COVID-19 i vei chuan i symptoms te chu a na lo mai thei a, in lamah i enkawl thei ang. Chu chu mi tam zawk tan chuan a dik a ni. Mahse, kum upa tawh emaw, hriselna lama harsatna dang, zunthlum emaw, thinlung natna emaw i neih chuan COVID-19 avanga harsatna lian tham i neih theihna a sang zawk. Mi thenkhat, mi 6 zinga 1 vel chuan nunna atana hlauhawm harsatna an nei thin. Hei hi a chhan ber chu ‘cytokine storm’ an tih dinhmun a ni. A awlsam zawngin, infection kan neih hian kan immune system chu overdrive-ah a lut a, kan thisenah inflammatory proteins cytokines an tih chu a chhuah tir thin. Chûngte chuan kan tissue te a tichhe thei a, lung, thinlung leh kal ang chi taksa peng pawimawh tak takte pawh a tichhe thei bawk.
Covid-19 avanga harsatna awm thei berte chu engte nge ni?
COVID-19 hi thawkna lam natna chauh a ni lo. Taksa chhunga system hrang hrang tam tak a nghawng thei a ni. Harsatna awm thei ber berte hi han thlir ila.
| Complication awm thei | A sawifiahna awlsam tak |
|---|
| Acute Respiratory Failure a awm thin | Lung hian thisenah oxygen a pe thei lo emaw, thisen atanga carbon dioxide a paih chhuak thei lo emaw a ni. Hei hi COVID-19 thihna thlentu ber a ni. |
| Pneumonia na tak a ni | Lung pahniha air sacs te chu a hring a, tui leh zun a khat a, thawk a harsa hle. |
| Acute thawk lama harsatna nei (ARDS) . | Lung hi nasa takin a chhia a, tui a leak chhuak a, thisen hian oxygen a dawng tlem hle. Hei hian ventilator a mamawh a ni. |
| Organ tihchhiat a ni | Acute liver injury, acute cardiac injury, leh acute kidney injury te a awm bawk. |
| Thisen a chhuak | Taksa thisen zam (DIC) tihbuai, chu chuan ke (DVT), lung (PE), leh hmun dangah thisen zam pangngai lo a siam thei a ni. |
| Naupangte zingah multi-system inflammatory syndrome (MIS-C) a awm a, hei hi a chhuahna tur a ni. | Naupang leh thalai te nghawng thei, taksa peng hrang hranga hring chhuak thei natna khirh tak a ni. |
Heng dinhmunte hi chipchiar deuhin han thlir ila.
Lung chunga nghawng a neih dan
COVID-19 vanga thihna thlentu ber chu lung chhiatna a ni. Ngaihtuah teh, pneumonia a lo awm chuan lung chhunga boruak bawm te te chu a lo hring chhuak a, thawk a harsa hle. COVID-19 vei na tak takte lung i enfiah chuan tui leh hnim hring a khat tih i hmu thei.
Hetiang dinhmun hi a na zual chuan ARDS (Acute Respiratory Distress Syndrome) tih natna a thlen thin. Hetah hian lung chu a chhe nasa hle a, thisen chuan oxygen a dawng thei lo . Hei hi nunna chhanhim nan artificial breathing machine (ventilator) puihna a mamawh hun a ni.
Thinlung, thin leh kal (kidney) te chhiatna
Covid-19 hi lungah chauh natna a ni lo.
- Acute Liver Injury: Lung hnua hliam tuar tam ber chu thin (liver) a ni. Hei hi hripui vang nge, natna avanga taksaa stress awm vang nge tih erawh hriat chian a la ni lo. Mahse, hei hi nunna atana hlauhawm emergency a ni.
- Acute Cardiac Injury: Damdawi ina COVID vei tam tak pawhin cardiac symptoms, arrhythmias ang chi an nei tih an sawi bawk. A châng chuan COVID-19 aṭanga dam leh hnuah pawh thinlung ruh inflammatory condition, myocarditis ang chi a awm thei a.
- Acute Kidney Hliam: 1.1.Hei hi a awm lo deuh a, mahse a lo awm chuan a pawi hle thei. Kidney-in hna a thawh tawh loh chuan taksa atanga bawlhhlawh paih chhuah nan dialysis i mamawh ang. A châng chuan he chhiatna hi a dam kim lo thei a , kal natna khirh takah pawh a lo chang thei bawk .
Thisen zam leh natna dang na tak tak
Covid-19 complication hlauhawm dang chu thisen zam hi a ni.
- Blood Clots : COVID vei chu flu vei pangngai aiin thisen zam a vei theihna a sang zawk. Chungte chu ke ruh (Deep Vein Thrombosis - DVT ), lung (Pulmonary Embolism - PE), emaw, thisen kalna kawng ( arteries)-ah te a lo awm thei a ni.
- DIC condition: DIC (Disseminated Intravascular Coagulation) hi natna khirh tak a ni a, thisen zam a tihbuai vek a ni. Hei hian chhungril thisen chhuah emaw, taksa peng hrang hrang a tihchhiat emaw a thlen thei a ni.
- Septic Shock: Sepsis chu taksain natna hrik a neih avanga overdrive-a a kal a, taksa peng hrang hrang a tihchhiat tan a ni. Hei hi control a nih loh chuan thisen sang lutuk a tlahniam thei a, septic shock leh thihna thlengin a thlen thei a ni.
- Secondary Infections: COVID-19 dona a\anga taksa a chak loh chuan bacteria infection dang (e.g., strep, staph) a lo awm thei a. Hei hian risk a tipung bawk.
Naupang leh hun rei tak chhunga nghawng a neih dan te pawh i zir ve ang u.
Naupangte zingah multi-system inflammatory syndrome (MIS-C) a awm a, hei hi a chhuahna tur a ni.
Naupangte hi a tlangpuiin COVID-19 hian nasa takin a nghawng lo nain, naupang thenkhat chuan
MIS-C (Multisystem Inflammatory Syndrome in Children) tih natna an nei a ni. Hei hian natna lan chhuah dan, khawsik, pum na, luak chhuak, vun natna te a huam a ni. Hei hi Kawasaki natna ang chi natna khirh tak a ni a, damdawi lam pan vat a ngai a ni.
Hun rei tak COVID
Mi thenkhat chuan COVID-19 atanga an dam hnuah thla tam tak chhung symptoms an nei thei a ni. Hei hi ‘Long COVID’ emaw Chronic Fatigue emaw kan ti bawk.
- Chauhna nasa tak a awm
- Thil ngaihtuah harsa emaw, ‘brain fog’ emaw.
- Taksa natna
- Luak chhuak thei
Dam hnuah pawh heng symptoms te hi a la awm reng a nih chuan doctor nen inbiakna neih a pawimawh hle.
Take-Home Thuchah a ni
- COVID-19 hi mi tam zawk tan chuan natna na lo tak ni mahse, thenkhat chuan harsatna na tak, nunna atana hlauhawm tak tak an nei thei a ni.
- Natna dang, zunthlum leh lung lam natna nei te, leh kum upa lam te pawhin heng harsatna te hi an vei theihna a sang zawk a ni.
- Lung, thinlung, thin leh kal chhiatna bakah thisen zam te hi harsatna lian ber zinga mi a ni.
- Thâwk harsa, rilru na reng, rilru buai, leh hmui emaw hmai emaw a sen vek ang chi vaukhânna chhinchhiahnate chu fimkhur reng ang che.
- Ringhlelna emaw, natna lanchhuahna na tak emaw i neih chuan hun khawhral suh la , i doctor hmu nghal emaw, damdawi in hnai ber Emergency Department (ETU)-ah emaw kal rawh.
Covid harsatna, COVID-19 harsatna Sinhala, pneumonia, ARDS, thisen zam, Covid hnua nghawng, Long COVID Sinhala
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