NgoJuni 2021, kwaziwa ukuba imvumi ye-mcsm igula. Ukrokrelwa ukuba usulelo lwe-coronavirus, olwahlula emhlabeni ukusuka ekuqaleni kuka-2020 kwaye bakwazile ukuthatha ubomi bezigidi zabantu kumazwe ahlukeneyo, kodwa umphumo wovavanyo lwesithathu lwaluqinisekile. Imeko yomdlali wefits "Ngaba uyazi" kunye "nokuthantamisa", okufumaneka kwikliniki yabucala, ogqirha bavavanya ukuba zinzima kangakanani na: ukuphuculwa kwezempilo akujongwa.
Kwi-24cm ye-24cm-Kwenzeka ntoni ngoku ngeMaksim, iindaba zakutshanje malunga nelizwi lendawo esingqongileyo kunye nogqirha ogqirha malunga nexesha elilindeleyo kwikamva.
Kwenzeka ntoni eMaksim?
UMarina Abrosimova, owaziwa eRussia nakwamanye amazwe njengomdlali we-mesim, malunga neeveki ezintathu ezihlala kwi-coma. Imvumi yayilahliwe esibhedlele eMoscow phakathi kuJuni 2021. E-Eva, usaziwayo wabhiyozela usuku lwayo olungama-38, kwaye emva kokuba edlalwa ngekhonsathi kwiKazan, ngaphandle kokuwohloka kwentlalo-ntle ye-Orm, eyabona i-alamu yokuqala ye-Orv kunye neqondo lokushisa. Uvavanyo lwe-Coronavirus, olwa lwenziwa ngokukhawuleza, lwanika iziphumo ezibi.Nangona kunjalo, emva kwexesha, imeko yemvumi yawohloka, ukuhla kwekhosi yekhosi kwavela, ubunzima bokuphefumla nokukhohlela. I-ambulensi yayinikela kwikliniki, apho wenza khona i-tomography yecomputer kwaye kwaqhutywa lonke uphando. Uvavanyo kwakhona aluzange luqinisekise ukuba ubukho bosulelo emzimbeni womculi. Nangona kunjalo, oogqirha baxele ukoyiswa kwe-40% yemiphunga kunye nokufumana i-pneumonia. Umntu osaziwayo waxelela abalandeli ngentlalo-ntle yabo, ethumela iposti kwi "Instagram" enemifanekiso evela kwigumbi lesibhedlele. Nangona kunjalo, kamva wanyamalala kwiinethiwekhi zentlalo, ekupheliseni iindaba ezintsha malunga nemeko yazo yempilo kunye nemeko yempilo kunokubangela iinkxalabo zobuchule.
Nge-19 kaJuni, bekukho iingxelo zokuba umntu osaziwayo watshintshelwa kukhathalelo olunzulu. Yaziwa ukuba imvumi ye-mcsm yaziswa ngoogqirha kwi-artificial kwaye iqhagamshelwe kwizixhobo ze-willmonary willmonary, kuba yayisiba nzima ngakumbi ukuyiphefumlela yedwa. Ukusetyenziswa komphelili oqinileyo kungancedi, oogqirha babefuna ukukhulula inkqubo yokuphefumla. Uvavanyo olutsha lwenziwe ngeCovide-19 lwalukuba nesiphumo esihle. Ngokutsho kogqirha, le meko yayinzima kakhulu kwilizwi elinamandla legama elibuthathaka: Benza bengazi iziphumo zengozi onamava kunye nolokhuseleko, apho i-mcsm izabalasele kwakudala.
Izimvo zeengcali
Kuyaziwa ukuba imvumi ye-mcsm ibelele kwiwadi enye phantsi kolawulo lomntu ngamnye kubongikazi kunye noogqirha kwiziko lezonyango labucala e-Otradnaya. Emva kwexesha, abameli babameli baxela ukuba kwesi sibhedlele asisekho. Kuyabonakala ukuba, umongo watshintshelwa kwenye ikliniki. Oogqirha abakhawulezi noxelelo malunga nexesha elithile lesigulana, kuba imeko iphuhlise kakhulu. Kuhlala kukho ithemba kuphela kummangaliso oya kubuyiswa ngabantu abadumileyo kwiimeko ezinjalo, iingcali ziyaqiniseka.
Umculi ufumanisa ukuba uthobe ukonakaliswa kwemiphunga: I-Polysegenic kwicala lePilysegenic Pneumonia. Oogqirha -i-PulmoOlogists nabanye ogqirha bayakhankanya ukuba kwiingxaki ezihamba-xingozelelo, ukongeza ukophulwa kwenyama yotshintshiselwano ngegesi kunye nokusilela kwento yokuphefumla, kubangela imiphumo emibi.
Ngokwangoogqirha, iziphumo zosulelo kunye neengxaki ziba mkhulu kakhulu ngenxa yokuba imvumi engakhange iqaphe ukubonwa kwebhedi ngokukhawuleza xa wayeziva ukonakaliswa kwezempilo. Incoko kwikonsathi kwimo leyo iguqulwe yaba yimculi yocwangciso lwemvumi yemiphunga: Ukucula kufuna umoya onamandla wezinto zokuphefumla. Oku kuba negalelo kwinto yokuba usulelo lwasasaza imibane, ukubetha ilaphu lemiphu njengedangatye elinyibilikisi ifilimu yePolithylene.
I-MEDICS ukuba imiphumo yotywala ichaphazelekayo: Umzimba ophelelekileyo awunakuhlangabezana neengxaki ezininzi kangaka kwangaxeshanye niyihlasele kumacala ahlukeneyo. Kukwangqina ngokwesayensi ukuba utywala butshabalalisa ogcino lwezondlo, iivithamini kunye ne-amino acid eyimfuneko emzimbeni oyimfuneko ukulwa iintsholongwane.
Ukongeza, kuxelwa ukuba imvumi yafunyanwa iimpawu zomonakalo onzulu, ke ogqirha babandakanyeke kuphando olongezelelweyo kwaye baphelisa ukubonakaliswa kwesifo esinobungozi. Izimvo zeengcali zizisiwe kwinto yokuba esi sifo sikwazile ukuya kwinqanaba elinganyangekiyo kwaye alikwazanga kuvakalelwa ngaye, okanye imvumi icinga ukuba wakwazi ukunyanga.
Abanye oogqirha baxhasa oogqirha, abaziphenduli imibuzo malunga nokuba umntu odumileyo awulindelanga kwaye unganiki mntu umxeleli onobangela wezempilo ngemvume yemvumi maskm. I-pulmonologist vnylav ovechkin yachaza ukuba ukuguqulelwa kwesigulana nge-IVL kwi-IVL kwi-oxrane ye-membrane yeokhygenation (i-ECMO) ayinayo ithemba lokuphucula imeko. Oku kuthetha ukuba amanyathelo amakhulu aphezulu athelekiswa nokungabi nakukhuni. Ukongeza, izithintelo zisekwe ixesha lokuhlala phantsi kwesixhobo se-IVL ngenguqulo: Akukho ngaphezulu kweentsuku ezi-5. Inguqulelo engaguqukiyo yomzimba womntu ihlala ibonwa inzima kakhulu. Ke ngoko, amathuba okubuyisela iingcali ziqikelelwa njengengaqondakaliyo.
UMlawuli we-Intrionari uMargarita uSokova waphinda wavavanya ukuba kunokwenzeka ukuba aphile. Ngokutsho kommeli weMaksim, kukho ithemba lokuphucula imeko. Iziphumo zeTom-the Regraphy, ebonisa itywina elifunyenwe ngaphambi kokugxila kosulelo kwimiphunga kunye nokusebenza okutsha ngeempawu zokuziphatha. Ngenxa yoko, imeko ayizange iphakame, kodwa nokuthetha ngokuphuculwa okubonakalayo kwangoko.
U-Yana Bogiusheya, osebenza njengomphathi we-STER yemvumi Maksim, uxelele umbono wakhe wemeko. Ngokutsho kwakhe, likho ithemba lokuphuhliswa kweziganeko, kuba umntu odumileyo ngumfazi otsha kwaye womelele, ukuze umzimba wakhe uya kuba nakho ukujamelana nesi sifo. Umkhosi ongumkhosi odumileyo odumileyo awulahli ithemba ngesiphumo esihle semeko kwaye uthandaze kwakhona.