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No ibuprofen: how to be treated if you have been diagnosed with COVID-19

As long as there is no vaccine against coronavirus, all the means that people try to protect themselves from a new infection is a placebo. Actively go not only drugs with unproven effectiveness from pharmacies (immunomodulators, immunostimulants), but also traditional medicine. Writes about this The Village.

Photo: Shutterstock

The treatment options for garlic, coconut oil, sea water, alcohol, and even cow dung find their fans, so the World Health Organization (WHO) itself decided to intervene in the situation and now exposes similar myths on its Twitter - publishes notes with the hashtag #KnowTheFacts.

What are we dealing with

Almost every one of us has had SARS, an acute respiratory viral infection, at least once. Hundreds of different viruses can excite it: coronaviruses, picornaviruses, adenoviruses, rhinoviruses and so on. Usually they are not defined.

From this it must be remembered that the coronovirus is a virus, a pathogen. And it leads to a certain type of ARVI - COVID-19 (abbreviation for English COrona VIrus Disease 2019). Its feature is high tropism (attachment) to the tissues of the lower respiratory tract. Simply put, when a coronavirus enters the human body, pneumonia often develops, which is uncharacteristic of other acute respiratory viral infections.

The addition of pneumonia explains the relatively high mortality rate - about 3% (for comparison: mortality from seasonal flu - 0,7%). Moreover, the proportion of cases among those who were in contact with the carrier is low. In the case of measles or chickenpox, this proportion is significantly higher.

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It is impossible to distinguish mild coronavirus infection from acute respiratory viral infections by symptoms - the diseases proceed the same. If there are no problems with immunity, you can get a coronavirus infection, taking it for a common cold. Doctors believe that in areas bordering China, this happens more often than elsewhere.

When a doctor is needed:

  • there are symptoms of a cold: weakness, dry cough, sore throat, pain when swallowing, nasal congestion, runny nose, white coating on the tongue;
  • if there was contact with the carrier of a coronavirus infection;
  • if you returned from a country with a large number of infected.

If two of their three points coincide, you need to go to the general practitioner or doctor on call in the city hospital and demand a smear test on COVID-19.

What to do if the test result is positive

In short, sleep more and drink plenty of fluids.

There is nothing to treat coronavirus infection in general and viral pneumonia in particular: there are no drugs with proven effectiveness in the world. Antiviral agents like the popular Arbidol do not work.

“To date, the effectiveness of Arbidol has not been scientifically proven, and I suppose that if it could not be proved in the last ten years, then most likely there is simply no benefit in this drug,” says epidemiologist Mikhail Favorov.

It is impossible to create one universal drug against all colds: each of them has its own structure. Another complication is that any virus is very small and primitive. It has no cells and is a capsid (protective protein coat), in which, in the case of coronavirus, there are ribonucleic acid (RNA) molecules.

The virus is embedded in the cell of an infected person and begins to reproduce. How to destroy it without damaging the entire body is the main issue when creating antiviral drugs. However, such drugs exist, for example, against HIV infection (medications do not cure the infection completely, but significantly prolong life), viral hepatitis B and C (hepatitis C can be cured), herpes viruses.

“At the moment, only pathogenetic treatment is possible that blocks the mechanisms of the development of the disease, and symptomatic treatment is the one that eliminates the symptoms of the disease,” says the infectious disease specialist Ekaterina Stepanova. “This includes, for example, the recommendation to sleep more and drink more fluid, which is shown with any SARS.”

At the slightest difficulty in breathing (coronavirus infects the lungs), intensive care in a hospital is indicated.

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Such treatment does not affect the virus itself, but helps to maintain different body systems, preventing organ failure. Multiple organ failure often causes death in a viral infection. It manifests itself, among other things, by a drop in blood pressure. In such cases, the patient is administered intensive care, including intravenous vasoconstrictor drugs. The latter normalize the functioning of the heart and the supply of organs and tissues with oxygen. In severe cases, mechanical ventilation may also be required.

You can not be treated with ibuprofen

French Health Minister Olivier Veran warned that when infected with coronavirus, it is strictly forbidden to use anti-inflammatory drugs such as ibuprofen or cortisone. These medications can lead to significant complications, writes ZN.

He wrote about the importance of taking the right drugs on his Twitter account. Instead, Veran advised drinking paracetamol.

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“COVID-19: Taking anti-inflammatory drugs (ibuprofen, cortisone) can be a factor that exacerbates the infection. If you have a fever, take paracetamol. If you are already taking anti-inflammatory drugs or are in doubt, consult your doctor, ”wrote Olivier Veran.

French health officials say that anti-inflammatory drugs are known to be a risk for those who have infectious diseases, as they tend to reduce the body’s immune response. Taking the wrong medication can cause serious health consequences even for young people.

What to do to people with poor immunity

In recent months, the demand for immunomodulators - drugs that "strengthen the immune system" has grown significantly. However, “immunomodulators or immunostimulants are drugs with unproven efficacy. WHO does not recommend such drugs for the treatment of colds in general and coronavirus infection in particular. The effect of immunomodulators is largely unpredictable and can be hazardous to health. Therefore, if the doctor prescribes an immunomodulator, you should be wary and, instead of going to the pharmacy, make an appointment with another specialist.

Phrases like “strengthens the immune system” on the packaging and in the instructions for the drugs are more a myth than the truth. It is believed that regularly leading a healthy lifestyle is enough to have strong immunity. True, and this has not yet been proven. But what about those whose immunity is really seriously weakened so as not to get sick? High mortality from coronavirus is observed in older people with concomitant diseases.

“It is very important to compensate for all concomitant diseases. For example, if a person has diabetes mellitus, it is necessary to achieve target blood sugar levels together with an endocrinologist; if a cardiovascular disease - it is necessary to achieve normalization of pressure together with a cardiologist, - says Ekaterina Stepanova. “In this case, the coronavirus will not be as dangerous as for those who did not.”

What prevention is there

The main prevention of coronavirus infection is vaccination. But he is not there yet.

“Scientists from different countries reported that they know how to create a vaccine, but now the fun begins: you need to make a vaccine from the drug and prove that it works, that is, in fact, does not cause damage to the body and does not cripple a person,” says Mikhail Favorov. “It takes time.” I think if the vaccine appears in a year, then it will reach the population no earlier than in a couple of years. ”

Wash your hands, carry alcohol-containing antiseptics

So far, WHO recommends prevention that is effective for any SARS.

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“First of all, this is a recommendation to wash your hands with soap more often, and not just rinse with water, but wash thoroughly and for a sufficient amount of time,” says Ekaterina Stepanova. “And in places where there is no way to do this, use alcohol-containing antiseptics and not touch the face again.”

There is little sense in masks, but under certain conditions it is

But a medical mask on a healthy person is unlikely to save him from infection. It helps the patient not to infect the healthy. Such a mask is not hermetic, and when someone sneezes or coughs on it, virus particles settle on it and, at any opportunity, can get on the mucous membrane - nose, mouth, eyes. But, according to the infectious disease specialist Yekaterina Stepanova, if a healthy person still wears a mask, this can be useful (at least the largest particles of the virus will remain on the mask), provided that he changes it every hour and does not touch the other side.

You should not be afraid of flights

As for flights, you should not be afraid of them: the air supply on modern airliners differs from the air supply, for example, in a movie theater or office room. On board the aircraft, we breathe an updated mixture of outboard air, which is practically sterile, and air from the cabin, which is constantly filtered and cleaned, and the liners are equipped with filters of the so-called sanitary class - those used in operating rooms (in shopping centers, exhibition and concert venues, as well as in office buildings, there are no such filters).

Therefore, the probability of infection in an airplane is very low. There is a greater risk of catching an infection at the airport or upon returning home to get to the infectious diseases hospital for a two-week check (approximately the incubation period lasts about).

Refrain from crowded places

Acting as if nothing is happening is risky: now it is better to refrain from visiting places with a large crowd of people, but if this is not possible, then at least refuse close communication with others - hugs, handshakes and kisses.

Do not panic

The excitement surrounding the coronavirus infection is so high that its spread can be monitored online, receiving the latest information on the number of infected around the world, regions of infection, the number of dead and recovered.

“There is really a lot of noise around the coronavirus infection,” said Victor Maleev, a microbiologist. - The main reason is that this is a new infection that has not yet been studied at all, unlike, for example, the flu, although the appearance of a new strain of the flu (in 2009-2010 there was an epidemic of swine flu) is a mystery to us. Any infection, even not so significant, in our time causes great panic. Even such a term appeared - "infodemia". "

The media, bloggers, opinion leaders provoke the audience to be so wary of the coronavirus that it turns the spread of COVID-19 not into an epidemic or pandemic, but rather into an epidemic. Of course, a new infection is dangerous in its own way, it can kill, but elderly people are at risk: mortality from coronavirus infection among children, adolescents and young people is only 0,2%, while among the older generation (70+) - 18 -20%.

As reported by ForumDaily:

  • A new virus was discovered in the Chinese city of Wuhan in December 2019. In 2020, it covered all continents except Antarctica. On March 11, US President Donald Trump imposed a ban on entry from the EU. The ban came into force on Friday, March 13, and will last at least 30 days. In particular, it will concern people who have visited the Schengen area over the past 14 days.
  • March 13, Trump introduced a nationwide emergency regime in the US due to coronavirus.
  • As of March 16, 3774 cases of infection with Chinese coronavirus were detected in the United States, 69 people died.
  • On March 11, WHO recognized the situation with the coronavirus pandemic, which covered more than 110 countries. Symptoms of Coronavirus COVID-19 Disease Available here.
  • Virologist's tips on how to protect yourself from infection - link.
  • Taking advantage of the panic in the society because of the epidemic, fraudsters came up with several schemes to deceive victims of personal data and money. The most common ones can be found here.
  • Having succumbed to panic due to a state of emergency, Americans are massively buying toilet paperbut they cannot explain why they need it during the epidemic.
  • Read all news about coronavirus in our special project.

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Contagiousness of different viruses: is coronavirus really so dangerous

How quickly the world will come to its senses: how long the coronavirus pandemic will last

How to travel during a coronavirus epidemic without health risks

The network came up with a quick test for the presence of coronavirus: what experts think about it

More terrible than coronavirus: ranking of diseases that kill thousands of people per day

Miscellaneous treatment Educational program coronavirus Special Projects

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