Tûn laia ṭhalaite zînga ‘vaping’—electronic hmanrua hmanga vapor hip luh—a larzia chu i hmu tawh em? Mi tam tak chuan cigarette hlui aiin a him zawk niin an ngai. Mahse, tunah chuan damdawi lam thiamte chuan he tih dan nena inzawm lung hliam thar leh hlauhawm tak chungchangah hian ngaihtuahna an siam tih i hria em? A hming chu EVALI tih a ni . He dinhmun hi eng nge a nih tak tak tih hi thu awlsam leh chiang takin i then ang.
EVALI chu eng nge ni?
A awlsam zawngin sawi ila, EVALI hi ‘E-cigarette, or vaping, product use-associated lung injury’ tih tawifelna a ni. A bul berah chuan electronic cigarette emaw vaping product emaw hmanna nena inzawm tlat lung chhiatna a kawk a ni. Hetiang dinhmun hian i lung chhungah inflammation nasa tak a thlen a, tissue a tichhia bawk .
Vaping atana i hman electronic device hian nicotine leh flavoring hrang hrang awmna liquid a lum tir a . Heng vapor-a microscopic particle te hi he lung hliam siamtu ber an ni. Hriat tur pawimawh tak chu EVALI hi miten an natna lan chhuah hma ni 90 thleng an vape loh pawhin a lo awm thei a ni.
EVALI hi acute condition, lo lang nghal mai angin a lang thei a, a nih loh leh hun kal zelah symptoms a zual zel angin a lo awm zauh zauh thei bawk. A nasat chuan he natna hi nunna atana hlauhawm tak a ni thei .
EVALI hi engtiang chiahin nge a serious?
Hei hi damdawi lam natna khirh tak a ni . United States atanga report atanga a lan dan chuan EVALI vei hmuhchhuah zinga 90% chuan damdawi inah dah an ngai a ni. Kum 2020 tir lam khan damdawi ina enkawl mi 3,000 vel leh thi 70 vel chu he natna vang nia sawi a ni. He hriselna atana hlauhawmna nasa tak hi hriatthiam a pawimawh hle.
Hei hi hun rei tak chhunga harsatna a ni em?
EVALI hi diagnosis thar tak a ni a, kum 2019 khan US-ah case hmasa ber a ni a, hei vang hian medical expert leh researcher-te chuan hun rei tak chhunga nghawng a neih dan tur emaw, a tawpah damlote hriselna dinhmun tur emaw an la chiang lo hle. Phên dangin sawi ila, EVALI diagnosis hnua hun rei tak chhunga hriselna lama harsatna awm thei chu kan la hre chiang lo hle.
EVALI natna lan chhuah dan chu engte nge ni?
EVALI nena inzawm symptoms te hi han en ila. Heng zinga pakhat tal i tawng a nih chuan, a bik takin vaper i nih chuan damdawi lam thurawn i lak nghal a pawimawh hle.
- Chest pain: Tightening emaw restrictive sensation angin hriat fo thin.
- Khuh: Hei hi khuh hring emaw, phlegm siamtu emaw a ni thei.
- Thâwk lak tawi (dyspnea): Taksa thawhrimna lai chauh ni lovin, chawlh lai pawhin thawk harsa i ti thei.
- Rapid heartbeat ( tachycardia ): Thinlung chak lo tak emaw, na tak tak emaw hriatna.
- Pum natna .
- Nausea leh luak chhuak .
- Kawthalo .
- Khawsik .
- Chills (khawsik natna lan chhuahna nen a inang).
- Sawifiah loha taksa rihna tihtlem: I ei leh in emaw, exercise tih dan emaw tihdanglam loha i taksa rihna tihtlem i nih chuan hei hi vaukhânna chhinchhiahna pawimawh tak a ni.
Thil na tak takah chuan EVALI hian thihna a thlen thei tih hre reng ang che . Heng vaukhânna chhinchhiahnate hi ngaihthah suh.
Eng thilin nge EVALI hi a thlen?
A chhan ber chu e-cigarette hman leh vaping a ni. Researcher te chuan e-liquids a chemical bik eng nge he inflammation hi tichhuak tih an la zirchiang mek laiin Vitamin E acetate nen hian inzawmna nghet tak a awm a ni.
Vitamin E acetate hi Vitamin E siam chhuah a ni a, siamtu thenkhat chuan THC (cannabis-a psychoactive chemical) awmna e-liquids-ah an dah tel bawk. Vitamin E acetate hi ei emaw, topical cream-a hman emaw a nih chuan a him tlangpui laiin, vapor lum anga inhnim chuan i lung tissue chu nasa takin a tichhe thei a ni.
EVALI hi tihdam theih a ni em?
Hun rei tak chhunga hmalam hun tur chu zirchian mek a nih laiin, tuna evidence awm mek chuan vaping i chawlhsan nghal a, damdawi lam pan nghal vat chuan EVALI avanga lung chhiatna chu enkawl leh tihchangtlun theih a ni tih a tarlang. I dam leh theih nan hmalak vat hi a pawimawh hle.
EVALI vei tur hian tute nge hlauhawm ber?
Vape titu apiang chu EVALI vei theihna hlauhawmah an awm. Mahse, mimal thenkhat chu damdawi ina dah ngai khawpa natna nasa tak an neih theihna chance a sang zawk a, chung zingah chuan:
- Mimal kum 35 hnuai lam , naupang zawkte zingah hmuh tur a awm fo angin.
- THC awmna product vape tute.
- User-te chuan informal emaw, dan lo emaw atanga vaping liquids (online marketplace emaw ṭhiante ang chi) an dawng ṭhin . Heng thil siamte hian additive hriat loh leh hlauhawm tak tak a keng tel thei a ni.
Engtin nge EVALI hi hmuhchhuah 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 inzawm tlat a ni. Doctor chuan i medical history kimchang chu a evaluate ang a, physical examination , chutah chuan stethoscope hmanga i lung ngaihthlak (auscultation) te pawh a tel ang. Zawhna chiang tak tak an zawt thei bawk che a, chu chu:
- Eng symptom nge i neih?
- I vape thin em?
- Thla thum kalta chhung khan vape i nei tawh em?
- Nicotine, THC, a pahnih hian i vape em?
- Khawi atanga i e-liquid (pharmacy, thianpa, online) i hmuh?
Thu dik leh dik tak pêk chu a pawimawh hle a, chu chuan i doctor-in a natna chu dik taka a hriat theih avângin. A dinhmun finfiah nan test dang neih belh a ngai mai thei.
EVALI hriat theihna tur hian eng test nge hman thin?
EVALI hmuhchhuah a nih leh nih loh finfiah nan i doctor chuan a hnuaia test te hi a order thei ang:
- Thisen oxygen level endik : He test hian i thisenah oxygen engzat nge awm tih a teh thin. Oxygen level hniam hian lung chhiatna a thlen thei. Hei hi thisen test emaw, i kut zungtang-a clip-a dah, natna nei lo, pulse oximetry tih emaw hmangin tih theih a ni.
- Imaging test: Hengte hi thil awlsam, hrehawm lo tak a ni a, doctor-te chuan lung chhiatna chu an hmu thei a ni. Chest X-ray emaw CT scan emaw i nei thei bawk.
- Pulmonary function tests (PFTs): Heng test te hian i lung hnathawh that dan a zirchiang thin. Engtiang chiahin nge i thawk thûk theih tih leh engtiang chiahin nge chak taka i thawk chhuah theih tih an teh a ni.
EVALI hi engtin nge enkawl a nih?
EVALI symptoms hian lung infection symptoms a entawn avangin, i doctor chuan a tir lamah chuan infection a awm loh nan antibiotics emaw antivirals emaw a pe thei a ni. Hei bakah hian Nirogi Lanka-a i enkawlna tur ruahmannaah hian:
- Corticosteroids: Heng damdawi te hi lung chhunga inflammation (swelling) tihziaawmna atan hman a ni. Inhaler hmangin emaw, nebulizer hmangin vapor angin emaw pek theih a ni.
- Oxygen therapy: Hei hian oxygen supplementary a pe a, a tlangpuiin nasal cannula—i hnar kawngkhar chhunga dah tube te tak te, flexible tak, oxygen source nena inzawm hmanga pek chhuah a ni.
- Mechanical ventilation: EVALI natna na tak a nih chuan i thawk dan tur pui turin ventilator i mamawh thei a, a then emaw, a pum emaw pawh nise.
Enkawlna ka tan hnuah eng chen nge ka dam leh thuai ang?
Mi tam zawk chuan EVALI enkawl tan atanga ni engemaw zat chhungin hahdamna an nei tan thin. Mahse, ni tin i thiltih pangngaia kir leh tur chuan hun engemaw chen a la ngai thei. I doctor chuan personalized recovery timeline a pe ang che.
EVALI ka neih chuan eng nge ka beisei ang?
EVALI hi natna thar a nih avangin hun rei tak chhunga nghawng a neih dan tur hi zirchian mek a ni. Mimal thenkhat chuan enkawlna an zawh hnuah pawh natna lanchhuahna a lo lang leh thei a ni. Chuvangin, i follow-up appointment-a tel hi a pawimawh hle. I doctor chuan pulmonologist-ah a hruai thei che a ni—chu chu lung leh thawkna lam natna hriatchhuah leh enkawl lam ngaihtuah thiam mi thiam tak a ni.
EVALI hi ven theih a ni em?
Ni e, a dik tak zet! EVALI venna kawng tha ber chu vaping products , a bik takin THC emaw Vitamin E acetate nei te hi pumpelh vek hi a ni. Vape i tih chuan licensed, retailer hmingthang tak tak atanga product chauh lei tur a ni. A bul leh a siam dan hriat loh, unregulated products hman loh tur.
EVALI ka neih chuan engtin nge ka in enkawl ang?
EVALI i vei tih hmuhchhuah a nih chuan Nirogi Lanka-a i healthcare team chuan i tan enkawlna tur ruahmanna felfai tak an siam ang. Damdawi pek zawng zawng chu a tih ang chiah chiah i ei a pawimawh hle.
Chu bâkah, i doctor chuan vaping bânsan tûrin a ṭanpui thei bawk che a ni . Meizial zuk bânsan nana hmanraw tam tak hi vaping atan pawh a hlawk hle. I doctor hnenah chuan i bânsan theihna tura ṭanpuina program awmte zawt rawh.
Engtikah nge Doctor ka hmuh ang?
Vape i tih a, EVALI chhinchhiahna i neih chuan—i rilru natna, thawk hah, a nih loh leh khuh chhunzawm zel ang chi —doctor pan nghal rawh . Enkawlna hnua symptoms a lo lang leh chuan i provider hnenah zawh nghal rawh. I lung hnathawh leh thisen oxygen level enfiah turin follow-up appointment zawng zawngah tel chhunzawm zel ang che.
Engtikah nge Emergency Room (ER) ah ka kal ang?
Thâwk lak harsa i tih emaw, i rilru a na lutuk emaw i tih chuan 911 (or i awmna hmuna emergency services number) call nghal la, a nih loh leh hospital emergency department hnai ber pan rawh. Emergency care zawn hi tihkhawtlai suh.
Doctor hnenah eng zawhna nge ka zawh ang?
Doctor i tlawh hunah a hnuaia zawhnate hi zawh hi ngaihtuah la:
- Engtin nge ka EVALI diagnosis hi an finfiah?
- Ka lungphuah hian chhiatna nghet tak a awm em?
- Engtiang chiahin nge dam thuai ka beisei ang?
- Ka natna lan chhuah dan a lo let leh a nih chuan engtin nge ka tih ang?
- Eng chen nge follow-up appointment ka mamawh ang?
- Meizial zuk emaw, vaping emaw tihtawp program emaw, support group emaw i rawt thei ang em?
Engtin nge vaping hian ka lung a nghawng tih ka hriat theih ang?
Vape i tih a, thawkna lama symptoms i hriat chuan khuh, thawk hah, emaw rilru na emaw i hriat chuan i lung a nghawng thei. Asthma ang chi natna i neih tawh chuan vaping hian i symptoms chu nasa takin a ti na thei a ni.
Vaping hian lung a nghawng hian eng chen nge a mamawh?
Zirna thenkhatah chuan lung hliam hi ni thum chauh vaping hnuah a intan thei niin an sawi . Vape chang chauh pawh nise, a hlauhawmna chu a langsar reng a ni.
Take-Home Thuchah a ni
EVALI hi natna khirh tak a ni a, lung tissue a inflammation a thlen thin. Vape i tih chuan—a tlem hle pawh ni se—EVALI natna lan chhuahna i neih chuan, damdawi lam pan la emaw, emergency room-ah kal nghal rawh . Damlo tam zawk chuan enkawlna an tan atanga ni engemaw zat chhungin nasa takin an dam tan thin.
Thuchah pawimawh ber chu: vape i tih loh chuan tan suh. Vape i neih tawh chuan Nirogi Lanka-ah hian healthcare professionals an awm a, i vape chhuahsan theihna tura pui turin an inpeih reng a ni. Ṭanpuina dîl hreh suh. I lung hriselna hi a hlu hle.
