Лечение и профилактика коронавируса
Исследуя вопрос возникновения коронавируса и что это такое у людей, ученые выдвинули ряд теорий о том, что заболевание имеет механизмы развития и затихания, схожие с респираторными заболеваниями. Поэтому и лечение целесообразно выбирать по той же схеме, что и при борьбе с гриппом, ОРВИ, пневмонии. При этом нужно принимать во внимание скоротечность коронавируса и тяжелую форму проявляющихся симптомов, что требует принятия безотлагательных мер по восстановлению нормального состояния.
Диагностика коронавируса
Ввиду быстрого течения коронавируса у человека и большого риска летального исхода при несвоевременном лечении очень важно своевременно диагностировать заболевание. Диагностика осуществляется в лабораторных условиях и предполагает анализ биологических жидкостей (слизи из носа, зева, крови, мочи), с целью выявления характерных антител и их титров.
Проводятся такие виды диагностики:
- Серологическая. Выявляет антитела в РНГА и РСК.
- Клинико-эпидемиологическая. Изучается симптоматика, ее развитие и анамнез.
- Лабораторная. Тест на наличие вируса в биологической жидкости.
- Метод ОТ-ПЦР. Проводится на ранних стадиях заболевания.
- Вирусологическая. Выявляют вирусы в клетках.
Помните, что своевременная диагностика позволит не только выявить штамм вируса, но и снизит риск летального исхода, поможет выбрать методы эффективного лечения. Поэтому в случае появления первых симптомов нового коронавируса нужно незамедлительно обратиться к специалистам. Лучше, если ваши опасения не подтвердятся, чем проигнорировать симптомы и начать лечение слишком поздно.
Лечение коронавируса
Поскольку природа 2019-nCoV до конца не изучена, то и лечение коронавируса проводится с целью устранения его симптомов. Оно предполагает:
- Госпитализацию пациента. Стоит отметить, что ранние штаммы коронавируса не проявляли высокой агрессивности, поэтому допускалось лечение на дому. Новый коронавирус требует постоянного медицинского контроля, поэтому даже при легкой форме течения заболевания, пациента рекомендуется поместить в стационар, ограничив при этом контакты с ним, чтобы не допустить заражения.
- Постельный режим. Учитывая факт, что коронавирус 2020 сопровождается лихорадкой, упадком сил, иногда обморочными состояниями, пациенту рекомендуется выдержать постельный режим.
- Сбалансированная диета. Она направлена на поддержание сил, формирование естественного иммунитета.
- Медикаментозная терапия. Используются препараты, направленные на устранение симптомов заболевания, а также эффективные при лечении иных вирусных патологий. Хорошие результаты показывают препараты интерферонового ряда.
- Дезинтоксикационная терапия. Направлена на выведение вируса из организма и поддержание работы почек.
- Антибактериальная терапия. Поскольку вирус до конца не изучен, то использование антибактериальных препаратов часто носит поддерживающий характер.
- Интубация и ИВЛ в случае тяжелой формы заболевания.
- Лечение с использованием плазмы крови пациентов, которые перенесли заражение коронавирусом.
В зависимости от формы течения заболевания, индивидуальных особенностей организма, перенесенных патологий врач может предложить и иные методы лечения.
Профилактика коронавируса
Учитывая цикличность вспышек эпидемии коронавируса, необходимо понимать, что не достаточно начинать профилактику в тот момент, когда угроза заражения максимально велика. Следует систематически заботиться о своем здоровье, что снизит вероятность заражения не только 2019-nCoV, но и иными серьезными вирусами и инфекциями. Так к мерам профилактики следует отнести:
- Повышение иммунитета. Было доказано, что заражению коронавируса больше подвержены люди с ослабленным иммунитетом. В группу риска также попадают дети, люди преклонного возраста, беременные женщины. Поэтому для профилактики заражения рекомендуется обеспечить формирование защитных функций организма. С этой целью в рацион следует включить продукты с высоким содержанием витаминов и микроэлементов.
- Контроль состояния хронических заболеваний. Вероятность заражения коронавирусов возрастает при обострении хронических заболеваний, которые ослабляют организм. Поэтому необходимо не допускать рецидивов, а при их появлении своевременно обращаться к врачу.
- Личная гигиена. Важно использовать личные предметы быта, тщательно мыть руки после пребывания на улице.
- Контроль питания. Важно позаботиться о полноценном сбалансированном питании, а также подвергать все продукты животного происхождения тщательной тепловой обработке.
В период эпидемии необходимо:
- Избегать контактов с больными людьми. Это касается общения как с пациентами, которым диагностирован коронавирус, так и с врачами, которые осуществляют лечение.
- Использовать медицинские марлевые маски. Надевать их рекомендуется не только в медицинских учреждениях, но и на улицах, при посещении магазинов, иных общественных мест.
- Тщательно мыть руки после каждого посещения улицы или общественных мест.
- Избегать пребывания в местах с большим количеством людей.
- Воздержаться от поездок в очаги заражения. Если такая поездка была запланирована ранее, то лучше ее перенести на более благоприятное время.
Безусловно, даже при максимальном соблюдении мер личной профилактики никто не застрахован от заражения на 100%. И лучшей страховкой в данном случае могла бы быть вакцина от коронавируса. Но такой препарат не разработан, а потому, если вы хотите позаботиться о своем здоровье, то своевременно обращайтесь в медицинское учреждение, если заметили признаки коронавируса. Ведь так вы своевременно сможете начать лечение, а значит, исключите вероятность летального исхода.
Лечение коронавируса
Всемирная организация здравоохранения предупредила, что в ближайшее время следует ожидать распространения новой пневмонии, вызываемой коронавирусом 2019-nCoV.
Во Всемирной организации здравоохранения (ВОЗ) заявили, что в ближайшее время следует ожидать распространения новой пневмонии, вызываемой коронавирусом 2019-nCoV, как в Китае, так и в других странах. Как сообщают в ВОЗ, симптомами коронавируса являются насморк, кашель, боль в горле и чувство стеснения в груди. Возможно также появление головных болей и лихорадки, которая может длиться несколько дней.
По словам официального представителя ВОЗ Тарека Ясаревича, пока о новом коронавирусе известно мало. До конца не ясно, как передается болезнь, насколько она серьезна, сколь велики масштабы ее распространения и каков ее источник.
«На основе имеющейся информации, наиболее вероятным первичным источником этой эпидемии является животный источник. При этом в ограниченных масштабах наблюдается распространение от человека к человеку при близких контактах. На базе предшествующего опыта с респираторными заболеваниями, в особенности со вспышками других коронавирусов, а также нашего анализа данных, полученных от Китая, передача вируса от человека к человеку происходит», — заявил Ясаревич.
В центре стратегического планирования Минздрава отмечают, что коронавирус из Китая крайне изменчив. Специалисты ЦСП Минздрава РФ сейчас завершают разработку тестов, необходимых для специфического выявления коронавируса, что позволит проводить диагностику данного заболевания в срок, не превышающий 30 минут.
Есть ли лечение коронавируса?
Специфического лечение коронавируса пока не существует. Пациентам пока назначают давно разработанные и показавшие свою эффективность антивирусные препараты.Основное лечение направлено на уменьшение тяжести симптомов и схоже с лечением традиционных респираторных заболеваний, однако само течение болезни и восстановление после нее зависит от иммунной системы конкретного человека.
«Коронавирусы не обладают таким выраженным патогенным, будем говорить заразительным эффектом. Заражение происходит достаточно медленно и эпидемической вспышки в России не ожидается. В настоящее время определенного лечения для нового коронавируса нет. Пациентам рекомендуется принимать препараты, которые назначаются для профилактики ОРВИ. Это средства, которые вырабатывают эндогенный интерферон», — говорит профессор РНИМУ им. Н. И. Пирогова, доктор медицинских наук, пульманолог, терапевт Александр Карабиненко.
Смертелен ли этот вирус?
По данным на 21 января этого года ВОЗ подтвердила 278 случаев заболевания, в том числе шесть с летальным исходом: два в Китае, а остальные четыре — в Таиланде, Японии и Южной Корее. Как заявил ТАСС замдиректора Центра стратегического планирования Минздрава России, вирусолог Герман Шипулин, новый тип коронавируса 2019-nCoV пока нельзя назвать особо опасным, так как средняя летальность от него невысокая.
«У меня есть такое подозрение, что этот вирус, конечно, может быть, обладает повышенной летальностью, но все равно не дотягивает до особо патогенных, то есть назвать его особо опасным вирусом сейчас язык не поворачивается», — сказал Шипулин.
Если сравнивать коронавирус SARS, который вызвал вспышку атипичной пневмонии в 2002-2003 гг. с новым коронавирусом, то его летальность в разы меньше. 17 лет назад летальность от SARS составляла порядка 10%. По словам Шипулина, высокая смертность тогда была зафиксирована среди пожилых людей и пациентов с серьезными медицинскими проблемами.
Как отмечает Шипулин, все коронавирусы отличаются степенью тяжести последствий, однако самый тяжелый — это вирус ближневосточного синдрома, который называется MERS. У него летальность до 35%.
Почему при короновирусе развивается пневмония?
По данным китайских медиков, коронавирус передается от человека к человеку, вызывая пневмонию. По словам Карабиненко, пневмония, к сожалению, может развиваться при любом вирусе и коронавирус не является исключением. «При аденовирусе, при вирусе гриппа может развиться пневмония. Только при гриппе она более тяжелая, нежели при аденовирусе. Ситуация с коронавирусами мы проходили в 2002 году, когда был зафиксирован ТОРС (тяжелый острый респираторный синдром). Количество летальных случаев составило 17. Это не больше чем одна десятимиллионная часть на все населения земного шара», — говорит Карабиненко.Возбудителями пневмонии могут вирусы, бактерии и грибки. Они обычно попадают в нос или горло человека и могут инфицировать легкие при их вдыхании.
Возбудители также могут распространяться воздушно-капельным путем при кашле или чихании. Кроме того, пневмония может передаваться через кровь, особенно во время родов или после них.
Симптомы вирусной пневмонии могут быть более разнообразными, чем симптомы бактериальной пневмонии. По данным Роспотребнадзора, в детском возрасте на долю вирусных пневмоний приходится порядка 90% всех случаев воспаления легких. Среди взрослого населения преобладают бактериальные пневмонии, а вирусные составляют 4–39% от общего числа.
Источник: https://health.mail.ru/news/mozhno_li_vylechitsya_ot_koronavirusa/
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