COVID-19 atanga i dam leh hnuah pawh i la na a, i la chau em? Thil tenawm i tih lai pawhin chak lo takin i inhria em? Chutiang a nih chuan he thuziak hi i tan a pawimawh hle ang. A chhan chu, mi thenkhat tan chuan COVID hnuah hian hriat hlawh lo zawk mahse a nuam lo hle a, chu chu ‘Long COVID’ nen a inzawm tlat a ni. Chu chu vawiina kan sawi tum chu a ni.
POTS chu eng nge ni?
A awlsam zawngin POTS hi ‘Postural Orthostatic Tachycardia Syndrome’ tihna tawi a ni. Hming buaithlak tak a ni a, mahse hriatthiam a awlsam hle. Thil thleng chu ṭhut emaw, mu emaw atanga i ding nghal chuan i heart rate chu nasa takin a pung nghal a ni. A tlangpuiin i heart rate hi minute khatah beat 30 emaw a aia tam emaw in a sang thin.
Ngaihtuah teh, kan taksa hian kan hriat loh pawhin thisen sang leh heart rate ang chi thilte control thei system a nei a. Autonomic nervous system kan ti a. Hei hi kan taksa ‘auto-pilot’ system ang a ni. POTS nei mi pakhatah chuan he system hian hna a thawk tha lo. Chuvangin, position i thlak hian, i ding ang bawkin, i thisen sang leh heart rate hi i control tha thei lo.
Hei hi i thawh hnu lawkah a thleng ngai lo. A chang chuan minute 10 vel hnuah a thleng thei bawk. I luak chhuak thei a, i mit a sen thei a, i muhil thei a, leiah pawh i tlu thei bawk.
Hetiang dinhmun hi hriat lar a nih loh avangin mi tam tak chuan kum tam tak chhung chu natna a nih pawh hre lovin an chunga thil thleng chu hriat tumin an bei thin. Chuvangin, diagnosis dik tak neih theih nan hun a duh a ni.
COVID-19 leh POTS hi eng nge inzawmna?
POTS hi thil chi hrang hrang avanga lo awm thei a ni. Surgery lian tham emaw, infection dang emaw a awm thei. Mahse a chhan tam ber chu virus emaw bacteria emaw infection a ni. Tunah chuan scientist-te chuan COVID-19 thlentu coronavirus hi a thlentu lian tak a ni mai thei niin an ngai.
A chhan chu COVID-19 atanga dam chhuak thenkhatin POTS nen a inang em em symptom an nei thin a ni. Chûngte chu i hriat chian angin a lang thei.
| POTS ang chi natna lanchhuahna Covid |
|---|
| Heart rate sang zawk: 1.1.Hna tlemte i thawk a, tlem i kal a, stairs i lawn pawhin i heart rate chu a hlawhtling lo. |
| Brain fog: I lu chhungah engmah a kal lo ang maiin i hria a, i ngaihtuahna i ngaihtuah buai a, thil i theihnghilh awlsam bawk. |
| Lightheadedness: Ding laia lightheadedness emaw spinning emaw tihna a ni. |
| Lu na: Lu na fo, a chang chuan na tak tak. |
| Nausea leh Vomiting: Pum natna, luak chhuak. |
| Severe Chronic Fatigue: Nunna nei lo, sawifiah theih loh chau, eng ang pawhin mut emaw, chawlh hahdam emaw pawh ni ila. |
Tute nge Covid hnua POTS vei theihna sang zawk?
Dik tak chuan he natna hi COVID vei tawh apiangah a awm thei a ni. COVID na tak emaw, na lo emaw i neih pawhin a pawi lo.
Mahse, scientist-te chuan a hlauhawmna tipung thei thil engemaw zat a awm niin an ngai. Mahse hei hi research stage-ah a la awm reng a ni.
- COVID i vei hmaa lu-a na taka vuak avanga concussion i neih chuan.
- I luak chhuak emaw i muhil tawh emaw a nih chuan .
- I thinlung natna leh rilru natna (palpitations) i neih tawh chuan .
Tin, kan taksa ngeiin kan taksa hriselna (immune system) a tihsual avanga kan taksa peng (autoimmune response) te hi POTS nen a inzawm niin a lang bawk. POTS hi autoimmune diseases, thyroid disease leh rheumatoid arthritis nei te zingah a tam zawk a ni. Hetiang autoimmune response hi COVID-in a tichhuak thei bawk niin an ngai a, mahse zirchianna tam zawk neih a ngai a ni.
Heng symptoms te hi i neih chuan eng nge i tih theih ang?
I luak chhuak thut emaw, i muhil emaw a nih chuan thu la, mu nghal rawh. Hei hi a pawimawh hle. Rei vak lo nghak la, i rilru a hahdam hunah zawi tak leh fimkhur takin tho rawh.I taksa chu a awmna hmuna insiamrem turin hun pe rawh. Ṭanpuina i mamawh chuan i bula mi hnenah ṭanpuina dil rawh.
Heng symptoms te hi i neih chuan doctor pan ngei ngei tur a ni. COVID-19 i vei (or i rinhlelh) chuan doctor hnenah hrilh theihnghilh suh.
Engtin nge doctor-te hian hei hi an hriat chian?
Doctor-te chuan ‘long Covid’-in nghawng a neih dan kimchang an la zir mek a, chuvangin POTS hi i symptoms thlentu a ni em tih an rel hmain a chhan dang chu paih chhuah an tum ang.
Entirnan, COVID-19 hian thisen zam emaw, lungah hliam emaw a siam thei a ni. A symptoms hi POTS nen a inang a, mahse a enkawl dan erawh a danglam vek thung. Chuvangin, i doctor chuan natna khirh dang a awm loh nan a enfiah hmasa ang. Tichuan, POTS hriat theihna specialist hnenah an refer thei che a ni.
Hei hi eng enkawlna nge ni?
Enkawlna chu i natna lan chhuah dan, kum leh hriselna tlangpuiah a innghat a, chuvangin enkawlna pakhat chauh a awm lo.
| Enkawl dan tur | Hrilhfiahna |
|---|---|
| Nunphung inthlak danglamna | |
| Tui tam tak in thin ang che. | Ni khatah tui litre 2-3 tal in tur a ni. Taksaah tui level tha neih reng a pawimawh. |
| Chaw eiah chi (salt) dah belh | Hei hi Doctor thurawn ang chauha tih tur a ni. Hei hian thisen sang a tisang thei a ni. |
| Compression stockings a awm bawk | Kea thisen awmkhawm a ti tlem a, thisen kal a tichak bawk. |
| Damdawi - damdawi lam thurawn chauh | |
| Beta-blocker emaw Calcium channel blocker emaw a ni | Heart rate tihhniam nan. |
| Fludrocortisone emaw Midodrine emaw a ni | Thisen sang control pui turin. |
| SSRI leh SNRI te hi a ni | Nervous system hnathawh leh stress. |
| Damdawi dang | Lungkhamna, lu na emaw, nerve na emaw tan damdawi leh vitamin te. |
Hei bakah hian tunah hian immune system (immunotherapy) target-a enkawlna chungchangah zirchianna neih mek a ni.
Take-Home Thuchah a ni
- COVID-19 hnua POTS hi a dinhmun tak tak a ni. Nangmah chauh i ni lo, chuvangin hlauthawng suh.
- I ding chhuah laiin i heart rate a sang nghal a, i lu a buai a, i chau lutuk a nih chuan POTS symptom a ni thei.
- Heng symptoms te hi i neih chuan hlauthawng suh la , doctor pan nghal rawh. Diagnosis dik tak leh enkawlna dik tak neih hi a pawimawh hle.
- He natna hi nunphung tihdanglam awlsam tak leh doctor-in damdawi a pek hmangin nasa takin i thunun thei a ni.
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