Crystal Evans yahangayikishijwe na bagiteri zikura imbere mu miyoboro ya silicone ihuza umuyaga we na ventilator ihumeka umwuka mu bihaha.
Mbere y’icyorezo, umukecuru w’imyaka 40 urwaye indwara zifata ubwonko bwa neuromuscula yakurikizaga gahunda itajenjetse: Yasimbuye yitonze imiyoboro ya pulasitike itanga umwuka uva mu mwuka uhumeka inshuro eshanu mu kwezi kugira ngo ikomeze kutabyara.Yanahinduye umuyoboro wa silicone tracheostomy inshuro nyinshi mu kwezi.
Ariko ubu, iyi mirimo yabaye ingorabahizi bitagira ingano.Ibura rya silicone yo mu rwego rwo kwa muganga na plastike yo kuvoma bivuze ko yari akeneye umuzunguruko mushya buri kwezi.Kubera ko imiyoboro mishya ya tracheostomy mu ntangiriro z'ukwezi gushize, Evans yatetse ikintu cyose yagombaga guhagarika mbere yo kongera gukoresha, afata antibiyotike kugira ngo yice virusi zose zishobora kuba zabuze, kandi yizeye ibyiza. ibisubizo.
Yatinye ati: "Ntabwo wifuza kwandura indwara no kurangirira mu bitaro".
Mu buryo nyabwo, ubuzima bwa Evans bwafashwe bugwate kugira ngo habeho ihungabana ry’itumanaho ryatewe n’icyorezo, cyongerewe no gukenera ibyo bikoresho bimwe mu bitaro by’ibikorwa byinshi.Ubu buke bugaragaza ibibazo by’ubuzima n’urupfu kuri we ndetse na miliyoni z’abarwayi barwaye indwara zidakira, benshi muri bo bakaba barwana no kubaho bonyine.
Ibihe bya Evans byarushijeho kuba bibi vuba aha, urugero nk'igihe yanduye indwara ya tracheal ishobora guhitana ubuzima nubwo yafashe ingamba zose yafashe. Ubu arimo gufata antibiyotike y’ubuvuzi bwa nyuma, yakira nk'ifu igomba kuvangwa n'amazi meza - ikindi kintu afite ikibazo cyo kubona. ”Buri kintu gito ni nk'icyo.” Evans yagize ati: "Buri kintu cyose kimeze nk'icyo."
Gukemura ibibazo bye hamwe n’abandi barwayi barwaye indwara zidakira ni icyifuzo cyabo cyo kuguma kure y’ibitaro kuko batinya ko bashobora kwandura coronavirus cyangwa izindi ndwara ziterwa na virusi kandi bakagira ibibazo bikomeye.Nyamara, ibyo bakeneye ntibitaweho cyane, igice kubera ko ubuzima bwabo bwitaruye butuma batagaragara, kandi igice kubera ko bafite uburyo buke bwo kugura ugereranije n’ibigo nderabuzima binini nkibitaro.
“Uburyo icyorezo gikemurwa, benshi muri twe batangiye kwibaza - abantu ntibitaye ku mibereho yacu?” nk'uko byatangajwe na Kerry Sheehan ukomoka mu gace ka Arlington, muri Massachusetts, mu nkengero z’amajyaruguru ya Boston, akaba yarahanganye n'ikibazo cyo kubura inyongeramusaruro ziva mu mitsi, zamufashaga kurwara indwara zifata ingirabuzimafatizo bigatuma bigora kwinjiza intungamubiri ziva mu biribwa.
Mu bitaro, abaganga barashobora kubona insimburangingo y'ibikoresho bitaboneka, birimo catheters, paki ya IV, inyongeramusaruro, n'imiti nka heparin, ikunze gukoreshwa mu kunanura amaraso.Ariko abunganira ubumuga bavuga ko kubona ubwishingizi bwo kwishyura ibikoresho bindi akenshi ari urugamba rurerure ku bantu bashinzwe kwita ku rugo rwabo, kandi kutagira ubwishingizi bishobora kugira ingaruka zikomeye.
Ati: “Kimwe mu bibazo bikomeye mu cyorezo ni iki kibaho iyo nta kintu gihagije gikenewe cyane, kuko COVID-19 ishyira byinshi kuri gahunda z'ubuzima?” nk'uko byatangajwe na Colin Killick, umuyobozi mukuru w’ihuriro rya politiki y’ubumuga. Ihuriro ni umuryango uharanira uburenganzira bwa muntu uharanira uburenganzira bwa muntu uharanira uburenganzira bwa muntu ku bafite ubumuga. ”Muri buri kibazo, igisubizo ni uko abamugaye binjira mu busa.”
Biragoye kumenya neza umubare w’abantu bafite uburwayi budakira cyangwa ubumuga babaho bonyine, aho kuba mu matsinda, bashobora guhura n’ikibazo cyo kubura amasoko yatewe n’iki cyorezo, ariko ibigereranyo bikaba biri muri miliyoni icumi. Nkuko bigaragazwa n’ikigo gishinzwe kurwanya no gukumira indwara, abantu 6 kuri 10 bo muri Amerika bafite uburwayi budakira, kandi bafite ubushobozi buke bw’ubwigenge, bafite ubwenge, bumva, bafite ubwenge buke, bafite ubwenge, bumva, bafite ubushobozi buke, bafite ubwenge, cyangwa ubwenge, kumva
Impuguke zivuga ko ibikoresho byo kwa muganga bimaze kugabanuka kubera ikibazo cyo guhagarika amasoko ndetse no kongera ibitaro by’ibitaro byatewe n’abarwayi ba COVID-19 mu bice bimwe na bimwe by’igihugu.
David Hargraves, visi perezida mukuru w’ishami rishinzwe gutanga amasoko muri Premier, ufasha ibitaro gucunga serivisi.Ariko urugero rw’ihungabana ririho ubu ni ikintu cyose yahuye nacyo mbere.
Hargraves yagize ati: "Ubusanzwe, hashobora kuba ibintu 150 bitandukanye mu cyumweru icyo ari cyo cyose." Uyu munsi umubare urenga 1.000. "
ICU Medical, isosiyete ikora imiyoboro ya tracheostomy ikoreshwa na Evans, yemeje ko ibura rishobora guteza “umutwaro munini w’inyongera” ku barwayi bishingikiriza ku guhumeka. Isosiyete yavuze ko irimo gukora kugira ngo ikemure ibibazo by’itangwa ry’amasoko.
Ku rubuga rwa interineti, umuvugizi w'isosiyete, Tom McCall yagize ati: "Iki kibazo cyiyongereye kubera ikibazo cya silicone mu nganda zose, ibikoresho by'ibanze byo gukora imiyoboro ya tracheostomy".
McCall yongeyeho ati: "Ibura ry'ibintu mu buvuzi ntabwo ari shyashya." Ariko igitutu cy’icyorezo cy’icyorezo ndetse n’ubu ku isi gitanga amasoko ndetse n’ibibazo bitwara ibicuruzwa byakajije umurego - haba ku mubare w’ibicuruzwa n’abakora ibicuruzwa byangizeho ingaruka, ndetse n’igihe kirekire cy’ibura ryabaye kandi kizagaragara. ”
Killick urwaye dysgraphia ya moteri, indwara itera ingorane n’ubuhanga bwiza bw’imodoka bukenewe koza amenyo cyangwa kwandika akoresheje intoki, yavuze ko mu bihe byinshi by’icyorezo, bigora cyane ababana n’ubumuga cyangwa indwara zidakira kubona ibikoresho no kwivuza, Kubera ko abaturage benshi bakeneye ibyo bintu. abandi benshi bakoresha ibiyobyabwenge kugirango birinde cyangwa bivure virusi ya Covid-19.
Killick yagize ati: "Ntekereza ko biri mu bigize urujijo runini rw'abafite ubumuga babonwa ko badakwiriye umutungo, badakwiriye kuvurwa, badakwiriye n'ubuzima."
Sheehan yavuze ko azi icyo guhezwa. Mu myaka yashize, uyu musore w'imyaka 38, wibwiraga ko atari binary kandi agakoresha insimburangingo “we” na “bo” mu buryo bumwe, yarwanaga kurya no gukomeza ibiro bihamye mu gihe abaganga barwaniraga gusobanura impamvu yatakaje vuba vuba .5'7 ″ kandi apima ibiro 93.
Amaherezo, umuhanga mu by'imiterere y’imiterere yamusuzumye indwara idasanzwe yarazwe yitwa syndrome ya Ehlers-Danlos - indwara ikaba yarakomerekejwe n’imvune zatewe n’umugongo w’inkondo y'umura nyuma y’impanuka y'imodoka. Nyuma y’ubundi buryo bwo kuvura bwananiranye, umuganga we yamutegetse kubona imirire mu rugo binyuze mu mazi ya IV.
Ariko hamwe n’ibihumbi n’ibihumbi by’abarwayi ba Covid-19 bari mu bigo byita ku barwayi bakomeye, ibitaro bitangiye kuvuga ko habuze inyongeramusaruro y’imirire y’imitsi.Nkuko ibibazo byagaragaye muri iyi mezi y'imbeho, ni nako vitamine ikomeye yinjira mu mitsi Sheehan ikoresha buri munsi. Aho gufata ibiyobyabwenge birindwi mu cyumweru, yatangiriye kuri dosiye eshatu gusa.Hariho ibyumweru ubwo yari afite bibiri gusa mu minsi irindwi mbere yo kohereza.
Ati: "Kuri ubu nasinziriye." Ntabwo nari mfite imbaraga zihagije kandi ndacyabyuka numva ntaruhutse. "
Sheehan yavuze ko yatangiye kunanuka kandi imitsi ye iragabanuka, kimwe na mbere yuko bamusuzuma atangira kwakira imirire ya IV. ”Ati:" Umubiri wanjye urimo kurya. "
Ubuzima bwe muri iki cyorezo nabwo bwarushijeho gukomera kubera izindi mpamvu. Mugihe icyifuzo cya mask cyakuweho, aratekereza kureka kuvura umubiri kugirango abungabunge imikorere yimitsi ndetse nimirire mike - kubera ibyago byinshi byo kwandura.
Ati: "Byatuma mpagarika ibintu bike bya nyuma nari mfashe." Ati: "Mu myaka ibiri ishize yari yarabuze guterana mu muryango no gusura mwishywa we yakundaga."
Ndetse na mbere y’icyorezo, Brandi Polatty w’umwanditsi w’urukundo w’imyaka 41 n’abahungu be bombi b’ingimbi, Nowa na Yona, bahoraga i Jefferson, muri Jeworujiya. kwitandukanya nabandi murugo.Bararambiwe cyane kandi bafite ikibazo cyo kurya. Rimwe na rimwe, bumva barwaye cyane ku buryo badashobora gukora cyangwa kujya ku ishuri igihe cyose kuko ihinduka ry’imiterere ririnda ingirabuzimafatizo zabo gutanga ingufu zihagije.
Byatwaye abaganga imyaka kugirango bakoreshe biopies yimitsi no gupima genetike kugirango bemeze ko bafite indwara idasanzwe yitwa myopathie mitochondrial myopathie iterwa na mutation genetique. Nyuma yikigeragezo kinini namakosa, umuryango wavumbuye ko kubona intungamubiri binyuze mumiyoboro igaburira hamwe namazi ya IV asanzwe (arimo glucose, vitamine nibindi byongeweho) byafashaga gukuraho igihu cyubwonko no kugabanya umunaniro.
Kugirango ukomeze kuvura ubuzima, hagati yumwaka wa 2011 na 2013, ababyeyi nabahungu bangavu bahawe icyambu gihoraho mumabere yabo, rimwe na rimwe bita umurongo wo hagati, uhuza catheter numufuka wa IV kuva mu gatuza uhuza imitsi yegereye umutima.Ibyambu byorohereza gucunga amazi ya IV murugo kuko Borattis itagomba guhiga imitsi itoroshye no kubona inshinge zabo.
Brandi Poratti yavuze ko hamwe n'amazi ya IV asanzwe, yashoboye kwirinda ibitaro no gutunga umuryango we yandika ibitabo by'urukundo. Ku ya 14, Yona yaje kugira ubuzima bwiza bihagije kugira ngo akureho igituza ndetse n'igituba cyo kugaburira. Ubu ashingiye ku miti yo mu kanwa kugira ngo acunge indwara ye. Mukuru we, Nowa, ufite imyaka 16, aracyakeneye gushiramo, ariko yumva afite imbaraga zihagije zo kwiga GED, gutsinda, no kujya mu ishuri rya muzika.
Ariko ubu, amwe murayo majyambere abangamiwe n’imbogamizi ziterwa n’ibyorezo ku itangwa rya saline, imifuka ya IV na heparin Polatty na Nowa bakoresha kugira ngo catheters zabo zandure amaraso ashobora guhitana kandi birinde kwandura.
Mubisanzwe, Nowa yakira 5.500ml y'amazi mumifuka 1.000ml buri byumweru bibiri.Kubura, umuryango rimwe na rimwe wakira amazi mumifuka mito mito, kuva kuri mililitiro 250 kugeza 500. Ibi bivuze kubisimbuza kenshi, byongera amahirwe yo kwandura indwara.
Brandi Boratti yagize ati: "Ntabwo bisa nkaho ari ibintu bikomeye, si byo? Tuzahindura gusa umufuka wawe." Ariko ayo mazi yinjira mu murongo wo hagati, kandi amaraso akajya mu mutima wawe. Niba ufite infection ku cyambu cyawe, ushakisha sepsis, ubusanzwe muri ICU. Nibyo bituma umurongo wo hagati utera ubwoba. "
Rebecca Ganetzky, umuganga witabiriye gahunda ya Frontiers muri Medicine Mitochondrial Medicine mu bitaro by’abana bya Philadelphia, yatangaje ko ibyago byo kwandura umurongo ari impungenge kandi zikomeye ku bantu bahabwa ubwo buvuzi bufasha.
Yavuze ko umuryango wa Polatty ari umwe mu barwayi benshi ba mitochondial bahura n’amahitamo akomeye mu gihe cy’icyorezo, yavuze ko kubera ibura ry’imifuka ya IV, imiyoboro ndetse n’amata atanga imirire. Bamwe muri aba barwayi ntibashobora gukora badafite hydrasiyo n’inkunga y’imirire.
Ibindi bihungabanya amasoko byatumye abantu bafite ubumuga badashobora gusimbuza ibice by’ibimuga n’ibindi bikoresho bibemerera kubaho mu bwigenge.
Evans, umutegarugori wa Massachusetts wari kuri ventilateur, ntabwo yamaze amezi arenga ane ava mu rugo rwe nyuma y’igitereko cy’ibimuga cy’ibimuga hanze y’umuryango we cyangirika ku buryo budasubirwaho kandi byabaye ngombwa ko gikurwaho mu mpera z'Ugushyingo.
Mu gihe yari agitegereje ko igiciro kigabanuka, Evans yagombaga kwishingikiriza ku bufasha bw’abaforomo n’abafasha mu buzima bwo mu rugo.Ariko igihe cyose umuntu yinjiye iwe, yatinyaga ko bazana virusi - nubwo atabashaga kuva mu rugo, abafasha baza kumufasha bahuye na virusi byibuze inshuro enye.
Evans yagize ati: "Abaturage ntibazi icyo benshi muri twe bahura nacyo mu gihe cy'icyorezo, igihe bashaka gusohoka bakabaho." Ati: “Ariko noneho bakwirakwiza virusi.”
Inkingo: Ukeneye urukingo rwa kane rwa coronavirus? Abayobozi bemeye ko booster ya kabiri irasa Abanyamerika 50 cyangwa barenga.Urukingo rw’abana bato narwo rushobora kuboneka vuba.
Ubuyobozi bwa Mask: Umucamanza wa federasiyo yakuyeho uruhushya rwa mask rwo gutwara abantu, ariko imanza za covid-19 zirongera kwiyongera. Twashyizeho umurongo ngenderwaho wo kugufasha guhitamo niba uzakomeza kwambara mu maso. Abahanga benshi bavuga ko ugomba gukomeza kwambara mu ndege.
Gukurikirana virusi: Reba nimero ya coronavirus iheruka nuburyo variant ya omicron ikwirakwira kwisi.
Ibizamini byo murugo: Dore uko wakoresha ibizamini bya covid murugo, aho wabisanga, nuburyo bitandukanye nibizamini bya PCR.
Itsinda rishya rya CDC: Hashyizweho itsinda rishya ry’abahanga mu by'ubuzima bwa federasiyo kugira ngo ritange amakuru nyayo kuri coronavirus n’ibyorezo bizaza - “ikigo cy’igihugu cy’ikirere” kugira ngo hamenyekane intambwe ikurikira mu cyorezo.
Igihe cyo kohereza: Jun-28-2022