Ministry of Health yakaunza chitsva, 10, shanduro yeiyo yekuongorora uye inobata diagnostics uye kurapwa uye kurapwa. Iyi vhezheni ndiyo yakanyanya kuvhiringidzika: 261 Peji, makumi matatu mapeji anopfuura apfuura. Kuti uenzanise, iyo yekutanga yekutanga yeMR yakagadzirirwa mapeji 52.
Chii chitsva?
- rumwe ruzivo rwakawanda nezveCavid-19, rwakawanikwa pane genetic ongororo yemazwi anopfuura mazana maviri ezvipfumbamwe zveMrs, anodzidziswa zvishoma) uye zvimwe zvidzidzo - kusanganisira zvidzidzo zvakabviswa yekusagadzikana kukuru kweBritish Strain (uye kazhinji, maererano neshanduro itsva yeVr, manyorerwakanyoreswa mitezo-2 shanduro haina basa rekushanda) / cm2 haina kuuraya coronavirus, iyo yakakurudzirwa yebhavhu radicidal radiation rwizi haruna kuderera pane 200 w;
- Iyo yezuva nezuva prse oxientry inowedzerwa kune iyo nhamba yenzira dzekuongorora, pamwe neECG mu Standard inotungamira (yakakurudzirwa kune vese varwere). ECG kunyangwe isina chero ruzivo rwakatarwa, asi runoburitsa kutyora kweiyo rwiyo uye acts, pamwe neiyo qt nguva) inoda kutariswa kana kufungidzira iyo cardroxicity yehydroxychinhan uye nhamba yeAntibacterial zvinodhaka (kufema fluoroquinolones, macrodides);
- Kunobviswa pane kudiwa kwekuedza kuCodhi kwevanhu vese vanoonana (ikozvino - chete kana paine zviratidzo), pamwe nevanachiremba kana vaoneka vachipfuura neutachiona hwehutachiona hwakaendeswa. Kana zviri zvekuyedza murwere pamanjaho emishonga yekudzivirira-cov-2, sarudzo yakadaro inoitwa neyekuenda chiremba ari oga, zvichibva pamheremheni yekuwedzera;
- Kurudziro hakubvumirwe kuyedza kwevarwere vese vachipinda zvirongwa zvekupa rubatsiro rwechiremba yeIGA, /, / orgg;
- Pane kusiyanisa kweinobva kune tuberculosis:
- Rondedzero yemishonga yeEtiotropic kurapwa inoderedzwa Izvo zvinozivikanwa kuti hydroxychlerookhin ine Carmentoxicity, kugamuchira kwayo kunogona kuperekedzwa nekukura, semuenzaniso, iyo yakarongedzwa QT syndrome. Mune izvi, nekushandiswa kwekunze kwehydroxychin pasi pemamiriro ezvinhu ekuwedzera uye kusavapo ecg uye electrolyte controction yekuchengetedza murwere neyekumanikidzwa kwemamiriro maviri ekudzora - iyo yakaderera njodzi yezvinodhaka-yakabatana qt kupindirana pane tisdale chiyero uye kusavapo kweimwe qt kupindirana kureba kwenjodzi.
- Zvakacherechedzwa kuti, maererano nezano razvino pamusoro pePathoesenis of Comd-19, zvinokurudzirwa kuti utange mukutanga mazwi, hapana mazuva ekutanga kubva pakutanga kwechirwere ( kutaridzika kwechiratidzo chekutanga);
- Chinhu chitsva chinodiwa kune chinodiwa chekare chekare chakasvitswa - kusunganidzwa kweiyo general ropa reropa rinopfuura 65 g / l. Mukuwedzera, kurudziro yakawedzerwa pamusoro pekugadziriswa kweplasma yakadaro, kusanganisira pathogeneration yePlasma isina kupfuura nekuregererwa. Kurudziro yekushandiswa kwePlasma kunogadziriswa zvakare - Kuwedzera Clinic Ekisimusi
- Iyo yakajairwa yakasiyiwa kuti iyo inodzorera IFN-1B uye antimulari zvinodhaka zvinokanganisa kushandisa panguva yekuzvitakura;
- Kunatswa pakugadzwa kweanotement of Janus Kinases (tofacitinib kana barycitinib) kana il-17 inhibitor (il-6 inhibitor (ol-6 Zvakaratidzwa kuti kuchembera uye kuchembera, pamwe nekugadzirira kweiyo maumunosupppress kurapwa mune nhengo yekuparadzira nhengo, haisi kupesana nekurapa ne monoclonal antibodies. Kune varwere pakudzivirira manhamba ekurapa, kurudziro yakaparadzaniswa yakapihwa;
- GCS inokurudzirwa kunyorera nokungwarira, pamwe, nehypentension uye chirwere chechirwere chedumbu uye gumi nemaviri-resisse;
- Kurudziro yakachengetedzwa pakugadzwa kweiyo yakaderera molecular uremu heparin, pane zvishoma, mukudzivirira doses kune vese varwere vakapfeka zvakabatana. Kazhinji, chikamu chacho pakurapa antititrirobic kunowedzerwa uye kuwedzerwa;
-Kuwedzera kurudziro yekushandiswa kwehuwandu hwehukadzi surfantant, kusanganisira kugadzirira kweSurfactant-bl, kuitira kuti uvandudze mwero weOxygenity uye kuderedza njodzi yekushandiswa kwekusvirwa kwekufema. Mushonga unokurudzirwa kuti unyore kubva kune vasina-varwere vanoshandisa mushe vachishandisa bulizer (mukana we mesh webulizer) padhesi 75-150 mg 2 nguva pazuva kwemazuva 3-5;
- Yakawedzera kurudziro yekugadzwa kweanodhaka zvinodhaka (Butamirat, Levodropyrin, Rengalin) kudzoreredza kukosora kuCovid-19 muvakadzi vane pamuviri neFnents;
- Yakawedzerwa chikamu pane antibacterial kurapwa; Kunyanya, inosimbiswa kuti mishonga inorwisa mabhakitiriya yekushandira kweiyo activation yeMacrophages nekukura kweiyo "Dutu reCytokine" uye sekudzidza kwehutachiona hwehutachiona hwehutachiona panguva yekurapa kwekurapa kwevarwere nevarwere Covid yakagadzirwa 3.5%, hutachiona hwechikwata chehutachiona hwaive hwakaoma necivid 14.3% yevarwere, uye kazhinji vakanyoresa varwere vane kuyerera kwakasimba. Nekudaro, huwandu hwakawanda hwevarwere nevarwere vane chivharo-19, kunyanya nekosi yechiedza uye pakati nepakati, havafanire kugadza kurapwa kweantibacterial. Uye zvakare, kurudziro inosiyiwa pachinangwa chaunoda mishonga inorwisa mabhakitiriya ine varwere-inorema uye yakanyanya kurema nevarwere vane chirwere cheshuga uye cheshuga-19;
-Kuwedzera kurudziro yekushandiswa kweshandisirwo panguva uye / kana mushure meAntibacterial Therapy (Mnn: Bifidum Bifidum naBifidum Bifidum + Lactobacilli Syt);
- Inoshanda Tsanangudzo 2 yeiyo yekufema yekurapa ichiramba ichiramba kufema kwemasuru ekufemera - nivl mumhando yekufemerwa kweSpiritory kumanikidza (S, t, kudzvinyirira, BIPAM) 14-24 CM Mvura. (Chikamu chidiki chichichengeta nyaradzo yemurwere) uye iyo shoma inokurudzira okisijeni chidimbu chekuchengetedza kukosha kwekutarisirwa (semutemo, 60-100%) Uye zvakare, rondedzero yeiyo oksijeni kuburitsa yakaonekwa mumatare ekufema, kusanganisira yakaderera-kuyerera system rating: Nasal cannulas masks -> Venturi Masks -> Oronuri Masks -> Oronuri Masks -> Oronazal Masks ane bhegi reTangi. Zvinokurudzirwa pakushandiswa kweNivl zvinowedzerwa, kusanganisira kukosha kwakakurudzirwa kweiyo yakakurudzirwa yekufemera vhoriyamu, iyo kg yeBmi ine Orneks uye yakazara-roller mask, uye nehombodo inogona kunge iri 50-75% yakakwira. Uye zvakare, iyo conceptual apparatus inotsiviwa - panzvimbo yeMitemo "Malarechutable" uye "Inodzokorora Chiedza" yakatsanangurwa "Facal Mapapu Kukuvadzwa" uye "Dafuse kukuvara kuAlveol". Kuti ushandise rer, iwe unofanirwa kuongorora kuteedzana kweAlueol;
- Yakakurudzirwa Respiratory Vhoriyamu neIVL - 6 ML / BLG YEMAHARA YEMAHARA, YEMAHARA YAKAITWA IYO YAKAITWA KUTI 9 ML / KG yeBMI uye Uwedzere Kuwedzeredzwa , asi ne hypercupation, kuwedzera kwehuwandu hwekufema kunogoneka 10 ml / kg bmi);
- Paunenge uchiverengera chivakwa-19, kuchipatara chinokurudzirwa kune varwere vane cd pasi pemakore makumi mashanu;
- Yakawedzerwa zvikamu nezvirumidziro pamapuranga uye varwere vane chirwere chisingaperi neitsvo;
- Sharply (ka9 times) yakawedzera kuwanda kwekutonga kweCDD Murwere (katatu pazuva, pakutanga - mazuva ese matatu). Rondedzero yezviratidzo zve laborator inoda kuongororwa inowedzerwa: iyo nhanho ye glucose uye (maererano nezviratidzo) zve procalcitonin zvinowedzerwa;
-Kubvisa imba / kune iye anoona, kushandurwa kwekudzorera varwere kuti varambe vachirapwa pa "mibhedha ye" mibhedha inobvumidzwa isati yaedzwa nemuedzo wakashata. Imba yevarwere vakadaro ichatora mota dzehutsanana, murwere anosungirwa kuzvisimbisa kuti awane bvunzo dzisina kunaka. Chiratidzo cheshoko rekuti murwere anofanira kudzingwa anofanira kuitwa - kana zvichidikanwa, wg uye / kana ct yechipfuva. Batanidza kubasa, kusanganisira varwere mushure meARVI, zvakare haridii muyedzo;
- Chikamu chakaparadzana chakaonekwa pazvinhu zvechiratidzo chekutarisa kwevarwere mushure mekutora-19;
- Inokurudzirwa kuti kushandiswa kweiyo ultravidil cactricaidal kuiswa neiyo dosi yeiyo ultraviolet bactravidal radiation (UFBI) yeanosvika makumi maviri neshanu, cm2, yakavakwa mumamiriro epakati ekugovera uye anokwenenzverwa. Mhepo yakadaro yemhepo-inokanda mapfumo pasi pamberi pevanhu inofanira kushanda nguva dzose nguva yese yebasa. Uye zvakare, kushandiswa kweiyo yakavhurika-mhando UFBI radiation IFDIATION ine huwandu hwehutachiona hweRadiolidal rediation rwizi haruna kuderera pane 100 W rekusafinha respiresters.
- Kureurura kwezviratidzo zvekutamba zvinoenderana nekonzo yayo. Semuenzaniso, munzvimbo dzekushanda 2 ne3 zvinokurudzirwa kuita zuva nezuva: Kugadziriswa kwenzvimbo dzekupedzisira kusati kwatanga uye mushure mekupera kwebasa kwemabhokisi anoenderana ekuchengetedza microbiological uye pccr mabhokisi mushure mekupera kwe Imwe neimwe kudzidza kwezvidzidzo (nuclec acid inoburitswa uye kukwidziridzwa), mashandiro emabhokisi emabhokisi ezvekuchengetedza microbiological uye pc cRM mababhokisi emabasa neyepfuti desés, etc.
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