Business news from Ukraine

UP TO 7% CITIZENS WHO COME THROUGH COVID COULD HAVE POST-COVID SYNDROME

Some 5-7% of people who came through COVID-19 could have a post-COVID syndrome, this opinion was expressed by the head of the department of nephrology at the Shupyk National Healthcare University of Ukraine, Dmytro Ivanov, at a press conference at the Interfax-Ukraine agency.
“When we analyzed the mortality of people from COVID-19 and compared what concomitant diseases they had, it turned out that there were mainly five diseases. Three of them are kidney diseases. People with kidney transplants die first, and those with kidney failure second,” Ivanov said.

In turn, the head of the direction of rehabilitation of the network of Adonis medical clinics, Vadym Kerestey, noted that the main consequences of COVID-19 are expressed in the form of shortness of breath, decreased physical activity, decreased exercise tolerance, dizziness, loss of coordination and apathy.
“All these consequences require the help of a physical therapist,” Kerestey said.
Natalya Yaschenko, the Associate Professor of the Department of Cardiac Surgery at the National Healthcare University of Ukraine, the cardiologist of the highest category, emphasized the need for a mandatory medical examination after suffering COVID-19.
“If the COVID was symptom-free, then all patients should at least in two to four weeks undergo the blood counts, check the function of the kidneys, the liver, possibly the coagulation system. In addition, you should definitely do an electrocardiogram,” Yaschenko said.

In turn, obstetrician-gynecologist of the highest category Volodymyr Terekhov noted the need for vaccination against COVID-19.
“It is better to be vaccinated prematurely and be prepared for the virus to enter the body. Therefore, before pregnancy, you should definitely be vaccinated. You need to be vaccinated as early as possible,” Terekhov said.
At the same time, according to the psychologist, psychoanalyst Olena Buts, if a person has any fears after the illness, then he needs the help of a psychologist and psychoanalyst, since the person comes into a state of nervousness, phobia, fear. At the same time, she added that the presence of some kind of mental illness significantly worsens his condition.

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EXPERTS: PEOPLE WHO COME THROUGH COVID SHOULD NOT ‘INFLATE BALLOONS’

Experts from various fields of medicine made recommendations to patients with COVID-19 during a press conference at the Interfax-Ukraine agency on Monday.
“First, try to be outdoors as much as possible, but on condition that the air temperature is not lower than -4 or -5 degrees. Second, try to do physical exercises, but mostly of an aerobic nature,” the head of the rehabilitation department of the Adonis network of medical clinics, Vadym Kerestey, recommends.

In addition, he commented on the currently popular recommendation for patients after COVID-19 to “inflate balloons.”
“It is categorically not recommended to inflate balloons. Training should be aimed not at exhalation, but at inhalation, in order to increase the vital capacity of the lungs and use as much lung tissue as possible to improve gas exchange,” Kerestey said.
In turn, the head of the department of nephrology of the Shupyk National Healthcare University of Ukraine, Dmytro Ivanov, recommended that patients after COVID-19 do basic diagnostic tests.
“Do a blood test, urine test, measure blood pressure after COVID-19. Assess whether you need a doctor at all in this situation, whether you feel comfortable, whether you need any help,” he said.
Natalya Yaschenko, the Associate Professor of the Department of Cardiac Surgery of the National Healthcare University of Ukraine, a cardiologist of the highest category, recommended physical, metered loads, control of blood pressure and eating behavior to those who had undergone COVID-19. At the same time, she emphasized that the reason for timely medical assistance can be an acute deterioration in the form of an increase or decrease in blood pressure, an increase or decrease in heart rate, progressive chest pain that does not decrease for several hours.

The obstetrician-gynecologist of the highest category, Volodymyr Terekhov, in turn, drew attention to the fact that “one of the signs of recovery for married couples is the desire to have a child.”
“If a married couple wants to fulfill their duty and give birth to a child, then this is an indicator that speaks of their recovery. To realize a basic function or reproduce – it is very important to do this after rehabilitation,” Terekhov said.
At the same time, the psychologist, psychoanalyst Olena Buts recommends dietology to patients: minerals, vitamins, coenzymes – what, according to her, increases immunity and brings happiness.

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POST-COVID REHABILITATION IS NECESSARY EVEN AT STAYING IN A MEDICAL FACILITY

Post-COVID rehabilitation is necessary for patients even at the time of stay in a medical facility, and 20-40% of patients who have recovered will suffer from post-COVID syndrome, a number of experts voiced this opinion during a press conference at Interfax-Ukraine. “Out of 100% of people who are sick with COVID-19, some 20% need hospitalization. Some of these patients need hospitalization in intensive care units, as well as mechanical ventilation. Rehabilitation for such patients is necessary even in the intensive care unit, especially for patients with artificial lung ventilation. Rehabilitation is also important for patients who move from the intensive care unit to the hospital,” Vadym Kerestey, the head of the rehabilitation department of the Adonis network of medical clinics, said.

At the same time, the expert emphasized that currently in Ukraine, very few rehabilitation measures are carried out in intensive care units, and rehabilitation centers do not cover all needs.
He noted that the majority of patients who had been ill in a mild form also need post-COVID rehabilitation, since patients have impairments from different systems. Patients often have tachycardia, lung problems, reduced ability to work, acute disorders of cerebral circulation, thrombosis, which increases the risk of strokes, disorders of the nervous system.

In addition, the country also has a demand for post-COVID rehabilitation among foreigners, the expert emphasized.
Physical therapy is especially important, he said.
“Physical therapy will accelerate the recovery of patients. Physical therapists teach patients to move, breathe correctly, determine the physical condition and the body’s ability to exercise,” Kerestey said.
The head of the department of inflammatory eye pathologies and microsurgical treatment of their consequences of the Filatov Institute of Eye Diseases and Tissue Therapy of the National Academy of Medical Sciences of Ukraine, Oleksandra Zborovska, in turn, noted that patients after coronavirus also need to undergo rehabilitation with ophthalmologists.

“From the point of view of an ophthalmologist, everyone needs rehabilitation, even those who were not sick, since we were all on isolation, which significantly increased the time of contact with gadgets. There is evidence that an increase in myopia in children is recorded. Therefore, visual hygiene and a dosage visual load regimen are of great importance. Regarding post-COVID rehabilitation, patients come with different complaints and need to be observed by a doctor,” she said.
At the same time, Vitaliy Usenko, the medical adviser to Farmak, noted that, according to the latest data, 20-40% of patients who have recovered will suffer from post-COVID syndrome.
“Post-COVID syndrome has been included in the international classifier of diseases. The Ministry of Health of Ukraine has signed an order with a protocol for rehabilitation care for patients with coronavirus disease. It is impossible to implement the protocol with the help of one health system, and it is very good that rehabilitation services appear,” he added.
According to Usenko, during post-COVID rehabilitation, drugs that are used in the treatment of COVID-19 can be used, but only as directed by a doctor.

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