Ucwaningo luveze ukuthi ocwaningweni lweziguli ezilaliswe esibhedlela i-COVID-19, amazinga komoyampilo wegazi angaphansi kwama-92% kanye nokuphefumula okusheshayo, okungajulile kuhlotshaniswa nokwanda okukhulu kokushona kwabantu, okuphakamisa ukuthi abantu abahlolelwa ukuthi banegciwane kufanele babe sekhaya Qaphela ukuthi lezi zimpawu ziholwa abacwaningi eNyuvesi yaseWashington eSeattle.
Lolu cwaningo, olushicilelwe namuhla ku-Influenza kanye Namanye Amagciwane Okuphefumula, lwenze ukubuyekezwa kweshadi leziguli ze-coronavirus zabantu abadala eziyi-1,095 ezazilaliswe esibhedlela saseWashington University Hospital noma eChicago Rush University Medical Center kusukela ngoMashi 1 kuya kuJuni 8, 2020.
Cishe zonke iziguli ezinamazinga aphansi e-oxygen (99%) kanye nokuphefumula (98%) zanikezwa i-oksijeni eyengeziwe kanye ne-corticosteroids ukuzolalisa ukuvuvukala.
Ezigulini eziyi-1,095, eziyi-197 (18%) zashonela esibhedlela.Uma kuqhathaniswa neziguli ezilaliswe esibhedlela ezine-blood oxygen saturation evamile, iziguli ezine-blood saturation ephansi ye-oksijini zingama-1.8 izikhathi ezingu-4.0 zokufa esibhedlela.Ngokufanayo, iziguli ezinezinga eliphezulu lokuphefumula zinamathuba angu-1.9 kuye kwangu-3.2 okufa kuneziguli ezinezinga lokuphefumula elivamile.
Iziguli ezimbalwa ezibika ukuphefumula (10%) noma ukukhwehlela (25%), ngisho noma izinga labo le-oksijini yegazi liyi-91% noma liphansi, noma liphefumula izikhathi ezingu-23 ngomzuzu noma ngaphezulu.“Ocwaningweni lwethu, zingu-10% kuphela iziguli ezilaliswe esibhedlela ezibike ukuthi zinenkinga yokuphefumula.Izimpawu zokuphefumula ngesikhathi sokwamukelwa zazingahlobene ne-hypoxemia [hypoxia] noma ukufa.Lokhu kugcizelela ukuthi izimpawu zokuphefumula azijwayelekile futhi kungenzeka zingahlonzi Ngokunembile iziguli ezisengozini enkulu, ”kubhala umbhali, wengeza ngokuthi ukubambezeleka ukuhlonzwa kungaholela emiphumeleni emibi.
Inkomba yesisindo somzimba ephakeme ihlobene namazinga aphansi komoyampilo kanye namazinga okuphefumula asheshayo.Ukushisa komzimba, ukushaya kwenhliziyo nomfutho wegazi akuhlangene nokufa.
Uphawu olujwayeleke kakhulu ekungenweni kwakuwumkhuhlane (73%).Isilinganiso seminyaka yeziguli sasineminyaka engama-58, ama-62% kwakungamadoda, kanti abaningi babenezifo eziwumsuka ezifana nomfutho wegazi ophakeme (54%), isifo sikashukela (33%), isifo semithambo yenhliziyo (12%) kanye nokuhluleka kwenhliziyo (12%).
"Lokhu okutholakele kusebenza empilweni yeziguli eziningi ze-COVID-19: ukuba sekhaya, ukuzizwa ukhathazekile, ukuzibuza ukuthi ungazi kanjani ukuthi isimo sazo sizothuthuka, futhi uyazibuza ukuthi kunengqondo nini ukuya esibhedlela," umbhali ongomunye uNeal. Chatterjee Medical Udokotela uthe esithangamini nabezindaba eNyuvesi yaseWashington
Umbhali uthe imiphumela yocwaningo ikhomba ukuthi nabantu abasengozini enkulu abahlolwa i-asymptomatic COVID-19 futhi benemiphumela engemihle ngenxa yobudala noma ukukhuluphala kufanele abale ukuphefumula kwabo ngomzuzu bese bathola i-pulse oximeter ukuze bayikale.Umbhali wocwaningo lwabo lokuhlushwa komoyampilo wegazi uthe ekhaya.Bathe i-pulse oximeter ingafinyezwa ezandleni zakho futhi ibiza ngaphansi kuka-$20.Kodwa ngisho nangaphandle kwe-pulse oximeter, izinga lokuphefumula ngokushesha lingaba uphawu lokucindezeleka kokuphefumula.
"Isilinganiso esilula isilinganiso sokuphefumula-uphefumula kangaki ngomzuzu," kusho umbhali oholayo uNona Sotoodehnia, MD, MPH esitatimendeni sabezindaba.“Uma unganakile ukuphefumula, vumela umngane noma ilungu lomndeni likuqaphe umzuzu owodwa.Uma uphefumula izikhathi ezingu-23 ngomzuzu, kufanele uxhumane nodokotela wakho.”
I-Sotoodehnia iveze ukuthi ama-glucocorticoids nomoya-mpilo owengeziwe kungazuzisa iziguli ze-COVID-19."Sihlinzeka iziguli nge-oxygen eyengeziwe ukuze zigcine ukugcwala kwe-oxygen egazini ku-92% kuya ku-96%," kusho yena."Kubalulekile ukuqaphela ukuthi iziguli ezisebenzisa umoya-mpilo owengeziwe kuphela ezingazuza emiphumeleni esindisa impilo ye-glucocorticoids."
Abacwaningi baphinde bacele ukuthi kubuyekezwe imihlahlandlela ye-COVID-19 yeCenters for Disease Control and Prevention (CDC) kanye neWorld Health Organisation (WHO), eyeluleka iziguli ezine-coronavirus ukuthi zithole usizo lwezempilo lapho zithola izimpawu ezisobala njengokuthi “dyspnea ” kanye “ne-dyspnea.”Ubuhlungu obungapheli noma ukucindezela esifubeni.”
ÂIsiguli singase singazitholi lezi zimpawu, ngisho noma izinga lokuphefumula lishesha futhi nezinga le-oxygen egazini lehle lafika ezingeni eliyingozi.Imihlahlandlela ibaluleke kakhulu kwabathintwayo bomugqa wokuqala (njengodokotela bomndeni nabahlinzeki besevisi ye-telemedicine).
UChatterjee uthe: "Sincoma ukuthi i-CDC kanye ne-WHO bacabangele ukwenza kabusha izinkombandlela zabo ukuze bacabangele laba bantu abangenazimpawu abafanele ukulaliswa esibhedlela nokunakekelwa."“Kodwa abantu abawazi umhlahlandlela we-WHO kanye neCenters for Disease Control and Prevention.Inqubomgomo;lesi siqondiso sathola kodokotela bethu nemibiko yezindaba.”
I-CIDRAP-Center for Infectious Disease Research and Policy, Ihhovisi lePhini Likamongameli Wezocwaningo, eNyuvesi yaseMinnesota, eMinneapolis, Minnesota
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Isikhathi sokuthumela: Jun-18-2021