Compared with young people, elderly people aged 60 and above have lower immunity and and most of them have underlying diseases, and the risk of severe illness after being infected with the new coronavirus is higher. How do the elderly prevent COVID-19 infection? How to deal with infection? In response to related issues, Yan Xiaofeng, chief physician of Chongqing Public Health Medical Treatment Center, gave answers respectively.
Which elderly people are more likely to develop severe illness after being infected with the new coronavirus?
In terms of age, elderly people with high-risk factors such as chronic obstructive pulmonary disease , diabetes , diabetes complications , cardiovascular and cerebrovascular diseases , organ failure, malignant tumors and other high-risk factors are more likely to develop severe symptoms after being infected with the new coronavirus.
What are the suggestions for the elderly to prevent the new coronavirus infection?
First of all, it is recommended that the elderly who can receive the new coronavirus vaccine complete the full vaccination as soon as possible. Data statistics show that after the elderly over 80 years old are vaccinated, the severe illness rate is lower than that of the elderly who have not received the vaccine, and they recover faster.
Secondly, in daily life, elderly people with underlying diseases must treat underlying diseases, take medicine as directed by the doctor, control their underlying diseases, and monitor blood pressure , blood sugar, etc. on time.
Try not to go to crowded places, wear a mask when going out, wash your hands frequently, maintain good hygiene habits, and often use warm light salt water to clean your mouth and nose. In winter, you should take good measures to keep warm, maintain daily exercise (activity) and pay attention to staggering the abortion when exercising, and not crowding. Quit smoking and limit alcohol, maintain balanced nutrition in diet, and supplement vitamins and protein , etc.
What symptoms may occur after the elderly are infected with the new coronavirus? How long does it take to go?
Asymptomatic infected people with have no symptoms. Most of them can turn negative in about 7 days. The mild patients have a longer time, but they can turn negative within 10 days. The main symptoms of the elderly after infection are dry cough, sore throat, fever, etc., and some will experience a brief decline in smell and taste. Some patients' original underlying disease symptoms will worsen.
Which elderly people can choose home treatment after infection?
If you do not have serious underlying diseases and are asymptomatic or mildly ill after being infected with the new coronavirus, and if you have family care, you can choose to be isolated and treated at home.
What are the symptoms that elderly people should seek medical treatment as soon as possible after they become infected?
If there are serious underlying diseases or are infected with the new coronavirus, the elderly with complications of diabetes, and the elderly with poor blood sugar and blood pressure control, they should go to the hospital for treatment; if the elderly have a fever of more than 39℃ during home treatment and the high fever does not subside, they should seek medical treatment as soon as possible; if there are no other symptoms, but the pulse oxygen is as low as 93% of the elderly should seek medical treatment as soon as possible; if the symptoms are obvious and the pulse oxygen is less than 95% of the elderly should seek medical treatment as soon as possible; if the symptoms are obvious, and the pulse oxygen is less than 95% of the elderly should seek medical treatment as soon as possible; if the elderly experience severe cough, difficulty breathing, cyanosis around the lips and other hypoxia, they should seek medical treatment as soon as possible.
Care for children
How to avoid children from getting infected with the new coronavirus?
What should children pay attention to when treating home?
In order to provide parents with more COVID-19 prevention and control information, experts from Xi'an Children's Hospital specifically answered the following questions.
Try not to take the children to crowded places, teach them to wear masks correctly, tell them to wash their hands frequently, and never touch their mouth and nose before washing their hands; the most effective antiviral method: vaccination.
The novel coronavirus infection is a viral infection that mainly affects the respiratory tract. It has many similarities with ordinary respiratory virus infection, such as: symptoms such as fever and cough. The difference is that after the novel coronavirus infection, children in school and pre-school age often have symptoms similar to influenza, such as sore throat, headache, and sore muscles in the whole body. The baby is irritable after being infected with the novel coronavirus and cry more obviously. As a very contagious disease, people with close contact often have similar symptoms. Further diagnosis requires coronavirus nucleic acid testing.
is generally in good condition after fever receding, and is not combined with asymptomatic or mildly infected people with severe underlying diseases.
The underlying disease is in a stable period and there are no infected people who need hospitalization due to severe insufficiency of important organs.
Try to arrange for children and caregivers to isolate the bedroom with a bathroom. If the conditions are not met and you need to leave the room, the caregiver and infected children must wear masks before leaving the isolation room. If infants or children do not cooperate with wearing masks, other members of the family must wear masks and keep a distance of more than 2 meters.
thermometer (for infected people), tissues, masks, disposable gloves, disinfectants and other personal protective equipment , disinfection products and trash cans with lids.
Isolation is still an important measure to prevent the spread of the new crown. However, if the child is too young and needs someone to take care of, the caregiver can be isolated with the child and wear a mask to avoid being infected.
Do daily disinfection, open windows to the isolation room for ventilation at least twice a day, each time for at least 30 minutes. The shared space also needs to be opened for ventilation. The tableware for children and the tableware for caregivers are used exclusively for special purposes. Disinfection cabinets can be used for disinfection or boiling in clean water.
You need to wear gloves when you contact your child's blood, urine, feces, and vomit. If you don't have gloves, wash your hands with soap or hand sanitizer in time under running water.
Wash your hands frequently, infected children, caregivers and other members of the family should wash your hands frequently.
The temperature measurement for children every morning and evening. If symptoms such as fever and cough are found, they will be treated symptomatically.
Children have no symptoms and do not need medication. Pay attention to rest and drink more water. How to treat symptoms such as fever and cough in
? It is recommended to take medication under the guidance of a doctor to relieve symptoms. Fever is a common symptom of novel coronavirus infection and a manifestation of the body's immune system's struggle with the virus.
Generally speaking, if the child's body temperature exceeds 38.2℃, or the child has obvious general discomfort, oral antipyretic drugs are required. When there are high heat, you can use anti-heat patches and lower indoor temperature to let the child lie down and rest and drink more water. Cough is a protective reflex of the human body. It can clear the secretions in the respiratory tract, excrete pathogens, and promote the early recovery of respiratory tract infection . Therefore, when the symptoms of coughing are mild in the early stage of the infection, oral cough medicine is not required. Respiratory tract infection often worsens after the heat subsides, and this situation is mainly about phlegm reduction. When
experiences critical symptoms such as dyspnea or shortness of breath, poor mental health, chest tightness and chest pain, pale skin and purple lips;
's body temperature continues to be higher than 38.2℃ after drug treatment, for more than 3 days.
has drowsiness, continuous refusal to eat, difficulty feeding, continuous diarrhea or vomiting.
The original underlying disease has significantly worsened and cannot be controlled.
Observe the child's cough, and the cough usually relieves within 2 weeks. If the cough exceeds 2 weeks, there is still no sign of relief, or the cough is obvious at night, or it may be accompanied by nasal congestion and runny nose, and you like to pick your nose and rub your nose, etc., you need to come to the hospital for further investigation of the cause of the disease.
enhances immunity . Try to let your child live a regular life and ensure adequate sleep; exercise appropriately, but avoid strenuous activities; eat reasonably, eat as little as possible and eat more meals, eat easy to digest and nutritious foods, and avoid spicy, raw, cold, and irritating foods.
prevents cross infection. Family members should wash their hands before and after meals, before and after stools, pay attention to hand hygiene; the room should be ventilated.
Pay more attention to the changes in the physical and psychological changes of children and seek medical treatment in a timely manner if necessary.
In addition, there are people who are concerned: Will pregnant women get infected with the new coronavirus affect the health of the fetus? Experts said:
will not theoretically transmit vertically to the mother and fetus, but the high fever does not subside after infection and pneumonia hypoxia may have an impact on the fetus; can pregnant women still give birth naturally if they are infected? If there are no cardiopulmonary function or other problems, you can still give birth naturally;
Pregnant women can take antipyretic drugs as directed by the doctor, and do not resist it. If the high fever does not subside, it will increase, and they should seek medical treatment in time.China Business Daily reporter Li Lin
Care for young people
Can you ignore medicine if you are positive for young people ?
Expert: Rest more and drink more water, it’s completely okay to carry it
If a young person is positive, can he not take medicine?
Li Tong, chief physician of the Comprehensive Infection Department of Beijing You'an Hospital, said that asymptomatic infected people do not need medication at all. Just rest at home and maintain a good mood and good physical condition. If the symptoms are mild, rest more, drink more water, and do not take medicine, you can heal yourself if you don’t have any problems. If the symptoms are serious, there is no need to bear it. Poor rest will affect the recovery of the disease. Nowadays, many over-the-counter symptom relief drugs are also very safe and there is no need to avoid it.
"If you really can't buy (medicine), you don't have to worry. Let's rest more and drink more water, and young people can handle it. Many people are indeed like this. If you don't take medicine, you can drink more water and sleep more, and you will get better in 7 days. There are also many cases like this."
Experts remind
Hospitals will be a high-risk concentrated area in the future
Doctors remind: You must take good protection when you visit
"After the major adjustment of the epidemic policy, we will face new prevention and control tasks. The hospital is a high-risk concentrated area for the future, and you must take good protection when you visit." Dang Shuangsuo, director of the Department of Infection of the Second Affiliated Hospital of Xi'an Jiaotong University, said that the public still needs to remember basic protection such as wearing masks scientifically, washing hands frequently, ventilation frequently, gathering less, and going to confined public places less.
At the same time, everyone should be mentally prepared. In the future, almost everyone will be infected by the new coronavirus. The first group may be 30%-50% of people. What we need to do is to get infected as late as possible or even not get infected. Therefore, vaccination is very important. At present, the arrangement of enhanced vaccination for the fourth dose of vaccine should be accelerated, especially for high-risk industries such as medical units, airports and railway stations, transportation ports such as commercial service industry takeaway workers, etc., and the elderly who have not been vaccinated should be vaccinated throughout the process as soon as possible to form a reliable immune barrier as soon as possible. Prevention and control experience has proved that my country's new crown vaccine is safe and effective, and can significantly reduce the occurrence of severe illness and death after vaccination. Reporter Li Lin Li Xinyi
Don’t panic after experiencing symptoms such as fever
You can take the heat-clearing and detoxifying drugs yourself
According to experts, the Omickron mutant strain mainly causes upper respiratory tract infection with , and the proportion of pneumonia is very low. Don’t panic after symptoms such as fever. Just treat it with a normal mind.
Residents have symptoms such as fever and cough, and they can first treat them symptomatically. They can take some heat-clearing and detoxifying drugs on their own. It is also recommended to conduct self-tests on antigens. If the antigen test is positive, you can upload the community report and then closely monitor your symptoms. The symptoms of Omickron virus infection are similar to those of the general cold, and they often have fever, fatigue, etc. Most of them recover from three to five days, and some people may be about one week or ten days. Huashang Daily reporter Li Lin Li Xinyi
is afraid of infection with the new coronavirus and takes multiple drugs.
Someone was sent to ICU
Recently, news appeared on the Internet. A doctor mentioned in a WeChat chat that many people were afraid of infection with the new coronavirus and took multiple drugs together, and were even sent to the ICU. "In the morning, 18 acute liver damage (patients) caused by the combined use of more and more drugs were collected. Before they were infected with the new coronavirus, they 'take' themselves to the hospital first."
Another doctor also confirmed that with more and more residents hoarding drugs, the number of patients with drug-induced liver damage to who came to the hospital for treatment suddenly increased. How should
be stockpiled? How to use medicine after being infected with the new coronavirus? On December 10, a reporter from Huashang Daily interviewed Ye Feng, chief physician of the Department of Infectious Diseases at the First Affiliated Hospital of Xi'an Jiaotong University. Ye Feng said: "Preparing medicine is reasonable, but stocking up medicine is not worth it. The new coronavirus is a respiratory infection disease. Just prepare medicine according to the cold, such as preparing some Lianhua Qingwen to clear heat and detoxify, Lanqin Oral Liquid , etc., only one type is enough, which is all Chinese patent medicines to clear heat and detoxify; prepare a medicine to lower the body temperature for fever, and take it when the body temperature is high; some patients will even cough, and then prepare a cough medicine.A family can prepare up to three types of medicines, and only one type of medicine is available for each type of medicine. What medicine should I take in a targeted manner if there are any symptoms. "
Ye Feng said that some of the cold medicines are antipyretic drugs. If cold medicines and antipyretic drugs are taken at the same time, it is easy to cause drug poisoning . In addition, regarding the dosage of medicines, you must read the instructions.
Ye Feng emphasized that for people with underlying diseases who are taking drugs, such as diabetes, coronary heart disease , hypertension patients, etc., you must read the instructions before taking the medicine to see if the several drugs have an impact on each other. If necessary, you can obtain medical help on the Internet through a smart hospital, or you can go to community hospital . It is not recommended to go to a large hospital, as cross-infection of drugs in large hospitals is serious. Reporter of Huashang Daily Ren Ting
"Beginning and Early Sun Better"?
Expert: Omickron is more likely to cause reinfection!
Recently, there have been rumors that once infected with the new coronavirus is equivalent to getting the vaccine , and some even said "Beginning and Early Sun Better". Is this statement valid?
Chief physician of the Comprehensive Infection Department of Beijing You'an Hospital and a medical expert at Xiaotangshan Fangcang Hospital said that although after infection with the new coronavirus, it will gain immunity against the strain within a certain period of time, it does not mean that it will not be infected again.
Li Dongzeng introduced that there are indeed some infectious diseases that will not be reinfected once, such as measles , rubella , mumps , hepatitis A , etc. The reason is that these pathogens are micro The characteristics of biological are related. After infection, the body will use the immune mechanism formed before to protect itself.
However, the new coronavirus belongs to another type. Once infected, it cannot be immunized for life. There are similar characteristics influenza. Because there are many virus types and fast mutations, it is easy to escape from the human immune mechanism. This is why influenza vaccines are vaccinated every year, because the probability of repeated infection is high.
Li Dongzeng specifically reminds that as both the new coronavirus, different strains have different ability to cause multiple infections. Compared with delta and previous mutant strains, Omickron is more likely to cause reinfection. In addition, repeated infections still have a certain risk of severe illness and will be transmitted to high-risk groups such as the elderly and those with underlying diseases in the family. Even if you have been infected, you still need to take good protection, and it is necessary to get vaccinated after infection.
responds Measures
What to do if you have a cough and fever?
Many medical institutions in our province have opened "Viral Cold Special Disease Diagnosis Area"
Recently, residents with headaches and fevers have hesitated whether to go to the hospital.
htmlOn November 10, a reporter from the Huashang Daily learned from the medical treatment team of the Provincial Response Office that in order to do a good job in medical treatment related to the current situation, our province recently issued a notice requiring it to be opened. Second-level and above medical institutions in Internet hospitals should open the " Viral Cold Special Disease Clinic" as soon as possible to provide online consultation and home delivery services.Which personnel are suitable for online consultation in the Viral Cold Special Disease Clinic? The notice clearly states that they have respiratory symptoms such as fever and cough, no underlying diseases or stable underlying diseases, and receive the new crown vaccine throughout the process, and are under 70 years old, so there is no need to go to the hospital for now, but Residents who need professional medical personnel to provide online consultation.
notice emphasizes that the health and health administrative departments (approval departments) of all municipalities should guide medical institutions in their jurisdiction that have Internet diagnosis and treatment services, complete the setting procedures as soon as possible, and standardize the relevant services.
It is understood that at present, Shaanxi Provincial People's Hospital , Tangdu Hospital , Xi'an Red Society Hospital , Xi'an Children's Hospital, Xidian Group Hospital , Yulin Second Hospital, Baoji High-tech Hospital, General Medical 3201 Hospital and other medical institutions in the province have opened "Viral Cold Special Disease Diagnosis Area". The public pays attention to the above hospital WeChat public accounts, log in to the Internet hospital page, and click on the "Viral Cold Special Disease Diagnosis Area" section, and you can enjoy the consultation and consultation services of professional doctors without leaving home. Reporter of Huashang Daily Li Lin, except for the signature of this article, all the articles in this edition are based on CCTV, China News Service and other
.
