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In the name of Allah, the Merciful
The written message of Dr. Hedayat Akbari, allergy specialist, regarding the connection between the corona crisis and allergic diseases
March 15, 1998
Greetings and health wishes for the compatriots
General advice for all compatriots
Considering the people’s concern about the corona crisis and the fact that one third of the society is suffering from asthma and allergies, it is necessary for all of us to consider ourselves obliged to observe individual and collective health tips that are communicated to the public by the ministry (wearing masks and gloves and Proper hand washing and…..)
First of all, let me say that the best way to strengthen the immune system is to relax and then consume more vitamin D, protein and vegetables along with enough sleep, exercising at home and drinking a lot of water.
Please keep this message somewhere and read it many times
Second, self-quarantine and self-care are very necessary and important, and it is obligatory for every person to maintain his health and he should not wait for anyone.
Therefore, if the daily work is delayed for a while, even if it is for a few weeks, the benefits of getting and giving Corona are much more, and it is economically beneficial for you and the country to close your work and do only the necessary work.
Third, improving the level of individual and collective respiratory hygiene and taking serious action on it, whether it is Corona virus or not, and God willing, after the end of the Corona virus crisis, the level of personal hygiene in our country will remain higher forever.
Fourth, before the corona virus, the main thing that should be said in the corona crisis is before the corona virus, which means not getting infected with the corona virus, which is the other side of this coin, not infecting others with the corona virus. Because it is very very contagious
- My suggested slogan is not to take corona or give corona
In Corona: high fever – fatigue and body pain and dry throat cough are the main symptoms before lung involvement, which should be taken more seriously, both for treatment and to avoid infecting others.
Fifth, God willing, no one will get infected, but if God does not want a loved one to get infected with Corona, he should consider himself among the majority of over 80% who will definitely get better (of course, this is not just psychological advice, but the science of statistics).
In conclusion, the general message of maintaining hope in corona patients by themselves and those around them and trusting the performance of the medical community “it has an anti-coronavirus therapeutic effect”
General recommendations for asthma and allergy patients
The first point
Do people with allergies get more corona?
In general, there is no difference in the chance of contracting corona for people with allergies and healthy people
The second point
Does corona become more severe in allergic people? who need hospitalization and hospital care, no statistics have been published in this regard, so there is no special concern for people with asthma and allergies, but it is necessary to give special points.
Obligatory note: All patients can get their previous prescriptions again, because even in case of recovery, it is necessary to continue the tablets for chronic urticaria and continue the sprays for asthma and nasal-sinus allergies.
Special recommendations for asthma sufferers
First of all, asthmatic patients who experience shortness of breath, wheezing and coughing usually, and their asthma usually recurs with a cold.
The most common cause of relapse and attack in asthmatic people are adenoviruses, which are not related to the family of coronaviruses, so asthmatic people whose asthma returned with a cold have statistically contracted adenoviruses and are not more susceptible to corona virus than ordinary people.
Your asthma has two states, either it is under control or it is not
If your asthma is controlled with oral spray drugs, you are like other normal people and you have nothing to do except personal hygiene and continuing the sprays.
But asthmatic people whose asthma is not under control and their lungs are inflamed, if they get corona virus, they are more likely to get sick, and it is better to improve their asthma condition quickly by observing more abstinence and taking appropriate medicines (increasing them).
People with a history of moderate to severe and chronic asthma who have a long history of using asthma oral sprays and who have a secondary reduced immune system should be much more careful not to get corona because they are likely to go through a worse course, although the risk of diabetes and cardiovascular problems and Cancer and primary defects and AIDS are reported to be worse in Corona than any type of asthma.
If people with asthma get corona virus, it is better to know their safety like normal people and not to worry more than others, and due to the possibility of worsening corona by corten tablets, they should not use it and even change their inhaler spray to non-corten and use Formetrol, which we know in the market as Foradyl or Formopen, “is even claimed to help treat Corona” (that is, it is also useful for fighting Corona), or salbutamol and Atront spray, because they are not cortene, there is no need to worry, although there is still an order to stop the spray. Corten has not been issued in Corona.
Asthma and severe corona, if hospitalized, all the instructions of infectious disease specialist doctors should be followed completely, and a decision should be made with their discretion to continue using corten spray.
The treatment of diseases associated with asthma such as gastric reflux-sinusitis and mental stress should not be interrupted by getting involved in the corona virus.
Important note: due to the accompanying sinus and nasal problems in asthmatics, pay attention to the related recommendations
Special recommendations for nasal allergy and verinosinusitis patients
You should also try to keep your nasal and sinus disease under control by avoiding allergens and stimulants, using salt water in your nose, using sprays that control your disease, and non-cortenic anti-allergy tablets such as second-generation antihistamines, because dryness and inflammation in Respiratory mucus increases the chance of contracting corona, so if a person has nasal and sinus allergies and is completely under control, there is no additional problem.
If the sufferers of sinusitis and nasal allergy get corona virus, they should continue taking new generation antihistamine tablets and do not use intranasal sprays containing corticosteroids and instead use azalastine, olantin, cremolyn and all types of normal saline sprays available in the market.
Special recommendations for skin sensitivities
Urticaria patients
To control hives, new generation antihistamine and anti-leukotriene tablets are usually used, which have nothing to do with more susceptibility to corona or its exacerbation, and if people get corona urticaria, they should not inject corticosteroids or take corticosteroid tablets, and instead take other pills more often. even if it is two to three times the previous daily intake because the hives become more severe with each infection
Eczema and psoriatic skin patients
You should also be careful to wash your hands a lot to fight against Corona and be sure to lubricate your hands with at least Oserin or Vaseline when you are idle and at night when you sleep.
Specific recommendations for allergy vaccine therapy
Patients who take plant pollen vaccine or plasma therapy
Postponing the anti-allergy vaccine for two or three months, which can be corrected later by changing the protocol, is nothing to worry about.
And “compared to taking the risk of corona or the spread of corona (due to traveling from different cities and crowding in the office)
Therefore, it is necessary to delay allergy immunotherapy vaccination in this situation