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[이데일리 이지현 기자] “My child’s temperature fluctuates between 39 degrees every night, and it’s scarier than COVID-19.”

As we approach the change of seasons, every household with children is suffering from heat colds and complaining like this. Usually, in the case of a cold, the hot sensation disappears after a day or two, but this time, it is common for the hot sensation to persist for more than 5 days. What’s going on?

What are Adeno and Reno?

According to the Korea Disease Control and Prevention Agency on the 3rd, according to the results of infectious disease specimen surveillance for the 38th week (September 17 to 23), the number of patients showing symptoms suspected of influenza (flu) per 1,000 outpatients (proportion of suspected influenza patients) was 17.3. In particular, it increased in the age groups of 7 to 12 and 13 to 18.

However, the actual number of flu patients was relatively small. Looking at the detection status of viruses causing acute respiratory infections at week 37, adenovirus accounted for most, with 38% and rhinovirus 14.8%. Adenovirus is a DNA virus belonging to the Adenoviridae family, causing respiratory infections, gastroenteritis, epidemic keratoconjunctivitis, hemorrhagic cystitis, It can cause meningitis. Symptoms are respiratory infections such as febrile acute sore throat and pharyngitis, and fever, cough, and runny nose are common. In addition, symptoms such as sore throat and difficulty breathing may appear, and there are also cases of digestive symptoms such as nausea, vomiting, and diarrhea, and eye infection symptoms such as conjunctival congestion. In severe cases, symptoms such as hemorrhagic cystitis and pneumonia may also develop.

You can become infected through respiratory droplets, direct contact with a patient, or when changing the diaper of an infected infant or toddler. In particular, it is characterized by being highly contagious to the extent that infants and young children with weak immune systems can become infected by sharing towels or toys with an infected child in communal living spaces, or even in water play areas such as swimming pools. As there is no preventive vaccine or specific antiviral agent, conservative treatment such as fluid supplementation and antipyretics is required.

Rhinovirus infection is an acute respiratory infection caused by human rhinovirus infection. Compared to other respiratory viruses, it causes less fever, but is accompanied by runny nose, sore throat, cough, sneezing, and headache. It often causes upper respiratory tract infections such as colds, otitis media, and sinusitis, but it can also cause lower respiratory tract infections such as bronchiolitis and pneumonia. There is no preventive vaccine or specific antiviral drug, so symptomatic treatment such as fever reducers is required.

Long trend cause… Natural immunity slows down during COVID-19 pandemic

Looking at the status of hospitalized patients with acute respiratory infections over the past five years, the number of patients infected with seven viruses reached 54,841 (January to September), the largest number since 2019 (87,269). Considering that the number of patients increases during the winter, the number of acute respiratory infection patients this year could well exceed the 2019 level.

Current status of viruses confirmed in patients hospitalized with acute respiratory infections from 2019 to 2023 (Table = Provided by the Korea Disease Control and Prevention Agency) In particular, the cumulative number of hospitalized patients due to adenovirus infection, where the number of infected people was only around 2,000 during the three years of the COVID-19 pandemic (global pandemic), was There are currently 10,762 people. Even if you add up all the patients over the past three years, you still can’t figure out the number of patients that occurred this year. The cumulative number of hospitalized patients with rhinovirus has been less than 10,000 over the past three years, but this year there are already 14,320. The number of people infected with parainfluenza virus also exceeded 10,000.

The peak of this virus was last August. More than one in two (57.68%) acute respiratory patients hospitalized at week 35 had adenovirus infection, but as of week 38, the number has gradually decreased to 43.24%. The problem is that rhinovirus is rapidly increasing from 19.06% to 30.77% over the same period.

In addition, the flu epidemic, which has been prevalent since the winter of last year, has continued for nearly a year, so health authorities have issued a winter epidemic advisory for this year for the first time without lifting the epidemic advisory.

Choi Jeong-hwan, a professor of otolaryngology at Inje University Sanggye Paik Hospital, said, “At the beginning of the COVID-19 epidemic, there was no flu epidemic due to strengthening personal hygiene, wearing masks, and reducing people’s outdoor activities, but the lack of natural immunity due to infection for a while was the reason for the recent cold and flu outbreak. “It seems to have had an impact on the long-term trend,” he analyzed. He continued, “The flu epidemic is especially severe among school-age children and teenagers,” and added, “Even if common cold symptoms such as fever, cough, or sore throat appear, we recommend that you go to the hospital and receive treatment.”

2023-10-02 22:23:48

#fever #severe #COVID19.. #Adeno #Reno

[손기정 일중한의원 원장] “Director, doesn’t prostatitis only occur with age? “I’m still in my 30s…” There are quite a few cases of young male patients who visit the clinic making complaints like this. These are male prostatitis patients who were diagnosed with prostatitis at a young age, took antibiotics, and then came to the author’s hospital after much questioning when the symptoms recurred.

Many men believe that prostatitis occurs only in their 50s or 60s, but this is not true. There seems to be confusion because the symptoms are similar to benign prostatic hyperplasia, which occurs when prostate tissue proliferates excessively with age. This is because both diseases have similar symptoms, including urinary symptoms such as frequent urination, residual urine, and urine retention, and sexual dysfunction. However, prostatitis is an enlarged prostate

Unlike Ki-Jeong Son, director of Il-Chinese Oriental Medical Clinic, the prostate is swollen due to inflammation, and pain symptoms such as heavy and stiff pain in the perineum, pelvic pain, genital pain, and ejaculatory pain are characteristic. Men can notice the difference in the disease if they pay a little attention.

Having treated patients with prostatitis for over 30 years, what I have noticed over the past few years is that the number of younger patients is steadily increasing. Chronic prostatitis occurs in men of all ages, from those in their 20s to those in their 50s and 60s who are actively involved in social activities. Prostatitis is a disease that does not discriminate against age. In fact, according to the author’s survey, people in their 20s and 30s accounted for more than 4 out of 10 patients, or 43.4% of the total, and unfortunately, some of the patients are teenagers who are still in their adolescence.

As previously explained, prostatitis is swelling of the prostate and its surroundings caused by inflammation of the prostate tissue due to various causes. It appears accompanied by pain symptoms such as lower abdomen and perineal pain, pelvic pain, and testicular pain, and urinary symptoms such as frequent urination and residual urine. The majority of patients complain of systemic symptoms such as decreased sexual function, premature ejaculation, and chronic fatigue, and their quality of life is greatly reduced. Additionally, prostatitis is usually associated with a bacterial infection and is easily mistaken for an infectious disease such as a sexually transmitted disease. There are many cases where it starts with an initial bacterial infection, but in most cases, bacteria can be treated with early use of antibiotics. However, uncomfortable symptoms such as pain still remain, which is called non-bacterial prostatitis. In fact, 80-90% of all patients who visit the hospital have non-bacterial prostatitis. It can also occur without sexual contact, which is proof that prostatitis can appear at any age.

If not treated properly, prostatitis frequently recurs due to various factors such as overwork, decreased immunity, drinking, and lack of exercise. There are many cases in which patients who developed the disease in their 20s or 30s have repeated recurrences for 4 to 5 years or more and continue to suffer until middle age. It is important to start treatment quickly when symptoms appear, but to be patient. If acute bacterial prostatitis occurs in the early stages, treatment with antibiotics and anti-inflammatory painkillers can be effective. It is important to take all prescribed medications to ensure that bacteria and inflammation disappear and to manage your daily life thoroughly.

However, regardless of age, if recurrence occurs more than two or three times, it can become chronic, so caution is required. Most chronic patients have impaired function of the bladder or kidneys, organs related to the prostate, due to long-term urinary problems, pain, and stress. If urine is not discharged properly and remains in the bladder, the bladder’s squeezing power decreases, which in turn leads to a decline in the function of the kidneys, spleen, etc. At this time, systematic and fundamental oriental medical treatment to prevent recurrence, such as direct inflammation removal, restoration of organ function, treatment for antibiotic use and resistance, and strengthening the immune system, can be very effective.

2023-09-30 15:03:07

#전립선 #방광살리기 #Prostatitis #men #age

[이데일리 이순용 기자] As the Chuseok holiday approaches, our thoughts are focused on spending a safe and healthy time with our families. However, this Chuseok seems to be approaching differently for all of us who have endured the COVID-19 pandemic. Due to the pandemic, we have seen a significant increase in interest in getting vaccinated. This interest is often misunderstood as something that only applies to children or adults. To resolve these misunderstandings, we would like to convey the message that it is more important to protect our health.

From young age to old age, our immunity continues to change and weaken. Vaccines administered at the appropriate time to prepare for weakened immunity as we age are of great help in preventing disease and lowering the mortality rate. We learned about vaccinations that help prevent infectious diseases and maintain a healthy and happy life with Professor Park Jeong-ha of the Department of Family Medicine at Kyung Hee University Hospital.

Q. What is vaccination?

A vaccine is a substance or medicine that allows our body to acquire information about antigens (pathogens, viruses) and develop acquired immunity to resist the disease. Injecting this vaccine for the purpose of preventing disease is called vaccination.

Vaccination types are largely divided into those using live vaccines and killed vaccines. Live vaccines are vaccines made by artificially weakening pathogens, while killed vaccines are vaccines made by inactivating cultured pathogens (bacteria or viruses) by treating them with heat or chemicals. Killed vaccines were created because live vaccines can cause disease in people with weakened immune systems. It can be used safely, but because the immune response is weak, multiple vaccinations may be required.

Even if the elderly receive the same vaccine, the vaccine’s efficacy is lower than that of younger adults. Vaccination in your 60s shows a higher antibody formation rate than vaccination in your 70s or 80s. Therefore, it is best to get the vaccine as soon as possible once you reach the recommended age for vaccination.

Q. Precautions when getting vaccinated?

You may experience fever or muscle pain after vaccination, but if the symptoms are mild, it is not a problem as they will improve on their own within a few days. However, if the symptoms are too severe or serious symptoms such as difficulty breathing or anaphylaxis occur, you should immediately seek treatment at a hospital. If serious side effects have occurred after previous vaccination, or if you are allergic to certain ingredients, serious side effects may occur after vaccination, so you should inform your medical staff in advance before receiving the vaccine.

Elderly people often have various underlying diseases, and because of this, they often take various medications. You should consult with your doctor before receiving the vaccine and then decide the timing of vaccination to increase the effectiveness of the vaccine and prevent its side effects.

Q. When will I get the influenza vaccination?

Influenza vaccination, commonly called a flu shot, is recommended annually for high-risk groups for influenza, such as children, pregnant women, and people with chronic diseases, and for adults over 50 years of age. Antibodies develop in the first week after vaccination and reach their peak in the fourth week, so it is best to get vaccinated before November, when the influenza epidemic begins. Because influenza viruses mutate easily, the World Health Organization creates vaccines by predicting new types of viruses that will become prevalent every year, referring to previous prevalent viruses. Therefore, if a virus different from the expected influenza virus becomes prevalent, the flu may spread.

There are two types of influenza vaccines: a live vaccine that is administered into the nose and an inactivated vaccine that is administered intramuscularly. In general, many killed vaccines are administered. In particular, live vaccines are contraindicated for people at high risk for influenza (immune-compromised people, adults over 50 years old, pregnant women, etc.), so they must be vaccinated with a killed vaccine.

Q. What are the two pneumococcal vaccines?

Pneumonia, the third leading cause of death in Korea, does not cause major problems in young adults, but is fatal or occurs more frequently in older adults. As the aging population accelerates, the death rate is steadily increasing. (Source: 2021 Statistics Korea Cause of Death Statistics) Pneumococcus (Streptococcus pneumoniae) is a representative bacterium that causes pneumonia, and invasive pneumococcal infections, including pneumonia, are prevented through pneumococcal vaccination. It can be reduced.

Adults can receive two types of pneumococcal vaccine: 13-valent protein conjugate vaccine (PCV13) and 23-valent polysaccharide vaccine (PPSV23). The 13-valent protein conjugate vaccine protects against relatively few bacteria, but has a long preventive effect and produces high-quality antibodies against pneumococcal disease and pneumonia. The 23-valent polysaccharide vaccine can prevent many types of pneumoniae bacteria.

For healthy people over 65 years of age, it is recommended to receive the 23-valent pneumococcal vaccine at least one year after receiving the 13-valent pneumococcal vaccine. If you were vaccinated with the 23-valent pneumococcal vaccine before the age of 65, you should be re-vaccinated once 5 years after the vaccination. In Korea, one free 23-valent pneumococcal vaccine is provided to seniors aged 65 or older, so if you are 65 or older and have not yet received the pneumococcal vaccine, get vaccinated at a nearby public health center or designated medical institution.

Q. What are live shingles vaccine and genetically modified shingles vaccine?

Shingles is a disease that occurs when the virus dormant in the sensory ganglia is reactivated after infection with the varicella-zoster virus. It is characterized by unilateral development of blisters, severe neuralgia, and abnormal sensations. Post-herpetic neuralgia is a condition in which there is persistent severe pain in the area where shingles occurred, and the pain persists for months to years, greatly reducing the quality of life. Shingles vaccination can reduce the incidence of shingles and post-herpetic neuralgia. The live shingles vaccine is recommended to be administered once to adults over 50 years of age.

Because the live shingles vaccine is a live vaccine, people with weakened immunity may contract shingles after vaccination. Therefore, shingles vaccination is not recommended if you are suffering from an acute illness or have a weakened immune system. The recently released genetically modified shingles vaccine (Shingrix) can be administered relatively safely even to those with weakened immunity due to cancer or organ transplant.

The recombinant shingles vaccine is recommended to be administered in two doses to adults over 50 years of age, and the second dose is administered two months after the first dose. If you suffered from shingles before vaccination, it is recommended that you receive the shingles vaccine 6 to 12 months after recovering from shingles. However, the vaccination schedule may change depending on the health status and underlying disease of the recipient, so consultation with a doctor is necessary.

Professor Park Jeong-ha of the Department of Family Medicine at Kyung Hee University Hospital explains the importance of vaccination.
2023-09-28 00:11:30

#Chuseok #holiday #vaccination #healthy #start #parents #hometown