Covid This is what changes in the breast and menstruation suffered by women recently vaccinated against Covid-19
Health One year and four months with persistent Covid: "I disconnected at the wheel and crashed. If I had passed on a highway I would have died"
There is a reason, not so obvious, to get vaccinated and not give up the coronavirus.
It is about avoiding the
damage that the infection can cause us even after one or two months
after the "clinical" cure (a negative test) and that can last for weeks.
It is
persistent Covid
, a disease in its own right.
In Italy this ailment has been officially recognized, offering patients specific tests free of charge.
Who gets persistent Covid?
According to a British study,
10% of patients recovered from coronavirus suffer from this condition four weeks
after their negative test. In addition, persistent covid prevents the complete recovery of 5% of those recovered from the respiratory syndrome caused by
SARS
-
CoV
-
2
.
In Italy it would be talking about at least 200-400 thousand people.
"The estimates are provisional - explains the geriatrician Graziano Onder-. It depends on the fact that there are no defined diagnostic criteria. Many are related to the type of infection.
Those most exposed to the risk of developing persistent Covid are former patients who have gone through severe forms, the elderly, people with other pathologies, women
. Those who have had mild symptoms, although the probabilities are lower, are not entirely exempt. "
Criteria for diagnosis
The main objective to
unify the treatments
and
create a follow-up network
, that is, to maintain control of these people throughout the years.
The Sars-CoV-2 virus is new and so is the knowledge about the inheritance it leaves behind.
"Above all, it is
urgent to establish the criteria to identify patients and manage them optimally
", adds Nicola Petrosillo, one of the reviewers of the work carried out by the Italian Higher Institute of Health, now in charge of the control service of infections in the Biomedical Campus of Rome.
Persistent Covid Syndrome and Its Symptoms
Persistent Covid
is a chronic syndrome
, resulting from the inflammatory storm caused by Covid-19. Cognitive impairment (the so-called brain whiplash described by the British,
brain fog
),
vascular
,
heart
,
respiratory
,
neurological
,
kidney
, and
dermatological
problems
are some of its direct consequences. To these are added
anxiety, depression, the feeling of tiredness
or detachment from life. The list extends to more than 200 symptoms in ten organs. Recent international studies have updated the list of clinical repercussions, describing
persistent Covid cases 35 weeks
after the "biological resolution" of the infection, that is, from the negative test.
Back to work
In any case,
persistent Covid can make it difficult for people to return to work
. "The clinical manifestations - write the authors of the Italian report - are highly variable and there is no consensus on the characteristics.
The symptoms are varied and can present both individually and in different combinations. They can be transient or intermittent, change in nature with time or be constant
". In general, the more severe the disease, the greater the extent of the symptoms. But "it has been observed that persistent Covid can also accompany people who in the phase of the Sars-CoV-2 infection have experienced only mild symptoms such as fever, cough, fatigue."
The result is that it is difficult for the patient to return to the state of health before the infection
.
Children are also affected, although very rarely
.
The healing
"
Patients with persistent Covid must be approached from a multidisciplinary
, personalized
perspective
, modulated taking into account the variety of their conditions."
The first point of reference should be the family doctor, who will be in charge of evaluating the case and deepening the studies on the syndrome.
The Gemelli Polyclinic Hospital experience
The first to describe the
persistent Covid
in Italy was
Francesco Landi
, who organized a day hospital for post-Covid patients at the Gemelli Polyclinic.
The team coordinator is the geriatrician, but there is no age limit to undergo a total evaluation (pneumological, rheumatological, gastroenterological, otorhinolaryngological, neurological and psychiatric).
According to the criteria of The Trust Project
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