Physician, clinical pharmacologist Andrei Kondrakhin, in a conversation with Lenta.ru, reported lifelong cognitive impairment after suffering a severe coronavirus. In particular, people suffer from retrograde amnesia, they forget words, the order in which certain actions are performed. In addition, according to the doctor, with each transferred COVID-19, a person becomes dumber and dumber. It is in this part that the most thorough and high-quality rehabilitation is required.
Earlier, Moscow Mayor Sergei Sobyanin said that in the next few years, the most important task in the health sector will be the rehabilitation and prevention of complications in citizens who have had coronavirus infection. “Yes, of course, rehabilitation will have to be done. After we move a little from the peak incidence rates, “Sobyanin said.
According to Kondrakhin, too many body systems are affected by the coronavirus, so rehabilitation should be comprehensive. So far, as the doctor noted, it is unclear how well this task will be implemented: at the moment there is neither a full-fledged program, nor information about whether it will be included in the CHI or whether patients will have to pay for it on their own.
“So far I have not seen any postcoid program, but there are directions that are agreed upon for other diseases and, perhaps, some of this can be transferred here. In addition, the problem is that, according to the rules, the compulsory medical insurance does not pay for rehabilitation, except for the first six months after strokes and heart attacks. If it is a state program, paid, for example, at the expense of the city, the situation will be much simpler, “- said Kondrakhin.
Paid rehabilitation can really become a big problem for many patients, the doctor believes, since many different systems suffer from the coronavirus and an individual approach is necessary for each particular complication.
“The most important thing is, of course, cardiovascular complications, cardiac arrhythmias, high blood pressure,” Kondrakhin listed. – The hematopoietic system is also severely affected, there is a risk of thrombosis, heart attacks, strokes. Special attention should be paid to cognitive impairments. “
The most severe cognitive impairment, according to the doctor, occurs after a severe coronavirus. They can occur in the case of a mild course of the disease, but in this case the consequences are reversible and easier to correct.
In order to cope with these conditions and restore at least part of the lost functions, according to the doctor, complex work of psychologists, neuropsychologists, neurologists, and rehabilitologists is necessary.
“The fact is that we have only a year of coronavirus and we are just beginning to understand what dangerous consequences it can lead to,” said the specialist. – It is necessary to adapt with people, even to the point of re-teaching them how to use a ball or open a bottle. It helps to rebuild the brain. There are activities aimed at restoring neural connections – psychologists, for example, have pictures by which they look at how much information a person is able to memorize. “
Rehabilitation is also necessary in the field of auditory-speech memory, sometimes in the case when the speech function of the brain is affected, according to Kondrakhin, even the help of speech therapists is required.
“The more severe the disease was, the more the brain suffers. In the last medical article I read, it is said that the coronavirus leads precisely to irreversible cognitive impairment. That is, with each new COVID-19 transferred, the person becomes more and more stupid and stupid, “the doctor summed up.