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<p style="font-family:nerislight;color:#48484a;font-size:16px;line-height:20px;text-align:left;margin-bottom:19px;display:block;"><span style="color:#48484a;display:block;font-family:nerislight;font-size:16px;line-height:20px;margin-bottom:19px;text-align:left;">A cukorbetegek a nagyobb kockázatú csoportba tartoznak az új típusú koronavírus okozta megbetegedés és annak sokkal súlyosabb szövődményei tekintetében. A Covid-19-vírusfertőzéssel kórházban kezelt betegek esetében a cukorbetegség és a magas glükózszint összefüggésben állt a szövődmények, a légzési elégtelenség és a halálesetek megnövekedett számával.</span><p style="font-family:nerislight;color:#48484a;font-size:16px;line-height:20px;text-align:left;margin-bottom:19px;display:block;"><span style="color:#48484a;display:block;font-family:nerislight;font-size:16px;line-height:20px;margin-bottom:19px;text-align:left;"><span style="font-family: nerisblack; font-size: 26px; line-height: 32px; margin-bottom: 26px; margin-top: 8px;">Cukorbetegség és a koronavírus-fertőzés kockázata</span></span></p><p style="font-family:nerislight;color:#48484a;font-size:16px;line-height:20px;text-align:left;margin-bottom:19px;display:block;"><span style="color:#48484a;display:block;font-family:nerislight;font-size:16px;line-height:20px;margin-bottom:19px;text-align:left;">A kutatók nem tudják biztosan, hogy a cukorbetegségben szenvedők miért vannak kitéve a Covid-19-vírusfertőzés folyományaként kialakuló szövődmények vagy az emiatt bekövetkező halál nagyobb kockázatának. A vonatkozó tanulmányok eléggé ellentmondásosak. Egyes statisztikák szerint viszont a cukorbetegek esetében majdnem háromszor akkora volt a halálozási ráta, mint azoknál, akik nem szenvedtek cukorbetegségben. A Covid-19-vírusfertőzés okozta megbetegedés még mindig újnak számít és az ismeretek korlátozottak, de folyamatosan gyarapodnak. Nagyobb a kockázat az 1-es típusú cukorbetegek, valamint az ACE-gátló vérnyomáscsökkentőket szedő 2-es típusú cukorbetegek esetében. Az 1-es típusú cukorbetegség esetén – azoknál, akik elkapják a vírusfertőzést – sokkal nagyobb valószínűséggel alakul ki diabéteszes ketoacidózis, ami nagyban hozzájárul a koronavírusos fertőzöttek halálához. Jelen álláspont szerint ezeken a vérnyomáscsökkentő gyógyszereken nem célszerű változtatni az ezt szedő betegeknél. A 2-es típusú cukorbetegség növelheti a fertőző megbetegedések és az ezekhez kapcsolódó társbetegségek előfordulásának gyakoriságát, bár több erre vonatkozó kutatásra lenne szükség. Egyéb adatok szerint az 1-es típusú cukorbetegség esetén az is előfordulhat, hogy a cukorbetegek az immunválasz működési zavaraiból adódóan hajlamosabbak a fertőzésekre. Az immunválasz működési zavara mögött a hiperglikémia állhat (amikor a vér cukorszintje nagyon megemelkedik), amely azt eredményezi, hogy a cukorbeteg szervezete nem képes féken tartani a betolakodó kórokozók terjedését, ezáltal fogékonyabbá válik a fertőzésekre. További gondot jelent a keringési rendszer károsodása, ami lassítja a véráram gyógyító hatását. </span></p><p style="font-family:nerislight;color:#48484a;font-size:16px;line-height:20px;text-align:left;margin-bottom:19px;display:block;"><span style="color:#48484a;display:block;font-family:nerislight;font-size:16px;line-height:20px;margin-bottom:19px;text-align:left;"><span style="font-family: nerisblack; font-size: 26px; line-height: 32px; margin-bottom: 26px; margin-top: 8px;">Hogyan készülhetünk fel a Covid-19-vírusfertőzésre?</span></span></p><p style="font-family:nerislight;color:#48484a;font-size:16px;line-height:20px;text-align:left;margin-bottom:19px;display:block;"><span style="color:#48484a;display:block;font-family:nerislight;font-size:16px;line-height:20px;margin-bottom:19px;text-align:left;">A romániai diabetológiai fórum ajánlásai cukorbetegeknek: <br>\n
• nagyon gyakori kézmosás, legalább 20 másodpercig, a glükométer használata és az inzulin beadása előtt pedig mindenképpen;<br>\n
• rendszeres és gyakori vércukorszintmérés, <br>\n
• az orvos által előírt kezelés pontos betartása és folytatása;<br>\n
• a vércukorszint egyensúlyban tartása, megfelelő életmóddal és speciális gyógyszerekkel;<br>\n
• a recept nélküli antivirális gyógyszerek és antibiotikumok elkerülése;<br>\n
• folyamatos kapcsolattartás a szakorvossal és a háziorvossal, konzultáció és kezelés felírása céljából; <br>\n
• elegendő gyógyszer (inzulin) és vércukorszint-mérő teszt biztosítása (1–3 hónapra előre), hogy ne legyen megszakítás a kezelésben;<br>\n
• elegendő mennyiségű gyógyszer biztosítása egyéb társbetegségek stabilizálására és kezelésére (magas vérnyomás, koleszterin, pajzsmirigy túl-/alulműködése);<br>\n
• megfelelő helyettesítő gyógyszer felíratása, ha a gyógyszertárakban a szokásos antidiabetikus gyógyszerek nem kaphatók;<br>\n
• az orvos által ajánlott étrend betartása (gyümölcs-, friss vagy fagyasztott zöldségfélék, diófélék, joghurt stb.);<br>\n
• megfelelő hidratálás (fél pohár víz óránként);<br>\n
• napi 7-8 óra alvás, pihenés;<br>\n
• otthoni testmozgás (torna, tánc, séta az udvaron vagy a tömbház körül);<br>\n
• cukorkészlet biztosítása az esetleges hipoglikémiás állapotok kezelésére.</span></p><p style="font-family:nerislight;color:#48484a;font-size:16px;line-height:20px;text-align:left;margin-bottom:19px;display:block;"><span style="color:#48484a;display:block;font-family:nerislight;font-size:16px;line-height:20px;margin-bottom:19px;text-align:left;"><img alt="" src="/sites/default/files/oldfiles/korona_netre.png"></span></p><p style="font-family:nerislight;color:#48484a;font-size:16px;line-height:20px;text-align:left;margin-bottom:19px;display:block;"><span style="color:#48484a;display:block;font-family:nerislight;font-size:16px;line-height:20px;margin-bottom:19px;text-align:left;">Általában, az inzulinkészleteket leszámítva a cukorbetegségben szenvedőknek is ugyanúgy kell felkészülni, mint bárki másnak: ügyelniük kell az alapos kézmosásra, a felületek fertőtlenítésére, és a fizikai távolságtartásra, amennyire csak lehetséges. Ezeken kívül a legfontosabb óvintézkedés ebben a periódusban az lehet, hogy fenntartsák a megfelelő vércukorszintet. Ez csökkentheti a fertőzés kockázatát és a betegség súlyosságát. A vércukorszint gyakoribb ellenőrzése is javasolt vércukormérő készülék segítségével, akárcsak az egészséges táplálkozás. Fontos figyelni az étrendre és a megfelelő fehérjebevitelre, valamint a megfelelő ásványianyag- és vitaminbevitelre. Kiemelten fontos a diéta betartása, hogy a szénhidrát háztartás lehetőleg – még rendszeres orvosi kontroll hiányában is – rendezett legyen. Az otthoni torna is javasolt, a mozgás fokozhatja a védekezőképességet, segíti a vérből a felesleges glükóz felvételét. Tilos az edzőtermi edzés! </span></p><p style="font-family:nerislight;color:#48484a;font-size:16px;line-height:20px;text-align:left;margin-bottom:19px;display:block;"><span style="color:#48484a;display:block;font-family:nerislight;font-size:16px;line-height:20px;margin-bottom:19px;text-align:left;"><span style="font-family: nerisblack; font-size: 26px; line-height: 32px; margin-bottom: 26px; margin-top: 8px;">Hogyan bonyolítja a cukorbetegség a fertőzés fejlődését?</span></span></p><p style="font-family:nerislight;color:#48484a;font-size:16px;line-height:20px;text-align:left;margin-bottom:19px;display:block;"><span style="color:#48484a;display:block;font-family:nerislight;font-size:16px;line-height:20px;margin-bottom:19px;text-align:left;">Egyes tanulmányok szerint a megemelkedett vércukorszint gyengíti az immunrendszert. <br>\n
A cukorbetegség szív- és érrendszeri, valamint vesebetegséggel, illetve idősebb életkorral társul, és ezek a tényezők mind hozzájárulnak a fertőzések súlyos formájának a kialakulásához. További kockázati tényező a túlsúly és a dohányzás. </span></p><p style="font-family:nerislight;color:#48484a;font-size:16px;line-height:20px;text-align:left;margin-bottom:19px;display:block;"><span style="color:#48484a;display:block;font-family:nerislight;font-size:16px;line-height:20px;margin-bottom:19px;text-align:left;">A cukorbetegség és a vírus közötti kölcsönhatás összetett, és nem világos, hogy a vércukorszint növekedése járul-e hozzá a fertőzőképesség növekedéséhez, vagy az, hogy megváltoztatja a szénhidrát-anyagcserét a szervezetben. Az Amerikai Diabetológiai Társaság szerint fontos megjegyezni, hogy a cukorbetegség nem növeli a koronavírus-fertőzés kockázatát, viszont növeli a súlyosbodás és a szövődmények kialakulásának kockázatát. </span></p><p style="font-family:nerislight;color:#48484a;font-size:16px;line-height:20px;text-align:left;margin-bottom:19px;display:block;"><span style="color:#48484a;display:block;font-family:nerislight;font-size:16px;line-height:20px;margin-bottom:19px;text-align:left;">Előfordulhat, hogy ebben az időszakban az otthon maradás, bezártság miatt sok beteg szorongással és depresszióval küzd. A járványveszély sokakban stresszt idézhet elő. Amennyiben a stressz tünetei gyakoriak és intenzívek, mindenképpen ajánlott pszichológushoz fordulni megfelelő segítségért és útbaigazításért.</span></p></p>\n
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