“俯卧”是一种很有前途的冠状病毒治疗方法——以下是它的工作原理
这种简单的技术可以帮助病人通过改变他们的身体姿势来呼吸。
一些在冠状病毒大流行前线的医生成功地用一种被称为“proning”的简单技术治疗了COVID-19患者。加州奥兰治县圣约瑟夫医院的肺科医生杰克·斯图尔特医学博士说，这个术语基本上是指让患者处于俯卧位，或“胸部脸朝下平躺在腹部，而不是仰卧着。健康。
卧倒需要很少或不需要设备，这项技术可能被证明可以帮助危重病人避免使用呼吸机来辅助呼吸。
为什么卧倒有用?斯图尔特医生说，让病人俯卧有助于呼吸，因为“俯卧时更容易进行氧合(让更多氧气进入血液)”。这是解剖学的功能，因为人体后部的肺组织比前部多。冠状病毒会导致异常液体和分泌物向背部聚集，那里有更多的肺组织，并导致对肺功能的更大干扰。
“当病人处于俯卧位时，重力会帮助分泌物向下移动，所以更多的‘好’肺在上面，因此受到的影响较小，”加利福尼亚州富勒顿圣裘德医疗中心重症监护医学主任哈里·佩莱德医学博士说健康。
俯卧也是一种治疗急性呼吸窘迫综合征(ARDS)的有效方法，这是冠状病毒感染的一种危及生命的并发症，表现为呼吸急促（气促）而且进步很快。一项研究上个月发表在美国医学会内科杂志研究表明，在因重症和危重型COVID-19住院的患者中，超过40%的人患上了急性呼吸窘迫综合征，超过50%的患者死于这种疾病。
急性呼吸窘迫综合征(ARDS)对患有流感、肺炎和肺水肿(肺部积液)的患者构成危险心脏病)。Stewart医生说:“Proning已经被用于治疗ARDS很多年了．2013年法国医生发表在《柳叶刀》杂志上的一项研究新英格兰医学杂志发现如果在医院早期使用俯卧位，患有ARDS的患者死亡风险较低。
还需要进一步研究俯卧对冠状病毒患者的影响，但坊间证据表明，自全球大流行开始以来，这种治疗方法是有效的。
在美国长岛犹太医院，一名冠状病毒患者被置于俯卧位后，成功避免了生命维持，美国有线电视新闻网报道。在英国，一名患有COVID-19肺炎的50岁妇女，医生认为她只有“几个小时”的生命了，在医生将她俯卧后，她康复得非常好，据该患者丈夫为《每日邮报》撰写的一篇文章称《纽约时报》．
俯卧疗法不仅仅用于危重病人。事实上，英国的新指导方针重症监护协会该报告由专门从事重症监护和呼吸医学的医生和护士撰写，他说，这项技术可以减少对有创通气的需求，以及意识清醒的COVID-19患者在进入重症监护之前死亡的几率。
新指南指出:“俯卧位是一种简单的干预措施，在大多数情况下都可以进行，与所有形式的基本呼吸支持兼容，并且在有意识的患者中几乎不需要或不需要设备。”然而，这项技术并不适用于所有的患者，比如病态肥胖者、孕妇或面部受伤的人。
芝加哥拉什大学医学中心的一个小组目前正在进行一项研究临床试验以确定俯卧姿势是否对COVID-19患者有帮助，这些患者病情不严重，不需要呼吸机为他们呼吸，但病情严重到需要通过鼻子里的管子输送补充氧气。
佩莱德博士说，俯身确实存在一些风险，比如压疮和气管内导管(一种通过口腔放置并插入气管以帮助患者呼吸的柔性塑料管)脱出。最大的风险是，如果病人心脏骤停，就很难实施CPR。他补充说:“拥有一支训练有素的团队和有组织的方法来确保手术安全有效地进行是至关重要的。”
截至发稿时，这篇报道中的信息是准确的。然而，随着COVID-19的形势继续演变，一些数据自发布以来可能发生了变化。虽然《健康》杂志正在努力使我们的报道尽可能保持最新，但我们也鼓励读者通过使用网站随时了解自己所在社区的新闻和建议疾病预防控制中心，谁以及当地公共卫生部门作为资源。
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You might have wild dreams when you're ill—fever can do that. But bizarre or emotionally intense fever dreams are not recognized as a symptom of COVID-19.
" }, { "answer_choices": [ { "answer_title": "Wear a mask", "correct_answer": false, "answer_id": "A1", "answer_value": 0, "$vf_selected_count": { "value": 7446, "lastModified": "2021-10-29T02:30:53.000Z" } }, { "answer_title": "Wash your hands", "correct_answer": false, "answer_id": "A2", "answer_value": 0, "$vf_selected_count": { "value": 42388, "lastModified": "2021-10-28T01:25:50.000Z" } }, { "answer_title": "Maintain social distance from others", "correct_answer": false, "answer_id": "A3", "answer_value": 0, "$vf_selected_count": { "value": 6575, "lastModified": "2021-10-29T06:16:16.000Z" } }, { "answer_title": "Wipe down groceries packaged in cardboard or plastic wrap with bleach", "correct_answer": true, "answer_id": "A4", "answer_value": 1, "$vf_selected_count": { "value": 64260, "lastModified": "2021-10-29T06:20:29.000Z" } } ], "answer_type": "text", "question_title": "To slow the spread of COVID-19, don't do this:", "question_id": "Q3", "answer_description": "CDC specifically warns against using disinfecting products on food or food packaging. You don't want to accidentally taint your food. Plus, the risk of COVID-19 from handling or consuming food is thought to be low. Use disinfectants like bleach to wipe down tables, countertops, and faucets
" }, { "answer_choices": [ { "answer_title": "A multi-layer medical procedure mask (aka a surgical mask or disposable face mask)", "correct_answer": false, "answer_id": "A1", "answer_value": 0, "$vf_selected_count": { "value": 9754, "lastModified": "2021-10-29T02:30:53.000Z" } }, { "answer_title": "A mask with a vent or valve", "correct_answer": true, "answer_id": "A2", "answer_value": 1, "$vf_selected_count": { "value": 85382, "lastModified": "2021-10-29T06:20:29.000Z" } }, { "answer_title": "A cloth mask made of two or more breathable, washable layers", "correct_answer": false, "answer_id": "A3", "answer_value": 0, "$vf_selected_count": { "value": 19458, "lastModified": "2021-10-29T06:16:16.000Z" } }, { "answer_title": "A cloth mask over a surgical mask", "correct_answer": false, "answer_id": "A4", "answer_value": 0, "$vf_selected_count": { "value": 6074, "lastModified": "2021-10-29T02:40:01.000Z" } } ], "answer_type": "text", "question_title": "Which masking option is least effective for stopping the spread of COVID-19?", "question_id": "Q4", "answer_description": "If your mask has a vent or valve, respiratory particles may escape and reach other people. Opt instead for a well-fitting mask with multiple layers, or wear a cloth mask over a disposable mask to secure the underlying mask to your face.
" }, { "answer_choices": [ { "answer_title": "Anal swab testing", "correct_answer": true, "answer_id": "A1", "answer_value": 1, "$vf_selected_count": { "value": 102772, "lastModified": "2021-10-29T06:20:29.000Z" } }, { "answer_title": "Nasal swab testing", "correct_answer": false, "answer_id": "A2", "answer_value": 0, "$vf_selected_count": { "value": 12012, "lastModified": "2021-10-29T05:47:45.000Z" } }, { "answer_title": "Saliva testing", "correct_answer": false, "answer_id": "A3", "answer_value": 0, "$vf_selected_count": { "value": 3412, "lastModified": "2021-10-28T21:02:06.000Z" } }, { "answer_title": "Throat swab testing", "correct_answer": false, "answer_id": "A4", "answer_value": 0, "$vf_selected_count": { "value": 2472, "lastModified": "2021-10-29T03:13:18.000Z" } } ], "answer_type": "text", "question_title": "Which COVID-19 screening method is not routinely in use in the US?", "question_id": "Q5", "answer_description": "Most diagnostic tests rely on mucus collected from your nose or throat, and some use saliva that you spit into a test tube. While China is using anal swab testing, that method hasn't caught on in the US.
" }, { "answer_choices": [ { "answer_title": "2 to 12 hours", "correct_answer": false, "answer_id": "A1", "answer_value": 0, "$vf_selected_count": { "value": 5613, "lastModified": "2021-10-28T19:41:50.000Z" } }, { "answer_title": "3 days", "correct_answer": false, "answer_id": "A2", "answer_value": 0, "$vf_selected_count": { "value": 27014, "lastModified": "2021-10-29T06:20:29.000Z" } }, { "answer_title": "14 days", "correct_answer": true, "answer_id": "A3", "answer_value": 1, "$vf_selected_count": { "value": 87182, "lastModified": "2021-10-29T06:16:16.000Z" } }, { "answer_title": "30 days", "correct_answer": false, "answer_id": "A4", "answer_value": 0, "$vf_selected_count": { "value": 859, "lastModified": "2021-10-28T19:42:27.000Z" } } ], "answer_type": "text", "question_title": "How long is the incubation period—the amount time from when you are infected with the novel coronavirus to when you exhibit symptoms?", "question_id": "Q6", "answer_description": "The incubation is thought to be 14 days, with a median of 4 to 5 days. (But keep in mind that some people never develop symptoms).
" }, { "answer_choices": [ { "answer_title": "A variant", "correct_answer": true, "answer_id": "A1", "answer_value": 1, "$vf_selected_count": { "value": 82007, "lastModified": "2021-10-29T06:20:29.000Z" } }, { "answer_title": "A high viral load", "correct_answer": false, "answer_id": "A2", "answer_value": 0, "$vf_selected_count": { "value": 9549, "lastModified": "2021-10-28T00:32:03.000Z" } }, { "answer_title": "A vaccine", "correct_answer": false, "answer_id": "A3", "answer_value": 0, "$vf_selected_count": { "value": 11459, "lastModified": "2021-10-28T19:42:27.000Z" } }, { "answer_title": "Another virus, like influenza", "correct_answer": false, "answer_id": "A4", "answer_value": 0, "$vf_selected_count": { "value": 17654, "lastModified": "2021-10-29T05:47:45.000Z" } } ], "answer_type": "text", "question_title": "A mutated version of the virus that causes COVID-19 is called:", "question_id": "Q7", "answer_description": "Variants of the virus that causes COVID-19 have been identified in the US and around the world. Scientists are studying these variants to learn how they spread and whether current vaccines will protect against them.
" }, { "answer_choices": [ { "answer_title": "Researchers have coined the term \"coronaphobia\" to describe the fear of contracting COVID-19", "correct_answer": false, "answer_id": "A1", "answer_value": 0, "$vf_selected_count": { "value": 10221, "lastModified": "2021-10-29T03:13:18.000Z" } }, { "answer_title": "The virus that causes COVID-19 can sometimes spread through tiny airborne particles", "correct_answer": false, "answer_id": "A2", "answer_value": 0, "$vf_selected_count": { "value": 14839, "lastModified": "2021-10-28T19:25:37.000Z" } }, { "answer_title": "The term \"long-haulers\" refers to people who experience long-term coronavirus symptoms", "correct_answer": false, "answer_id": "A3", "answer_value": 0, "$vf_selected_count": { "value": 6418, "lastModified": "2021-10-29T03:38:54.000Z" } }, { "answer_title": "COVID-19 is just like having the seasonal flu", "correct_answer": true, "answer_id": "A4", "answer_value": 1, "$vf_selected_count": { "value": 89192, "lastModified": "2021-10-29T06:20:29.000Z" } } ], "answer_type": "text", "question_title": "Which of the following statements is false?", "question_id": "Q8", "answer_description": "Early on, some people speculated that the novel coronavirus would behave like the seasonal flu. Now we know COVID-19 is much more contagious and spreads more rapidly than influenza.
" }, { "answer_choices": [ { "answer_title": "Women who want to become pregnant some day", "correct_answer": false, "answer_id": "A1", "answer_value": 0, "$vf_selected_count": { "value": 11295, "lastModified": "2021-10-29T03:38:54.000Z" } }, { "answer_title": "Anyone who has had a severe allergic reaction (anaphylaxis) to any vaccine ingredient", "correct_answer": true, "answer_id": "A2", "answer_value": 1, "$vf_selected_count": { "value": 67067, "lastModified": "2021-10-29T06:20:29.000Z" } }, { "answer_title": "People who have recovered from COVID-19", "correct_answer": false, "answer_id": "A3", "answer_value": 0, "$vf_selected_count": { "value": 10054, "lastModified": "2021-10-28T19:53:43.000Z" } }, { "answer_title": "People with underlying medical conditions", "correct_answer": false, "answer_id": "A4", "answer_value": 0, "$vf_selected_count": { "value": 32253, "lastModified": "2021-10-29T02:40:01.000Z" } } ], "answer_type": "text", "question_title": "Who should not get a COVID-19 vaccine?", "question_id": "Q9", "answer_description": "CDC does not recommend COVID vaccination if you've had a severe allergic reaction to any COVID vaccine ingredient. Contact your doctor if you have questions about whether it's safe for you to be vaccinated.
" }, { "answer_choices": [ { "answer_title": "You can't get COVID-19 from a COVID-19 shot", "correct_answer": false, "answer_id": "A1", "answer_value": 0, "$vf_selected_count": { "value": 19771, "lastModified": "2021-10-29T03:13:18.000Z" } }, { "answer_title": "Side effects are generally mild and short-lived", "correct_answer": false, "answer_id": "A2", "answer_value": 0, "$vf_selected_count": { "value": 7872, "lastModified": "2021-10-29T06:20:29.000Z" } }, { "answer_title": "It can take a few weeks after getting vaccinated for your body to build immunity to the virus", "correct_answer": false, "answer_id": "A3", "answer_value": 0, "$vf_selected_count": { "value": 4652, "lastModified": "2021-10-29T05:47:45.000Z" } }, { "answer_title": "None of the above", "correct_answer": true, "answer_id": "A4", "answer_value": 1, "$vf_selected_count": { "value": 88374, "lastModified": "2021-10-29T06:16:16.000Z" } } ], "answer_type": "text", "question_title": "Which of the following statements about COVID-19 are false?", "question_id": "Q10", "answer_description": "Vaccination is safe, effective, and an important tool for beating the pandemic.
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", "gate": "none", "intro_page": true, "uuid": "c5d20a0c-6b54-4691-ac5b-7362b5c9e58c", "brand": "health", "headline": "Quiz: How Much Do You Know About Coronavirus?", "results": [ { "result_starting_range": 0, "button": { "_type": "button", "title": "Start Learning More", "src": "https://x.specialoffers.meredith.com/ats/show.aspx?cr=588&fm=201®source=20571" }, "result_ending_range": 3, "result_description": "Time to bone up on the basic facts about COVID-19. Check out our COVID-19 condition center and subscribe to our daily Healthy Living newsletter and never miss an update.
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\nLiving Through a Pandemic: A Guide to Surviving the New Normal
\nCoronavirus 101: Symptoms, Transmission, Severity and More
\nWhile Health is trying to keep our content as up-to-date as possible, we also encourage readers to stay informed on news and recommendations for their own communities by using the CDC, WHO, and their local public health department as resources.
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