Health

Nutrition is important for F0 with systemic disease – VnExpress


Diet is especially important for F0 with systemic disease (autoimmune disease), the patient must not voluntarily quit, reduce the dose or stop the medication being treated unless requested by a specialist.

According to Dr. Dr. CCII Le Quoc Viet, Medical Director, General Internal Medicine and Musculoskeletal Mediplus, Autoimmune diseases are also called systemic diseases because of the multi-targeted organ damage they cause. There are more than 80 common autoimmune inflammatory diseases in Vietnam such as rheumatoid arthritis, systemic lupus erythematosus, psoriasis…

Autoimmune diseases are characterized by the persistence of autoantibodies and protracted inflammatory responses due to loss of immune tolerance, dysfunction of the immune system, and resulting damage and target organ dysfunction. . These lesions can appear in many different organs and systems, such as, the hematological system, the cardiovascular system, the digestive system, the respiratory system, the kidneys, the nervous system…

The formation and development of autoimmune disorders is due to a combination of many causes, mechanisms and is still not fully understood. Several factors are thought to play an important role in this process including: genetic factors, age, gender, bacterial infections, viral infections, nutrition, inappropriate lifestyle, environment and contaminated work.

Meanwhile, Covid-19 is an infectious disease caused by coronavirus 2 (SARS-CoV-2) associated with severe acute respiratory syndrome (SARS). Although most infected people have no symptoms, a proportion of patients with Covid-19 develop severe disease with multi-organ damage. Some patients have been reported to develop autoimmune diseases, such as Guillain-Barré syndrome or systemic lupus erythematosus, after infection with Covid-19.

Because the direct cause of collagen diseases is unknown, treatment is mainly aimed at the immune system. Treatment drugs include corticosteroids, synthetic antimalarial drugs, immunosuppressive drugs… The general rule when using drugs is to consider and monitor closely because patients with damage to many organs are the most common. kidney.

According to Dr. Dr. CCII Le Quoc Viet, Professional Director, Doctor of General Internal Medicine and Musculoskeletal Mediplus.

According to Doctor Viet, current studies have not yet reached consensus on whether having Covid-19 leads to an increase in severity in people with autoimmune diseases, however, the majority agree that the use of high-dose immunosuppressive drugs during exacerbations, e.g. high doses of glucocorticoids during an exacerbation of rheumatoid arthritis) may lead to further infection with other pathogens as well as side effects of therapy. treatment. This is aggravated by SARS-Cov 2 infection.

When infected with Covid-19, people with autoimmune diseases need to rest, do gentle exercise at home and have adequate and reasonable nutrition. “Nutrition is especially important for F0 with autoimmune diseases who are taking immunosuppressive drugs. In addition, do not arbitrarily give up, reduce the dose or stop the drugs currently treating the underlying autoimmune disease. except at the request of a specialist,” emphasized Doctor Viet.

Most cases of Covid-19 can be taken with expectorants, oresol, cough suppressants without affecting the main treatment for autoimmune disease. It is safer and easier to use the drug with direct advice from a doctor. It is necessary to note signs of worsening such as: shortness of breath, shortness of breath at rest or exertion, SpO2 < 96% (if possible to monitor), decrease, loss of consciousness ... need to be taken immediately to the facility. medican.

Like people with no underlying disease, people with autoimmune diseases infected with Covid-19 need rest, regular gentle exercise, and adequate nutrition. This is especially important when an autoimmune disease is progressing because malnutrition negatively affects the function of the immune system, reducing the body’s ability to defend against infection.

Specifically, the patient eats normally with adequate and balanced nutrient groups with a variety of foods (if possible) to maintain normal physical condition and avoid skipping meals. Add 1 to 2 extra meals such as milk and dairy products, especially when there is a decrease in appetite due to fever, cough, fatigue… Eat more protein-rich foods (meat, lean fish ..), beans, nuts) to prevent muscle atrophy and increase resistance. Eat more fresh fruits or fruit juices, green vegetables, spices (such as garlic, ginger) to strengthen resistance. Vitamin C helps strengthen the immune system is found in grapefruit, kiwi, orange, papaya… Drink enough water (average 2 liters per day) or more if there is fever or diarrhea. Patients also need to limit sweets, avoid stimulants such as alcohol, coffee …

With the number of Covid-19 infections spreading in the community, early vaccination is an effective measure for people with autoimmune diseases to have an additional protective shield. “This may be different for different autoimmune diseases but has been shown to be relatively safe even during exacerbations except in rare cases of hypersensitivity reactions to vaccines. It should be noted that Do not arbitrarily reduce the dose or stop the medication that is being treated for autoimmune diseases unless you consult a specialist. So please contact your doctor for appropriate advice, “doctor Viet shared. .

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