Vaping puas tuaj yeem ua rau koj qhov kev pheej hmoo Coronavirus?

Zoo Siab

• Dab tsi tshwm sim rau koj lub ntsws thaum koj vape?
• Thiab COVID-19 cuam tshuam li cas rau koj lub ntsws, dua?
• Yog li, kev tshawb fawb hais dab tsi txog vaping thiab COVID-19?
• Lub zej zog kev kho mob li cas rau vaping tam sim no?
• Tshuaj xyuas rau

Thaum tus kab mob coronavirus tshiab (COVID-19) xub pib kis mus rau Asmeskas, muaj kev thawb loj heev kom tsis txhob cog lus thiab kis tus kab mob feem ntau los tiv thaiv cov neeg laus thiab cov neeg tsis muaj kev tiv thaiv kab mob. Tau kawg, nws tseem ceeb heev uas yuav tau saib xyuas cov neeg no. Tab sis nrog lub sijhawm thiab cov ntaub ntawv ntau ntxiv, cov kws tshawb fawb tau kawm paub tias txawm tias hluas, tsis zoo li cov neeg muaj kev noj qab haus huv tuaj yeem ntsib mob hnyav ntawm COVID-19.

Hauv tsab ntawv tshaj tawm tsis ntev los no, cov kws tshawb fawb los ntawm Lub Chaw Tiv Thaiv Kab Mob thiab Tiv Thaiv (CDC) tau tshuaj xyuas ib qho piv txwv ntawm kwv yees li 2,500 tus neeg tau tshaj tawm txog COVID-19 thaum lub Ob Hlis 12 txog Lub Peb Hlis 16 thiab pom tias, ntawm kwv yees li 500 tus neeg uas yuav tsum tau pw hauv tsev kho mob, 20 feem pua. nruab nrab ntawm 20 thiab 44 xyoos.

Qhov ntawd yog kev hu xov tooj rau cov tub ntxhais hluas Asmeskas, tab sis nws kuj tau nug qee cov lus nug. Xav txog tias lwm tus mob coronaviruses thiab zoo li kab mob ntsig txog kab mob ua pa tsis zoo feem ntau ua rau cov hluas hluas nyuaj, vim li cas thiaj muaj coob tus hluas raug pw hauv tsev kho mob rau COVID-19? (Related: Dab tsi yog ER Doc Xav Kom Koj Paub Txog Mus Rau Tsev Kho Mob rau Coronavirus RN)

Pom tseeb, tuaj yeem muaj (thiab tej zaum yog) ntau yam ntawm kev ua si ntawm no. Tab sis ib lo lus nug uas tau los txog yog qhov no: Puas tuaj yeem vaping-tus qauv ntawm cov tub ntxhais hluas, tshwj xeeb tshaj yog-ua rau muaj kev pheej hmoo ntawm tus mob coronavirus?

Txog tam sim no, nws tsuas yog ib txoj kev xav uas yuav tsum tau tshawb nrhiav ntxiv. Txawm li cas los xij, txawm li cas los xij, kws kho mob tau ceeb toom tias vaping tuaj yeem ua rau muaj kev pheej hmoo ntawm tus mob coronavirus ntau ntxiv. "Txhua yam kev kho mob uas cuam tshuam rau lub ntsws, xws li mob hawb pob lossis mob ntsws ntev (COPD), tuaj yeem ua rau cov txiaj ntsig tsis zoo nrog COVID-19, yog li nws zoo li qee yam uas ua rau lub ntsws raug mob xws li vaping tuaj yeem ua tau ib yam," hais tias Kathryn Melamed, MD, tus kws kho mob pulmonary thiab tseem ceeb ntawm UCLA Health.

"Vaping tuaj yeem ua rau muaj qee qhov kev hloov pauv hauv lub ntsws uas, yog tias kis tus kab mob COVID-19 nyob rau tib lub sijhawm, tus neeg yuav muaj teeb meem ntau dua los tiv thaiv tus kabmob lossis muaj mob hnyav dua thaum kis tus kabmob," ntxiv Joanna Tsai, MD, pulmonologist. ntawm Ohio State University Wexner Medical Center.

Dab tsi tshwm sim rau koj lub ntsws thaum koj vape?

Kev tshawb fawb ntawm vaping kuj tsis tshua muaj, vim tias nws tseem yog ib txoj hauv kev tshiab ntawm kev haus luam yeeb. "Peb tseem kawm ntau yam txog qhov vaping ua rau lub ntsws, zoo ib yam li nws tau siv ntau xyoo los nrhiav qhov tseeb ntawm kev siv luam yeeb ib txwm muaj," piav qhia Dr. Melamed.

Raws li tam sim no, CDC siv txoj hauv kev zoo nkauj ntawm vaping. Txawm hais tias lub koom haum hais tias e-luam yeeb tsis muaj kev nyab xeeb rau cov hluas, cov hluas, cov poj niam cev xeeb tub, thiab cov neeg laus uas tam sim no tsis haus luam yeeb, CDC txoj kev xav yog tias "e-luam yeeb muaj peev xwm muaj txiaj ntsig rau cov neeg laus haus luam yeeb uas tsis xeeb tub. "thaum lawv tau siv los ua "ua tiav kev hloov pauv" rau cov luam yeeb thiab cov khoom haus luam yeeb.

Txawm li cas los xij, vaping tau txuas rau ntau qhov kev phom sij rau kev noj qab haus huv, suav nrog mob ntsws hnyav hu ua "e-luam yeeb, lossis vaping, cov khoom siv cuam tshuam nrog kev mob ntsws" (aka EVALI), tshwj xeeb tshaj yog cov tib neeg uas vape kua uas muaj vitamin E acetate thiab THC , cov kab mob cannabis uas ua rau koj siab. EVALI, uas tau pom thawj zaug hauv xyoo 2019, tuaj yeem ua rau muaj tsos mob xws li ua pa luv, ua npaws thiab ua daus no, hnoos, ntuav, raws plab, mob taub hau, kiv taub hau, lub plawv dhia nrawm, thiab mob hauv siab. Txawm hais tias tus mob tseem tshiab (thiab yog li tsis tuaj yeem kwv yees), nws tau xav tias 96 feem pua ​​​​ntawm cov neeg uas muaj EVALI xav tau mus pw hauv tsev kho mob, raws li American Lung Association (ALA).

Tsis yog txhua tus neeg uas vape cog lus EVALI, txawm li cas los xij. Feem ntau, vaping ua rau mob hauv lub ntsws uas tshwm sim los ntawm aerosolized droplets uas koj ua pa, hais tias Frank TT Leone, MD, tus thawj coj ntawm University of Pennsylvania's Penn Stop Comprehensive Smoking Treatment Program. "Lub ntsws yog lub cev thawj kab ntawm kev tiv thaiv kev nqus cov pa phem, suav nrog cov kab mob, thiab yog li nws tau ntim nrog cov qog nqaij hlav npaj rau sib ntaus sib tua," nws piav qhia. "Lub aerosol [los ntawm vaping] txhawb nqa kev mob qis qis uas muaj peev xwm ua rau muaj kev puas tsuaj rau lub ntsws mus ntev." (Lwm qhov ua tau ntawm vaping: paj kws lub ntsws.)

Vaping kuj tuaj yeem ua rau mob rau cov kab mob monocytes (cov qe ntshav dawb uas pab tiv thaiv kab mob ua kom cov neeg tawm tsam). Qhov ntawd "tuaj yeem ua rau nws yooj yim dua rau kev kis tus kabmob," piav qhia Dr. Leone. Dab tsi ntxiv, vaping tuaj yeem txhim kho qhov muaj peev xwm ua rau muaj kab mob ntawm qee yam kab mob, uas muaj peev xwm tso cai rau cov kab mob ntsws hnyav dua los ua cov cag tom qab kis kab mob, nws hais.

Thiab COVID-19 cuam tshuam li cas rau koj lub ntsws, dua?

Feem ntau, COVID-19 ua rau muaj kev mob tshwm sim hauv lub ntsws, hais tias Robert Goldberg, MD, kws kho mob pulmonologist nrog Lub Tsev Kho Mob Lub Hom Phiaj hauv Mission Viejo, California. Hauv qhov mob hnyav, qhov mob tuaj yeem ua rau mob ua pa nyuaj (ARDS), ib qho mob uas cov kua dej nkag mus rau hauv lub ntsws thiab ua rau lub cev tsis muaj oxygen, raws li ALA.

COVID-19 kuj tseem tuaj yeem ua rau me me, cov hlab ntsha me me hauv lub ntsws, uas tuaj yeem ua rau ua pa nyuaj, hais ntxiv Dr. Leone. (Muaj feem cuam tshuam: Puas yog Tus Kab Mob Kab Mob Kab Mob Kab Mob No Ua Li Cas?)

"Hauv lub ntsej muag ntawm cov lus thuam no, lub ntsws muaj teeb meem ntau xa cov pa oxygen mus rau cov ntshav raws li lawv xav tau," piav qhia Dr. Leone.

Yog li, kev tshawb fawb hais dab tsi txog vaping thiab COVID-19?

Tseem ceeb caveat: Txog tam sim no, tsis muaj cov ntaub ntawv txuas ncaj qha rau vaping rau cov mob hnyav ntawm tus mob coronavirus. Txawm li cas los xij, tus kab mob no tseem tshiab, thiab cov kws tshawb fawb tab tom kawm txog qhov nws coj li cas thiab tus cwj pwm dab tsi tuaj yeem ua rau koj muaj kev pheej hmoo siab dua rau cov teeb meem loj ntawm tus kab mob.

Qhov ntawd tau hais tias, qee qhov thaum ntxov (nyeem: ua ntej thiab tsis tau tshuaj xyuas ua ke) cov ntaub ntawv tau pom muaj kev koom tes ntawm kev haus luam yeeb thiab ntau kis mob hnyav ntawm COVID-19. Ib qho tshuaj xyuas ntawm kev tshawb fawb los ntawm Tuam Tshoj, luam tawm hauv phau ntawv kho mob Tobacco Induced Diseases, pom tias COVID-19 cov neeg mob uas haus luam yeeb yog 1.4 npaug ntau dua yuav muaj cov tsos mob hnyav ntawm tus kab mob thiab 2.4 npaug ntau dua yuav tau mus rau ICU, xav tau lub tshuab ua pa, thiab / lossis tuag piv rau cov neeg tsis haus luam yeeb. Lwm txoj kev tshawb fawb luam tawm hauv Lub Lancet tsom mus rau 191 COVID-19 cov neeg mob, tseem nyob hauv Suav teb. Ntawm cov neeg mob ntawd, 54 tus neeg tuag, thiab ntawm cov neeg tuag, 9 feem pua ​​​​yog cov neeg haus luam yeeb, thaum 4 feem pua ​​​​ntawm cov neeg muaj sia nyob haus luam yeeb, raws li kev tshawb fawb tshawb pom.

Ib zaug ntxiv, qhov kev tshawb fawb no tau saib ntawm kev haus luam yeeb, tsis yog vaping. Tab sis nws muaj peev xwm tias qhov kev tshawb pom tuaj yeem siv rau vaping ib yam nkaus, hais tias Dr. Melamed. "Kev nqus pa ntawm e-luam yeeb aerosol zoo ib yam li [haus luam yeeb] hauv cov ntsiab lus no kom lees paub qhov kev txhawj xeeb zoo ib yam," sau Dr. Leone.

Qee tus kws kho mob tau pom muaj kev sib txuas tau ntawm vaping thiab ntau yam hnyav ntawm COVID-19 hauv thaj chaw, ib yam nkaus. "Kuv nyuam qhuav muaj 23-xyoo-laus tus neeg mob uas yuav tsum tau nyob rau hauv lub tshuab ua pa ntev tshaj li ob lub lis piam - nws tsuas yog comorbidity yog tias nws vaped," hais tias Dr. Goldberg. (Muaj feem cuam tshuam: Koj Li Qoj Tracker Yuav Pab Koj Tau Txais Hauv-Radar Cov tsos mob Coronavirus)

Ntxiv rau, qhov muaj peev xwm ua rau muaj kev phom sij ntawm vaping ntawm lub ntsws yog, qee txoj hauv kev, hais txog qhov zoo ib yam li txoj kev COVID-19 tawm tsam qhov no ntawm lub cev, ntxiv Dr. Leone. Nrog vaping, qhov ua tau zoo tshaj plaws hauv cov aerosol txav los ntawm huab cua hauv lub ntsws mus rau cov hlab ntshav me me hauv lub ntsws, nws piav qhia. Nws hais tias "Nws hloov tawm, COVID-19 tau cuam tshuam nrog cov pob me me hauv lub ntsws, hauv cov hlab ntsha no," nws hais. "Kuv txhawj xeeb tias aerosol [los ntawm vaping] tuaj yeem ua rau mob ntshav khov."

Lub zej zog kev kho mob li cas rau vaping tam sim no?

Hauv ntej: Thov tsis txhob vape. "Txawm hais tias peb tab tom muaj kev sib kis thoob ntiaj teb lossis tsis yog, kuv xav qhia txhua tus tsis txhob khaws tus cwj pwm ntawm vaping lossis sim txiav tawm yog tias lawv twb vaping lawm," said Dr. Tsai. "Kev kis thoob ntiaj teb uas ua rau muaj mob ua pa xws li COVID-19 tsuas yog ua rau kuv ntxhov siab cov lus ntawd ntau dua vim tias nws tuaj yeem ua rau lub ntsws nyuaj rau tiv thaiv kev kis tus kabmob."

"Qhov no yog qhov tseem ceeb ua ntej COVID-19," ntxiv Dr. Goldberg. "Tab sis qhov no dhau los ua qhov tseem ceeb tshaj thaum muaj kev sib kis thoob ntiaj teb," nws piav qhia, qhia kom tib neeg tsis txhob vaping "tam sim ntawd."

Dr. Leone lees paub tias kev txiav tawm tsis yooj yim li nws suab, txawm li cas los xij. Nws tau hais tias "Lub sijhawm nyuaj siab no ua rau tib neeg raug khi: Lawv feem ntau xav tias muaj kev nrawm dua kom nres tib lub sijhawm vim lawv xav tias yuav tsum tau siv txuas ntxiv txhawm rau tswj kev ntxhov siab," nws hais. "Nws muaj peev xwm ua tiav ob lub hom phiaj nyab xeeb."

Yog tias koj vape, Dr. Leone pom zoo kom mus ntsib koj tus kws kho mob los tham txog cov tswv yim uas yuav tsum tau txiav tawm. "Ua kom yooj yim thiab ua kom tiav," nws hais.

Cov ntaub ntawv hauv zaj dab neeg no muaj tseeb raws li lub sijhawm nias. Raws li kev hloov tshiab hais txog tus mob coronavirus COVID-19 txuas ntxiv mus, nws muaj peev xwm hais tias qee cov ntaub ntawv thiab cov lus pom zoo hauv zaj dab neeg no tau hloov pauv txij li kev tshaj tawm thawj zaug. Peb txhawb kom koj mus xyuas tsis tu ncua nrog cov peev txheej xws li CDC, WHO, thiab koj lub chaw saib xyuas kev noj qab haus huv hauv zos kom paub cov ntaub ntawv tshiab thiab cov lus pom zoo.

Tshuaj xyuas rau