The doctor and TV presenter answered the most important questions from Antenna readers about COVID-19.
Cardiologist and general practitioner, TV presenter. Chief Physician of the City Clinical Hospital. M.E. Zhadkevich.
Why don’t antibiotics help with coronavirus pneumonia, but they are prescribed anyway?
– In such a situation, a doctor can use them during hospital treatment only when it is clear that it is going to viral pneumonia with the addition of a bacterial infection. This happens quite often with a severe course of coronavirus, so in the hospital we are forced to give them one way or another. Outpatient treatment, when covid gives complications in the form of acute respiratory infections or mild pneumonia, does not in any way involve the use of antibiotics. Otherwise, this is complete ignorance and the imposition of immunity to medicine, which will then come back to haunt us.
Does a person need to take other tests in addition to a PCR test and an antibody test in order to minimize complications after suffering a coronavirus?
– If at the beginning of the pandemic in our country it was required to confirm recovery, now WHO requires waiting three days after the end of the symptoms, provided that at least 10 days have passed since the onset of the disease. If you are sick for 14 days, then 14 plus three, that is 17. You can test for antibodies, but, on the other hand, why? To see if there is immunity? When we have a so-called immune passport, then we can take it. This analysis can be done if you did not take PCR or if the result was negative, but there is a suspicion of covid and you really want to know if you have antibodies. Or for research purposes to see the spread of the coronavirus in people who have encountered it in one way or another. If you want to do an analysis for the sake of interest, then do it, but remember that PCR can be positive for up to three months and you will be quarantined again. And IgM can also be elevated for a long time after the acute phase. That is, your actions may entail quarantine actions directed against you.
Remember that PCR tests give 40% false negative results and antibody tests give 30% false positives. For a simple person, the task is one: they prescribed an analysis – do it, do not appoint it – do not meddle with what you do not understand, otherwise you will only get problems on your head. However, if you are a heart patient or diabetic, then after suffering a covid, it is worth visiting a specialized doctor.
Can allergy sufferers, asthmatics, diabetics, and those who suffer from thrombosis be vaccinated? And who exactly is not allowed?
– Vaccination based on our Sputnik V platform, like vaccination against pneumococcus, tetanus, herpes, flu, is primarily indicated for representatives of risk groups. A healthy person may or may not do it, but all of the above vaccinations are needed for people with impaired immunity, with chronic diseases, with thrombosis, diabetes, and so on. General rule: a healthy person probably needs a vaccine, but people with risk factors definitely need.
Imudaniloju only one thing – the presence in history ibanuje anafilasitiki, and even allergy sufferers can do it.
How long does it take to recover from the coronavirus?
– Coronavirus is not one, but two diseases. In 90% of cases, this is acute respiratory infections, which disappears without a trace, leaving a slight weakness that disappears after two weeks. In 10% of cases, this is covid pneumonia, in which there can be very serious lung damage, including fibrosis, from which a trace on x-rays can remain for life. You need to do breathing exercises, sports, inflate balloons. And if you sit and cry or look for a pill to restore your immune system, then you will not recover. Someone recovers faster, some take longer, but the lazy ones are the slowest.
How to choose the right breathing exercises?
– It is best to look at yoga breathing exercises – they are very diverse and you can choose from many useful ones.
Can a person get covid a second time?
– So far, we know of only a few cases of re-infection. Everything else, for example, when a person had a positive test, then became negative and again positive, is not a second disease. The Koreans tracked 108 people with a second positive PCR test, did a cell culture – and none of them showed virus growth. These supposedly re-ill people had XNUMX contacts, of which none got sick.
In the future, the coronavirus should degenerate into a seasonal disease, but immunity will persist for a year.
Why can everyone in a family get sick, but one does not – and he also does not have antibodies?
– Immunity is an extremely complex phenomenon. Even a doctor who understands this is difficult to find. There is no answer to your question yet. There is even a genetic predisposition to contracting viral diseases and covid when young people die, although rarely. And there are people who do not become infected with the immunodeficiency virus, even if they are in direct contact. Different genetics, as well as an element of chance, luck. Someone has strong immunity, he is tempered, leads a healthy lifestyle, so that the virus in his body is likely to die, even if he swallows it. And someone is overweight, fat, reads the news about how bad everything is, and even a weak virus eats him.
It is believed that the coronavirus will stay with us forever. In this case, the restrictions associated with it will remain forever – masks, gloves, 25% occupancy of halls in theaters?
– The fact that the virus will remain is a fact. Four coronaviruses have been living with us since the 1960s. Now there will be a fifth. When people understand that restrictions are ruining normal life, the economy, then all this will gradually pass. Today’s hysteria is caused by the unpreparedness of the Western medical system. We turned out to be better prepared, and now the vaccination has arrived.
Next year we will still be XNUMX% with him. But the fight against the disease should not be worse, more harmful and more dangerous than the disease itself.
People with chronic illnesses are advised to follow a self-isolation regimen. What are these specific diseases?
– These include:
chronic lung disease;
arun onibaje idena onibaje;
àtọgbẹ;
haipatensonu;
ikuna kidirin;
awọn aisan ọkan;
ẹdọ.
This is a wide range of diseases, but I do not understand how people can be put on eternal isolation if you are hypertensive or diabetic. If a person is forced to stay at home for a long time, then he will go crazy. Self-isolation is now the biggest mortality factor in the United States, worse than smoking, because older people do not want to live like this. They lose interest in life and start dying in nursing homes. This is a very serious question.
Alexander Myasnikov on TV – channel “Russia 1”:
“On the most important thing”: on weekdays, at 09:55;
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