Practical aspects of rehabilitation of a patient with severe covid-19 at home

Authors:

Kachkovskii Mikhail Arkadievich, Grand PhD in Medical sciences, Professor, Department of Internal Diseases, Private Educational Organization of Higher Education Medical University “Reaviz”, 227 Chapaevskaya Street, 443001 Samara, Russian Federation. E-mail: KachkovskyMA@reaviz.ru

Kachkovskaia Tatiana Aleksandrovna, functional diagnostics MD, Private Health Care Institution Clinical Hospital “Russian Railways Medicine”. 12 Agibalova Street, 443041 Samara, Russian Federation. E-mail: ktaf.68@yandex.ru

Bileva Natalia Aleksandrovna, PhD, Associate Professor, Department of Clinical Medicine, Private Educational Organization of Higher Education Medical University “Reaviz”, 227 Chapaevskaya Street, 443001 Samara, Russian Federation. E-mail: kosyakova1987@list.ru

In the heading: Original researches

Year: 2021 Volume: 3 Journal number: 1 

Pages: 28-35

Article type: scientific and practical

UDC: 616.9:578.834.1-085.23-085.816

DOI: 10.26211/2658-4522-2021-3-1-28-35

Annotation:

A 56-year-old patient with infection SARS-CoV-2 (COVID-19), community-acquired bilateral polysegmental interstitial pneumonia, severe respiratory illness, was undergoing rehabilitation at home. The volume of lung tissue lesions was 75 %. Shortness of breath with minimal physical exertion, tachycardia persisted after discharge from the hospital. There were manifestations of heart failure, iron deficiency anemia, hepatopathy, and fragmentary venous thrombosis of the left upper extremity. Breathing exercises according to A.N. Strelnikova, physical exercises, drug therapy, including expectorants, anticoagulant, β-blocker, vitamin therapy, iron preparation, were performed at home.
Severe respiratory disorders and manifestations of heart failure were eliminated within 1.5 months of rehabilitation, exercise tolerance increased, anemia, hepatopathy, and other complications of the disease were eliminated, and the patient’s ability to work was restored. The authors note that the home rehabilitation program, including breathing exercises according to A.N. Strelnikova, physical exercises and complex drug therapy, allow to achieve pronounced positive dynamics after a severe course of COVID-19 pneumonia in a relatively short time, and restore the ability of patients to work.

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