔ yu chɛst tayt, kɔl 911 (ɔ yu lokal imejensi nɔmba) wantɛm wantɛm, ɔ go na di ɔspitul imejensi rum we de nia yu.Dis nɔto fayn tin fɔ delay.

Us kwɛstyɔn dɛn a fɔ aks dɔktɔ?

We yu go si dɔktɔ, i go fayn fɔ aks kwɛstyɔn dɛn lɛk dɛn wan ya:

• Aw yu no fɔ shɔ se a gɛt `EVALI`?
• Yu tink se mi lɔng dɛn dɔn pwɛl fɔ ɔltɛm?
• Aw kwik a go bigin fɔ fil fayn?
• Wetin a fɔ du if mi sik kam bak?
• Aw ɔltɛm a nid fɔ kam fɔ fala-ap apɔntinmɛnt?
• yu kin rekomend wan program o sopot grup fo ep mi fo lef vaping?

Aw a go no if vaping de afɛkt mi lɔng?

If yu na pɔsin we de yuz `(vape)` ɛn yu gɛt sɔm kayn sik dɛn we de mek yu blo (lɛk fɔ kɔf, swɛt, pen na yu chɛst), yu lɔng dɛn kin pwɛl. Dɔn bak, if yu gɛt ɔda lɔŋ kɔndishɔn, lɛk `(asma)`, `(vaping)` kin mek dɛn sayn dɛn de wɔs.

Aw lɔŋ i kin tek fɔ mek vayp afɛkt di lɔng dɛn?

Sɔm stɔdi dɛn dɔn sho se vaping kin bigin fɔ pwɛl yu lɔng dɛn insay lɛk tri dez so . Dat min se, ivin if yu tink se, "A jɔs de du am smɔl, wan wan tɛm," da smɔl tin de kin denja.

Fɔ dɔn, wetin fɔ mɛmba (Take-Home Message) .

EVALI na siriɔs sik we de mek yu lɔng tisu inflamɛns. If yu na vaper - ivin if yu nɔ de du am ɔltɛm - ɛn gɛt sayn dɛm fɔ EVALI, yu fɔ go to dɔktɔ ɔ go na di imejensi rum . Wit tritmɛnt, bɔrku pipul kin bigin fɔ fil fayn insay sɔm dez.

Di tin we impɔtant pas ɔl na dat, if yu nɔ de vap, i bɛtɛ fɔ lɛ yu nɔ bigin. If yu dɔn ɔlrɛdi vayp, dɔktɔ ɛn ɔda wɛlbɔdi biznɛs pipul dɛn de we go ɛp yu fɔ lɛf fɔ vayp. Nɔ shem fɔ gɛt dɛn ɛp. Yu lɔng dɛn fit fɔ du am, nɔto so?