Minisiteri y'ubuzima yatangije verisiyo nshya, 10, verisiyo yo gusuzuma no kwisuzumisha no kuvura no kuvurwa. Iyi verisiyo nibyingenzi cyane: 261 page, 30 page 30 kurenza iyambere. Kugereranya, verisiyo ya mbere ya Mr yashyizwe kumpapuro 52.
NIKI GISHYA?
- Amakuru amwe rusange yerekeye Covid-19, yabonye hashingiwe ku isesengura genetike ry'abari barenga 200.000 bo mu 200.000. y'impfu nyinshi z'abatezimbere b'Abongereza (ndetse na rusange, ukurikije imiterere mishya ya MR, MUTINDO-2 COV-COV-2 ntabwo ifite agaciro gakora), bisobanurwa ko uv imirasire iri munsi ya 25 MJ / CM2 ntabwo yica coronavirus, umugezi wa bagiteri zose wa bagiterisicicicical nturi munsi ya 200;
- Ibihe bya buri munsi pulse ongeraho uburyo bwo gusuzuma, kimwe na ecg muburyo busanzwe (busabwa abarwayi bose). ECG nubwo itarimo amakuru yihariye, ariko ahishura ihohoterwa ryamavuko na ac, kimwe nimpinduka zimwe kuri ecg (kurugero, kurangira mugihe cya qt) bisaba kwitabwaho mugihe ugereranya amakarito ya hydroxychlorochin na numero y'ibiyobyabwenge bya antibacterial (Ubuhumekero Bluoroquinolones, Macrolide);
- Yakuweho gukenera kwipimisha kuri Coving yabantu bose bahurirana (ubungubu - gusa niba hari ibimenyetso), kimwe nabaganga mugihe bagaragaye igg kuri smaction cyangwa 2. Ku bijyanye no kugerageza umurwayi kuri antibodies kuri Sars-Cov-2, icyemezo nk'iki gifatwa na muganga witabiriye kugiti cye, gishingiye ku byifuzo by'amavuriro;
- Icyifuzo kirimo kwipimisha abarwayi bose binjira muri gahunda yo gutanga ubufasha bwubuvuzi kuri IGA, IGM na / cyangwa Igg;
- Ku buryo bwo gutandukanya igituba: ubushakashatsi bwagutse bwa 3 kuri bagiteri irwanya aside irerekanwa gusa nyuma yo kwakira ibisubizo bibi kuri SARS-COV-2 RNA;
. Twagaragaye ko hydroxychlorookhin ifite imitisizi, kwakirwa kwayo birashobora guherekezwa n'iterambere, urugero, Syndrome ya Qt yashize. Ni muri urwo rwego, hamwe no gukoresha kwishyurwa hydroxychlorochin mubihe bya karantine nibikoresho bike (kubura ubushobozi bwa ecga) bigomba gufatwa nkuburyo bwo kwizihiza ibintu bibiri bibuza - ingaruka nke y'ibiyobyabwenge bifitanye isano n'ibiyobyabwenge Qt ku gipimo cya Tisdale no kubura intera y'ikibazo cya QT Kurambaza ibintu;
- Byaragaragaye ko, ukurikije ibitekerezo bigezweho bijyanye na Petigene-19, gukoresha ibiyobyabwenge byasabwe ku buvuzi bwa interineti, ni byiza gutangira mu magambo hakiri kare, bitaba byiza gutangirira mu majambo ya mbere, bitaba byiza gutangiza mu magambo hakiri kare, bitaba byiza gutangirira mu majambo ya mbere, bitaba byiza mu majambo ya mbere, bitarenze iminsi 7-8 uhereye igihe indwara itangira ( isura y'ibimenyetso byambere);
- Ibisabwa bishya kumuterankunga wa Plasma ya kera yatangijwe - kwibanda kuri poroteyine rusange yamaraso nibura 65 g / l. Byongeye kandi, ibyifuzo byongeweho gutegura plasma nk'iyi, harimo na pathoeneration ya plasma itanyuze mu bucuruzi. Ibyifuzo byo gukoresha Plasma nabyo byahinduwe - kugirango bigerweho neza, birasabwa gukoresha impeshyi 2 ya kera ya kera ya kera ya ml 12-24 ml, yateguwe nabaterankunga batandukanye;
- Ibisanzwe bikuyemo iyo recombinant ifn-1b nibiyobyabwenge birwanya byanga gukoreshwa mugihe utwite;
- Yanonosowe ishyirwaho ryababujije ya Janus Kinase (tofacitinib cyangwa barycitinib) cyangwa il-6 inhibitor (Nekurum) (Olokimab) Abagabo bakira Il-6 (Abagabo bakira). Byagaragaye ko gusaza n'ubusaza n'ubusaza, ndetse no gutegura imiti ya Imyumbati mu guhinduranya urugingo, ntabwo bivuguruza imivurungano hamwe na antibodi. Ku barwayi ku buvuzi bwa Immunosupression, ibyifuzo bitandukanye;
- GCS irasabwa gukoreshwa no kwitonda, kimwe na, hamwe n'indwara y'indwara y'inda n'imisako 12;
- Icyifuzo cyabitswe ku ishyirwaho rya molecular nkeya heparin, byibuze, mu mibare yo gukumira abarwayi bose bitabiriye ibiribwa. Muri rusange, igice kuri antitrorompac kuvura Antitrombic yaguwe kandi yunganirwa;
- Wongeyeho icyifuzo cyo gukoresha ibiyobyabwenge bikabije, harimo no gutegura surfactant-bl, kugirango utezimbere urwego rwa ogisijeni no kugabanya ibyago byo gukoresha inkunga yubuhumekero. Ibiyobyabwenge birasabwa gutegeka abarwayi badateraga bakoresheje nebulizer (inyungu za mesh nebulizers) kuri metero 75-150 mg 2 kumunsi wiminsi 3-5 kumunsi muminsi 35 kumunsi;
- Yongeyeho icyifuzo cyo gushyiraho ibiyobyabwenge (Butamit, Legodroprin, Rengolin) kugirango ugabanye inkorora i Covid-19 ku bagore batwite;
- Igice cyavuguruwe kuri therapy antibacterial; By'umwihariko, bishimangira ko antibiyotike itagira ingaruka kuri syndrome yo gukora macrophage igamije iterambere rya "Cytokine Umuyaga", mu gihe cyo gufatanya kwa bagiteri mugihe cyo kwivuza kubarwayi Covid yagizwe n'indwara 3.5%, yatewe na Coviter ya bagiteri 14.3% by'abarwayi, kandi akenshi yandikiwe abarwayi bafite imitongi. Rero, umubare munini wabarwayi barwaye Covidi - imyaka 19, cyane cyane hamwe namasomo yoroheje kandi ashyira mu gaciro, ntibakeneye gushyiraho imiti ya antibhorial. Byongeye kandi, icyifuzo kirimo intego yimfutizi ya antibiotique ifite abarwayi bakomeye kandi bakomeye barwaye diyabete na Covid - 19;
- Wongeyeho icyifuzo cyo gukoresha probiotikes mugihe cyagenwe na / cyangwa nyuma yubuvuzi bwa antibacterial (MNN: Bifidum Bifidum na Bifidum Bifidum +;
- Ibisobanuro bisabwa 2 byumuvumo wubuhumekero mugihe ukomeje guhumeka neza no kwitabira imitsi yubuhumekero - nivl muburyo bwatanzwe numuvuduko ukabije wuntwaro (s, gutera inkunga igitutu, amazi ya cm. (Urwego ntarengwa mugihe ukomeje ihumure ryumurwayi) hamwe nigice gito cya ogisijeni kugirango ukomeze agaciro intego (nkuko amategeko, 60-100%). Byongeye kandi, ibisobanuro bya sisitemu yo gutanga ogisijeni yagaragaye mu nzego z'ubuhumekero, harimo na sisitemu yo hasi ya sisitemu:> Masike yoroshye -> Masike yoroshye -> Masike ya Oronazi -> Masike ya Oronaz -> Masike ya Oronaz ifite igikapu cya tank. Ibyifuzo byo gukoresha NIVL byaguwe, harimo agaciro gasabwe kwubuhumekewe buhujwe, budakwiye kurenga 9-75 byuzuye, kandi hamwe n'ingofero irashobora kuba hejuru ya 50-75%. Byongeye kandi, ibikoresho byerekana ibitekerezo bisimburwa - aho kuba ijambo "malorekritable" na "urumuri" rwibanze "kandi" ibyangiritse kuri alveol ". Gukoresha reer, ugomba gusuzuma abakozi ba alveol;
- Basabwe Ububiko bwubuhumekero hamwe na IVL - 6 ML / kg yuburemere bwumubiri, ingano iri hejuru yagenwe ni akaga (verisiyo yanyuma yerekanaga ko gukoresha kugeza kuri 9 MMI kandi iganisha kuri BMI nibindi byinshi byiyongera no gupfa , ariko hamwe na hypercupinations, kwiyongera mubuhu bwubuhumekero birashoboka 10 ml / kg BMI);
- Iyo umenye Covid-19, Ibitaro bisabwa kubarwayi bafite CD munsi yimyaka 50;
- Wongeyeho ibice hamwe nibyifuzo kuri oncopaciers nabarwayi bafite impyiko zidakira;
- Ibice 9) byongereye inshuro zo kugenzura abarwayi ba CHDD (inshuro eshatu kumunsi, kare - buri minsi itatu). Urutonde rwa Laboratory rusaba gukurikirana rwaguwe: Urwego rwa Glucose kandi (ukurikije ibimenyetso) byamafaranga yongeyeho;
- Gukuramo urugo / ku indorerezi, ubusobanuro bwo kugarura abarwayi gukomeza kuba ibitanda bya "Median" byemewe mbere yo kwakira ikizamini kibi kuri Covid. Murugo rwabarwayi bafata ibinyabiziga byisuku, umurwayi ategekwa kwiyerekana kugirango abone ikizamini kibi. Ikimenyetso cyerekana ko umurwayi agomba gusezererwa agomba gukorwa - nibiba ngombwa, wrg yishyuwe na / cyangwa ct yigituza. Gukuramo gukora, harimo abarwayi nyuma ya Arvi, nabo ntibisaba ikizamini;
- Igice gitandukanye cyagaragaye ku bintu by'ibiranga ubumuga nyuma ya Covid-19;
- Birasabwa ko gukoresha ultraviolet bactericiolet hamwe nigipimo cyimirasire ya bacterisiciolet (UFBI) byibuze 25 MJ / CM2, yubatswe muri sisitemu nkuru yo gutanga no guhumeka. Uku guhumeka ikirere-guhuha imbere yabantu bagomba gukora ubudahwema mugihe cyakazi. Byongeye kandi, gukoresha ubwoko bwa ufbi ya ufbi burangiye hamwe numugezi wuzuye wa bagiteri ntabwo uri munsi ya 100 kugirango utere abamburwa;
- Kwanduza ibibanza bya laboratoire biterwa na zoning yayo. Kurugero, mubikorwa byakazi 2 na 3 birasabwa gukora buri munsi: Gutunganya ibibanza hamwe nimirasire ya ultraviolet mbere yo gutangira na nyuma yimikorere ya ultraviolet yisanduku ya microbiologiya na nyuma yinyuma Buri bushakashatsi bwubushakashatsi (acide ya nucleic ararekurwa kandi akinganya), ubuso bwumukozi bwo gutunganya agasanduku k'umutekano wa microbiologiya na PCR nyuma yo kurangiza imirimo na Deesés ya Frozennic, nibindi
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