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May 15, 2020
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Doctors gave disappointing predictions even after recovering COVID-19

Despite the fact that doctors have just begun a large-scale study new coronavirus infection, it is now clear that some of its consequences may be long-term. Especially if the disease was severe and the person was in the intensive care unit. Journalists of Medusa decided to explain what concerns the experts have.

After the transfer from the intensive care unit, people do not always recover to the end.

When a person feels better and is transferred from the intensive care unit, unfortunately, this for any disease does not mean that full recovery is ahead. Intensive therapy itself, which a person undergoes, has its negative consequences (along with, of course, with positive ones). For such consequences, there is even a name - PIT syndrome, that is, the syndrome "after intensive care". It covers several areas:

  • mental (the person becomes anxious , he develops post-traumatic stress disorder, depression) - according to various sources, from 1% to 58% of patients such consequences;

  • cognitive (memory, attention, speed of thinking are impaired) - in on average, this happens in a quarter of patients;
  • physical (a person develops muscle weakness and if there was an acute respiratory distress syndrome and, accordingly, mechanical ventilation of the lungs, the lungs may work worse than before) - this happens more than a quarter of patients.
  • The percentage of such people with a new coronavirus infection is still unknown. Perhaps it is slightly higher, because people spend longer on mechanical ventilation than in many other cases.

    PIT syndrome can pass within six months - years, but in many cases lasts for years. The physical form returns to its previous state better and faster, but it may take a year or two.

    There are other possible changes characteristic of COVID - 07

    Changes to computed tomogram indicating lung damage due to SARS (caused by another coronavirus), some patients persist for many years. It is not known how long they last with covid, but it is known that they also occur in people who are infected with the virus and have no symptoms. True, the changes themselves may not indicate any tangible negative consequences for health.

    At the moment, there are rather scattered data about only which other diseases caused by dangerous coronaviruses have long-term effects. In mid-April 798, the results of these studies were attempted to be summarized in a work that, however, had not yet passed the reviews of specialists, the editors and was not published in scientific journal. It says that six months after recovery, the lungs of the former patients basically began to work as before (although they don’t share people who went through the intensive care unit and everyone else).

    Covid can lead to complications in the heart or kidneys

    The new coronavirus can bind to cells of the respiratory tract, blood vessels, heart, kidneys and the gastrointestinal tract. Apparently, this, as well as a lack of oxygen due to poorly functioning lungs and general inflammation, can lead to arrhythmia, stroke, damage to the myocardium (heart muscle), kidneys, and other complications. And this can also lead to long-term consequences.

    From time to time there is information that a new coronavirus has a bad effect on reproductive function in men (from a recent one). However, there is no evidence for this yet.

    The risk of complications can be reduced (but not to zero)

    Basically, the tactics in this regard are universal: if a person is in the intensive care unit, it is recommended:

    • as little as possible to keep it on artificial lung ventilation;
  • in various ways to protect it from bacterial pneumonia associated with artificial ventilation;
  • use drugs that reduce the risk of blood clots (for patients with covid, this It’s really important, because with this disease blood clots form more often than expected);
  • stimulate move the patient and move him as soon as it becomes safe (unfortunately, in Russia there are few specialists who would specialize in this).

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