Uphononongo lubonise ukuba kuphononongo lwezigulana ezilaliswe esibhedlele ze-COVID-19, amanqanaba eoksijini yegazi angaphantsi kwe-92% kwaye ngokukhawuleza, ukuphefumla okunzulu kunxulunyaniswa nokwanda kokusweleka kwabantu, nto leyo ecebisa ukuba abantu abavavanya ukuba banayo le ntsholongwane kufuneka babe sekhaya Qaphela ukuba le miqondiso ikhokelwa ngabaphandi kwiYunivesithi yaseWashington eSeattle.
Uphononongo, olupapashwe namhlanje kwi-Influenza kunye nezinye iiNtsholongwane zokuPhumla, lwenze uphononongo lwetshathi ye-1,095 yabantu abadala abaguli be-coronavirus ababelaliswe esibhedlele kwiSibhedlele seYunivesithi yaseWashington okanye iChicago Rush University Medical Centre ukusuka ngomhla woku-1 ukuya kuJuni 8, 2020.
Phantse zonke izigulane ezinamaqondo aphantsi oksijini (99%) kunye nokuphefumula okufutshane (98%) zanikwa i-oksijeni eyongezelelweyo kunye ne-corticosteroids ukuzola ukuvutha.
Kwi-1,095 yezigulane, i-197 (18%) yabhubhela esibhedlele.Xa kuthelekiswa nezigulane ezibhedlele kunye ne-blood oxygen saturation, izigulane ezine-oksijini ephantsi yegazi zi-1.8 ukuya kwii-4.0 amaxesha amaninzi okufa esibhedlele.Ngokufanayo, izigulana ezinamazinga aphezulu okuphefumla zi-1.9 ukuya kwi-3.2 amaxesha angaphezulu amathuba okufa kunezigulana ezinezinga eliqhelekileyo lokuphefumla.
Izigulane ezimbalwa zibika ukuphefumula okufutshane (10%) okanye ukukhwehlela (25%), nokuba izinga labo le-oksijini yegazi li-91% okanye liphantsi, okanye baphefumle amaxesha angama-23 ngomzuzu okanye ngaphezulu.“Kuphononongo lwethu, yi-10% kuphela yezigulana ezisesibhedlele ezichaze ukuphefumla kancinci.Iimpawu zokuphefumla ekumkelweyo zazingadibani ne-hypoxemia [hypoxia] okanye ukufa.Oku kugxininisa ukuba iimpawu zokuphefumla aziqhelekanga kwaye zisenokungachongi ngokuchanekileyo izigulana ezisemngciphekweni omkhulu,” wabhala umbhali, esongeza ukuba ukulibaziseka ukuchongwa kunokukhokelela kwiziphumo ezibi.
Isalathisi esiphezulu sobunzima bomzimba sinxulumene namanqanaba aphantsi e-oksijini kunye namazinga okuphefumla ngokukhawuleza.Ubushushu bomzimba, ukubetha kwentliziyo kunye noxinzelelo lwegazi azinanto yakwenza nokufa.
Olona phawu luxhaphakileyo ekumkelwe kulo ngumkhuhlane (73%).Umyinge weminyaka yezigulane yiminyaka eyi-58, i-62% yayingamadoda, kwaye abaninzi babenezifo eziphantsi ezifana noxinzelelo lwegazi (54%), isifo seswekile (33%), isifo se-coronary artery (12%) kunye nokuhluleka kwentliziyo (12%).
"Ezi ziphumo zisebenza kumava obomi bezigulana ezininzi ze-COVID-19: ukuba sekhaya, ukuziva unexhala, uzibuza ukuba ungazi njani ukuba imeko yabo iya kuqhubeka, kwaye uzibuza ukuba kuyavakala nini ukuya esibhedlele," umbhali okhokelayo uNeal. Chatterjee Medical Ugqirha uthe kwinkomfa yeendaba kwiYunivesithi yaseWashington
Umbhali uthe iziphumo zophononongo zibonisa ukuba nabantu abasemngciphekweni omkhulu abanovavanyo lwe-asymptomatic ye-COVID-19 kwaye baneziphumo ezibi ngenxa yobudala okanye ukutyeba kakhulu kufuneka babale ukuphefumla kwabo ngomzuzu kwaye bafumane i-pulse oximeter yokubalinganisa.Umbhali wesifundo sabo soxinaniso lwe-oksijini yegazi wathi ekhaya.Batsho ukuba i-pulse oximeter inokunqunyulwa kwiminwe yakho kwaye ixabisa ngaphantsi kweedola ezingama-20.Kodwa nangaphandle kwe-pulse oximeter, izinga lokuphefumla ngokukhawuleza linokuba luphawu loxinzelelo lokuphefumula.
"Umlinganiselo olula yinqanaba lokuphefumla-uphefumla kangaphi ngomzuzu," umbhali okhokelayo uNona Sotoodehnia, MD, MPH uthe kwi-press release.“Ukuba akuhoyi ukuphefumla, vumela umhlobo okanye ilungu losapho likujonge umzuzu omnye.Ukuba uphefumla izihlandlo ezingama-23 ngomzuzu, kufuneka uqhagamshelane nogqirha wakho.”
I-Sotoodehnia yachaza ukuba i-glucocorticoids kunye neoksijini eyongezelelweyo inokunceda abaguli be-COVID-19."Sibonelela izigulane nge-oksijeni eyongezelelweyo ukugcina i-oxygen saturation yegazi kwi-92% ukuya kwi-96%," watsho."Kubalulekile ukuqaphela ukuba kuphela izigulana ezisebenzisa ioksijini eyongezelelweyo ezinokuzuza kwimiphumo esindisa ubomi yeglucocorticoids."
Abaphandi baye bacela ukuba kuhlaziywe izikhokelo ze-COVID-19 zamaZiko oLawulo lweSifo kunye noThintelo (CDC) kunye noMbutho wezeMpilo weHlabathi (i-WHO), ecebisa abaguli abane-coronavirus ukuba bafune unyango xa beneempawu ezicacileyo ezifana “nedyspnea. ” kunye “ne-dyspnea.”Iintlungu eziqhubekayo okanye uxinzelelo kwisifuba.”
Isigulana sinokungazifumani ezi mpawu, nokuba isantya sokuphefumla siyakhawuleza kwaye inqanaba le-oxygen yegazi liye lehla laya kumgangatho onobungozi.Izikhokelo zibaluleke kakhulu kuqhagamshelwano lwezonyango lokuqala (njengoogqirha bosapho kunye nababoneleli ngenkonzo ye-telemedicine).
UChatterjee uthe: "Sicebisa ukuba i-CDC kunye ne-WHO zithathele ingqalelo ukuhlengahlengisa izikhokelo zabo ukuze zithathele ingqalelo aba bantu bangabonakalisi mpawu bafanele ukulaliswa esibhedlele kunye nokhathalelo."“Kodwa abantu abalazi isikhokelo se-WHO kunye namaZiko oLawulo lweSifo noThintelo.umgaqo-nkqubo;esi sikhokelo sifumene koogqirha bethu nakwiingxelo zeendaba.”
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Ixesha lokuposa: Jun-18-2021