Wani bincike ya nuna cewa a cikin binciken marasa lafiya na COVID-19 a asibiti, matakan iskar oxygen na jini da ke ƙasa da kashi 92% da sauri, numfashi mara zurfi yana da alaƙa da haɓakar mace-mace, wanda ke nuna cewa mutanen da suka gwada ingancin kwayar cutar yakamata su kasance a gida Lura cewa wadannan alamomin masu bincike ne a Jami'ar Washington da ke Seattle.
Binciken, wanda aka buga yau a cikin mura da sauran ƙwayoyin cuta na numfashi, ya yi nazarin ginshiƙi na 1,095 masu cutar coronavirus manya waɗanda ke kwance a Asibitin Jami'ar Washington ko Cibiyar Kiwon Lafiya ta Jami'ar Chicago Rush daga Maris 1 zuwa 8 ga Yuni, 2020.
Kusan duk marasa lafiya da ƙananan matakan oxygen (99%) da ƙarancin numfashi (98%) an ba su ƙarin oxygen da corticosteroids don kwantar da kumburi.
Daga cikin marasa lafiya 1,095, 197 (18%) sun mutu a asibiti.Idan aka kwatanta da marasa lafiya na asibiti tare da jinin oxygen jikewa na al'ada, marasa lafiya da ƙananan jini oxygen jikewa suna da 1.8 zuwa 4.0 sau mafi kusantar mutuwa a asibiti.Hakazalika, majinyata masu yawan numfashi suna da yuwuwar mutuwa sau 1.9 zuwa sau 3.2 fiye da marasa lafiya da ke da adadin numfashi na yau da kullun.
Marasa lafiya kaɗan ne ke ba da rahoton ƙarancin numfashi (10%) ko tari (25%), ko da matakin iskar oxygen na jininsu ya kai kashi 91% ko ƙasa, ko kuma suna shaka sau 23 a cikin minti ɗaya ko fiye.“A cikin bincikenmu, kashi 10 cikin 100 na marasa lafiya da ke kwance a asibiti sun ba da rahoton ƙarancin numfashi.Alamun numfashi akan shigar ba su da alaƙa da hypoxemia [hypoxia] ko mace-mace.Wannan yana jaddada cewa alamun numfashi ba na kowa ba ne kuma maiyuwa ba za a iya tantance majinyata masu hatsarin gaske ba, ”marubucin ya rubuta, ya kara da cewa jinkirin ganowa na iya haifar da mummunan sakamako.
Mafi girman ma'auni na jiki yana da alaƙa da ƙananan matakan iskar oxygen da saurin numfashi.Yanayin zafin jiki, bugun zuciya da hawan jini ba su da alaƙa da mutuwa.
Alamar da aka fi sani akan shigar da ita ita ce zazzabi (73%).Matsakaicin shekarun marasa lafiya shine shekaru 58, 62% maza ne, kuma da yawa suna da cututtukan da ke da alaƙa kamar hauhawar jini (54%), ciwon sukari (33%), cututtukan jijiyoyin jini (12%) da gazawar zuciya (12%).
"Wadannan binciken sun shafi abubuwan rayuwa na yawancin marasa lafiya na COVID-19: kasancewa a gida, jin damuwa, mamakin yadda za a san ko yanayin su zai ci gaba, da mamakin lokacin da ya dace a je asibiti," in ji marubucin marubuci Neal. Likitan Chatterjee ya bayyana hakan ne a wani taron manema labarai a Jami’ar Washington
Marubucin ya ce sakamakon binciken ya nuna cewa hatta mutanen da ke fama da cutar asymptomatic COVID-19 suna da inganci kuma suna da sakamako mara kyau saboda tsufa ko kiba ya kamata su lissafta numfashinsu a cikin minti daya sannan su sami oximeter na bugun jini don auna su.Marubucin jininsu na binciken tattarawar iskar oxygen ya ce a gida.Sun ce za a iya yanke oximeter ɗin bugun jini zuwa ga yatsa kuma farashin ƙasa da $20.Amma ko da ba tare da oximeter na bugun jini ba, saurin numfashi na iya zama alamar damuwa na numfashi.
"Ma'auni mafi sauƙi shine yawan numfashi - sau nawa kuke numfashi a cikin minti daya," in ji marubucin marubucin Nona Sotoodehnia, MD, MPH a cikin wata sanarwa da aka fitar."Idan ba ku mai da hankali ga numfashi, bari aboki ko danginku su kula da ku na minti daya.Idan kuna numfashi sau 23 a cikin minti daya, ya kamata ku tuntubi likitan ku."
Sotoodehnia ya nuna cewa glucocorticoids da ƙarin oxygen na iya amfanar marasa lafiya na COVID-19."Muna ba marasa lafiya ƙarin iskar oxygen don kula da jikewar iskar oxygen a 92% zuwa 96%," in ji ta."Yana da mahimmanci a lura cewa kawai marasa lafiya waɗanda ke amfani da ƙarin oxygen zasu iya amfana daga tasirin ceton rai na glucocorticoids."
Masu binciken sun kuma yi kira da a sake yin bita ga ka'idojin COVID-19 na Cibiyoyin Kula da Cututtuka da Cututtuka (CDC) da Hukumar Lafiya ta Duniya (WHO), wadanda ke ba da shawara ga marasa lafiya da ke da coronavirus da su nemi kulawar likita lokacin da suka sami alamun bayyanar cututtuka kamar “dyspnea. "da" dyspnea.Ciwo na dindindin ko matsa lamba a cikin ƙirji.”
ÂMai haƙuri bazai fuskanci waɗannan alamun ba, koda kuwa yawan numfashi yana da sauri kuma matakin oxygen na jini ya ragu zuwa matakin haɗari.Sharuɗɗan suna da mahimmanci musamman ga lambobin sadarwa na farko na asibiti (kamar likitocin dangi da masu ba da sabis na telemedicine).
Chatterjee ya ce: "Muna ba da shawarar cewa CDC da WHO su yi la'akari da sake fasalin ƙa'idodinsu don la'akari da waɗannan mutanen da ba su da lafiya waɗanda a zahiri sun cancanci asibiti da kulawa."“Amma mutane ba su san jagorar WHO da Cibiyar Kula da Cututtuka da Cututtuka ba.Siyasa;mun sami wannan jagorar daga likitocinmu da rahotannin labarai."
CIDRAP-Cibiyar Bincike da Manufofin Cutar Cutar, Ofishin Mataimakin Shugaban Bincike, Jami'ar Minnesota, Minneapolis, Minnesota
© 2021 Masu Mulki na Jami'ar Minnesota.duk haƙƙin mallaka.Jami'ar Minnesota ƙwararriyar dama ce mai ilimi da ma'aikata.
CIDRAP Â |Â Ofishin Mataimakin Shugaban Bincike |Â Tuntube Mu M Â |² Manufar Keɓantawa
Lokacin aikawa: Juni-18-2021