Ingxaki ye-COVID-19 eIndiya: Yintoni ekunokwenzeka ukuba ayilunganga

Uhlalutyo olubangela ingxaki ekhoyo eIndiya ebangelwe yi-COVID-19 ingabalelwa kwizinto ezahlukeneyo ezifana nendlela yokuphila yabemi, ukuhlala ngokonwaba ngenxa yembono yokuba ubhubhane uphelile, ukubekeka kwabantu baseIndiya kwizigulo ezifana nesifo seswekile. okukhokelela kuqikelelo olulambathayo, ukungoneli kweVithamin D ebangela iimpawu ezinzima ze-COVID-19 kunye nokungalungeli kwenkqubo yokhathalelo lwempilo eyabanjwa ingaqondanga. Inqaku langoku lixubusha ezi mpawu nendlela eziye zakhokelela ngayo kwintlekele yanamhlanje. 

Ihlabathi liphela lizamazamana nalo Covid-19 ubhubhani okhokelele kwilahleko yezigidi zabantu kwaye waphazamisa uqoqosho lwehlabathi kunye nokuphila okuqhelekileyo kangangoko kunokwenzeka. Imeko ekhoyo ngoku imbi ngakumbi kunemeko yeMfazwe Yehlabathi II amazwe awajamelana nayo phantse kumashumi asixhenxe eminyaka eyadlulayo yaye isisikhumbuzo esibi soMbathalala owabakho phantse kwinkulungwane edluleyo ngowe-1918-19. Nangona kunjalo, njengoko sityhola intsholongwane ngentshabalalo engazange ibonwe ngaphambili kunye nokungakwazi koorhulumente abohlukeneyo ukujongana nale meko ngendlela enoxanduva, kufuneka siqonde ukuba imeko ekhoyo ngoku ejongene nehlabathi kwaye ngakumbi eIndiya, kufanelekile. kwipatheni yokuziphatha kwabantu kwaye thina njengeentlobo zabantu kufuneka sibe ngabanini bemeko esijongene nayo namhlanje ngenxa yezizathu ezininzi ezidweliswe ngezantsi. 

Okokuqala kwaye okuphambili yindlela yokuphila yokuhlala (ukungabikho kokuzivocavoca umzimba^{) 1,} idityaniswa nokutya okungenampilo okukhokelela ekubeni amajoni ethu omzimba abe sesichengeni kwiintsholongwane ezahlukeneyo ze-pathogenic ezibandakanya iintsholongwane ezinjenge-SARS CoV-2. Kukho ubungqina obuninzi obunxulumanisa ukutya okunokulinganisela kunye nomzimba onempilo kunye nesistim somzimba esisebenzayo esikwazi ukulwa nezifo. Emalunga ne Covid-19, bekukho ugxininiso olukhethekileyo lokugcina amanqanaba eevithamin ezahlukeneyo emzimbeni, ngakumbi ivithamin D. Ukungoneli kweVitamin D kunxulunyaniswa nobuqatha beempawu ezibangelwa yi-COVID-19.^2-10. Xa kuhlalutywa imeko ejongene ne-Indiya okwangoku, uninzi losulelo ekuye kwaxelwa ukuba lolwabantu abatyebileyo abahlala ezindlini besonwabela ubomi bokungahlali phantsi kwindawo enomoya opholileyo kunabantu abenzayo. umsebenzi womzimba kwindawo yendalo phambi kokukhanya kwelanga (inceda kwi-Vitamin D synthesis). Ngapha koko, olu luhlu lwabantu alutyi ukutya okungenampilo okungenampilo ngenxa yokungabikho kwamandla emali engaphezulu kwaye ngenxa yoko abaphathwa zizifo zendlela yokuphila njengesifo seswekile.^10-12, isifo sentliziyo, isibindi esinamafutha njl. Ezi zigulo zidlala indima ebalulekileyo ekwandiseni iimpawu ezibangelwa yi-COVID-19. Oku akuthethi ukuba abo bangathathi ntweni abayifumani i-COVID-19. Ngokuqinisekileyo bayakwenza kwaye babathwali besi sifo, nangona kunjalo, basenokuba bangabonakali okanye babe neempawu ezincinci ezinokuthi zingadingi ukulaliswa esibhedlele. 

Umba wesibini ujongene nemiba yentlalo kunye nokuziphatha kwenkcubeko yamaIndiya^13,14 kunye nokubaluleka okuhambelanayo okunikwe kumanyathelo okuthobela xa kuziwa kwiziphumo zempilo yoluntu kunye noluntu. Ukuncipha kwenani leemeko ze-COVID-19 kwithuba leenyanga ezimbalwa kukhokelele kwimvakalelo kunye nombono wokuba eyona nto imbi yobhubhane iphelile. Oku kubangele ukuba abantu bangazikhathazi nto leyo ekhokelela ekubeni kubaluleke kakhulu ekuthotyelweni kwemigaqo yokunxiba iimaski kwiindawo zikawonke-wonke, ukugcina umgama phakathi koluntu, ukusetyenziswa kwezicoci zezandla kunye nokungaphumi ngaphandle ngokungeyomfuneko, oko kubangele ukosuleleka kwentsholongwane okukhokelela kuguquko kunye nokucinga okwahlukileyo. iifom eziye zasulela ngakumbi. Oku kukhokelele kumazinga aphezulu osulelo, nangona amazinga okusweleka afanayo okanye asezantsi. Kufanelekile ukukhankanya apha ukuba yindalo yentsholongwane ukuziguqula, ngakumbi iintsholongwane ze-RNA, xa ziphindaphinda. Olu phindaphindo lwenzeka kuphela xa intsholongwane ingena kwinkqubo yokusingatha, kule meko abantu, kwaye iphinda iphinde ibangele usulelo olungakumbi kwaye isasazeke kwabanye. Ngaphandle komzimba womntu, intsholongwane “ifile” kwaye ayikwazi ukuphinda-phinda kwaye ke akukho thuba lokutshintsha. Ukuba besiqeqesheke ngakumbi ukuba siziqhelanise nentlalontle, ukunxiba iimaski, ukusebenzisa iisanitizer kunye nokuhlala ekhaya, intsholongwane ngengazange ifumane ithuba lokosulela abantu abaninzi kwaye ngenxa yoko ngengazange ikwazi ukuguquka, ngaloo ndlela ikhokelela kwiintlobo ezahlukeneyo ezosulelayo. . Okukhankanyiweyo apha kukutshintsha kabini kunye ne-triple mutant ye-SARS-CoV2 eyosulela ngakumbi kwaye isasazeka ngokukhawuleza xa kuthelekiswa ne-SARS-Cov2 yasekuqaleni eyaqala ukosulela abantu ngoNov/Dec ka-2019.¹⁵ kwaye i-mutant kathathu ngoku idala isiphithiphithi eIndiya apho ilizwe lijongene nomndilili wosulelo oluyi-300,000 ngosuku kwezi veki zimbini zidlulileyo. Ngaphezu koko, oku ukhetho lwendalo yintsholongwane yinto eyenzeka kwibhayoloji ekufuneka yenzeke njengoko zonke iintlobo eziphilayo zizama ukuziqhelanisa/ukutshintsha (kule meko ziyaguquka) ukuze ziphile ngcono. Ngokwaphula ikhonkco losulelo lwentsholongwane, ukuveliswa kotshintsho lwentsholongwane entsha bekuya kuba kuthintelwe, okubangele ngenxa yophindaphindo lwentsholongwane (ukwenzela inzuzo yokuphila kwentsholongwane), nangona ibangela izifo ebantwini. iintlobo. 

Embindini wale meko imbi, ulwakhiwo lwesilivere kukuba phantse i-85% yabantu abosulelwa yi-COVID-19 basenokuba bangabonakali okanye baneempawu ezingabambi ngokwendalo. Aba bantu banyangwa ngokuzivalela bodwa kunye nonyango ekhaya. Kwi-15% eseleyo, i-10% ivelisa iimpawu ezinzima ezifuna unyango ngelixa i-5% eseleyo ifuna unyango olubalulekileyo. Yile 15% yabemi efuna ukulaliswa esibhedlele kolunye uhlobo okanye enye, ngaloo ndlela ibeka uxinzelelo kwinkqubo yokunakekelwa kwezempilo ngokukodwa kwilizwe elifana neIndiya elinabantu abaninzi. Le 15% yabantu abafuna ukhathalelo lwezonyango olungxamisekileyo ikakhulu ibandakanya abantu abadala kunye buthathaka amajoni omzimba okanye abantu co-morbidities ezifana nesifo seswekile, isifuba, isifo sentliziyo, isifo sesibindi esinamafutha, uxinzelelo lwegazi njl okukhokelela ukuba buthathaka amajoni omzimba. kunye nophuhliso lweempawu eziqatha ze-COVID-19. Kuye kwaphawulwa (uqwalaselo olungapapashwanga) ukuba uninzi lwaba bantu be-15% babenokungabikho kwe-vitamin D kwinkqubo yabo. Oku kuphakamisa ukuba ngokugcina i-immune system enempilo, kunye namanqanaba aneleyo eevithamini, ngakumbi i-vitamin D kunye nokungabikho kwe-co-morbidities, inani labantu abatyelelayo kwaye bafuna ukunakekelwa kwesibhedlele kuya kuncitshiswa kakhulu ngaloo ndlela bebeka ubunzima obuncinci kwizibonelelo zempilo. Inkqubo yezempilo yaseIndiya^14,15 wabanjwa ngokungalindelekanga njengoko amagosa aphezulu ezonyango kunye nabenzi bomgaqo-nkqubo abafanelekileyo kunye nabalawuli abazange balindele imeko enjalo apho amawaka abantu aya kufuna i-oksijini kunye neebhedi zebhedlele ngexesha elinye, ngaloo ndlela ebeka uxinzelelo kwizibonelelo ezikhoyo. Ubukho be-co-morbidities buye bayenza mandundu imeko njengoko aba bantu bekhula ngakumbi iimpawu ze-COVID-19 kwaye bafuna unyango olunokuthi lunikezelwe kuphela kwindawo yesibhedlele kunye nemfuneko yesixa esifanelekileyo se-oksijini kunye nenkxaso ye-ventilator. Le yinto efanele ukucingisiswa malunga nokuya phambili ukuze ujongane nesifo se-COVID-19 kwaye ekugqibeleni sincitshiswe kwaye sipheliswe. 

Ukuphuhliswa kogonyo lwe-COVID-19 ziinkampani ezininzi kunye nokugonywa kwabantu abaninzi ngokuchasene nentsholongwane ye-SARS-CoV2 nako kuya kudlala indima ebalulekileyo kuphuhliso lokugomela intsholongwane. Into ebalulekileyo ekufuneka siyikhankanye apha kukuba ugonyo alusayi kusithintela ekufumaneni izifo kodwa luya kunceda kuphela ekunciphiseni ubuzaza beempawu ukuba sosulelwa yintsholongwane (ugonyo lwasemva kogonyo). Ke, kufuneka sithobele izikhokelo eziya kumisa usulelo lwentsholongwane (ukunxiba iimaski kwiindawo zikawonke-wonke, ukugcina umgama ovela eluntwini, ukusebenzisa izicoci zezandla kunye nokungaphumi ngaphandle ngokungeyomfuneko), nangona siye sagonywa, de intsholongwane iphele nya. 

Le meko yongquzulwano phakathi kwentsholongwane kunye nabantu, isikhumbuza ithiyori kaCharles Darwin owathetha ngemvelaphi yezidalwa ngokhetho lwendalo kunye nokuphila kwezona zinamandla. Nangona intsholongwane inokuthi iphumelele ugqatso okomzuzwana, akukho mathandabuzo ukuba thina, njengeentlobo zabantu, siya kuvela soyise ekugqibeleni, ngokuphuhlisa iindlela kunye neendlela zokulwa intsholongwane (mhlawumbi ngogonyo kunye / okanye ngomzimba wethu iindlela zokuzikhusela. ukulwa kunye nokubulala intsholongwane), ekhokelela umhlaba ukuba ubuyele kwimeko eyonwabileyo apho sasikhona, ngaphambi kokufika kwe-COVID-19. 

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