Inokuthi ibulale njani intsholongwane yeCorona kwaye ingena njani emzimbeni wakho

Ufowunela umhlobo wakho uze ulungiselele ukudibana naye kwisidlo sasemini kwindawo evulekileyo apho umoya ukhoyo, kwaye kubonakala kuninzi ikhuselekileThatha onke amanyathelo afanelekileyo okhuseleko: sebenzisa isicoci sesandla, hlala kumgama othe qelele kwabanye, kwaye uzame ukunqanda ukubamba ubuso bakho, nangona le yeyona nkqubo inzima, kwaye abanye bakho sele becinga ukuba licebiso elibaxiweyo.

Into ongayaziyo ngomhlobo wakho kukuba kwiintsuku ezilishumi ezidlulileyo, ngexesha lesidlo sasemini, wabamba intsholongwane entsha ye-corona kwilungu losapho lwakhe owayibamba kwiintsuku ezintathu ezidlulileyo, kwisizalwane esikhohlele esandleni phambi kokuba avule umnyango. kwigumbi lakhe ukuze amamkele.

ecacileyo

Amathe esigulana se-COVID-19 anokuba nesiqingatha setriliyoni yamasuntswana entsholongwane egazini ngalinye, kwaye ukukhohlela kuyitshiza njengenkungu.

Wahlula njani phakathi kokwaliwa entwasahlobo kunye ne-corona?

Ukusukela ngoko, iintsholongwane ziyanda ngaphakathi emzimbeni wakhe. Xa ethetha, ukuphefumla kwakhe kudlula kumqala omanzi kumqala wakhe kudala amathontsi amancinane encindi ezele yintsholongwane, ethi ibaleke ingabonakali emoyeni ngaphezulu kwetafile yakho. Kwaye awuyiboni, enye ihleli kukutya okungatyiwanga epleyitini yakho, ezinye iintsholongwane eminweni yakho, kwaye ezinye zifikelela kwizono zakho okanye zihlale emqaleni wakho, kwaye uthi ndlela ntle, umzimba wakho uthwala amasuntswana entsholongwane angama-43,654 kwaye ukuba uxhawula izandla ngayo, inani lifikelela phantse 50 amawaka.

Elinye lamathontsi lenza indlela yalo kwipaseji zemiphunga yakho kwaye lizinze kwindawo efudumeleyo, efumileyo, kunye namasuntswana entsholongwane afakwe kwi-mucus egqume izicubu. I-membrane yangaphandle yentsholongwane iquka umaleko onamafutha ofakwe kunye namasuntswana eprotheyini erhabaxa, kwaye embindini wentsholongwane yintsholongwane ebhijeneyo ye-RNA, imathiriyeli yemfuza yentsholongwane.

Xa intsholongwane iqukuqela kwimiphunga yomphunga, ihamba iye kwenye yeeseli ezijonge phezulu. Iseli inkulu kakhulu kunentsholongwane; Kodwa ikwanendawo ebuthathaka-ucango olungasemva, oluza kusebenza njengeankile ye-coronavirus namhlanje.

Kungekudala iimfuno zentsholongwane ye-RNA zongamela ngokupheleleyo ukusebenza okuqhelekileyo kweseli, inika amandla amandla noomatshini bayo bokwakha iinxalenye zeentsholongwane ezingenakubalwa. Ziyaqhuma kwaye zikhuphe amasuntswana entsholongwane amatsha emzimbeni wakho kumashumi kunye namakhulu amawaka.

Kwaye kuyo yonke indawo, phezulu nasezantsi emiphungeni yakho, emqaleni, nasemlonyeni, lo mboniso uphindaphinda kaninzi njengeseli emva kokuba iseli yaphulwe yaza yaqweqwediswa. Ukuba sicinga ukuba intsholongwane iziphatha njengesihlobo sayo esisondeleyo, intsholongwane ye-SARS, isizukulwana ngasinye sosulelo sithatha malunga nosuku kwaye intsholongwane inokuphindaphinda amaxesha esigidi. Iintsholongwane eziphindaphindayo zisasazeka kwi-mucus, zihlasele igazi kwaye zikhuphe inkqubo yokugaya.

Yonke into yenzeka kwaye awuyiva. Enyanisweni, uziva ulungile ngokupheleleyo. Ukuba unazo naziphi na izikhalazo, kuyakruquka. Zaqengqeleka iintsuku ndingummi othobelayo, kwaye bendihlala ekhaya ndiziqhelanisa nengcebiso yokuncitshiswa kwentlalo obuyibukele kumabonakude, kodwa emva kweentsuku ezimbini zokukruquka wazixelela ukuba uzoshiywa zingqondo ukuba awuphumi nakancinci. .

Ufowunela umhlobo wakhe, kwaye ngokungakhathali okuncinci badibana ngaphandle emva kwemini, benxibe imaski yezonyango, kodwa imaski yobuso ayinyamezeleki kubushushu.

Into angayazi umhlobo wakho kukuba, kwiyure edluleyo, uye kwigumbi lokuhlambela kwaye khange uzihlambe kakuhle izandla zakho. Kuba ecaleni kwakho, uya kushukuma kwingalo yebhatyi yakhe 893,405 iintsholongwane zentsholongwane. Kwimizuzwana engama-47 engenile ekhayeni lakhe, uphulula impumlo yakhe phantsi kwempumlo ngaphambi kokuba ahlambe izandla zakhe. Ngelo xesha, amasuntswana entsholongwane angama-9404 aya kudluliselwa ebusweni bakhe. Kwiintsuku ezi-5, i-ambulensi iya kumsa esibhedlele.

Wena ke, njengoko amaqhekeza eeseli ezibolileyo esasazeka kwigazi lakho, inkqubo yakho yomzimba yokuzikhusela ekugqibeleni iye iziva ukuba kukho undonakele. Iiseli zegazi ezimhlophe zibona iziqwenga zeeseli ezifileyo kwaye zikhupha iikhemikhali ezibizwa ngokuba yi-cytokines, esebenza njengomqondiso we-alarm, isebenze ezinye iindawo ze-immune system. Xa iiseli zokhuselo lomzimba zisabela kwiseli, iseli eyosulelekileyo iyayihlasela ize iyitshabalalise.

Ngaphakathi emzimbeni wakho kukho idabi elincinane elibonakalayo kunye namajoni akho omzimba aqhubeka phezu kwemisele yotshaba kunye nemikhosi yalo ekhethekileyo. Njengoko ukubulawa kwabantu kusanda, ubushushu bomzimba buyanda kwaye indawo echaphazelekayo iya kuvutha.

ecacileyo

Kwiintsuku ezimbini kamva, njengoko uhleli phantsi kwisidlo sasemini, ingcinga yokutya iyakugulisa. Ulala phantsi uze ulale iiyure ezimbalwa, yaye xa uvuka, uphawula ukuba uya usiba mandundu. Isifuba sakho siziva siqinile, kunye nokhohlokhohlo olomileyo olungayekiyo. Ukhangela ikhabhathi yakho yamayeza asekhaya, kwaye ekugqibeleni ufumane ithermometer. Uyibeka phantsi kolwimi lwakho umzuzu kwaye emva koko ufunde isiphumo: 102 Fahrenheit, engaphantsi kwama-39 C. Damn, uyacinga kwaye ukhase ubuyele ebhedini. Ucinga ukuba ngumkhuhlane nje ocacileyo, kwaye nokuba ungowona umbi kakhulu, usemncinci kwaye usempilweni, kwaye awukho kwiqela elisemngciphekweni omkhulu.

Ewe kunjalo, ulungile ukusa kumlinganiselo, xa uthelekisa nabantu abaninzi abane-coronavirus. Ukuphumla ebhedini kwanele ukuba uphile. Kodwa ngenxa yezizathu ezingaqondiyo izazinzulu, malunga ne-20% yabantu abagula kakhulu. Nangona uselula, ungomnye wabo yaye uya kubandezeleka.

Emva kweentsuku ezi-4 zomkhuhlane wobundlobongela kunye ne-aches yonke indawo, uyaqonda ukuba ungumntu ogulayo kunanini na ngaphambili ebomini bakho. Unokhohlokhohlo olomileyo olukungcangcazelisayo kangangokuba umqolo ube buhlungu. Ukulwela ukuphefumla. Kufuneka u-odole i-Uber kwaye emva koko uye kwigumbi likaxakeka elikufutshane.

Amasuntswana entsholongwane entsholongwane angama-376,345,090 ashiywe kwiindawo ezahlukeneyo zemoto kwaye amanye angama-323,443,865 adada emoyeni.

Kwigumbi likaxakeka, uyavavanywa kwaye uthunyelwe kwiwadi yodwa. Ngelixa oogqirha belindele iziphumo zovavanyo lwentsholongwane, bakunika iskena se-CT semiphunga yakho, esityhila “iglasi engacacanga,” amachaphaza amnyama abangelwa kukwanda kolwelo apho umlo wokhuselo lomzimba lwenzeka khona. Awunayo i-COVID-19 kuphela, unohlobo oluqatha noluyingozi lwenyumoniya ebizwa ngokuba yi-acute breathing distress syndrome, okanye i-ARDS.

Kwaye kwisibhedlele esigcwele izigulana ze-COVID-19, unikwa ibhedi kwigumbi elinabantu abahlanu. Oogqirha bakunika isisombululo se-IV sokubonelela umzimba wakho ngezondlo kunye nolwelo, kunye namayeza e-antiviral.

Ngosuku nje lokufika kwakho, imeko yakho iya isiba mandundu ngakumbi, ugabha kangangeentsuku ezininzi kwaye uqalise ukubona izinto ezingekhoyo. Isantya sentliziyo yakho siyehla ukuya kutsho kuma-50 ngomzuzu. Xa isigulana sisweleka kwigumbi elilandelayo, oogqirha bathatha isixhobo sokuphefumla kuso baze bakubeke kuwe. Umongikazi ufaka ityhubhu ye-endotracheal emqaleni wakho, ukuva ukuba yolula ngakumbi nangakumbi kwimiphunga yakho, kwaye ubeke iteyiphu emlonyeni wakho ukugcina ityhubhu kwindawo.

Uyawohloka, amajoni omzimba azibethile “kwisaqhwithi se-cytokine”-ukwanda okukhulu kangangokuba akusalwi nje nosulelo lwentsholongwane, kodwa neeseli zomzimba ngokunjalo. Iiseli ezimhlophe zegazi zingena emiphungeni yakho kwaye zitshabalalise izicubu. Ulwelo luzalisa iingxowa ezincinci ezivumela igazi ukuba lifunxe ioksijini. Uyatshona, nanjengoko isixhobo sokuphefumla simpompa umoya oneoksijini kwimiphunga yakho.

Ayisiyonto imbi kakhulu, Ubuzaza bokusabela komzimba kukuba phantsi kohlaselo, amalungu kuwo wonke umzimba ayaphazamiseka, inkqubo eyaziwa ngokuba yi-multiorgan dysfunction syndrome, okanye iMODS.

Kwaye xa isibindi sakho singasebenzi, asikwazi ukujongana neetyhefu ezivela egazini lakho, ngoko ke oogqirha bayakhawuleza ukukuxhoma kumatshini we-dialysis ubusuku bonke. Emva koko iiseli zobuchopho ezivinjwe ioksijini ziqalisa ukufa.

Thixo, usemngciphekweni wobomi nokufa. Ngoku ekubeni ukwiMODS, amathuba okuba usinde ngama-50-50 okanye ngaphezulu. Njengoko ubhubhani utyhala izixhobo zasesibhedlele ngaphaya kwendawo yokuqhawuka, indlela ozijonga ngayo iba mfiliba ngakumbi

Ngelixa ulele ebhedini, ilizwi lakho lisiva, oogqirha bakudibanisa kumatshini we-extracorporeal membrane oxygenation (ECMO). Oku kuya kuthatha umsebenzi wentliziyo yakho kunye nemiphunga kwaye ngethemba kukugcina uphila de umzimba wakho ufumane ibhalansi efunekayo.

Yaye ngoxa untywiliselwe kwimvo emnandi yokuzola, uziva ufikelele kowona mncinane unzima womzabalazo wakho, eyona ngozi yakho imbi iphelile. Kodwa njengoko uhlaselo lwentsholongwane lubetha, amajoni akho omzimba aya kuncipha kwaye uhambo olucothayo nolubuhlungu lokuya kuphola ngokupheleleyo luya kuqala.

Kwiiveki ezininzi ukusuka ngoku, oogqirha baya kuwususa lombhobho emqaleni wakho kwaye bakukhuphele isixhobo sokuphefumla, umdla wakho wokutya uya kubuya, umbala ubuyele ezidleleni zakho, kwaye ngentsasa yasehlotyeni, uya kubethwa ngumoya kwaye uthabathe umoya omtsha. iteksi eya ekhaya. Emva koko, uya kudibana nentombazana eya kuba ngumfazi wakho, kwaye uya kuba nabantwana abathathu.

Yima kancinci, nantso into ezixelela yona ingqondo yakho. Ngapha koko, kude nokucinga, iiseli zokugqibela ze-cerebral cortex yakho ziqhuma ngamaza okudubula kweenkwenkwezi, njenge-algae ekhazimlayo kwichibi ezinzulwini zobusuku. Kwiwadi yodwa, iithoni ze-EKG zizinzile. Oogqirha bathatha i-ventilator kuwe kwaye bayinike isigulana esifike ngale ntsasa. Kwiirekhodi ezisemthethweni zobhubhani we-COVID-19, uya kubhaliswa njengenombolo yexhoba elingu-592.