Ingabe i-Vaping ingayandisa ingozi yakho ye-Coronavirus?

-Delile

• Kwenzekani emaphashini akho lapho uvota?
• Futhi i-COVID-19 iwathinta kanjani amaphaphu akho, futhi?
• Ngakho-ke, luthini ucwaningo mayelana ne-vaping ne-COVID-19?
• Sithini isimo somphakathi wezokwelapha mayelana ne-vaping njengamanje?
• Buyekeza kwe-

Ngenkathi inoveli i-coronavirus (COVID-19) iqala ukusabalala e-US, kwaba nomfutho omkhulu wokugwema ukuthola inkontileka nokudlulisa lesi sifo ikakhulukazi ukuvikela abantu asebekhulile kanye nabantu abangenawo amandla omzimba. Yebo, kusabalulekile ukubheka lezi zibalo. Kepha ngokuhamba kwesikhathi nangemininingwane eminingi, abacwaningi bafunda ukuthi ngisho nabancane, kungenjalo abantu abaphilile bangabhekana namacala abucayi e-COVID-19.

Embikweni wakamuva, abacwaningi abavela eCenters for Disease Control and Prevention (CDC) bahlaziye isampula yamacala angaba ngu-2 500 abikwe amacala e-COVID-19 phakathi kukaFebhuwari 12 noMashi 16 futhi bathola ukuthi, kubantu abalinganiselwa ku-500 ababedinga ukulaliswa esibhedlela, amaphesenti angama-20 phakathi kuka-20 no-44 ubudala.

Lokho bekuyikhwelo lokuvusa abantu abasha baseMelika, kepha futhi kuphakamise imibuzo. Uma ucabanga ukuthi amanye ama-coronaviruses nezinye izifo zokuphefumula ezihlobene negciwane akuvamisile ukushaya abantu abadala kanzima kangako, kungani abantu abasha abaningi belaliswa esibhedlela nge-COVID-19? (Okuhlobene: Yini i-ER Doc Efuna Ukwazi Ngokuya Esibhedlela seCoronavirus RN)

Ngokusobala, kungase kube (futhi mhlawumbe kukhona) izici ezimbalwa ezidlalwa lapha. Kepha umbuzo owodwa oqhamukayo yilo: Ingabe i-vaping — okuwumkhuba kubantu abadala, ikakhulukazi — kunganyusa ubungozi bezinkinga ze-coronavirus?

Okwamanje, kuwumbono nje odinga uphenyo olwengeziwe. Noma kunjalo, noma kunjalo, odokotela baxwayisa ukuthi ukuqhuma kungakhuphula ubungozi bezinkinga ze-coronavirus. "Noma yisiphi isimo sezokwelapha esithinta amaphaphu, njengesifuba somoya noma isifo se-pulmonary chronic obstructive (COPD), singaholela emiphumeleni emibi kakhulu nge-COVID-19, ngakho-ke kubonakala sengathi into ebangela ukulimala emaphashini njengomphunga ingenza okufanayo," kusho u-Kathryn Melamed, MD, udokotela wamaphaphu kanye nokunakekelwa okubucayi e-UCLA Health.

"I-vaping ingabangela izinguquko ezithile zokuvuvukala emaphashini okuthi, uma etheleleke nge-COVID-19 ngasikhathi sinye, umuntu angaba nenkinga enkulu yokulwa naleli gciwane noma abe nokugula okubi kakhulu lapho athelelekile," kwengeza uJoanna Tsai, MD, udokotela wamaphaphu. e-Ohio State University Wexner Medical Center.

Kwenzekani emaphashini akho lapho uvota?

Ucwaningo nge-vaping lulinganiselwe, njengoba kuseyindlela entsha yokubhema. "Sisafunda okuningi ngalokho okwenziwa ngamaphaphu emaphashini, kufana nokuthi kwathatha kanjani amashumi eminyaka ukuthola imiphumela yangempela yokusebenzisa ugwayi wendabuko," kuchaza uDkt. Melamed.

Njengamanje, i-CDC ithatha ukuma okubanzi ekuphakameni. Nakuba i-ejensi ithi i-e-cigarettes ayiphephile entsheni, abantu abasha, abesifazane abakhulelwe, kanye nabantu abadala abangabhemi okwamanje, isimo se-CDC siwukuthi "ugwayi we-e unamandla okuzuzisa abantu abadala ababhemayo abangakhulelwe. " lapho zisetshenziswa "njengesibambela esiphelele" sikagwayi ovamile kanye nemikhiqizo kagwayi ebhenywayo.

Kodwa-ke, i-vaping ixhunyaniswe nezingozi eziningana zezempilo, kufaka phakathi isimo esibi samaphaphu esibizwa nge- "e-cigarette, noma vaping, product-associated associated lung lung" (aka EVALI), ikakhulukazi kubantu abavota uketshezi oluqukethe i-vitamin E acetate ne-THC , isakhi se-cannabis esikunikeza okuphezulu. I-EVALI, eyaqala ukuhlonzwa ngo-2019, ingadala izimpawu ezinjengokuphelelwa umoya, umkhuhlane nokugodola, ukukhwehlela, ukuhlanza, isifo sohudo, ikhanda elibuhlungu, isiyezi, ukushaya kwenhliziyo okusheshayo, nobuhlungu besifuba. Yize ukugula kusekusha (ngakho-ke kungalindelekile), kucatshangwa ukuthi inani elingamaphesenti angama-96 labantu abane-EVALI lidinga ukulaliswa esibhedlela, ngokwe-American Lung Association (ALA).

Nokho, akubona bonke abantu abanenkontileka ye-EVALI. Ngokuvamile, ukuqhuma kubangela ukuvuvukala emaphashini okubangelwe ngamaconsi aphefumula owaphefumulayo, kusho uFrank T. Leone, MD, umqondisi we-University of Pennsylvania ePenn Stop Comprehensive Smoking Treatment Programme. "Amaphaphu ayindlela yokuqala yokuzivikela emzimbeni ezinsongweni ezihogelwayo, kufaka phakathi amagciwane, ngakho-ke igcwele amaseli okuvuvukala alungele ukulwa," kuchaza yena. "I-aerosol [kusuka ekuphefumuleni] ivuselela ukuvuvukala okuphakathi kwamazinga aphansi okunamandla okudala ukulimala kwamaphaphu esikhathini eside." (Omunye umphumela ongaba khona wokuqhuma: i-popcorn lung.)

I-Vaping nayo ingadala ukuvuvukala kuma-monocyte (amangqamuzana amhlophe egazi asiza amasosha omzimba abhubhise abahlaseli). Lokho "kungenzeka kungenze kube lula ngezifo ukuthi zibambe," kuchaza uDkt. Ngaphezu kwalokho, i-vaping ingathuthukisa amandla abangela ukutheleleka kwamagciwane athile, okungase kuvumele ukuthi inyumoniya yebhaktheriya enamandla kakhulu igxile ngemva kokutheleleka ngegciwane, uthi.

Futhi i-COVID-19 iwathinta kanjani amaphaphu akho, futhi?

Ngokuvamile, i-COVID-19 ibangela ukusabela kokuvuvukala emaphashini, kusho uRobert Goldberg, MD, udokotela wamaphaphu osesibhedlela iMission eMission Viejo, eCalifornia. Ezimweni ezimbi kakhulu, lokho kuvuvukala kungaholela ku-acute Respiratory Distress Syndrome (ARDS), isimo lapho uketshezi lungena emaphashini futhi luphuce umzimba onomoya-mpilo, ngokusho kwe-ALA.

I-COVID-19 ingase futhi ibangele amahlule egazi amancane, angabonakali emaphashini, angenza ngokufanayo kube nzima ukuphefumula, kunezela uDkt. Leone. (Okuhlobene: Ngabe Le Coronavirus Breathing Technique Legit?)

"Lapho bebhekene nalokhu kuthukwa, amaphaphu anezinkinga eziningi zokudlulisela umoya-mpilo egazini ngendlela obekufanele bathumele ngayo," kuchaza uDkt Leone.

Ngakho-ke, luthini ucwaningo mayelana ne-vaping ne-COVID-19?

I-caveat ebalulekile: Kusukela manje, ayikho idatha exhumanisa ngqo ukuqhuma kwamacala abucayi we-coronavirus. Kodwa-ke, leli gciwane liselisha, futhi abacwaningi bafunda ngendlela eliziphatha ngayo nokuthi yiziphi izindlela zokuziphatha ezingakubeka engcupheni enkulu yezinkinga ezinzima ezivela kuleli gciwane.

Lokho kusho ukuthi eminye imininingwane yokuqala (efundwe: idatha eyandulelayo hhayi ebuyekezwe ontanga) ithole ukuhlangana phakathi kokubhema ugwayi namacala abucayi kakhulu we-COVID-19. Ukubuyekezwa okukodwa kwezifundo ezivela eChina, okushicilelwe kumagazini wezokwelapha Izifo Ezibangelwa Ugwayi, ithole ukuthi iziguli ze-COVID-19 ezibhemayo zazisemathubeni aphindwe ka-1.4 okuba nezimpawu ezinzima zaleli gciwane kanye namathuba aphindwe ka-2.4 okungeniswa e-ICU, zidinga umshini wokuphefumula, kanye/noma zife uma kuqhathaniswa nabantu abangabhemi. Olunye ucwaningo olushicilelwe ku- I-Lancet igxile ezigulini eziyi-191 ze-COVID-19, naseChina. Kulezo ziguli, zingu-54 ezashona, kwathi ezishonile, u-9% wawubhema, kanti u-4% walabo abasinda ubhema, ngokusho kocwaningo.

Futhi, lolu cwaningo lubheke ukubhema osikilidi, hhayi ukuqhuma. Kepha kungenzeka ukuthi lokho okutholakele kungasebenza nasekuqhumeni futhi, kusho uDkt Melamed. “Ukuhogela i-e-cigarette aerosol kuyefana ngokwanele [nokubhema ugwayi] kulo mongo ukuze kubangele ukukhathazeka okufanayo,” kuphawula uDkt. Leone.

Abanye odokotela babona ukuxhumana okungenzeka phakathi kwamafomu we-COVID-19 ashubile futhi aqatha endle. UDkt. Goldberg uthi: “Ngisanda kuba nesiguli esineminyaka engu-23 ubudala esasidinga umshini wokuphefumula isikhathi esingaphezu kwamasonto amabili—okuwukuphela kwesifo esinaso ukuthi sasikhipha umoya. (Okuhlobene: I-Fitness Tracker Yakho Ingakusiza Ukubamba Izimpawu Ze-Under-the-Radar Coronavirus)

Futhi, imiphumela engaba yingozi yokuqhuma kwamaphaphu, ngandlela thile, icishe ifane nendlela i-COVID-19 ehlasela ngayo le ngxenye yomzimba, engeza uDkt Leone. Nge-vaping, izinhlayiya ezinhle kakhulu ku-aerosol zisuka ezindaweni zomoya emaphashini ziye emithanjeni yegazi emincane emaphashini, uyachaza. “Kuvele ukuthi i-COVID-19 ihlotshaniswa namahlule amancane emaphashini, kuyo le mithambo yegazi,” usho kanje. "Ngikhathazekile ngokuthi i-erosol [kusuka ekuphefumuleni] ingahle iqonde ekunqandeni."

Sithini isimo somphakathi wezokwelapha mayelana ne-vaping njengamanje?

Ngamafuphi: Sicela ungavoti. "Noma ngabe siphakathi kobhubhane lomhlaba wonke noma cha, ngingaluleka wonke umuntu ukuthi angawutholi umkhuba wokushunqisa noma azame ukuwuyeka uma esevele eshunqa," kusho uDkt. Tsai. "Ubhubhane lomhlaba wonke olubangela ukugula kokuphefumula njenge-COVID-19 lungenza ngigcizelele lowo myalezo nakakhulu ngoba lungenza kube nzima ngamaphaphu ukulwa naleli gciwane."

"Lokhu kwakubalulekile ngaphambi kwe-COVID-19," kwengeza uDkt. Goldberg. Uyachaza, "Kodwa lokhu kuba kubi kakhulu phakathi nalolu bhubhane lomhlaba jikelele, encoma ukuthi abantu bayeke ukuqhuma" ngokushesha.

UDkt. Leone uyabona ukuthi ukuyeka akulula njengoba kuzwakala. "Lezi zikhathi ezicindezelayo zifaka umuntu ekubopheni: Bavame ukuzwa ukuphuthuma okukhulu ukuyeka ngesikhathi esifanayo njengoba bezwa isidingo esiqhubekayo sokusebenzisa ukuze balawule ukucindezeleka," usho kanje. "Kungenzeka ukufeza zombili izinhloso ngokuphepha."

Uma uvota, uDkt. “Kugcine kulula futhi ukwenze,” usho kanje.

Imininingwane ekule ndaba inembile njengesikhathi sokushicilela. Njengoba izibuyekezo ezimayelana ne-coronavirus COVID-19 ziqhubeka nokuvela, kungenzeka ukuthi eminye imininingwane nezincomo kule ndaba zishintshile selokhu kwashicilelwa okokuqala. Sikukhuthaza ukuthi uhlole njalo izinsiza ezifana ne-CDC, i-WHO, kanye nomnyango wezempilo womphakathi wendawo ukuze uthole imininingwane yakamuva nezincomo.

Buyekeza kwe-