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Имеющаяся пандемия COVID-19, вызванная SARS-CoV-2, приобрела масштабы чрезвычайного положения в области мирового здравоохранения. Лечение хронических воспалительных заболеваний кишечника (ХЗОК) согласно стандартам включает применение препаратов 5-аминосалициловой кислоты (5-АСК), кортикостероидов, цитостатиков, а также биологическую терапию. Однако эти методы лечения могут ослабить иммунную систему, которая потенциально подвергает пациентов с ХОЗК повышенному риску инфекций и инфекционных заболеваний, включая COVID-19. Следовательно, пациенты с ХОККом имеют больший риск развития COVID-19 и более тяжелого клинического течения, или даже смерти, по сравнению с населением в целом.
Moreover, low vitamin D levels common in patients with CVD may increase the risk and severity of COVID-19. This is because vitamin D increases levels of anti-inflammatory cytokines and reduces viral replication, which in turn can reduce pro-inflammatory cytokines that contribute to lung damage. Despite the lack of evidence demonstrating increased susceptibility to COVID-19, drugs used in the treatment of COPD increase the risk of respiratory tract infections to varying degrees. However, theoretically, some immunosuppressive drugs may have beneficial effects, given that the cause of death in COVID-19 is a cytokine storm leading to acute respiratory failure.
In regions where there are no active hostilities, it is necessary to intensify the process of polio vaccination of both local and displaced children under 6 years of age with an additional dose of inactivated vaccine and continue vaccination by age in accordance with the Immunization Schedule against all infectious diseases controlled by specific means. For the prevention of poliomyelitis, preference should be given to an inactivated vaccine for all
Mikhail Yurchuk is from the Khmelnytsky region. After school, the man worked at a glass factory and a furniture factory. However, at the age of 26, he decided to become a professional military man. “Since childhood, I have dreamed of becoming a military man. For me, this is about honor, duty. First, I served in a missile brigade, I was a rocket scientist, then I went to a military college for non-commissioned officers and finally went to the airborne brigade,” says Mikhail Yurchuk. When a full-scale war began, the military served in the Donbass. Then the brigade was moved to the Kharkov region. Michael was wounded there.
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