Samut Sakhon Governor a little better Doctor worried about lung damage Can’t breathe
On January 21, 2021 at 19:05
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Dr. Prasit revealed the governor of Samut Sakhon Slightly better The lungs were destroyed. Unable to breathe Follow up symptoms closely, prepare plan 2
On January 21, 2021 Dr. Prasit Wattanapa, Dean of the Faculty of Medicine Siriraj Hospital Mahidol University Identify symptoms of Mr. Weerasak Wichit Sangsri Governor of Samut Sakhon Province that 24 hours ago Lung inflammation symptoms Still giving medicine Now, a ventilator must be used to fully sleep. Not against the ventilator Now breathing with a ventilator Have to sleep because to sleep Medicines to affect the digestive tract: now some foods need to be supplemented intravenously.
Dr. Prasit said that now I have to inject to sleep. Because they do not want to resist the ventilator because some people know they will resist Annoyed, the tubes in the throat try to squirm, so the injection is required to fall asleep and relax the muscles to aid breathing. If the drug is reversed, it will gradually come back to realize
“In general, there is no indication that the infection is out of control in the other parts of the pulse. No need for drugs to help pressure or stimulate the heart. The big problem is still lung function. What I am currently thinking about is whether the remaining lung function is OK or not. If you do not need a respirator “
“It’s a question that needs to be answered. Since last week We take out the respirator When you take it out, you can feel it after sleeping on your back. But you are tired As long as wearing a ventilator There is no definite blood oxygen problem. But if to remove the ventilator Must see if the remaining lungs are ok or not How do you assess this section if you don’t have to deal with it? Is an additional question that needs to be considered “
Dean of Faculty of Medicine Siriraj Hospital Revealed that the condition of the Governor Verasak today considered to be closer or slightly better than before Because there is no need for drugs to pressure or stimulate the heart Previously, low dosing was required Now do not use the heart, pulse, normal pressure.
For antibiotics, go See if the infection can be controlled or not Need to follow up to see if there is a fever or not Does the operation of other organs affect or not? Because if the birth control pill is not present, the infection will spread and affect other organs But now there is no indication like that, therefore, by clinical symptoms Considered now the birth control pill But wanted it to be fast because he didn’t want the disease to develop itself to be drug-resistant But now there is still no evidence like that.
Dr. Prasit further explained that COVID already destroyed the lungs by itself. Previously in the world including Thailand There are some patients whose lungs are damaged. In the end, the inhaler could not be removed and eventually died if the drug was administered slowly, since the first outbreak had no drug yet, but the governor’s medication was now considered to be administered early. But you should have been exposed to many infections
“Back on Friday, you are still good. Saturday is normal And Sunday started to get fever In the evening then pneumonia. Showing that the infection in the body is quite a lot And the infection sinks in the lungs Therefore started to start drugs since Sunday evening But there are some parts that might be destroyed. In addition to the age factor, the lungs are not 100 percent already in the beginning, so how much is left of lung tissue? The situation must be assessed from when wearing a ventilator, lying on your back, breathing well, but when you try to get the ventilator out, oxygen is drained and tired, so the question is now that the remaining lung tissue is enough to not need a ventilator. Breathing or not It’s a question that needs to be answered. To decide Assuming this cycle, worse breathing is caused by a lung infection. After giving antibiotics Good sterilization The lungs would be able to recover. Now I want it to be like that “
Dr. Prasit said that there was a second plan. If not Showing that the lung tissue itself was unable Need to think of other ways Now I have to be in the ICU because there are tools and doctors all the time. Which antibiotics, most lung infections Must see at least 1 week and look at the symptoms If there is a fever, then it may not be effective. But also have to x-ray of the lungs, whether there is a fever from other causes or not How the lungs are changed
When asked if symptoms need to be monitored hourly or not, the Dean of the Faculty of Medicine Siriraj Hospital To stay at ICU because u can always do these things If the lungs are cleared and there is no fever, the inflammation is better. Will be able to take sputum to be examined periodically to see if it is still infected Use these to make decisions.
“Concluded that now the problem that is still worrying is about the lungs and how the pulmonary tissue is And respiratory tract infections Need to look at the situation to plan the next treatment, “Dr. Prasit said.
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