“O que sabemos sobre o COVID-19 neste momento – e o que estávamos enganados”
VALE A PENA
Do Centro de Epidemiologia de Milão.
Para esta pandemia, há uma probabilidade maior de sobrevivência para aqueles que serão infectados 5 meses depois, como em agosto de 2020, do que para aqueles que foram infectados 5 meses antes, digamos em fevereiro de 2020.
A razão para isso é que médicos e cientistas sabem muito mais sobre COVID-19 agora do que 5 meses atrás e, portanto, são capazes de tratar melhor os pacientes.
Vou listar 5 aspectos importantes que sabemos agora e que não conhecíamos em fevereiro de 2020:
- O COVID-19 foi inicialmente pensado como causador de mortes por pneumonia – uma infecção pulmonar – e assim os ventiladores foram considerados a melhor maneira de tratar pacientes doentes que não podiam respirar. Agora sabemos que o vírus causa coágulos sanguíneos nos vasos sanguíneos dos pulmões e outras partes do corpo, o que provoca oxigenação reduzida.
Agora sabemos que simplesmente fornecer oxigênio por meio de ventiladores não vai ajudar, mas temos que prevenir e dissolver micro coágulos nos pulmões. É por isso que estamos usando medicamentos como * Aspirina e Heparina (anticoagulantes que evitam a coagulação) como um protocolo nos regimes de tratamento a partir de julho de 2020. * - Anteriormente, os pacientes caíam mortos na rua ou mesmo antes de chegarem ao hospital devido a redução do oxigênio no sangue – SATURAÇÃO DE OXIGÊNIO. Isso aconteceu pelo que é conhecido como HAPPY HYPOXIA, onde embora a saturação de oxigênio fosse gradualmente reduzida, os pacientes com COVID-19 não apresentavam sintomas até que estivessem criticamente reduzidos, como às vezes em até 70%.
- Geralmente ficamos sem fôlego se a saturação de oxigênio cair abaixo de 90%. *
- Essa falta de ar não é desencadeada em pacientes COVID e é por isso que trouxemos pacientes doentes aos hospitais no final de fevereiro de 2020. Agora, sabendo o sintoma da Covid 19 que é a hipóxia feliz ou hipóxia silenciosa, recomendamos monitorar a saturação de oxigênio das pessoas, com um oxímetro de pulso simples para uso doméstico e levá-las ao hospital se a saturação de oxigênio cair para 93% ou Menos. Isso está dando aos médicos mais tempo para corrigir a deficiência de oxigênio no sangue e uma melhor chance de sobrevivência agora em agosto de 2020.
- Não tínhamos medicamentos para combater o coronavírus em fevereiro de 2020. Tratamos apenas complicações causadas por hipóxia. Portanto, a maioria dos pacientes ficou seriamente infectada.
- Agora temos 2 medicamentos importantes FAVIPIRAVIR E REMDESIVIR *, que são ANTIVIRAIS que podem matar o coronavírus na fase grave.
E, principalmente, hidroxicloroquina, ou cloroquina, associada a azitromicina, ivermectina e zinco, compondo o tratamento precoce que reduz a internação em salvou milhares de vida em vários estudos em diversos países, já com evidência científica 2A! Usando esses dois medicamentos, podemos evitar que os pacientes se infectem seriamente e, portanto, curá-los ANTES DE IR PARA HIPÓXIA. Tivemos esse conhecimento em agosto de 2020 … não em fevereiro de 2020.
- Muitos pacientes com COVID-19 morrem não apenas por causa do vírus, mas também pela resposta do próprio sistema imunológico dos pacientes, de uma forma exagerada chamada de TEMPESTADE DE CITOCINA. Essa violenta tempestade da resposta imunológica não apenas mata o vírus, mas também mata pacientes. Em fevereiro de 2020 não sabíamos como evitar que isso acontecesse. Agora, em agosto de 2020, sabemos que os medicamentos facilmente disponíveis chamados esteróides, que médicos em todo o mundo vêm usando há quase 80 anos, podem ser usados para prevenir a tempestade de citocinas em alguns pacientes.
- Agora também sabemos que as pessoas com hipóxia melhoram apenas fazendo com que deitem de bruços, o que é conhecido como posição prona. Além disso, alguns dias atrás, cientistas israelenses descobriram que uma substância química conhecida como Alpha Defensin, produzida pelos glóbulos brancos, pode causar micro coágulos nos vasos sanguíneos dos pulmões e isso poderia ser prevenido por um medicamento chamado Colchicina, usado por muitas décadas no tratamento da gota. Portanto, agora sabemos, com certeza, que os pacientes têm uma chance melhor de sobreviver à infecção por COVID-19 em agosto de 2020 do que em fevereiro de 2020. Continue tomando precauções.
- Saia apenas para o essencial! Não há festa, chá de bebê ou formatura do jardim de infância essencial !!!!!!!!!!! Vamos parar de ser superficiais! É melhor estar infectado daqui a mais 6 meses do que agora. Vamos dar tempo à ciência para nos ajudar e aos sistemas de saúde a descongestionar! Atualmente também é necessário analisar a Saturação Hospitalar e o desgaste físico e mental do Pessoal de Saúde (Informações do bate-papo de especialistas do COVID-19) Dr. Román Barroso! Lembrar:
- O SARS COV2 só pode entrar em seu corpo e infectá-lo através das membranas mucosas de seus OLHOS e do TRATO RESPIRATÓRIO
- O SARS COV2 NÃO penetra pela pele. Andar por aí com roupas de biossegurança e LUVAS é ABSURDO!
(exceto se você trabalhar na unidade de pacientes críticos do hospital) - SARS COV2 tem um tamanho de efeito aerodinâmico minúsculo, NÃO SE AGARRA nas roupas. Teríamos que nos mover em alta velocidade para que isso acontecesse.
- O SARS COV2 não infecta veículos, nem seus pneus. Ninguém inala ou lambe os pneus de um carro ou a estrutura externa. NÃO FAZ SENTIDO PULVERIZAR DESINFETANTE em veículos !!
- No chão e na rua pode ter coronavírus sim. Mas se, nos nossos sapatos eles grudarem e se ,também, forem em quantidade suficiente para infectar, (teoricamente se lambermos a sola dos nossos sapatos) será EXTREMAMENTE MELHOR.
- Os túneis de desinfecção NÃO SÃO SENTIDOS e são perigosos. Nenhum desinfetante projetado para superfícies inertes deve ser usado na pele humana
- Muito importante: SIM Faz sentido usar máscara (para evitar espirar, tossir partículas com o coronavírus). SIM Faz sentido lavar muito bem as mãos constantemente e usar álcool gel. SIM Faz sentido manter distância entre as pessoas.
O texto é de autoria atribuída a um médico italiano e difundido entre os médicos brasileiros.
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