- The National Institutes of Health sponsored a meeting this month to discuss the long-term symptoms of the coronavirus.
- 专家们阐明了世界各地数以百万计的人受到COVID-19的症状影响的人。
- 一些患者已经表现出症状re than 4 weeks, or even months, after “recovering” from COVID-19.
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For a growing number of COVID-19 patients, getting a negative test result days or weeks after the initial infection doesn’t signal an end to the effects of the disease.
这些患者被称为长Haul covid-19患者，可能对病毒测试，但继续
On Dec. 3 and 4, the National Institutes of Health sponsored a meeting to discuss the long-term symptoms of COVID-19. This shed light on the millions of people around the world who’ve been affected by lingering symptoms from the disease.
In fact, when it comes to long-haul COVID-19, we may be facing another public health crisis, experts said.
一些患有COVID-19的患者倾向于在10天到2周内恢复（更严重的病例最多4周）。
But there are some people who’ve been exhibiting symptoms for more than 4 weeks, or even months, after “recovering” from the virus.
随着医学界的竞争，这群人被忽视了，试图使活跃病例的住院保持较低，并且患有该疾病的人的数量最多。
But questions remain: What are the long-term health effects associated with COVID-19? What options are available for long-haul patients? And just how widespread is this condition?
Long-haul COVID-19 refers to the long-term symptoms people may experience after recovering from the disease.
这些症状首次出现症状后数周甚至几个月持续存在。根据
- fatigue
- 呼吸急促
- cough
- joint pain
- 胸痛
其他报告的长期症状包括：
- difficulty with thinking and concentration (aka “brain fog”)
- 沮丧
- muscle pain
- 头痛
- intermittent fever
- fast beating or pounding heart
Then there are more serious long-term complications, which appear to be less common, but have been reported. These include:
- inflammation of the heart muscle
- lung function abnormalities
- acute kidney injury
- rash, hair loss
- smell and taste problems
- memory problems
- anxiety
- changes in mood
治疗长途covid-19
In fact, there’s no clinical name for the condition, nor have there been reimbursement codes created for insurance companies. It’s not officially classified as a syndrome, either.
As researchers are still learning about COVID-19 itself, they have that much more to learn about long-haul COVID-19.
Long-haul COVID-19 manifests itself in such a wide variety of ways that there’s no uniform approach to treatment.
“The first thing we do is make sure there aren’t lingering areas of pathology [or acute infection],” saidDr. Rany Condos, clinical professor of pulmonary medicine and critical care at NYU Langone. “Sometimes patients might have inflammation in their airways, which we can treat with an inhaler. Other times they have chest discomfort, which we treat with anti-inflammatory drugs. We make sure there are specific processes we can target and treat.”
Doctors studying long-haul care then help patients understand their symptoms and help them improve. They may work with the rehabilitation department to help recommend an exercise program or give guidance on how to overcome fatigue.
“A lot has to do with support in terms of making sure we’ve ruled out causes of symptoms,” Condos said. “Many times that includes psychological support to make sure they feel they are supported in their illness.”
“What’s trouble is not everyone experiences the same effects of the virus. Everyone has a different type. That characterizes COVID-19 in general,” saidDr. Robert Glatter, emergency physician at Lenox Hill Hospital.
“We do find that patients who have lots of symptoms early on, about four to five symptoms, are the people that can go on to have long-haul COVID,” he said. “The presence of many symptoms is often a predictor that there will be long-haul COVID.”
In fact, Glatter treated a fellow physician for long-haul COVID-19:Dr. Scott Krakower, attending psychiatrist, Child and Adolescent Psychiatry at Zucker Hillside Hospital in New York.
Krakower was diagnosed in April and stayed very sick until June with an acute infection. He needed multiple rounds of antibiotics, intravenous steroids, oral steroids, among other medications for almost 2 1/2 months.
But even after the virus tests came back negative, he was still feeling seriously ill through July.
“I am still on inhaler steroids,” he said. “I made a big recovery, but I still have follow-ups with cardiologists and pulmonologists. I still get fatigued and cold-like symptoms.”
Eight months have passed since his diagnosis.
Most long-haul COVID-19 patients, like Krakower, are an underserved community.
That is because they fall in the crux of care where providers are saving the lives of patients on ventilators, having to keep people alive, and then treating their other patients.
Long-haulers aren’t in a critically life-threatening position, but the long-term symptoms can be excruciating to live with.
“Our country doesn’t have support in place,” Krakower said. “A lot of this is figuring it out and is based on your provider and how much they’ve read and kept up with the literature.”
“很多次在杂经后的诊所中，患者会告诉我他们的医生告诉他们一切都很好，但是他们仍然无法起床。”“定义这一群体的困难是因为我们并不是真正意识到这些是与Covid-19有关的持续症状。”
“我们需要识别该综合征并开发正式名称，” Glatter补充说。“我们需要发展卓越和多学科团队的中心来照顾患者，因为许多人无法工作，锻炼甚至恢复正常的生活。”
而且，医学专业人员认为，我们还没有开始看到长途唱19名患者的大量洪水。
“We’re seeing the beginning wave. But there are possibly hundreds of thousands of people who need access to care in our medical system,” Glatter said.
We’re potentially on the brink of another public health crisis with respect to long-haul COVID-19. There are hundreds of thousands of people that will be affected by this still little-known condition.
“As we think about how many millions are affected with COVID, you can imagine over the next two years, if not longer, we will continue to see a large number of patients with long-haul symptoms,” said Condos, who emphasized that this problem won’t end when the pandemic does.
“It is a public health emergency,” she said.