{"id":7434,"date":"2022-02-28T11:18:00","date_gmt":"2022-02-28T09:18:00","guid":{"rendered":"https:\/\/www.easistent.ro\/?p=7434"},"modified":"2022-03-23T12:32:14","modified_gmt":"2022-03-23T10:32:14","slug":"covid-ul-lung-long-covid-poate-aparea-si-in-cazul-variantei-omicron-desi-formele-de-boala-provocate-de-aceasta-sunt-mai-usoare-vaccinarea-ramane-cea-mai-sigura-protectie","status":"publish","type":"post","link":"https:\/\/www.easistent.ro\/?p=7434","title":{"rendered":"COVID-ul lung (Long COVID) poate ap\u0103rea \u0219i \u00een cazul variantei Omicron, de\u0219i formele de boal\u0103 provocate de aceasta sunt mai u\u0219oare. Vaccinarea r\u0103m\u00e2ne cea mai sigur\u0103 protec\u021bie."},"content":{"rendered":"\n<p><em>(6 minute, timp de lectur\u0103)<\/em><\/p>\n\n\n\n<p>\u00cen cadrul unui interviu acordat publica\u021biei <em>Spectrum News,<\/em> la finalul anului trecut, Dr. Anthony Fauci (<em>foto<\/em>), directorul Institutului Na\u021bional pentru Alergii \u0219i Boli Infec\u021bioase din SUA, vorbe\u0219te despre pericolul efectelor pe termen lung ale bolii COVID-19, chiar \u0219i \u00een cazul variantei Omicron \u0219i a formelor mai u\u0219oare de boal\u0103.<\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large\"><a href=\"https:\/\/www.easistent.ro\/new\/wp-content\/uploads\/2022\/03\/fauci.png\"><img width=\"798\" height=\"450\" src=\"https:\/\/www.easistent.ro\/new\/wp-content\/uploads\/2022\/03\/fauci.png\" alt=\"\" class=\"wp-image-7422\" srcset=\"https:\/\/www.easistent.ro\/new\/wp-content\/uploads\/2022\/03\/fauci.png 798w, https:\/\/www.easistent.ro\/new\/wp-content\/uploads\/2022\/03\/fauci-300x169.png 300w, https:\/\/www.easistent.ro\/new\/wp-content\/uploads\/2022\/03\/fauci-768x433.png 768w\" sizes=\"(max-width: 798px) 100vw, 798px\" \/><\/a><\/figure><\/div>\n\n\n\n<p>De asemenea, acesta aminte\u0219te c\u0103, pentru o adev\u0103rat\u0103 protec\u021bie prin vaccinare \u00een fa\u021ba noii variante, aceasta ar putea s\u0103 implice automat doza de rapel, iar speran\u021ba sa pentru anul 2022 este c\u0103 o rat\u0103 de vaccinare mai mare o s\u0103 ajute prin faptul c\u0103 se va instala o a\u0219a numit\u0103 \u201dp\u0103tur\u0103 de protec\u021bie\u201d asupra popula\u021biei Statelor Unite ale Americii.<\/p>\n\n\n\n<p>Tot \u00een cadrul acelui interviu, Dr. Fauci vorbe\u0219te despre faptul c\u0103, dac\u0103 oamenii se vaccineaz\u0103 \u00een num\u0103r suficient de mare, de\u0219i COVID-19 nu va disp\u0103rea niciodat\u0103 complet, cel mai probabil, protec\u021bia care se va instala va face ca acesta s\u0103 nu mai perturbe cu adev\u0103rat societatea. &nbsp;<\/p>\n\n\n\n<p>\u201d<em>C\u00e2nd vine vorba despre simptomele persistente (n.a. \u2013 cunoscute \u0219i sub numele de COVID lung), acestea se pot \u00eent\u00e2mpla indiferent de varianta de virus. Nu exist\u0103 nicio dovad\u0103 c\u0103 exist\u0103 vreo diferen\u021b\u0103 \u00eentre delta sau beta sau, acum, omicron<\/em>.\u201d a spus dr. Fauci.<\/p>\n\n\n\n<p>\u201e<em>Ar trebui s\u0103 fim \u00eentotdeauna con\u0219tien\u021bi de faptul c\u0103 atunci c\u00e2nd oamenii fac infec\u021bie simptomatic\u0103&#8230; \u00eentre 10 \u0219i p\u00e2n\u0103 la 30% din ace\u0219tia vor continua s\u0103 aib\u0103 simptome persistente<\/em>\u201d, a ad\u0103ugat el, men\u021bion\u00e2nd c\u0103 \u0219i cazurile u\u0219oare sunt incluse \u00een aceast\u0103 posibilitate.<\/p>\n\n\n\n<p>Simptomele persistente includ, de obicei, dificult\u0103\u021bi de respira\u021bie, oboseal\u0103, dificult\u0103\u021bi de concentrare, insomnie \u0219i cea\u021b\u0103 cerebral\u0103.<\/p>\n\n\n\n<p>Dr. Fauci a men\u021bionat \u0219i speran\u021ba pe care o are pentru 2022, \u00een care, la o rat\u0103 de vaccinare suficient de mare, vor fi reduse odat\u0103 pentru totdeauna infec\u021biile cu COVID.<\/p>\n\n\n\n<p>Aceasta era, \u00een decembrie 2021, opinia expertului care a fost \u0219ef al Institutului Na\u021bional de Alergii \u0219i Boli Infec\u021bioase din SUA mai bine de 35 de ani \u0219i \u00een ultimii ani, consilierul principal al pre\u0219edintelui american.<\/p>\n\n\n\n<p>Pe de alt\u0103 parte, pe tot parcursul ultimilor 2 ani, <strong>cercet\u0103torii au \u00eencercat s\u0103 \u00een\u021beleag\u0103 COVID-ul de lung\u0103 durat\u0103<\/strong>, pentru a determina care pacien\u021bi sunt expu\u0219i unui risc mai mare \u0219i pentru a g\u0103si tratamente adecvate, cum ar fi terapia antiviral\u0103.<\/p>\n\n\n\n<p>Un nou studiu a descoperit patru factori asocia\u021bi cu viitoarele simptome persistente ale COVID, inclusiv virusul Epstein-Barr (EBV) \u2013 un tip de virus herpes \u2013 care este reactivat la \u00eenceputul bolii, dar \u0219i anumi\u021bi autoanticorpi, care sunt prezen\u021bi \u0219i \u00een afec\u021biunile autoimune \u0219i diabetul de tip 2.<\/p>\n\n\n\n<p>Mult timp COVID-ul a fost \u00een mare parte un mister pentru oamenii de \u0219tiin\u021b\u0103. Ini\u021bial s-a crezut c\u0103 simptomele persistente (COVID-ul lung) apar doar \u00een cazurile foarte severe de COVID-19, dar ele au fost prezente \u0219i la pacien\u021bii cu cazuri u\u0219oare. El poate fi caracterizat printr-o amalgamare a simptomelor persistente mult timp dup\u0103 infec\u021bia acut\u0103. Aceste simptome sunt adesea respiratorii sau fizice, dar exist\u0103 raport\u0103ri tot mai multe de simptome gastrointestinale \u0219i neurologice.<\/p>\n\n\n\n<p>\u00centr-un studiu recent (ap\u0103rut \u00een revista Cell), cercet\u0103tori de la mai multe universit\u0103\u021bi \u0219i centre, inclusiv Universitatea din Washington, Institutul de Biologie a Sistemelor (ISB) \u0219i Centrul Medical Suedez din Seattle, au descoperit c\u0103 patru factori biologici ar putea ajuta s\u0103 prezic\u0103 dac\u0103 un pacient va dezvolta COVID lung.<\/p>\n\n\n\n<p>Cei 4 factori care cresc riscul de COVID pe termen lung sunt: 1. nivelul de ARN coronavirus din s\u00e2ngele pacientului; 2. prezen\u021ba anumitor autoanticorpi; 3. reactivarea EBV \u0219i 4. diabetul de tip 2.<\/p>\n\n\n\n<p>Dintre pacien\u021bii care au avut trei sau mai multe simptome, 95% au avut cel pu\u021bin unul dintre ace\u0219ti patru factori care cresc riscul.<\/p>\n\n\n\n<p>Simptomele dezvoltate pot fi grupate astfel:<\/p>\n\n\n\n<ul><li>simptome virale respiratorii &#8211; tuse, oboseal\u0103, dificult\u0103\u021bi de respira\u021bie, febr\u0103 sau frisoane, dureri musculare sau de corp, grea\u021b\u0103;<\/li><li>gastrointestinale &#8211; diaree, dureri abdominale;<\/li><li>neurologice &#8211; anxietate, vedere \u00eence\u021bo\u0219at\u0103, depresie, probleme de memorie, dificult\u0103\u021bi de concentrare, dificult\u0103\u021bi de somn, ame\u021beli, dureri de cap;<\/li><li>anosmie\/disgeuzie \u2014pierderea mirosului, pierderea gustului.<\/li><\/ul>\n\n\n\n<p>Pacien\u021bii de sex feminin sau pacien\u021bii cu boal\u0103 pulmonar\u0103 obstructiv\u0103 cronic\u0103 (BPOC) au avut un risc mai mare de a prezenta cel pu\u021bin trei simptome ale COVID-ului lung.<\/p>\n\n\n\n<p>Alte cercet\u0103ri au descoperit \u0219i c\u0103 <strong>persoanele care sufer\u0103 de COVID-19 sever tind s\u0103 aib\u0103 disbioz\u0103 intestinal\u0103 <\/strong>(bacteriile din tractul gastrointestinal sufer\u0103 un dezechilibru).<\/p>\n\n\n\n<p>\u00cen 2020, cercet\u0103torii de la Centrul pentru Cercetarea Microbiotei Intestinale, parte a Universit\u0103\u021bii Chineze din Hong Kong, au g\u0103sit un indiciu. Ei au descoperit c\u0103 persoanele cu COVID-19 au avut modific\u0103ri distincte \u00een comunitatea de microorganisme care tr\u0103iesc \u00een intestinul lor, \u00een compara\u021bie cu persoanele s\u0103n\u0103toase. Probele de fecale de la persoanele cu COVID-19 au con\u021binut mai mul\u021bi agen\u021bi patogeni oportuni\u0219ti sau organisme cauzatoare de boli \u0219i mai pu\u021bine bacterii \u201eprietenoase\u201d. Aceast\u0103 perturbare a echilibrului organismelor care tr\u0103iesc \u00een intestin, cunoscut\u0103 sub numele de disbioz\u0103 intestinal\u0103, p\u0103rea a fi mai extrem\u0103 la persoanele cu boli mai severe. Deoarece intestinul joac\u0103 un rol major \u00een reglarea sistemului imunitar, tulbur\u0103rile microbiotei intestinale nu numai c\u0103 pot exacerba COVID-19, dar pot provoca \u0219i simptome persistente ca urmare a tulbur\u0103rilor imune continue.<\/p>\n\n\n\n<p>Acestea au fost primele dovezi ale disbiozei intestinale la persoanele cu COVID prelungit p\u00e2n\u0103 la 6 luni dup\u0103 infec\u021bia lor ini\u021bial\u0103 cu SARS-CoV-2. Oamenii de \u0219tiin\u021b\u0103 au descoperit \u0219i leg\u0103turi \u00eentre anumite grupuri de bacterii \u0219i anumite simptome. La momentul intern\u0103rii \u00een spital, persoanele care au continuat s\u0103 dezvolte COVID cu simptome persistente au avut tendin\u021ba de a avea un microbiom mai pu\u021bin divers, \u00een compara\u021bie cu persoanele care \u0219i-au revenit complet sau cu persoanele s\u0103n\u0103toase.<\/p>\n\n\n\n<p>Prin urmare, studiile clinice viitoare ar putea investiga probioticele, modific\u0103rile dietetice, evitarea antibioticelor, acolo unde este posibil, sau transplanturile de microbiot\u0103 fecal\u0103 ca poten\u021biale tratamente pentru COVID-ul de lung\u0103 durat\u0103.<\/p>\n\n\n\n<p>Rezultatele tuturor acestor studii ne arat\u0103 c\u0103 lumea medical\u0103 este mult mai preg\u0103tit\u0103 dec\u00e2t \u00een anul 2020 s\u0103 gestioneze provoc\u0103rile aduse de noul coronavirus \u0219i \u00eemboln\u0103virile pe care acesta le genereaz\u0103.<\/p>\n\n\n\n<p>Totu\u0219i, este important s\u0103 realiz\u0103m c\u0103 <strong>putem s\u0103 ne ap\u0103r\u0103m de pericolele unei \u00eemboln\u0103viri \u0219i de suferin\u021ba adus\u0103 de aceasta dac\u0103 ne protej\u0103m \u0219i ne preg\u0103tim sistemul imunitar pentru \u00eent\u00e2lnirea cu virusul<\/strong>. Astfel, un studiu devenit public \u00een luna ianuarie 2022 a analizat modul \u00een care sistemul imunitar r\u0103spunde, at\u00e2t \u00een \u200b\u200burma infec\u021biei cu SARS-CoV-2, c\u00e2t \u0219i \u00een urma vaccin\u0103rii cu vaccin COVID-19. Dat fiind c\u0103 at\u00e2t de mul\u021bi oameni, inclusiv persoane complet vaccinate sau cu rapel, contracteaz\u0103 SARS-CoV-2, cercet\u0103torii doresc s\u0103 \u00een\u021beleag\u0103 modul \u00een care combina\u021bia dintre vaccinare \u0219i infec\u021bie ar putea influen\u021ba r\u0103spunsul imun.<\/p>\n\n\n\n<p>Acest studiu, realizat de Universitatea de S\u0103n\u0103tate \u0219i \u0218tiin\u021b\u0103 din Oregon (OHSU), SUA, care apare \u00een Science Immunology, exploreaz\u0103 aceast\u0103 problem\u0103. De asemenea, investigheaz\u0103 r\u0103spunsul anticorpilor persoanelor care au fost nevaccinate \u00een momentul infec\u021biei, dar care au fost ulterior vaccinate.<\/p>\n\n\n\n<p>Rezultatele lui sugereaz\u0103 c\u0103 \u201eimunitatea hibrid\u0103\u201d, rezultat\u0103 din vaccinare \u0219i infec\u021bie, implic\u0103 cel mai puternic r\u0103spuns imunitar. Acesta este numit de mul\u021bi \u201e<strong><em>super imunitate<\/em><\/strong>\u201d.<\/p>\n\n\n\n<p>Cercet\u0103torii au stabilit c\u0103 nu conteaz\u0103 dac\u0103 cineva a primit vaccinul mai \u00eent\u00e2i sau a contractat infec\u021bia mai \u00eent\u00e2i. Sistemul imunitar a r\u0103spuns similar. \u201e<em>Nu conteaz\u0103 dac\u0103 te infectezi \u0219i apoi te vaccinezi sau dac\u0103 te vaccinezi \u0219i apoi apare o infec\u021bie<\/em>\u201d, spune Dr. Fikadu Tafesse, co-autor principal al studiului \u0219i profesor asistent de microbiologie molecular\u0103 \u0219i imunologie la OHSU. \u201e<em>\u00cen oricare dintre cazuri, ve\u021bi ob\u021bine un r\u0103spuns imunitar cu adev\u0103rat robust \u2013 uimitor de ridicat<\/em>.\u201d Cercet\u0103torii au mai stabilit c\u0103 r\u0103spunsul imunitar \u201ehibrid\u201d este puternic, indiferent de v\u00e2rst\u0103, \u00een timp ce r\u0103spunsul dat doar de vaccin tinde s\u0103 scad\u0103 odat\u0103 cu v\u00e2rsta.<\/p>\n\n\n\n<p>De\u0219i r\u0103spunsul imun hibrid este puternic indiferent de modul \u00een care oamenii au ob\u021binut aceast\u0103 imunitate, recomandarea exper\u021bilor implica\u021bi \u00een studiu este <strong>s\u0103 v\u0103 vaccina\u021bi mai \u00eent\u00e2i \u0219i s\u0103 lua\u021bi m\u0103suri pentru a preveni infec\u021bia.<\/strong> \u201e<em>Ne ap\u0103r\u0103m cel mai bine prin vaccinare<\/em>\u201d, explic\u0103 dr. Tafesse. \u201e<em>\u0218i dac\u0103 vine virusul, vom avea o boal\u0103 mai bl\u00e2nd\u0103 \u0219i vom ob\u021bine aceast\u0103 super imunitate, f\u0103r\u0103 suferin\u021b\u0103 \u00een plus.<\/em>\u201d<\/p>\n\n\n\n<p><em>Mirela Musta\u021b\u0103, Redactor executiv E-asistent<\/em><\/p>\n\n\n\n<p><em>Surse de documentare:<\/em><\/p>\n\n\n\n<ol type=\"1\"><li><a href=\"https:\/\/www.ny1.com\/nyc\/all-boroughs\/news\/2021\/12\/29\/fauci-interview-long-covid-still-a-risk-with-milder-omicron-cases\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.ny1.com\/nyc\/all-boroughs\/news\/2021\/12\/29\/fauci-interview-long-covid-still-a-risk-with-milder-omicron-cases<\/a> (inclusiv sursa foto)<\/li><li><a href=\"https:\/\/www.medicalnewstoday.com\/articles\/study-identifies-those-most-at-risk-of-long-covid?utm_source=Sailthru%20Email&amp;utm_medium=Email&amp;utm_campaign=MNT%20Daily%20News&amp;utm_content=2022-02-02&amp;apid=32792208&amp;rvid=beaf58282096d50d2dec1156befbe9a46ec8516b489641db27394c944714b7f8#The-4-factors-that-heighten-long-COVID-risk\" target=\"_blank\" rel=\"noreferrer noopener\">Predicting long COVID: Study finds 4 risk factors (medicalnewstoday.com)<\/a><\/li><li><a href=\"https:\/\/www.medicalnewstoday.com\/articles\/gut-bacteria-may-play-a-role-in-the-development-of-long-covid?utm_source=Sailthru%20Email&amp;utm_medium=Email&amp;utm_campaign=MNT%20Daily%20News&amp;utm_content=2022-02-02&amp;apid=32792208&amp;rvid=beaf58282096d50d2dec1156befbe9a46ec8516b489641db27394c944714b7f8\" target=\"_blank\" rel=\"noreferrer noopener\">Long COVID: Gut bacteria may be key (medicalnewstoday.com)<\/a><\/li><li><a href=\"https:\/\/www.medicalnewstoday.com\/articles\/covid-19-vaccine-combined-with-infection-provides-super-immunity?utm_source=Sailthru%20Email&amp;utm_medium=Email&amp;utm_campaign=MNT%20Daily%20News&amp;utm_content=2022-01-31&amp;apid=32792208&amp;rvid=beaf58282096d50d2dec1156befbe9a46ec8516b489641db27394c944714b7f8\" target=\"_blank\" rel=\"noreferrer noopener\">Who develops &#8216;super immunity&#8217;? (medicalnewstoday.com)<\/a><\/li><\/ol>\n","protected":false},"excerpt":{"rendered":"<p>(6 minute, timp de lectur\u0103) \u00cen cadrul unui interviu acordat publica\u021biei Spectrum News, la finalul anului trecut, Dr. Anthony Fauci (foto), directorul Institutului Na\u021bional pentru Alergii \u0219i Boli Infec\u021bioase din SUA, vorbe\u0219te despre pericolul efectelor pe termen lung ale bolii COVID-19, chiar \u0219i \u00een cazul variantei Omicron \u0219i a formelor mai u\u0219oare de boal\u0103. De [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":7422,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[152,12],"tags":[],"_links":{"self":[{"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/posts\/7434"}],"collection":[{"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=7434"}],"version-history":[{"count":2,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/posts\/7434\/revisions"}],"predecessor-version":[{"id":7436,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/posts\/7434\/revisions\/7436"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/media\/7422"}],"wp:attachment":[{"href":"https:\/\/www.easistent.ro\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=7434"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=7434"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=7434"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}