Kuzindikira katatu kwa zigawo zitatu: Covid-19, fuluwenza a ndi fuluwenza b, zonse mu chubu chimodzi!

Covid-19 (2019-NCOV) yapangitsa kuti matenda mamiliyoni ambiri ndi kufa mamiliyoni ndi kufa kwa anthu kuyambira kumapeto kwa chaka cha 2019, ndikupangitsa kukhala zovuta zapadziko lonse lapansi. World Health Organisation (WHO) ikani kutsogolo kwa "[1], Alpha, Beta, gamma, delta ndi omucron, ndi somin yolumikizana ndi vuto lalikulu kwambiri padziko lonse lapansi. Atatenga kachilomboka, matendawa ndi ofatsa, koma kwa anthu apadera monga anthu anthawiyo monga anthu okalamba, matenda osachiritsika, matenda osachiritsika komanso ana omwe ali ndi matenda oopsa kapena amafa. Milandu yakudwala yamitsempha ya womata, deta yeniyeni yowonetsa kuti kuchuluka kwa zinthu pafupifupi 0.75%, komwe kuli pafupifupi 7 mpaka 8 mpaka 10 Okalamba, amaposa 10%, yomwe ili pafupifupi 100 yomwe ya fuluwenza wamba[Chithunzi patsamba 2]. Mawonetsero wamba azachipatala omwe amadwala matenda amthupi, chifuwa, chifuwa chowuma, mmero wa myspnea ndi / kapena hypoxemia.

Pali mitundu inayi ya ma virus a fuluwenza: A, B, C ndi D. Mitundu yayikulu ya miliri ndi badtype a (H2N1) ndi Hiptin B (Victin ndi Yamatata). Fruwenza choyambitsidwa ndi kachilomboka cha fuluwenza chidzayambitsa mliri wampikisano wa miliri ya nyengo chaka chilichonse, wokhala ndi kuchuluka kwakukulu. Malinga ndi ziwerengero, zamitundu pafupifupi 3.4 miliyoni zimathandizidwa chifukwa cha matenda a fuluwenza chaka chilichonse[Chithunzi patsamba 3], ndipo pafupifupi milandu ya 88,100 ya matenda okhudzana ndi fuluwenza omwe amatsogolera kumwalira, kumawerengera 8.2% ya matenda opumira imfa[4]. Zizindikiro zamankhwala zimaphatikizapo kutentha thupi, kupweteka mutu, myalgia ndi chifuwa chowuma. Magulu owopsa, monga amayi oyembekezera, makanda ndi odwala omwe ali ndi matenda osachiritsika, amakonda chibayo ndi zovuta zina, zomwe zimatha kupha milandu yambiri.

1 Covid-19 omwe ali ndi vuto la fuluwenza.

Matenda a fuluwenza ndi Covid-19 atha kukulitsa mphamvu matenda. Phunziro la Britain likuwonetsa kuti[Chithunzi patsamba 5], poyerekeza ndi kachilombo ka kovid-19 zokha, chiopsezo cha mpweya wabwino komanso chiopsezo cha kufa kwa chipatala ku Covid-19 omwe ali ndi matenda a chimfine.

Chipatala cha Tortji College of Huazhong University of Sayansi ndi Technology adafalitsa kuphunzira[6], zomwe zinaphatikizapo maphunziro 95 omwe akuphatikizapo odwala 62,107 mu covid-19. Kufalikira kwa fuluwenza coms co-kachilombo ka 2.45%, komwe fuluwenza adawerengedwa kuti ndi gawo lalikulu. Poyerekeza ndi odwala 25, odwala colic couct ndi fuluwenza akhali ali ndi chiopsezo chachikulu kwambiri cha zotsatira zazikulu, kuphatikizapo ICU Kuvomerezedwa, Kupanga mpweya wabwino ndi imfa. Ngakhale kuchuluka kwa kachilombo kochepa kumakhala kochepa, odwala omwe ali ndi kachilombo kumayang'anizana ndi zovuta zazikulu.

Kusanthula kwa Meta kumawonetsa kuti7], poyerekeza ndi B-mtsinje, mtsinjewo umakhala wopezeka ndi Covid-19. Pakati pa odwala 143 odwala pakati, 74% ali ndi kachilomboka, ndipo 20% ali ndi kachilomboka. Matenda olimbitsa thupi atha kudwala kwambiri odwala, makamaka pakati pa magulu osatetezeka monga ana.

Kufufuza kwa ana ndi achinyamata obwera pansi pa zaka 18 omwe adagonekedwa m'chipatala kapena adamwalira wa fuluweza nthawi ya chimfine mu United States mu 2021-22 Kupezeka8]Kuti zinthu zina za matenda amphaka ndi fuluwenza ku Covid-19 ziyenera kuyang'aniridwa. Pakati pa milandu yakuthupi yakuthupi, 6% inali yolumikizana ndi Covid-19 ndi fuluwenza, komanso kuchuluka kwa chithupsa chofanana - kufa. Izi zikuwonetsa kuti odwala omwe ali ndi kachilombo-19 ndipo fuluwenza amafunikira kupuma mozama komanso osagwiritsa ntchito matenda amphaka, ndikuwonetsa kuti ndi chiopsezo chachikulu mwa ana .

Kuzindikira kwina kwa matenda a fuluwenza ndi Covid-19.

Matendawa atsopano ndi fuluwenza amapatsirana kwambiri, ndipo pali kufanana kwakukulu, monga malungo, chifuwa ndi mnealgia. Komabe, njira zamankhwala awiriwa ndi osiyana, ndipo mankhwala a antiqural omwe amagwiritsidwa ntchito ndi osiyana. Pa chithandizo chamankhwala, mankhwalawa amatha kusintha mawonetseredwe omwe amapezeka matendawa, zomwe zimapangitsa kuti zikhale zovuta kudziwa matendawa ndi okhawo ndi zizindikiro. Chifukwa chake, kuzindikira koyenera kwa Covid-19 ndipo fuluwenza iyenera kudalira kachilombo ka virus kuti awonetsetse kuti odwala amatha kulandira chithandizo choyenera komanso chothandiza.

Malangizo angapo a mgwirizano pa matenda ndi chithandizo chimenecho ndi chizindikiritso cholondola cha ma virus wazama 19 ndi fuluwenza kudzera mayeso a labotale ndikofunikira kwambiri kuti mupange dongosolo labwino mankhwala.

"Matenda a Matenda ndi dongosolo la chithandizo (2020)"[Chithunzi patsamba 9]"Matenda a fulwenza ndi chithandizo chamankhwala ochita mwadzidzidzi (2022)"[Chithunzi patsamba 10]Zonse zimafotokoza bwino za matenda ena ku Covil-19, ndipo Covid-19 ali ndi zofatsa komanso zofala monga chifuwa, chifuwa chofunda, chomwe sichimaphweka kusiyanitsa ndi funguwewe; Mawonekedwe akulu ndi ofunikira kwambiri amaphatikizapo chibayo chachikulu, pachimake kupuma mtima kwa Syndrome ndi chiwalo chochepa, chomwe ndi chofanana ndi chipatala cha fuluwenza komanso chiwonongeko chotsutsa.

"Kuzindikira matenda a Coronavirus[Chithunzi patsamba 11]Ananenanso kuti kuchuluka kwa covid-19 kuyenera kusiyanitsidwa ndi matenda am'mimba opumira chifukwa cha ma virus ena.

3 Kusiyana kwa matenda a fuluwenza ndi matenda a zaka 19

2019-NCAV ndi fuluwenza ndi matenda osiyanasiyana omwe amayambitsidwa ndi ma virus osiyanasiyana, ndipo njira zamankhwala ndizosiyana. Kugwiritsa ntchito moyenera mankhwala antivilral kumatha kulepheretsa zovuta zazikulu ndi chiopsezo cha imfa cha matenda awiriwa.

Ndikulimbikitsidwa kugwiritsa ntchito mankhwala ocheperako a ma ntivilral / ritonavir, azvudine, monola ndi kukonza mankhwala osokoneza bongo monga ambiviruzumal antibody-1912].

Mankhwala a anti-fluwenza makamaka amagwiritsa ntchito neuramidase inhibitors (Osltamiviid, Zanamivir), hemoagglin inhibitors (a Abidor) ndi RNAminir)13 [13].

Kusankha ma regimen yoyenera ndikofunikira kwambiri pakuchiza kwa 2019-NCAV ndi fuluwenza. Chifukwa chake, ndikofunikira kudziwa kuti pathogen ikuwongolera mankhwala azachipatala.

4 Covid-19 / fuluwenza B Tsitsi

Izi zimapereka chizindikiritso chofulumira komanso cholondola oF 2019-NCOV, fuluwenza a ndi fuluwenza b, ndipo imathandizira kusiyanitsa 2019-NCOV ndi fuluwenza, kupuma kawiri matenda omwe ali ndi matenda ofananira koma njira zosiyanasiyana zamankhwala. Pozindikira pathogen, imatha kuwongolera chitukuko cha mapulogalamu omwe akufuna kulosedwa ndikuwonetsetsa kuti odwala amatha kulandira chithandizo choyenera munthawi yake.

Yankho lenileni:

Kutola Mwachitsanzo - ECICICIC ya Acid Exceprection - Dongosolo Lokonzanso - Ma Polyerage Unte

xinKuzindikira molondola: Dziwani covid-19 (Orf1Ab, N), fuluwenza ku virus ndi fuluwenza b imodzi chubu chimodzi.

Omvera kwambiri: LOD ya Covid-19 ndi makope atatu / ml, ndi a fuluwenza ma virus a ndi b ndi makope 500 / ml.

Kupeza bwino: Covid-19 akuphatikizapo zovuta zonse zodziwika, zomwe zimaphatikizidwa ndi nthawi yophatikiza H1N1, H7N1, ndi Fuste. kudziwika.

Kuwongolera kodalirika: Kuwongolera koyipa / kuwongolera koyenera, kuwongolera mkati ndi udg enzyme zowongolera, kuwunikira zowongolera ndi ntchito zopangira zotsatira zolondola.

Kugwiritsidwa ntchito kwambiri: kumagwirizana ndi chitsimikizo cha ma fluorescence pcr pamsika.

Kuchotsera kwachangu: ndi macro & micro-tEstMphamvu ya acidic ya nuclectric proprection ndi m'zigawo zolimbitsa thupi, ntchito yogwira ntchito ndi kusinthasintha kwa zotsatira zake ndizosintha.

Zambiri

Maumboni

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2. Kutanthauzira kovomerezeka _ Iang Wannian: Chiwopsezo cha anthu omicron ndi 7 mpaka 8 mpaka 8,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,a

3. Feng LZ, Feng S, Chen T, et al. Kulemetsa kwa fuluwenza, zomwe zimachitika ngati matenda obwera chifukwa cha matenda ku China, 2006-2015: kuphunzira za anthu pachulukirachulukira. J]. Fuluetheza Winasi wina wama virus, 2020, 14 (2): 162-172.

4. LI L, Liu Yn, WU p, et al. Matenda okhudzana ndi kupuma kwambiri ku China, 2010-15: kuphunzira kuphunzira kwa anthu. J]. Lancet Health Health, 2019, 4 (9): E473-E481.

5. Sweets MC, Russell CD, Harrison Em, et al. SARS-COV-2 Co-matenda ndi fuluwenza ma virus, kupuma syncytial virus, kapena madenovirus. Lancet. 2022; 399 (10334): 1463-1464.

6. Yan X, Li K, Lei Z, Luo J, IE S. Kuchita fuluwenza: Kuwunika mwatsatanetsatane ndi kuwunika kwa Meta. Int J isp. 2023; 136: 29-36.

7. Dao tl, hown vt, Colson P, miliyoni m, g-prticre f. J kuchipatala kuphatikiza. 2021 Sep; 1 (3): 100036.

8. Adams K, Tastad KJ, HAang S, et al. Kuchuluka kwa SARS-Cov-2 ndi kuchuluka kwa fuluwenza pakati pa ana ndi achinyamata omwe anali achipatala <18 Zaka 18 zomwe zinali zachipatala zidanenedwa kapena kumwalira ndi fuluwenza. Mmwr morb wachivundi. 2022; 71 (50): 1589-1596.

. Matenda a mafinya ndi chithandizo chamankhwala (j]. News Joun Journal of matenda matenda matenda opatsirana, 2020, 13 (6): 401-405,411.

10. Nthambi yadzidzidzi ya Chipatala cha China, nthambi ya mwadzidzidzi ya Chinese Kugwirizana kwa akatswiri azadzidzidzi mwadzidzidzi pa matenda a surphenza ndi chithandizo (j]. Nenani ya Chinese wa mankhwala osamalira, 2022, 42 (12): 1013-1026.

11. Zindikirani pakusindikiza ndi kugawa mawu a Panonavirus matenda omwe matenda ndi chithandizo chamankhwala (chiwonetsero cha khumi).

12. Zhang Fujie, zhuo wang, wang quanhong, et al. Katswiri wothandizirana pa antiviral mankhwala a coronavirus omwe ali ndi matenda a kachilomboka (j]. Bwenzi la China la matenda opatsirana, 2023, 16 (1): 10-20.

. Kugwirizana kwa akatswiri azadzidzidzi mwadzidzidzi pa matenda a surphenza ndi chithandizo (j]. Nenani ya Chinese wa mankhwala osamalira, 2022, 42 (12): 1013-1026.


Post Nthawi: Mar-29-2024