Bisnis.com, JAKARTA – There is currently information circulating that Covid-19 disease caused by the corona virus can be treated with inexpensive drugs.
Medications that have indeed been used for a long time by the community include aspirin, steroids and colchicine. This information is increasingly widespread among the people.
Even though the drugs mentioned are cheap and easily accessible, the consumption of drugs of any type and dosage still needs medical supervision.
Ari Fahrial Syam, Dean of FKUI as well as academics and clinical practitioners said that in patients with moderate and severe symptoms of Covid-19, there is a possibility of cytokine storm syndrome caused by inflammatory reactions.
This condition can cause hypercoagulation complications or increased blood viscosity.
According to him, it is not a direct virus that causes blood coagulation but through the process of cytokine storm syndrome. So the consumption of drugs such as aspirin must be monitored.
“If the examination of the APTT / PTT / D-dimer coagulation system does indeed occur coagulation, then the doctor will provide anticoagulants instead of anti-platelet or aspirin. This thickening of blood will clog the pulmonary capillaries and internal organs,” he said through a statement received by the Business on Sunday (Sunday) 6/28).
Once again the medicine is not aspirin but an anticoagulant to overcome this condition, he stressed.
For information, storm sydrome cytokines can indeed be treated with anti-inflammatory drugs such as steroids, as conveyed by a Oxford University research team some time ago.
Ari revealed that the results of the study as it was known only reduced deaths in moderate and severe cases and were not effective in patients with mild symptoms or without support for respiratory supplementation.
Meanwhile, colchicine is commonly used for gouty arthritis, where patients experience arthritis attacks due to high uric acid.
The inflammatory and immunomodulatory effects it contains are factors that assume that this drug can be given to Covid-19 patients, even though research results are not yet available and this drug has not yet become a therapy given to Covid-19 patients in Indonesia.
HAPPY HYPOXIA
Ari added, there are other things that become questions related to some patients whose disease progresses quickly so that within a week there has been a death.
“In Covid-19 patients, Happy Hypoxia or unusual symptoms can occur where the patient does not feel shortness of breath even though the blood oxygen level has dropped,” he said.
But by examining the respiratory monitor will be detected if the patient’s breathing frequency has increased and with the oximeter examination increasingly clear there is a decrease in oxygen levels.
“On several occasions if the patient is suffocated, it is usually already entered the second week of the course of the disease. Therefore the recommendation for patients to come to the hospital if they are short of breath is very misleading information because the course of the disease is already severe and the patient has experienced a lack of oxygen for a long time,” he said .
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