Health

Fear of sequelae than fear of Covid


HanoiMany people have the mentality that if they have been vaccinated, they “will not die” if they get infected, only worrying about the after-effects of Covid-19 affecting their health later.

Ms. Thuy Linh (in Ba Dinh district), is 8 months pregnant, her belly is too big, she wants to work from home, only going out when she has a antenatal checkup schedule. Currently, where she lives and her maternal and paternal family are all in the orange zone, many people have Covid-19. What makes her insecure right now is not the disease, but the “post-Covid-19 sequel”. This is a phenomenon that many people have symptoms of fatigue, headache, anxiety disorder, shortness of breath, chest pain, persistent cough, insomnia, fever lasting… from a few weeks to a few months after the negative. count.

Linh is ready with the attitude “Covid-19 is everywhere, anyone can be F0, F1”. However, she is still young and has had enough injections, so “if the infection passes quickly”, she is only worried about sequelae to the baby at birth, especially respiratory diseases. She read many documents but did not see any method to prevent post-Covid-19 sequelae. Sometimes, I think that if I had Covid-19 before I was pregnant, I would not have been as anxious as I am now.

Counted in the 4th epidemic, Hanoi recorded more than 50,000 infections, of which nearly 20,000 were community cases in all districts such as Ba Dinh, Hoang Mai, Cau Giay, Thanh Tri, Ha Dong… Living with During the past two years of the epidemic, it is different from before that now there is a vaccine, medicine, knowledge and experience in treating Covid, now many people who test positive quickly are still not too panic, some families are getting ready. drugs, equipment to treat F0 at home.

Ms. Vui’s family (in Ha Dong) both contracted Covid-19 in mid-December and took care of each other at home. Ms. Vui went online to share her experience of taking care of F0 for everyone. After a week, the whole family tested negative and positive. However, she is worried about sequelae, especially her two-year-old son and second child with myasthenia gravis, wondering “will it leave any health effects in the future”.

Covid-19 patients take the time to rest while waiting to be hospitalized for treatment at Field Hospital No. 3, Thu Duc City, July 7, 2020. Photo: Huu Khoa

The condition after recovering from the disease still suffers from sequelae, which scientists around the world call “post-Covid syndrome” or “long-lasting Covid syndrome”. This syndrome has been recognized in many countries, but with scientists, so far is still the most inexplicable phenomenon of the pandemic. The World Health Organization (WHO) is deeply concerned about the post-Covid-19 syndrome.

According to a British study published in The Lancet’s E Clinical Medicine on July 15, 2021, on average, each Covid-19 patient experiences 56 different symptoms. In total, 203 types of sequelae affect 10 organs of the body. A third of that will continue to affect the sick person for at least 6 months after recovering from Covid-19.

The most common symptoms are fatigue, exhaustion, and brain fog. Others include hallucinations, tremors, itchy skin, irregular menstrual cycles, sexual dysfunction, heart and bladder problems, shingles, memory loss, blurred vision, diarrhea and tinnitus.

In addition, all acute Covid-19 patients can develop post-Covid syndrome, which ranges from asymptomatic to very severe patients requiring treatment in an intensive care unit (ICU).

Around the world, a study with the F0 group recovered for two months, the results were published in the prestigious medical journal Lancet. recently, the rate of depression was 14.9%; insomnia 12.2%; anxiety 14.8%; emotional irritability angry 12.8%; memory impairment 18.9%, chronic fatigue 19.3%; especially post-traumatic stress disorder up to 32.2%.

“This rate is 5 to 6 times higher than that of the general population,” said doctor Nguyen Viet Chung (Department of Mental Health, Hospital E). Therefore, Concerns about post-Covid-19 sequelae are well-founded, but should not be exaggerated. When the epidemic is well controlled, most cases are mild and there are no sequelae, people will continue to have other concerns in life such as rice, money, etc.

Doctor Nguyen Minh Nguyen (Hospital for the Treatment of Covid-19 Patients, under Hanoi Medical University Hospital) said that about 80 to 85% of F0 is currently mild or asymptomatic, post-Covid-19 sequelae are usually mild. or none. Particularly, the group of seriously ill, hospitalized patients who need intensive care treatment have a higher risk of prolonged Covid-19 such as lung damage, pulmonary fibrosis, insomnia, anxiety, fatigue…

According to the doctor, “If you don’t get the disease, you don’t have any sequelae”, the current goal is to try to get enough vaccines to create immunity to prevent the disease and limit the infection, because in addition to infecting yourself, the people around you are also infected. affected. For example, children, the elderly, people who have not been vaccinated or have not had enough shots, if infected, will easily get worse, affecting themselves, their families and the city’s anti-epidemic process. As F0 increases, the number of severe cases increases, leading to overload and pressure on the health system.

Associate Professor Do Van Dung (Dean of the Faculty of Public Health, University of Medicine and Pharmacy, Ho Chi Minh City) also recommends not to think “after getting sick, you will feel more secure”, because people who have been infected can still get infected again, not completely avoidable. The general principle is “don’t let Covid-19 affect your life, it’s best to avoid the disease”.

Chung likens “Covid-19 to a collective trauma” and everyone can be affected in terms of mental health, especially children. In the fight against the epidemic, the most important thing is to avoid getting sick, not only Covid-19 but also other diseases. “This is wisdom, protect your health. Even if the disease is not serious or fatal, it will be tiring, costly, and time consuming,” the doctor shared. People with post-Covid-19 health problems can consult a doctor to analyze the causes, symptoms, etc., to have an early and appropriate treatment plan.

Thuy An

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