Yoga,Chyawanaprash Among Suggestions In Health Ministry’s Post-Covid Care Management Guidelines

Modesto Morganelli
Settembre 15, 2020

The Union Health Ministry has issued a fresh list of suggestions for post COVID management. Patients who have recovered from acute illness may continue to report symptoms such as fatigue, body ache, cough, sore throat and difficulty in breathing, it said. However, there is limited evidence of post-COVID ailments and research is being actively pursued is this regard.

The recovery period is expected to be longer for patients who suffered from severe Covid-19 and those who have underlying health disorders.

India's coronavirus tally reached 47,54,356 on Sunday, after the Union Ministry of Health and Family Welfare reported a rise of 94,372 cases in 24 hours. "Professional work should be resumed in a graded manner", the ministry stated in the advisory.

-Breathing exercises as prescribed by the treating physician.

The second worst-hit in the world by the pandemic, India recorded its biggest single-day surge in COVID-19 cases with 97,570 new patients on Saturday.

Take regular medications as advised for COVID and also for managing comorbidities, if any.

The document, published by the Health Ministry, provides an approach for managing patients who have recovered from COVID-19 for care at home.

Chyawanprash 1 teaspoonful (5 mg) once daily in the morning.

Apart from this, the protocol advices to consume a balanced nutritious diet that is easy to digest and is freshly prepared.

Drink adequate amount of warm water (if not contra-indicated).

"They should avoid smoking and consumption of alcohol", the document read.

-Self-health monitoring at home: Temperature; blood pressure, blood sugar (especially if diabetic), pulse oximetry etc.

-If there is a persistent dry cough/sore throat, do saline gargles and take steam inhalation. Add herbs/spices for gargling/steam inhalation.

-Look for early warning signs like high grade fever, breathlessness, Sp02 95%, unexplained chest pain, new onset of confusion, focal weakness.

There could be substances in traditional medicine systems that influence immunity levels but to ask recovering patients to take "immunity-boosting" AYUSH medications are "tantamount to quackery", said Shri Prakash Kalantri, professor of medicine at the Mahatma Gandhi Institute of Medical Sciences, Wardha.

Recovered patients should share their positive experiences using social media, community leaders, opinion leaders, and religious leaders for creating awareness, dispelling myths and stigma. They can also take help from self-help groups, civil society organisations among others for the recovery and rehabilitation process or take psycho-social support from peers and community members.

Severe cases requiring critical care support will need more stringent follow-up, the protocol says.

Group sessions of yoga and meditation have also been recommended, provided health precautions like physical distancing are followed.

The first follow-up visit (physical/telephonic) should be within 7 days after discharge, preferably at the hospital where he/she underwent treatment. The government highlighted that people should avoid poly-therapy due to unknown drug-drug interaction, which can have adverse effects.

Home-isolated patients should visit the nearest healthcare facility if symptoms persist.

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