The advantages of drinking mineral water in the rehabilitation of patients with viral hepatitis C with accompanying non-alcoholic fatty liver disease after suffering from COVID-19

Abstract

Introduction and Objective.Past COVID-19 significantly worsens Chronic viral hepatitis C patients with concomitant NAFLD. The aim of the study was to assess effectiveness of including mineral water in the rehabilitation complex in patients with chronic hepatitis C with concomitant non-alcoholic fatty liver disease who contracted COVID-19. Materials and method. 71 patients with chronic hepatitis C with concomitant NAFLD wo contracted COVID-19 were examined. Group I (control) -39 patients prescribed dietary nutrition and exercise therapy. Group II (main) -32 patients, in addition to the above, received packaged 'Shayanskaya' mineral water. Methodology comprised anamnestic, anthropometric and clinical, general clinical, biochemical, serological, and molecular genetic (markers of hepatitis C virus, HCV RNA PCR (qualitative and quantitative determination, genotyping), enzyme-linked immunosorbent assay, ultrasonographic examination of digestive organs, and statistical methods. Results. Due to the treatment, there were significant improvements in carbohydrate and lipid metabolism, as well as the cytokine profile. Conclusions. The effectiveness was established of the use of silicon low-mineralized bicarbonate sodium mineral water in the complex rehabilitation of patients with chronic hepatitis C and suputor NAFLD after contracted COVID-19. There was a significant improvement in the clinical course of the disease and improvement in the functional state of the liver.

Mineral Water Inhalations in Sanatorium Rehabilitation of Patients After Covid-19 Disease

“…There are reports of a favourable effect of spa treatment with the use of balneological agents on the course of diseases of the bronchopulmonary, cardiovascular, hepatobiliary systems, musculoskeletal system, etc. [39][40][41][42][43][44]. The positive impact of spa treatment factors on mood, sleep quality, and depression minimises the psychological consequences that persist after COVID-19 infection and are associated with chronic stress [45].…”

“…У заключенні слід вказати, що на відміну від парових інгаляцій в домашніх умовах, значно більший ефект досягається в умовах санаторно-курортного закладу через наявність фактору відпочинку, зміну клімату та ефекту від інших процедур у комплексі реабілітації [37,38]. Повідомляється про благосприятливий вплив санаторно-курортного лікування з використанням бальнеологічних засобів на перебіг захворювань бронхо-легеневої, серцево-судинної, гепатобіліарної системи, опорно-рухового апарату тощо [39][40][41][42][43][44]. Позитивний вплив чинників санаторнокурортного лікування на настрій, якість сну, рівень депресії мінімізує психологічні наслідки, що зберігаються після перенесеної COVID-19 інфекції і пов'язані з впливом хронічного стресу [45].…”