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Mar 5, 2021
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Organs consequences. What tests need to be done for those who have suffered from COVID

4 million people have had coronavirus in the Russian Federation, an infection, even asymptomatic, hits all organs.

What examinations should be taken for those who have learned what COVID-19 is?

Heart

Studies show: 50% of patients with coronavirus have heart problems. First of all, in the form of arrhythmias (heart rhythm disturbances), acute and chronic heart failure. “But one of the most dangerous cardiac complications of COVID-19 is myocarditis, an inflammatory process in the muscle layer of the heart,” says therapist, physiotherapist of the Atlas Medical Center Kirill Belan… – This complication is often recorded even after a mild form of infection. The main signs of myocarditis are weakness, interruptions and pain in the heart region, which do not disappear after taking nitroglycerin, shortness of breath (both at rest and during exercise), cough, dizziness, and swelling of the extremities. To clarify the diagnosis, a cardiologist can prescribe an electrocardiogram, echocardiography (EchoCG), MRI of the heart, as well as studies for cardiac troponins I and T (markers of myocardial damage), pro-BNP (marker of heart failure). “

Myocarditis is treated with antiviral drugs, interferons. Until complete recovery, you will have to stay in bed (in some cases, hospitalization may be necessary). If treatment is not completed, there is a risk of chronic heart failure for the rest of your life.

Diabetes

“COVID-19 can trigger the development of diabetes,” says Yuri Poteshkin, candidate of medical sciences, endocrinologist… – It is known that type 1 diabetes develops in children after measles, scarlet fever, rubella, etc. These infections trigger an immune attack and kill beta cells (cells in the pancreas that produce insulin), which leads to a disruption in insulin production. There is an assumption that a similar happens with coronavirus. It is possible that the COVID-19 virus triggers type 1 diabetes in people genetically predisposed to the disease. The ACE-2 receptor, which is the link for the virus, is located in beta cells. Coronavirus can indirectly lead to the manifestation of signs of type 2 diabetes. With a viral infection, insulin resistance increases, which, together with isolation and the associated poor diet and sedentary lifestyle, increases the risk.

If you are worried about weakness, rapid fatigue, thirst, unmotivated weight loss, blurred vision, slow healing of wounds, infections of the skin and genitourinary system, you should consult an endocrinologist. The right decision would be to test fasting plasma glucose and glycated hemoglobin for early detection of the disease, even in the absence of noticeable symptoms. ”

Blood clots

“One of the most common consequences of COVID-19 is hypercoagulability (a tendency to form blood clots). It occurs due to a powerful inflammatory reaction in the body caused by a virus (cytokine storm), explains Kirill Belan. – Due to the disruption of the clotting system in the tissues of the body, multiple microscopic thrombosis are formed. This impairs the blood supply to many organs and leads to a wide variety of disease symptoms (for example, the onset or worsening of shortness of breath, neurological disorders). Mature people, patients with cancer, those who have suffered a severe infection, as well as people with pre-existing disorders in the blood system are at high risk of developing blood clots. To assess the state of hemostasis, a coagulogram is prescribed, including a D-dimer (a marker of thrombus formation). If violations are detected, anticoagulants are prescribed. The treatment can take several months. To prevent blood clots, you should maintain a level of physical activity that allows your condition. Try to rest, drink plenty of water and eat foods with high nutritional value. ”

Lungs

“Coronavirus pneumonia causes fibrotic changes in the lungs (replacement of the lung tissue with connective tissue), which interfere with normal air exchange and reduce oxygen saturation. Cough, shortness of breath and other symptoms can persist for 1.5-3 months after recovery, – says physician-pulmonologist at the Institute of Clinical Medicine named after Sklifosov Sechenov University, Candidate of Medical Sciences Vladimir Beketov… – Most pulmonologists believe that the body is able to cope with the effects of infection on its own. Recovery is facilitated by quitting smoking, breathing exercises, massage, which helps to get rid of inflammation. “

Psyche

Studies show that those who have undergone coronavirus often have memory impairment, attention, insomnia, panic attacks, and mood swings. This is due to the neurotoxic effect of the virus, damage to the brain and nervous system. There is no specific treatment for these disorders. General strengthening procedures are recommended – walks, rest (day and night), food by the clock and positive emotions, and to restore memory and attention – intellectual exercises (puzzles, crosswords, oral counting, etc.).

What numbers should alert in a blood test
Glycated hemoglobin level (A1c) Above 6.5% Possible diabetes mellitus
Plasma glucose Above 5.9 mmol / L May mean an increased risk of developing diabetes, according to WHO
Cardiac troponin (cTnI) Women <15.6 ng / L Men <34.2 ng / L Can reveal latent myocardial damage
D-dimer Above 243 ng / ml Sign of thrombus formation

Recommendation

Doctors do not yet have a complete picture of the possible consequences of COVID-19 for humans. Therefore, in order to avoid trouble, it is better to get vaccinated. “Vaccines are the best we have today to slow down the coronavirus march and protect as many people as possible,” I am sure Professor Ancha Baranova, School of Systems Biology, George Mason University (USA)

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