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COVID-19 is treated like a broken leg – you sit in a cast and wait for it to pass, very simply. Such a person should stay at home, in the most moderate way: put on pajamas, lie in bed, be in a state of maximum rest. This was said in the “Face to Face” program of the head of the Infectious Diseases Clinic, which treats patients with coronavirus – Prof. Asoc. Atanas Mangarov.
According to him, if the bronchopneumonia is viral, the person may be given one or two antibiotics, but these lung changes will not affect.
“Eventually, if a secondary bacterial infection is added, but occurs much earlier in the course of the disease, an antibiotic may be necessary, but these viral changes that are seen are not responsive to antibiotic treatment, no matter what we think.
We have to tell people very well that there is currently no definitive treatment for COVID. You cannot expect a person, when they enter a hospital, to receive something there and get over it, as they do when they have bacterial meningitis or some other bacterial lung infection.
It only makes sense to go to the hospital when you can do something and what you can do is give oxygen. All of these: Remdisvivir, Plasma, yeah well that’s fine, but there’s no definitive indication that if you give it to someone, it will work for them. “
The truth is that there is no definitive treatment, something that must be done and that a person passes, explained Prof. Asoc. Mangarov.
“There is a technological time that has to pass and eventually during that time the patient stays alive and feels satisfied, to rehydrate. An important part of those who arrive at the hospital come dry as raisins because they have not drunk enough fluids.
Therefore, people who are positive and have symptoms should not be given any antibiotics from the beginning, usually the notorious azithromycin, because it is of no use. You have to tell them they should stay home. “
What should a person do with a positive test?
“Firstwhat you have to tell a person is to calm down.
The second – explain that in the next 2 weeks, 12-15 days, he will be sick. It will happen somewhere after the end of the second week, after the 15th, 16th, somewhere there. It is very important to say this so that there are no unrealistic expectations, that is, the mental attitude: explaining to people what to expect is very important.
This person should stay at home, in the most moderate way: put on pajamas, lie down in bed, be in a state of maximum rest. This is treated like a broken leg – you sit in a cast and wait for it to pass, very simply.
The third something: this person needs to drink enough fluids so as not to become dehydrated. This is something very important.
Fourth – I need to take something that reduces the clotting ability of your blood. The simplest is a 100 mg aspirin tablet. This has an antiplatelet effect, it can be replaced by dipyridamole – antistenocardin.
When you have a severe headache, you can’t sleep, you have very severe muscle pain – you can take a pain reliever – acetaminophen, ibuprofen, analgin to help you fall asleep, because getting a person to sleep is an important part of treatment. “
According to him, these people should not get rid of high temperature at any cost, because it is a physiological protective reaction with which the body fights infection.
“On the one hand, it activates its defenses – leukocytes, enzymes, antibodies, on the other hand – it creates unfavorable conditions for the virus that attacked it – figuratively, it boils the virus. When this temperature drops, it does not help, but it hinders, whatever happens. What happens, thinks the patient or the person who treats him.
One has to mentally adapt that there is no place for one day, two days, it is like climbing Vitosha, Knyazhevo, Golden Bridges, Aleko Hut, Cherni Vrah, drinking tea, going down to Bistritsa, waiting for the flight, that is, a long story “.
Today, prehospital care has abdicated, said associate professor Mangarov.
“We will not be able to deal with this insane hospitalization of all positive people. GPs need to take their place and start treating their patients, and discontinue this telephone drug.
“They are soldiers, they are doctors, and now they will receive an extra salary, if they want more, give them more, but they have to do their duty, because if they don’t, they don’t need it,” he said.
“COVID-19 does not kill by bacterial complications, but by viral ones. That is why it is very important to select them. It is not necessary for all positive people to go to the hospital, because for a person to go to the hospital, there must be treatment. When it is done , it happens, and there is no such thing. These people need someone to take care of them, to take care of them, especially if they are adults. Hospitals, when they are full and if a nurse cares for 30 people, she cannot take care of them all ” added the associate professor.
At the clinic where he became director, adjunct professor Mangarov said he knows people who are happy to see him. However, not everyone who lies there needs to be hospitalized.added.
“There are people who are sick, with symptoms, fever, fatigue, muscle aches, joints, even discomfort, shortness of breath, some need oxygen, but if we do a screening, at least according to my criteria, about 80 people are in At the clinic Right now, those who are really sick and need to be in the hospital are no more than 30. A part is there out of fear: what is instilled is that a person is expected to die when there is COVID-19.
Most have symptoms, but if there was someone to support them, touch them, calm them, they would stay home, because what distinguishes COVID-19 from other types of seasonal infections: rhinos, reo viruses, is that these viruses They last from 7 to 10 days, and in them the acute phase is 4-5 days and everything ends in 10 days. COVID-19 is characterized by the fact that the acute phase is between 13 and 15 days, that is, 3 times longer than the phase of other viral infections.
Watch the entire conversation on the video.
