Please ensure Javascript is enabled for purposes of website accessibility Tsiba kwisiqulatho main
En Español
A A
800-511-5010
I-Health First Colorado kunye ne-CHP + zibuyela kwiinkqubo eziqhelekileyo zokuvuselela.
Jonga i-imeyile yakho, i-imeyile, kunye ne-PEAK ibhokisi lokungenayo. Thatha inyathelo xa ufumana imiyalezo esemthethweni. Ungawubona umhla wakho wokuhlaziya Apha nangaliphi ixesha. Ukuba ufumana ipakethe yokuhlaziya, qiniseka ukuba uyigcwalise. Qiniseka ukuba uyasisayina kwaye usibuyisele ngomhla omiselweyo.
Funda kabanzi apha

Ukutshintsha ulwazi kunye nokuTshintsha kweSayensi

By UBill W, MD

Ndimdala ngokwaneleyo ukuba ndibone ukhathalelo lwempilo luguquka kwaye lutshintsha kakhulu. Ukusuka kunyango lokuhlaselwa sisifo sentliziyo, utshintsho kulawulo lweentlungu ezisezantsi, kunye nokhathalelo lwe-HIV, amayeza ayaqhubeka nokuzilungisa kwaye atshintshe ngokuya sifunda kunye nokusetyenziswa kobungqina bokukhokela unyango.

Ubungqina? Ndiyakhumbula ezininzi iincoko kunye nezigulana ezaziziva ukuba ukukhankanywa nje "kweyeza elisekwe kubungqina" okanye i-EBM, yayisisandulelo sokuxelelwa ukuba abazukufumana into abayifunayo.

Into etshintshileyo kwikhondo lam lomsebenzi kukuhamba kwengqiqo yendlela esiziphatha ngayo iimeko ezahlukeneyo ukusuka "kuluvo loontanga," oko kuthetha ukuba iingcali "ziqikelela kakhulu" yayikukusetyenziswa kophando (izilingo ezilawulwa ngokungenamthetho, xa kunokwenzeka) ukuthelekisa unyango Unyango B.

Umceli mngeni: tshintsha. Oko sikwaziyo kuguquka rhoqo. Inzululwazi iyaqhubeka nokuvela kwaye siyaqhubeka nokufunda yonke imihla.

Ke, ngoku silapha kunye ne-COVID-19.

Ngokukhawuleza, uphando lufunda yonke into yesi sifo esosulelayo. Oku kubandakanya yonke into ukusuka kwindlela esiluphatha ngayo usulelo lwasemva kwexesha kwi-ICU ukuya kwindlela yokuthintela ngokwaneleyo abantu ekufumaneni le ntsholongwane. Sizama nokuqonda ukuba yintoni echaphazela umngcipheko womntu kwiziphumo ezibi. Iipateni ziyavela, kwaye ulwazi oluninzi luya kuza.

Indawo enye efumana ingqalelo efanelekileyo yimveliso yomzimba yeentsholongwane. Zimbini iindlela zokwenza izixhobo zokulwa intsholongwane. Singazifumana emva kokosuleleka (sicinge ukuba khange sinikezele kweso sifo) okanye sifumana izitofu zokugonya ezidla ngokuba “zezincitshisiweyo” zentsholongwane. Le yinkqubo apho intsholongwane iye yehliswa (“de-fanged”) kwisiphumo sayo, kodwa isanyusa impendulo yintsholongwane.

Kulapho yonke into… ngoku.

Into esiyaziyo ukuza kuthi ga ngoku kukuba i-COVID-19 iyenza impendulo ye-antibody, kodwa njengoko yapapashwa kwiJenali Igazi ngo-Okthobha 1, ezi antibodies zihlala kuphela, okanye ziqala ukuphela malunga neenyanga ezintathu ukuya kwezine emva kosulelo. Kwakhona, kubonakala ngathi ukosuleleka okukuko, kokukhona liya linyuka inani lezifo ezikhuselayo.

Ngoku siva malunga nokuba kunokwenzeka isitofu sokugonya esisebenza nge RNA yeseli ebonakala ngathi ikhusela malunga neentsuku ezisixhenxe emva kwethamo lesibini. Oku kunokuba kukutshintsha komdlalo. Olunye ulumkiso kukuba idatha kufuneka iqinisekiswe zezinye izazinzulu kwaye abantu abaninzi kufuneka bafundelwe ukuvavanya iziphumo ebezingalindelekanga. Nokuba iyasebenza, ukubakho kubemi ngokubanzi kunokuba ziinyanga kude. Ukuba likhona kwaye nini iyeza lokuthintela, kuya kufuneka sibeke phambili abasebenzi abasebenza phambili kunye nabasemngciphekweni ngokwezonyango.

Oku kuthetha ntoni kum njengomboneleli okhathalelayo wokuqala? Ijaji isaphumile, kodwa ndiyarhana ukuba i-COVID-19 inokuthi ifane nomkhuhlane kwaye inokufuna ugonyo lonyaka. Oku kuthetha ukuba amanye amanyathelo okhuseleko afana nokuhlamba izandla, iimaski, ukugcina izandla kude nobuso, kunye nokuhlala ekhaya xa ugula kuya kuhlala kubalulekile. Ngelixa izakulunga, andicingi ukuba le iyakuze ibe yinto "enye neyenziwe". Kuzo zombini i-COVID-19 kunye nomkhuhlane, kunokwenzeka ukuba usasaze intsholongwane kwabanye ngaphambi kokufumana naziphi na iimpawu. Abantu banokusasaza i-COVID-19 kangangeentsuku ezimbini ngaphambi kokuba bafumane iimpawu okanye iimpawu kwaye bahlala besosulelana ubuncinci iintsuku ezili-10 emva kokuba imiqondiso okanye iimpawu zivele okokuqala. (Abantu abanomkhuhlane bahlala besosulela olunye usuku ngaphambi kokubonisa iimpawu kwaye bahlala besosulela malunga neentsuku ezisixhenxe.)

Enye into, eyona nto iphambili, ngokutsho kwabaphandi, kukuba ukucima ubhubhane oqhubekayo we-COVID-19, isitofu sokugonya kufuneka sisebenze okungenani i-80%, kwaye i-75% yabantu kufuneka bayifumane. Kuba olu khuseleko lokugonya luphezulu lubonakala ngathi alunakwenzeka ngokukhawuleza, amanye amanyathelo anjengokuphambuka ekuhlaleni kunye nokunxiba iimaski kuya kuba yimilinganiselo ebalulekileyo kuthintelo kwikamva elibonakalayo. (Umthombo: UBartsch SM, u-O'Shea KJ, uFerguson MC, et al. Ukusebenza kokugonya kuyafuneka kwisitofu sokugonya se-COVID-19 coronavirus ukukhusela okanye ukumisa ubhubhane njengongenelelo kuphela. NdinguJ Prev Med. 2020;59(4):493−503.)

Ngapha koko, nje ukuba sithe safumana isitofu sokugonya, kanye njengomkhuhlane, kuyakubekwa phambili ngokubaluleka ukuba ngubani ofanele ukufumana isitofu sokugonya kwaye ngolandelelwano luni. Izifundo zeLizwe zeSayensi, ubuNjineli, kunye noNyango zichaze iingcebiso malunga nokusasazwa kwezitofu ze-COVID-19, zifuna abasebenzi abasemngciphekweni wokukhathalela impilo kunye nabaphenduli bokuqala ukuba bafumane iidosi zokuqala, zilandelwe ngabahlali abadala kumaziko anjengamakhaya abantu abadala kunye nabantu abadala ababekhona ngaphambili iimeko ezibabeka emngciphekweni omkhulu. Iphaneli ibize amazwe kunye nezixeko ukuba zigxile ekuqinisekiseni ukufikelela kuluntu oluncinci kunye naseMelika ukuba ixhase ukufikelela kumazwe anengeniso ephantsi.

Njengogqirha wamayeza osapho, ndihlala ndizama ukukhumbula into endayixelelwa ngumcebisi kwiminyaka eyadlulayo: "Icebo sesona silungileyo namhlanje." Kuya kufuneka sisebenze kwinto esiyaziyo ngoku, kwaye sizimisele (kwaye sivule) kulwazi olutsha kunye nokufunda. Inye into eqinisekileyo, utshintsho luya kuhlala lusenzeka.