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The criteria for assessing their own health by young people (25-44 years old - according to the WHO classification) were distributed as follows: almost half of the respondents, regardless of gender, rated their own health as "good"; every 4th of those surveyed - as "very good"; “Mediocre” health was noted by every fifth woman and every tenth person; almost the same was the proportion of respondents who rated their own health as “bad”; the level of subjective assessment of "excellent health" was observed in every tenth man, while in women it was absent.
The current COVID-19 pandemic caused by SARS-CoV-2 has become a global health emergency. Treatment of chronic inflammatory bowel disease (CIBD) according to the standards includes the use of 5-aminosalicylic acid (5-ASA), corticosteroids, cytostatics, and biological therapy. However, these treatments can weaken the immune system, which potentially puts COPD patients at increased risk of infections and infectious diseases, including COVID-19. Therefore, patients with CVD have a greater risk of developing COVID-19 and more severe clinical course, or even death, compared to the general population.
Первичная артериальная гипертензия (АГ) или гипертоническая болезнь (ГБ) остается одним из наиболее распространенных сердечно-сосудистых заболеваний. Длительное и стойкое повышение артериального давления (АД) приводит к поражению органов-мишеней, способствуя развитию тяжелых сердечно-сосудистых осложнений (мозгового инсульта, инфаркта миокарда, жизненно опасных нарушений ритма и сердечной недостаточности), поражений почек (почечной недостаточности) и зрения и обуславливает высокую смертность и инвалидизацию населения трудоспособного возраста. Ежегодно в мире гипертензия является причиной смерти более 10 млн. человек. В Украине зарегистрировано более 12,6 млн. человек с этой болезнью, или более 35% населения. Но, сСреди лиц с повышенным артериальным давлением (АД) знают о наличии болезни только 52% больных, из них лечатся менее трети, причем эффективно лечится не более 15% больных.
Treatment with corticosteroids (especially prednisolone ≥20 mg/day or equivalent) is associated with an increased risk of infection. However, it is unclear whether corticosteroid therapy is associated with an increased risk of developing COVID-19 or its complications. Data on budesonide, a topical corticosteroid with low systemic bioavailability, show that these drugs are associated with significantly fewer side effects compared to systemic corticosteroids and their side effects are close to placebo. If possible, corticosteroids should be avoided and a rapid dose reduction considered, and a switch to budesonide is recommended. This must be taken into account, taking into account the risk of exacerbation of CKD. If a patient with COPD is in contact with a person with COVID-19 or develops COVID-19, it is recommended to gradually reduce the dose of corticosteroids, the use of budesonide is preferred, but taking into account the severity of COPD and the risk of exacerbation.
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