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1 人回報1 年前
觀察最近流行的covid症狀
跟以往很不一樣,變成一個千變萬化的病毒,每個人都不一樣

🔆輕感冒:一點鼻涕、一點咳嗽
🔆重感冒:發高燒、酸痛、喉嚨超痛、鼻涕、咳嗽
🔆腸胃道症狀:嚴重嘔吐、拉肚子、卻是輕感冒症狀
🔆兒童在兩三年前會高燒難退,退了又燒;近期的發燒沒有那麼難退,但還是會燒2-3天

最奇怪的大概是腸胃的表現,有人單單只有腸胃炎,卻沒有感冒的感覺,意外驗出也是covid,實在是防不勝防啊!

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  • 馬偕黃瑽寧醫師對於發燒的觀念也有提到: (1) 來到醫院的發燒病童,約有90%都是病毒感染引起,而病毒感染發燒大部份在3~5天內都會自然退燒。病毒沒有特效藥,大部份也沒有抗病毒藥物,等孩子產生抗體之後自然就會退燒。 (2) 發燒並不是造成傷害的原因,只是症狀,去找引起發燒的原因才是重點,退燒不是絕對必要的選項 (3) 發燒不會燒壞腦袋不會燒壞腦袋不會燒壞腦袋不會燒壞腦袋,會燒壞腦袋的是日本腦炎,不是發燒 (4) 中耳炎通常都發生在感冒之後,而且不一定會發燒,所以不要一覺得發燒就是中耳炎引起的。 (5) 吃了退燒藥依然不退,或是退燒之後又再度燒起來都是正常的 (6) 發燒是件好事,可以提升免疫系統的效能,大量退燒藥反而會降低免疫力,使病毒更不易被殺死。所以不需要輕易積極地為孩子退燒,退燒的目的只是讓孩子舒服一點,沒有不舒服哭鬧就不用強迫給藥。 (7) 只有退燒藥「真正」具有退燒的效果,其他輔助方式如:退熱貼、冰枕、溫水擦拭等等,都只是讓孩子舒服一些,並不會對中心體溫有任何影響。 ★(8)真正送醫的時機: - 6個月以下的小孩 - 連續發燒超過2天 - 超過24小時仍然只有發燒,沒有感冒或腸胃的症狀 - 發燒到40度以上,但不確定是細菌或病毒感染 - 有細菌感染的症狀:比如說退燒時仍精神委靡(最重要!),細菌感染包含腦炎、肺炎、中耳炎、鼻竇炎等等,每一種細菌感染症狀都不一樣,唯一的共同點就是精神不佳 - 其他不正常的跡象,如意識不清,抽搐等等 另外,對於感冒也有幾個重要的想法: (1) 感冒不管吃藥不吃藥,都會好。吃藥只是緩解症狀,讓感冒的那幾天身體舒服一點,並無法縮短疾病的天數 (2) 抽鼻涕與拍痰,都不會讓感冒早點痊癒。抽鼻涕只能暫時讓孩子好過一點,但也只是暫時的,而拍痰只對「沒有力氣的早產兒」與「臥床的老人」才有幫助,正常的孩子感冒,不論是支氣管炎還是咳嗽有痰,拍與不拍結果都一樣,對疾病的緩解一點幫助都沒有。 (3) 感冒拖再久也不會變成「肺炎」,肺炎的發生必須同時滿足「免疫力正差的時候」,碰上了「惡性的病毒或細菌」才會發生 ================================ 今天在網路上看到這個消息 [感冒到底該不該吃西藥?林燦城醫師:負責任的說,沒幫助!] [從「打噴涕」到「癌症」的九個發展步驟] 分享了之後造成許多朋友的討論,我蠻贊成盡量減少西藥的服用 其實在美國,已經有一派媽媽是不讓孩子施打預防針的 還記得Robbie 周歲的預防針,我們延後了兩個月才去醫院報到 當下我們很緊張地問護士說這樣有沒有關係? 醫生護士覺得我們很奇怪,他們說很多家長現在已經不讓孩子打針了 所以我們的擔心很好笑(咦?) 我因為在台灣土生土長,從小根深蒂固的觀念讓我還是準時幫Robbie打預防針 但是未來我應該只會打必要的預防針 流感那些我再也不會攜家帶眷的準時報到 以下內容截取茅年臻前輩的經驗與智慧分享 提供給各位朋友一些重要的觀念: 1. 抗生素如果沒有吃完一週期中間就停藥﹐ 反而是很危險的事。抗生素是殺細菌的﹐ 細菌無時無刻不在突變﹐ 很容易突變出一個變種來有抗藥性的﹐ 就是不怕那種抗生素的﹐ 所以如果吃一半停藥了﹐ 給這種突變種繁殖生長的機會﹐ 以後使用這種抗生素就沒效了。 2. 我們的免疫系統是需要‘訓練’的﹐ 一有外來生物﹐ 就會自動產生專門對抗這種病菌的抗體﹐ 但是這是需要時間的﹐ 越經過訓練的身體﹐ 產生抗體速度越快。如果經年累月用抗生素對抗﹐ 而不給自己的免疫力一個機會﹐ 長大真的身體會變差說。我舉一個比較噁心的例子﹕ 咬指甲的人一般都不太容易生病﹐ 因為手上充滿了病菌﹐ 他的身體天天被訓練﹗ XD 3. 一般賣的非抗生素的‘藥’ 就是抑制身體產生’感覺‘﹐ 讓你不想咳嗽﹐ 讓你不流筆水﹐ 讓你不發燒﹐ 對於殺菌﹐ 毫無效果。如果是細菌(bacteria)引起的感冒﹐ 抗生素有效﹐ 如果是病毒(virus)引起的﹐ 無效。建議感冒就是多喝溫熱的黑糖水﹐ 不要吃任何冷的﹐ 生的(對﹐ 包括生的) 正常情況下, 病毒(細菌)由呼吸道, 腸胃消化道等介面進入人體, 這些地方有IgA抗體(其他地方沒有), IgA認出病毒(細菌), 把病毒(細菌)圍堵住, 然後讓身體裡的T細胞跟B細胞執行對抗與殲滅病毒(細菌)的行為, 在這個期間, 身體產生抗體, 並藉由排泄, 排汗, 打噴嚏等方式, 將病毒(細菌)排出體外, 然後病毒(細菌)減少, 免疫反應驅緩, 身體復原.
    1 人回報1 則回應6 年前
  • 轉~ 翻譯一篇在西雅圖感染新冠肺炎病毒的美國人所寫的個人經歷。 I had COVID-19 and here is my story. I made this post public out of several requests from my friends who asked me to share. I hope it gives you some good information and peace of mind! 我感染了新冠病毒(武漢肺炎),由於不少我身邊朋友的請托,希望我可以跟大家分享我的情況,所以我決定把我的染病的經驗公開,讓大家可以有更多的了解。 First how easily you can get it. I believe I caught it when attending a small house party at which no one was coughing, sneezing or otherwise displaying any symptoms of illness. It appears that 40% of the attendees of this party ended up sick. The media tells you to wash your hands and avoid anyone with symptoms. I did. There is no way to avoid catching this except avoiding all other humans. 40% of folks were all sick within 3 days of attending the party all with the same/similar symptoms including fever. 首先對於新冠病毒,它比你想像的更容易被感染. 我確信我是在參加一個小型家庭聚會時被感染的。當時參加的客人沒有人咳嗽、打噴嚏,或者顯現出任何生病的症狀。結果呢?約40%參加聚會的人都被感染了!媒體上所說的要勤洗手避免跟有症狀的人接觸,我都照做了. 我覺得沒有任何方式可以避免被感染,除非你完全避免跟人群接觸。40% 被感染者都是在參加聚會後三天之內就發病,他們都有著相同的症狀,包含發燒. Second, the symptoms appear to be different depending on your constitution and/or age. Most of my friends who got it were in their late 40s to early 50s. I’m in my mid 30s. For us it was headache, fever (for first 3 days consistently and then on and off after 3 days), severe body aches and joint pain, and severe fatigue. I had a fever that spiked the first night to 103 degrees and eventually came down to 100 and then low grade 99.5. Some folks had diarrhea. 其次,這些症狀因人而異,因每個人的身體狀況及年齡而有所不同。大部分受感染的朋友年齡層約在40到50歲左右,而我是30幾歲。對我們來說染病的初始症狀是頭痛,發燒(最初三天是持續高燒而後三天是間歇性高燒),身體的劇烈疼痛以及關節疼痛,而且有強烈的四肢無力與倦怠感。在我感染的第一個晚上高燒到103度,隨後下降到100度、99.5度.有些朋友則有腹瀉的症狀。 I felt nauseous one day. Once the fever is gone some were left with nasal congestion, sore throat. Only a very few of us had a mild itchy cough. Very few had chest tightness or other respiratory symptoms. Total duration of illness was 10-16 days. 有一天我覺得想嘔吐。當發燒症狀消退後,鼻塞、喉嚨痛的症狀則持續,僅僅極少數的人感到輕微的喉頭搔癢的乾咳。只有幾個人感到胸口鬱悶感及其他的呼吸道感染徵狀。整個發病期約持續10-16天。 The main issue is that without reporting a cough or trouble breathing many of us were refused testing. I got tested through the Seattle Flu Study. This is a RESEARCH study here in Seattle and they have been testing volunteers for strains of the flu to study transmission within the community. A few weeks ago, they started to test a random subset of samples for COVID-19 infection. They sent my sample to the King County Public Health Department for confirmation; however, I was told that all of the samples that have tested positive in the research study have been confirmed by Public Health. 問題的癥結點在於很多人在沒有咳嗽或呼吸困難的症狀時,都傾向於不需要(或不認為必須)接受武漢肺炎測試。我是透過一個叫做西雅圖流感研究的機構所做的測試。這是一個位於西雅圖的研究機構,它們透過對志願者的檢測,來研究流感病毒類型與社區傳播。幾週前這個機構開始對志願者提供新冠肺炎病毒做隨機抽樣檢測。它們把我的初測到的陽性樣本送到國王郡的公共衛生部門去做感染病毒的確認。隨後我被通知連同我在內所有陽性反應的檢測人,都被確認是感染了新冠肺炎的病毒。 As of Monday March 9th, it has been 13 days since my symptoms started and more than 72 hours since my fever subsided. The King County Public Health Department is recommending you stay isolated for 7 days after the start of symptoms or 72 hours after your fever subsides. I have surpassed both deadlines so I am no longer isolating myself however I am avoiding strenuous activity and large crowds and I obviously will not come near you if I see you in public. I was not hospitalized. Not every country is hospitalizing everyone with a COVID-19 infection and in my case, and in many other cases, I didn’t even go to the doctor because I was recovering on my own and felt it was just a nasty flu strain different from the ones I have been protected from with this season’s flu vaccine. 從最初感到症狀到昨天3/9為止,已經過了13天,發燒症狀消退已經過了72小時(3天)。國王郡的公衛部門建議感染者在有感染的症狀出現後,做至少7天的自我的居家隔離。在發燒症狀消退後的72小時內,也應居家隔離,避免接觸公眾。目前我已經度過了這兩個期限,所以我不再自我居家隔離,於此同時,我還是避免過度參與公眾活動與接觸大批人群。我並沒有住院,也不是所有感染新冠肺炎病毒的人都住進郡立醫院。很多跟我一樣的感染者,並沒有去看醫生,就自我痊癒了。對我們來說,這感覺就像一個比以往流行型感冒稍微嚴重一點的新型流感,與我所接種而受到保護的流感疫苗,略為不同。 I also truly believe the lack of testing is leading to folks believing that they just have a cold or something else going out into public and spreading it. And worse folks with no symptoms are also spreading it as in the case of a person attending a party or social gathering who has no symptoms. 我確信缺乏對新冠病毒檢測的機制是造成多數人相信他們只是感染風寒或一般正在傳播的季節性流感而已。最糟的情況是,很多人在沒有顯現任何症狀的情況下,仍舊正常參加集會活動或正常社交聚會,而將病毒傳播出去。 I know some folks are thinking that this can’t/won’t impact them. I hope it doesn’t but I believe that the overall lack of early and pervasive testing damaged the public’s ability to avoid the illness here in Seattle. All I know is that Seattle has been severely impacted and although I’m better now I would not wish this very uncomfortable illness on anyone. 我知道很多人認為這款病毒不會傳染給他們。我真心希望真的是如此,但是我仍舊相信整體上缺乏早期的發現與預防性檢測,將會嚴重影響到西雅圖地區公眾對新冠肺炎的抵抗能力。 目前已知的情況是西雅圖地區已經有嚴重的疫情,雖然我已經痊癒,但是我真的不希望這樣的病情發生在其他更多人身上。 One thing that I believe may have saved me from getting worse respiratory symptoms is the fact that I consistently took Sudafed, used Afrin nasal spray (3 sprays in each nostril, 3 days at a time and then 3 days off), and used a Neti pot (with purified water). This could have kept my sinuses clear and prevented the symptoms from spreading to my lungs. This is not medical advice: I’m simply sharing what I did and correlating it with the fact that I had no respiratory symptoms. The two could be entirely unrelated based on the viral strain and viral load that I received. 我想我做了一件正確的選擇,讓我呼吸系統感染的症狀不致於變得更嚴重,就是我按時服用 Sudafed (一種藥方販售,不需處方的感冒退燒藥),Afrin 鼻腔噴劑 以及使用清鼻腔咽喉分泌物的Neti Pot 。這些措施保持我的鼻腔咽喉乾淨,從而防堵病毒向下蔓延到我的肺部。我不是在這裡提供醫療建議,只是單純的分享我個人的經驗,因為我並沒有肺部的感染。也許我所做的跟肺部感染並無相關性。而是跟我所感染的病毒特性與病毒感染量有關。 I hope this information helps someone avoid getting sick and/or push to get tested sooner rather than later so you know to isolate before it gets worse or to get medical care if you have respiratory distress. Hand washing doesn’t guarantee you won’t get sick, especially when folks without symptoms are contagious and could be standing right next to you in any given social situation. You more likely than not will not die, but do you want to risk spreading it to a loved one over 60 or someone with an immunity issue? Stay healthy folks! 我希望我所分享的資訊,能幫助大家避免受到感染,或者推動整個公眾檢測系統能更快啟動讓感染者能早期自我隔離,而有呼吸道症候群感染疑慮者,能早期接受治療。洗手並無法完全避免受到感染。尤其那些沒有任何徵兆的帶原傳播者,可能正是你身邊普通社交場合出現的人們。感染病毒後不一定會致死。但是你也不會想不小心傳播病毒給你身邊所關心的年長者,或者有免疫系統功能失調的親友們。大家保重。
    10 人回報2 則回應6 年前