Kafukufuku adawonetsa kuti pakufufuza kwa odwala omwe ali m'chipatala cha COVID-19, kuchuluka kwa okosijeni wamagazi pansi pa 92% komanso kupuma mwachangu, kozama kumalumikizidwa ndi chiwonjezeko chachikulu chaimfa, zomwe zikuwonetsa kuti anthu omwe ali ndi kachilomboka ayenera kukhala kunyumba Dziwani kuti zizindikiro izi amatsogoleredwa ndi ofufuza pa yunivesite ya Washington ku Seattle.
Kafukufukuyu, yemwe adasindikizidwa lero mu Influenza and Other Respiratory Virus, adawunikanso tchati cha odwala 1,095 achikulire omwe adagonekedwa ku Washington University Hospital kapena Chicago Rush University Medical Center kuyambira pa Marichi 1 mpaka Juni 8, 2020.
Pafupifupi odwala onse omwe ali ndi mpweya wochepa (99%) ndi kupuma pang'ono (98%) anapatsidwa mpweya wowonjezera ndi corticosteroids kuti athetse kutupa.
Mwa odwala 1,095, 197 (18%) adafera m'chipatala.Poyerekeza ndi odwala omwe ali m'chipatala omwe ali ndi mpweya wabwino wa okosijeni m'magazi, odwala omwe ali ndi mpweya wochepa wa okosijeni ndi 1.8 mpaka 4.0 nthawi zambiri kuti afe m'chipatala.Mofananamo, odwala omwe ali ndi kupuma kwakukulu amakhala ndi mwayi wofa nthawi 1.9 mpaka 3.2 kuposa odwala omwe ali ndi kupuma kwabwino.
Odwala ochepa amanena kuti akupuma pang'onopang'ono (10%) kapena chifuwa (25%), ngakhale kuti mpweya wawo wa magazi ndi 91% kapena wotsika, kapena amapuma nthawi 23 pamphindi kapena kuposa."Pakafukufuku wathu, 10% yokha ya odwala omwe adagonekedwa m'chipatala adanenanso kuti akupuma movutikira.Zizindikiro za kupuma pakuloledwa sizinali zokhudzana ndi hypoxemia [hypoxia] kapena kufa.Izi zikugogomezera kuti zizindikiro za kupuma sizodziwika ndipo sizingakhale Zolondola kudziwa odwala omwe ali pachiwopsezo chachikulu, "wolembayo adalemba, ndikuwonjezera kuti kuchedwa kuzindikirika kungayambitse zotsatira zoyipa.
Mlozera wochuluka wa thupi umagwirizana ndi kuchepa kwa mpweya wa okosijeni komanso kupuma mofulumira.Kutentha kwa thupi, kugunda kwa mtima ndi kuthamanga kwa magazi sizikugwirizana ndi imfa.
Chizindikiro chodziwika kwambiri pakuloledwa chinali kutentha thupi (73%).Avereji ya zaka za odwala anali zaka 58, 62% anali amuna, ndipo ambiri anali ndi matenda oopsa monga kuthamanga kwa magazi (54%), shuga (33%), matenda a mitsempha yamagazi (12%) ndi kulephera kwa mtima (12%).
"Zomwe zapezazi zimagwiranso ntchito pazochitika za moyo wa odwala ambiri a COVID-19: kukhala kunyumba, kukhala ndi nkhawa, kudzifunsa kuti angadziwe bwanji ngati matenda awo apita patsogolo, ndikudzifunsa kuti ndi zomveka bwanji kupita kuchipatala," wolemba mnzake Neal. Chatterjee Medical Dokotala adatero pamsonkhano wa atolankhani ku yunivesite ya Washington
Wolembayo adati zotsatira za kafukufukuyu zikuwonetsa kuti ngakhale anthu omwe ali pachiwopsezo chachikulu omwe ali ndi vuto la asymptomatic COVID-19 ndipo ali ndi zotsatira zoyipa chifukwa cha ukalamba kapena kunenepa kwambiri ayenera kuwerengera mpweya wawo pamphindi ndikupeza pulse oximeter kuti ayeze.Wolemba wa kafukufuku wawo wokhudzana ndi okosijeni wamagazi adati kunyumba.Ananena kuti pulse oximeter imatha kudulidwa m'manja mwanu ndipo imawononga ndalama zosakwana $20.Koma ngakhale popanda pulse oximeter, kupuma mofulumira kungakhale chizindikiro cha kupuma.
"Mulingo wosavuta ndikupumira - mumapuma kangati mphindi imodzi," wolemba mnzake Nona Sotoodehnia, MD, MPH adatero potulutsa atolankhani.“Ngati simukusamala za kupuma, lolani mnzanu kapena wachibale kuti akuoneni kwa mphindi imodzi.Ngati mumapuma maulendo 23 pamphindi, muyenera kuonana ndi dokotala wanu. "
Sotoodehnia adanenanso kuti glucocorticoids ndi oxygen yowonjezera imatha kupindulitsa odwala a COVID-19."Timapatsa odwala mpweya wowonjezera kuti asunge mpweya wabwino wa magazi pa 92% mpaka 96%," adatero."Ndikofunikira kudziwa kuti odwala okhawo omwe amagwiritsa ntchito mpweya wowonjezera amatha kupindula ndi zotsatira zopulumutsa moyo za glucocorticoids."
Ofufuzawa adapemphanso kuti asinthenso malangizo a COVID-19 a Centers for Disease Control and Prevention (CDC) ndi World Health Organisation (WHO), omwe amalangiza odwala omwe ali ndi coronavirus kuti akapeze chithandizo chamankhwala akakhala ndi zizindikiro zodziwikiratu monga "dyspnea". ” ndi “dyspnea.”Kupweteka kosalekeza kapena kupanikizika pachifuwa.”
ÂWodwalayo sangakumane ndi zizindikiro izi, ngakhale kupuma kumathamanga komanso mpweya wa okosijeni wamagazi watsika kwambiri.Malangizowo ndi ofunikira makamaka kwa omwe akulumikizana nawo kuchipatala choyamba (monga madotolo apabanja ndi opereka chithandizo cha telemedicine).
Chatterjee adati: "Tikupangira kuti CDC ndi WHO iganizire zakusinthanso malangizo awo kuti aganizire za anthu asymptomatic omwe ali oyenera kugonekedwa m'chipatala ndi kusamalidwa.""Koma anthu sadziwa malangizo a WHO ndi Centers for Disease Control and Prevention.Ndondomeko;tinalandira malangizowa kuchokera kwa madokotala athu ndi malipoti a nkhani.”
CIDRAP-Center for Infectious Disease Research and Policy, Ofesi ya Wachiwiri kwa Purezidenti wa Research, University of Minnesota, Minneapolis, Minnesota
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Nthawi yotumiza: Jun-18-2021