Ochwepheshe baxwayisa: okubizwa ngokuthi "i-immune ungqimba" akukenziwa, futhi ingozi yokuthi, ngemuva kwamanye amazwe aseYurophu, singakwazi futhi ukumboza igagasi lesithathu, likhona. Okufanele kwenziwe ukugwema, nokuthi yini okudingeka uyikhumbule labo asevele bekhungathekile nge-Child, kanye noSihlalo wokuqala wekomiti lezempilo uSt. Periatra yeKomidi Lezempilo laseSt. Periatburg , inhloko yesibhedlela i-Veterans Wars Maxim Kabanov.
- Namuhla sesingasho ukuthi igagasi lesibili lobhubhane lweCoronavirus luyehla?
U-Andrei Sarana: Umbono wokuthi sisekwehla kwegagasi lesibili, kukhona naphezu kweqiniso lokuthi isibalo esibi seziguli sisesibhedlela. Kepha lezi akusezona amagugu aphezulu abesekupheleni kukaDisemba. Sihlobanisa ukwanda okuncane kwabafakizicelo ngeqiniso lokuthi, ngokwezincomo zikaNgqongqoshe Wezempilo, manje kuyadingeka ukufaka esibhedlela esibhedlela nganoma yisiphi isikhathi sokuqina kweminyaka engu-65 ukuba ne-pathology evumayo ehlanganisa isifo esingaphansi kwesikhashana - . Kanye nazo zonke iziguli ezinesifo sikashukela ezindala kuneminyaka engama-65, kungakhathalekile ukuthi isifo salesi sifo. Futhi lokhu kwesaba kuyaqondakala.
- Lokho kungukuthi, sekucacile ukuthi lesi sigaba sabantu akusona isibikezelo esihle kakhulu?
U-Andrei Saran: Isimo sezulu esibi salo mkhakha wabantu bakhona ngokweqiniso, singabonakala ngokuya ngezibalo, ngakho-ke uMnyango Wezempilo uqondisa imizamo yawo ekulalweni esibhedlela okuphezulu kakhulu. Yebo, siyaqhubeka nokukhulisa ukugoma ukudala izingqinamba emzimbeni kubantu. Futhi-ke, ukuvuselelwa okwakheke nge-post kubaluleke kakhulu.
- Abantu abaningi baye badinga ukuvuselelwa okunjalo?
Maxim kabanov: okuningi. Futhi ikakhulukazi yilabo abaye bahlupheka inyumoniya yobunzima obulinganiselayo noma esindayo. Okokuqala, leli gciwane lingonakaliswe okuyingozi emaphashini. Bese kuba nohlelo lwezinzwa oluphakathi. Lokhu kuyiqiniso ikakhulukazi ezigulini ezalahlekelwa umuzwa wokunambitheka nokuhogela. Futhi namhlanje sikhuluma ngeqiniso lokuthi iziguli eziningi ezinokutheleleka kwe-coronavirus zinezinkinga zengqondo, kuze kuhlaselwe ukwethuka.
- Ngubani omunye odinga ukuvuselelwa?
UMaxim Kabanov: Iningi lithinta labo abahlupheka ku-pneumonia. Ngoba manje sazi kahle ukuthi isivunguvungu se-cytokine siqhubeka lapho isithombe somusho ohlanganisiwe wobukhali bokuqala - okungukuthi, kulula ukuphenduka isithombe ngesilinganiso sesine, okungukuthi, okunzima kakhulu. Abantu abaye bathola umoya omncane wokufakelwa kwamaphaphu, ngaphezu kwabanye abadinga ukuvuselelwa ukuze izitho nezinhlelo zibuyiselwe. Futhi-ke, uhlelo lwezinzwa oluphakathi ludinga ukulungiswa kabusha. Ngakho-ke, ukuze usebenze neziguli ezinjalo udinga ukuxhuma isazi sezengqondo, futhi kubaluleke kakhulu ukuthi ukuhlangana kwabantu kuhambisane nokuvuselelwa kabusha.
U-Andrei Sarana: Uma sikhuluma ngeziguli ezisindayo ezisekude zifaka umoya wokufaka amaphaphu, lapho-ke izinyanga ezimbili zichithwe ekuvuselelekeni, lapho izandla zezandla nemilenze yazo ziphela ukugoba. Kuyiqiniso, iziguli ezinjalo azidingi ukwelashwa okuhloswe ngazo ukubuyisela umsebenzi we-pulmonary, kodwa futhi nasekwelashweni kwezimoto ezijwayelekile ukubuyisela amandla kuTonus namandla emisipha.
- Ukulandela idatha yakamuva - Yini edingekayo ikakhulukazi ukunaka futhi yini izivivinyo ezidinga ukuthatha ukungaphuthelwa izinkinga ezinamandla ngemuva kwalesi sifo?
U-Andrei Saran: Okuningi kuncike ekutheni isifo esiyisisekelo isiguli sihlupheka kanjani. Ukube wathambekela ekuhlaseleni kwegazi eliphakeme, ukuhlaselwa yinhliziyo, imivimbo - kuyacaca ukuthi okokuqala kufanele unake uhlelo lokugoqa, futhi kungenzeka wenze ucwaningo olufanele. Noma, uma bekukhona isilonda esikhulu sendwangu yamaphaphu, phinda i-tomography yekhompyutha. Uma kukhona ukuthambekela kokusopha ngokokopha kwe-ulcerative - khona-ke kuzodingeka ukuthi kuboniswe i-gastroenterologist. Mhlawumbe kuzodingeka ukuthi kulawule i-gastroscopy yokulawula ama-Dynamics wesilonda se-peptic.
Kepha akudingekile ukuzibandakanya ekuzihloleni nasekuzimiseni nasekuzimiseni nasekuphuthuleni wonke umuntu agijime ukwenza i-coagulogram. Esimweni ngasinye, kuyadingeka indlela yomuntu ngamunye, nokuthi kuzoba yini - udokotela, noma esibhedlela, noma emtholampilo. Uzoqoka leyo ndemvamisa yocwaningo nalokho okuhlaziya ukuthi kudingeka ukwenze. Uma isiguli sikhishwa esibhedlela - udokotela oya eSigisini lakhe futhi alandelwa yiNhloko yoMnyango, kufanele acaciswe ukuthi yimuphi udokotela okudingeka axhumane naye futhi yikuphi okuzodingeka kudlule esikhathini esizayo.
- Muva nje, odokotela baqale ukukhuluma nge-PostPone Syndrome: Ukudangala, ukulimazeka ukulala, ukuhlaselwa ukwethuka. Ake ungitshele, ingabe ukwelashwa kwalesi sifo?
U-Andrei Saran: Uhlelo lwethu luhlelwe ukuze singaphathe kabi lesi sifo - Siphatha isiguli. Futhi uma evuselelwa kwezokwelapha futhi ekhononda ngodokotela wakhe ukuthi ahlasele ukwethuka, ukwesaba - khona-ke siyakukhombisa iscweti ukuze athole ukuphikelela nokwelashwa, kubandakanya nemithi - naphezu kweqiniso lokuthi ayifakiwe kwiZinto ukwelashwa noma ukuvuselelwa ngemuva kokudluliselwa ukutheleleka kwe-coronavirus.
- Yini enjalo ukubonakaliswa okunjalo kungahlobene nalokho?
U-Andrei Saran: Lokhu kungenzeka kube ngenxa yokungena kwegciwane ebuchosheni ngokusebenzisa isithiyo se-hematosteshwal, njengoba kufakazelwa ngokulahleka kwephunga nokunambitha. Futhi, imbangela yokwephulwa okunjalo kungaba yi-hypoxia, abantu abahlangabezana nayo, kubuhlungu ukutheleleka kwe-coronavirus. Lokhu kungenxa yokuthi le ndawo lapho kuvela khona umoya-mpilo emaphashini incishisiwe, futhi, futhi, ubuchopho bubhekene nendlala yendlala yo-oxygen. Ngenxa yalokho okuhlaselwa ukwethuka kungazibonakalisa - yimiphumela edumile ye-hypoxia.
- Iziguli eziningi zikhala ngokuthi ngemuva kokukhipha, azisebenzisi i-computer computer. Ngani? Futhi emva kwesikhathi ongakucebisa ukuthi uphindaphi?
U-Andrei Sarana: Uma ukhumbula, ngonyaka owedlule bekube nemibono ehlungayo ngokuphelele ukuthi i-Computer Computer ngesikhathi sokutheleleka kwe-coronavirus inomphumela wokupholisa. Ngikukhumbuza ukuthi "ukwelashwa okuvela kwi-Intanethi" kungathinta kabi impilo yakho.
Kuze kube manje, kukhona izinkomba ezicacile ze-tomography yekhompyutha. I-CT ilungele kakhulu isiguli uma kunesithombe somtholampilo sokutheleleka kwe-coronavirus, ngosuku lwesine nolwesihlanu. Okungukuthi, ngaphambi kwalesosikhathi, ngeke sikubone noma yini lapho kunemigomo, futhi kuzomane kube nezinkulumo ezengeziwe. Futhi nangaphansi kwamandla amabi - ngezinsuku zeshumi - zeshumi ngemuva kwesifundo sokuqala.
Futhi-ke, lapho ngikhipha, asincomi i-computer tomography, ngoba kungumthwalo othile wemisebe kanye ne-superfront ye-conradiation yabantu. Uma isiguli sinokuphefumula komoya futhi kukhona okwandiswe emtholampilo, khona-ke isixhumanisi esingaphandle ngodokotela wesifunda sizonquma ukuthi ngabe kunesidingo yini se-CT. Lokhu kungenzeka, kepha empeleni kuyicala elilodwa.
- Olunye ukwesaba odokotela abakhulume ngalo, ukuthi imiphumela yokutheleleka okudlulisiwe kwe-coronavirus isala ngokuphila. Yiqiniso lokhu?
- Uma sikhuluma ngokunqotshwa kwamaphaphu -, ngeshwa, kwenzeka kaningi. Imvamisa, ukwelashwa kwe-pneumonia kunikezwa ngezinsuku ezingama-21, emva kwalokho umuntu alulame. Kepha, ngeshwa, iziguli ezinokutheleleka kwe-coronavirus zikhishwa ekhaya, zinomonakalo endwangu ye-pulmonary. Abaningi, i-Samot of Pneumonia uqobo iyadlula, kepha isimo se-Scar Scar ngesimo se-fibrosis sihlala emaphashini. Le yinto efanayo esika isandla sakho: isilonda sizohlala endaweni yesehlakalo sokusika. Ngakho-ke indwangu ye-pulmonary: uma silimale, khona-ke isilonda sizohlala ngaphakathi kwamaphaphu. Ngeshwa, kwesinye isikhathi kugcinwe impilo ...
- Ngingasho nini ukuthi ubhubhane lweCoronavirus luyagula?
U-Andrei Sarana: Uma sikhumbula okwakungo-December noJanuwari, sasiphawula ukuthi abantu ngamamaki babedlula manje. Ukubuka ukwehla, abantu baphumule futhi bayeke ukugqoka imaski. Futhi hhayi nje ukuthi uNgqongqoshe Wezempilo usanda kuthiwa akekho osula amathuba egagasi lesithathu ubhubhane lweCoronavirus. Ngokwehlangothi olunjalo nokunganakwa ngezindlela zokulwa nokubhala, lokhu kulindeleke impela. Yebo, abanye babantu bagula, ingxenye yokugoma, kepha nokho lolu handla lincane kakhulu. Futhi ukungezwani kwaleli gciwane kusephakeme. Ngakho-ke, ngigqugquzela wonke umuntu ukuthi aqhubeke nokugeza kahle izandla zakho, gcina umkhondo wemicimbi eminingi futhi ugqoke imaski.
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