Новый вирус по-прежнему остается довольно хитрым врагом, знания о котором быстро обновляются и меняются. Но есть вещи, которые необходимо знать каждому человеку, чтобы чувствовать себя защищенным и не поддаваться лишней панике. В этой книге собраны структурированные, актуальные ответы на вопросы, которые сегодня касаются каждого: какие тесты необходимо делать и чем они отличаются друг от друга, когда действительно стоит вызывать скорую, как правильно использовать средства защиты, чтобы они на самом деле работали. Эта книга Александра Мясникова – полное досье на новый вирус.

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Казалось бы, коронавирус у всех на слуху. О нем говорят, его изучают, против него пытаются найти вакцину. Но задумайтесь, а что вы на самом деле знаете о COVID-19?

Вирусы – сложные организмы с оболочкой, ядром и цитоплазмой. Они – невидимые враги человека. Их нельзя проконтролировать и крайне сложно им противостоять. Но знать врага в лицо мы просто обязаны!

Из книги Александра Мясникова вы узнаете, что такое коронавирусы, как они мутируют и передаются от животных к человеку, а еще почему они действительно являются серьезной угрозой для всего человечества. COVID-19 – уже далеко не первый мутировавший коронавирус, но нынешний случай стал в плохом смысле слова особенным.

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Александр Мясников
Досье на вирус
Бой с тенью, которая постоянно меняет свои размеры, форму и свойства

* * *

Предисловие

Человечество столкнулось с новой болезнью. Эпидемия, вызванная новым коронавирусом, поразила почти все страны, и сегодня никому не надо объяснять, что такое ковид. На самом деле мы еще мало что знаем об этой болезни. Слишком недавно она пришла в человеческую популяцию и слишком не похожа она оказалась на своих предшественников. Каждый день мы получаем все новые данные и знания, информация устаревает уже через несколько дней! Написание и издание книги, даже такой небольшой, как эта, требует определенного времени, поэтому сегодня что-то в ней окажется уже устаревшим и, возможно, не совсем верным. Я очень надеюсь, что к моменту выхода этой книги эпидемия минует свой пик и мы все вернемся к нормальной жизни! Однако реальность такова, что этот «новый коронавирус» не ушел в небытие, как его предшественники, и остался среди нас. Значит, люди будут болеть, конечно, уже не в тех масштабах и не с такими осложнениями, и информация о ковиде останется актуальной еще долгое время.

Глава 1
Досье на новый коронавирус

Вирусы – совершенно уникальное творение Природы. Это бактерия – сложный организм с оболочкой, ядром, цитоплазмой! Мне всегда приходит аналогия с крепостью: мощные стены (полисахаридную капсулу пневмококка или менингококка может разрушить только селезенка!), собственная электростанция – митохондрии, завод по производству запчастей – рибосомы, штаб – ядро. А вирус – это нечто эфемерное: цепочка генного материала – ДНК или РНК – и белковая пленка, которая ее покрывает. И все! Они не могут существовать сами по себе, они обязательные внутриклеточные паразиты: они проникают внутрь клетки и пользуются ее структурами. Их важнейшая роль – как раз в формировании передачи генных мутаций. Представьте себе цепочку ДНК или РНК, свернутую в некий кубик Рубика. Легко и молниеносно вирус перемешивает генные частички, свои и чужие! Вопрос: они вообще живые?! Ну да, они имеют генетический материал, способны создавать себе подобные вирусы и эволюционируют путем естественного отбора. Так как они обладают некоторыми, но не всеми свойствами живого, вирусы описываются как «организмы на краю жизни». Если добавить «человеческой, нашей жизни», фраза приобретает зловещий оттенок. И я сейчас объясню, что имею в виду.

Если противомикробных препаратов-антибиотиков существует множество на любой вкус (другое дело, что они утрачивают свои свойства), то реальных противовирусных препаратов у нас очень и очень мало. Их крайне сложно создавать против практически эфемерного, но реально смертельно опасного противника. Настоящий бой с тенью, которая постоянно меняет свои размеры, форму и свойства! Продолжая сравнение микроба с крепостью, можно уподобить антибиотики таранам, разбивающим ворота, камнеметным машинам, крушащим стены, и огнеметам, выжигающим внутреннее пространство. А вирус? Что-то вроде тени отца Гамлета, привидения, витающего в королевских покоях. Возьмем вирус иммунодефицита. Много десятилетий не могут подобрать вакцину и создать окончательно эффективный препарат (хотя определенные успехи в этом направлении, несомненно, есть).

Парадоксальная ситуация: мир до зубов вооружен атомным оружием, разрабатываются лазеры, звуковое и климатическое оружие, а против основного врага мы практически беззащитны! Мы все боимся атомной войны, злых пришельцев, астероидов, восстаний и техногенных катастроф. А бояться надо свиней, уток, летучих мышей, обезьян, верблюдов и мышей! Атомной войны не будет (дурных нема!), пришельцы нас не найдут, а астероид пролетит мимо. А вот мутации тех вирусов, которые обитают в свиньях, обезьянах, летучих мышах, птицах и многих других животных, дающие возможность передаваться этим вирусам от животных к человеку, могут представлять глобальную угрозу человечеству. Так было с «испанкой», свиным гриппом, СПИДом, Эболой, коронавирусами 2002 и 2014 годов.

Собственно, коронавирусы мы знаем давно. Среди людей распространено несколько его разновидностей. Каждый из нас когда-то коронавирусом переболел. В зимне-осеннее время он вызывает около 1/3 ОРЗ в Северном полушарии. Семейство коронавирусов присутствует и у людей, и у животных (летучие мыши, кошачьи, верблюды, птицы и проч.). У человека до 2019 года их было известно четыре типа: HCoV-229E, HCoV-NL63, HCoV-OC43, HCoV-HKU1. Широко распространенные «человеческие» коронавирусы передаются в основном осенью-зимой. Например, обследование в Норвегии 59 тыс. подростков до 16 лет с ОРЗ показало, что коронавирус в холодный сезон вызывает пневмонию, требующую госпитализации у 1,5 ребенка на 1000 населения в год. Иммунитет неустойчив, повторные инфекции типичны. Коронавирус – частая причина гастроэнтеритов, есть причинно-следственная связь с некоторыми неврологическими заболеваниями и болезнью Кавасаки.

Александр МясниковДосье на вирусБой с тенью, которая постоянно меняет свои размеры, форму и свойства

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Предисловие

Глава 1Досье на новый коронавирус

Александр Мясников
Досье на вирус
Бой с тенью, которая постоянно меняет свои размеры, форму и свойства

Глава 1
Досье на новый коронавирус