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Monday, 2 March 2020

Influenza coronavirus symptoms and other acute respiratory viral infections (ARVI)



Influenza, coronavirus infection and other acute respiratory viral infections (SARS) are in first place in terms of the number of people who get sick every year

Despite constant efforts to combat the causative agents of influenza, coronavirus infection and other acute respiratory viral infections, they still cannot be defeated.

Thousands of people die per annum from flu complications.
This is due to the fact that viruses, primarily influenza viruses and coronaviruses, have the ability to change their structure and a mutated virus can infect a person again. So, a person who has had the flu has a good immune barrier, but nevertheless, a new modified virus can easily penetrate it, since the body has not yet developed immunity against this type of virus.

For whom is the most dangerous meeting with the virus?
Especially difficult for children and elderly people to carry the infection, for these age groups, complications that can develop during the disease are very dangerous. Children get sick more severely due to the fact that their immune system has not yet encountered this virus, and for older people, as well as for people with chronic diseases, the virus is dangerous due to a weakened immune system.

Risk groups

    Children
    People over 60
    People with chronic lung diseases (bronchial asthma, chronic obstructive pulmonary disease)
    People with chronic diseases of the cardiovascular system (congenital heart defects, coronary heart disease, heart failure)
    Pregnant women
    Medical workers
    Workers in public transport, catering

How does infection happen?

Infection is transmitted from a sick person to a healthy person through the smallest droplets of saliva or mucus that are released during sneezing, coughing a conversation. Contact transmission is also possible.

coronavirus Symptoms

Depending on the specific type of pathogen, the symptoms can vary significantly, both in severity and in combination options.

    Temperature rise
    Chills, general malaise, weakness, headache, muscle pain
    Decreased appetite, nausea and vomiting are possible
    Conjunctivitis (possibly)
    Diarrhea (possible)

On average, the disease lasts about 5 days. If the temperature lasts longer, complications may have occurred.

Complications

    Pneumonia
    Encephalitis, Meningitis
    Pregnancy complications, development of fetal pathology
    Exacerbation of chronic diseases

The treatment of the disease is carried out under the supervision of a doctor who, only after examining the patient, prescribes a treatment regimen and gives other recommendations. The sick person must observe bed rest, eat fully and drink more fluid.

Antibiotics

Taking antibiotics in the early days of the disease is a big mistake. Antibiotics are not able to cope with the virus, in addition, they adversely affect the normal microflora. Only a doctor prescribes antibiotics, only in case of complications caused by the attachment of a bacterial infection. It is dangerous and useless to take antibacterial drugs as a prevention of complications.

A sick person should stay at home and not pose a threat of infection to others.
Prevention

The most effective way to prevent influenza is to vaccinate annually. The composition of the flu vaccine changes annually. First of all, vaccination is recommended for those at risk. The optimal time for vaccination is October-November. Vaccination of children against influenza is possible, starting from 6 months of age.

Vaccines against most pathogens of acute respiratory viral infections have not been developed.

Universal preventive measures

    Wash your hands often and thoroughly.
    Avoid contact with coughing people.
    Stick to a healthy lifestyle (sleep, healthy food, physical activity)
    Drink more fluids
    Ventilate and humidify the air regularly in the room in which you are
    Be less likely in crowded places
    Use the mask when in transport or in public places
    Avoid hugs, kisses and handshakes when meeting
    Do not touch your face, eyes, nose with unwashed hands

Coronavirus treatment

1. First back to the beginning: what is a corona virus?

"Coronaviruses are common cold viruses," says doctor and epidemiologist Anja Schreijer, head of general infectious diseases at GGD Amsterdam. “Only there are also special forms of that virus. For example, Sars and Mers are both diseases that are caused by a corona virus. "

2. Where does all this fuss come from if it is "just" a virus?

That has to do with the speed with which the disease spreads and that people die as a result. Worldwide, 83,868 people were infected with the corona virus on Friday evening and 2867 died, spread over more than fifty countries. And it is a new virus, for which there is no treatment or vaccine. "The precise risks are not yet entirely clear and we do not know how the spread will proceed," says Harald Wychgel, spokesperson for the National Institute for Public Health and the Environment (RIVM).

"People get scared of things they cannot control," Schreijer emphasizes. “That frightens them, but panic is not necessary now. For example, it is still more dangerous to app in the car or drive on the highway without a seat belt. ”

3. How can you prevent contamination?

With very basic things, RIVM and GGD emphasize, such as washing your hands regularly. Not as fast, but twenty seconds long. Do not forget the spots between the fingers and nails and dry the hands with a piece of paper. Coughing or sneezing should go inside the elbow - and then wash the clothes more often, of course. The virus spreads through cough and sneeze drops. In short: good hygienic measures are sufficient. "And it is important that you stay healthy," says Schreijer. Although that advice is of course always valid.

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4. And the much-discussed mouthpiece?

That offers false security. The filter in the mouthpiece, the consumer versions of which are not always closely connected, will open temporarily during breathing. The virus can also penetrate through the tear ducts. Stronger: it can increase the risk of infection if the mouthpiece is not used properly. If it is not handled properly, there is still a risk of infection. The GGD is clear: mouth masks are meant for professionals, they know how to deal with them. Unless a doctor tells you to, a mouth cap makes no sense.

5. Will I die if I become infected with Covid-19?

"It's a rough estimate, but Covid-19 is about as deadly as a severe flu," says Greeper Schreijer. “In both cases, around 2 percent of people die and 17 percent get serious complaints. A large proportion of the infected people only get mild complaints and then there are people who don't get any complaints. "

As with the flu, it is mainly the elderly who are already weakened or people who already have something among their members who are most at risk. People who are physically weaker are less resistant to the virus.

6. What are the symptoms with Covid-19?

The clinical picture of the corona virus, which is now spreading rapidly and which has reached the Netherlands on Thursday evening, can also be compared to that of a serious flu. People get a fever and have respiratory symptoms such as shortness of breath or they have to cough.

7. Can I do something about the virus once I have it?

Just like with the flu, it is a matter of sickness. There is no cure. For the time being, according to RIVM, the chance that a Dutch person in the Netherlands has a normal flu or other cold virus among the members is "much greater". Anyone suspected of being infected with the corona virus should stay at home and contact their doctor.

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8. How do you distinguish Covid-19 from "normal" flu?

In order to distinguish the disease, a protocol has been drawn up in collaboration with RIVM and GGD for people who think they are infected. Those who suffer from the coronavirus symptoms and have been in a country or region in which the Covid-19 virus was active in the past two weeks (such as China, Singapore, South Korea, Iran and Italy) or have been in contact with someone who is infected is advised to contact the doctor by telephone. He has been instructed and first of all asks all kinds of questions. If there is a suspicion of infection, the doctor immediately reports this to the GGD. Because Covid-19 is a so-called A disease, a suspicion must be reported immediately.

Those who are infected can be obliged to temporarily stop working and be isolated. You can "just" at home. The GGD will then stop by to take nose and throat mucus. The slime samples go to Erasmus MC and RIVM to be tested. The test result is usually within 24 hours. "The person must be mandatory in isolation until the test result is known," says RIVM spokesman Wychgel.

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