Ina ia manumalo i lenei taua le maalofia ma tau faasaga i le COVID-19, e tatau ona tatou galulue faʻatasi ma fefaʻasoaaʻi o tatou aafiaga i le lalolagi atoa.O le First Affiliated Hospital, Zhejiang University School of Medicine na togafitia le 104 tagata mamaʻi na faʻamaonia le COVID-19 i le 50 aso ua tuanaʻi, ma o latou tagata tomai faapitoa na tusia ni togafitiga moni i le po ma le ao, ma faʻasalalau vave lenei Tusitaulima o le COVID-19 Puipuiga ma Togafitiga, faʻamoemoe. e fa'asoa a latou fautuaga aoga taua ma fa'amatalaga i le aufaigaluega faafoma'i i le lalolagi atoa.O lenei tusitaulima faʻatusatusa ma auʻiliʻili le poto masani o isi tagata atamamai i Saina, ma tuʻuina atu faʻamatalaga lelei i matagaluega autu e pei o le puleaina o faʻamaʻi pipisi, tausimaʻi, ma falemaʻi i fafo.O lenei tusitaulima o loʻo tuʻuina atu ai taʻiala ma faʻataʻitaʻiga sili a le au atamamai sili a Saina mo le faʻafetauiina o le COVID-19.
O lenei tusitaulima, saunia e le First Affiliated Hospital of Zhejiang University, o loʻo faʻamatalaina ai le auala e mafai ai e faʻalapotopotoga ona faʻaititia le tau aʻo faʻateleina le aʻafiaga o faiga e pulea ma pulea ai le faʻamaʻi o le coronavirus.O loʻo faʻatalanoaina foi e le tusitaulima pe aisea e tatau ai i falemaʻi ma isi faʻalapotopotoga faʻalesoifua maloloina ona iai nofoaga faʻatonu pe a feagai ma se faʻalavelave faʻafuaseʻi tele i le tulaga o le COVID-19.O lenei tusitaulima e aofia ai foi mea nei:
Ta'iala fa'apitoa mo le fa'atalanoaina o fa'afitauli i taimi o fa'alavelave fa'afuase'i.
Togafitiga e togafitia ai ma'i tigaina.
Lagolago fa'ai'uga lelei ile falema'i.
Fa'ata'ita'iga sili mo matagaluega taua e pei o le fa'aogaina o le fa'aogaina ma falema'i i fafo.
Fa'amatalaga a le Fa'atonu:
O le feagai ai ma se siama e le iloa, fefaʻasoaaʻi ma le galulue faʻatasi o le fofo sili lea.O le lolomiina o lenei Tusitaulima o se tasi lea o auala sili e faailoga ai le lototele ma le poto na faʻaalia e a matou tagata faigaluega soifua maloloina i le lua masina talu ai.Fa'afetai ia i latou uma na saofagā i lenei Tusitaulima, fa'asoa le poto masani taua ma pa'aga fa'alesoifua maloloina i le salafa o le lalolagi a'o fa'asaoina ola o gasegase.Fa'afetai i le lagolago a le au faigaluega fa'alesoifua maloloina i Saina na tu'uina mai le poto masani e fa'aosofia ma fa'aosofia ai i tatou.Faafetai i le Jack Ma Foundation mo le amataina o lenei polokalame, ma le AliHealth mo le lagolago faʻapitoa, ua mafai ai lenei Tusitaulima e lagolago ai le tau faasaga i le faʻamaʻi.E avanoa le Tusitaulima mo tagata uma e leai se totogi.Peita'i, ona o le utiuti o le taimi, e ono iai ni fa'aletonu ma fa'aletonu.E matua fa'afeiloa'i lava au manatu ma fautuaga!
Polofesa Tingbo LIANG
Faatonu Sili o le Tusitaulima ole Puipuiga ma Togafitiga ole COVID-19
Ta'ita'ifono o le Falema'i Fa'atasi Muamua, Zhejiang University School of Medicine
Mataupu
Vaega Muamua Puleaina Puipuia ma le Pulea
I. Puleaina o Nofoaga Tuufua ………………………………………………………………………………………,
II.Pulega o le Aufaigaluega……………………………………………………………………………………………….. .4
Ill. COVID-19 Fa'atatau ile Pulea Puipuiga o le Tagata Lava Ia…………………………………………………….5
IV.Fa'ata'ita'iga Fa'ata'ita'i ile Falema'i ile taimi ole fa'ama'i ole COVID-19………………………………………………………….6
V. Lagolago Fa'atekinolosi mo le Puipuia ma le Puleaina o Fa'ama'i.…………………………………………….16
Vaega Lua Su'esu'ega ma Togafitiga
I. Puleaina Fa'apitoa, Galulue Fa'atasi ma Fa'alapotopotoga Tu'ufa'atasi ……………………………………………18
II. Fa'ailoga o le Etiology ma le Fua …………………………………………………………………………………….19
Ma'i. Sailiga Ata o Ma'i COVID-19…………………………………………………………………………..21
IV.Fa'aaogāina ole Bronchoscopy ile Su'esu'ega ma le Puleaina ole Ma'i COVID-19......22
V. Su'esu'ega ma Fa'avasegaga Fa'afoma'i ole COVID-19………………………………………………………………22
VI.Togafitiga Fa'ama'i Fa'ama'i mo le Fa'ate'a Fa'atomio o Fa'ama'i ………………………………………………………23
VII.Togafitiga Fa'ate'i ma Fa'ate'i-hypoxemia………………………………………………………………..24
VIII.Le Fa'aoga Fa'atatau o Vailaau Fa'ama'i e Puipuia Fa'ama'i Fa'alua ………………………………………….29
IX.Ole Paleni ole Intestinal Microecology ma Mea'ai Fesoasoani………………………………………….30
X. Lagolago ECMO mo ma'i COVID-19………………………………………………………………………….32
XI.Togafitiga Fa'ato'a Fa'ato'a Fa'ato'a mo Ma'i COVID-19……………………………………………………35
XII.Togafitiga Fa'avasegaga a le TCM e Fa'aleleia atili ai le Fa'amalologa ……………………………………………………….36
XIII.Puleaina o le Fa'aaogaina o Fualaau Fa'asaina o Ma'i COVID-19…………………………………………………………………….37
XIV.Fa'atonuga o le Mafaufau mo Ma'i COVID-19………………………………………………………………41
XV.Togafitiga Toefuataiga mo Ma'i COVID-19…………………………………………………………………….42
XVI.Fa'aliliuina o Mama'i i Ma'i e maua i le COVID- l 9……………………………………………………..44
XVII.Tulaga Fa'ate'a ma Fuafuaga tulitatao mo Ma'i COVID-19…………………………………….45
Vaega Tolu Tausisoifua
I. Tausiga Tausima'i mo Ma'i o lo'o Maua Igoa Nasal Cannula {HFNC) Togafitiga Okesene..........47
II.Tausiga Tausisoifua i Ma'i ma'i Fa'asa'o Fa'ainisinia…………………………………………………….47
Puleaina i Aso Ta'itasi ma le Mata'ituina ole ECMO {Extra Corporeal Membrane Oxygenation)…….49
IV.Tausisoifua ole ALSS {Faiga Fa'apitoa mo le Lagolago mo le Ati)……………………………………………………..50
V. Togafitiga Suiga Fa'aauau {CRRT) Tausiga…………………………………………………….51
VI.Tausiga Lautele……………………………………………………………………………………………….52
Fa'aopoopo
I. Fautuaga Faafomai Fa'ata'ita'iga mo Ma'i COVID-19………………………………………………………………..53
II.Fa'asologa o Fa'atalanoaga i luga ole laiga mo Su'esu'ega ma Togafitiga…………………………………………………….57
Fa'amatalaga ………………………………………………………………………………………………………………………. .59
La'u mai le tusitaulima e//cdn.goodao.net/holtop/Handbook-of-COVID-19-Prevention-and-Treatment.pdf
Taimi meli: Mati-19-2020