medbioМедико-биологические проблемы жизнедеятельностиMedical and Biological Problems of Life Activity2074-2088Республиканский научно-практический центр радиационной медицины и экологии человекаmedbio-226Research ArticleОБЗОРЫ И ПРОБЛЕМНЫЕ СТАТЬИREVIEWS AND PROBLEM ARTICLESПоследствия перенесенной инфекции COVID-19 и возможности реабилитации пациентов с пост-ковидным синдромомLong-term consequences of COVID-19 infection and the rehabilitation options for patients with post-covid syndromeМицураВ. М.MitsuraV. M.noemail@neicon.ruГУ «РНПЦ радиационной медицины и экологии человека»Russian Federation202102032023022227Copyright © Мицура В.М., 20232023Мицура В.М.Mitsura V.M.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://medbio.ejournal.by/jour/article/view/226

Целью настоящего обзора является определение долговременных нарушений, возникающих после перенесенной инфекции COVID-19, а также возможностей реабилитации таких пациентов. Терминологическое разнообразие («длительный COVID», «пост-COVID синдром», «постострые последствия инфекции SARS-CoV-2» и другие) отражают отсутствие единого подхода к диагностике данных нарушений. Пост-ковидный синдром может возникнуть вне зависимости от степени тяжести острой коронавирусной инфекции, а частота стойких симптомов после перенесенной инфекции достаточно высока (70-80% и выше). Чаще всего они включают общие симптомы, психоэмоциональные проблемы, нарушения дыхательной, сердечно-сосудистой, нервной и иммунной систем. У многих пациентов некоторые симптомы сохраняются до 3-6 месяцев и, возможно, дольше. Конкретный пациент потребует индивидуального подхода к реабилитации в зависимости от спектра и тяжести имеющихся нарушений и участия команды различных специалистов, а комплексная программа реабилитации должна быть направлена на устранение не только соматических, но и психологических расстройств.

The purpose of this review is to determine the long-term effects that occur after the previous infection with COVID-19, as well as the possibilities for rehabilitation of such patients. The diversity of terminology («long-term COVID», «post-COVID syndrome», «post-acute sequelae of SARS-CoV-2 infection» and others) reflects the lack of a unified approach to diagnosing these disorders. Post-covid syndrome can occur regardless of the severity of acute coronavirus infection, and the frequency of persistent symptoms after infection is quite high (70-80% and more). Basically, they include general symptoms, psychoemotional problems, disorders of the respiratory, cardiovascular, nervous and immune systems. In many patients, some symptoms persist for up to 3-6 months and possibly longer. A particular patient will require an individual approach to rehabilitation, depending on the spectrum and severity of the existing disorders. The participation of a team of different specialists, and a comprehensive rehabilitation program should be aimed at eliminating not only somatic, but also psychological disorders.

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The authors declare that there are no conflicts of interest present.