Chiremba uye muratidziri weTV vakapindura mibvunzo yakakosha kubva kuvaverengi veAntenna nezveCOVID-19.
Cardiologist uye general practitioner, TV presenter. Chiremba Mukuru weCity Clinical Hospital. ME Zhadkevich.
Sei mishonga inorwisa mabhakitiriya isingabatsire neconavirus pneumonia, asi inonyorerwa zvakadaro?
- Mumamiriro ezvinhu akadaro, chiremba anogona kuvashandisa panguva yekurapa kwechipatara chete kana zviri pachena kuti iri kuenda kuhutachiwana pneumonia pamwe nekuwedzera kwehutachiona hwehutachiona. Izvi zvinoitika kazhinji neyakaomarara kosi yekoronavirus, saka muchipatara tinomanikidzwa kuvapa imwe nzira kana imwe. Kurapwa kunze, kana covid ikapa matambudziko nenzira yehutachiona hwekufema kana pneumonia yakapfava, haina nzira ipi neipi yekushandiswa kwemishonga inorwisa mabhakitiriya. Zvikasadaro, uku kusaziva kwakakwana uye kuiswa kwekudzivirira kune mushonga, izvo zvinozodzoka kuzotitambudza.
Munhu anofanirwa kutora mamwe bvunzo kuwedzera kune PCR bvunzo uye antibody bvunzo kuti aderedze matambudziko mushure mekurwara nekoronavirus?
- Kana pakutanga kwedenda munyika yedu zvaidiwa kusimbisa kupora, ikozvino WHO inoda kumirira mazuva matatu mushure mekupera kwezviratidzo, kunze kwekunge mazuva gumi apfuura kubva pakatanga chirwere. Kana iwe uchirwara kwemazuva gumi nemana, zvino 10 pamwe netatu, iyo 14. Unogona kuedza ma antibodies, asi, kune rumwe rutivi, nei? Kuti uone kana pane immunity? Kana tine inonzi immune passport, tobva tatora. Ongororo iyi inogona kuitwa kana usina kutora PCR kana mhedzisiro yacho isina kunaka, asi pane fungidziro yecovid uye iwe unoda chaizvo kuziva kana uine masoja ekudzivirira chirwere. Kana nekuda kwezvinangwa zvekutsvagisa kuona kupararira kweiyo coronavirus muvanhu vakasangana nayo neimwe nzira. Kana iwe uchida kuita ongororo nekuda kwekufarira, wobva wazviita, asi yeuka kuti PCR inogona kuve yakanaka kusvika mwedzi mitatu uye uchavharirwa zvakare. Uye IgM inogona zvakare kukwidziridzwa kwenguva yakareba mushure mechikamu chakaoma. Izvi zvinoreva kuti, zviito zvako zvinogona kusanganisira zviito zvekuvharirwa kune iwe.
Rangarira kuti PCR bvunzo dzinopa makumi mana muzana enhema mhedzisiro uye masoja ekudzivirira chirwere anopa makumi matatu muzana emanyepo. Kune munhu ari nyore, basa nderimwe: ivo vakaraira ongororo - ita, usaite - usapindira pane zvausinganzwisise, zvikasadaro iwe unongowana matambudziko mumusoro mako. Nekudaro, kana iwe uri murwere wemoyo kana chirwere cheshuga, saka mushure mekutambura covid, zvakakodzera kushanyira chiremba nyanzvi.
Vanorwara neallergies, asthmatics, diabetics, uye avo vane thrombosis vanogona kubaiwa here? Uye ndiani chaizvo asingabvumirwi?
- Vaccination yakavakirwa papuratifomu yedu yeSputnik V, senge jekiseni rekurwisa pneumococcus, tetanus, herpes, furuu, rinonyanya kuratidzwa kune vamiriri vemapoka enjodzi. Munhu ane hutano anogona kana kuti haaiti, asi zvose zviri pamusoro apa majekiseni anodiwa kune vanhu vane hutachiwana husina simba, vane zvirwere zvisingaperi, vane thrombosis, chirwere cheshuga, nezvimwewo. General mutemo: munhu ane hutano angangoda jekiseni, asi vanhu vane njodzi vanotoda.
Contraindication chinhu chimwe chete - kuvapo munhoroondo kuvhunduka anaphylactic, uye kunyange vanorwara neallery vanogona kuzviita.
Zvinotora nguva yakareba sei kuti apore kubva kukoronavirus?
- Coronavirus haisi imwe, asi zvirwere zviviri. Mune 90% yezviitiko, izvi zvinoputika zvirwere zvekufema, izvo zvinopera pasina kutsvaga, zvichisiya kushaya simba kuduku kunopera mushure memavhiki maviri. Mu10% yezviitiko, iyi icovid pneumonia, umo munogona kuve nekukuvadzwa kwakanyanya kwemapapu, kusanganisira fibrosis, kubva kune iyo trace pa x-rays inogona kuramba kwehupenyu hwose. Iwe unofanirwa kuita maekisesaizi ekufema, mitambo, inflate mabharumu. Uye kana ukagara uye uchichema kana kutsvaga piritsi kuti udzorere immune system yako, saka haugone kupora. Mumwe munhu anopora nekukurumidza, vamwe vanotora nguva yakareba, asi simbe ndivo vanononoka.
Nzira yekusarudza maitiro ekufema akakodzera?
-Zvakanaka kutarisa maekisesaizi ekufema eyoga - akasiyana zvakanyanya uye unogona kusarudza kubva kune akawanda anobatsira.
Munhu anogona kuwana covid kechipiri here?
- Parizvino, isu tinoziva nezve mashoma mashoma ekutapukirwa zvakare. Zvimwe zvese, semuenzaniso, kana munhu aine bvunzo, akazova asina kunaka uye zvakare akanaka, hachisi chirwere chechipiri. MaKorea akateedzera vanhu zana nevasere vane yechipiri yakanaka PCR bvunzo, vakaita sero tsika - uye hapana kana mumwe wavo airatidza kukura kwehutachiona. Ava vanofungidzirwa kuti vairwara zvekare vaive nemazana mashanu ekufonera, pasina kana akarwara.
Mune ramangwana, iyo coronavirus inofanirwa kuderera kuita chirwere chemwaka, asi kusadzivirirwa kunoenderera kwegore.
Sei munhu wese mumhuri achigona kurwara, asi mumwe haana - uye haanawo masoja ekudzivirira chirwere?
-Immunity chinhu chakaomarara zvakanyanya. Kunyange chiremba anonzwisisa izvi zvakaoma kuwana. Hapasati pave nemhinduro kumubvunzo wako. Iko kune kunyange genetic predisposition yekubatira zvirwere zvehutachiona uye covid kana vechidiki vafa, kunyangwe zvisingawanzo. Uye kune vanhu vasina kutapukirwa nehutachiona hweimmunodeficiency, kunyange kana ivo vakasangana zvakananga. Yakasiyana genetics, pamwe nechinhu chemukana, rombo rakanaka. Mumwe munhu ane simba rekudzivirira rakasimba, ane hasha, anotungamirira mararamiro ane hutano, kuitira kuti utachiona huri mumuviri wake hunogona kufa, kunyange kana huchimedza. Uye mumwe munhu anorema, ane mafuta, anoverenga nhau pamusoro pekuti zvinhu zvose zvakashata sei, uye kunyange utachiona husina simba hunomudya.
Zvinotendwa kuti iyo coronavirus ichagara nesu zvachose. Muchiitiko ichi, zvirambidzo zvine chekuita nazvo zvicharamba zviripo nekusingaperi - masikisi, magurovhosi, 25% kugara kwehoro mumitambo yemitambo?
- Icho chokwadi chekuti hutachiona hucharamba huripo ichokwadi. Vana coronavirus vanga vachigara nesu kubva kuma1960s. Zvino pachava nechishanu. Kana vanhu vakanzwisisa kuti zvirambidzo zviri kukanganisa hupenyu hwakajairika, hupfumi, zvese izvi zvichapfuura zvishoma nezvishoma. Mazuva ano hysteria inokonzerwa nekusagadzirira kweWestern medical system. Takazove takagadzirira zvirinani, uye iko zvino kubaiwa kwasvika.
Gore rinouya isu tichiri XNUMX% naye. Asi kurwisana nechirwere hakufaniri kunge kwakaipisisa, kukuvadza uye kune ngozi kupfuura chirwere chacho pachacho.
Vanhu vane zvirwere zvisingaperi vanorayirwa kuti vatevedzere chirongwa chekuzviparadzanisa nevamwe. Zvirwere izvi ndezvipi?
- Izvi zvinosanganisira:
chirwere chemapapu chisingaperi;
chisingaperi obstructive pulmonary chirwere;
chirwere cheshuga;
neBP;
itsvo kutadza;
chirwere chemwoyo;
chiropa.
Izvi zvakasiyana-siyana zvezvirwere, asi ini handinzwisise kuti vanhu vangaiswa sei pakuzviparadzanisa nevamwe kusingaperi kana uine hypertensive kana chirwere cheshuga. Kana munhu akamanikidzwa kugara pamba kwenguva yakareba, anobva apenga. Kuzviparadzanisa nevamwe ndicho chinhu chikuru chekufa muUnited States, chakaipisisa kupfuura kuputa, nekuti vanhu vakuru havadi kurarama seizvi. Vanorasikirwa nehupenyu uye vanotanga kufira mumisha inochengeterwa vakwegura. Uyu mubvunzo wakakomba zvikuru.
Alexander Myasnikov paTV - chiteshi "Russia 1":
"Pachinhu chinonyanya kukosha": pakati pevhiki, na09:55;
Chiremba Myasnikov: Mugovera na12:30.