Alexander Myasnikov wakhuluma ngabantu abangatholi coronavirus

I-cardiologist kanye nodokotela jikelele, umethuli we-TV. UDokotela Omkhulu Wesibhedlela Somtholampilo Sedolobha. MINA Zhadkevich.

Kungani ama-antibiotics engasizi nge-coronavirus pneumonia, kodwa ayalelwe noma kunjalo?

- Esimweni esinjalo, udokotela angazisebenzisa ngesikhathi sokwelashwa esibhedlela kuphela uma kucacile ukuthi uya ku-pneumonia yegciwane ngokufaka ukutheleleka kwebhaktheriya. Lokhu kwenzeka kaningi ngenkambo enzima ye-coronavirus, ngakho-ke esibhedlela siphoqeleka ukuthi sibanikeze indlela eyodwa noma enye. Ukwelashwa kweziguli zangaphandle, lapho i-covid inikeza izinkinga ngesimo sezifo zokuphefumula ezinzima noma inyumoniya ethambile, akubandakanyi nganoma iyiphi indlela ukusetshenziswa kwemithi elwa namagciwane. Uma kungenjalo, lokhu kuwukungazi okuphelele kanye nokufakwa kokugonywa kwemithi, okuyobe sekubuya ukuzosihlupha.

Ingabe umuntu udinga ukwenza ezinye izivivinyo ngaphezu kokuhlolwa kwe-PCR kanye nokuhlolwa kwe-antibody ukuze anciphise izinkinga ngemva kokuphathwa yi-coronavirus?

- Uma ekuqaleni kwalolu bhubhane ezweni lethu bekudingeka ukuthi kuqinisekiswe ukululama, manje i-WHO idinga ukulinda izinsuku ezintathu ngemuva kokuphela kwezimpawu, inqobo nje uma sekudlule okungenani izinsuku eziyi-10 kusukela ekuqaleni kwalesi sifo. Uma ugula izinsuku eziyi-14, bese kuthi u-14 uhlanganise nezintathu, okungukuthi 17. Ungahlola amasosha omzimba, kodwa, ngakolunye uhlangothi, kungani? Ukuze ubone ukuthi kukhona i-immunity? Uma sesinayo okuthiwa i-immune passport, singayithatha. Lokhu kuhlaziya kungenziwa uma ungazange uthathe i-PCR noma uma umphumela ubungemuhle, kodwa kukhona izinsolo ze-covid futhi ufuna ngempela ukwazi ukuthi unawo amasosha omzimba. Noma ngezinjongo zocwaningo ukubona ukusabalala kwe-coronavirus kubantu abahlangabezane nayo ngandlela thize. Uma ufuna ukwenza ukuhlaziya ukuze uzuze, kwenze, kodwa khumbula ukuthi i-PCR ingaba nethemba kuze kube yizinyanga ezintathu futhi uzovalelwa futhi. Futhi i-IgM ingabuye iphakanyiswe isikhathi eside ngemuva kwesigaba esibucayi. Okusho ukuthi, izenzo zakho zingase zihlanganise izenzo zokuvalela wena.

Khumbula ukuthi ukuhlolwa kwe-PCR kunikeza imiphumela engama-40% engemihle futhi ukuhlolwa kwamasosha omzimba kunikeza ama-30% amanga. Kumuntu olula, umsebenzi munye: banqume ukuhlaziywa - kwenze, ungakuqoki - ungagxambukeli kulokho ongakuqondi, ngaphandle kwalokho uzothola izinkinga ekhanda lakho kuphela. Kodwa-ke, uma uyisiguli senhliziyo noma isifo sikashukela, khona-ke ngemuva kokuhlushwa yi-covid, kufanelekile ukuvakashela udokotela okhethekile.

Ingabe abanenkinga yokungezwani nomzimba, isifuba somoya, abanesifo sikashukela, nalabo abaphethwe yi-thrombosis bangagonywa? Futhi ubani ngempela ongavunyelwe?

- Ukugoma okusekelwe endaweni yethu ye-Sputnik V, njengokugomela i-pneumococcus, i-tetanus, i-herpes, umkhuhlane, kuboniswa ngokuyinhloko kubameleli bamaqembu asengozini. Umuntu onempilo angase akwenze noma angakwenzi, kodwa yonke imigomo engenhla iyadingeka kubantu abanesifo somzimba esikhubazekile, abanezifo ezingapheli, abane-thrombosis, isifo sikashukela, njalonjalo. Umthetho ojwayelekile: umuntu onempilo cishe udinga umuthi wokugoma, kodwa abantu abanezici eziyingozi bayawudinga ngempela.

Ukungafani into eyodwa kuphela - ukuba khona emlandweni ukushaqeka kwe-anaphylactic, ngisho nalabo abangezwani nabo bangakwenza.

Kuthatha isikhathi esingakanani ukululama ku-coronavirus?

- ICoronavirus ayisona isifo esisodwa, kodwa izifo ezimbili. Ezimweni ezingu-90%, lokhu kuyizifo ezinzima zokuphefumula, ezinyamalala ngaphandle komkhondo, zishiya ubuthakathaka obuncane obunyamalala ngemva kwamasonto amabili. Ezimweni ezingu-10%, lokhu inyumoniya ye-covid, lapho kungase kube khona ukulimala okubi kakhulu kwamaphaphu, okuhlanganisa i-fibrosis, lapho umkhondo we-x-ray ungahlala impilo yonke. Udinga ukwenza izivivinyo zokuphefumula, ezemidlalo, ukufutha amabhaluni. Futhi uma uhlezi ukhala noma ubheka iphilisi ukuze ubuyisele amasosha akho omzimba, khona-ke ngeke ululame. Omunye ululama ngokushesha, abanye bathatha isikhathi eside, kodwa abavilaphayo yibo abahamba kancane.

Ungakhetha kanjani izivivinyo zokuphefumula ezifanele?

- Kungcono ukubheka izivivinyo zokuphefumula ze-yoga - zihlukahlukene kakhulu futhi ungakhetha kweziningi eziwusizo.

Ingabe umuntu angayithola i-covid okwesibili?

- Kuze kube manje, sazi ngezimo ezimbalwa kuphela zokutheleleka kabusha. Konke okunye, isibonelo, lapho umuntu ehlolwe ukuthi une-positive, wabe eseba ne-negative futhi ephinda e-positive, akusona isifo sesibili. AmaKorea alandelele abantu abayi-108 ngokuhlolwa kwesibili kwe-PCR, benza isiko lamaseli - futhi akekho noyedwa kubo okhombise ukukhula kwegciwane. Laba bantu okuthiwa baphinde bagula babe nabantu abangu-XNUMX, okungekho noyedwa kubo owagula.

Ngokuzayo, i-coronavirus kufanele iguquke ibe yisifo sesizini, kepha ukungatheleleki kuzoqhubeka unyaka.

Kungani wonke umuntu emndenini engagula, kodwa omunye angaguli - futhi akanawo amasosha omzimba?

- Ukungavikeleki kuyinto eyinkimbinkimbi kakhulu. Ngisho nodokotela okuqondayo lokhu kunzima ukumthola. Ayikho impendulo yombuzo wakho okwamanje. Kukhona ngisho nokuthambekela kofuzo ekutholeni izifo ezibangelwa amagciwane kanye ne-covid lapho abantu abasha befa, nakuba kungavamile. Futhi kukhona abantu abangenalo igciwane le-immunodeficiency virus, ngisho noma bexhumene ngqo. Izakhi zofuzo ezihlukene, kanye nesici senhlanhla, inhlanhla. Umuntu unokuzivikela okuqinile, uthukuthele, uphila impilo enempilo, ukuze igciwane emzimbeni wakhe lingase life, ngisho noma eligwinya. Futhi umuntu ukhuluphele, ukhuluphele, ufunda izindaba mayelana nokuthi konke kubi kangakanani, ngisho negciwane elibuthakathaka liyamudla.

Kukholakala ukuthi i-coronavirus izohlala nathi kuze kube phakade. Kulokhu, imikhawulo ehambisana nayo izohlala ingunaphakade - imaski, amagilavu, ukuhlala kwamahholo angama-25% ezinkundleni zemidlalo yeshashalazi?

- Iqiniso lokuthi igciwane lizohlala liyiqiniso. Ama-coronavirus amane ahlala nathi kusukela ngeminyaka yawo-1960s. Manje kuzoba nesesihlanu. Lapho abantu beqonda ukuthi imingcele ilimaza impilo evamile, umnotho, khona-ke konke lokhu kuzodlula kancane kancane. I-hysteria yanamuhla ibangelwa ukungalungeli kohlelo lwezokwelapha lwaseNtshonalanga. Kuvele ukuthi sizilungiselele kangcono, futhi manje ukugoma sekufikile.

Ngonyaka ozayo sisazoba naye u-XNUMX%. Kodwa ukulwa nalesi sifo akufanele kube kubi kakhulu, kuyingozi kakhulu futhi kuyingozi kakhulu kunesifo ngokwaso.

Abantu abanezifo ezingamahlalakhona bayelulekwa ukuthi balandele uhlelo lokuzihlukanisa bodwa. Yiziphi lezi zifo ezithile?

– Lokhu kubandakanya:

• isifo samaphaphu esingamahlalakhona;

• isifo samaphaphu esingamahlalakhona;

• isifo sikashukela;

• umfutho wegazi ophakeme;

• ukwehluleka kwezinso;

• izifo zenhliziyo;

• isibindi.

Lolu wuhlu olubanzi lwezifo, kodwa angiqondi ukuthi abantu bangabekwa kanjani bodwa uma unomfutho wegazi ophakeme noma unesifo sikashukela. Uma umuntu ephoqeleka ukuthi ahlale ekhaya isikhathi eside, uzosangana. Ukuzihlukanisa manje kuyisici esikhulu sokufa kwabantu e-United States, kubi kakhulu kunokubhema, ngoba abantu abadala abafuni ukuphila kanje. Baphelelwa isithakazelo ekuphileni futhi baqale ukufela emakhaya asebekhulile. Lona umbuzo obucayi kakhulu.

Alexander Myasnikov ku-TV - isiteshi "Russia 1":

“Entweni ebaluleke kakhulu”: phakathi nesonto, ngo-09:55;

Udokotela Myasnikov: NgeMigqibelo ngo-12:30.