very cheap and long-known drugs help save the lungs with coronavirus

Cloving hospital on the basis of the Medical Scientific and Educational Center (ISSC) Moscow State University named after M.V.Lomonosov took the first patients on April 21 and completed his work on June 13. It turned out that it was possible to achieve the best treatment results for COVID-19 in Moscow. Over the entire period, 4 patients died, and among severe patients who got mechanical ventilation, the mortality rate was less than 14% (for comparison, the average for the city and the world was up to 70 – 80%). Eighteen doctors out of 220 employees of the hospital were infected with coronavirus, there were no deaths among the medical staff.

What approaches were used at the University Hospital of Moscow State University to achieve such results? We continue the conversation with the head. Department of Therapy, Faculty of Fundamental Medicine, Moscow State University, Head of the Department of Age-Associated Diseases, Medical Scientific and Educational Center, Doctor of Medical Sciences, Cardiologist Yana Orlova.

MEDICINE FOR COUGH FOR 80 RUBLES

– Most of those who are ill or are afraid to get sick are worried about fibrotic changes in their lungs. They say that you have developed special therapy that can reduce the risk of developing fibrosis. Is it possible?!

– Yes, we launched an appropriate clinical study. There are no final results yet, but we have developed clinical practice.

“What did you do to save the lungs?”

– We used a combination of bromhexine and spironolactone (both are long-known very cheap drugs. – Ed.). Bromhexine is an expectorant that has been prescribed to patients with pneumonia and cough for many years. At the same time, experimental data showed that this drug can block a specific enzyme and impede the penetration of coronavirus into cells. True, it was on this effect that we counted to a lesser extent in inpatients, since such an effect is important mainly in the early stages of the disease. But the expectorant effect of bromhexine really helps patients with COVID. I heard that our colleagues in Peter launched a study of bromhexine for prophylactic purposes. We will wait for the results.

Coronavirus infected 18 doctors from 220 employees of the hospital, there were no deaths among the medical staffPhoto: Ivan MAKEEV

FIBROSIS OBSTACLE

– The second drug – spironolactone – is traditionally widely used in cardiology for the treatment of heart failure, severe hypertension. It has a small diuretic, magnesium and potassium-preserving effect, continues Yana. Orlova. – It has several mechanisms through which it can be useful in coronavirus infection.

Firstly, a mechanism that prevents the development of fibrosis in general in the body. There are works that, in particular, show that spironolactone reduces fibrosis in the heart. At the same time, it is known that the tendency to fibrosis is not local, but systemic – where there is more inflammation, there will certainly be fibrosis. And we see, of course, fibrotic changes in the “covide” in our patients. Therefore, we prescribed spironolactone as a drug for the prevention of this process.

Secondly, this drug blocks sex hormone receptors, in particular testosterone. Some published studies suggest that “high-testosterone” men suffer from “covid” more often and develop more severe fibrotic changes. Therefore, blocking these receptors for several weeks during COVID treatment may be useful in reducing the severity of complications. We are not talking about a longer intake, since male patients are unlikely to agree with a decrease in testosterone levels in the long term.

And perhaps the most important point. In almost all of our patients, we observed hypokalemia (a decrease in potassium levels. – Ed.). With coronavirus infection, potassium is intensely excreted from the body, and scientific articles even suggest that hypokalemia serves as the trigger for a cytokine storm. So spironolactone has a real chance to reduce the risk of this dangerous complication. But the main thing, in my opinion, is that lowering the level of potassium in the body is extremely harmful to the heart and triggers life-threatening rhythm disturbances, increasing the risk of sudden death. We, like all others, replenished potassium with droppers, but it was more effective to retain it in the body with the help of spironolactone.


Men certainly get worse than women;  the elderly are heavier than the young;  overweight people are heavier than patients without excess weight Photo: Ivan MAKEEV

Men certainly get worse than women; the elderly are heavier than the young; overweight people are heavier than overweight patientsPhoto: Ivan MAKEEV

WHEN PRESCRIBED PATIENTS

– Yana Arturovna, how many patients did you have on average?

– About 10 – 14 days. But someone and 50 days.

– Have you noticed signs by which it can be assumed that the disease in the person brought is likely to go the hard way?

– Such studies were carried out in the world, our clinical practice confirmed them. Men certainly get worse than women; the elderly are heavier than the young; overweight people are heavier than overweight patients. Men with a classic male type of baldness, a lot of facial hair, we can say brutal men get sick harder.

– Under what conditions did you discharge patients?

– We acted as close as possible to the recommendations Ministry of Health: so that the temperature for three days was not higher than 37.5 degrees; so that C-reactive protein (an indicator of inflammation) is lower than 10 mg / l, and saturation, that is, the level of oxygen in the blood, is higher than 96%.

“HEAD OF EPIDEMIOLOGY DEPARTMENT OF ITSELF WORKED AT SANPROPUSNIK”

– How often do you get sick doctors and nurses?

– In the first month no one got sick at all. We have a very powerful epidemiological service. The head of the sanitary-epidemiological department, a senior researcher, correctly organized the whole process, and for the first two weeks she personally worked in the sanitary inspection room at the exit from the “red zone” and helped doctors and nurses who were exhausted after the shift safely remove protective clothing.

Then both people’s fatigue and viral load accumulated. By the middle of the second month, sick people began to appear. There were no seriously ill patients. We treated part of the staff in our observation, part of it was treated at home. In total, 18 people were infected from the medical staff (less than 10%).

– Doctors take something for prevention? Vitamins C, D, Zinc?

– I saw the recommendations of American nutritionists, they speak out positively about taking zinc, melatonin and vitamin C. There were somewhat conflicting data on vitamin D. But we did not give any such recommendations to our employees. We have all the prevention was associated with minimizing contacts and other measures of epidemiological safety.

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it affects not only the lungs, but the whole body

The first 10 days after the onset of symptoms of the disease, the 38-year-old American was feeling quite well. He was not at risk; he had no chronic diseases.

– The man was examined, the disease was mild. The patient had a slight cough. Therefore, he was sent home for treatment, ”says the head of the Department of Vascular Surgery at Westchester Medical Center Sean Wengerter.

And then the incredible happened.

One morning, a man woke up with icy and numb legs. The body was constrained by terrible weakness; there was not even the strength to get out of bed.

The examination showed that the patient had aortic occlusion – a large blood clot formed in the main artery at the place where the artery diverged in two directions – to the right and left leg. Because of this clot, blood enriched with oxygen did not enter the iliac arteries.

“This is extremely dangerous.” From this can die from 20% to 50% of patients, – notes Vangerter. – But such things are not typical for 38-year-olds.

An emergency operation to remove a blood clot could save the patient’s life. But doctors working with patients with COVID-19 are everywhere faced with rather strange and frightening phenomena in infected patients. For example, the formation of blood clots (actually blood clots) of various sizes throughout the body, renal failure, inflammation of the heart muscle and malfunctions of the immune system.

“Coronavirus occurs in each patient in its own way,” notes Scott Brackenridge, associate professor of emergency surgery at the College of Medicine at the University of Florida. – In some cases, the patient has a problem with breathing, in others, the internal organs begin to fail. In children, the immune system as a whole begins to rebel.

Coronavirus is not just a respiratory diseasePhoto: Ivan MAKEEV

MYSTERIOUS STROKES

A new type of coronavirus is considered to be a respiratory virus, although it is already becoming obvious – the infection affects the entire human body. The most common symptoms are fever, pneumonia, and acute respiratory distress syndrome.

In this case, the virus attacks some organs directly. First of all, the mucous membrane of blood vessels, which entails unnatural coagulation of blood.

– COVID-19 provokes a local inflammatory reaction that leads to the formation of blood clots, – explains Wengerter. – This is due to the direct effect of the virus on the arteries.

A number of doctors recorded strokes in young patients with coronavirus, as well as the formation of blood clots in the lungs. Blood clots were found even in the smallest vessels.

“Since each organ feeds on blood vessels, and the virus attacks them first and foremost, we end up with damage to internal organs,” adds Dr. Scott Brackenridge.

Another serious symptom that is observed in some patients who become ill with the new coronavirus is the “co-fingers.” The infected toes swell, becoming red or purple. It is possible that the reason for this is blockage of blood vessels. But doctors say that usually this does not have serious consequences.

Kawasaki Syndrome

One of the most alarming reactions to COVID-19 is observed in children. It has already been named as a children’s multisystem inflammatory syndrome. In newYork Doctors have identified more than 100 cases.

This syndrome is characterized by a rather long fever, inflammatory process, malfunction of one or more internal organs, as well as the general condition, which is usually observed with shock. Pediatricians also compare these symptoms with the syndrome. Kawasaki.

Kawasaki syndrome is a rare disease that affects children aged 3 to 10 years. It is characterized by damage to the medium and small arteries, thrombosis, the formation of aneurysms and rupture of the vascular wall. Cases of infection are rare. However, recently, doctors have noted an increase in the number of patients with this syndrome.

Both childhood multisystem inflammatory syndrome and Kawasaki syndrome lead to an overly aggressive immune system response to coronavirus. This may be accompanied by inflammation of the blood vessels and heart muscle.

KILLER CELLS

However, scientists note that coronavirus is not able to cause a strong immune response, but, on the contrary, suppress the entire immune system. And this can allow the infection to freely attack the internal organs.

Partly this theory was confirmed by Chinese experts, led by Dr. Zhang Zhang. Scientists analyzed samples of immune cells taken from the lungs of 9 patients infected with coronavirus. The results of the study showed an abnormally high level of leukocytes – macrophages and neutrophils responsible for the destruction of harmful pathogen – in severe patients. At the same time, these patients had a rather low level of CD8 T cells, which are called killer cells. They are responsible for killing virus-infected cells.

But doctors are reassuring, noting that they have drugs that can thin the blood, and also help the work of white blood cells that resist infection.

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Nadezhda Babkina sang Victory Day, despite voice problems after illness

Hope Babkina only recently discharged from the hospital after a serious illness. The 70-year-old singer was hospitalized with severe pneumonia. And although the tests did not show in her coronavirus, friends of the artist are sure that she became a victim of a pandemic. Nadezhda Georgievna spent several days in a coma, on a ventilator, with a pipe in her throat. After such a procedure, the voice is restored far from immediately – it would seem that there is no time for singing. But Babkina did not break the long tradition and on May 9 sang the song “Victory Day” for fans. She shared the video on Instagram.

– Happy Victory Day, friends! – congratulated the artist subscribers.

The singer’s voice after illness has not yet gained full strength, but her colleagues at the Russian Song Theater came to her aid. Together they sang the famous hit in honor of the Great Victory. In the general sonorous chorus, Nadezhda Georgievna’s voice sounding with a slight hoarse sound is easily guessed.

The artist filmed the video in her house near Moscow, where she wakes up after discharge from the hospital.

“About 80% of the lungs were affected … Everything covered with film and dragged on there: it’s such an infection, it manifests itself very quickly and starts to work,” Babkina told of her illness.

Before discharge, computed tomography showed that Nadezhda Georgievna still affected 40% of the lungs. During rehabilitation, doctors prescribed her a special course of treatment (pills and injections) and breathing exercises. Babkin goes to the nearby Lapino hospital for procedures. By the way, another star patient who underwent coronavirus, Stas, was also treated in it. Mikhailov.

According to doctors, it can take a long time to restore the voice after such a disease: after a coronavirus and mechanical ventilation, it may not be able to listen to the patient for a long time, it sounds dull and hoarse.

– This is due to a change in the mucous membrane of the respiratory tract and cough. A prolonged cough has always been considered one of the risk factors for the formation of voice disturbance, ”saidKP»Phonator Ekaterina Osipenko. – How big the risk is depends on the severity of the patient’s condition, his presence on the ventilator. Patients who underwent tracheotomy – an operation to install a tracheotomy tube for long-term mechanical ventilation, also have a risk of voice changes in the future.

Happy Victory Day, friends! @rpfolk # Nadezhdababkina #Russian song #HymnWinning

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how Nadezhda Babkina restores health after pneumonia

Nadezhda Babkina on May 9 will certainly perform Victory songs. This time thousands of spectators will not applaud her – we celebrate the main holiday in self-isolation mode. And Nadezhda Georgievna herself is recovering after a serious illness, therefore she saves herself – there will be concerts, but later. But “Victory Day” will certainly sound in the house of the national artist. We tell how Babkina regains her health after being discharged from the hospital.

Recall that Nadezhda Georgievna was hospitalized with pneumonia, for almost a month we were worried about her health. The treatment required the introduction of an artist into a coma, Babkina coped, doctors saved the life of Nadezhda Georgievna – and now she is already at home. The situation was very serious. Nadezhda Babkina told about the course of the disease in Let They Talk, immediately after hospitalization and computed tomography of her lungs, she was transferred to intensive care:

“About 80% of the lungs were affected … Everything covered with film and dragged on: it’s such an infection, it manifests itself very quickly and starts working …” Later, the artist found out that at some point the situation became very serious: “The question was acute at the time the kidneys stopped working. Why? Details did not tell me. Probably it was scary, there were a lot of problems with me … “

Before discharge, CT showed that lung damage, according to the singer, decreased to 40%. Now Nadezhda Georgievna is not in a Moscow apartment, but in her country house in the suburbs. Therefore, she goes to special Lapino hospital for special physiotherapeutic procedures to restore lung function and rehabilitation. At discharge, the artist was prescribed home recovery (for 20 days): pills, injections – the artist tells her colleagues what she can do herself. Doctors ordered Babkin to do breathing exercises.

Nadezhda Georgievna says that the exercises are not easy, they are dizzy after them, but the artist is not lazy: she does it every day, because it’s important for the profession to restore the lungs as soon as possible. “Since we are singing, I have light accordions (squeezed – unclenched),” Babkina communicates with her colleagues and friends over the telephone — her voice is normal.

Nadezhda Babkina walks a lot – she lives in a country house (the singer was taken to the hospital from her Moscow apartment), and she came to rehab for fresh air outside Moscow. The actress is accompanied by a nurse Allochka – now the first assistant to Nadezhda Georgievna. “A beautiful little girl, Allochka, looked after me in the hospital, as though she was young, and hands like sledgehammers — I think all four will fall down. And she dragged me. From the bed to the toilet (I couldn’t walk). And – night is not night, she just lived with me, ”Babkina got used to her nurse. And Allochka went to her house – to help recover.

She goes to physiotherapy with her son, and Assistant Allochka is always nearby at home. Civilian husband Yevgeny Gor also raises spirits – he and his Hope have been 17 years old.

“He protects me, worships!” – the artist praises her Zhenya. There is something to praise – Gore kept the defense of journalists for a month: not a single interview or comment on Babkina’s health until she wrote out. Immediately after Nadezhda’s discharge, Eugene breathed a sigh of relief, and even cut himself off for joy! The precautions for self-isolation in this family are followed very strictly. Now Babkina even before washing her hands washes: he touches his face only with clean hands.

Nadezhda Babkina with common-law husband Eugene GorePhoto: Personal page of the hero of publication in social networks

The house has a special lamp that disinfects the air. The device for air disinfection in the rooms of Babkina was presented for an anniversary – even before the illness. Now come in handy! In March, Nadezhda Georgievna celebrated her 70th birthday; she is going to celebrate lavishly in the fall, when they are allowed to hold events. For the anniversary, the singer lost 23 kg in three and a half months: food was delivered to her ready diet. And in the hospital she dropped it again: I didn’t want to eat. Now she eats fully: as she began to recover she suddenly wanted sauerkraut.

Nadezhda Georgievna is not bored at home: the collective of her theater “Russian Song”, like all artists on self-isolation, but Babkina is engaged in current affairs, in touch with her employees. In the hospital, I didn’t communicate with anyone from friends: only with relatives, and when I got better, I watched TV. But now it receives calls and congratulations, we can say that with a second birth. Babkina says that she gave herself the command not to be afraid, to completely trust the doctors as soon as I entered the hospital: “When I looked in my eyes Shapovalenko Tatyana Vladimirov (the chief physician of the Medsi Design Bureau in Otradnoye – approx. Aut.) said that I believe you – my life is in your hands. ”

Recovery will not be quick – this artist understands, does not deny: no one knows yet – what consequences can be after an illness. But now there is more good news: according to the results of the analyzes, the doctors said that the immune system is restored.

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Doctors compared mortality of COVID and other infections

On the page of the doctor and TV presenter Alexander Myasnikov interesting information about the situation with infectious diseases in the world was published on the social network. And in particular that rotavirus infection causes hundreds of thousands of deaths per year in the world. Is the familiar and familiar rotavirus more dangerous than the coronavirus? “KP»Understands together with the immunologist, expert in public health and international health care, candidate of medical sciences Nikolay Kryuchkov.

– Of course, in addition to COVID-19, there are many other dangerous diseases in the world and these are not necessarily infectious diseases. Let me remind you that mortality from cardiovascular diseases is in the first place, also high mortality is associated with oncological diseases, in particular, lung cancer, and, of course, infectious diseases are also often the cause of death. However, the threat of rotavirus infection today is greatly exaggerated, said Nikolai Kryuchkov.

How many people die from rotavirus?

According to pessimistic estimates provided by the World Health Organization, around the world in 2013, 215 thousand children under the age of five died from rotavirus infection. According to other data obtained in international studies, this is 122 thousand deaths in 2013.

– The situation since 2013 in terms of mortality from rotavirus infection has not changed much. I think here we can talk about 200 thousand deaths per year among children under five years of age. Half of the world’s deaths occur in five countries: India, Pakistan, Nigeria, Angola and Congo– emphasizes the immunologist Nikolai Kryuchkov. – In the media you can often find information that up to a third of deaths of children under five are caused by rotavirus. This is not true! The fact is that among all deaths of children under five years of age in the world, mortality from diarrhea accounts for about 8%, but among these 8% of deaths from diarrhea – from 25% to 30% are attributable to rotavirus. That is, it turns out about 200 thousand deaths of children under five years of age per year in the world, while more than 6 million children under five die in the world per year.

On the page of the doctor and TV presenter Alexander Myasnikov on the social network, interesting information was published on the situation with infectious diseasesPhoto: Ivan PROKHOROV

Is rotavirus disease relevant for Russia?

If you consider Europeyy region to which Russia, then the figures for mortality from diarrhea are lower than in developing countries. Mortality from diarrhea among children under five in Europe is 4% – 5% of all childhood deaths. About a quarter of them are rotavirus.

In Russia, according to WHO estimates, in 2013, 52 children under the age of five died from rotavirus infection, which is 0.3% of all other deaths of children under five years of age. Rotavirus infection is not the most common cause of death among children, and even more so among adults (the latter rarely die from rotavirus, so all statistics are data on the death of children – approx. Ed.).

– Rotavirus is a problem primarily in poor countries with a warm climate. For Russia, this is also a problem, but to a much lesser extent, ”said Nikolai Kryuchkov, a doctor. – It is important to emphasize that effective and safe rotavirus vaccines exist.

The incidence of rotavirus infection after the introduction of vaccination has decreased many times. In Russia, universal vaccination against rotavirus is not carried out, but, despite this, mortality is low, given that it is clear how to help such patients. The main thing here is replenishment of lost fluid and symptomatic therapy. Given these two factors — the availability of a vaccine and the development of affordable treatment — mortality from rotavirus is very low even among children from zero to five years old, not to mention adults. Among adults, these are isolated cases.

Who is worse: rotavirus or coronavirus?

According to epidemiologists, mortality (taking into account the number of deaths from the number of episodes of the disease) of rotavirus infection in the world is from 0.05% to 0.09%. This is comparable to mortality from seasonal flu. Yes, in the poorest countries it can reach up to 2%. However, in this case, only moderate to severe episodes are taken into account, and not all cases of rotavirus infection.

“With coronavirus infection, according to my most optimistic forecasts, the mortality rate in the world will be 2%,” says Nikolay Kryuchkov. – Let me remind you that now the mortality rate from COVID-19 in Russia is about 4%. AT Germany – 3.5%, and this is one of the best examples in Europe. Of course, a lot depends on how the data are kept and analyzed, but even though there are probably unaccounted cases, the mortality from coronavirus infection is much higher than the mortality from rotavirus. And the epidemic of coronavirus infection is still far from over.

“It is also important to understand that we are having a coronavirus pandemic, and the situation with rotavirus is under control.” The number of deaths from coronavirus is now growing, due to the fact that there is an increase in cases of infection. The daily increase in new cases of coronavirus infection in the world is more than 5%, and in Russia today it is more than 8%. Therefore, it is obvious that the situation with rotavirus is stable, and the coronavirus pandemic for us is not known how it will end. The coronavirus infection pandemic continues to grow, it is important to understand this, ”Nikolay Kryuchkov emphasized in a conversation with“ KP ”. – When we talk about the number of deaths from rotavirus, 200 thousand people a year around the world among children under five years of age are deaths that happened in a year! As we know, the coronavirus epidemic lasts about four months. This is significantly less than a year.


The daily increase in new cases of coronavirus infection in the world is more than 5%, and in Russia today it is more than 8% Photo: Ivan MAKEEV

The daily increase in new cases of coronavirus infection in the world is more than 5%, and in Russia today it is more than 8%Photo: Ivan MAKEEV

How many deaths from coronavirus infection will be in a year (given that, according to the data of May 3, 243,922 people died in the world – approx. Ed.)? Yes, there are other dangerous infections in the world, but many of them can be protected. This is Hepatitis B, and pneumococcal infection, tetanus, and so on. And Dr. Myasnikov rightly points out the need for widespread vaccination against the most dangerous and common infections. Unfortunately, there are no vaccines from COVID-19 yet, they will be ready by the spring of next year at best.

Also, an important difference between the course of rotavirus infection and coronavirus infection: hospitalization with rotavirus disease in developed countries is very rare. All necessary treatment conditions can be provided at home. With coronavirus, the patient often needs active therapy, which can only be provided in a specialized medical institution.

SPECIFICALLY

Dr. Myasnikov gives such statistics on mortality from infections (in the world for a year)

Measles (there is a vaccine) – 140 thousand deaths per year

Pneumococcus (there is a vaccine) – 2 -2.5 million deaths per year

Hepatitis B (there is a vaccine) – 650 thousand deaths per year

Tetanus (there is a vaccine) – 89 thousand deaths per year

Cervical cancer (there is a vaccine) – 250 thousand deaths per year

Tuberculosis (there is a vaccine) – 1.5 million deaths per year

Influenza (there is a vaccine) – 650 thousand-1 million deaths per year

Coronavirus (no vaccine) – 244 thousand deaths from the beginning of the spread

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The web discusses the beautiful daughter of Abdulov burned out of cancer

Alexandra Abdulova He died when his daughter Eugenia was only a year old: the 54-year-old actor burned out from cancer. The girl from childhood grew up in an artistic environment, the second wife of the artist Julia gave her to study at a theater studio. Recently, 13-year-old Zhenya has grown a lot and is slowly turning into a charming girl. Looking at her pictures on social networks, fans discuss how she matured.

“She’s quite grown up, and so looks like a father”, “A real beauty grows like a dad”, “His eyes, nose, lips are spilled Abdulov”, “I became so beautiful and sweet”, “Genes are immediately visible in you great Abdulova, ”they write on the Web.

13-year-old Zhenya Abdulova became quite an adult. Photo: Instagram.

Many believe that Eugene has a great future in the cinema. The girl already has experience on the set. He played his debut role in the film by Alla Surikova “Love and Sax”. The director was satisfied with the work of the young actress: she is sure that Zhenya not only looks like her father, but also inherited his acting talent.

The role in the play was offered to the girl by the late artistic director “Lenkoma»Mark Zakharov. The head of the theater, where Alexander Abdulov served for many years, wanted the artist’s daughter to take the stage in the final of the Royal Games performance. The girl was preparing for the premiere, but then refused to participate in the play, saying that she did not like to rehearse.

“She never went on stage.” Sasha’s character! She was always the most important at children’s parties, she built all, commanded. Recently, however, she starred in a small role in the film with Maxim Averin, but so far, school is in priority, ”a close friend of the Abdulov family told reporters then.


The girl is very similar to her star father. Photo: Instagram.

The girl is very similar to her star father. Photo: Instagram.

Alexander Abdulov met his wife Zhenya’s lawyer two years before his death. The spectacular brunette immediately liked the famous actor, behind whom there were many novels with the most beautiful women of the country. Couple she got married in 2006, and in March 2007 they had baby Eugene.

Alexander Gavrilovich died of cancer in January 2008. He struggled with oncology for a long time – he was diagnosed with lung cancer of the fourth stage. Doctors did everything possible to cure the artist, but the disease was stronger. Probably, oncology could be provoked by long-term smoking: Abdulov was a heavy smoker and did not part with cigarettes for several decades in a row.

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A 28-week-old fetus operated on the baby Jesus – medicine

(ANSA) – ROME, APRIL 29 – A balloon has been placed
in the trachea of ​​a child still in the mother ‘s belly, for
allow the development of the lungs and increase its
chance of survival. This delicate procedure was
successfully performed on a 28 week old fetus with one
severe form of congenital diaphragmatic hernia, by doctors
of the Bambino Gesù Pediatric Hospital of Rome in collaboration
with those of the Polyclinic Hospital of Milan (Clinica
Mangiagalli) and the San Pietro-Fatebenefratelli Hospital of
Rome. Mom and healthcare workers have all been subjected
the safety procedures set out in the emergency plans
Covid-19 and for checking the negative nature of the virus.

The surgery was done on April 17 with one
minimally invasive endoscopic procedure in utero lasting 45 minutes,
without complications. Checks 10 days after surgery
ultrasound showed the increase in lung volume
fetal congenital diaphragmatic hernia is a rare disease, which
affects one child every 2500-4000 live births, and in Italy
it affects about 150-180 children per year. It is a flaw in the
diaphragm, which causes the ‘ascent’ of the intestine, stomach,
spleen and liver in the thoracic cavity. The thrust of the organs
going up into the chest compresses the lungs, compromising them
development and causing increased pressure in the circulation
pulmonary. The risk of mortality in severe cases can
exceed 90%. During surgery, the first of its kind
performed to the Child Jesus, a fetoscope was inserted (probe
very thin with fiber optic camera) in the abdomen
of the pregnant woman. Passing through the mouth of the fetus (just 35 long
centimeters by 1.2 kilos of weight), the trachea was reached,
where a tiny balloon was placed and inflated, which
will act as a stopper, blocking the liquid from escaping normally
produced by the lung. The accumulation of fluid inside the
lungs, which are large in cases of diaphragmatic hernia
reduced, keeps them expanding and promotes their development.

(HANDLE).

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