Ua kamaʻilio ʻo Medical News Today i ka mea hoʻomaʻi maʻi ma New York City ʻo Dr. Sai-Kit Wong e pili ana i kāna mau ʻike i ka wā e paʻa ana ka maʻi maʻi COVID-19 ma United States.
Ke hoʻomau nei ka nui o nā hihia COVID-19 ma US, ke ulu nei ke kaomi i nā haukapila e mālama i nā maʻi maʻi maʻi.
Ua ʻike ʻo New York State, a me New York City i ka piʻi nui o nā hihia COVID-19 a me nā make.
Ua haʻi aku ʻo Kauka Sai-Kit Wong, kahi mea hoʻomaʻamaʻa ma New York City, i ka Medical News Today e pili ana i ka lele ʻana o nā hihia COVID-19 āna i ʻike ai i nā lā he 10 i hala iho nei, e pili ana i ka hana ʻana i nā koho hōʻeha puʻuwai e pili ana i ka mea maʻi e loaʻa i kahi ventilator, a he aha kēlā me kēia. hiki iā mākou ke hana e kōkua iā ia e hana i kāna hana.
MNT: Hiki iā ʻoe ke haʻi mai iaʻu i ka mea i hana ʻia i nā pule i hala aku nei ʻoiai ua ʻike kou kūlanakauhale a me ka ʻāina holoʻokoʻa i ka piʻi ʻana o nā hihia COVID-19?
Kauka Sai-Kit Wong: Ma kahi o 9 a i ʻole 10 mau lā i hala aku nei, ua loaʻa iā mākou ma kahi o ʻelima mau maʻi maʻi COVID-19, a laila 4 mau lā ma hope, ua loaʻa iā mākou ma kahi o 113 a i ʻole 114. I kēia lā, loaʻa iā mākou he ʻekolu a ʻehā mau papa lāʻau lapaʻau i hoʻopiha ʻia me nā mea maʻi maʻi COVID-19 wale nō.ʻO nā keʻena mālama maʻi maʻi (ICU), nā ICU o ke kaʻina hana, a me ka lumi ulia pōpilikia (ER) ua paʻa paʻa, poʻohiwi i ka poʻohiwi, me nā maʻi maʻi COVID-19.ʻAʻole au i ʻike i kekahi mea like me kēia.
Kauka Sai-Kit Wong: ʻO nā mea ma ka papahele, ʻae, ʻo lākou.ʻO nā maʻi me nā hōʻailona maʻalahi - ʻaʻole lākou e ʻae iā lākou.Hoʻouna lākou iā lākou i ka home.ʻO ke kumu, inā ʻaʻole lākou e hōʻike i ka pōkole o ka hanu, ʻaʻole kūpono lākou no ka hoʻāʻo.Na ke kauka ER e hoʻouna iā lākou i ka home a haʻi iā lākou e hoʻi i ka wā e ʻoi aku ka ʻino o nā hōʻailona.
Ua loaʻa iā mākou ʻelua mau pūʻulu, a aia kēlā me kēia me hoʻokahi anesthesiologist a me hoʻokahi kahu maʻi hōʻoia i hoʻopaʻa ʻia, a pane mākou i kēlā me kēia intubation pilikia i loko o ka haukapila holoʻokoʻa.
Ma kahi o 10 mau hola, ua loaʻa iā mākou he ʻewalu intubations ma waena o kā mākou hui ma ke keʻena anesthesia.ʻOiai mākou e hana nei, hana mākou i nā mea e pono ai mākou e hana.
I ke kakahiaka nui, ua nalo iki au.Lohe au i ke kamaʻilio ʻana.Aia kekahi mea maʻi i ka hana a me ka hānau ʻana, he 27 mau pule o ka hāpai ʻana, e hele ana i ka hanu hanu.
A mai kaʻu mea i lohe ai, ʻaʻohe a mākou mea hoʻoheheʻe nona.Ua kamaʻilio mākou e pili ana i ʻelua mau hopu ʻana i ka naʻau.Aia nā mea maʻi ʻelua ma luna o nā ventilator a inā i hala kekahi o lākou, hiki iā mākou ke hoʻohana i kekahi o kēlā mau ventilator no kēia maʻi.
No laila, ma hope o koʻu lohe ʻana i kēlā, ʻeha loa koʻu naʻau.Ua komo au i loko o kahi keʻena kaʻawale, a ua haki wau.Ua uē wale au me ka ʻole.A laila kāhea wau i kaʻu wahine, a haʻi wau iā ia i ka mea i hana ʻia.ʻO kā mākou mau keiki ʻehā me ia.
Ua hui wale mākou, pule mākou, hāpai mākou i ka pule no ka mea maʻi a no ka pēpē.A laila, kāhea au i koʻu kahunapule mai ka hale pule, ʻaʻole hiki iaʻu ke kamaʻilio.E uwe wale ana au me ka uwe.
No laila, paʻakikī kēlā.A ʻo ka hoʻomaka wale nō ia o ka lā.Ma hope o kēlā, huki au iaʻu iho, a no ke koena o ka lā, hele wale wau a hana i kaʻu mea e hana ai.
MNT: Ke manaʻo nei au he mau lā paʻakikī paha kāu ma ka hana, akā me he mea lā aia i loko o kahi hui ʻokoʻa.Pehea ʻoe e huki ai iā ʻoe iho i hiki iā ʻoe ke hele a hana i ke koena o kāu hoʻololi?
ʻO Kauka Sai-Kit Wong: Manaʻo wau e hoʻāʻo wale ʻoe e noʻonoʻo ʻole ʻoiai ʻoe ma laila, e mālama ana i nā maʻi.Hana ʻoe iā ia ma hope o kou hoʻi ʻana i ka home.
ʻO ka mea ʻino loa, ma hope o ka lā e like me ia, ke hoʻi mai au i ka home, pono wau e hoʻokaʻawale iaʻu iho mai ke koena o ka ʻohana.
Pono wau e haʻalele iā lākou.ʻAʻole hiki iaʻu ke hoʻopā aku iā lākou a pūliki paha.Pono wau e ʻaʻahu i ka mask a hoʻohana i kahi lumi kaʻawale.Hiki iaʻu ke kamaʻilio me lākou, akā ʻano paʻakikī.
ʻAʻohe ala kikoʻī i ke ʻano o kā mākou hana ʻana me ia.E loaʻa paha iaʻu nā moeʻuhane i ka wā e hiki mai ana.E noʻonoʻo wale ana i nehinei, e hele ana ma nā keʻena o nā ʻāpana.
Ua pani ʻia nā puka maʻi e wehe mau ana i mea e pale ai i ka laha aerosolized.ʻO nā leo o nā ventilator, ka hopu ʻana i ka naʻau, a me ka hui pane wikiwiki ma luna o ka ʻaoʻao a puni ka lā.
ʻAʻole wau i noʻonoʻo, ʻaʻole hoʻi au i noʻonoʻo i kekona, e hoʻokomo ʻia au i kēia kūlana ma ke ʻano he anesthesiologist.I ka US, no ka hapa nui, aia mākou i loko o ka lumi hana, hoʻomaʻamaʻa i ka mea maʻi, a nānā iā lākou i ke kaʻina hana.Hoʻomaopopo mākou e ola lākou i ke kaʻina me ka ʻole o ka pilikia.
I loko o nā makahiki he 14 o kaʻu ʻoihana, a hiki i kēia manawa, ua emi iho au ma mua o kahi lima o ka make ma ka papa hana.ʻAʻole au i hana maikaʻi i ka make, koe wale nō kēia mau make a puni iaʻu.
ʻO Kauka Sai-Kit Wong: Ke hoʻāʻo nei lākou e hoʻopaʻa i nā lako pale pilikino āpau.Ke holo nei mākou me ka haʻahaʻa haʻahaʻa, a ke hoʻāʻo nei kaʻu ʻoihana i ka mea maikaʻi loa e mālama pono iā mākou, e pili ana i nā mea pale pilikino.No laila, mahalo nui au no ia mea.Akā ʻo ka holoʻokoʻa, e pili ana i ka mokuʻāina ʻo New York a me ka US, ʻaʻole wau i ʻike pehea mākou i hāʻule ai i lalo i kēia pae aia nā halemai e holo ana i waho o nā mīkina lima a me nā māka N95.Mai nā mea aʻu i ʻike ai i ka wā ma mua, hoʻololi mākou mai kahi mask N95 i kahi mea hou i kēlā me kēia 2-3 mau hola.I kēia manawa ua noi ʻia mākou e mālama i ka mea like no ka lā holoʻokoʻa.
A inā ua laki ʻoe.Ma kekahi mau halemai, ua noi ʻia ʻoe e mālama a hoʻohana hou a haumia a haumia, a laila e loaʻa paha iā lākou kahi mea hou.No laila ʻaʻole maopopo iaʻu pehea mākou i iho ai i kēia pae.
Kauka Sai-Kit Wong: Aia mākou ma nā pae haʻahaʻa haʻahaʻa.Ua lawa paha mākou no 2 mau pule, akā ua haʻi ʻia iaʻu he ukana nui kā mākou e komo mai ana.
MNT: Ma waho aʻe o ka loaʻa ʻana o nā lako pale ponoʻī iā ʻoe, ke hana nei kāu haukapila i kekahi mea e kōkua iā ʻoe ma kahi pae pilikino e hoʻoponopono i ke kūlana, a i ʻole he manawa e noʻonoʻo ai iā ʻoe he poʻe e hana ana ma laila?
Kauka Sai-Kit Wong: ʻAʻole wau i manaʻo ʻo ia kekahi o nā mea nui i kēia manawa.A i ko mākou hopena, ʻaʻole wau i manaʻo aia ma kā mākou papa inoa mua ma ke ʻano he loio pākahi.Manaʻo wau ʻo nā ʻāpana aʻalolo nui loa ke mālama nei i ka mea maʻi a ʻaʻole lawe i kēia home i ko mākou ʻohana.
Inā maʻi mākou iā mākou iho, ʻino.Akā ʻaʻole maopopo iaʻu pehea wau e noho ai me aʻu iho inā lawe wau i kēia home i koʻu ʻohana.
MNT: A ʻo ia ke kumu e noho kaʻawale ai ʻoe i loko o kou hale.No ka mea, ʻoi aku ka kiʻekiʻe o ka maʻi maʻi ma waena o nā limahana mālama olakino, ʻoiai ke ʻike ʻia nei ʻoe i nā poʻe maʻi me nā ukana viral kiʻekiʻe i kēlā me kēia lā.
Kauka Sai-Kit Wong: ʻAe, he 8, 6, 4, a me 18 mahina nā keiki.No laila, manaʻo wau ua ʻoi aku paha lākou ma mua o koʻu manaʻo.
Ua hala lākou iaʻu i koʻu hoʻi ʻana mai i ka home.Makemake lākou e hele mai e pūliki iaʻu, a pono wau e ʻōlelo iā lākou e haʻalele.ʻO ka pēpē liʻiliʻi, ʻaʻole ʻo ia i ʻike maikaʻi.Makemake ʻo ia e hele mai e pūliki iaʻu, a pono wau e ʻōlelo iā lākou e haʻalele.
No laila, manaʻo wau ua paʻakikī lākou i kēlā, a ke hana nui nei kaʻu wahine i nā mea āpau no ka mea ʻaʻole ʻoluʻolu wau i ka hoʻonohonoho ʻana i nā papa ʻaina, ʻoiai ke ʻaʻahu nei au i ka maka.
Nui nā poʻe me nā hōʻailona haʻahaʻa a i ʻole i ka pae asymptomatic.ʻAʻole maopopo iā mākou he aha ka hiki ke hoʻoili ʻia o kēlā mau maʻi asymptomatic a i ʻole ka lōʻihi o kēlā māhele.
Kauka Sai-Kit Wong: E hoʻi wau i ka hana i ka lā ʻapōpō kakahiaka, e like me ka mea maʻamau.E ʻaʻahu wau i koʻu maka a me koʻu mau maka.
MNT: Aia nā kelepona no nā kano a me nā lāʻau lapaʻau.Ma MNT, ua lohe pū mākou e pili ana i ka manaʻo o ka hoʻohana ʻana i ka serum mai ka poʻe i loaʻa iā COVID-19 a kūkulu i ka neutralizing antibodies, a laila hāʻawi i kēia i ka poʻe i ke kūlana koʻikoʻi a i ʻole i nā limahana mālama olakino.Ke kūkākūkā ʻia nei kēlā ma kāu haukapila a i ʻole ma waena o kāu mau hoa hana?
Kauka Sai-Kit Wong: ʻAʻole.ʻOiaʻiʻo, ʻike wau i kahi ʻatikala i kēia kakahiaka e pili ana i kēlā.ʻAʻole mākou i kūkākūkā iki.
Ua ʻike au i kahi ʻatikala i hoʻāʻo kekahi e hana pēlā ma Kina.ʻAʻole maopopo iaʻu i ka nui o kā lākou holomua, akā ʻaʻole ia kahi mea a mākou e kūkākūkā nei i kēia manawa.
MNT: Ma ke ʻano o kāu hana, manaʻo paha e piʻi aʻe nā mea no ka mea ke piʻi nei nā hihia.Loaʻa iā ʻoe kekahi manaʻo no ka manawa a ma hea ka piko?
ʻO Kauka Sai-Kit Wong: E ʻoi loa ana ka ʻino.Inā pono wau e koho, e ʻōlelo wau e hiki mai ka piko i loko o nā lā 5-15 e hiki mai ana.Inā pololei nā helu, manaʻo wau aia mākou ma kahi o 2 mau pule ma hope o Italia.
Ma New York i kēia manawa, manaʻo wau ʻo mākou ka epicenter o ka US Mai ka mea aʻu i ʻike ai i nā lā he 10 i hala iho nei, ke piʻi nui nei.I kēia manawa, aia mākou i ka hoʻomaka o ka piʻi ʻana.ʻAʻole mākou kokoke i ka piko i kēia manawa.
MNT: Pehea kou manaʻo e hoʻokō ai kāu haukapila i kēlā piʻi ʻana o ka noi?Ua ʻike mākou i nā hōʻike e pili ana i ka mokuʻāina ʻo New York ma kahi o 7,000 ventilators, akā ua ʻōlelo kou kiaʻāina e pono ʻoe i 30,000.Manaʻo ʻoe e pili ana i ka pololei?
Dr. Sai-Kit Wong: Pili ia.Ua hoʻomaka mākou i ka hele ʻana i ka nohona.Akā mai kaʻu mea i ʻike ai, manaʻo wau ʻaʻole i manaʻo nui ka poʻe.Manaʻo wau ua hewa wau.Inā hana ka hele ʻana o ka nohona a ke hahai nei nā mea a pau, e hoʻolohe ana i ka ʻōlelo aʻo, e hoʻolohe ana i nā ʻōlelo aʻoaʻo, a me ka noho ʻana ma ka home, a laila manaʻo wau ʻaʻole mākou e ʻike i kēlā piʻi.
Akā inā loaʻa iā mākou ka piʻi ʻana, e hele ana mākou i ke kūlana o Italia, kahi e hopohopo ai mākou, a laila pono mākou e hoʻoholo e pili ana i ka mea e loaʻa i ka ventilator a ʻo wai mākou e hiki ai. pono.
ʻAʻole au makemake e hana i kēlā hoʻoholo.He kanaka anesthesiologist au.ʻO kaʻu hana mau ka mālama pono ʻana i nā maʻi, e hoʻopuka iā lākou i waho o ke kaʻina me ka ʻole o ka pilikia.
MNT: Aia kekahi mea āu e makemake ai e ʻike ka poʻe e pili ana i ka coronavirus hou a pehea e mālama pono ai iā lākou iho a me ko lākou mau ʻohana, i hiki iā lākou ke kōkua i ka hoʻopololei ʻana i kēlā pihi i ʻole e hoʻonui ʻia nā haukapila i kahi āu e hana ai. kēlā mau hoʻoholo?
Loaʻa iā mākou nā ʻāina i mua o mākou.Ua hana mua lākou i kēia.Nā wahi e like me Hong Kong, Singapore, South Korea, a me Taiwan.Ua loaʻa iā lākou ka maʻi maʻi maʻi ʻehaʻeha (SARS), a ʻoi aku ka maikaʻi o kā lākou mālama ʻana i kēia ma mua o mākou.A ʻaʻole maopopo iaʻu ke kumu, akā i kēia lā, ʻaʻole lawa kā mākou pahu hoʻāʻo.
ʻO kekahi o nā hoʻolālā ma South Korea ʻo ia ka hoʻomaka ʻana i ka hoʻāʻo ʻana i ka nānā ʻana, kahi quarantine koʻikoʻi i ka wā mua, a me ka huli ʻana.Ua ʻae kēia mau mea a pau iā lākou e hoʻomalu i ka laha, ʻaʻole mākou i hana i kekahi o ia mea.
Eia ma New York, a ma ʻAmelika, ʻaʻole mākou i hana.ʻAʻole mākou i hana i kahi huli hoʻopili.Akā, kali mākou a kali, a laila ʻōlelo mākou i nā poʻe e hoʻomaka i ka hele ʻana i ka nohona.
Inā ʻōlelo ka poʻe loea iā ʻoe e noho ma ka home, a i ʻole e noho 6 kapuaʻi ka mamao, e hana.ʻAʻole pono ʻoe e hauʻoli no ia mea.Hiki iā ʻoe ke hoʻopiʻi no ia mea.Hiki iā ʻoe ke kamaʻilio e pili ana iā ia.Hiki iā ʻoe ke hoʻopiʻi e pili ana i kou luhi ma ka home a me ka hopena o ka hoʻokele waiwai.Hiki iā mākou ke hoʻopaʻapaʻa no ia mau mea a pau ke pau kēia.Hiki iā mākou ke hoʻopaʻapaʻa i ke ola a pau ke pau kēia.
ʻAʻole pono ʻoe e ʻae, akā e hana wale i ka ʻōlelo a ka poʻe akamai.E noho olakino, a mai hoʻokaumaha i ka haukapila.E hana wau i kaʻu hana.
No nā mea hou e pili ana i nā mea hou e pili ana i ka novel coronavirus a me COVID-19, kaomi maanei.
No ka ʻohana Coronavirinae nā Coronaviruses ma ka ʻohana Coronaviridae a ke kumu pinepine nei i ke anu.He mau ʻano ʻelua ʻo SARS-CoV a me MERS-CoV…
ʻO COVID-19 kahi maʻi hanu i hoʻokumu ʻia e ka maʻi maʻi SARS-CoV-2.Ke hana nei nā mea noiʻi i ka hoʻomohala ʻana i kahi kano coronavirus.E aʻo hou ma aneʻi.
Ke laha wikiwiki a maʻalahi ka coronavirus hou.E aʻo hou e pili ana i ka hiki ʻana o ke kanaka ke hoʻoili i ka maʻi maʻi, a me pehea e pale aku ai, ma aneʻi.
Ma kēia Hiʻona Kūikawā, wehewehe mākou i nā hana e hiki ai iā ʻoe ke hana i kēia manawa e pale aku i ka maʻi me ka coronavirus hou - kākoʻo ʻia e nā kumu mana.
Hiki i ka holoi lima kūpono ke pale i ka laha ʻana o nā maʻi a me nā maʻi.E aʻo i nā hana holoi lima kūpono me kahi alakaʻi ʻike, me nā ʻōlelo kōkua kōkua…
Ka manawa hoʻouna: Mar-28-2020