I-Medical News namhlanje ithethe nogqirha obulala iintlungu kwisiXeko saseNew York uGqr. Sai-Kit Wong malunga namava akhe njengoko ubhubhani we-COVID-19 uqhubeka e-United States.
Njengoko inani leemeko ze-COVID-19 e-US liqhubeka nokunyuka, uxinzelelo kwizibhedlele zokunyanga abaguli abagula kakhulu luyakhula.
I-New York State, kunye nesiXeko saseNew York ngakumbi, sibone ukonyuka okunyukayo kwi-COVID-19 iimeko kunye nokufa.
UGqr. Sai-Kit Wong, ugqirha ofakela i-anesthetist kwisiXeko saseNew York, uxelele i-Medical News namhlanje malunga nokutsiba kwamatyala e-COVID-19 awabonile kwezi ntsuku zili-10 zidlulileyo, malunga nokwenza ukhetho olubuhlungu malunga nokuba sesiphi isigulana esifumana i-ventilator, kwaye yintoni nganye. sinokwenza ukumnceda enze umsebenzi wakhe.
MNT: Ngaba ungandixelela ukuba kwenzeke ntoni kwezi veki zimbalwa zidlulileyo njengoko isixeko sakho kunye nelizwe lonke libone ukwanda kwamatyala e-COVID-19?
UGqr. Sai-Kit Wong: Malunga neentsuku ezili-9 okanye ezili-10 ezidlulileyo, besimalunga nesihlanu sabaguli abane-COVID-19, kwaye emva kweentsuku ezi-4, saba malunga ne-113 okanye i-114. Namhlanje, sineeyunithi ezintathu okanye ezine zomgangatho wotyando zizonke ezingagcwaliswanga nto ngaphandle kwabaguli abane-COVID-19.Iiyunithi zokhathalelo olunzulu lwezonyango (ICUs), ii-ICU zotyando, kunye negumbi likaxakeka (ER) zonke zigcwele igxalaba, emagxeni, kunye nezigulana ezine-COVID-19.Andizange ndiyibone into enje.
UGqr. Sai-Kit Wong: Abo baphantsi, ewe, banjalo.Izigulana ezineempawu ezibuthathaka - abazazi kwaukuzamkela.Bazithumela ekhaya.Ngokusisiseko, ukuba ababonisi ukuphefumla okufutshane, abakulungelanga ukuvavanywa.Ugqirha we-ER uya kubathumela ekhaya kwaye abaxelele ukuba babuye xa iimpawu ziba mbi ngakumbi.
Sasinamaqela amabini, kwaye ngalinye liqulethe i-anesthesiologist enye kunye nonesi obhalisiweyo obhalisiweyo oqinisekisiweyo, kwaye siphendula kuyo yonke intubation kaxakeka kwisibhedlele sonke.
Ngaphezulu kweeyure ezili-10, sibe ne-intubation esibhozo phakathi kweqela lethu kwisebe le-anesthesia.Ngelixa sikwishifti, senza nje into emasiyenze.
Ekuseni ngentseni, ndiye ndalahleka kancinci.Ndeva incoko.Kwakukho isigulana ekuzalweni nasekubelekeni, iiveki ezingama-27 zokumitha, owayesiya kukusilela kokuphefumla.
Ngokuva kwam, sasingenaye i-ventilator yakhe.Besithetha ngendlela ekukho ukubanjwa kwentliziyo kabini okuqhubekayo.Zombini ezi zigulana bezikwi-ventilators kwaye ukuba omnye wabo upasile, sinokusebenzisa enye yezo zixhobo zokungenisa umoya kwesi sigulana.
Ngoko emva kokuba ndive loo nto, intliziyo yam yayibuhlungu kakhulu.Ndingene egumbini elingenamntu, ndifike ndophuka nje.Ndivele ndalila into engapheliyo.Emva koko ndafowunela umfazi wam, ndaza ndamxelela oko kwenzekayo.Bobane abantwana bethu babekunye naye.
Sadibana nje, sathandaza, saphakamisa umthandazo wesigulane kunye nosana.Emva koko ndafowunela umfundisi wam esecaweni, kodwa andakwazi nokuthetha.Bendilila qha ndinesingqala.
Ngoko, oko kwakunzima.Yayisisiqalo nje eso.Emva koko, ndazitsala, kwaye imini yonke, ndaqhubeka ndenza oko kufuneka ndikwenze.
MNT: Ndicinga ukuba mhlawumbi uneentsuku ezinzima emsebenzini, kodwa oku kuvakala ngathi kukwiligi eyahlukileyo.Nizidibanisa njani ukuze nihambe niyokwenza ishifti yenu eseleyo?
UGqr. Sai-Kit Wong: Ndicinga ukuba uzama nje ukuba ungacingi ngako ngelixa ulapho, unyamekela izigulane.Uya kujongana nayo emva kokuba ubuyile ekhaya.
Eyona nto imbi kakhulu kukuba emva kosuku olulolo hlobo, xa ndifika ekhaya, kufuneka ndibe likheswa kusapho lonke.
Kufuneka ndihlale kude nabo.Andikwazi ukubabamba okanye ukuwola.Kuya kufuneka ndinxibe imaski kwaye ndisebenzise igumbi lokuhlambela elahlukileyo.Ndiyakwazi ukuthetha nabo, kodwa kunzima.
Akukho ndlela ikhethekileyo kwindlela esihlangabezana ngayo nayo.Mhlawumbi ndiza kuba namaphupha amabi kwixesha elizayo.Ndicinga nje ngezolo, ndihamba phantsi kweeholo zeeyunithi.
Iingcango zezigulane ezihlala zivuliwe zazivaliwe zonke ukukhusela ukusasazeka kwe-aerosolized.Izandi ze-ventilators, ukubanjwa kwentliziyo, kunye neqela lokuphendula ngokukhawuleza elingaphezulu kwephepha imini yonke.
Andizange ndicinge, kwaye andizange ndicinge nangomzuzwana, ukuba ndingaphoswa kwesi sikhundla njenge-anesthesiologist.E-US, ubukhulu becala, sikwigumbi lotyando, sibulala isigulana, kwaye sibajongile kulo lonke utyando.Siyaqinisekisa ukuba baphila ngotyando ngaphandle kwengxaki.
Kwiminyaka eli-14 yokusebenza kwam, ukuza kuthi ga ngoku, ndiye ndasweleka ngaphantsi kwenani labantu kwitafile yotyando.Andizange ndijamelane nokufa, ndingasathethi ke ngoku kufa okuninzi okundingqongileyo.
UGqr. Sai-Kit Wong: Bazama konke okusemandleni abo ukukhusela zonke izixhobo zokuzikhusela.Sibaleka kakhulu, kwaye isebe lam lizama kangangoko ukusigcina sikhuselekile, ngokubhekiselele kwizixhobo zokuzikhusela.Ngoko ndinombulelo kakhulu ngaloo nto.Kodwa ngokubanzi, ukuya kuthi ga kwiNew York State kunye ne-US ixhalabele, andazi ukuba siwe njani na ukuya kweli nqanaba lokuba kukho izibhedlele eziphelelwa ziiglavu kunye neemaski ezi-N95.Ukusuka kwinto endiyibonileyo kwixesha elidlulileyo, siqhele ukutshintshela kwimaski enye engu-N95 ukuya kwentsha rhoqo kwiiyure ezi-2 ukuya kwezi-3.Ngoku siyacelwa ukuba sigcine enye imini yonke.
Kwaye ukuba unethamsanqa.Kwezinye izibhedlele, uyacelwa ukuba uyigcine kwaye uyisebenzise kwakhona ide ingcoliswe kwaye ingcoliseke, mhlawumbi baya kufumana entsha.Andiyazi ke ukuba sifike njani kwelinqanaba.
UGqr. Sai-Kit Wong: Sikumanqanaba aphantsi kakhulu.Mhlawumbi sinokwaneleyo kwiiveki ezi-2, kodwa ndaxelelwa ukuba sinempahla enkulu ezayo.
MNT: Ukongeza ekufumaneni izixhobo zokuzikhusela, ngaba isibhedlele sakho siyakwenza oko ukukunceda ngokobuqu ukuze uhlangabezane nale meko, okanye alikho ixesha lokucinga ngawe njengabantu abasebenza apho?
UGqr. Sai-Kit Wong: Andiqondi ukuba leyo yenye yezinto eziphambili ngoku.Kwaye ekupheleni kwethu, andicingi ukuba kuluhlu lwethu oluphambili njengabasebenzi ngabanye.Ndicinga ukuba awona malungu akhathazayo akhathalela isigulana kwaye azizisi eli khaya kwiintsapho zethu.
Ukuba siyagula ngokwethu, kubi.Kodwa andazi ukuba bendizakuhlala njani nam xa ndizise eli khaya ekhaya.
MNT: Yiyo loo nto uziva wedwa endlwini yakho.Kuba izinga losulelo phakathi kwabasebenzi bezempilo liphezulu, njengoko uchanabeka kwizigulana ezinomthamo wentsholongwane egazini yonke imihla.
UGqr. Sai-Kit Wong: Ewe, abantwana baneenyanga ezisi-8, ezi-6, ezi-4, nezili-18.Ngoko ke ndicinga ukuba mhlawumbi baqonda ngaphezu kokuba ndicinga ukuba benza.
Bebendikhumbula xa ndifika ekhaya.Bafuna ukuza kundigona, kwaye kufuneka ndibaxelele ukuba bangahambi.Ingakumbi umntwana omncinci, akazi ngcono.Ufuna ukuza kundigona, kufuneka ndibaxelele bangahambi.
Ke, ndicinga ukuba bayasokolisa, kwaye umfazi wam wenza yonke into kuba andiziva ndikhululekile ukuseta iipleyiti zesidlo sangokuhlwa, nangona ndinxibe imaski.
Baninzi abantu abaneempawu ezibuthathaka okanye abakwinqanaba le-asymptomatic.Asinalo nofifi lokuba lingakanani na ithuba losulelo lwezi zigulana ezingenazimpawu okanye zide kangakanani na eso sigaba.
UGqr. Sai-Kit Wong: Ndiza kubuyela emsebenzini ngomso kusasa, njengesiqhelo.Ndizobe ndinxibe imaski yam kunye nezibuko zam.
MNT: Kukho iminxeba yogonyo kunye nonyango.Kwi-MNT, sivile malunga nombono wokusebenzisa i-serum kubantu abakhe bane-COVID-19 kwaye bakha izilwa-buhlungu ezibulalayo, emva koko banike abantu abakwimeko embi kakhulu okanye kubasebenzi bezempilo abaphambili.Ngaba oko kuyaxoxwa kwaphela esibhedlele okanye phakathi koogxa bakho?
UGqr. Sai-Kit Wong: Akunjalo.Enyanisweni, ndibone nje inqaku ngale ntsasa malunga naloo nto.Khange siyixoxe tu loo nto.
Ndabona inqaku ukuba umntu wazama ukwenza oko eTshayina.Andazi ukuba ingakanani impumelelo abayifumeneyo, kodwa ayisiyiyo le nto siyixoxayo ngoku.
MNT: Emsebenzini wakho, kucingelwa ukuba izinto zizobambi kakhulu kuba amatyala ayenyuka.Ngaba unazo naziphi na iingcinga malunga nokuba iyakuba nini kwaye phi incopho?
UGqr. Sai-Kit Wong: Iza kuba mbi kakhulu.Ukuba kufuneka ndiqikelele, ndingatsho ukuba incopho iza kufika kwiintsuku ezi-5-15 ezizayo.Ukuba amanani achanekile, ndicinga ukuba simalunga neeveki ezi-2 emva kwe-Itali.
ENew York ngoku, ndicinga ukuba singoyena bhubhani wase-US Ukusuka kwinto endiyibonileyo kwiintsuku ezili-10 ezidlulileyo, ibisanda kakhulu.Okwangoku, sisekuqaleni kolutyando.Akukho ndawo ikufutshane nencopho ngoku.
MNT: Ucinga ukuba isibhedlele sakho siya kumelana njani nokunyuka kwemfuno?Sizibonile iingxelo zokuba iNew York State inee-ventilators ezimalunga ne-7,000, kodwa irhuluneli yakho ithe uzakufuna ama-30,000.Ngaba ucinga ukuba ilungile?
UGqr. Sai-Kit Wong: Kuxhomekeke.Siye saqalisa ukuncitshiswa kwentlalo.Kodwa ngokubona kwam, andiqondi ukuba abantu bayithatha nzulu ngokwaneleyo.Ndiyathemba ukuba andilunganga.Ukuba indawo yokuhlala iyasebenza kwaye wonke umntu uyayilandela, ethobela ingcebiso, ethobela iingcebiso, kwaye uhlala ekhaya, ndiyathemba ukuba asisoze salubona olo tyando.
Kodwa ukuba sinotyando, siya kuba kwindawo yase-Italiya, apho siyakoyiswa khona, emva koko kuya kufuneka senze isigqibo malunga nokuba ngubani ongena kwi-ventilator kwaye ngubani esinokuthi sikwazi. phatha.
Andifuni ukwenza eso sigqibo.Ndiyi-anesthesiologist.Umsebenzi wam ubusoloko ikukugcina izigulane zikhuselekile, ukuzikhupha kuqhaqho ngaphandle kobunzima.
I-MNT: Ngaba kukho nantoni na onqwenela ukuba abantu bayazi malunga ne-coronavirus entsha kunye nendlela yokuzigcina bekhuselekile kunye neentsapho zabo, ukuze bancedise ukuthambisa eli jika ukuze izibhedlele zingagqithwanga ukuya kuthi ga apho kufuneka wenze khona. ezo zigqibo?
Sinamazwe aphambi kwethu.Bakhe bajongana nale nto ngaphambili.Iindawo ezifana neHong Kong, Singapore, South Korea, kunye neTaiwan.Babenobhubhani we-acute Respiratory Syndrome (SARS), kwaye bayiphatha ngcono kakhulu kunathi.Kwaye andazi ukuba kutheni, kodwa nanamhlanje, asikabi nazo ngokwaneleyo izixhobo zokuvavanya.
Esinye sezicwangciso-qhinga eMzantsi Korea yayikukuqalisa uvavanyo olukhulu lokucupha, ukuvalelwa umntu yedwa kwangethuba, kunye nokulandela umkhondo wonxibelelwano.Zonke ezi zinto zabavumela ukuba balawule ukuqhambuka, kwaye asizange senze nanye.
Apha eNew York, kwaye apha e-US, asizange senze nto.Khange senze naluphi na umkhondo womnxeba.Endaweni yoko, salinda salinda, emva koko saxelela abantu ukuba baqale ukuhambela kude ekuhlaleni.
Ukuba iingcali zikuxelela ukuba uhlale ekhaya, okanye uhlale iinyawo ezi-6 kude, yenze.Akuyomfuneko ukuba wonwabe ngayo.Ungakhalaza ngayo.Ungathetha ngayo.Ungakhalaza malunga nendlela odikwe ngayo ekhaya kunye nefuthe lezoqoqosho.Singaxoxa ngayo yonke loo nto xa oku kugqityiwe.Singachitha ubomi bonke sixoxa malunga naloo nto xa oku kuphelile.
Akunyanzelekanga ukuba uvumelane, kodwa yenza nje okuthethwa ziingcali.Hlala usempilweni, kwaye musa ukongamela isibhedlele.Ndiyeke ndenze umsebenzi wam.
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Ixesha lokuposa: Mar-28-2020