Mai ka hoʻomaka ʻana o Dekemaba o kēia makahiki, ua hoʻololi ʻia ke kulekele o Kina, a ua neʻe mālie ke alo anti-epidemic i hui ʻia e ke aupuni, ka mālama olakino, nā ʻuʻu, a me nā mea manawaleʻa i ka home-based anti-epidemic, a ua lilo wau i kanaka mua. kuleana no ke ola kino.Mai ka ibuprofen, acetaminophen, a me Lianhua Qingwen capsules no ke kuni a me ke anu, a hiki i ke kūkākūkā e pili ana i ka uʻi mau a me nā māmā keʻokeʻo i ka wā hope o ka lei aliʻi hou.
ʻO ka manawa koke, ke kumuhana o "he aha ka ʻōpū keʻokeʻo?"Ua hoʻolaha pinepine ʻia ma ka pāpaho pūnaewele, kahi i hoʻāla ai i ka hopohopo ākea a ma ka manawa like i lawe mai i kahi ʻano o ka hopohopo.
He ahaakemāmā keʻokeʻo?
ʻO "White lung" ʻaʻole ia he ʻōlelo lapaʻau ʻoihana a i ʻole maʻi, akā he hōʻike kiʻi o ka maʻi.Ke hana mākou i ka CT a i ʻole X-ray, ua kapa ʻia e like me ke ʻano o ka māmā.
Wahi a Jiao Yahui, ka luna o ke Keʻena ʻOihana Lapaʻau o ka National Health and Medical Commission, ua haku ʻia nā māmā olakino me ka alveoli me ka hana ventila maʻamau.Hoʻopiha ʻia kēlā mau alveoli i ka ea, ʻike ʻia ma nā kukui X a me CT, a ʻike ʻia he "ʻeleʻele".
Eia nō naʻe, i ka wā e loaʻa ai ka mumū, ka maʻi viral a i ʻole ka maʻi ʻōpū o ka ʻōpū i loko o ka alveoli, aia nā exudate a me nā mea ʻeha, lilo ka māmā o ka alveoli i mea ʻilihune, ʻaʻole hiki ke komo i nā kukuna, a ʻike ʻia nā wahi keʻokeʻo ma ke kiʻi.Ke piʻi ka wahi kiʻi keʻokeʻo i ka 70% a i ka 80%, ua kapa ʻia ʻo ia ma ke kino keʻokeʻo.
Ma nā huaʻōlelo maʻalahi, ʻaʻole keʻokeʻo keʻokeʻo keʻokeʻo nā ʻiʻo a me nā mea o ke akemāmā, akā ua pōʻino loa nā māmā.
ʻAʻole ʻo ka māmā keʻokeʻo kahi hōʻailona kūʻokoʻa o ka lei aliʻi hou.Hiki nō hoʻi i nā maʻi hanu ʻē aʻe ke kumu o ke akemāmā keʻokeʻo.ʻO nā maʻi maʻamau he pneumonia viral, e like meinfluenza virus, adenovirus, rhinovirus, a me kekahi mau ma'i bacteria.I nā hihia koʻikoʻi, hiki pū kekahi keʻokeʻo keʻokeʻo;Eia kekahi, aia kekahi mau maʻi maʻi ʻole i hiki ke hoʻoulu i ka ʻula keʻokeʻo.
He aha nā hōʻailona o ke akemāmā keʻokeʻo?Pehea ka hopena o ke kino o ke kanaka?
ʻO nā hōʻailona mua o ka "māmā keʻokeʻo" ʻo ia ka maʻi lolo lōʻihi, pōkole o ka hanu, ka ʻeha o ka umauma a me ka ʻeha o ka umauma, ka luhi nui, ka ʻeha poʻo, a i ʻole ka ʻiʻo a me ka ʻeha o ke kino, a me ka dyspnea.Eia kekahi, ʻo ka hapa nui o ka poʻe e luhi, pilikia i ka emi ʻana o ka hoʻoikaika kino, a me nā pane lohi.
ʻO ka "White lung" ka hapa nui o ka poʻe ʻelemakule a me nā keiki.Ma hope o ka loaʻa ʻana o ka poʻe ʻelemakule a i ʻole ka poʻe me ka nawaliwali i ka maʻi i ka coronavirus hou, ua pane mua ka mea nawaliwali i ka maʻi i ka maʻi maʻi me ka lohi, e hoʻonui ai i ka hoʻopiʻi hou ʻana.ʻOi aku ka nui o nā cell i ka maʻi, nā kiʻekiʻe kiʻekiʻe o ka hōʻailona cytokine inflammatory i hoʻokomo ʻia, a komo nā ʻāpana SARS-CoV-2 a me nā cytokines i ke kahe koko.No laila, ʻoi aku ka nui o ka alveoli i kahi wahi nui, kahi e hoʻemi ai i ka nui o ka māmā a alakaʻi i ka pilikia o "keʻokeʻo keʻokeʻo".
Eia kekahi, ʻo ka pilikia nui loa me nā "māmā keʻokeʻo" ʻaʻole hiki i ka oxygen ke komo i ka pale koko ea ma o ka lua alveolar, a laila hoʻololi i ka ea a me ke koko.Inā ʻaʻole loaʻa ka oxygen i ka poʻe no ka manawa lōʻihi, ʻaʻole ia e hōʻeha wale i nā kino, akā e make pū kekahi ma muli o ka hiki ʻole ke hanu.
Wahi a Xie Lixin, Kauka Nui o ke Keʻena ʻO ka Respiratory and Critical Care Medicine o ka Halemaʻi Nui o ka Pūʻali Kūʻokoʻa o Kina, inā ʻaʻole hiki i ke kanaka ke hanu maʻamau a hoʻololi i ka oxygen me ke koko, inā hoʻōki ʻo ia i ka hanu no nā minuke 4, ʻo ia ka mea. e hoʻopilikia i ke kino kanaka me ka lolo.Inā ʻoi aku ma mua o 10 mau minuke, hiki ke hoʻoweliweli koʻikoʻi i ke ola.
ʻOiaʻiʻo, he aha nā hōʻailona o ka "māmā keʻokeʻo" a mākou e kamaʻilio nei, ʻoiaʻiʻo, makemake wale mākou e ʻike i nā pilikia e hiki mai ana i ka māmā ma hope o ka lei aliʻi hou, a me ko mākou kino kanaka?
Hiki i ka COVID-19 ke hoʻoulu i nā hoʻopiʻi pulmonary e like me ka pneumonia a, i nā hihia koʻikoʻi loa, acute respiratory distress syndrome, a i ʻole ARDS.ʻO Sepsis, kahi hoʻopiʻi ʻē aʻe o COVID-19, hiki ke hōʻeha mau i ka māmā a me nā ʻāpana ʻē aʻe.Hiki i nā ʻano ʻano coronavirus hou ke hoʻoulu i nā maʻi ʻē aʻe, e like me ka bronchitis, hiki ke koʻikoʻi nui e koi ai i ka haukapila,kahi e hoʻohana ʻia ai ka oxygen a i ʻole ventilator no ka mālama ʻana.
Ua ʻōlelo ʻo Kauka Galiatsatos, MD, USA: "I ko mākou aʻo hou ʻana e pili ana iā SARS-CoV-2 a me ka hopena COVID-19, ua ʻike mākou i ka maʻi COVID-19 koʻikoʻi, kahi maʻi proinflammatory kaulana Hiki ke alakaʻi i nā ʻano maʻi koʻikoʻi. nā maʻi, nā pilikia a me nā syndromes.
ʻOiai ke ola nei ka hapa nui o ka poʻe mai ka maʻi maʻi me ka ʻole o ka pōʻino o ka māmā, hiki ke koʻikoʻi ka maʻi pneumonia pili me COVID-19.ʻOiai ma hope o ka hala ʻana o ka maʻi, hiki i ka pōʻino o ka māmā ke hoʻopōkole i ka hanu, a hiki i nā mahina ke hoʻomaikaʻi.
I kēia manawa, ʻoi aku ka nui o ka make o nā mea maʻi maʻi keʻokeʻo keʻokeʻo ma mua o 40%.ʻO ka hapa nui o nā maʻi e haʻalele i ka hopena o ka pulmonary fibrosis, a ʻaʻole hiki i nā māmā ke hoʻi hou i ko lākou kūlana olakino.
Pehea mākou e pale ai i nā pilikia o ke akemāmā keʻokeʻo?
Ua pane ʻo Gong Zilong, ka hope kauka lapaʻau o ke Keʻena Respiratory a me Critical Care Medicine o Wuhan Fifth Hospital, i ka hālāwai ninaninau me "Xia Ke Island" ʻaʻole hiki ke pale ʻia ka ʻula keʻokeʻo, akā he ʻōlelo aʻo mua wale nō.Pono ka poʻe ʻelemakule e nānā kūikawā i ka "silent hypoxia", ʻo ia hoʻi, ʻaʻohe hōʻailona e like me ka paʻa o ka umauma a me ka pōkole o ka hanu, akā ua hypoxic koʻikoʻi nā māmā.Manaʻo ʻia nā poʻe maʻi me nā maʻi lalo a me nā ʻelemakule e mālama i kahi oximeter ma ka home e nānā i ka saturation oxygen i ka manawa.Ke emi iho ka saturation o ka oxygen koko ma kahi hoʻomaha ma mua o 93%, pono lākou e ʻimi i ka lāʻau lapaʻau i ka manawa.
He 3 makahiki e ku ana ka leialii hou, a o ko makou hoomaopopo ana no ia mea, aole i piha, a he nui na ninau a me na pilikia i hoopau ole ia.Akā ʻaʻole pili i nā pilikia like ʻole e kū mai ana, i ka loiloi hope loa, pono mākou i ke kanaka mua ke kuleana no ko mākou olakino ponoʻī e pale aku i ka "maʻi coronavirus hou" a haʻalele i ka manaʻo o "ka lā mua a me ka hoʻopau mua ʻana".
ʻOi aku ka maikaʻi o ka pale ʻana ma mua o ka mālama ʻana, a me ka loaʻa ʻana o kahiLEEYO sterilizerhoemi loa i ka ma'i.ʻO ka disinfecting a me ka disinfecting e pale aku iā ʻoe iho no ka pale ʻana i kou ʻohana.
Ka manawa hoʻouna: Dec-29-2022