Dr. Md. Ayub Al-Mamun
Introduction: It is not a virus like other viruses. The symptoms of the affected person are similar such as runny nose, cough, runny nose, red eyes and mild fever etc. These symptoms are common in other viruses and most of the three to four days of bong attack heal within a week, but in the case of corona, the symptoms usually increase and prolong after three to four days. Symptoms may last longer if someone is sick with comorbid illnesses (diabetes, hypertension, overweight, cancer). It would not be right to assume that there is any symptom such as cough or fever. If there is a cough, cold or body ache with fever, it is advisable to suspect it. In that case, it is necessary to diagnose the disease properly. Shortness of breath is one of the most common symptoms of a virus infection that is not common in other viruses.
What happens to the body when it is infected:
The carina virus enters the body through the nasal membranes, conjunctiva of the eyes, mucous membrane of the mouth, pharyngeal mucosa, etc. and causes inflammation in these places. Symptoms include nasal congestion, nasal congestion, nasal odor, conjunctivitis, sore throat, pharynx, and other symptoms. When a healthy person is infected, 80-90 percent of them recover from such mild symptoms. In case of comorbid disease, impaired body immunity and high viral load, the virus enters the bloodstream and causes viraemia and spreads to different parts of the body and very quickly infects the lungs first. In the early stages, the marginal cells of the lungs become infected with the alveoli and become damaged. As a result, the alveolar secretion enters the pulmonary interstitum and the pulmonary capillary cavity is also damaged. This exudate later solidifies and becomes fibrosed very quickly. This condition of the lungs is called pnumonitis or consonsolidition. An X-ray of the chest at this stage shows a ground glass appearance on the lungs, which is a sign of a lung infection. As a result, the oxygen / carbon dioxide exchange unit in the lungs is destroyed, which impairs the ability of oxygen transfer to the blood through the lungs, resulting in a decrease in oxygen in the blood and the body runs out of oxygen. Periodically both lungs can be affected in this way and as a result the ability of oxygen / carbon dioxide exchange in the lungs is completely lost. At this time, the angry person ran away with severe shortness of breath. Anger, shortness of breath, hypoxemia in the blood, pathological and radiological changes in the lungs are all called ARDS. At this stage it is difficult to keep the patient healthy without oxygen. Prolonged oxygen deficiency can lead to impaired function of other organs stays. This condition is categorized as multigrain failure. Heart attack can lead to arrhythmia, heart failure and long-term cardiomyopathy; kidney attack can lead to AKI, which often develops CKD. Moreover, in many cases, the tendency of blood clotting in the body increases and clot develops which causes complications like deep vein thrombosis, pulmonary embolism, cerebral thrombosis etc. The hope is that these complications do not occur in the case of healthy people. Only comorbid patients are treated and this complication is treated under the supervision of specialist doctors in specialized clinics.
Corona treatment in the health system in the country: If there are mild symptoms of carina, treatment is possible at home. More water and drinks and other nutritious foods should be taken. Paracetamol is a medicine for fever, cough, sore throat and antihistamine. Antibiotics can be taken. The most important thing is for the infected person to follow home quarantine and other health rules so that other family members, especially children, the elderly and people with other comorbid illnesses are not infected. If there is no remedy, advice can be taken by contacting various help lines. If the severity of the disease is high, especially in case of shortness of breath, a doctor should be consulted at the nearest health center and admission may be required. The following patients must be admitted to the hospital on an urgent basis without delay.
1. If severe COVID oxygen saturation falls (decreases).
2. If bilateral opacity is seen in CT scan of moderate covid chest.
3. If there is comorbid illness with any covid infected rage.
The government has streamlined the medical system all over the country by giving importance and priority to the health management of the victims. Recently, many new doctors, nurses and other health workers have been hired and special training has been arranged on the basis of medical care. With proper training many specialist doctors have been trained for ICU and other specialized services. These specialist doctors are constantly trying to provide services in the Upazila, district and divisional cities. Moreover, various private hospitals and institutions are also providing services at affordable prices. As a result of this concerted effort, it has become possible to keep the death rate within our reach within our reach. Misleading behavior among the people about Corona treatment: Death is inevitable if Karana is infected. Due to this notion, the affected person often breaks down and becomes psychologically extremely upset by giving up eating. In fact, if the mentally ill people keep their mental strength intact, they will recover on their own in 80-90% of the cases. When someone is attacked, others in the society often avoid him, even neglect him and even abuse him. The news that the boys have left the affected mother on the road and in the forest is always heard. In these cases, if the patient is taken to a nearby hospital, at least treatment can be arranged. Many people are very interested in taking various medicines without any examination only when they have symptoms. In fact, in most cases, people with mild symptoms get better if they take light treatment and follow the rules of health. It is unknown at this time what he will do after leaving the post. If the illness progresses expert opinion can be obtained by visiting the nearest health center. There are many differences of opinion regarding the use of steroids in Karana. Immunity is reduced, resulting in an increased risk of various infections. Again many short | He used the doctrine that if you use course steroids, you will recover quickly.
Many times, when patients has a little difficulty in breathing, his relatives get anxious to bring oxygen cylinder to his house and give him oxygen. It is not advisable to treat rage at home with oxygen because at this stage rage has many problems in different parts of the body and proper treatment is possible only in the advice of specialist doctors in the hospital. So it is not advisable to buy oxygen cylinder in advance at home. Moreover, if many people collect oxygen cylinders in large numbers, there may be a shortage of oxygen cylinders in case of emergency in the hospital.
In addition, many relatives are struggling to get their breathing problems admitted to the ICU. If these patients are admitted to the hospital with high flow oxygen, many patients recover and in most cases transfer to ICU are usually not necessary. Keep in mind that only 4% of patients need ICU support. Therefore, if the patient is admitted to a specialized hospital and treated by specialist doctors, it is possible to get rid of the unnecessary anxiety related to this ICU. Therefore, if any one of us is infected, it is our duty to reassure him first and not to avoid him physically and mentally, to advise him to follow the rules of health and to encourage him to stay in isolation and to advise him to go to the hospital if necessary. There is nothing to panic about when a Corona symptom appears: Corona disease is like any other virus which has 80-90% mild symptoms and cures on its own with general treatment. Only 10-15% of angry people run away with complications and may need to be hospitalized. Only 4-5% of them may need to be admitted to the ICU. Mortality is reduced in many parts if there is specialized and proper treatment. And in the case of healthy people, it goes without saying that such complications do not occur. Such complications usually occur in people with co morbid illness. Therefore, adhering to the necessary hygiene and social distances in these rages can reduce the chances of them being attacked. So if we all stay safe, maintain a safe distance and follow the health rules and take shelter in the shadow of health care institutions when necessary, then we will not have much reason to worry about taxes. One of the hopes is that due to the adequate availability of sunlight in our country, the level of vitamin D in our body is normal enough, moreover, we are not socially accustomed to drinking alcohol. The idea is that our body immunity is very fresh due to these two reasons, so there are many harmful aspects of this virus attack. We are getting resistance. For these two reasons, the death rate is thought to be much higher in winter-prone countries.
Mental health in Corona: A sound mind lives in a sound body. And if the mental health is not good, the body`s immune system also becomes weak and as a result, the complications of rage can increase.
Unlike other viral illnesses, 80-90% of people infected with the virus do not recover on their own with simple treatment. A very small part of it became angry and died. Currently, the Karana infection has spread all over the world in pandemic form. The media in all countries, including the World Health Organization, are constantly promoting various aspects of the virus to inform the public. As a result, even though a very small number of angry people have died, the picture as a whole is constantly emerging as horrible. On the contrary, a lot of angry people are returning home healthy.
It seems that the disease is not contagious health. Because the horrible picture of the virus infection is getting heavier in the evaluation star. So many people are not able to take it easily if they have symptoms of corona virus, they think. He will soon die for sure, so he breaks down emotionally, even giving up eating and drinking. Many people start using panic, behave in a chaotic manner in the family and create disorder in the society. Again
As a result, many run away and the disease spreads everywhere. Maintaining proper mood, mild anxiolytic, and the use of anti-depressant when necessary, the patient becomes healthy. Many people suffer from adjustment disorder (recovery within a month from illness) and even post traumatic disorder if the panic attack does not subside. These may require the advice of a psychiatrist and psychotherapy. Humorous antibodies are formed in the body when a person is infected for a second time, which usually protects against re-infection for up to three months, after which the antibody level in the body decreases and later cell mediated immunity protects the body. Older people, especially those with comorbid illnesses (such as diabetes, heart disease, kidney disease, etc.) who have poor immune function, are more likely to develop cancer later in life, depending on the level of viral infection.
Conclusion:Corona infections have spread in the form of epidemics around the world. About 8-9 months have passed since the onset of Wuhan in China, but we do not expect to be able to get rid of it easily. So maybe we will have to continue for a long time to come. Although the recent discovery of a vaccine has shown some hope, its availability, proper and universal application, and the development of an antibody level and ensuring our protection are often subject to time and trial. Therefore, it is advisable to maintain our stay safe, stay home, and safe distance and abide by the rules of home quarantine as much as possible, especially to keep the children, the elderly and comorbid sick people at home so that they do not become infected. Will. If we continue in this way, we think that we will be able to get a lot of protection from the clutches of corona and we hope and believe that we will be able to go much better with the trouble of Corona.
Author: Dr. Md. Ayub Al-Mamun is the Associate Professor of Lever Department at Bangabandhu Sheikh Mujib Medical University (BSMMU).
