Tunlai hian ‘vaping’, chu chu electronic cigarette ang hmanrua hmanga meizuk hi thalai zingah a lar hle a ni lawm ni? Mi thenkhat chuan hei hi cigarette pangngai aiin a him zawk niin an ngai. Mahse, tunah hian he `(vaping)` avanga lung natna thar, hlauhawm tak hi doctor-te'n an sawi chhuak ta tih i hria em? Hei hi ` EVALI ` tih a ni. Hemi chungchang hi chipchiar zawkin, awlsam leh awlsam takin sawi ila.
`EVALI` chu eng nge ni?
A awlsam zawngin, `EVALI` hi ‘E-cigarette, or vaping, product use-associated lung injury’ tihna acronym a ni. Sinhala tawngah chuan electronic cigarette emaw vaping products emaw hman avanga lung hliam tihna a ni . Hei hi i lung a nasat hun a ni a, chu chu a hring a, a hliam tihna a ni .
``Vape'' (``e-cigarette'') atana i hman electronic device te tak te hian ``nicotine'' liquid solution leh flavoring a inhale a. He solution chhunga thil te te te hi he lung natna thlentu ber an ni. A châng chuan, a lan chhuah hma ni 90 thlenga ``vaped'' tawh pawhin he ``EVALI'' natna hi a nei thei a ni.
He natna, `EVALI` tia koh hi a lo thleng nghal thei (`acute` kan ti), a nih loh leh a lo awm zauh zauh thei a, hun kal zelah a symptom a pung zel (`subacute`). Thil na tak ṭhenkhatah chuan thihna thlen thei a ni .
`EVALI` hi engtiang chiahin nge a serious?
Hei hi thil pawi tak a ni . US-a report angin `EVALI` vei zinga 90% chu damdawi inah dah a ngai tawh a ni. Kum 2020 tir lam thleng khan he `EVALI` vang hian damdawi ina awm mi 3,000 vel an awm tawh a, mi 70 vel an thi tawh bawk. Chuvângin, hei hi eng ang taka pawi tak nge a nih theih tih han ngaihtuah teh.
Hei hi hun rei tak chhunga harsatna a ni em?
EVALI hi dinhmun thar tak a ni. United States-ah he natna vei hmasa ber chu kum 2019 khan hmuh a ni a, chuvangin doctor leh zirchiangtute chuan hun rei tak chhunga nghawng a neih dan tur leh, nakin lawkah engtin nge a lo awm ang tih hi an la chiang lo hle. Chu chu, nakin lawkah eng harsatna nge lo awm dawn tih kan la hre lo tihna a ni.
`EVALI` natna lanchhuahna chu engte nge ni?
Tunah chuan he `EVALI` hi a lo awm chuan eng symptoms nge lo awm thei tih i lo en ang u. Heng zinga pakhat emaw a aia tam emaw i neih chuan, a bik takin `(vape)` mi i nih chuan damdawi lam thurawn lak ngei a pawimawh.
- A rilru a na . A hrual emaw, hrual emaw ang maiin a awm thei.
- Khuh . Khuh hring emaw, khuh hnim hring emaw pawh a ni thei.
- Thâwk harsa(`(thaw hahdam lohna)`). I thawk hah lo mai thei, i chau deuh lai chauh ni lovin, i ding reng lai pawhin.
- Lungphun chak tak ( tachycardia ). I rilru a na zawk tih hriatna.
- Pum natna .
- Nausea leh luak chhuak .
- Bloating ( luak chhuak ).
- Khawsik .
- Khua a vawt (khawsik ang mai) hriat.
- Sawifiah loh takin taksa rihna tihtlem . Diet leh exercise la lovin i thau a tlahniam a nih chuan chhinchhiahna pawimawh tak a ni.
Thil na tak ṭhenkhatah chuan EVALI hian thihna pawh a thlen thei tih hre reng ang che . Chuvangin heng symptoms te hi ngaihthah suh.
`EVALI` awm chhante chu engte nge ni?
A chhan ber chu electronic cigarette (`(e-cigarettes)`) leh `(vaping)` hman vang a ni. Mahse, damdawi lam mithiamte chuan heng `(e-liquids)` (i.e. `(vape juice)`)-a chemical awmte hian lung chhunga he inflammation hi a thlen tak tak tih hi chiang takin an la hre lo.
Mahse, `EVALI` leh chemical `(Vitamin E acetate)` tih hi inzawmna a awm thei tih rinhlelhna a awm. He vitamin E acetate hi vitamin E siam chhuah a ni a, siamtu thenkhat chuan `(THC)` (tetrahydrocannabinol - hei hi cannabis-a zu ruih tirtu chemical ber a ni) awmna `(e-liquids)` ah an dah tel bawk. Vitamin E acetate hi ei emaw, vun cream atana hman emaw atan a him a, mahse , a lum a, vapor anga kan inhnim chuan lung a tichhe thei niin an ngai
`EVALI` natna hi tihdam theih a ni em?
Hei hi doctor-te pawhin an la sawi chiang thei lo. Mahse, thu thar a lo luh tak avangin vaping i chawlhsan vek a, damdawi lam pan vat chuan EVALI -in a tihchhiat ṭhenkhat chu i tidanglam thei niin a lang. Chumi awmzia chu acting rang hi a pawimawh hle tihna a ni.
`EVALI` hian tute nge a nghawng ber?
Vape titu apiangin EVALI an nei thei. Mahse, mi ṭhenkhat chuan he natna hi an vei theihna chance a sang zawk a, damdawi ina dah a ngai a ni. Chung zingah chuan:
- Kum 35 hnuai lam .
- Mite chuan thil (THC) awmna thil ``vape'' .
- Informal means hmangin, chu chuOnline ang chi hmun atanga `(vape)` liquid `(THC)` awmna hmun atanga emaw, thian hnen atanga lei leh hmang thinte. Hemiah hian eng thil tha lo nge awm tih kan hre lo.
Engtin nge `EVALI` hi hriat chhuah a nih?
EVALI hmuhchhuah hi a harsa thei hle a, a chhan chu a natna lan chhuah dan hi lung natna dang tam tak, asthma leh pneumonia te nen a inang a ni. Doctor chuan i medical history kimchang a enfiah ang a , physical exam a ti ang . He exam chhung hian i lung chu stethoscope hmangin ngaihthlak (auscultation) a ni ang. Zawhna an zawt thei bawk che a, chungte chu:
- I symptoms te chu engte nge ni?
- `(vape)` i ti em?
- Thla thum kalta chhung khan vape i nei tawh em?
- `(nicotine)`, `(THC)`, a pahnih hian `(vape)` i hmang em?
- I `(vape)`-a i dah `(e-liquid)` kha khawi atanga i hmuh nge? (Damdawi dawr pakhat, ṭhian pakhat, online?)
Heng zawhnate hi thu dik tak pek a pawimawh hle a , hei hian doctor-in natna dik tak a hriat theih nan a pui dawn a ni. Hei bakah hian test dang pawh tih belh a ni thei bawk a, chu chu a natna hmuhchhuah a ni.
`EVALI` tih hriat nan eng test nge hman thin?
Doctor chuan EVALI dinhmun finfiah nan a hnuaia test te hi a order thei ang:
- Blood oxygen level test : Hei hian i thisena oxygen awm zat a teh a ni. Oxygen level hniam chuan i lung a chhia tihna a ni thei. Hei hi thisen sample lak emaw, ``pulse oximetry'' tih hmanrua hmanga tih theih a ni a, chu chu clip te tak te, i kut zungtang chunga i dah thin a ni.
- Imaging test: Hei hi test awlsam tak, natna nei lo, lung chhiatna zawng thei tur a ni. Chest X-ray emaw CT scan emaw pawh tih theih a ni.
- Pulmonary function tests (PFTs): Heng test te hian i lung hnathawh that dan a enfiah thin. Engtiang chiahin nge i thawk thûk theih tih leh engtiang chiahin nge i thawk chhuah chak tih ang chi thilte an teh a ni.
Engtin nge `EVALI` hi enkawl a nih?
EVALI natna lan chhuah dan hi lung infection nen a inang avangin doctor chuan natna kai loh nan antibiotics emaw antiviral emaw a pe hmasa thei a ni. Chu bâkah, i enkawlnaah chuan:
- Corticosteroids: Heng damdawi hi lung chhunga inflammation (swelling) tihziaawmna atana pek thin a ni. Inhaler angin emaw, nebulizer hmanga i thawk chhuah vapor angin emaw pek theih a ni.
- Oxygen therapy: Hei hian oxygen pek belh a huam a ni. He oxygen hi plastic tube te tak te (nasal cannula) hmanga pek a ni a, chu chu hnar kawngkhar tinah dah a ni. He tube hi oxygen tank nen a inzawm a ni.
- Mechanical ventilation: Hei hi ‘ventilator’ kan tih chu a ni. He machine hian i tan thawk turin a pui che a, a pum emaw, a then emaw pawh nise. Hei hi i EVALI natna a nasat lutuk chuan a tul mai thei .
Enkawlna ka tan hnuah eng chen nge ka dam leh thuai ang?
Mi tam zawk chuan `EVALI` hmanga enkawl an tan atanga ni engemaw zat chhungin hahdamna an nei tan thin. Amaherawhchu, inenkawl hnua i hnathawh dan pangngaia i kir leh theih nan hun rei tak a la ngai thei. I doctor chuan eng chen nge a daih dawn tih chiang takin a hrilh ang che.
`EVALI` ka neih chuan eng nge ka beisei ang?
EVALI hi natna thar a nih avangin doctor-te chuan hun rei tak chhunga nghawng a neih dan hi an la hre vak lo. Mi thenkhat chuan enkawlna an zawh hnuah symptom an nei leh thei. Chuvang chuan doctor (`(follow-up appointment)`) nena inkawp reng a pawimawh. I doctor chuan lung specialist (`(pulmonologist)`) hnenah pawh a refer thei che a ni. Heng `(pulmonologist)` te hi mithiam bik an ni a, lung leh thawkna lam natna hrang hrang hriatchhuah leh enkawltu an ni.
`EVALI` hi ven theih a ni em?
Ni e, a theih ngei ang! EVALI venna tha ber chu vaping products hman loh vek hi a ni . A bik takin THC emaw Vitamin E acetate emaw awmna thil ei loh tur. Vape i tih chuan licensed vendor hnen atangin vaping products chauh lei ngei ngei tur a ni . Kawngpuiah thil i hmuh apiang hmang suh la, tuin nge siam tih leh a chhunga thil awm pawh hre suh.
`EVALI` ka neih chuan engtin nge ka in enkawl ang?
Doctor in `EVALI` i nei tih a hrilh che chuan i tana tha tur treatment plan a siam ang. I doctor in damdawi a pek zawng zawng hi a hun taka ei vek a pawimawh hle .
I doctor pawhin vaping chawlhsan turin a pui thei bawk che . Meizial zuk bânsan dan tur tips inang tam tak hi vaping bânsan nan pawh hman theih a ni. Chutianga ti thei tur program hrang hrangte chu i doctor hnenah zawt rawh.
Engtikah nge Doctor ka hmuh ang?
Vaper i nih a, EVALI (a hmaa kan sawi tawh rilru natna, thawk hah, leh khuh) symptom i neih chuan doctor pan nghal rawh . Enkawlna hnua i natna lan chhuah dan a lo let leh chuan doctor hnenah hrilh nghal rawh. I lung hnathawh dan leh i thisen oxygen level hriat nan follow-up appointment la zel ang che.
Engtikah nge emergency room (ER) ah ka kal ang?
Thâwk a harsa hle tih i hriat emaw, i rilru a na emaw a nih chuan 911 (or i awmna hmuna emergency number) call nghal la, a nih loh leh damdawi in emergency room hnai ber pan rawh.Hei hi tihkhawtlai a tha lo.
Doctor hnenah eng zawhna nge ka zawh ang?
Doctor hmu tura i kal dawnin hetiang zawhna hi zawh a tha ang:
- Engtin nge `EVALI` ka nei tih chiang taka i hriat theih?
- Ka lung hi a chhe vek tawh em?
- Engtiang chiahin nge ka rilru a hahdam tan ang?
- Ka symptoms a lo let leh chuan engtin nge ka tih ang?
- Follow-up appointment atan engzat nge ka lo kal ngai?
- Vaping ka chawlhsan theih nan program emaw support group emaw i recommend thei ang em?
Engtin nge vaping hian ka lung a nghawng tih ka hriat theih ang?
`(vape)` hmangtu i nih a, thawk lam natna (khuh, thawk hah, rilru na ang chi) i neih chuan i lung a chhe thei. Tin, lung natna dang i neih chuan `(asthma)`, `(vaping)` hian chutiang symptoms chu a ti na zual thei bawk.
Vaping hian lung a nghawng hian eng chen nge a mamawh?
Zirna thenkhatah chuan vaping hian ni thum chhungin i lung a tichhia tan thei niin an sawi . Chumi awmzia chu, "Tlemte chauh ka ti a, a chang chuan," i ngaihtuah pawhin, chu tlemte pawh chu a hlauhawm thei hle.
A tawp berah chuan hriat reng tur (Take-Home Message) .
EVALI hi natna khirh tak a ni a, i lung tissue a ti na a ni. Vaper i nih chuan - i tih fo loh pawhin - EVALI symptoms i neih chuan doctor i pan tur a ni a, emergency room-ah i kal tur a ni Enkawlna a awm chuan mi tam zawk chu ni rei lo te chhungin an dam tan thin.
A pawimawh ber chu, vape i tih loh chuan tan loh a tha ber. Vape i neih tawh chuan doctor leh healthcare provider dangte pawhin i vape tawh loh nan an pui thei che a ni. An tanpuina dawng hreh suh. I lung hi a hlu a ni lawm ni?











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