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Corona vaccine vaccination starting in February, and immune management for elderly and chronic diseases

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H+ Yangji Hospital

The government announced plans for the’Corona 19′ vaccination in February. Among them, experts pointed out that elderly patients and chronically ill patients with lower immunity than the general population need disease management and immunity enhancement before vaccination.

Macrophages, NK cells, T cells, B cells, and mononuclear lymphocytes are representative of the immune system that protects our body. On the other hand, a vaccine is an’immune memory system’ that can quickly respond when an external virus invades again by remembering innate immune activities such as T cells and B cells through acquired immunity.

Corona 19 vaccine is a way to prevent infection by strengthening acquired immunity while responding by remembering the innate immune activity. Therefore, in order to increase the effectiveness of the acquired immunity vaccine, it is necessary to increase the immunity to activate the immune activity.

“Corona 19 vaccines include synthetic antigen vaccines, mRNA vaccines, vector vaccines, and inactivated vaccines,” said Choi Kyu-young, a specialist in circulatory organs at H Plus Yangji Hospital. “Hyperlipidemia is a treatment that strengthens the immune memory system, that is, acquired immunity.” , Hypertension, diabetes, etc. Chronic diseases, such as low immunity, infection and various inflammatory reactions are vulnerable to vaccination and chronic disease management must also precede.”

Patients with chronic diseases with high fatality rate after COVID-19 infection… Priority target for vaccination

The elderly and chronically ill patients are eligible for vaccination because of the high mortality rate during infection. After the virus multiplies in the body, the symptoms worsen are various inflammatory reactions, and symptoms appear in various tissues such as lungs, kidneys, heart, liver, and brain. Elderly people with low immunity and chronic diseases are not easy to overcome such an inflammatory reaction.

In fact, according to data from the Central Defense Agency released on the 26th of last month, the Corona 19 fatality rate (the number of deaths from a disease divided by the number of patients with that disease) is 0% for those under 20s, but 1.37% for 60s and 6.50 for 70s %, those in their 80s and above showed a soaring to 20.28%.

In addition, most of the deaths from Corona 19 had underlying diseases such as high blood pressure, diabetes, and cardiovascular disease. Patients with hypertension have a variety of complications, so care should be taken. High blood pressure overloads the heart and increases the level of inflammation in the blood vessels, causing problems with cellular metabolism. Therefore, the immunity is lowered and the mortality rate after infection is increased as much as it is vulnerable to infection.

Meanwhile, some studies have shown that stroke patients are fatal to the coronavirus. According to the American Heart Association journal’Stroke’, the NIHSS (stroke scale developed by the National Institute of Health) score was surveyed according to the NIHSS journal’Stroke’. It was found that the symptoms were much more severe than that of 8 points. NIHSS is a measurement value used to objectively quantify the disability of a stroke patient. It consists of a total of 11 items, divided into 0-42 points according to symptoms, and 16-20 points are judged as severely ill.

Chronic disease patients should maintain immunity through lifestyle improvement and disease management

Vaccination alone cannot be completely free from viruses. In addition, in order to increase the vaccine effect and prevent side effects, chronic disease management and immunity must be enhanced. Chronic disease is difficult to cure once it has occurred. Therefore, prevention is the most important, and even mild symptoms should be diagnosed and treated early.

The most important thing in chronic disease management and immunity is improvement of lifestyle. Eating habits should reduce excess salt intake and reduce animal fat intake. Instead, eat plenty of protein and fresh vegetables. Smoking can increase blood pressure and cause arteriosclerosis and arrhythmia. Regular exercise lowers blood pressure and levels of bad cholesterol. However, for cardio-cerebrovascular patients, excessive exercise may be poisonous, so appropriate exercise is required according to the judgment of the attending physician.

Kang Seok-jae, a neurologist at H Plus Yangji Hospital, said, “If you are an elderly or chronically ill person who is subject to vaccination, you should get vaccination early and strive for disease management and immunity management through consistent lifestyle management.” “Normal problems with blood sugar, blood pressure, and cholesterol levels If there is, it is important to have regular check-ups for symptom tracking and observation.”

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