今天看到死亡個案出現一個「無慢性病史」的30幾歲女性,怎麼會這樣呢? 沒多久就就看到這個報導, 30多歲女「快速死」PCR陰轉陽5天不治 體重90公斤致病情惡化 「肥胖症」其實早就被世界衛生組織正名是一種「脂肪相關慢性疾病」(Adiposity-Based Chronic Disease (ABCD) )積極治療肥胖根本不是外觀的問題,而是跟治療高血壓、糖尿病一樣,刻不容緩的事情。 在今年四月前新冠死亡率居全球之冠的捷克,每10萬人就有229人染疫喪命,而捷克的肥胖是全歐洲之冠,女性57%肥胖、男性71%肥胖,10個新冠患者有8個肥胖, 新冠死亡率被認為跟肥胖有明確且嚴重的相關性。 台灣目前是亞洲的肥胖冠軍........ 一些區域的研究,發現糖尿病會讓新冠病毒死亡的風險多了8倍,而肥胖可以讓死亡風險高達10倍。 如果控制血糖跟血壓很重要,那控制體重難道不是更重要嗎? 研究證實,當肥胖者減少5%以上體重(如成人90公斤,減少5公斤),就可以為健康帶來許多益處,高血壓、糖尿病等與肥胖相關疾病將可改善。 強烈建議以後新冠肺炎死亡病例的「慢性病史」,麻煩一定要把「肥胖」列入在裡面,才能讓民眾正視自己的健康問題! 對於醫療人員來說處理肥胖,也是非常緊急的事,當BMI超過25時,每增加1單位,相對所有原因死亡率風險便增加9%,包括心因性猝死風險,是的,先不提快樂缺氧了,每個BMI在30以上的人,我都會嚴正告訴他猝死的風險,千萬不要因為自己年輕、或是血液報告尚可,就忽視了隱藏的風險。 也可以參考美國疾病管制局 www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/people-with-medical-conditions.html OverviewAdults of any age with the following conditions can be more likely to get severely ill from COVID-19. Severe illness means that a person with COVID-19 may need:
Preventive measures for COVID-19 (including vaccination, wearing a mask and social distancing) are important especially if you are older or have multiple or severe health conditions. You can learn about CDC’s COVID-19 vaccine recommendations, including how medical conditions and other factors inform recommendations, here. Note: The list below does not include all potential medical conditions that could make you more likely to get severely ill. Rare medical conditions may not be included below. However, a person with a condition that is not listed may still be in more danger from COVID-19 than persons of similar age who do not have the condition and should talk with their healthcare provider. Top of PageMedical Conditions in Adults
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Get more information: Chronic lung diseases, including COPD (chronic obstructive pulmonary disease), asthma (moderate-to-severe), interstitial lung disease, cystic fibrosis, and pulmonary hypertensionChronic lung diseases can make you more likely to get severely ill from COVID-19. These diseases may include:
Get more information: Diabetes (type 1 or type 2)Having either type 1 or type 2 diabetes can make you more likely to get severely ill from COVID-19. Get more information:
Get more information: Heart conditions (such as heart failure, coronary artery disease, cardiomyopathies or hypertension)Having heart conditions such as heart failure, coronary artery disease, cardiomyopathies, and possibly high blood pressure (hypertension) can make you more likely to get severely ill from COVID-19. Get more information: HIV infectionHaving HIV (Human Immunodeficiency Virus) can make you more likely to get severely ill from COVID-19. Get more information: Immunocompromised state (weakened immune system)Having a weakened immune system can make you more likely to get severely ill from COVID-19. Many conditions and treatments can cause a person to be immunocompromised or have a weakened immune system. Primary immunodeficiency is caused by genetic defects that can be inherited. Prolonged use of corticosteroids or other immune weakening medicines can lead to secondary or acquired immunodeficiency. Get more information:
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Get more information: Smoking, current or formerBeing a current or former cigarette smoker can make you more likely to get severely ill from COVID-19. If you currently smoke, quit. If you used to smoke, don’t start again. If you’ve never smoked, don’t start. Get more information:
Get more information: Stroke or cerebrovascular disease, which affects blood flow to the brainHaving cerebrovascular disease, such as having a stroke, can make you more likely to get severely ill from COVID-19. Get more information: Substance use disordersHaving a substance use disorder (such as alcohol, opioid, or cocaine use disorder) can make you more likely to get severely ill from COVID-19. Get more information:
Actions You Can TakeIn general, the older you are, the more health conditions you have, and the more severe the conditions, the more important it is to take preventive measures for COVID-19 such as vaccination, wearing a mask , social distancing, and practicing hand hygiene. Please contact your state, tribal, local, or territorial health department for more information on COVID-19 vaccination in your area. It is important for people with medical conditions and their providers to work together and manage those conditions carefully and safely. Get a COVID-19 vaccine as soon as you can. If you have a medical condition, the following are actions you can take based on your medical conditions and other risk factors:
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