Fetufaaiga o Punaoa
Ina ia manumalo i lenei taua le maalofia ma tau faasaga i le COVID-19, e tatau ona tatou galulue faʻatasi ma fefaʻasoaaʻi o tatou aafiaga i le lalolagi atoa. O le First Affiliated Hospital, Zhejiang University School of Medicine na togafitia le 104 tagata mamaʻi na faʻamaonia le COVID-19 i le 50 aso ua tuanaʻi, ma o latou tagata tomai faapitoa na tusia ni togafitiga moni i le po ma le ao, ma faʻasalalau vave lenei Tusitaulima o le COVID-19 Puipuiga ma Togafitiga, faʻamoemoe. e fa'asoa a latou fautuaga aoga taua ma fa'amatalaga i le aufaigaluega faafoma'i i le lalolagi atoa. O lenei tusitaulima faʻatusatusa ma auʻiliʻili le poto masani o isi tagata atamamai i Saina, ma tuʻuina atu faʻamatalaga lelei i matagaluega autu e pei o le puleaina o faʻamaʻi pipisi, tausimaʻi, ma falemaʻi i fafo. O lenei tusitaulima o loʻo tuʻuina atu ai taʻiala ma faʻataʻitaʻiga sili a le au atamamai sili a Saina mo le faʻafetauiina o le COVID-19.
O lenei tusitaulima, saunia e le First Affiliated Hospital of Zhejiang University, o loʻo faʻamatalaina ai le auala e mafai ai e faʻalapotopotoga ona faʻaititia le tau aʻo faʻateleina le aʻafiaga o faiga e pulea ma pulea ai le faʻamaʻi o le coronavirus. O loʻo faʻatalanoaina foʻi e le tusitaulima pe aisea e tatau ai i falemaʻi ma isi faʻalapotopotoga tausi soifua maloloina ona iai nofoaga faʻatonu pe a feagai ma se faʻalavelave faʻafuaseʻi tele i le tulaga o le COVID-19. O lenei tusitaulima e aofia ai foi mea nei:
Ta'iala fa'apitoa mo le fa'atalanoaina o fa'afitauli i taimi o fa'alavelave fa'afuase'i.
Togafitiga e togafitia ai ma'i tigaina.
Lagolago fa'ai'uga lelei ile falema'i.
Fa'ata'ita'iga sili mo matagaluega taua e pei o le fa'aogaina o le fa'aogaina ma falema'i i fafo.
Fa'amatalaga a le Fa'atonu:
O le feagai ai ma se siama e le iloa, fefaʻasoaaʻi ma le galulue faʻatasi o le fofo sili lea. O le lolomiina o lenei Tusitaulima o se tasi lea o auala sili e faailoga ai le lototele ma le poto na faʻaalia e a matou tagata faigaluega soifua maloloina i le lua masina talu ai. Fa'afetai ia i latou uma na saofagā i lenei Tusitaulima, fa'asoa le poto masani taua ma pa'aga fa'alesoifua maloloina i le salafa o le lalolagi a'o fa'asaoina ola o gasegase. Fa'afetai i le lagolago a le au faigaluega soifua maloloina i Saina na tu'uina mai le poto masani e fa'aosofia ma fa'aosofia ai i tatou. Fa'afetai i le Jack Ma Foundation mo le amataina o lenei polokalame, ma le AliHealth mo le lagolago fa'apitoa, ua mafai ai lenei Tusitaulima e lagolago ai le tau faasaga i le fa'ama'i. E avanoa le Tusitaulima mo tagata uma e leai se totogi. Peita'i, ona o le utiuti o le taimi, e ono iai ni fa'aletonu ma fa'aletonu. E matua fa'afeiloa'i lava au manatu ma fautuaga!
Polofesa Tingbo LIANG
Faatonu Sili o le Tusitaulima ole Puipuiga ma Togafitiga ole COVID-19
Ta'ita'ifono o le Falemai Fa'atasi Muamua, Aoga Fa'afoma'i a le Iunivesite o Zhejiang
Anotusi
Vaega Muamua Puleaina Puipuia ma le Pulea
I. Puleaina o Nofoaga Tuufua ………………………………………………………………………………………,
II. Pulega o le Aufaigaluega……………………………………………………………………………………………….. .4
Ill. COVID-19 Fa'atatau ile Pulea Puipuiga o le Tagata Lava Ia…………………………………………………….5
IV. Fa'ata'ita'iga Fa'ata'ita'i ile Falema'i ile taimi ole fa'ama'i ole COVID-19……………………………………………………….6
V. Lagolago Fa'atekinolosi mo le Puipuia ma le Puleaina o Fa'ama'i. …………………………………………….16
Vaega Lua Su'esu'ega ma Togafitiga
I. Puleaina Fa'apitoa, Galulue Fa'atasi ma Tu'ufa'atasi ……………………………………………18
II. Fa'ailoga o le Etiology ma le Fua …………………………………………………………………………………….19
Ill. Sailiga Ata o Ma'i COVID-19…………………………………………………………………………..21
IV. Fa'aaogāina ole Bronchoscopy ile Su'esu'ega ma le Pulega ole ma'i COVID-19......22
V. Su'esu'ega ma Fa'avasegaga Fa'afoma'i ole COVID-19………………………………………………………………22
VI. Togafitiga Fa'ama'i Fa'ama'i mo le Fa'ate'a Fa'ato'atoa o Fa'ama'i ………………………………………………………23
VII. Togafitiga Fa'ate'i ma Fa'ate'i-hypoxemia………………………………………………………………..24
VIII. Le Fa'aoga Fa'atatau o Vailaau Fa'ama'i e Puipuia Fa'ama'i Fa'alua ………………………………………….29
IX. Ole Paleni ole Intestinal Microecology ma Mea'ai Fesoasoani………………………………………….30
X. ECMO Lagolago mo ma'i COVID-19…………………………………………………………………………………….32
XI. Togafitiga Fa'ama'i Fa'ato'aga mo Ma'i COVID-19……………………………………………………35
XII. Togafitiga Fa'avasegaga a le TCM e Fa'aleleia atili ai le Fa'amalologa ……………………………………………………….36
XIII. Puleaina o le Fa'aaogaina o Fualaau Fa'asaina o Ma'i COVID-19………………………………………………………………….37
XIV. Fa'atonuga Fa'apitoa mo Ma'i COVID-19………………………………………………………………41
XV. Togafitiga Toefuataiga mo Ma'i COVID-19…………………………………………………………………….42
XVI. Fa'aliliuina o Mama'i i Ma'i e maua ile COVID- l 9……………………………………………………………….44
XVII. Tulaga Fa'ate'a ma Fuafuaga tulitatao mo Ma'i COVID-19…………………………………………45
Vaega Tolu Tausisoifua
I. Tausima'i Tausima'i mo Ma'i o lo'o Maua le Nasal Cannula {HFNC) Oxygen Therapy........47
II. Tausima'i Tausi i Ma'i e Fa'a'ave'esea Fa'ainisinia…………………………………………………….47
Puleaina i Aso Ta'itasi ma le Mata'ituina ole ECMO {Extra Corporeal Membrane Oxygenation)…….49
IV. Tausisoifua ole ALSS {Atificial Liver Support System)………………………………………………..50
V. Togafitiga Suiga Fa'aauau {CRRT) Tausiga…………………………………………………….51
VI. Tausiga Lautele……………………………………………………………………………………………….52
Fa'aopoopo
I. Fautuaga Faafomai Fa'ata'ita'iga mo Ma'i COVID-19………………………………………………………………..53
II. Faiga Fa'atalanoaga i luga ole laiga mo Su'esu'ega ma Togafitiga…………………………………………………….57
Fa'amatalaga……………………………………………………………………………………………………………………. .59
