Kev Tshawb Fawb Ib ntus "Kev kuaj mob ib ntus, kev kuaj mob thiab kho mob ntawm tus mob Coronaviras tshiab (Cuav-19).

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Kev Tshawb Fawb Ib ntus

Ministry of Health qhia tshiab, 10, version ntawm kev kuaj mob thiab cov leegid kuaj thiab kho thiab kho. Cov version no yog qhov feem ntau cuminuminous: 261 nplooj ntawv, 30 nplooj ntawv ntau dua li yav dhau los. Rau kev sib piv, thawj thawj version ntawm Mr Nkaus 52 nplooj ntawv.

Dab tsi tshiab?

- qee cov ntaub ntawv dav dav txog covid-19, tau txais los ntawm kev txheeb xyuas caj ces ntau dua 200,000 lub sijhawm ntawm kev tawm ntawm cov lus qhia yav dhau los) thiab lwm yam kev tshawb fawb - suav nrog cov lus dab neeg) ntawm kev tuag loj dua ntawm cov neeg Askiv ntau yam (thiab feem ntau, raws li cov tshiab sau npe ntawm cov nqi), nws tau teev tseg tias UV hluavtaws tsawg dua 25 mj / CM2 tsis tua Coronavirus, cov lus pom zoo tag nrho cov kab mob hluav taws xob hluav taws xob hluav taws xob tsis qis dua 200 w;

- Cov mem tes oximetry txhua hnub tau ntxiv rau tus naj npawb ntawm cov kev kuaj mob, nrog rau cov qauv tshuaj coj ua (pom zoo rau txhua tus neeg mob). ECG Txawm hais tias nws tsis muaj cov ntaub ntawv tshwj xeeb, tab sis qhia txog qhov kev hloov pauv ntawm qhov ECG (piv txwv li cov kev hloov pauv ntawm hydroxychanlorochin thiab tus lej ntawm cov tshuaj tiv thaiv kab mob (ua pa ua pa roj ua pa, macrolides);

- Tshem tawm ntawm qhov yuav tsum tau kuaj ntawm covid ntawm txhua tus neeg tiv tauj (tam sim no yog tias muaj cov tsos mob), thiab yog ib qho ntawm kev txhaj tshuaj tiv thaiv kab mob lossis txhaj tshuaj. Raws li rau kev sim tus neeg mob ntawm cov tshuaj tua kab mob rau SARS-CE-, xws li kev txiav txim siab los ntawm tus kws kho mob ib leeg, raws li cov kws kuaj mob;

- Kev pom zoo kom raug cais tawm ntawm txhua tus neeg mob nkag mus rau cov phiaj xwm kho mob rau IGA, IGM thiab / lossis IGG;

- Ntawm kev sib txawv ntawm covid los ntawm tub rog tuberculosis: 3-pob ntub dej rau cov kab mob acid

- Daim ntawv teev cov tshuaj rau kev kho mob hauv hluavthotropic yog txo: Azithromycin (suav nrog hauv kev sib xyaw ua ke nrog HydroxySaib, oldShenporopi, Hydroxychaloroquoquoquoquoquoquoquoquoquing, offferon-alpha tseem nyob rau hauv cov npe. Nws tau sau tseg tias hydroxychan muaj cardiotoxicity, nws txoj kev txais yuav tau nrog kev txhim kho, piv txwv li ttdrome. Hauv qhov no, nrog kev siv tus neeg sab nrauv ntawm hydroxychanlorochin nyob rau hauv cov kev xaiv me me) yuav tsum tau tswj hwm tus neeg mob uas yuav tsum muaj cov xwm txheej uas yuav tsum tau muaj feem - kev pheej hmoo tsawg ntawm siv yeeb-tshuaj txuam Qt luv rau lub Tisdale teev thiab lub tsis tuaj kawm ntawv ntxiv Qt luv lengthening muaj tej yam;

- Nws tau sau tseg tias, raws li cov tswv yim niaj hnub hais txog kev kho mob ntawm covid-19, nws raug nquahu kom pib hauv kev pib kho mob, tsis pub dhau 7-8 hnub txij thaum pib ntawm tus kab mob ( cov tsos ntawm thawj cov tsos mob);

- Qhov kev xav tau tshiab rau cov neeg pub ntawm cov tshuaj tiv thaiv ntshav tau qhia - cov profular ntawm cov ntshav protein tsawg kawg yog 65 g / l. Ib qho ntxiv, cov lus pom zoo tau ntxiv rau kev npaj ntawm cov ntshav, suav nrog cov pathogenation ntawm ntshav uas tsis dhau los ntawm kev tiv thaiv. Cov lus pom zoo rau kev siv ntshav ntshav kuj tseem yuav ua kom siv 2-24 teev nyob rau hauv ib lub ntim ntawm 200-325 ml, npaj los ntawm cov neeg pub nyiaj txawv;

- Cov cai raug cais tawm tias cov tshuaj kho mob iSn-1b thiab cov tshuaj tiv thaiv kab mob tshuaj tiv thaiv tshuaj yog contraindicated siv thaum cev xeeb tub;

- Kho kom zoo rau kev teem caij ntawm Janibitors (Sofacitinib lossis byscitinib) lossis IL-6 inhibitor) il-6 cov neeg siv nyiaj (Levilimab lossis Sarilumab). Nws tau sau tseg tias cov laus thiab laus lub hnub nyoog, nrog rau kev npaj ntawm immunosuppressive txoj kev kho mob hauv kev hloov chaw hauv nruab nrog cev, tsis yog contraindications kev kho mob nrog monoclonal tshuaj tiv thaiv. Rau cov neeg mob ntawm kev txhaj tshuaj tiv thaiv kev txhaj tshuaj, cais cov lus pom zoo muab;

- GCS tau pom zoo kom ua ntawv thov nrog ceev faj, nrog rau, nrog kev kub siab thiab muaj kab mob ntawm lub plab thiab 12-rosis;

- Cov lus pom zoo tau tshwj tseg thaum lub sijhawm teem lub cev hnyav, yam tsawg kawg, hauv cov koob tshuaj tiv thaiv hauv tsev kho mob. Feem ntau, ntu ntawm kev kho mob hauv lub cev tau nthuav dav thiab ntxiv;

- Ntxiv cov lus pom zoo rau kev siv cov tshuaj tsis sib xws, suav nrog kev npaj cov pa tawm thiab txo qhov kev pheej hmoo ntawm kev ua pa tsis sib haum. Cov tshuaj raug pom zoo kom ua los ntawm cov neeg tsis muaj cov neeg mob uas tsis muaj kev siv tshuaj ntsuam (qhov kom zoo dua ntawm 7550 mg 2 zaug hauv ib hnub rau 3-5 hnub;

- Ntxiv cov lus pom zoo rau kev teem caij ntawm cov tshuaj tiv thaiv kab mob (butamirat, rengalin, rengalin) kom txo tau hnoos-19 nyob rau cov poj niam cev xeeb tub thiab cov poj niam;

- ntu kho tshiab ntawm kev kho mob tshuaj tua kab mob; Tshwj xeeb, nws tau hais tias cov tshuaj tua kab mob tsis cuam tshuam rau cov kev txhim kho ntawm cov cua daj cua dub ", thiab raws li kev tshawb fawb txog kev kho mob rau kev kho mob hauv cov neeg mob nrog Cov lus qhia txog kev sib kis tau 3.5%, kis tus kab mob sib kis tau yooj yim los ntawm kev pab tub rog 14.3% ntawm cov neeg mob, thiab ntau dua rau cov neeg mob uas ntws loj. Yog li, qhov yooj yim tshaj ntawm cov neeg mob uas muaj cov neeg mob uas muaj cov neeg mob uas muaj covid-19, tshwj xeeb tshaj yog nrog lub teeb thiab ntsuas kev mob siab, tsis tas yuav teem tseg tshuaj tua kab mob. Ntxiv rau, cov lus pom zoo no raug cais tawm ntawm cov tshuaj tua kab mob uas xav tau nrog nruab nrab-hnyav thiab mob ntshav qab zib thiab covid-19;

- Ntxiv cov lus pom zoo rau kev siv cov probiotics thaum thiab / lossis tomqab tshuaj tua kab mob (MNN: Bifidum Bifidum thiab Bifidum Bifidum + Lactobacilli nroj tshuag);

- Siv cov lus piav qhia 2 ntawm kev kho mob ua pa thaum tswj hwm cov qib kev ua pa nrog cov kev ua pa ntawm cov pa roj ntsha (Qhov tsawg kawg nkaus theem thaum tswj tus neeg mob kev nplij siab) thiab qhov tsawg kawg nkaus kev siv oxygen kom tswj hwm tus nqi (raws li txoj cai, 60-100%). Tsis tas li ntawd, cov lus piav qhia ntawm cov kab pa tawm cov pa tshwm sim hauv cov pa lub ntsej muag: Nasal Campulas -> Yooj yim Oronzal Memacs -> Qhov ncauj qhov ncauj qhov ntswg khov kho nrog lub hnab ntim khoom. Cov lus pom zoo ntawm kev siv NIVL nthuav tawm, suav nrog tus nqi pom zoo ntawm kev ua pa tawm ntawm cov pa hluav taws xob, thiab lub kaus mom hlau tuaj yeem yog 50-75% siab dua. Tsis tas li ntawd, lub tswv yim applicual app yog hloov - hloov cov lus "molorekrutable" thiab "pretterable teeb" thiab "diffuse puas rau alveol". Txhawm rau siv tus ree, koj yuav tsum ntsuas qhov kev ua tau txais kev ua haujlwm ntawm alveol;

- Pom zoo ua pa nrog IVL - 6 ml / kg ntawm lub cev hnyav, lub ntim nws qhia tau tias kev siv BMI thiab ntau ua rau kev nce ntxiv hauv kev teeb meem thiab kev tuag , tab sis nrog hypercupints, qhov nce hauv kev ua pa hluav taws xob yog tau 10 ml / kg BMI);

- Thaum muaj kev pom zoo ntawm covid-19, kev kho mob raug pom zoo rau cov neeg mob uas muaj CD hauv hnub nyoog 50 xyoo;

- Ntxiv cov seem nrog cov lus pom zoo ntawm oncopaciers thiab cov neeg mob uas muaj tus kabmob raum;

- Sharply (9 zaug) nce ntau zaus ntawm kev tswj cov chds cov neeg mob sib tw (peb zaug ib hnub, ua ntej - txhua peb hnub). Daim ntawv teev cov ntsuas ntsuas qhov xav tau kev soj ntsuam yog nthuav dav: qib ntawm cov piam thaj thiab (raws li kev qhia) ntawm procalcitonin ntxiv;

- Extract hauv tsev / mus rau tus neeg txhais lus, kev txhais lus ntawm cov neeg mob rov qab los ua kev kho kom txuas ntxiv ntawm cov neeg "Median" raug tso cai ua ntej tau txais kev sim tsis zoo rau ntawm covid. Lub tsev ntawm cov neeg mob zoo li no yuav siv lub tsheb huv, tus neeg mob yog lub luag haujlwm rau kev ntsuas tus kheej kom tau txais kev ntsuas tsis zoo. Qhov ntsuas qhov tseeb tias tus neeg mob yuav tsum tau tawm tsam yuav tsum tau nqa tawm - yog tias tsim nyog, ib qho kev ua tau zoo tshaj plaws WG thiab / lossis CT ntawm lub hauv siab. Rho tawm ua haujlwm, suav nrog cov neeg mob tom qab Arvi, kuj tsis tas yuav tsum kuaj;

- Ib ntu nyias muaj tshwm sim ntawm cov yam ntxwv ntawm kev xa tawm ntawm cov neeg mob tom qab covid-19;

- Nws raug nquahu tias kev siv ultraviolet bactericidal nruab plactericidal hluav taws xob hluav taws xob (UFBI) ntawm tsawg kawg 25 mj / cm / ua rau lub hauv paus khoom ntawm cov khoom siv thiab kev nqus pa. Xws li cov cua-tso pa tawm ntawm cov tib neeg yuav tsum ua haujlwm tsis tu ncua thoob plaws lub sijhawm ua haujlwm. Tsis tas li ntawd, kev siv ntawm ib qho qhib hom UFbi Hluav taws xob irradiator nrog tag nrho cov hluav taws xob hluav taws xob hluav taws xob hluav taws xob tsis qis dua 100 w rau kev siv tshuaj tua hluav taws xob;

- Kev tshuaj tua kab ntawm kev kuaj thaj chaw thaj chaw nyob ntawm nws zoning. Piv txwv li, hauv cov chaw ua haujlwm 2 thiab 3 nws raug pom zoo kom nqa tawm txhua hnub: kev kho mob nrog ultraviolet hluav taws xob kev nyab xeeb thiab prog thawv tom qab xaus ntawm txhua txoj kev tshawb no ntawm cov kev tshawb fawb (nucleic acid yog tso tawm thiab amplification), neeg ua hauj lwm ua Phab ntawm thawv ntawm microbiological kev ruaj ntseg thiab PCR thawv tom qab kawm tiav ntawm tej hauj lwm los ntawm frozennic deesés, etc.

Cov ntaub ntawv yog muab los ntawm cov neeg muaj cai ua haujlwm.

Sib txuas lus nrog cov npoj yaig, sib qhia cov kev paub hauv cov lus.

Peb nyob hauv VK, FB thiab Instagram, Koom Tes! Ua raws li cov ntawv sau tshiab hauv peb cov kwj dej Telegram. Peb nco ntsoov koj tias koj tuaj yeem muab cov ncauj lus rau kev tshaj tawm hauv ntu "Kuv xav tau ib tsab xov xwm" thiab nug cov lus nug los ntawm tus kws tshaj lij.

Yog tias koj xav qhia koj cov kev paub, koj muaj cov khoom siv tseem ceeb rau kev tshaj tawm - sau rau peb 3q@ru

Nyeem ntxiv