Ua hōʻike ʻia kahi noiʻi i loko o kahi noiʻi o nā mea maʻi maʻi COVID-19, nā pae o ka oxygen koko ma lalo o 92% a me ka wikiwiki a me ka hanu pāpaʻu e pili ana i ka piʻi nui o ka make, e hōʻike ana i ka poʻe e hoʻāʻo maikaʻi i ka maʻi maʻi ma ka home. alakaʻi ʻia kēia mau hōʻailona e nā mea noiʻi ma ke Kulanui o Wakinekona ma Seattle.
ʻO ke aʻo ʻana, i paʻi ʻia i kēia lā ma Influenza and Other Respiratory Viruses, i hana i kahi loiloi palapala o 1,095 mau maʻi coronavirus makua i mālama ʻia i ka haukapila ma Washington University Hospital a i ʻole Chicago Rush University Medical Center mai Malaki 1 a Iune 8, 2020.
ʻO nā mea maʻi āpau me nā pae haʻahaʻa o ka oxygen (99%) a me ka pōkole o ka hanu (98%) i hāʻawi ʻia i ka oxygen supplemental a me nā corticosteroids e hoʻomaha ai i ka mumū.
ʻO nā maʻi 1,095, 197 (18%) i make i ka haukapila.Hoʻohālikelike ʻia me nā maʻi maʻi maʻi me ka saturation oxygen koko maʻamau, ʻo ka poʻe maʻi me ke koko haʻahaʻa oxygen saturation he 1.8 a 4.0 mau manawa e make ai i ka haukapila.Pēlā nō, ʻo ka poʻe maʻi me ka hanu hanu kiʻekiʻe he 1.9 a 3.2 manawa ʻoi aku ka nui o ka make ma mua o nā mea maʻi me ka nui o ka hanu maʻamau.
He liʻiliʻi nā poʻe maʻi e hōʻike i ka pōkole o ka hanu (10%) a i ʻole ka ʻū (25%), ʻoiai inā he 91% a haʻahaʻa paha ko lākou koko oxygen, a i ʻole he 23 mau manawa i kēlā me kēia minuke a ʻoi aku paha."I kā mākou noiʻi ʻana, ʻo 10% wale nō o nā maʻi maʻi i hōʻike ʻia i ka pōkole o ka hanu.ʻAʻole pili nā hōʻailona hanu i ke komo ʻana me ka hypoxemia [hypoxia] a i ʻole ka make.Hoʻomaopopo kēia ʻaʻole maʻamau nā hōʻailona hanu a ʻaʻole paha e ʻike pololei i nā maʻi maʻi kiʻekiʻe, "i kākau ai ka mea kākau, me ka hoʻohui ʻana i ka lohi ʻana e alakaʻi i nā hopena maikaʻi ʻole.
Hoʻopili ʻia kahi helu helu kino kiʻekiʻe i ka pae haʻahaʻa o ka oxygen a me ka wikiwiki o ka hanu ʻana.ʻAʻole pili ka wela o ke kino, ka puʻuwai a me ke koko i ka make.
ʻO ka hōʻailona maʻamau i ke komo ʻana he kuni (73%).ʻO ka awelika o nā makahiki o ka poʻe maʻi he 58 mau makahiki, 62% he kāne, a he nui nā maʻi i loaʻa i lalo e like me ke kiʻekiʻe (54%), ka maʻi maʻi (33%), ka maʻi coronary artery (12%) a me ka hāʻule o ka naʻau (12%).
"E pili ana kēia mau ʻike i nā ʻike ola o ka hapa nui o nā maʻi maʻi COVID-19: noho ma ka home, hopohopo, noʻonoʻo pehea e ʻike ai inā e holomua ko lākou kūlana, a me ka noʻonoʻo ʻana i ka manawa kūpono ke hele i ka haukapila," ka mea kākau alakaʻi ʻo Neal. ʻO ka lāʻau lapaʻau ʻo Chatterjee Ua ʻōlelo ke kauka ma kahi hālāwai kūkā ma ke Kulanui o Wakinekona
Ua ʻōlelo ka mea kākau, ʻo nā hopena o ka noiʻi e hōʻike ana ʻo ka poʻe kiʻekiʻe me ka asymptomatic COVID-19 e hoʻāʻo ana i ka maikaʻi a loaʻa nā hopena maikaʻi ʻole ma muli o ka ʻelemakule a i ʻole ka momona e helu i ko lākou hanu i kēlā me kēia minuke a loaʻa i kahi pulse oximeter e ana iā lākou.Ua ʻōlelo ka mea kākau o kā lākou koko oxygen concentration study ma ka home.Ua ʻōlelo lākou, hiki ke ʻoki ʻia ka pulse oximeter i kou manamana lima a emi mai ka $20.Akā ʻoiai me ka ʻole o ka pulse oximeter, hiki i ka hanu hanu wikiwiki ke hōʻailona o ka pilikia hanu.
"ʻO ke ana maʻalahi ka hanu ʻana-ehia mau manawa e hanu ai ʻoe i hoʻokahi minuke," i ʻōlelo ʻia e ka mea kākau alakaʻi alakaʻi ʻo Nona Sotoodehnia, MD, MPH i kahi hoʻolaha."Inā ʻaʻole ʻoe e noʻonoʻo i ka hanu ʻana, e ʻae i kahi hoaaloha a ʻohana paha e nānā iā ʻoe no hoʻokahi minuke.Inā hanu ʻoe i 23 mau manawa i kēlā me kēia minuke, pono ʻoe e kelepona i kāu kauka.
Ua kuhikuhi ʻo Sotoodehnia e hiki i nā glucocorticoids a me ka oxygen supplemental ke pōmaikaʻi i nā maʻi maʻi COVID-19."Hāʻawi mākou i nā maʻi me ka oxygen supplemental e mālama i ka saturation oxygen koko ma 92% a 96%," i ʻōlelo ai ʻo ia."He mea nui e hoʻomaopopo i ka poʻe maʻi wale nō e hoʻohana i ka oxygen supplemental hiki ke pōmaikaʻi mai nā hopena hoʻopakele ola o nā glucocorticoids."
Ua kāhea ka poʻe noiʻi no ka hoʻoponopono hou ʻana i nā alakaʻi COVID-19 o nā Centers for Disease Control and Prevention (CDC) a me ka World Health Organization (WHO), ka mea e ʻōlelo nei i nā poʻe maʻi me ka coronavirus e ʻimi i ka lāʻau lapaʻau ke ʻike lākou i nā hōʻailona maopopo e like me "dyspnea. "a me ka "dyspnea."ʻeha mau a i ʻole ke kaomi ʻana i ka umauma.”
ʻAʻole hiki i ka mea maʻi ke ʻike i kēia mau hōʻailona, ʻoiai inā wikiwiki ka hanu a ua hāʻule ke kiʻekiʻe o ka oxygen koko i kahi pae weliweli.He mea koʻikoʻi loa nā alakaʻi no nā hoʻopili lāʻau lapaʻau mua (e like me nā kauka ʻohana a me nā mea lawelawe telemedicine).
Ua ʻōlelo ʻo Chatterjee: "Ke manaʻo nei mākou e noʻonoʻo ka CDC a me WHO i ka hoʻoponopono hou ʻana i kā lākou mau alakaʻi e noʻonoʻo i kēia poʻe asymptomatic i kūpono i ka haukapila a mālama.""Akā ʻaʻole ʻike ka poʻe i ke alakaʻi o ka WHO a me nā Centers for Disease Control and Prevention.Kulekele;ua loaʻa iā mākou kēia alakaʻi mai kā mākou mau kauka a me nā hōʻike nūhou. "
CIDRAP-Center for Infectious Disease Research and Policy, Office of the Vice President for Research, University of Minnesota, Minneapolis, Minnesota
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Ka manawa hoʻouna: Iune-18-2021