Covid hripui hi kan paltlang vek tawh. Mi thenkhat chuan harsatna tlem an nei a, thenkhat chuan khawsik an nei mai a, a bo vek. Amaherawhchu, Covid atanga an dam chhoh hnuah pawh mi thenkhat chuan an la dam lo hle. "Doctor, tun hma angin ka inhria lo, tunah chuan ka chau deuh tawh," "Ka rilru a na deuhin ka hria," nang pawhin hei hi i hre ve em? Chuvangin vawiinah hian Covid-19 leh kan thinlung inzawmna chungchang hi han sawi ila. Hei hi hlauh tur thil a ni em? Eng nge kan hriat ngai? Heng zawng zawng hi chiang tak leh awlsam takin sawi ila.
Covid-19 hian thinlung a nghawng tak tak em?
A chhânna awlsam tak chu, a ni, a ti thei . COVID-19 vei na tak i nei emaw, mild case i nei a, i dam leh emaw, lung lam harsatna i neih theihna chance a awm. Hei hian heart attack i nei dawn tihna a ni lo. Mahse a risk chu a sang deuh mai thei.
Ngaihtuah teh, a tam zawkah chuan Covid thlentu virus hi heart muscle-ah direct-in a kal lo va, a kai lo. Chu chu a thleng tlem hle. Mahse thil dang a lo thleng ta a ni. Kan taksaa virus a luh hian kan taksa immune system chuan a do tan thin. He indonaa thil thleng thenkhat avang hian kan thinlung hi a chhe thei a ni.
Tlem i fimkhur zawk tur a ni, a bik takin thinlung natna (`(Cardiovascular disease)`), thisen sang (`(High blood pressure)`), zunthlum (`(Diabetes)`), thau lutuk (`(Obesity)`), emaw cholesterol ang chi risk factors i neih chuan.
Engtin nge Covid-19 hian kan cardiovascular system a nghawng?
COVID-19 hri kai lai hian thinlung a nghawng thei a. A bulpui ber pakhat chu thinlung ruh (`Myocardial injury`) tihchhiatna a ni. A awlsam zawngin sawi ila, hei hi heart muscle cells thihna a ni. Mi thenkhat chuan he chhiatna hi a thlen hian symptom engmah an lantir lo. Mahse mi dangte chuan rilru natna, thawk hah (dyspnea), ke ruh hring ang chi symptoms an nei thei bawk. Doctor chuan thisen test leh heart scan hmangin he natna hi a hre thei a ni.
Inflammation hi engkim bulpui ber a ni.
Zirchianna atanga a lan dan chuan Covid vanga thinlung chhiatna thlentu ber chu taksaa a na lutuk, chu chu inflammation tihna a ni.
Hetiang hian han ngaihtuah teh. Kan taksaah virus a luh chuan kan taksa invenna, immune system te chu do turin a inbuatsaih thin. Taksa hian protein te te, cytokines an tih te a siam chhuak a, chu chuan he indonaah hian a pui thin. Hei hi a tlangpuiin thil tha tak a ni.
Mahse, mi thenkhatah chuan he chhanna hi a na lutuk thin. Indona tenau takah sipai tam tak hruai luh ang mai a ni. Hei hi `(Cytokine release syndrome)` emaw `(Cytokine storm) emaw an ti a. He inflammation nasa lutuk hian kan thinlung chauh ni lo, kan thisen kalna kawngte pawh a tichhe thei a ni.
Hetiang inflammation nasa lutuk avang hian thinlungah eng nge thleng thei?
He `(Cytokine storm)` hian kan cardiovascular system hi kawng hrang hrangin a nghawng thei a ni. A nghawng ber chu han thlir ila.
| Thil awm thei dinhmun | A awlsam zawngin... |
|---|---|
| Thinlung thawk mumal lo (Arrhythmia) . | Inflammation hian thinlung electrical signaling system a tibuai thei a, thinlung chu a thawk mumal lo va, a ti chak a, a ti zawi a, a ti mumal lo thei bawk. |
| Thisen a chhuak thin | Inflammation hian kan thisen kalna chhungril bang a nghawng chuan thisen zam a awm theihna a sang hle. Heng thisen zamte hi thinlung emaw thluaka emaw a kal chuan heart attack emaw stroke emaw a thlen thei a ni. |
| Lung ruh natna (Myocarditis) . | Hei hi heart muscle a inflamed lai a ni. Hetiang dinhmun hi COVID vei zingah a hluar hle. |
| Thinlung chhehvel membrane a inflammation (pericarditis) . | Thinlung chhehvela venhimna (protective membrane) chu a lo hring chhuak thin. Hei hian rilru natna a thlen thei a, thinlung chhehvelah tui a pung thei bawk. |
| Lung lam chak lohna | Hei hi heart attack a ni lo. Hei hi thinlungin taksaah thisen a pump tling thei lo tihna a ni. Hei hian lung leh taksaah tui a tipung thei a, ke leh keah a hring chhuak thei a ni. |
Damdawi lam thurawn lak chu tikhawtlai suh!
Heng zawng zawng hriat hi a hlauhawm deuh thei. Mahse a pawimawh ber chu i taksa ngaihsak a, a tul hunah damdawi lam thurawn lak hi a ni.
Hripui leng lai hian mi tam takin damdawi in pan emaw, Doctor hmuh emaw an hlau hle a. Mahse chu hlauhna avang chuan nunna atana hlauhawm thei symptoms te ngaihthah chu a hlauhawm zawk.
I rilru na tak, thawk harsatna nasa tak i neih emaw, i kut pakhata rilru hahna i neih emaw chuan, damdawi in hnai ber Emergency Treatment Unit (ETU)-ah kal nghal rawh. Hetih lai hian enkawl vat vat chuan i thinlung chhiatna nasa tak a veng thei a ni.
Tin, i medical checkup pangngai pawh skip suh. Symptom thar i neih chuan i doctor nen sawiho rawh. COVID i lo vei tawh a nih chuan i taksa a nghawng dan hrilh rawh.
'Long COVID' leh thinlung lama harsatna nei
Mi thenkhat chuan COVID atanga an dam hnuah kar emaw thla tam tak chhung chu symptom engemaw zat an nei chhunzawm zel a. Hei hi `Long COVID` emaw `(Post-acute coronavirus syndrome)` tih a ni. COVID i vei atanga kar li hnuah pawh harsatna i la nei a nih chuan `Long COVID` a ni thei.
Hetiang `Long COVID` dinhmunah hian thinlung nena inzawm thei symptom engemaw zat a awm a:
- Thâwk lak thuk chuan rilru natna a zual.
- I thinlung a na rang emaw, a na emaw tih hriat (`(Heart palpitations)`).
- Lungphun chak tak (Tachycardia).
- Luak chhuak emaw, muhil emaw tih hriat.
- Exercise tlemte pawh hian hahna nasa tak a thlen thei.
Heng symptoms te hi i neih chuan hlauthawng suh la , i doctor nen inbia nghal rawh. I thinlung hnathawh dan enfiah nan EKG emaw Echocardiogram ang chi test a ti thei a ni.
Covid hian taksa peng dang a nghawng em?
Awle. Covid virus hian thinlung chauh ni lovin, taksa peng pawimawh dang, lung, thluak, kal (kidney) te pawh a nghawng thei a ni.
A chhan chu Covid virus hian `(ACE2 receptors)` an tih thil pakhat hmangin kan taksa cell-ah a lut thin. Heng `(ACE2 receptor)` te hi `key` ang mai an ni a, chu chuan virus chu cell chhunga luh theihna kawngkhar a hawng a ni. Heng `key` te hi kan thinlung, lung, thisen kalna kawng, leh kal (kidney) ah te a tam hle. Chuvang chuan hri hian heng taksa peng hrang hrangte hi a tichhe a awlsam hle.
- Lungs: COVID infection na tak chuan lung tissue a ti thim a, a hliam a awm thei bawk. Hei hi ``Fibrosis'' an ti a.
- Thluak: Thluak mamawh oxygen a tlem chuan thluak a tichhe thei a ni.
- Kal: COVID hian kal a tichhe thei bawk.
Chuvangin COVID-19 hri laka inven a pawimawh hle. He hlauhawmna hi hriselna lama hmalakna tha tak tak, vaccine lak te, a tul huna mask vuah te, kut sil fo te zawm hian tihziaawm theih a ni.
COVID atanga dam leh hi thil awlsam a ni lo. Chumi hnu pawha chutiang thinlung lama harsatna i ngaihtuah chuan rit anga inhriat chu thil pangngai a ni. Mahse, i harsatnate chu i doctor nen zalen taka sawipui chu hlau suh. A thurawn zawm la, enkawlna dik tak hmu rawh. I dam thuai ang.
Take-Home Thuchah a ni
- Covid-19 infection, a na lo pawh nise, thinlung a nghawng thei a ni.
- Hei hi a chhan ber chu taksaa virus avanga inflammation nasa lutuk vang a ni a, virus direct in heart infecting a ni lo.
- Natna dang, zunthlum emaw, thisen sang emaw i neih chuan i risk a sang deuh a ni.
- Thinlung natna nghal emaw, thawk harsa emaw ang chi symptoms te hi ngaihthah ngai suh. Damdawi in pakhat Emergency Department (ETU) ah kal nghal rawh.
- I COVID recovery (Long COVID) atanga kar li hnuah pawh hahna danglam tak, thawk hah, emaw, i rilru natna emaw i la tawk a nih chuan, chu chu i doctor nen inbia ang che.
- Hriselna lama harsatna awmte chu hlau lova doctor hnenah sawipui a tha ber.
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