How to Prevent H1N1 Best Advice So Far(如何預防H1N1 - 來自醫生的忠告)

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David Yuan

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Nov 6, 2009, 8:30:27 PM11/6/09
to yo...@googlegroups.com
How to Prevent H1N1 Best Advice So Far(如何預防H1N1 - 來自醫生的忠告)


N95口罩是用來阻隔95% 的0.3μ微粒,,而H1N1病毒的大小是0.1μ左右。所以,靠N95口罩防H1N1就像用蚊帳來擋雨。

Tamiflu does not kill but prevents H1N1 from further proliferation
till the virus limits itself in about 1-2 weeks (its natural cycle).
H1N1, like other Influenza of Type A viruses, only infects the upper
respiratory tract and proliferates (only) there.

The only portals of entry are the nostrils and mouth/ throat. In a
global epidemic of this nature, it's almost impossible not coming into
contact with H1N1 in spite of all precautions.

流感疫苗不是用來殺死H1N1病毒,它只能抑制病毒在其1-2周的自然生存周期中繁衍,H1N1跟其他A型流感的病毒一樣,感染部位只限於上呼吸道,並在那繁殖,它的唯一入侵途徑是口鼻喉,這種全球性的流感,幾乎無人能置身事外。

Contact with H1N1 is not so much of a problem as proliferation is.

但接觸到H1N1病毒,並不像H1N1傳染的問題那麽嚴重。

While you are still healthy and not showing any symptoms of H1N1
infection, in order to prevent proliferation, aggravation of symptoms
and development of secondary infections, some very simple steps - not
fully highlighted in most official communications- can be practiced
(instead of focusing on how to stock N95 or Tamiflu):

當你身體健康,尚未出現H1N1感染症狀時,更實用有效的辦法(而不是只關注儲備N95或流感疫苗),是用以下幾種簡單的方式來避免少量的H1N1
病毒在你體內(如果有接觸到的話)繁殖、出現病症、及惡化成二期感染:

1. Frequent hand-washing (well highlighted in all official communications).

常洗手(在所有的官方警示中,都有重點強調)。

2. "Hands-off-the-face" approach. Resist all temptations to touch any
part of face
(unless you want to eat or bathe).

手絕不碰臉...除非是是吃東西和洗臉。

3. Gargle twice a day with warm salt water (use Listerine if you don't
trust salt). H1N1 takes 2-3 days after initial infection in the
throat/ nasal cavity to proliferate and show characteristic symptoms.
Simple gargling prevents proliferation. In a way, gargling with salt
water has the same effect on a healthy individual that Tamiflu has on
an infected one. Don't underestimate this simple, inexpensive and
powerful preventative method.

每天用溫鹽水(或李斯德林漱口水,如果你不太相信鹽水有效的話)漱口兩次。H1N1
在鼻喉腔內經過2-3天,才開始增生並出現症候,簡單的鹽水漱口可以抑制病毒繁衍,等於是健康人的流感疫苗,千萬不要小看這看似簡單、花費不多,但是很有效的辦法。

4. Similar to 3 above, clean your nostrils at least once every day
with warm salt water. Not everybody may be good at Jala Neti or Sutra
Neti (very good Yoga asanas to clean nasal cavities), but blowing the
nose hard once a day and swabbing both nostrils with cotton buds
dipped in warm salt water is very effective in bringing down viral
population.

以上三點之外,每天用溫鹽水清洗鼻孔至少一次,不是每個人都會用專業的清洗鼻腔的辦法,但吸口氣用力將鼻內物質噴出,最後以棉花棒沾溫鹽水清潔鼻孔,這對降低鼻中的病毒量非常有效。

5. Boost your natural immunity with foods that are rich in Vitamin C
(Amla and other citrus fruits). If you have to supplement with Vitamin
C tablets, make sure that it also has Zinc to boost absorption.

更多的食用富含維他命C的食物(如柑橘類的水果),可增加自身免疫力。如果只能
服務Vitamin C片,儘管選用含鋅的以提高Vitamin C的吸收。

6. Drink as much of warm liquids as you can. Drinking warm liquids has
the same effect as gargling, but in the reverse direction. They wash
off proliferating viruses from the throat into the stomach where they
cannot survive, proliferate or do any harm.

多喝溫開水或熱湯,功效和漱口一樣,只是方向相反。隨著熱水或湯水被喝到胃裏的病毒是無法生存、傳染或發作的。

7. All these are simple ways to prevent, within means of most
households, and certainly much less painful than to wait in long
queues outside public hospitals.

這些都是在家裏就能做得到的簡便預防法,遠比痛苦地排長隊在醫院候診好得多

亮蝦

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Nov 7, 2009, 8:43:16 PM11/7/09
to young-turks
> N95口罩是用來阻隔95% 的0.3μ微粒,,而H1N1病毒的大小是0.1μ左右。所以,靠N95口罩防H1N1就像用蚊帳來擋雨。
基本上,流感病毒的傳播並不是靠空氣飄,而是藉著包在被病患咳出來的飛沫裡,被其他人吸進去才感染地。
戴N95口罩的用意在於避免吸入飛沫,因此在預防感染的層面上是有效地。

> Tamiflu does not kill but prevents H1N1 from further proliferation
> till the virus limits itself in about 1-2 weeks (its natural cycle).
> H1N1, like other Influenza of Type A viruses, only infects the upper
> respiratory tract and proliferates (only) there

> The only portals of entry are the nostrils and mouth/ throat. In a
> global epidemic of this nature, it's almost impossible not coming into
> contact with H1N1 in spite of all precautions.
>
> 流感疫苗不是用來殺死H1N1病毒,它只能抑制病毒在其1-2周的自然生存周期中繁衍,H1N1跟其他A型流感的病毒一樣,感染部位只限於上呼吸道,並在那繁殖 ,它的唯一入侵途徑是口鼻喉,這種全球性的流感,幾乎無人能置身事外。

翻譯的人可能沒看清楚,這邊講的是克流感藥物機轉而非疫苗。(不過原文也沒說些什麼)

實際上,即使不像抗生素之於細菌那般具直接毒殺的能力,克流感卻能夠使病毒失去感染能力,增加被身體免疫系統清除的機會,因此還是有效的。
臨床使用時,除非是極為重症的患者,一般的H1N1患者吃了克流感後隔天症狀就會減輕,效果非常顯著。

順帶一提,疫苗能夠加強免疫系統,讓身體能夠抵抗病毒感染,這是在大規模防疫上最有效的方式。


下面幾段,基本上只有第一點和第二點是重要的。
3、4、5都是錯的。
把病毒咳出來只會增加其他人感染的風險,並不會讓你舒服一點。
阻止病毒繁殖,減少體內的病毒量才是重點,清除分泌出來的病毒並無任何意義。
(當然啦,除非你已經嚴重到整個肺部都感染,把痰咳出來是會比較舒服點。可是對病情沒有幫助)

吃維他命其實對身體沒啥幫助,說穿了只是在贊助藥商罷了。因為只要均衡飲食其攝取量就已足夠,你多吃也只是尿出去啦

「多喝水」絕對無法減少病毒量,目的在於發病時常會因發燒等症狀造成身體輕微脫水,純粹是為了補充水分罷了。
(不要喝運動飲料,因為其電解質濃度其實不太適合人體吸收)

順便宣導一下,如果出現以下三種類流感症狀請儘速就醫以免病情惡化:
1.發燒頭痛
2.全身肌肉酸痛無力,尤其是四肢
3.整個人覺得疲倦不堪

----
簡單做個結論:
其實H1N1沒有大家想像中那麼恐怖,和SARS相比它真的沒什麼。
造成的症狀其實和平時春秋兩季就在流行的流感沒兩樣。
真正危險的是在於身體比較不好的人,面對新種病毒的侵襲病情很容易就惡化。

最重要的就是,平時就好好注意身體。
均衡飲食,規律作息,按時運動,注意保暖,
這絕對比任何來自媒體的偏方有效。

或許我們該反思的,是媒體如何助長、塑造這種恐慌,以及政府、醫界與學界為什麼無法提供民眾正確的因應態度。

希望這篇回應能讓大家安心些,
祝大家身體健康!

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