The new crown pneumonia epidemic is tense. Most people know that people who are older than 65 years old or have cardiopulmonary diseases belong to a high-risk group. However, according to the clinical management guidelines of the Centers for Disease Control and Prevention, high blood pressure is not a serious risk factor, but mental illness and hyperactivity. Symptoms are listed as risk factors. The doctor said that high blood pressure alone does not count, but if it is combined with heart and lung problems, it is easy to cause severe illness. As for patients with schizophrenia, it may be caused by poor phlegm-clearing ability or poor personal hygiene habits. Likewise, caregivers should be vigilant.
Huang Jianxian, director of the Department of Infectious Diseases at Shin Kong Hospital, said that when most people mention chronic diseases, they think of high blood pressure and diabetes. However, among the risk factors for severe COVID-19, diabetes is a risk factor, but high blood pressure is not. After the relevant report, statistics and published results, but why simple hypertension is not a risk factor is not known at present, we can only say that the evidence is so, because high blood pressure is often associated with heart or lung problems, if there is cardiopulmonary disease, it is considered high. Dangerous group, can not be taken lightly.
Children with hyperactivity, brain numbness and mental illness should improve their self-protection ability
In addition, among the serious risk factors, attention deficit and hyperactivity disorder, cerebral palsy, and schizophrenia are also listed, which has aroused the curiosity of many psychiatrists. Huang Jianxian believes that these people may not have poor resistance to the virus themselves, but because of malnutrition, poor ability to expectorate following illness, or poor hygiene habits, they weaken their resistance and become a high-risk group prone to severe illness. In particular, cerebral palsy patients are prone to pneumonia due to thoracic deformation and lack of strength to expectorate sputum, and mentally ill patients who cannot cooperate with the sputum expectoration command may also experience a similar situation.
Huang Jianxian said that although the resistance of young people is better than that of old people, if young people have risk factors, the probability of serious illness will increase. Therefore, as long as there is one of them, infection should be avoided. In case of unfortunate infection, you can drink more warm water Boil water and take an expectorant to dilute the sputum to help expectorate the phlegm.
Are you one of these vulnerable groups?
1. Severe risk factors for the new coronavirus:
2. Pregnancy
3. Age≧65 years old
4. Cancer
5. Diabetes
6. Chronic kidney disease
7. Cardiovascular disease (excluding hypertension)
8. Chronic lung disease (interstitial lung disease, pulmonary embolism, pulmonary hypertension, tracheodilatation, chronic obstructive pulmonary disease)
9. Tuberculosis
10. Chronic liver disease (cirrhosis, nonalcoholic steatohepatitis, alcoholic liver disease and immune hepatitis)
11. Disability (attention deficit and hyperactivity disorder, cerebral palsy, birth defects, developmental or learning disabilities, spinal cord injury)
12. Mental illness (mood disorders, schizophrenia)
13. Dementia
14. Smoking (or someone who has quit smoking)
15. BMI≧30 (or BMI for children and adolescents aged 12-17 exceeds the 95th percentile for the same age)
16. Pregnancy
17. Diseases affecting immune function (HIV infection, congenital immune insufficiency, solid organ or blood stem cell transplantation, use of steroids or other immunosuppressants)
The doctor also reminded that people diagnosed with the new crown should be alert and send to the doctor as soon as possible, regardless of whether they have serious risk factors, as long as they have shortness of breath, decreased blood oxygen, purple lips, cold skin, severe dehydration, severe headache, chest pain and other symptoms of severe symptoms.
“Health 2.0” reminds you
In response to the new crown pneumonia epidemic, the CDC has continued to strengthen epidemic monitoring and border control measures.If you have suspected symptoms, please call the 1922 hotline or 0800-001922and wear a mask as instructed to seek medical treatment as soon as possible, and at the same time, take the initiative to inform the doctor of travel history and contact history to facilitate timely diagnosis and notification.
◎ Image source/Provided by Dazhi Image/shutterstock
◎ Consultant / Dr. Huang Jianxian
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