Alexander Myasnikov analankhula za anthu omwe samalandira coronavirus

Cardiologist ndi dokotala wamkulu, wowonetsa TV. Dokotala Wamkulu wa City Clinical Hospital. Ine Zhadkevich.

Chifukwa chiyani maantibayotiki samathandizira ndi chibayo cha coronavirus, koma amaperekedwabe?

- Zikatero, dokotala atha kuzigwiritsa ntchito panthawi ya chithandizo chachipatala pokhapokha zikuwonekeratu kuti zikupita ku chibayo cha mavairasi ndi kuwonjezera kwa matenda a bakiteriya. Izi zimachitika nthawi zambiri ndi njira yayikulu ya coronavirus, chifukwa chake kuchipatala timakakamizika kuwapatsa njira imodzi. Chithandizo chakunja, pamene covid ipereka zovuta m'matenda owopsa a kupuma kapena chibayo chochepa, sichimaphatikizapo kugwiritsa ntchito mankhwala opha tizilombo. Apo ayi, uku ndi kusadziwa kwathunthu ndi kuikidwa kwa chitetezo chamthupi kwa mankhwala, zomwe zidzabweranso kudzativutitsa.

Kodi munthu ayenera kuyezetsanso mayeso ena kuphatikiza kuyezetsa kwa PCR komanso kuyesa kwa antibody kuti achepetse zovuta atadwala coronavirus?

- Ngati kumayambiriro kwa mliri m'dziko lathu kunali kofunikira kutsimikizira kuchira, tsopano WHO imafuna kuyembekezera masiku atatu pambuyo pa kutha kwa zizindikiro, malinga ngati patadutsa masiku osachepera 10 kuyambira chiyambi cha matendawa. Ngati mukudwala kwa masiku 14, ndiye 14 kuphatikiza atatu, ndiye 17. Mutha kuyesa ma antibodies, koma, kumbali ina, chifukwa chiyani? Kuti muwone ngati pali chitetezo? Tikakhala ndi pasipoti yotchedwa immune pasipoti, ndiye kuti titha kuitenga. Kusanthula uku kutha kuchitika ngati simunamwe PCR kapena zotsatira zake zinali zoipa, koma pali kukayikira za covid ndipo mukufunadi kudziwa ngati muli ndi ma antibodies. Kapena pofuna kufufuza kuti muwone kufalikira kwa coronavirus mwa anthu omwe adakumana nawo mwanjira ina. Ngati mukufuna kusanthula chifukwa cha chidwi, chitani izi, koma kumbukirani kuti PCR ikhoza kukhala yabwino mpaka miyezi itatu ndipo mudzabindikiritsidwanso. Ndipo IgM imathanso kukwezedwa kwa nthawi yayitali pambuyo pachimake. Ndiko kuti, zochita zanu zitha kukhala ndi zochita zodzipatula zomwe zikukutsutsani.

Kumbukirani kuti kuyezetsa kwa PCR kumapereka 40% zotsatira zabodza ndipo kuyesa kwa antibody kumapereka 30% zabodza. Kwa munthu wosavuta, ntchitoyo ndi imodzi: adalamula kusanthula - chitani, osachiyika - osasokoneza zomwe simukuzimvetsa, apo ayi mudzapeza mavuto pamutu mwanu. Komabe, ngati muli wodwala mtima kapena wodwala matenda ashuga, ndiye kuti mutatha kudwala covid, ndikofunikira kukaonana ndi dokotala wapadera.

Kodi odwala ziwengo, mphumu, odwala matenda ashuga, ndi omwe akudwala thrombosis angatemeledwe? Ndipo ndani kwenikweni osaloledwa?

- Katemera wochokera pa nsanja yathu ya Sputnik V, monga katemera wa pneumococcus, kafumbata, nsungu, chimfine, amasonyezedwa makamaka kwa oimira magulu owopsa. Munthu wathanzi akhoza kapena sangachite, koma katemera onse omwe ali pamwambawa amafunikira kwa anthu omwe ali ndi chitetezo chokwanira, omwe ali ndi matenda aakulu, omwe ali ndi thrombosis, shuga, ndi zina zotero. Malamulo onse: Munthu wathanzi amafunikira katemera, koma anthu omwe ali pachiwopsezo amafunikiradi.

Kusindikiza chinthu chimodzi chokha - kukhalapo m'mbiri mantha a anaphylactic, ndipo ngakhale anthu amene ali ndi ziwengo angathe kuchita zimenezo.

Zimatenga nthawi yayitali bwanji kuti achire ku coronavirus?

- Coronavirus si imodzi, koma matenda awiri. Mu 90% ya milandu, ichi ndi pachimake kupuma matenda, amene mbisoweka popanda kufufuza, kusiya kufooka pang'ono kutha patapita milungu iwiri. Mu 10% ya milandu, ichi ndi chibayo cha covid, chomwe chimatha kuwonongeka kwambiri m'mapapo, kuphatikiza fibrosis, komwe kuwunika kwa X-ray kumatha kukhala moyo wonse. Muyenera kuchita masewera olimbitsa thupi, kupuma, masewera, kutulutsa mabuloni. Ndipo ngati mutakhala ndikulira kapena kuyang'ana piritsi kuti mubwezeretse chitetezo chanu cha mthupi, ndiye kuti simuchira. Wina amachira msanga, ena amatenga nthawi yayitali, koma aulesi ndi omwe amachedwa kwambiri.

Kodi kusankha bwino kupuma ntchito?

- Ndibwino kuyang'ana masewera olimbitsa thupi a yoga - ndi osiyanasiyana kwambiri ndipo mutha kusankha kuchokera pazambiri zothandiza.

Kodi munthu angatenge covid kachiwiri?

- Pakali pano, tikudziwa za milandu yochepa chabe yopatsirananso. Zina zonse, mwachitsanzo, pamene munthu adayezetsa, ndiye kuti alibe komanso alibe, si matenda achiwiri. Anthu aku Korea adatsata anthu 108 omwe adayezetsa kachiwiri PCR, adachita chikhalidwe cha cell - ndipo palibe amene adawonetsa kukula kwa kachilomboka. Omwe akuti akudwalanso awa anali ndi anthu XNUMX, omwe palibe amene adadwala.

M'tsogolomu, coronavirus iyenera kusanduka matenda a nyengo, koma chitetezo chizikhalabe kwa chaka.

Chifukwa chiyani aliyense m'banja angadwale, koma wina alibe - komanso alibe chitetezo?

- Kuteteza chitetezo chokwanira ndizovuta kwambiri. Ngakhale dokotala amene amamvetsa zimenezi n’zovuta kupeza. Palibe yankho ku funso lanu panobe. Pali ngakhale chibadwa chotengera matenda obwera chifukwa cha ma virus komanso covid achinyamata akamwalira, ngakhale nthawi zambiri. Ndipo pali anthu amene satenga kachilombo ka immunodeficiency virus, ngakhale atakumana mwachindunji. Ma genetics osiyanasiyana, komanso chinthu chamwayi, mwayi. Wina ali ndi chitetezo champhamvu, amakwiya, amakhala ndi moyo wathanzi, kotero kuti kachilomboka m'thupi mwake kakhoza kufa, ngakhale atameza. Ndipo wina ndi wonenepa kwambiri, wonenepa, amawerenga nkhani za momwe zonse zilili zoipa, ndipo ngakhale kachilombo kofooka kamamudya.

Akukhulupirira kuti coronavirus ikhala ndi ife mpaka kalekale. Pamenepa, zoletsa zomwe zimagwirizanitsidwa ndi izo zidzakhala kwamuyaya - masks, magolovesi, 25% kukhala ndi maholo m'mabwalo owonetsera?

- Mfundo yoti kachilomboka ikhalabe ndiyowona. Ma coronavirus anayi akhala nafe kuyambira 1960s. Tsopano padzakhala wachisanu. Anthu akamvetsetsa kuti zoletsa zikuwononga moyo wabwinobwino, chuma, ndiye kuti zonsezi zidzadutsa pang'onopang'ono. Kusokonezeka kwamasiku ano kumayamba chifukwa cha kusakonzekera kwachipatala chakumadzulo. Tinakhala okonzeka bwino, ndipo tsopano katemera wafika.

Chaka chamawa tikhalabe naye XNUMX%. Koma kulimbana ndi matendawa sikuyenera kukhala koipitsitsa, kovulaza komanso koopsa kuposa matendawo.

Anthu omwe ali ndi matenda aakulu amalangizidwa kuti azidzipatula. Kodi matenda amenewa ndi ati?

- Izi zikuphatikizapo:

• matenda aakulu a m'mapapo;

• Matenda osokoneza bongo;

• shuga;

• matenda oopsa;

• impso kulephera;

• matenda a mtima;

• chiwindi.

Izi ndi matenda osiyanasiyana, koma sindikumvetsa momwe anthu angayikitsire kudzipatula kwamuyaya ngati muli ndi matenda oopsa kapena matenda a shuga. Munthu akakakamizika kukhala kunyumba kwa nthawi yaitali, ndiye kuti amapenga. Kudzipatula tsopano ndiye vuto lalikulu kwambiri lakufa ku United States, loipa kuposa kusuta fodya, chifukwa okalamba safuna kukhala moyo wotere. Amataya chidwi ndi moyo ndipo amayamba kufera kumalo osungirako okalamba. Ili ndi funso lalikulu kwambiri.

Alexander Myasnikov pa TV - "Russia 1":

"Pachinthu chofunikira kwambiri": mkati mwa sabata, nthawi ya 09:55;

Doctor Myasnikov: Loweruka ku 12:30.