Health

When to check the lungs after Covid-19? – VnExpress


Patients should see a doctor soon if they feel short of breath, short of breath, have decreased lung function…, according to Dr. Nguyen Chi Tuan, Center for Internal Respiratory Medicine, 103 Military Hospital.

Doctor Tuan, said that after contracting Covid-19, most people return to normal within a few weeks of being infected. But some cases have a post-Covid-19 condition (occurring in F0 who have recovered for 4 to 12 weeks and have symptoms lasting at least 2 months, which cannot be explained by alternative diagnoses), usually problems with the respiratory system, especially the lungs.

However, unlike some other illnesses that tend to occur only in people who are already very sick, these symptoms can happen to anyone with Covid-19, even with a mild infection, or without. initial symptoms. Therefore, if the patient feels shortness of breath, shortness of breath, prolonged cough, chest pain, impaired respiratory function, limited physical activity after negative, with the degree from mild to severe, should not subjective. This can be a warning sign that the respiratory organs, especially the lungs, are damaged.

Some pictures of lung damage after Covid-19. Photo: provided by the doctor

Doctor Tuan advised that despite mild symptoms, in the first 4-12 weeks of being cured, infected people should go to a medical facility to be monitored and assessed their current health status. Early examination in the post-Covid-19 period will help detect and promptly handle sequelae in the lungs; early treatment of sequelae that make the patient worse. For elderly patients with underlying diseases (cancer, diabetes, cardiovascular disease, chronic obstructive pulmonary disease…) and severe Covid-19 patients (requiring oxygen, mechanical ventilation) After recovering from the disease, if there are symptoms of a lot of cough, chest tightness, shortness of breath, it is necessary to visit the doctor as soon as possible to assess the level and have appropriate treatment interventions to avoid the disease from worsening, even death. death.

Checking steps to accurately detect lung damage and timely treatment include: Straight lung digitized X-ray or chest computed tomography to evaluate chest abnormalities and common lung lesions such as: opacity, pulmonary fibrosis, organized pneumonia, thickening of the interlobular septum, emphysema…; Measure respiratory function, exchange gas in and out of the lungs, early detection of air disorders (obstruction, restriction).

Patients with severe post-Covid-19 pulmonary fibrosis need to be hospitalized for treatment. Current treatments include: breathing exercises, oxygen, glucocorticosteroids, antifibrotic drugs (Nintedanib, Pirfenidone), stem cell infusion, and lung transplantation. Depending on the extent of lung damage, the doctor will advise the patient on the most appropriate treatment measures.

“According to research on monitoring patients after Covid-19 infection, about 33-76% of patients experience post-Covid-19 symptoms lasting at least 6 months after recovering; 20% of people have to be re-hospitalized, 80% of people have to be hospitalized. Patients need to be monitored at primary health care facilities within 2 months of discharge,” said Doctor Tuan.

To overcome mild post-Covid-19 complications such as fatigue, shortness of breath, patients should practice breathing, walk gently, and supplement with proper nutrition. Accordingly, breathing exercises help restore lung function. The patient will be instructed by the doctor with simple breathing exercises or with tools such as rubber balls, water bottles or spirometers. After recovering from the disease, people should walk for about 30 minutes a day, then gradually increase the walking time, in addition, you can do other exercises to increase lung recovery such as yoga, swimming. .. In addition, eating a nutritious diet for the body to recover is a simple way to help heal post-Covid-19 syndrome. Patients should also add foods rich in vitamins, minerals and protein such as fish, lean meat, fresh fruits, dark green vegetables, eggs, milk…

To prevent post-Covid-19 sequelae, it’s best to prevent getting sick in a variety of ways. In particular, it is recommended to increase hygiene, masks, and disinfect: corona virus causes Covid-19 disease through contact with droplets, so everyone needs to follow hygiene, wear masks, disinfect, keep a distance to limit disease transmission. For those who have no contraindications to vaccination, get the Covid-19 vaccine as soon as possible. This is the best way to prevent Covid-19 and can also help those around you to reduce the risk of getting sick. When suspected of having Covid-19, people need to notify the local health facility or doctors for instructions on testing, monitoring and the most appropriate treatment for the severity of the disease. This will significantly reduce the post-Covid-19 sequelae.

Hai My

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