Hiki i ka hoʻopiʻi ke hoʻopiʻi i ka paʻakikī o Covid-19- ʻO kahi haʻawina i hōʻike ʻia ma "The Lancet" i ʻōlelo ʻia ua komo nā pākeke i ka haukapila i loaʻa i ka covid-19 a ʻo ka hoʻopiʻi i ka manawa like ʻoi aku ka nui o ka maʻi nui a me ka make i hoʻohālikelike ʻia i nā maʻi i loaʻa wale. ʻO Covid-19 wale nō a me nā maʻi ʻē aʻe.
Ma nā ʻōlelo koʻikoʻi, ua hōʻike ʻia ka noiʻi ʻana i nā maʻi i loaʻa i ka maʻi maʻi a me SARS-CoV-2 he "4 mau manawa e pili ana i kahi ventilator a ʻelua mau manawa e make ai," wahi a Maaike Swets, mai ke Kulanui, i ka ABC Health. mai Edinburgh.
Ua pili ka ʻike no ka mea ua hoʻi mai ka hoʻopiʻi ma nā ʻāina he nui, e like me ka hihia ma Sepania, kahi ma hope o ʻelua mau makahiki ʻaneʻane nalo, ua hoʻi hou ia e kaʻahele me ka ikaika, e like me ka hōʻike ʻana i ka ʻikepili o ka Influenza Surveillance System ma Sepania.
Ke koi nei nā mea noiʻi mai ke Kulanui o Edinburgh, ke Kulanui o Liverpool, Leiden University a me Imperial College London (UK) e hōʻike ana nā ʻike i ka pono o ka hoʻāʻo hou ʻana i ka maʻi maʻi o Covid-19 i ka haukapila a hōʻike lākou i ka mea nui o ka hoʻopaʻa ʻana piha iā Covid- 19, akā kū'ē hoʻi i ka hoʻopiʻi.
ʻO ka noiʻi, i hana ʻia ma ke ʻano o ka Coronavirus Clinical Characterization Consortium o ka International Consortium on Acute and Emerging Respiratory Infections (ISARIC), ʻo ia ka noiʻi ʻaʻole i hana ʻia me ka poʻe me Covid-19 a me nā maʻi hanu endemic ʻē aʻe. Ua hana ʻia ka haʻawina ISARIC i ka makahiki 2013 e hoʻomākaukau ai no kahi maʻi maʻi e like me kēia.
Ua loiloi ka hui i ka ʻikepili mai nā pākeke e noho ana i ka haukapila me Covid-19 ma UK ma waena o Pepeluali 6, 2020, a me Dekemaba 8, 2021.
Ua ʻike mua ʻia e hiki i kahi maʻi maʻi ke alakaʻi i kahi kūlana like, akā he liʻiliʻi ka ʻikepili i nā hopena o kahi maʻi pālua o SARS-CoV-2 a me nā maʻi hanu ʻē aʻe.
Ke hoʻohana nei i ka ʻikepili mai kahi manawa 18 mau mahina, ʻōlelo ʻo Swets, "ua loaʻa iā mākou he 227 mau mea maʻi i loaʻa i ka maʻi co-infection me ka maʻi maʻi a me SARS-CoV-2, mai 6.965 mau mea maʻi a mākou i hoʻohana ai i nā hopena hōʻike. He 220 ka poe i lawe i ka ma'i anu (RSV) a he 136 i loaa adenovirus.
Eia nō naʻe, wehewehe ʻo ia, ua hōʻiliʻili ʻia ka ʻikepili "i kahi manawa ʻaʻole nui ka hoʻopiʻi e hoʻolaha ana ma United Kingdom. Inā loaʻa ka manaʻolana, ʻoi aku ka nui o ka neʻe ʻana o ka maʻi maʻi, ʻaʻohe mea ʻino i ke ala e hōʻemi ai i ka laha o covid-19, e piʻi aʻe ka nui o nā maʻi me ka maʻi co-infection.
"I nā makahiki ʻelua i hala iho nei, ua ʻike mākou i kekahi mau maʻi maʻi Covid-19 i maʻi koʻikoʻi, i kekahi manawa e alakaʻi ana i kahi hoʻokomo ICU a me ka hoʻohana ʻana i ka ventila artificial e kōkua i ka hanu. Ua ʻike mua ʻia e hiki i kahi maʻi maʻi ke alakaʻi i kahi kūlana like, akā he liʻiliʻi ka ʻikepili i nā hopena o kahi maʻi pālua o SARS-CoV-2 a me nā maʻi hanu ʻē aʻe, "wahi a Maaike Swets.
Ua ʻike nā mea noiʻi ʻo ka hui pū ʻana o Covid-19 a me ka maʻi maʻi maʻi he mea weliweli loa ia, wahi a Kenneth Baillie o ke Kulanui o Edinburgh, "he mea koʻikoʻi ka nui o nā ʻāina e hōʻemi i ka hoʻohana ʻana i nā kaʻina hele a me ka hoʻopaʻa ʻana". . Ke lana nei ka manaʻo o Covid-19 me ka maʻi maʻi, e hoʻonui ana i ka hiki ʻana o nā co-infections. "
Ma Sepania, ma mua o ke ono o ka nalu, kuhikuhi ʻo Pilar Catalán, mai ka Microbiology Service o ka Halemai Gregorio Marañón ma Madrid, ua hoʻomaka mākou e ʻike i nā hihia hou aʻe o ka maʻi maʻi a me RSV a mai Nowemapa i loaʻa nā co-infections o ka influenza a me Covid, akā. a hiki i ia manawa he kakaikahi na hihia.
Manaʻo ʻo Swets "pono mākou i kā mākou hoʻolālā no ka hoʻāʻo ʻana i nā maʻi maʻi covid-19 i ka haukapila a hana hou aku i ka screening no ka maʻi maʻi."
No ka mea, e like me ka hihia o Sepania, ke hoʻi nei mākou i kahi ola maʻamau, no ka laʻana me ka ʻole o nā masks, "ʻike mākou i ka piʻi ʻana o nā maʻi hanu manawa maʻamau, e manaʻo ai mākou e holo pū ka maʻi me Covid-19. keia hooilo”, Calum Semple, o ke Kulanui o Liverpool.
Pīhoihoi ʻo Semple "ua pālua ʻia ka pilikia o ka make i ka wā i loaʻa ai ka poʻe i ka maʻi maʻi a me nā maʻi Covid-19. No kēia kumu, hoʻoikaika ʻo ia, he mea nui ka hoʻomaʻamaʻa piha ʻana o nā kānaka i nā maʻi ʻelua, a mai haʻalele a hiki i ka wā lōʻihi.
Hōʻike ka hana ma kahi o ka pilikia o ka make a me nā pilikia, a ke manaʻo nei nā mea kākau, e like me nā poʻe he nui i ka wā i hoʻokuʻu ʻia ai lākou mai ka haukapila ma hope o kahi maʻi koʻikoʻi, ʻeha lākou i ka nāwaliwali nui, hiki i nā maʻi coinfected. loaʻa pū i kēia pilikia.
ʻOiai me ka maʻi maʻi ʻoi aku ma mua o hoʻokahi, ʻaʻole ia he mea maʻamau, akā pono e hoʻomanaʻo i ka hiki ʻana mai o nā maʻi hui pū. "He ʻokoʻa nā lāʻau lapaʻau e pale aku ai iā Covid-19 a me ka maʻi maʻi a pono nā kānaka ʻelua," i wehewehe ʻo Peter Openshaw, ke Kauka o ka lāʻau lapaʻau hoʻokolohua ma Imperial College London.
ʻO ka mea pōʻino, ʻaʻole i hōʻike ka ʻikepili noiʻi e pili ana i ke kūlana kano no ka maʻi maʻi a i ʻole SARS-CoV-2, "no laila ʻaʻole hiki iā mākou ke hoʻoholo i ka hopena o ka hoʻopaʻa ʻana i nā maʻi maʻi maʻi," wahi a Swet. Eia nō naʻe, hoʻohui ʻo ia, "Ua ʻike mākou he maikaʻi loa ka maʻi maʻi Covid-19 i ka pale ʻana i nā maʻi koʻikoʻi, nā halemai, a me nā make mai ka maʻi SARS-CoV-2, a ua hana like ka maʻi maʻi no ka maʻi maʻi." paipai i nā kānaka kūpono a pau e loaʻa i ka lāʻau lapaʻau. Lana ka manaʻolana, hiki i nā haʻawina e hiki mai ana ke hoʻoholo i kahi hopena pololei loa o ka hoʻopaʻa ʻana i nā maʻi ʻelua a me ka pilikia o nā hoʻopiʻi i ka co-infection.
Eia hou, ua hoʻohui ʻo Openshaw, ʻokoʻa ke ʻano o ka mālama ʻia ʻana o kēia mau maʻi ʻelua, "no laila he mea nui ka hoʻāʻo ʻana no nā maʻi maʻi ʻē aʻe ʻoiai ke loaʻa ʻoe i kahi maʻi i loko o ka hale maʻi me ka maʻi hanu."
He mea nui ka ʻike inā loaʻa ka maʻi maʻi maʻi, no laila e hana nā haukapila e hoʻāʻo i nā mea maʻi no ka SARS-CoV-2 a me ka maʻi influenza.
I kēia manawa, koʻikoʻi ʻo Swet, "ʻaʻole mākou i ʻike inā maikaʻi nā lāʻau lapaʻau i Covid-19 i nā maʻi maʻi maʻi. He mea nui ia e ʻike inā loaʻa ka maʻi maʻi i ka co-infection, no laila pono e hana nā haukapila e hoʻāʻo i nā mea maʻi no ka SARS-CoV-2 a me ka maʻi influenza. Hiki i nā mea ʻelua ke hana i ka fermentation koʻikoʻi a pono e mālama ʻia ʻelua. "
Ma kā mākou noiʻi ʻana, hoʻomau ʻo ia, "ʻike mākou ua ʻoi aku ka nui o nā maʻi coinfected i ʻelemakule a loaʻa nā comorbidities, ʻoiai hiki ke loaʻa i nā maʻi koʻikoʻi i nā poʻe maʻi ʻōpio ke ola kino."
Ma kēia manaʻo, kuhikuhi ʻo Pilar Catalán, ʻo lākou ka poʻe nāwaliwali loa, immunosuppressed, a i ʻole ka poʻe ʻelemakule, ma kahi o ka poʻe ʻaʻole i hoʻopaʻa ʻia iā Covid a i ka maʻi maʻi, no ka mea hiki iā lākou me nā maʻi ʻelua i ka manawa like. ʻoi aku ka ʻumekaumaha.
I kekahi hihia, wahi a Catalán, ua kuhikuhi ʻo ia ʻaʻole pinepine pinepine nā co-infections, "i kēia manawa ke ʻike nei mākou ma kahi o hoʻokahi lā o nā mea maʻi, maʻamau nā maʻi maʻi, ʻo ia hoʻi, he mau laʻana lākou e hele mai iā mākou mai ke kula mua, ʻo wau. hoʻomaopopo he poʻe maʻi ʻaʻole lākou koʻikoʻi."
ʻO ka hoʻomaopopo ʻana i nā hopena o nā maʻi ʻelua o SARS-CoV-2 a me kā mākou mau maʻi hanu he mea koʻikoʻi loa ia, wahi a Geert Groeneveld, "he mau hopena no nā mea maʻi, nā halemai a me ka hiki ʻana o ICU i nā manawa o ka SARS-CoV-2 CoV -XNUMX a me ka hoʻopiʻi. e kaapuni like”.
