Wadaagista Kheyraadka
Si aan ugu guuleysano dagaalkan lama huraanka ah loogana hortagayo COVID-19, waa inaan si wadajir ah u shaqeynaa oo aan wadaagnaa khibradahayada adduunka oo dhan. Cusbitaalka First Affiliated Hospital, Dugsiga Caafimaadka ee Jaamacadda Zhejiang ayaa daweeyay 104 bukaan oo la xaqiijiyey COVID-19 50kii maalmood ee la soo dhaafay, khubaradooduna waxay qoreen khibrad daawaynta dhabta ah habeen iyo maalinba, waxayna si dhakhso ah u daabaceen Buug-gacmeedka Ka-hortagga iyo Daaweynta COVID-19, iyagoo filanaya. si ay ula wadaagaan talooyinkooda wax ku oolka ah iyo tixraacyada muhiimka ah shaqaalaha caafimaadka adduunka oo dhan. Buug-gacmeedkani waxa uu is barbar dhigay oo uu falanqeeyay khibradda khubarada kale ee Shiinaha, waxana uu tixraac fiican ka bixinayaa waaxyaha muhiimka ah sida maaraynta caabuqa cusbitaalka, kalkaalisada, iyo xarumaha bukaan-socodka. Buug-gacmeedkani waxa uu bixiyaa tilmaamo dhammaystiran iyo dhaqamada ugu wanaagsan ee khubarada sare ee Shiinaha ee la tacaalida COVID-19.
Buug-gacmeedkan, oo uu bixiyay Isbitaalka Koowaad ee Xiriirinta Jaamacadda Zhejiang, wuxuu qeexayaa sida ururradu u yareyn karaan kharashka iyadoo la kordhinayo saameynta tallaabooyinka lagu maareynayo laguna xakameynayo dillaaca coronavirus. Buug-gacmeedku waxa kale oo uu ka hadlayaa sababta ay cisbitaallada iyo xarumaha kale ee daryeelka caafimaadku u yeelanayaan xarumo amar marka ay la kulmaan xaalad degdeg ah oo baaxad leh marka la eego xaaladda COVID-19. Buug-gacmeedkan waxa kale oo ka mid ah kuwan soo socda:
Xeelado farsamo oo wax looga qabanayo arrimaha marka ay jiraan xaalado degdeg ah.
Hababka daawaynta ee lagu daweeyo dadka aadka u xanuunsan.
Taageero go'aan qaadasho caafimaad oo hufan.
Dhaqamada ugu wanagsan ee waaxyaha muhiimka ah sida maaraynta caabuqa iyo rugaha bukaan socodka.
Xusuusin tafatiraha:
Wajaha fayraska aan la garanayn, wadaaga iyo wada shaqayntu waa dawada ugu fiican. Daabacaadda Buug-gacmeedkani waa mid ka mid ah siyaabaha ugu wanaagsan ee lagu calaamadiyo geesinimada iyo xikmada shaqaalahayaga daryeelka caafimaadku ay muujiyeen labadii bilood ee la soo dhaafay. Waad ku mahadsan tahay dhammaan kuwa gacan ka gaystay buug-gacmeedkan, la wadaagaya khibradda qiimaha leh ee asxaabta daryeelka caafimaadka ee adduunka oo dhan iyadoo la badbaadinayo nolosha bukaannada. Waad ku mahadsan tahay taageerada asxaabta daryeelka caafimaadka ee Shiinaha oo na siisay khibrad nagu dhiirigelisa oo nagu dhiirigelisa. Mahad waxaa leh Jack Ma Foundation oo bilaabay barnaamijkan, iyo AliHealth taageerada farsamada, taasoo ka dhigaysa buug-gacmeedkan suurtogalka ah inuu taageero dagaalka ka dhanka ah faafitaanka. Buug-gacmeedku qof walba wuu u heli karaa bilaash. Si kastaba ha ahaatee, wakhtiga xaddidan awgeed, waxaa jiri kara khaladaad iyo cillado. Fikirkaaga iyo taladaada aad ayaa loo soo dhaweeyay!
Prof. Tingbo LIANG
Tafatiraha guud ee buug-gacmeedka ka-hortagga iyo daawaynta COVID-19
Guddoomiyaha Isbitaalka Koowaad ee Xiriirinta, Dugsiga Caafimaadka ee Jaamacadda Zhejiang
Nuxurka
Qeybta Koowaad Kahortagga iyo Maareynta Xakameynta
I. Maaraynta Aagga Go'doominta………………………………………………………………………………………………………………
II. Maamulka Shaqaalaha………………………………………………………………………………………………………………………………………
Xanuun. COVID-19 Maaraynta Ilaalinta Shaqsiyeed ee La Xiriira………………………………………………………
IV. Hab-maamuuska Ku-dhaqanka Cisbitaalka inta lagu jiro faafitaanka COVID-19………………………………………………………………..6
V. Taageerada Dijital ah ee Kahortagga iyo Xakamaynta Cudurrada. ………………………………………………………………………….16
Qaybta Labaad Baadhista iyo Daawaynta
I. Maaraynta Shakhsi ahaaneed, Wadashaqeyn iyo Maareyn Farsamo badan………………………………………………………
II. Tilmaamayaasha Etiology iyo Caabuqa………………………………………………………………………………………………………………….19
Jirrada. Natiijooyinka Sawirka ee Bukaannada COVID-19
IV. Codsiga Bronchoscopy ee Baadhista iyo Maareynta Bukaanka COVID-19…..22
V. ogaanshaha iyo Kala soocida bukaan-socodka ee COVID-19……………………………………………………………………………………….22
VI. Daawaynta Kahortagga Fayraska ee Ciribtirka Wakhtiyeysan ee Cudurrada………………………………………………………
VII. Ka-hortagga shoogga iyo daawaynta ka-hortagga hypoxemia……………………………………………………………………………………….24
VIII. Isticmaalka macquulka ah ee antibiyootiga si looga hortago caabuqa dugsiga sare……………………………………………….29
IX. Isu-dheellitirka Cilmiga Microecology ee Mindhicirka iyo Taageerada Nafaqada………………………………………………..30
X. Taageerada ECMO ee Bukaanka COVID-19……………………………………………………………………………………………….32
XI. Daaweynta Plasma Convalescent ee Bukaanka COVID-19………………………………………………………………………
XII. Daaweynta Kala-saaridda TCM si loo hagaajiyo waxtarka daaweynta ………………………………………………….36
XIII. Maareynta Isticmaalka Dawooyinka ee Bukaan-socodka COVID-19………………………………………………………………………………
XIV. Farogelinta Cilmi-nafsiga ee Bukaanka COVID-19……………………………………………………………………….41
XV. Daaweynta Baxnaaninta ee Bukaannada COVID-19…………………………………………………………………………………………..42
XVI. Ku-tallaalidda Sambabada ee Bukaannada qaba COVID-l 9……………………………………………………………………………….44
XVII. Heerarka Bixinta iyo Qorshaha Dabagalka ee Bukaanka COVID-19……………………………………….45
Qaybta Saddexaad Kalkaalinta
I. Daryeelka Kalkaaliyaha ee Bukaanka Hela Socod Sarreya Sanka Cannula {HFNC) Daaweynta Ogsajiinta……….47
II. Daryeelka Kalkaaliyaha ee Bukaanka Hawo-mareenka Farsamada leh……………………………………………………………………….47
Xanuun. Maaraynta iyo la socodka maalinlaha ah ee ECMO
IV. Daryeelka Kalkaaliyaha ee ALSS {Nidaamka Taageerada Beerka Macmalka ah)………………………………………………………………………..50
V. Daaweynta Beddelka Kelyaha oo Joogta ah {CRRT) Daryeelka……………………………………………………………….51
VI. Daryeelka Guud ..................................................................................................................................................... .52
Lifaaqa
I. Tusaalaha Talo-bixinta Caafimaadka ee Bukaan-socodka COVID-19………………………………………………………………………………………………
II. Habka Latashiga ee onlaynka ah ee ogaanshaha iyo daawaynta……………………………………………………………….57
Tixraacyo……………………………………………………………………………………………………………………………………………………………………… .59
