Kupewa kachilombo ka covid-19 pakadali pano, ndi nyengo yayikulu yamatenda opumira monga fuluwenza.Zhong Nanshan, membala wa Chinese Academy of Engineering, posachedwapa ananena kuti chomwe chikuyambitsa kutentha thupi kwaposachedwa si matenda a covid-19, komanso chimfine, ndipo anthu ochepa amatha kutenga kachilomboka kawiri.
M'mbuyomu, Chinese Center for Disease Control and Prevention (CDC)anali atapereka chenjezo loyambirira: m'dzinja ndi chisanu kapena chisanu ndi masika, pakhoza kukhala chiopsezo cha miliri ya fuluwenza ndicovid 19matenda.
2022-2023 Chimfine Nyengo
Zitha kukhala pachiwopsezo cha mliri wa chimfine
Influenza ndi matenda opatsirana omwe amayamba chifukwa cha kachilombo ka fuluwenza ndipo ndi amodzi mwamavuto akulu omwe amakumana nawo anthu.
Chifukwa mavairasi a chimfine amasiyana mosiyanasiyana ndipo amafalikira mwachangu, amatha kuyambitsa miliri yanyengo chaka chilichonse.Malinga ndi zimene bungwe la World Health Organization (WHO) linanena, mliri wa chimfine wa pachaka ukhoza kupha anthu oposa 600,000 padziko lonse, zomwe ndi zofanana ndi imfa imodzi chifukwa cha fuluwenza masekondi 48 aliwonse.Ndipo mliri wapadziko lonse ukhoza kupha anthu mamiliyoni ambiri.Fuluwenza ingakhudze 5% -10% ya akuluakulu ndi pafupifupi 20% ya ana padziko lonse chaka chilichonse.Izi zikutanthauza kuti mu nyengo ya chimfine, mmodzi mwa akuluakulu khumi ali ndi fuluwenza;Mwana mmodzi pa ana asanu alionse ali ndi matenda a chimfine.
Covid 19superinfection akhozaekugwirizanitsa ngati anew norm
Pambuyo pazaka zitatu, coronavirus yatsopano idapitilira kusintha.Ndi kutuluka kwa mitundu ya Omicron, nthawi yoyamwitsa ya matenda atsopano a coronavirus idafupikitsidwa kwambiri, kufalikira kwa mibadwo yambiri kudakulitsidwa, kufalikira kwa zamatsenga ndi kufalikira kudakulitsidwa kwambiri, kuphatikiza ndi kubwezeretsedwanso komwe kumayambitsidwa ndi kuthawa kwa chitetezo chamthupi, zomwe zidapangitsa kuti mitundu ya Omicron ikhale ndi zabwino zambiri pakufalitsa. poyerekeza ndi mitundu ina.M'nkhaniyi, zimagwirizana ndi kuchuluka kwa chimfine m'nyengo yozizira, ndipo pamene tiyenera kukumana ndi zoopsa za matenda ndi mliri wa fuluwenza mu nyengo yamakono, tiyenera kuganizira ngati panopa tikukumana ndi chiopsezo cha superinfection ndi zatsopano. coronavirus ndi fuluwenza.
1.mitundu yonse yapadziko lonse lapansi ya "Covid-19 + fuluwenza" miliri iwiri ndiyodziwikiratu
Kuchokera pakuwunika kwa WHO, zitha kuwoneka kuti kuyambira pa Novembara 13, 2022, mliri wa kachilombo ka fuluwenza wakula kwambiri m'nyengo yozizira ino, komanso momwe mliri wa covid-19 wakulira.fuluwenza ndi zoonekeratu.
Tiyenera kuzindikira kuti, mosiyana kwambiri ndi mawonekedwe a "ndizovuta kudziwa ngati pali ma virus awiri a covid-19 ndi fuluwenza koyambirira kwa covid-19, ndipo sizikuphatikizidwa kuti covid-19odwala fuluwenza ndi fuluwenza”, panopa pali mkhalidwe wa “kawiri mliri” wacovid 19ndi fuluwenza padziko lonse lapansi.Makamaka kuyambira kulowa m'nyengo yozizira iyi, zipatala za malungo m'malo ambiri ku China zakhala zodzaza, zomwe zikuwonetsa kuti kachilombo ka HIV kakusiyana kotheratu ndi zaka zitatu zapitazo, pomwe chiwerengero cha odwala omwe ali ndi "zizindikiro ngati fuluwenza" chimakhala chokwera, chomwe. imagwirizananso kwambiri ndi kuchuluka kwa matenda amitundu yosiyanasiyana ya Omicron.Chifukwa cha kutentha thupi anthu odwala sikulinso chabe a covid 19 matenda, odwala ambiri ali ndi kachilombo fuluwenza, ndipo ochepa akhoza kukhala ndi matenda awiri.
2. Matenda a chimfine amalimbikitsa kwambiri kufalikira kwa kachilombo ka Covid-19 ndi kubwerezabwereza
Malinga ndi kafukufuku wochokera ku State Key Laboratory of Virology, School of Life Sciences, Wuhan University, kutenga kachilombo ka Covid-19 komanso kutenga kachilombo ka fuluwenza A kumawonjezera kufalikira kwa kachilombo ka Covid-19.Kafukufukuyu adatsimikiza kuti ma virus a fuluwenza A ali ndi kuthekera kwapadera kokulitsa matenda a virus a Covid-19;kutenga kachilombo koyambitsa matenda a chimfine kumalimbikitsa kwambiri kuwukira ndi kubwerezabwereza kwa kachilombo ka Covid-19, komanso kutembenuza maselo omwe sakanatenga kachilombo ka Covid-19 kukhala ma cell omwe atengeke;matenda a chimfine okha amayambitsa kuchulukira (2-3 fold) kwa milingo ya ACE2, koma kuphatikizika kwachimfine ndi matenda a Fuluwenza kokha kunayambitsa kuchulukira kwa mawu a ACE2 (2-3-fold), koma kuphatikizika ndi Covid-19 kumayendetsedwa kwambiri ndi ACE2. milingo ya mawu (pafupifupi 20-fold), pomwe ma virus ena odziwika bwino opumira monga parainfluenza virus, kupuma kwa syncytial virus, ndi rhinovirus analibe kuthekera kolimbikitsa kachilombo ka Covid-19.Chifukwa chake, kafukufukuyu adatsimikiza kuti kutenga kachilombo ka fuluwenza kumalimbikitsa kwambiri kuwukira ndi kubwerezabwereza kwa ma virus a Covid-19.
3.Covid-19 matenda a chimfine ndi oopsa kwambiri kwa odwala omwe ali m'chipatala kuposa matenda amodzi
Mu phunziro la The Clinical and Virological Impact of Single and Double Infections with Influenza A (H1N1) ndi SARS-CoV-2 mwa Odwala Achikulire Ogonekedwa Chipatala, Odwala 505 omwe adapezeka ndi coronavirus yatsopano kapena chimfine A pachipatala cha Guangzhou Eighth People's (Guangzhou, Guangdong) adaphatikizidwa.Kafukufukuyu adawonetsa kuti: 1. kuchuluka kwa matenda a fuluwenza A mwa odwala omwe ali m'chipatala omwe ali ndi covid-19.anali 12.6%;2. co-infection makamaka inakhudza gulu la okalamba ndipo imagwirizanitsidwa ndi zotsatira zoipa zachipatala;3. matenda a co-infection anali ndi mwayi wowonjezereka wa kuvulala kwa impso, kulephera kwa mtima, matenda achiwiri a bakiteriya, kulowetsedwa kwa multilobar, ndi kuvomereza ICU poyerekeza ndi odwala fuluwenza A okha ndi coronavirus yatsopano.Zinatsimikiziridwa kuti matenda omwe amayamba chifukwa cha kufalikira kwa kachilombo koyambitsa matenda a fuluwenza ndi kachilombo ka fuluwenza A mwa odwala omwe ali m'chipatala anali aakulu kwambiri kuposa omwe amayamba chifukwa cha kachilombo ka HIV kokha (tebulo lotsatirali likuwonetsa chiopsezo cha zochitika zachipatala kwa odwala omwe ali ndi fuluwenza. A H1N1, SARS-CoV-2, ndi ma virus onse).
▲ Kuopsa kwa zochitika zachipatala kwa odwala omwe ali ndi fuluwenza A H1N1, SARS-CoV-2 komanso kutengana ndi ma virus awiriwa.
Kusintha kwa malingaliro achire:
Kuchiza matenda amodzi a Covid-19 kumasintha kukhala chithandizo chokwanira komanso chazizindikiro ngati chofunikira
Ndi kumasulanso kuwongolera miliri, kufalikira kwa Covid-19 ndi chimfine kwakhala vuto lovuta kwambiri.
Malinga ndi Pulofesa Liu Huiguo wa dipatimenti ya Respiratory and Critical Care Medicine, Chipatala cha Tongji, Huazhong University of Science and Technology, kachilombo ka Covid-19 ndi kachilombo ka fuluwenza atha kupatsirana, ndipo pakadali pano, kukhalapo kwawo kuli. pafupifupi 1-10%.Komabe, sitingakane kuti monga odwala ochulukirachulukira omwe ali ndi kachilombo koyambitsa matenda a Covid-19 Omicron, chitetezo chamthupi cha anthu chimakwera kwambiri, motero kuchuluka kwa matenda a chimfine kumawonjezeka pang'ono mtsogolomo, ndipo chikhalidwe chatsopano chidzakwera. kenako apangidwe.Komabe, izi sizinthu zomwe zikuyenera kuyang'ana kwambiri pakadali pano, koma ngati matenda a Covid-19 angachulukitse mwayi wa matenda a chimfine, chifukwa chake matenda ndi chithandizo ziyenera kuthandizidwa mosamalitsa malinga ndi zochitika zachipatala. .
Ndi magulu ati a anthu omwe akuyenera kukhala tcheru kuti asatengere matenda a Covid-19 ndi chimfine?Mwachitsanzo, anthu omwe ali ndi matenda oyamba, okalamba ndi ofooka, kaya ali ndi kachilombo ka Covid-19 kapena chimfine okha kapena kuphatikiza ma virus awiriwa, akhoza kukhala pachiwopsezo, ndipo anthuwa akufunikabe kuwasamalira.
Ndi kuchuluka kwaposachedwa kwa odwala omwe ali ndi Covid-19, tingachite bwanji ntchito yabwino "kulimbikitsa kupewa, kuzindikira, kuwongolera ndi kuchiza thanzi" malinga ndi Covid-19, yomwe pakadali pano ikulamulidwa ndi mitundu yosiyanasiyana ya Omicron?Choyamba, matenda ndi chithandizo chiyenera kusintha pang'onopang'ono kuchoka pa chithandizo cha matenda a Covid-19 kupita ku chithandizo chokwanira komanso chithandizo chazizindikiro.Kuzindikira koyambirira ndi chithandizo chochepetsera zovuta, kutsika kwachipatala ndikufupikitsa nthawi ya matenda ndizo makiyi opititsa patsogolo chithandizo chamankhwala ndikuchepetsa imfa.Pamene fuluwenza matenda ndipamene latsopano wabwinobwino, chidwi fuluwenza ngati milandu ndi chinsinsi kukwaniritsa msanga matenda.
Pakadali pano, pankhani ya kupewa, tikulimbikitsidwa kuti tiziumirira kuvala masks kuti tipewe kufalikira kwa kachilomboka, choyamba, chifukwa odwala omwe adatenga kachilombo ka Covid-19 atangoyamba kumene ndipo tsopano asintha, sangasankhe kuthekera kwa matenda mobwerezabwereza;chachiwiri, chifukwa kuwonjezera pa matenda a Covid-19, amathanso kutenga ma virus ena (monga fuluwenza) ndipo amatha kutenga kachilomboka m'matupi awo ngakhale atakhala kuti alibe kachilombo ndikuchira.
Nthawi yotumiza: Jan-16-2023