Ubushakashatsi bwerekanye ko mu bushakashatsi bwakozwe ku barwayi ba COVID-19 bari mu bitaro, urugero rwa ogisijeni mu maraso iri munsi ya 92% kandi guhumeka vuba, guhumeka neza bifitanye isano n’ubwiyongere bukabije bw’imfu, ibyo bikaba byerekana ko abantu bapima virusi bagomba kuba mu rugo Menya ko ibi bimenyetso biyobowe nabashakashatsi bo muri kaminuza ya Washington muri Seattle.
Ubu bushakashatsi bwatangajwe uyu munsi muri grippe na Virusi z’ubuhumekero, bwerekanye imbonerahamwe y’abarwayi 1095 bakuze ba coronavirus bakuze bari mu bitaro mu bitaro bya kaminuza ya Washington cyangwa mu kigo cy’ubuvuzi cya kaminuza ya Chicago Rush kuva ku ya 1 Werurwe kugeza ku ya 8 Kamena 2020.
Hafi y’abarwayi bose bafite ogisijeni nkeya (99%) no guhumeka neza (98%) bahawe ogisijeni yinyongera na corticosteroide kugirango batuze umuriro.
Mu barwayi 1.095, 197 (18%) bapfiriye mu bitaro.Ugereranije n’abarwayi bari mu bitaro bafite amaraso ya ogisijeni asanzwe yuzuye, abarwayi bafite ogisijeni nkeya mu maraso bakubye inshuro 1.8 kugeza kuri 4.0.Mu buryo nk'ubwo, abarwayi bafite umuvuduko mwinshi w'ubuhumekero bakubye inshuro 1,9 kugeza kuri 3.2 kurusha abarwayi bafite ubuhumekero busanzwe.
Ni abarwayi bake bavuga ko bahumeka neza (10%) cyangwa inkorora (25%), kabone niyo urugero rwabo rwa ogisijeni mu maraso ari 91% cyangwa munsi, cyangwa bahumeka inshuro 23 ku munota cyangwa urenga.Ati: “Mu bushakashatsi bwacu, 10% gusa by'abarwayi bari mu bitaro bavuze ko bahumeka.Ibimenyetso by'ubuhumekero ku kwinjira ntabwo byari bifitanye isano na hypoxemia [hypoxia] cyangwa impfu.Ibi bishimangira ko ibimenyetso by’ubuhumekero bidakunze kubaho kandi ko bidashobora kumenya neza abarwayi bafite ibyago byinshi. ”Umwanditsi yanditse, yongeraho ko gutinda kumenyekana bishobora gutera ingaruka mbi.
Umubare munini wumubiri ujyanye no kugabanya urugero rwa ogisijeni no kwihuta guhumeka.Ubushyuhe bwumubiri, umuvuduko wumutima hamwe n umuvuduko wamaraso ntaho bihuriye nurupfu.
Ikimenyetso cyakunze kugaragara ku kwinjira ni umuriro (73%).Impuzandengo y’abarwayi yari imyaka 58, 62% ni abagabo, kandi benshi bari bafite indwara zishingiye kuri hypertension (54%), diyabete (33%), indwara zifata imitsi (12%) no kunanirwa k'umutima (12%).
Umwanditsi umwe witwa Neal, umwe mu bayobozi ba Neal yagize ati: "Ubu bushakashatsi burareba ubuzima bw'abarwayi benshi ba COVID-19: kuba mu rugo, kumva uhangayitse, kwibaza uko wamenya niba ubuzima bwabo buzatera imbere, no kwibaza igihe byumvikana kujya mu bitaro." Ubuvuzi bwa Chatterjee Muganga yabivuze mu kiganiro n'abanyamakuru muri kaminuza ya Washington
Umwanditsi yavuze ko ibyavuye mu bushakashatsi byerekana ko n'abantu bafite ibyago byinshi bafite virusi ya COVID-19 yipimishije kandi bafite ingaruka mbi bitewe n'ubusaza cyangwa umubyibuho ukabije bagomba kubara umwuka wabo ku munota kandi bakabona oximeter ya pulse yo kubipima.Umwanditsi wubushakashatsi bwibanze bwamaraso ya ogisijeni yabivuze murugo.Bavuze ko oximeter ya pulse ishobora gufatanwa urutoki kandi igura amadorari 20.Ariko nubwo hatabayeho okisimeteri ya pulse, umuvuduko wo guhumeka byihuse birashobora kuba ikimenyetso cyubuhumekero.
Mu kiganiro n'abanyamakuru, Nona Sotoodehnia, MD, MPH yagize ati: "Igipimo cyoroshye ni uguhumeka-ni kangahe uhumeka mu minota."“Niba utitaye ku guhumeka, reka inshuti cyangwa umuryango wawe bagukurikirane umunota umwe.Niba uhumeka inshuro 23 ku munota, ugomba guhamagara muganga wawe. ”
Sotoodehnia yerekanye ko glucocorticoide na ogisijeni yinyongera bishobora kugirira akamaro abarwayi ba COVID-19.Ati: "Duha abarwayi ogisijeni y'inyongera kugira ngo umwuka wa ogisijeni wuzure kuri 92% kugeza kuri 96%".Ati: "Ni ngombwa kumenya ko abarwayi bakoresha ogisijeni y'inyongera ari bo bonyine bashobora kungukirwa n'ingaruka zirokora ubuzima bwa glucocorticoide."
Abashakashatsi basabye kandi ko hasubirwamo amabwiriza ya COVID-19 y’ikigo gishinzwe kurwanya no gukumira indwara (CDC) n’umuryango w’ubuzima ku isi (OMS), agira inama abarwayi bafite coronavirus kwivuza igihe babonye ibimenyetso bigaragara nka “dyspnea ”Na“ dyspnea. ”Guhorana ububabare cyangwa igitutu mu gituza.”
ÂUmurwayi ntashobora guhura nibi bimenyetso, nubwo umuvuduko wo guhumeka wihuta kandi urugero rwa ogisijeni yamaraso rwaragabanutse kurwego ruteye akaga.Amabwiriza ni ingenzi cyane cyane kumurongo wambere wamavuriro (nkabaganga bimiryango nabatanga serivise za telemedisine).
Chatterjee yagize ati: "Turasaba ko CDC na OMS batekereza kuvugurura umurongo ngenderwaho kugira ngo tuzirikane abo bantu badafite ibimenyetso bifatika bakwiriye gushyirwa mu bitaro no kwitabwaho."Ati: “Ariko abantu ntibazi ubuyobozi bwa OMS hamwe n’ikigo gishinzwe kurwanya no gukumira indwara.Politiki;twabonye ubu buyobozi ku baganga bacu na raporo z'amakuru. ”
CIDRAP-Ikigo cy’ubushakashatsi na politiki byanduza indwara, Ibiro bya Visi Perezida ushinzwe Ubushakashatsi, Kaminuza ya Minnesota, Minneapolis, Minnesota
© 2021 Abayobozi ba kaminuza ya Minnesota.uburenganzira bwose burabitswe.Kaminuza ya Minnesota ni amahirwe angana yo kwigisha n'umukoresha.
CIDRAP Â | Â Ibiro bya Visi Perezida w’ubushakashatsi |Twandikire M Â |Policy Politiki y’ibanga
Igihe cyo kohereza: Jun-18-2021