Ongororo yakaratidza kuti muongororo yevarwere vechipatara COVID-19, mwero weokisijeni weropa uri pasi pe92% uye nekukurumidza, kudzika kufema kunobatana nekuwedzera kukuru kwekufa, izvo zvinoratidza kuti vanhu vanoongorora hutachiona vanofanirwa kunge vari kumba Ziva kuti zviratidzo izvi zvinotungamirirwa nevatsvakurudzi paYunivhesiti yeWashington muSeattle.
Chidzidzo ichi, chakaburitswa nhasi muInfluenza uye Mamwe Mavhairasi Anofema, akaita ongororo yechati yevarwere vekoronavirus zviuru zana nemakumi mapfumbamwe vakaiswa muchipatara kuWashington University Hospital kana Chicago Rush University Medical Center kubva Kurume 1 kusvika Chikumi 8, 2020.
Vanenge vese varwere vane yakaderera okisijeni mazinga (99%) uye kupfupika kwekufema (98%) vakapihwa yekuwedzera oksijeni uye corticosteroids kudzikamisa kuzvimba.
Pavarwere 1,095, 197 (18%) vakafira muchipatara.Kuenzaniswa nevarwere vari muchipatara vane yakajairika blood oxygen saturation, varwere vane yakaderera ropa okisijeni saturation vari 1.8 kusvika 4.0 kakawanda mukana kufa muchipatara.Saizvozvo, varwere vane huwandu hwekufema zvakanyanya vane 1.9 kusvika 3.2 nguva dzinonyanya kufa pane varwere vane zvakajairika kufema mitengo.
Varwere vashoma vanotaura kupfupika kwekufema (10%) kana kukosora (25%), kunyange kana ropa ravo reokisijeni riri 91% kana pasi, kana vanofema 23 nguva paminiti kana kupfuura.“Muchidzidzo chedu, chikamu che10% chete chevarwere vari muchipatara ndicho chakashuma kutadza kufema.Zviratidzo zvekufema pakubvumirwa hazvina hukama ne hypoxemia [hypoxia] kana kufa.Izvi zvinosimbisa kuti zviratidzo zvekufema hazvina kujairika uye zvinogona kunge zvisiri Kunyatso ratidza varwere vari panjodzi, "munyori akanyora, achiwedzera kuti kunonoka kuzivikanwa kunogona kutungamirira kumigumisiro yakaipa.
Indekisi yepamusoro yehuremu hwemuviri inoenderana nekuderera kwemazinga eokisijeni uye nekukurumidza kufema mwero.Tembiricha yemuviri, kurova kwemoyo uye BP hazvina chekuita nerufu.
Chiratidzo chainyanya kuoneka pakupinzwa kwaiva fivha (73%).Avhareji yezera revarwere yaive makore makumi mashanu nemasere, 62% vaive varume, uye vazhinji vaive nezvirwere zvakaita sehypertension (54%), chirwere cheshuga (33%), coronary artery disease (12%) uye heart failure (12%).
"Izvi zvakawanikwa zvinoshanda kune zviitiko zvehupenyu hwevarwere vazhinji veCCIDID-19: kuve pamba, kunzwa kunetseka, kunetseka kuti voziva sei kana mamiriro avo achizoenderera mberi, uye nekunetsekana kuti pazvine musoro kuenda kuchipatara," munyori anotungamira Neal. Chatterjee Medical Chiremba akadaro pamusangano wevatori venhau paYunivhesiti yeWashington
Munyori akataura kuti mhedzisiro yechidzidzo ichi inoratidza kuti kunyangwe vanhu vari panjodzi huru vane asymptomatic COVID-19 kuongororwa vane hutachiona uye vaine mhedzisiro yakaipa nekuda kwekukura kana kufutisa vanofanirwa kuverenga kufema kwavo paminiti uye kuwana pulse oximeter yekuvayera.Munyori wekudzidza kwavo kweokisijeni yeropa akadaro kumba.Vakataura kuti pulse oximeter inogona kusungirirwa pamunwe wako uye inodhura isingasviki madhora makumi maviri.Asi kunyangwe pasina pulse oximeter, kukurumidza kufema mwero kunogona kuve chiratidzo chekufema kunetseka.
"Chiyero chiri nyore kufema - kangani iwe waunofema muminiti," munyori anotungamira Nona Sotoodehnia, MD, MPH akadaro mukuburitswa kwenhau.“Kana usiri kuterera nezvekufema, rega shamwari kana nhengo yemhuri ikuongorore kweminiti imwe chete.Kana ukafema ka23 paminiti, unofanira kuonana nachiremba wako.”
Sotoodehnia yakataura kuti glucocorticoids uye okisijeni yekuwedzera inogona kubatsira varwere veCCIDID-19."Tinopa varwere vane okisijeni yekuwedzera kuchengetedza ropa reokisijeni kuzara pa92% kusvika 96%," akadaro."Zvakakosha kuziva kuti varwere chete vanoshandisa okisijeni yekuwedzera vanogona kubatsirwa nemhedzisiro inoponesa yeglucocorticoids."
Vatsvagiri vakadaidzirawo kuti idzokororwe kuCCIDID-19 nhungamiro yeCenters for Disease Control and Prevention (CDC) neWorld Health Organisation (WHO), iyo inopa varwere vane coronavirus kuti vatsvage kurapwa kana vaona zviratidzo zviri pachena se “dyspnea. "uye" dyspnea.Kugara kurwadza kana kumanikidzwa muchipfuva.”
ÂMurwere anogona kusaona zviratidzo izvi, kunyangwe kufema kuri kukurumidza uye mwero weokisijeni weropa wadzika kusvika padanho rine njodzi.Nhungamiro dzakanyanya kukosha kune yekutanga-mutsara wekiriniki yekusangana (sevanachiremba vemhuri uye telemedicine service providers).
Chatterjee akati: "Tinokurudzira kuti CDC neWHO vafunge nezvekugadzirisa nhungamiro yavo kuti vatarise vanhu ava vasymptomatic avo vakakodzera kuchipatara nekuchengetwa."“Asi vanhu havazive gwara reWHO neCenters for Disease Control and Prevention.Policy;takawana nhungamiro iyi kubva kuna vanachiremba vedu nemishumo yenhau.”
CIDRAP-Center for Infectious Disease Research and Policy, Hofisi yeMutevedzeri weMutungamiri weKutsvagisa, University of Minnesota, Minneapolis, Minnesota.
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Nguva yekutumira: Jun-18-2021