Unduna wa Zaumoyo unayambitsa chatsopano, 10th, mtundu wa diavostic komanso chithandizo ndi chithandizo. Mtunduwu ndi wofala kwambiri: 261 Tsamba, masamba 30 kuposa omwe adalipo kale. Poyerekeza, mtundu woyamba wa Mr woyenerera masamba 52.
Chatsopano ndi chiyani?
- Zambiri zambiri zokhudzana ndi Covid-19, zopezeka pamaziko a kuwunika kwa majini azaka zopitilira 200,000, Cov-2 (pofika nthawi yochepa) ndi maphunziro ena - kuphatikiza nkhani yabodza kufalikira kwakukulu kwa zovuta zaku Britain (komanso kuchuluka kwa mtundu watsopano wa Mr, olembetsa olembetsa-Cov-2 alibe phindu), limafotokozedwa kuti radiation ya UV ndi mlingo wochepera 25 / CM2 sikupha Coronavirus, omwe amalimbikitsidwa ndi bactericidal sakhala otsika kuposa 200 w;
- Ma Oximet a tsiku ndi tsiku amawonjezeredwa ndi njira zowerengera njira zodziwira, komanso ECG muyezo upangiri (wolimbikitsidwa kwa odwala onse). ECG ngakhale ilibe zambiri, koma imavumbula kuphwanya kwa nyimbo ndi ACS, komanso kusintha kwina kwa ECG (mwachitsanzo, mtunda wa nthawi ya qudroxychlochin ndi nambala a antibacterial mankhwala (kupuma fluroquinolones, macrilsis);
- Kuchotsedwa pakufunika kuyesa kwa anthu onse olumikiza (tsopano - pokhapokha ngati pali zizindikiro), komanso madokotala akamawoneka kuti akupatsirana kapena katemera. Ponena za kuyesa wodwalayo ku ma antibodies a SARS-Cov-2, lingaliro lotere limapangidwa ndi dokotala yemwe amapezeka pawokha, kutengera matenda oyambira;
- Malangizowo ndi osankhidwa kwa odwala onse kulowa mapulani obwera chifukwa cha chithandizo chamankhwala kwa iGA, igm ndi / kapena igg;
- Pakusiyana kwa covid kuchokera ku chifuwa chachikulu: kafukufuku wa 3-ndulu wonyowa kwa mabakiteriya osagwirizana ndi a asidi pokhapokha atalandira zotsatira za SARS-CAV-2;
- Mndandanda wa mankhwala osokoneza bongo amachepetsedwa: Azithrromycin (kuphatikizapo kuphatikiza ndi hydroxychlorochine) samayamwa, ma hydronchlororing, ma hydron-alpha adali pamndandanda. Amadziwika kuti hydroxychlooroorooroorokhin ali ndi mtima, phwando lake likhoza kutsagana ndi chitukuko, mwachitsanzo, katswiri wa QT Syndrome. Pankhaniyi, kugwiritsa ntchito hydroxychlochin pansi pazinthu zomwe zimachitika komanso zosavomerezeka (kusowa kwa ECG ndi Electrolyte) ziyenera kulinganiza kuti muchepetse kuvutika kwa zinthu ziwiri - ngozi yotsika Mwa kugwiritsa ntchito mankhwala osokoneza bongo pa tisdale ndi kusowa kwa zinthu zowonjezera za qt zolimbitsa thupi zolimbitsa thupi;
- Zinadziwika kuti, malinga ndi malingaliro amakono za pathogenesis of Covid-19, kugwiritsa ntchito mankhwala osokoneza bongo anati, ndikofunika kuyambiranso masiku 7-8 kuyambira pachiyambi cha matenda ( mawonekedwe a zizindikiro zoyambirira);
- Chofunikira chatsopano kwa opereka a plasma plasma amayambitsidwa - kuchuluka kwa magazini ambiri ali ndi 65 g / l. Kuphatikiza apo, malingaliro adawonjezeredwa pakukonza mafashoni otere, kuphatikizapo kudutsa magazi omwe sanadutse. Malangizo ogwiritsira ntchito mazira a plasma amasinthidwanso - kuwonjezera chipatala, ndikulimbikitsidwa kugwiritsa ntchito ma plasma a plasma omwe ali ndi maola 12-24 mlitsa a 200-325 ml, okonzekera kuchokera kwa opereka osiyanasiyana;
- Chitsanzo sichinachotsedweratu kuti-1b ndi mankhwala a antimalarial zimagwiritsidwa ntchito kugwiritsa ntchito pa nthawi yapakati;
- Zoyenerera kukhazikitsidwa kwa zoletsa za Janus Kinases (tofacitinib kapena barcitinib), Il-6 Olembetsera (a Onshizumab) il-6 Zinadziwika kuti kukalamba komanso kukalamba, komanso kukonzekera chithandizo cha immumupopresve mankhwala ochiritsira, sikuti contraindication mankhwala ndi ma antibodies. Kwa odwala ku Immunosuppressive mankhwala, malangizo amapereka malangizo apadera;
- GCS tikulimbikitsidwa kugwiritsa ntchito mosamala, komanso, ndi matenda oopsa komanso matenda a zilonda zam'mimba ndi maruss;
- Malangizowo adasungidwa pakugawidwa kwa Sporcular Sheparin, osachepera, poteteza Mlingo kwa onse ogona m'chipatala. Mwambiri, gawo lokhudza antithrombic mankhwala limakulitsidwa ndikuwonjezera;
- Anawunikiranso zofunsira kugwiritsa ntchito mankhwala osokoneza bongo owonjezera, kuphatikiza kukonzekera kwa Surfactont - bl, kuti muchepetse kuchuluka kwa mpweya wabwino komanso kuchepetsa chiopsezo chogwiritsa ntchito kupuma. Mankhwala tikulimbikitsidwa kuti alembetse odwala omwe sagwiritsa ntchito nebuluzer (mwayi wa ma nebufuzele a mesh) pa 75-150 mg 2 kawiri pa tsiku kwa masiku 3-5;
- Anawonjezeranso malingaliro ogwiritsira ntchito mankhwala a antitisive mankhwala (andamirat, Levoddin, Rengalin) kuti athetse kutsokomola ku Covid-19 pa amayi apakati;
- Zosinthidwa pa antibacterial mankhwala; Makamaka, zimatsimikizika kuti maantibayotiki samakhudzanso matenda a macrophages ndi chitukuko cha "chimphepo cha cytokine", komanso molingana ndi matenda a matenda a bakiteriya panthawi ya chithandizo chamankhwala odwala Covid amapanga 3.5%, kachilombo ka bactery ya kachiwiri inali yovuta ndi covid 14.3% ya odwala, ndipo nthawi zambiri amalembetsa odwala omwe ali ndi maluwa omwe amayenda kwambiri. Chifukwa chake, ambiri a odwala omwe ali ndi Covid wazaka 19, makamaka komanso maphunziro owala komanso osafunikira, osafunikira kusankha antibacterial mankhwala. Kuphatikiza apo, malangizowo sawathandiza pa cholinga chomwe chimafunikira cha maantibayotiki omwe ali ndi vuto lalikulu komanso odwala omwe ali ndi matenda ashuga komanso Covid-19;
- Anawunikiranso zonena za kugwiritsa ntchito mankhwalawa nthawi ndi / kapena pambuyo pa antibacterial mankhwala (Mnn: Bifidum Bifidum ndi Bifidum Bifidum + lactobacilli.
- Mafotokozedwe Abwino 2 a kupuma mankhwala pomwe akukhala osapuma komanso kutenga nawo mbali mosiyanasiyana mwa mitundu yolimbitsa thupi - nivl mu momes ndi chithandizo cha kukakamizidwa, kupukutira). (Mlingo wocheperako ukukhala wotonthoza wodwala) ndi kachigawo kakang'ono ka oxygetory kuti ukhale ndi mtengo wofunikira (monga lamulo, 60-100%). Kuphatikiza apo, kufotokozera kwa madongosolo ogulitsa oxygen kuwonekera m'magulu opumira, kuphatikizapo ndowe yotsika: Malangizo ogwiritsa ntchito Nivl amakulitsidwa, kuphatikiza mtengo wolimbikitsidwa wa kupuma voliyumu yopuma, yomwe sikuyenera kupitirira 9 ml / kg ya BMI ndi chigoba chokhazikika komanso chambiri. Kuphatikiza apo, zida zamalingaliro zimasinthidwa - m'malo mwa mawu akuti "zoyipa" ndi "kuwala kowonekeratu" kumafotokozedwa "ndikuwonongeka kwamphamvu" komanso "kuwonongeka kwa alvel". Kugwiritsa ntchito Reer, muyenera kuwunikanso kuchuluka kwa alveol;
- Yolimbikitsidwa kupuma voliyumu ndi IVL - 6 ml / kl / kl / makilogalamu omwe ali ndi thupi lamphamvu (mtundu womaliza udawonetsa kuti kugwiritsidwa ntchito kwa 9 ml / kg ya BMI ndi kuwonongeka kwa anthu , koma wokhala ndi ma hypercuptions, kuchuluka kwa kupuma kuli kotheka 10 ml / kg bmi);
- Mukamazindikira Covid-19, kuchipatala kumalimbikitsidwa kwa odwala omwe ali ndi CD osatha zaka 50;
- Zigawo zowonjezera ndi malingaliro pa oncopaciers ndi odwala omwe ali ndi matenda a impso;
- Kwambiri (maulendo 9) kuchuluka kwa ulamuliro wa odwala advat wodwala (katatu patsiku, koyambirira - masiku atatu aliwonse). Mndandanda wa zisonyezo zomwe zimafunikira kuwunika: Mulingo wa shuga ndi (malingana ndi zisonyezo) za Problitonin amawonjezeredwa;
- Tithamangitsa kunyumba / kwa wowonera, kumasulira kwa kuchira kuti apitirizebe mankhwala pa "mabedi a Median" amaloledwa asanalandire mayeso olakwika pa covid. Nyumba ya odwala omwe oterowo amatenga magalimoto aukhondo, wodwalayo amakakamizidwa kuti adziyesetse kuyesa kolakwika. Chizindikiro chakuti wodwalayo ayenera kuchotsedwa uyenera kuchitika - ngati kuli kotheka, ngati watha ult ndi / kapena ct ya chifuwa. Tingatengere ntchito, kuphatikiza odwala pambuyo pa Arvi, komabe amafunikiranso mayeso;
- Gawo lina lomwe limapezeka pazinthu za kuwonetsera kwa nthawi yopezera odwala pambuyo 19;
- Ndikulimbikitsidwa kuti kugwiritsa ntchito ma actraviolet accortericidal ndi mlingo wa ma ratericidicidal (ufbi) osachepera 25 mJ / masentimita 25, omwe amapangidwa munthawi yapakatikati. Mpweya wofulumira ngati uja pamaso pa anthu uyenera kugwira ntchito mosalekeza nthawi yonseyi. Kuphatikiza apo, kugwiritsa ntchito radiation yotseguka ya ufbiation Irradiator yokhala ndi bactericidal kumtsinje wama ratericidal sikutsika kuposa 100 w poti apewe kupuma.
- Kuyika Matenda a malo a labotale kumatengera zomwe zikuyenda. Mwachitsanzo, m'malo ogwirira ntchito 2 ndi 3 Ndikulimbikitsidwa kuchita tsiku ndi tsiku: Kukonzanso malo ndi ma radiation a ultraviolet asanayambire mabokosi a ultravioleological Seeces and Kafukufuku aliyense (wadwala acid amatulutsidwa ndikukula)
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