Sunday, April 12, 2020

Lung Sounds of Coronavirus (COVID-19)

Coronavirus (COVID-19) Infection





SARS-CoV, a virus that emerged as a previously unknown virus in 2003 as the first international health emergency of the 21st century and caused hundreds of people to die, was isolated as a disease factor in the 1960s and was a disease agent in humans and animals.

Covid-19 Revealed itself in the Recent Years

The virus named MERS-CoV (Middle East Respiratory Syndrome Coronavirus), which has not been previously present in humans or animals from the coronavirus family, has manifested itself in Saudi Arabia for the first time in 10 years as a source of severe infection. Coronaviruses can be classified into four main types. They can be found in human, bat, pig, cat, dog, rodent and poultry domestic and wild animals as alpha-, beta-, gamma- and delta.The spectrum of disease caused by coronavirus in humans can range from simple colds to severe acute respiratory syndrome (Severe Acute Respiratory Syndrome, SARS). He underlined that this virus can cause clinical manifestations in humans and animals, with varying degrees of respiratory infection, intestinal infection, liver diseases and neurological disorders. Disease in adults and children with symptoms of upper respiratory tract infection such as fever, sore throat, cough, weakness, illness or drug use, mostly underlying immune system, diabetes, heart-lung disease, advanced age and others. can be severe, rarely lung infection, kidney failure.

Virus Can Be Transmitted By Droplet!

Like other respiratory infection viruses of the coronavirus, virus spreads to the environment such as coughing and sneezing; He said that if cough, sneezing, mouth and nose should be covered with handkerchief, it can also be transmitted through close contact with sick people, hands should be washed frequently, mouth with nose and eyes should not be touched with dirty hands. It is known to sell wild seafood illegally in the wholesale market and spread through droplets in health centers from person to person. Common symptoms of infection are respiratory symptoms, fever, cough, and weakness. In more serious cases, pneumonia, severe acute respiratory infection, kidney failure, and even death may develop. However, it cannot be commented on the severity of the disease based on the available data.

Travel Restriction Made To Countries With Virus Infection!

It is necessary to consume vegetables and fruits by washing them thoroughly. Those with underlying disease should definitely be consulted by consulting their doctors who are following their journey to the risky area. Contact with wild and domestic animals (live or dead) should be avoided and hand hygiene should be considered. Hands should be washed with soap and water for at least 20 seconds, and alcohol-based hand disinfectant should be used in the absence of soap and water. There is no special treatment or vaccine to provide permanent immunity.

Lung Diseases Cause Coronavirus To Be More Serious!

It is stated that COPD causing chronic respiratory failure is also a risk factor. In addition, asthma and other chronic lung diseases can cause the infection to progress more seriously.
By stating that the effects of Kovid-19 on the lung are variable, even in many people who have no symptoms and who survive the disease, some diseases related to the disease may occur even if there is a lung film or computer tomography. Sometimes this situation can be encountered without any serious symptoms.
It is emphasized that the symptoms and severity of the disease increase depending on the prevalence of pneumonia. Initially, the general symptom of the disease is high fever and then lung involvement, and cough complaints are seen, as the disease progresses, the severity of the cough increases and it may be possible to add shortness of breath to the patient, as the prevalence increases, the patient may experience difficulty in breathing during rest or even later.

Stating that the virus-induced damage to the liver causes inadequate blood supply of oxygen to the blood, which causes a low oxygen level in the blood of the patient, and when this drop reaches a critical point, the need for intensive care may occur. If the patient is taken into care, the oxygen level in the blood is increased to the levels that will sustain life.In some patients, unfortunately, the oxygen levels that will lead to life cannot be easily regained and the patient is lost. What is the factor here? Why are some patients not getting better? We do not know exactly this, there are some risk factors that we know today. Advanced age comes first among these risk factors. By advanced age, I mean 60 or even over the age of 65. The risk increases more with age. This is the conclusion we draw from the experiences obtained. In addition, other diseases of the heart and lungs, vascular diseases, which are present in patients, cause the disease to progress more severely and lung symptoms become more serious. We also know that hypertension, other heart diseases and diabetes are among these. When I look at lung diseases, I can say that COPD causing chronic respiratory failure is also a risk factor. In addition, severe asthma and other chronic lung diseases can cause a more severe course of coronavirus infection. For this reason, the most important point is that those with such chronic lung diseases take regular treatment of these underlying diseases while there is no coronavirus infection yet and ensure that their lungs are prepared for this infection at least as much as possible.

Chronic Diseases Increasing Coronavirus Risks and Recommendations for Protection from Coronavirus

Diabetes

Diabetes is generally in the form of type-2 (90%) and it is mostly seen over the age of 50. Especially uncontrolled diabetes negatively affects the immune system and prevents the body from fighting microbes. Therefore, diabetics are at risk in this outbreak due to both disease and ages. It is imperative that the Ministry of Health's Scientific Committee approach their proposals much more seriously.

Hypertension

The blood pressure is higher than normal and the drugs used for this reason do not suppress the body immune system, but as with diabetes, these patients are generally 50 years of age and over and are at higher risk than the general population.

High cholesterol level

The drugs used in high cholesterol level and treatment do not increase the risk. There is no additional risk apart from age.

Asthma and COPD patients

As it is known, this virus can be more lethal especially when it has a lung infection and affects people with chronic diseases in their lungs much more. Cortisone-style drugs used more frequently in asthma suppress the immune system and increase the risk of infection. If those with chronic lung disease such as asthma and COPD and therefore use cortisone, the risk increases exponentially.

Chronic Kidney and Liver Failure 

Patients with chronic kidney and liver failure, dialysis and cirrhosis are again the most risky group for this infection. These two conditions weaken the body's immune system and cause the virus to spread rapidly in the patient.

Cancer patients

As it is known, wherever the cancer is known, it is treated with treatments such as surgery, chemotherapy or radiotherapy, and these 3 treatments leave the body weak and make the patient open for all types of microbes. These patients are at the top of the most risky groups because their immune systems are weak. The risk is much higher in bone marrow-related cancers.Rheumatic patientsPerhaps one of the most risky groups is these patients. Because almost all drugs used in the treatment of rheumatism weaken the immune system and make patients vulnerable to virus infections such as corona.

What precautions should we take against coronavirus?

  • Let's not leave the house unless it is very compulsory.
  • Let's stay away from crowded environments.
  • Let's suspend visits between houses.
  • Let's wash our hands with soap when it comes to home and after contact with external environments.
  • Let's expand the use of cologne.
  • Let us take a break until the outbreak ends in our culture, such as shaking hands, kissing and embracing. If we are in the risky group, when we absolutely have to go out, let's wear a mask and change the masks frequently.
  • If we get sick, let's take ourselves to rest at home whether there is a corona or not, and make an effort not to spread the disease individually.If we have a flu infection and shortness of breath, burning in the chest, and bloody sputum, let's go to the nearest healthcare provider.Let's ventilate and clean our house and all the environments I live in frequently.
  • Let's pay utmost attention to hygiene conditions regarding the bathroom, toilet and kitchen utensils we use in common.In the presence of the disease, let's use a separate towel, plate, separate toilet and bathroom if possible.It will be more convenient for the individuals who are taken into custody at home with suspicion of the disease, to not take visitors for 14 days and to meet with the people at home to a minimum.
  • Let's not forget that if antiseptic solution is not available, bleach and many other cleaning materials, as well as cologs containing 70% alcohol or more, kill enough germs.People with complaints such as coughs and sneezes should then close their mouths and noses and wash their hands after nasal cleansing.It is especially important that we thoroughly wash and cook all our food. Because foods that are not fully washed and cooked are sources of disease.

How is the treatment of coronavirus infection?


Supportive therapy is applied only to patients whose diagnosis of coronavirus has been confirmed. A drug therapy specific to coronavirus is not yet available. Most people who are already infected have a mild illness and are completely cured.

Who is the risk group for new coronovirus infection?

Cough and / or shortness of breath and / or fever, and have been in close contact with someone with confirmed or suspected coronavirus infection in the past two weeks or in countries where the outbreak has been intense in the past two weeks (such as China, Iran, Italy, South Korea, Japan ) individuals are in a high risk group for coronavirus infection and should be evaluated as soon as possible.Meanwhile, every person suffering from high fever and cough may not have coronavirus infection. Upper respiratory tract infections such as seasonal influenza (influenza), pneumonia (pneumonia), sinusitis can also cause the same complaints. In order to make a differential diagnosis and to make a definitive diagnosis of coronavirus, the closest emergency department should be contacted in the presence of complaints related to the disease and the examinations deemed necessary under the physician's control should be performed.Those who are in countries such as China, South Korea where coronavirus is common or who are in the same environment with people who have been diagnosed with coronovirus are particularly at risk for transmission. A person infected with coronavirus may take time to show symptoms of the disease, and may have no complaints for 2 weeks. Similarly, the person who carries the coronavirus can infect the virus to others without getting sick, causing the disease to spread rapidly to many people.

Is there a vaccine to protect against coronavirus?

No. Also, having a flu vaccine does not protect against coronavirus.

How is coronavirus transmitted?Although the new coronavirus first appeared in wild animals and was transmitted to humans, the main spreading path is then transmitted from person to person via droplet.As far as is known, it is not transmitted from pets to humans.

Does wearing a mask protect from coronavirus?

The use of masks by non-coronavirus does not protect them from coronavirus; however, it can protect it from many other respiratory diseases.

General preventive measures against infection

* Hand hygiene: Washing your hands frequently and properly (at least half a minute, preferably for 1 minute) is the most important hygiene rule. Hands should be washed with soap and plenty of water, including the back of the hands and the inner part of the nails.Towels should be personal. Disposable paper towels are ideal or should be changed frequently if classic towels are used.In the event that there is no water or soap, cologne or hand disinfectants containing at least 60% alcohol can be carried in the form of sprays with 80 c spray.The coronavirus and many other infectious agents are transmitted by the droplets that are scattered from sick people through our mouth, nose and eyes (ie through the droplet) into our body. These droplets in the sick person can spread around a distance of up to one meter. In fact, these people can stick to the surfaces in their environment (door handle, elevator button, table, faucet, money, computer etc.) and the virus can maintain its vitality on these surfaces for a few days.The virus can be transmitted to you when you come into contact with the hand on the surfaces where the sick person is and contaminate the virus and then place your hand on your face (mouth, nose, or eye). Therefore, the most important way to protect yourself is to stay away from sick people, wash hands with soap and water (especially when you come home, before meals, after toilet) and to clean the environment with water and soap (or detergent).* Do not touch your face or the hands and face of others as much as possible, and if necessary, wash your hands before and after.* If you see someone coughing, sneezing, runny nose or fever, try to stay at least one meter away. If you live in the same house with this person, sit in a separate room as much as possible until you recover. Also take care of the hygiene of items such as towels, food, forks, spoons and glasses and not using them in common.* There is no evidence that coronavirus can be transmitted from pets (such as cats and dogs). Therefore, general hygiene principles apply for pets. Hands should be thoroughly washed with soap after touching the animals.* If you are sick, rest at home, wear a mask so that it does not infect other people. While coughing and sneezing, throw away a paper napkin and then wash your hands with soap.* Try to get adequate and hygienic nutrition. It is necessary to take plenty of fluids, to consume fresh-vegetable fruits, uncooked foods should be soaked in vinegar water for half an hour and then peeled and eaten.* Avoid crowd and people who cough or have a fever.* Masks should be used, especially in closed and crowded places.* Adequate and quality sleep should be paid attention.* Care should be taken to clean the environment, indoor environments should be ventilated to occur every day.* Sick people should avoid close contact.* If it is not necessary to travel to risky countries.* Information pollution in the internet and media or social environment should be avoided and the recommendations of your physician and competent people should be taken into consideration.* In case of cough, shortness of breath or fever, immediately contact the nearest emergency department and inform your doctor. Note that these complaints can have many causes other than coronavirus, and try to follow the physician's recommendations as best you can. Do not use antibiotics and do not insist on writing them unless the doctor recommends.

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