COVID-19 hripui nen kan hlau em em hun lai a awm a. He hlauhna, he rinhlelhna hi lupus ang chi natna rei tak neia khawsa tu emaw chuan a hre zual ngei ang. Zawhna hrang hrang "COVID ka kai chuan eng nge thleng ang?", "He damdawi hmang hian ka risk a sang em?" i rilruah a awm tawh mai thei. Chuvangin vawiinah hian lupus leh COVID-19 inzawmna chungchang hi han sawi ila, awlsam takin, i hriatthiam theih dan tur angin.
Lupus leh COVID-19 hlauhawmna hi eng nge inzawmna?
A awlsam zawngin, lupus natna nei hian natna chi hrang hrang nei lo mi aiin i kai tam zawk deuh. Hei hi lupus hian kan taksa invenna, immune system , hnathawh dan a thlak danglam vang a ni.
Kan immune system hi kan ram venghimtu sipai angin han ngaihtuah teh. He sipai hna chu hnam dang hmelma (germ, virus) hriatchhuah leh beih hmanga min venhim hi a ni. Mahse lupus-ah chuan he sipaite hi an buai deuh a, tu nge ṭhian nge hmelma tih an hre thei lo. Chuvangin ram dang hmelma chauh ni lovin kan cell hrisel tak takte pawh an bei tan ta a ni. Hei hi autoimmune condition kan ti a.
Hei hi a chhan chu lupus vei mi immune system hi a thawk nasa lutuk a, eng emaw chen a chak lo fo thin. Chuvangin COVID-19 ang virus taksaa a luh chuan hlawhtling taka a do let thei lo mai thei. Chumi avang chuan lupus vei te hian COVID-19 an kai tam mai bakah, an vei chuan symptoms na zawk an nei tam zawk a ni.
Tin, lupus vei tam tak chuan hriselna lama harsatna dang an nei thei a, chu chuan COVID-19 ang natna dona a ti harsa zawk thei a ni:
- Lung kaihhnawih natna (e.g. Chronic Obstructive Pulmonary Disease) .
- Lung natna
- Kidney lama harsatna nei
- Thisen sang a sang
- Zunthlum (Diabetes Mellitus) natna a ni.
Lupus leh COVID-19 damdawi i ei thin te
I lupus enkawl nan immunosuppressant i ei mai thei. Heng damdawi te hian overactive immune system chu a titawp a ni. Hei hian lupus flare-ups control nan a pui thei a ni.
Mahse he pawisa lem lehlamah chuan immune system a tihbuai avangin pawn lam atanga kai theihna a sang chho zel a ni. Mahse hetah hian a pawimawh ber chu i doctor thurawn tel lo chuan he damdawi hi i ei loh tur a ni . A chhan chu damdawi i ei tawh loh chuan i lupus chu a zual thei a ni. Natna a lo zual tawh laia hri kai i neih chuan a hlauhawm lehzual.
Lupus natna atana hman tlanglawn tak tak immunosuppressant damdawi thenkhat chu a hnuaia mi ang hian tarlan a ni.
| Damdawi hming Generic | Brand hming hman tlanglawn tak tak |
|---|---|
| Azathioprine a ni | Azasan, Imuran-a chuan a rawn ti a |
| Methotrexate hmanga siam a ni | Rheumatrex tih hi a ni |
| Cyclophosphamide hmanga siam a ni | Cytoxan, Neosar tih te a ni |
| Cyclosporine a ni | Gengraf, Neoral, Sandimmune te an ni |
| Belimumab a ni | Benlysta chuan a rawn ti a |
| Rituximab a ni | Rituxan a ni |
| Prednisone a ni | (Brand tam tak hnuaiah a awm) |
Lupus damdawi hian COVID-19 a tidam thei em?
COVID hri leng hmasa lamah khan lupus damdawi atana hman thin Hydroxychloroquine leh chloroquine chungchang sawi a tam hle tih in hre reng mai thei. Heng damdawi te hian COVID-19 a tidam thei tih rinna a awm a. Hei vang hian khawvel hmun hrang hrangah zirchianna an nei ta a ni.
Zirchianna hmasa ṭhenkhatah chuan result beisei awm tak tak lang mah se, a hnu lama zirchianna lian tak takte chuan heng damdawite hian COVID-19-ah nghawng lian tham a nei lo tih a nemnghet a ni. Mi thenkhat phei chuan side effect na tak tak an tawk bawk. Chuvangin, heng damdawi te hi a tirah chuan emergency-a hman phalsak ni mah se, a hnuah an phalna chu an hnukkir leh ta a ni.
He sawihona atanga buaina lian ber lo chhuak chu he damdawi, lupus vei ten an natna control nana an hman thin hi market-ah a tlachham tan ta a ni. Hei hi Sri Lanka-a lupus vei tan pawh harsatna lian tak a ni ta a ni.
A pawimawh ber: Mi dang hnen atanga i hriat emaw, online-a i hmuh emaw atanga thlirin heng damdawi te hi COVID-19 enkawlna atan hmang ngai suh. Doctor thupek zawm fo ang che.
I damloh chuan engtin nge i tih ang?
I hrisel loh emaw, natna lan chhuahna thar, khawsik, khuh, a nih loh leh thawk harsatna ang chi i neih chuan, i tih hmasak ber tur chu i doctor biak hi a ni . COVID-19 vei tam zawk hian symptoms na lo tak tak an nei a. Hei hian in lamah an dam leh thei tihna a ni.
Mahse, lupus vei i nih angin, a bik takin i fimkhur tur thil tlemte a awm.
- Immunosuppressant damdawi i ei a nih chuan natna hrik i neih pawhin khawsik i nei lo mai thei.
- Lupus vei te hian chhan hriat lohvin low-grade fever an nei thei bawk.
- Fever hi lupus flare chhinchhiahna a ni thei bawk.
Chuvang chuan natna lanchhuahna i neih chuan doctor nen inbiakna neih a pawimawh hle. Tin, a lan chhuah chuan damdawi lam thurawn emaw, Emergency Department (ETU)-a refer nghal ngai emaw a awm bawk.
| Symptom a ni | Eng nge Tih Tur |
|---|---|
| COVID-19 natna lan chhuah dan tlangpui | |
| Khawsik | Doctor hnenah thurawn dil nghal rawh. In lamah awm la, chawlh hahdam rawh. |
| Dry cough a ni | |
| Thâwk harsa deuh | |
| Emergency symptoms (damdawi in/ETU pan nghal tur) . | |
| Thâwk lak a harsa hle tih hriat | Damdawi in hnai ber Emergency Department (ETU)-ah kal nghal la, emergency ambulance service ko rawh. |
| Chest na emaw, tightness emaw awm reng | |
| Buaina thar a awm | |
| Bluish hmui emaw hmai emaw | |
Take-Home Thuchah a ni
- Lupus i neih hian hri kai eng pawh, COVID-19 telin i kai theihna a tipung a, natna a na zual theihna a tipung bawk.
- Doctor zawt lovin eng chhan pawha lupus damdawi ei kha tihtawp emaw, a dose thlak emaw kha pumpelh rawh.
- Doctor leh hriselna lama thuneitute’n himna thupek (kut sil, mask vuah, social distancing) pek zawng zawngte uluk takin zawm tur a ni.
- I lupus tizual thei thil, taksa leh rilru lama harsatna leh ni chhuahna te chu a theih ang angin pumpelh rawh.
- I natna lan chhuah dan i hriat veleh i doctor nen inbia ang che. Emergency symptoms hriatchhuah la, hma la nghal rawh.
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