3 research outputs found
Π ΠΏΡΠΈΠ½ΡΠΈΠΏΠ°Ρ ΡΠ°Π±ΠΎΡΡ ΠΏΠ΅ΡΠΈΠ½Π°ΡΠ°Π»ΡΠ½ΠΎΠ³ΠΎ ΡΡΠ°ΡΠΈΠΎΠ½Π°ΡΠ° Π² ΡΡΠ»ΠΎΠ²ΠΈΡΡ ΠΏΠ°Π½Π΄Π΅ΠΌΠΈΠΈ ΠΊΠΎΡΠΎΠ½Π°Π²ΠΈΡΡΡΠ°
The rapid spread of COVID-19 and the large number of cases put a significant burden on the health systems of any developed country. Specialists in natural disasters and military medicine should be involved in the provision of medical care and observance of anti-epidemic measures. In some countries, including Italy, they were involved only after the situation was dramatically worsening with many clinical units and hospitals overloaded by infected patients. To curb the spread of COVID-19, most countries declared a state of emergency, and unprecedented measures have been taken to strengthen quarantine in suspected or positive symptomatic subjects. Nevertheless, the crisis associated with the unexpectedly global scale and tragedy of the pandemic and the inconsistency of actions of both society and individuals and specialized medical services, lead to insufficient effectiveness of the measures taken in a number of regions. In the present day, it is vital for every person to change its mindset β relying on personal responsibility to comply with all recommendations of quarantine and anti-epidemic measures, and to reorganize departments and resources of medical institutions at all levels in order to withstand the spread of infection and at the same time provide all those in need with the necessary and appropriate medical care. Particular attention should be paid to the obstetric care service, given that even in normal times, the obstetric hospital is an area of increased responsibility for the life and health of mother and child and future mankind. Fulfillment of existing orders, instructions of national and regional committees, international and national protocols and clinical protocols should undoubtedly lead to a positive result, but this requires additional training of medical personnel at all levels. The purpose of this review is to propose quick key strategies for reassessing the maternity and neonatal wards/ hospitals based on the experience of health systems and organizations which faced the spread of this new coronavirus; this advice may be applied along with binding tight instructions in obstetric hospitals in order to proactively respond to a likely wave of growth in COVID-19.ΠΠΊΡΡΠ°Π»ΡΠ½ΠΎΡΡΡ. ΠΡΡΡΡΠΎΠ΅ ΡΠ°ΡΠΏΡΠΎΡΡΡΠ°Π½Π΅Π½ΠΈΠ΅ COVID-19 ΠΈ Π±ΠΎΠ»ΡΡΠΎΠ΅ ΠΊΠΎΠ»ΠΈΡΠ΅ΡΡΠ²ΠΎ Π·Π°Π±ΠΎΠ»Π΅Π²ΡΠΈΡ
Π½Π°ΠΊΠ»Π°Π΄ΡΠ²Π°Π΅Ρ Π·Π½Π°ΡΠΈΡΠ΅Π»ΡΠ½ΡΡ Π½Π°Π³ΡΡΠ·ΠΊΡ Π½Π° ΡΠΈΡΡΠ΅ΠΌΡ Π·Π΄ΡΠ°Π²ΠΎΠΎΡ
ΡΠ°Π½Π΅Π½ΠΈΡ ΡΠ°Π·Π²ΠΈΡΡΡ
Π³ΠΎΡΡΠ΄Π°ΡΡΡΠ². Π ΡΡΠ΄Π΅ ΡΡΡΠ°Π½ ΠΊ ΠΎΠΊΠ°Π·Π°Π½ΠΈΡ ΠΌΠ΅Π΄ΠΈΡΠΈΠ½ΡΠΊΠΎΠΉ ΠΏΠΎΠΌΠΎΡΠΈ ΠΈ ΡΠΎΠ±Π»ΡΠ΄Π΅Π½ΠΈΡ ΠΏΡΠΎΡΠΈΠ²ΠΎΡΠΏΠΈΠ΄Π΅ΠΌΠΈΡΠ΅ΡΠΊΠΈΡ
ΠΌΠ΅ΡΠΎΠΏΡΠΈΡΡΠΈΠΉ ΠΏΡΠΈΠ²Π»Π΅ΠΊΠ°ΡΡΡΡ ΡΠΏΠ΅ΡΠΈΠ°Π»ΠΈΡΡΡ ΠΏΠΎ ΡΡΠΈΡ
ΠΈΠΉΠ½ΡΠΌ Π±Π΅Π΄ΡΡΠ²ΠΈΡΠΌ ΠΈ Π²ΠΎΠ΅Π½Π½ΠΎΠΉ ΠΌΠ΅Π΄ΠΈΡΠΈΠ½Π΅, ΠΎΠ΄Π½Π°ΠΊΠΎ Π² Π½Π΅ΠΊΠΎΡΠΎΡΡΡ
ΡΡΡΠ°Π½Π°Ρ
, Π² ΡΠΎΠΌ ΡΠΈΡΠ»Π΅ Π² ΠΡΠ°Π»ΠΈΠΈ, ΠΎΠ½ΠΈ Π±ΡΠ»ΠΈ Π·Π°Π΄Π΅ΠΉΡΡΠ²ΠΎΠ²Π°Π½Ρ ΠΏΠΎΡΠ»Π΅ ΡΠΎΠ³ΠΎ, ΠΊΠ°ΠΊ ΠΌΠ½ΠΎΠ³ΠΈΠ΅ ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΈΠ΅ ΠΏΠΎΠ΄ΡΠ°Π·Π΄Π΅Π»Π΅Π½ΠΈΡ ΠΈ ΡΡΠ°ΡΠΈΠΎΠ½Π°ΡΡ Π±ΡΠ»ΠΈ ΠΏΠ΅ΡΠ΅Π³ΡΡΠΆΠ΅Π½Ρ. ΠΠ»Ρ ΡΠ΄Π΅ΡΠΆΠΈΠ²Π°Π½ΠΈΡ ΡΠ°ΡΠΏΡΠΎΡΡΡΠ°Π½Π΅Π½ΠΈΡ COVID-19 Π±ΠΎΠ»ΡΡΠΈΠ½ΡΡΠ²ΠΎ ΡΡΡΠ°Π½ ΠΎΠ±ΡΡΠ²ΠΈΠ»ΠΈ ΡΡΠ΅Π·Π²ΡΡΠ°ΠΉΠ½ΠΎΠ΅ ΠΏΠΎΠ»ΠΎΠΆΠ΅Π½ΠΈΠ΅, Π±ΡΠ»ΠΈ ΠΏΡΠΈΠ½ΡΡΡ Π±Π΅ΡΠΏΡΠ΅ΡΠ΅Π΄Π΅Π½ΡΠ½ΡΠ΅ ΠΌΠ΅ΡΡ ΠΏΠΎ ΡΡΠΈΠ»Π΅Π½ΠΈΡ ΠΊΠ°ΡΠ°Π½ΡΠΈΠ½Π½ΡΡ
ΠΌΠ΅ΡΠΎΠΏΡΠΈΡΡΠΈΠΉ. Π’Π΅ΠΌ Π½Π΅ ΠΌΠ΅Π½Π΅Π΅ ΠΊΡΠΈΠ·ΠΈΡ, ΡΠ²ΡΠ·Π°Π½Π½ΡΠΉ Ρ Π½Π΅ΠΎΠΆΠΈΠ΄Π°Π½Π½ΠΎ Π³Π»ΠΎΠ±Π°Π»ΡΠ½ΡΠΌ ΠΌΠ°ΡΡΡΠ°Π±ΠΎΠΌ ΠΈ ΡΡΠ°Π³ΠΈΡΠ½ΠΎΡΡΡΡ ΠΏΠ°Π½Π΄Π΅ΠΌΠΈΠΈ, ΠΈ Π½Π΅ΡΠΎΠ³Π»Π°ΡΠΎΠ²Π°Π½Π½ΠΎΡΡΡ Π΄Π΅ΠΉΡΡΠ²ΠΈΠΉ ΠΊΠ°ΠΊ ΠΎΠ±ΡΠ΅ΡΡΠ²Π° ΠΈ ΠΎΡΠ΄Π΅Π»ΡΠ½ΡΡ
Π³ΡΠ°ΠΆΠ΄Π°Π½, ΡΠ°ΠΊ ΠΈ ΡΠΏΠ΅ΡΠΈΠ°Π»ΠΈΠ·ΠΈΡΠΎΠ²Π°Π½Π½ΡΡ
ΠΌΠ΅Π΄ΠΈΡΠΈΠ½ΡΠΊΠΈΡ
ΡΠ»ΡΠΆΠ± ΠΏΡΠΈΠ²ΠΎΠ΄ΡΡ ΠΊ Π½Π΅Π΄ΠΎΡΡΠ°ΡΠΎΡΠ½ΠΎΠΉ ΡΡΡΠ΅ΠΊΡΠΈΠ²Π½ΠΎΡΡΠΈ ΠΏΡΠΎΠ²ΠΎΠ΄ΠΈΠΌΡΡ
ΠΌΠ΅ΡΠΎΠΏΡΠΈΡΡΠΈΠΉ Π² ΡΡΠ΄Π΅ ΡΠ΅Π³ΠΈΠΎΠ½ΠΎΠ². ΠΡΠΎΠ±ΠΎΠ΅ Π²Π½ΠΈΠΌΠ°Π½ΠΈΠ΅ ΡΠ»Π΅Π΄ΡΠ΅Ρ ΡΠ΄Π΅Π»ΠΈΡΡ ΡΠ»ΡΠΆΠ±Π΅ ΡΠΎΠ΄ΠΎΠ²ΡΠΏΠΎΠΌΠΎΠΆΠ΅Π½ΠΈΡ, ΡΡΠΈΡΡΠ²Π°Ρ, ΡΡΠΎ ΠΈ Π² ΡΠΏΠΎΠΊΠΎΠΉΠ½ΠΎΠ΅ Π²ΡΠ΅ΠΌΡ Π°ΠΊΡΡΠ΅ΡΡΠΊΠΈΠΉ ΡΡΠ°ΡΠΈΠΎΠ½Π°Ρ ΡΠ²Π»ΡΠ΅ΡΡΡ Π·ΠΎΠ½ΠΎΠΉ ΠΏΠΎΠ²ΡΡΠ΅Π½Π½ΠΎΠΉ ΠΎΡΠ²Π΅ΡΡΡΠ²Π΅Π½Π½ΠΎΡΡΠΈ Π·Π° ΠΆΠΈΠ·Π½Ρ ΠΈ Π·Π΄ΠΎΡΠΎΠ²ΡΠ΅ ΠΌΠ°ΡΠ΅ΡΠΈ ΠΈ ΡΠ΅Π±Π΅Π½ΠΊΠ°. ΠΡΠΏΠΎΠ»Π½Π΅Π½ΠΈΠ΅ Π΄Π΅ΠΉΡΡΠ²ΡΡΡΠΈΡ
ΠΏΡΠΈΠΊΠ°Π·ΠΎΠ², ΡΠΊΠ°Π·Π°Π½ΠΈΠΉ Π½Π°ΡΠΈΠΎΠ½Π°Π»ΡΠ½ΡΡ
ΠΈ ΡΠ΅Π³ΠΈΠΎΠ½Π°Π»ΡΠ½ΡΡ
ΠΊΠΎΠΌΠΈΡΠ΅ΡΠΎΠ², ΠΌΠ΅ΠΆΠ΄ΡΠ½Π°ΡΠΎΠ΄Π½ΡΡ
/Π½Π°ΡΠΈΠΎΠ½Π°Π»ΡΠ½ΡΡ
ΠΈ ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΈΡ
ΠΏΡΠΎΡΠΎΠΊΠΎΠ»ΠΎΠ², Π½Π΅ΡΠΎΠΌΠ½Π΅Π½Π½ΠΎ, ΠΏΡΠΈΠ²Π΅Π΄Π΅Ρ ΠΊ ΠΏΠΎΠ»ΠΎΠΆΠΈΡΠ΅Π»ΡΠ½ΠΎΠΌΡ ΡΠ΅Π·ΡΠ»ΡΡΠ°ΡΡ, Π½ΠΎ ΡΡΠ΅Π±ΡΠ΅Ρ Π΄ΠΎΠΏΠΎΠ»Π½ΠΈΡΠ΅Π»ΡΠ½ΠΎΠ³ΠΎ ΠΎΠ±ΡΡΠ΅Π½ΠΈΡ ΠΈ ΡΡΠ΅Π½ΠΈΡΠΎΠ²ΠΊΠΈ ΠΌΠ΅Π΄ΠΈΡΠΈΠ½ΡΠΊΠΎΠ³ΠΎ ΠΏΠ΅ΡΡΠΎΠ½Π°Π»Π° Π²ΡΠ΅Ρ
ΡΡΠΎΠ²Π½Π΅ΠΉ.
Π¦Π΅Π»Ρ ΠΎΠ±Π·ΠΎΡΠ° β ΠΏΡΠ΅Π΄Π»ΠΎΠΆΠΈΡΡ ΠΊΠ»ΡΡΠ΅Π²ΡΠ΅ ΡΡΡΠ°ΡΠ΅Π³ΠΈΠΈ, ΠΎΡΠ½ΠΎΠ²ΡΠ²Π°ΡΡΡ Π½Π° ΠΎΠΏΡΡΠ΅ ΡΠ΅Π³ΠΈΠΎΠ½ΠΎΠ², ΡΠ°Π½Π΅Π΅ ΡΡΠΎΠ»ΠΊΠ½ΡΠ²ΡΠΈΡ
ΡΡ Ρ ΡΠ°ΡΠΏΡΠΎΡΡΡΠ°Π½Π΅Π½ΠΈΠ΅ΠΌ Π½ΠΎΠ²ΠΎΠ³ΠΎ ΠΊΠΎΡΠΎΠ½Π°Π²ΠΈΡΡΡΠ°, ΠΊΠΎΡΠΎΡΡΠ΅ ΠΌΠΎΠ³ΡΡ Π±ΡΡΡ Π±ΡΡΡΡΠΎ ΠΏΡΠΈΠΌΠ΅Π½Π΅Π½Ρ Π½Π°ΡΡΠ΄Ρ Ρ ΠΎΠ±ΡΠ·Π°ΡΠ΅Π»ΡΠ½ΡΠΌΠΈ ΠΊ ΠΈΡΠΏΠΎΠ»Π½Π΅Π½ΠΈΡ Π΄Π΅ΠΉΡΡΠ²ΡΡΡΠΈΠΌΠΈ ΠΏΡΠΈΠΊΠ°Π·Π°ΠΌΠΈ ΠΈ ΡΠ°ΡΠΏΠΎΡΡΠΆΠ΅Π½ΠΈΡΠΌΠΈ Π² Π°ΠΊΡΡΠ΅ΡΡΠΊΠΈΡ
ΡΡΠ°ΡΠΈΠΎΠ½Π°ΡΠ°Ρ
, ΡΡΠΎΠ±Ρ ΠΏΡΠ΅Π²Π΅Π½ΡΠΈΠ²Π½ΠΎ ΠΎΡΡΠ΅Π°Π³ΠΈΡΠΎΠ²Π°ΡΡ Π½Π° Π²Π΅ΡΠΎΡΡΠ½ΡΡ Π²ΠΎΠ»Π½Ρ ΡΠΎΡΡΠ° Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π΅ΠΌΠΎΡΡΠΈ ΠΈ Π½ΠΎΡΠΈΡΠ΅Π»ΡΡΡΠ²Π° COVID-19