Kubva kutanga kwaZvita gore rino, mutemo weChina wakagadziridzwa, uye danho rekurwisa denda rinoumbwa nehurumende, rubatsiro rwekurapa, huswa, uye vanozvipira rakachinja zvishoma nezvishoma kuenda kudzimba-based anti-denda, uye ini ndave munhu wekutanga. mutoro wehutano.Kubva ibuprofen, acetaminophen, uye Lianhua Qingwen capsules yefivha uye kutonhora, kusvika kuhurukuro yekugara kukosora nemapapu machena muchikamu chekupedzisira chekorona itsva.
Kamwe kamwe, musoro wekuti "chii chinonzi white lung?"yaigara ichiparadzirwa pasocial media, izvo zvakamutsa kushushikana kwakapararira uye panguva imwechete zvakaunza kuvhunduka.
Chiiwhite lung?
"Mapapu machena" harisi izwi rezvechiremba kana chirwere, asi kuratidzwa kwekufungidzira kwechirwere.Patinoita CT kana X-ray kuongorora, inonzi maererano nechitarisiko chemapapu.
Sekureva kwaJiao Yahui, director weDhipatimendi Rezvekurapa reNational Health and Medical Commission, mapapu ane hutano anoumbwa nealveoli ine yakajairika mhepo basa.Alveoli yakadaro izere nemhepo, yakajeka pa X-rays uye CT, uye inoita se "dema".
Nekudaro, kana paine kuzvimba, hutachiona hwehutachiona kana kunyange mapundu emapapu mualveoli, kune exudate uye masero anopisa, kupenya kwealveoli kunova kwakashata, uye mwaranzi haigone kupinda, uye nzvimbo chena dzinoonekwa pamufananidzo.Kana nzvimbo yemufananidzo chena inosvika 70% kusvika 80%, inonzi mapapu chena.
Mumashoko akapfava, mapapu machena hazvirevi kuti matishu uye mativi emapapu anova machena, asi kuti mapapu akakuvadzwa zvikuru.
White mapapu haisi chiratidzo chakasiyana chekorona itsva.Zvimwe zvirwere zvekufema zvinogona kukonzera mapapu machena.Izvo zvakajairika ndeye viral pneumonia, sengeinfluenza virus, adenovirus, rhinovirus, uye zvimwe zvirwere zvebhakitiriya.Mumatambudziko akaoma, mapapu machena anogonawo kuitika;Mukuwedzera, kune zvimwe zvirwere zvisingatapuki zvinogona kukonzera mapapu machena.
Ndezvipi zviratidzo zvewhite lung?Inobata sei muviri wemunhu?
Zviratidzo zvekutanga zve "white lung" zvakanyanya zvinosanganisira kukosora kwenguva refu, kupfupika kwekufema, kusungwa kwechipfuva uye kurwadziwa kwechipfuva, kuneta kwakawanda, kutemwa nemusoro, kana tsandanyama uye kurwadziwa kwemajoini mumuviri wese, uye dyspnea.Mukuwedzera, vanhu vazhinji vanowanzonzwa vakaneta, vanotambura nekuderera kwehutano hwemuviri, uye mhinduro dzinononoka.
"White lung" inowanzoitika kune vakwegura uye vana.Mushure mekunge vakweguru kana avo vane hutachiona husina simba vatapukirwa neiyo coronavirus nyowani, munhu asina simba rekudzivirira anotanga kupindura hutachiona zvishoma nezvishoma, zvichikonzera kudzokorora kwehutachiona.Masero akawanda anotapukirwa, mazinga akakwira ekuzvimba cytokine kusaina anonyengerwa, uye SARS-CoV-2 zvikamu uye cytokines zvinopinda muropa.Nokudaro, iyo alveoli inonyanya kunyura munzvimbo yakakura, iyo inoderedza simba remapapu uye inotungamirira kune dambudziko re "white lung".
Uyezve, dambudziko guru ne "mapapu machena" nderekuti okisijeni haigoni kupinda mumhepo-yeropa chipingamupinyi kuburikidza nealveolar cavity, uyezve kuchinjana mweya neropa.Kana vanhu vasingawani okisijeni kwenguva yakareba, hazvizongokonzeresa kukuvadzwa kwenhengo, asiwo zvinokonzeresa rufu nekuda kwekutadza kufema.
Sekureva kwa Xie Lixin, Chiremba Mukuru weDhipatimendi reKufema uye Nekukosha Kwekurapa Mushonga weGeneral Hospital yeChinese People's Liberation Army, kana munhu asingakwanisi kufema zvakanaka uye kuchinjanisa oxygen neropa, kana akamira kufema kweanopfuura maminetsi mana, zvinokonzeresa kukuvara kusingagadzirike kumuviri wemunhu kusanganisira uropi.Kana zvikatora maminetsi anopfuura gumi, zvinogona kunge zvichiisa upenyu panjodzi.
Zvechokwadi, ndezvipi zviratidzo zve "white lung" zvatave tichitaura nezvazvo, chaizvoizvo, tinongoda kuziva kuti matambudziko api achaitika kumapapu mushure mekorona itsva, uye kunyange muviri wedu wevanhu?
COVID-19 inogona kukonzera pulmonary complication senge pneumonia uye, mumatambudziko akanyanya, acute kufema distress syndrome, kana ARDS.Sepsis, kumwe kukonzeresa kunogona kuitika kweCCIDID-19, kunogonawo kukonzera kukuvara kusingaperi kumapapu nedzimwe nhengo.Zvitsva zvitsva zvekoronavirus zvinogonawo kukonzera zvimwe zvirwere zvemumhepo, zvakaita sebronchitis, izvo zvinogona kuoma zvekuti zvinoda kuchipatara,uko okisijeni kana kunyange mafefetera anoshandiswa pakurapa.
Dr. Galiatsatos, MD, USA, akati: "Sezvatinodzidza zvakawanda nezveSARS-CoV-2 uye inokonzeresa COVID-19, takaona kuti mune yakaoma COVID-19, chirwere chakakurumbira chechirwere chinogona kutungamira kune kwakasiyana kwakakomba. zvirwere, matambudziko uye syndromes."
Nepo vanhu vazhinji vachipora kubva kumabayo pasina kukuvara kusingaperi kwemapapu, pneumonia ine chekuita neCOVID-19 inogona kuve yakakomba.Kunyangwe chirwere ichi chapfuura, kukuvadzwa kwemapapu kunogona kukonzera kupfupika kwekufema, izvo zvinogona kutora mwedzi kuti zvive nani.
Parizvino, huwandu hwekufa kwevarwere vemapapu machena hwakanyanya hunopfuura 40%.Vazhinji varwere vanozosiya sequelae yepulmonary fibrosis, uye mapapu haachakwanise kudzokera kune yavo yekutanga hutano.
Tinofanira kudzivirira sei matambudziko emapapu machena?
Gong Zilong, mutevedzeri wachiremba mukuru weDhipatimendi reKufema uye Critical Care Medicine yeWuhan Fifth Hospital, akapindura mubvunzurudzo ne "Xia Ke Island" kuti mapapu machena haagone kudzivirirwa, asi yambiro yepakutanga.Vakwegura vanofanira kubhadhara zvakanyanya ku "silent hypoxia", kureva kuti, hapana zviratidzo zvakadai sechipfuva uye kupfupika kwekufema, asi mapapu atove akanyanya hypoxic.Zvinokurudzirwa kuti varwere vane chirwere chepasi uye vakweguru vachengete oximeter kumba kuti vatarise kuzara kweokisijeni nenguva.Kamwe kuzara kweokisijeni yeropa munzvimbo yekuzorora kwakaderera kupfuura 93%, vanofanirwa kutsvaga kurapwa nenguva.
Korona itsva yave ichipisa kwemakore matatu, uye kunzwisisa kwedu hakuna kukwana, uye kuchine mibvunzo yakawanda nematambudziko zvisati zvagadziriswa.Asi zvisinei nematambudziko akasiyana anomuka kubva mazviri, mukuongorora kwekupedzisira, isu tinofanirwa kuve munhu wekutanga ane mutoro wehutano hwedu kudzivirira "hutachiona hutsva hwekoronavirus" uye kusiya pfungwa "yekutanga kwezuva uye kupera kwekutanga".
Kudzivirira kuri nani pane kurapa, uye kuva neaLEEYO sterilizerinoderedza zvakanyanya njodzi yehutachiona.Kuuraya utachiona nekuuraya utachiona kuti uzvidzivirire zvakare kuchengetedza mhuri yako.
Nguva yekutumira: Zvita-29-2022