{"id":29405,"date":"2020-04-09T13:22:29","date_gmt":"2020-04-09T10:22:29","guid":{"rendered":"https:\/\/dev.synevo.md\/covid-diabet\/"},"modified":"2021-02-22T10:04:04","modified_gmt":"2021-02-22T08:04:04","slug":"covid-diabet","status":"publish","type":"post","link":"https:\/\/old.synevo.md\/ru\/covid-diabet\/","title":{"rendered":"CORONAVIRUS si diabetul"},"content":{"rendered":"<figure class=\"wp-block-image\"><img decoding=\"async\" class=\"wp-image-19500\" src=\"\/wp-content\/uploads\/2020\/04\/Synevo-SARS-COV-2-si-diabetul-2.png\" alt=\"-\"><\/figure>\n<p>Informa\u021biile primite de la cercet\u0103torii \u0219i medicii din China, unde a fost descoperit noul coronavirus <strong>SARS-COV-2<\/strong> \u0219i unde au fost diagnosticate primele cazuri de <strong>COVID-19<\/strong>, arat\u0103 c\u0103 unele persoane au un risc mai mare de a se \u00eemboln\u0103vi:<\/p>\n<ul>\n<li>v\u00e2rstnicii (peste 65 ani) \u2013 cu risc mare de a dezvolta complica\u021bii<\/li>\n<li>persoane care prezint\u0103 afec\u021biuni medicale cronice precum:<\/li>\n<li>boli cardiovasculare<\/li>\n<li>diabet<\/li>\n<li>boli pulmonare<\/li>\n<li>insuficien\u021b\u0103 renal\u0103 cronic\u0103<\/li>\n<\/ul>\n<p><strong>\u00cen cazul\u00a0infec\u021biei\u00a0cu noul coronavirus SARS-CoV-2 (COVID-19) ace\u0219ti pacien\u021bi au <\/strong><strong>risc mai mare de a avea un prognostic sever<\/strong>. Unele studii sugereaz\u0103 c\u0103\u00a0<strong>diabetul ar cre\u0219te riscul de infec\u021bie de dou\u0103 p\u00e2n\u0103 la trei ori<\/strong>, independent de prezen\u021ba altor afec\u021biuni.<\/p>\n<p>Cea mai mare rat\u0103 a mortalit\u0103\u021bii prin COVID-19 se \u00eenregistreaz\u0103 \u00een cazul v\u00e2rstnicilor\u00a0(21,9%),\u00a0b\u0103rba\u021bilor\u00a0(4,7% comparativ cu 2,8% \u00een cazul femeilor) \u0219i a celor\u00a0cu alte <strong>comorbidit\u0103\u021bi asociate<\/strong>.<\/p>\n<p>Dac\u0103 persoanele f\u0103r\u0103 alte boli cronice asociate au o\u00a0rat\u0103 a mortalit\u0103\u021bii\u00a0de 1,4%, \u00een cazul celor care asociaz\u0103 comorbidit\u0103\u021bi este mult crescut\u0103:<\/p>\n<ul>\n<li>13,2%la pacien\u021bii cu\u00a0boli cardiovasculare;<\/li>\n<li><strong>9,2%\u00een cazul\u00a0diabeticilor<\/strong>;<\/li>\n<li>8,4%la cei cu\u00a0hipertensiune arterial\u0103;<\/li>\n<li>8%la pacien\u021bii cu\u00a0boli respiratorii cronice;<\/li>\n<li>7,6%la pacien\u021bii cu\u00a0cancer.<\/li>\n<\/ul>\n<figure class=\"wp-block-image\"><img decoding=\"async\" class=\"wp-image-19501\" src=\"\/wp-content\/uploads\/2020\/04\/Synevo-SARS-COV-2-si-diabetul-3.png\" alt=\"-\"><\/figure>\n<p>Conform Organiza\u021biei Mondiale a S\u0103n\u0103t\u0103\u021bii, 422 de milioane de persoane din \u00eentreaga lume sufer\u0103 de diabet. Diabetul zaharat (DZ) este o afec\u021biune metabolic\u0103 cronic\u0103, caracterizat\u0103 prin hiperglicemie persistent\u0103. Cauzele apari\u021biei diabetului pot fi deteriorarea secre\u021biei de insulin\u0103 \u0219i rezisten\u021ba la ac\u021biunile periferice ale acesteia. Hiperglicemia cronic\u0103, corelat\u0103 cu celelalte probleme metabolice ale pacien\u021bilor diabetici, poate afecta diverse sisteme \u0219i organe, ceea ce duce la dezvoltarea unor complica\u021bii invalidante sau care pot pune via\u021ba \u00een pericol. Cele mai importante complica\u021bii cronice sunt cele microvasculare (retinopatie, nefropatie \u0219i neuropatie) \u0219i macrovasculare (boala coronarian\u0103, boala arterial\u0103 periferic\u0103 \u0219i boala cerebrovascular\u0103).<\/p>\n<p>Complica\u021biile acute includ hipoglicemie, cetoacidoz\u0103 diabetic\u0103, stare hiperosmolar\u0103 hiperglicemic\u0103 \u0219i coma diabetic\u0103 hiperglicemic\u0103.<\/p>\n<h2><strong>COVID-19 \u0219i existen\u021ba unui diagnostic asociat de diabet zaharat<\/strong><\/h2>\n<p>Pacien\u021bii cu diabet zaharat \u2013 \u00een special cei a c\u0103ror boal\u0103 nu este bine controlat\u0103 \u2013 sunt mai susceptibili la infec\u021bii bacteriene sau virale (gripa sau viroze de sezon). \u00cen acest context epidemiologic, probabilitatea de a contacta virusul SARS-COV-2 \u0219i de a dezvolta o infec\u021bie COVID-19 cre\u0219te, iar capacitatea organismului de a combate o infec\u021bie este deja compromis\u0103.<\/p>\n<p>Pentru moment nu se cunosc diferen\u021be de risc \u00eentre diabetul de tip 1 \u0219i 2. Este important ca orice persoan\u0103, cu oricare tip de diabet <strong>s\u0103-\u0219i monitorizeze cu aten\u021bie glicemia<\/strong>, iar persoanele care au deja probleme asociate de s\u0103n\u0103tate s\u0103 con\u0219tientizeze c\u0103 sunt mai predispuse la contactarea virusului COVID-19.<\/p>\n<figure class=\"wp-block-image\"><img decoding=\"async\" class=\"wp-image-19502\" src=\"\/wp-content\/uploads\/2020\/04\/Synevo-SARS-COV-2-si-diabetul-4.png\" alt=\"-\"><\/figure>\n<p><strong>Urma\u021bi recomand\u0103rile sociale valabile pentru orice persoan\u0103 \u00een acest context epidemiologic:<\/strong><\/p>\n<ul>\n<li>sp\u0103la\u021bi-v\u0103 frecvent pe m\u00e2ini \u0219i pe fa\u021b\u0103<\/li>\n<li>sta\u021bi acas\u0103 \u0219i evita\u021bi contactul cu alte persoane<\/li>\n<li>p\u0103stra\u021bi igiena spa\u021biului \u00een care v\u0103 afla\u021bi<\/li>\n<li>purta\u021bi o masc\u0103 facial\u0103 de unic\u0103 folosin\u021b\u0103, dac\u0103 sunte\u021bi bolnav<\/li>\n<li>hidrata\u021bi-v\u0103 corespunz\u0103tor.<\/li>\n<\/ul>\n<p>Dac\u0103 sunte\u021bi diagnosticat cu diabet \u0219i prezenta\u021bi simptomele descrise pentru infec\u021bia cu virusul SARS-COV-2 lua\u021bi leg\u0103tura cu medicul dumneavoastr\u0103. Fi\u021bi preg\u0103ti\u021bi s\u0103 comunica\u021bi frecvent cu medicul dumneavoastr\u0103 \u0219i s\u0103:<\/p>\n<ul>\n<li>descrie\u021bi clar simptomele (febr\u0103, tuse, congestie nazal\u0103, grea\u021b\u0103, v\u0103rs\u0103turi)<\/li>\n<li>v\u0103 monitoriza\u021bi frecvent nivelul de glucoz\u0103 \u00een s\u00e2nge<\/li>\n<li>monitoriza\u021bi consumul de lichide ingerate.<\/li>\n<\/ul>\n<p>Prin urmare, un bun control al glucozei serice poate fi esen\u021bial \u00een reducerea riscului \u0219i a gravit\u0103\u021bii infec\u021biei.<\/p>\n<p><em>Asistent Universitar Dr. Antoanela Curici<\/em><\/p>\n<p><em>Medic Primar Medicin\u0103 de Laborator<\/em><\/p>\n<p><em>Director Medical Synevo Rom\u00e2nia<\/em><\/p>\n<hr class=\"wp-block-separator\" \/>\n<p><em>Referin\u021be:<\/em><\/p>\n<ol>\n<li><em>https:\/\/raportuldegarda.ro\/articol\/boli-cardiovasculare-diabet-evolutie-severa-covid-19\/<\/em><\/li>\n<li><em>https:\/\/www.diabetes.org\/coronavirus-covid-19<\/em><\/li>\n<li><em>https:\/\/www.digi24.ro\/stiri\/actualitate\/informatii-oficiale-despre-coronavirus-in-romania-1266261<\/em><\/li>\n<li><em>https:\/\/www.medscape.com\/viewarticle\/927044<\/em><\/li>\n<li><em>https:\/\/www.cdc.gov\/coronavirus\/2019-ncov\/prepare\/prevention.html<\/em><\/li>\n<li><em>https:\/\/www.endocrineweb.com\/conditions\/diabetes\/diabetes-covid-19<\/em><\/li>\n<\/ol>","protected":false},"excerpt":{"rendered":"<p>Informa\u021biile primite de la cercet\u0103torii \u0219i medicii din China, unde a fost descoperit noul coronavirus SARS-COV-2 [&hellip;]<\/p>","protected":false},"author":1,"featured_media":29402,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[452],"tags":[1115,1037,1039],"class_list":["post-29405","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-ultimele-stiri","tag-coronavirus","tag-covid-19-2","tag-sars-cov-2-2"],"_links":{"self":[{"href":"https:\/\/old.synevo.md\/ru\/wp-json\/wp\/v2\/posts\/29405","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/old.synevo.md\/ru\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/old.synevo.md\/ru\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/old.synevo.md\/ru\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/old.synevo.md\/ru\/wp-json\/wp\/v2\/comments?post=29405"}],"version-history":[{"count":1,"href":"https:\/\/old.synevo.md\/ru\/wp-json\/wp\/v2\/posts\/29405\/revisions"}],"predecessor-version":[{"id":30588,"href":"https:\/\/old.synevo.md\/ru\/wp-json\/wp\/v2\/posts\/29405\/revisions\/30588"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/old.synevo.md\/ru\/wp-json\/wp\/v2\/media\/29402"}],"wp:attachment":[{"href":"https:\/\/old.synevo.md\/ru\/wp-json\/wp\/v2\/media?parent=29405"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/old.synevo.md\/ru\/wp-json\/wp\/v2\/categories?post=29405"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/old.synevo.md\/ru\/wp-json\/wp\/v2\/tags?post=29405"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}