美国疾病控制与预防中心刚刚将其添加到COVID-19症状列表中。以下是你需要知道的。

通过利亚Groth
2020年4月30日
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美国疾病控制和预防中心最近补充道6种新型COVID-19症状列入官方名单。现在,除了标准干咳,呼吸急促(气促)美国疾病控制与预防中心还列出了发冷、反复颤抖、头痛、喉咙痛新的嗅觉或味觉丧失,以及肌肉疼痛都是冠状病毒感染的征兆。

要明确的是,这些症状中的许多并不是全新的发现:3月份,英国的耳鼻喉专家警告说失去了嗅觉和味觉可能是2019冠状病毒疾病的症状;而且有传闻说,人们也报告了发冷,头疼,喉咙痛。

然而,新增加的肌肉疼痛症状可能比其他症状更令人惊讶。虽然身体疼痛几乎可以是任何事情的结果,但与冠状病毒相关的肌肉疼痛却有点不同。

Covid-19有多常见的是肌肉疼痛?

美国疾病控制与预防中心没有在其症状列表中提供这方面的信息,但据世界卫生组织(World Health Organization)称,肌肉疼痛(又名肌痛)比其他众所周知的症状要少一些冠状病毒症状.

A.2月报告该报告分析了中国55924例实验室确诊的COVID-19病例,发现14.8%的患者报告出现肌痛或关节痛(关节疼痛)。这明显低于发烧(87.9%)和干咳(67.7%)的患者数量,仍然低于其他症状,如疲劳(38.1%)和呼吸急促(18.6%)。然而,它比喉咙痛(13.9%)、头痛(13.6%)和寒战(11.4%)更常见。

2019冠状病毒疾病为何引起肌肉疼痛

肌肉疼痛——通常是由肌肉炎症(肌炎)引起的——并不是病毒感染的罕见症状。“总的来说,冠状病毒和其他病毒一样,会导致肌肉组织炎症,”阿米尔·巴辛女士北卡罗来纳大学教堂山医疗中心呼吸诊断中心的事故指挥官告诉记者健康.

巴津博士解释说,病毒感染引起的肌肉疼痛是由病毒本身对肌肉纤维的损伤引起的。该病毒还通过炎症细胞因子触发体内的炎症反应,这些炎症细胞因子本质上是向免疫系统发出信号,使其开始工作,从而导致异常的组织破坏。

COVID-19引起的肌肉疼痛是什么感觉?

据Barzin博士说,与COVID-19相关的肌肉疼痛通常感觉像“触摸肌肉时的柔软或肌肉运动时的疼痛”。虽然锻炼引起的肌肉疼痛感觉上与SARS-CoV-2等病毒引起的肌肉疼痛类似,但病毒疼痛往往更普遍,而与锻炼或受伤相关的疼痛往往更局限于特定的肌肉。

有时甚至医生也很难区分病毒引起的肌肉疼痛和运动引起的肌肉疼痛。”很难区分这两者之间的区别,”巴辛博士承认,并补充说,医生们常常不得不扮演侦探的角色,以找到问题的根源,询问患者最近是否有运动,或者是否有其他感染症状,如发烧、发冷或咳嗽,这有助于诊断。

病毒相关的肌肉疼痛和运动引起的肌肉疼痛在缓解所需的时间上也有所不同。”病毒性肌病[肌肉问题]往往在感染消失后数周到数月内得到解决,”Barzin博士说,同时他指出,运动引起的肌肉酸痛往往在48-72小时内得到解决。

你怎么治疗2019冠状病毒疾病?

根据巴津博士的说法,“在开始日常锻炼之前,通过冰敷、翻滚、轻微拉伸、按摩和轻微的有氧运动,可以缓解运动引起的肌肉酸痛。”

但是,当涉及2019冠状病毒疾病或其他病毒感染时,肌肉疼痛可能会有所不同。查尔斯•Odonkor医学博士,一位耶鲁医学物理学家和疼痛医学专家建议卧床休息、补液和使用止痛药(如醋氨酚)或非甾体抗炎药(如阿司匹林和布洛芬)进行一般症状管理。然而,奥东科尔博士指出,如果你对上述建议没有感觉到缓解,你应该寻求医疗护理。

截至发稿时,这篇报道中的信息是准确的。然而,随着围绕COVID-19的形势继续发展,一些数据可能自发布以来发生了变化。在《健康》杂志努力使我们的故事尽可能最新的同时,我们也鼓励读者通过使用疾病控制中心,,以及他们当地的公共卫生部门作为资源。

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The virus that causes COVID-19 is called SARS-CoV-2, short for severe acute respiratory syndrome coronavirus 2. It is a type of coronavirus similar to the one that causes SARS, or severe acute respiratory syndrome.

" }, { "answer_choices": [ { "answer_title": "Fever or chills", "correct_answer": false, "answer_id": "A1", "answer_value": 0, "$vf_selected_count": { "value": 1756, "lastModified": "2021-08-12T20:48:53.000Z" } }, { "answer_title": "Fever dreams", "correct_answer": true, "answer_id": "A2", "answer_value": 1, "$vf_selected_count": { "value": 89586, "lastModified": "2021-08-12T21:48:20.000Z" } }, { "answer_title": "Diarrhea or loose stools", "correct_answer": false, "answer_id": "A3", "answer_value": 0, "$vf_selected_count": { "value": 16742, "lastModified": "2021-08-12T16:41:53.000Z" } }, { "answer_title": "Breathing difficulties or shortness of breath", "correct_answer": false, "answer_id": "A4", "answer_value": 0, "$vf_selected_count": { "value": 2343, "lastModified": "2021-08-12T21:35:15.000Z" } } ], "answer_type": "text", "question_title": "This is not a possible symptom of COVID-19:", "question_id": "Q2", "answer_description": "

You might have wild dreams when you're ill—fever can do that. But bizarre or emotionally intense fever dreams are not recognized as a symptom of COVID-19.

" }, { "answer_choices": [ { "answer_title": "Wear a mask", "correct_answer": false, "answer_id": "A1", "answer_value": 0, "$vf_selected_count": { "value": 6948, "lastModified": "2021-08-12T20:48:53.000Z" } }, { "answer_title": "Wash your hands", "correct_answer": false, "answer_id": "A2", "answer_value": 0, "$vf_selected_count": { "value": 42272, "lastModified": "2021-08-11T14:09:34.000Z" } }, { "answer_title": "Maintain social distance from others", "correct_answer": false, "answer_id": "A3", "answer_value": 0, "$vf_selected_count": { "value": 6327, "lastModified": "2021-08-12T16:56:40.000Z" } }, { "answer_title": "Wipe down groceries packaged in cardboard or plastic wrap with bleach", "correct_answer": true, "answer_id": "A4", "answer_value": 1, "$vf_selected_count": { "value": 54881, "lastModified": "2021-08-12T21:48:20.000Z" } } ], "answer_type": "text", "question_title": "To slow the spread of COVID-19, don't do this:", "question_id": "Q3", "answer_description": "

CDC specifically warns against using disinfecting products on food or food packaging. You don't want to accidentally taint your food. Plus, the risk of COVID-19 from handling or consuming food is thought to be low. Use disinfectants like bleach to wipe down tables, countertops, and faucets

" }, { "answer_choices": [ { "answer_title": "A multi-layer medical procedure mask (aka a surgical mask or disposable face mask)", "correct_answer": false, "answer_id": "A1", "answer_value": 0, "$vf_selected_count": { "value": 8861, "lastModified": "2021-08-12T21:34:17.000Z" } }, { "answer_title": "A mask with a vent or valve", "correct_answer": true, "answer_id": "A2", "answer_value": 1, "$vf_selected_count": { "value": 79097, "lastModified": "2021-08-12T21:36:53.000Z" } }, { "answer_title": "A cloth mask made of two or more breathable, washable layers", "correct_answer": false, "answer_id": "A3", "answer_value": 0, "$vf_selected_count": { "value": 17323, "lastModified": "2021-08-12T21:48:20.000Z" } }, { "answer_title": "A cloth mask over a surgical mask", "correct_answer": false, "answer_id": "A4", "answer_value": 0, "$vf_selected_count": { "value": 5146, "lastModified": "2021-08-12T17:41:20.000Z" } } ], "answer_type": "text", "question_title": "Which masking option is least effective for stopping the spread of COVID-19?", "question_id": "Q4", "answer_description": "

If your mask has a vent or valve, respiratory particles may escape and reach other people. Opt instead for a well-fitting mask with multiple layers, or wear a cloth mask over a disposable mask to secure the underlying mask to your face.

" }, { "answer_choices": [ { "answer_title": "Anal swab testing", "correct_answer": true, "answer_id": "A1", "answer_value": 1, "$vf_selected_count": { "value": 94012, "lastModified": "2021-08-12T21:48:20.000Z" } }, { "answer_title": "Nasal swab testing", "correct_answer": false, "answer_id": "A2", "answer_value": 0, "$vf_selected_count": { "value": 11312, "lastModified": "2021-08-12T16:16:14.000Z" } }, { "answer_title": "Saliva testing", "correct_answer": false, "answer_id": "A3", "answer_value": 0, "$vf_selected_count": { "value": 3034, "lastModified": "2021-08-12T11:40:00.000Z" } }, { "answer_title": "Throat swab testing", "correct_answer": false, "answer_id": "A4", "answer_value": 0, "$vf_selected_count": { "value": 2069, "lastModified": "2021-08-12T18:13:52.000Z" } } ], "answer_type": "text", "question_title": "Which COVID-19 screening method is not routinely in use in the US?", "question_id": "Q5", "answer_description": "

Most diagnostic tests rely on mucus collected from your nose or throat, and some use saliva that you spit into a test tube. While China is using anal swab testing, that method hasn't caught on in the US.

" }, { "answer_choices": [ { "answer_title": "2 to 12 hours", "correct_answer": false, "answer_id": "A1", "answer_value": 0, "$vf_selected_count": { "value": 4984, "lastModified": "2021-08-12T16:56:40.000Z" } }, { "answer_title": "3 days", "correct_answer": false, "answer_id": "A2", "answer_value": 0, "$vf_selected_count": { "value": 23664, "lastModified": "2021-08-12T21:36:53.000Z" } }, { "answer_title": "14 days", "correct_answer": true, "answer_id": "A3", "answer_value": 1, "$vf_selected_count": { "value": 80984, "lastModified": "2021-08-12T21:48:20.000Z" } }, { "answer_title": "30 days", "correct_answer": false, "answer_id": "A4", "answer_value": 0, "$vf_selected_count": { "value": 796, "lastModified": "2021-08-12T04:10:10.000Z" } } ], "answer_type": "text", "question_title": "How long is the incubation period—the amount time from when you are infected with the novel coronavirus to when you exhibit symptoms?", "question_id": "Q6", "answer_description": "

The incubation is thought to be 14 days, with a median of 4 to 5 days. (But keep in mind that some people never develop symptoms).

" }, { "answer_choices": [ { "answer_title": "A variant", "correct_answer": true, "answer_id": "A1", "answer_value": 1, "$vf_selected_count": { "value": 72197, "lastModified": "2021-08-12T21:48:20.000Z" } }, { "answer_title": "A high viral load", "correct_answer": false, "answer_id": "A2", "answer_value": 0, "$vf_selected_count": { "value": 9448, "lastModified": "2021-08-12T08:03:22.000Z" } }, { "answer_title": "A vaccine", "correct_answer": false, "answer_id": "A3", "answer_value": 0, "$vf_selected_count": { "value": 11333, "lastModified": "2021-08-12T17:41:20.000Z" } }, { "answer_title": "Another virus, like influenza", "correct_answer": false, "answer_id": "A4", "answer_value": 0, "$vf_selected_count": { "value": 17450, "lastModified": "2021-08-12T00:13:52.000Z" } } ], "answer_type": "text", "question_title": "A mutated version of the virus that causes COVID-19 is called:", "question_id": "Q7", "answer_description": "

Variants of the virus that causes COVID-19 have been identified in the US and around the world. Scientists are studying these variants to learn how they spread and whether current vaccines will protect against them.

" }, { "answer_choices": [ { "answer_title": "Researchers have coined the term \"coronaphobia\" to describe the fear of contracting COVID-19", "correct_answer": false, "answer_id": "A1", "answer_value": 0, "$vf_selected_count": { "value": 8742, "lastModified": "2021-08-12T21:48:20.000Z" } }, { "answer_title": "The virus that causes COVID-19 can sometimes spread through tiny airborne particles", "correct_answer": false, "answer_id": "A2", "answer_value": 0, "$vf_selected_count": { "value": 14393, "lastModified": "2021-08-12T19:03:20.000Z" } }, { "answer_title": "The term \"long-haulers\" refers to people who experience long-term coronavirus symptoms", "correct_answer": false, "answer_id": "A3", "answer_value": 0, "$vf_selected_count": { "value": 5813, "lastModified": "2021-08-12T20:10:49.000Z" } }, { "answer_title": "COVID-19 is just like having the seasonal flu", "correct_answer": true, "answer_id": "A4", "answer_value": 1, "$vf_selected_count": { "value": 81481, "lastModified": "2021-08-12T21:41:54.000Z" } } ], "answer_type": "text", "question_title": "Which of the following statements is false?", "question_id": "Q8", "answer_description": "

Early on, some people speculated that the novel coronavirus would behave like the seasonal flu. Now we know COVID-19 is much more contagious and spreads more rapidly than influenza.

" }, { "answer_choices": [ { "answer_title": "Women who want to become pregnant some day", "correct_answer": false, "answer_id": "A1", "answer_value": 0, "$vf_selected_count": { "value": 10906, "lastModified": "2021-08-12T20:48:53.000Z" } }, { "answer_title": "Anyone who has had a severe allergic reaction (anaphylaxis) to any vaccine ingredient", "correct_answer": true, "answer_id": "A2", "answer_value": 1, "$vf_selected_count": { "value": 58548, "lastModified": "2021-08-12T21:41:54.000Z" } }, { "answer_title": "People who have recovered from COVID-19", "correct_answer": false, "answer_id": "A3", "answer_value": 0, "$vf_selected_count": { "value": 9690, "lastModified": "2021-08-12T19:03:20.000Z" } }, { "answer_title": "People with underlying medical conditions", "correct_answer": false, "answer_id": "A4", "answer_value": 0, "$vf_selected_count": { "value": 31284, "lastModified": "2021-08-12T21:48:20.000Z" } } ], "answer_type": "text", "question_title": "Who should not get a COVID-19 vaccine?", "question_id": "Q9", "answer_description": "

CDC does not recommend COVID vaccination if you've had a severe allergic reaction to any COVID vaccine ingredient. Contact your doctor if you have questions about whether it's safe for you to be vaccinated.

" }, { "answer_choices": [ { "answer_title": "You can't get COVID-19 from a COVID-19 shot", "correct_answer": false, "answer_id": "A1", "answer_value": 0, "$vf_selected_count": { "value": 16980, "lastModified": "2021-08-12T20:10:49.000Z" } }, { "answer_title": "Side effects are generally mild and short-lived", "correct_answer": false, "answer_id": "A2", "answer_value": 0, "$vf_selected_count": { "value": 6761, "lastModified": "2021-08-12T18:14:15.000Z" } }, { "answer_title": "It can take a few weeks after getting vaccinated for your body to build immunity to the virus", "correct_answer": false, "answer_id": "A3", "answer_value": 0, "$vf_selected_count": { "value": 4075, "lastModified": "2021-08-12T21:48:20.000Z" } }, { "answer_title": "None of the above", "correct_answer": true, "answer_id": "A4", "answer_value": 1, "$vf_selected_count": { "value": 82612, "lastModified": "2021-08-12T21:41:54.000Z" } } ], "answer_type": "text", "question_title": "Which of the following statements about COVID-19 are false?", "question_id": "Q10", "answer_description": "

Vaccination is safe, effective, and an important tool for beating the pandemic.

" } ], "description": "

News about the novel coronavirus is breaking nearly 24-7, which makes it challenging at best to keep up with the latest scientific evidence, especially when you're bombarded by false or misleading claims on social media. So how much do you really know about COVID-19? Take our quiz to gauge how knowledgeable you are.

", "gate": "none", "intro_page": true, "uuid": "c5d20a0c-6b54-4691-ac5b-7362b5c9e58c", "brand": "health", "headline": "Quiz: How Much Do You Know About Coronavirus?", "results": [ { "result_starting_range": 0, "button": { "_type": "button", "title": "Start Learning More", "src": "https://x.specialoffers.meredith.com/ats/show.aspx?cr=588&fm=201®source=20571" }, "result_ending_range": 3, "result_description": "

Time to bone up on the basic facts about COVID-19. Check out our COVID-19 condition center and subscribe to our daily Healthy Living newsletter and never miss an update.

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While Health is trying to keep our content as up-to-date as possible, we also encourage readers to stay informed on news and recommendations for their own communities by using the CDCWHO, and their local public health department as resources.

", "result_title": "Not Much." }, { "result_starting_range": 4, "button": { "_type": "button", "title": "Learn Some More", "src": "https://x.specialoffers.meredith.com/ats/show.aspx?cr=588&fm=201®source=20571" }, "result_ending_range": 6, "result_description": "

Not bad, but there’s much more to know about this illness. Subscribe to our daily Healthy Living newsletter and never miss an update.

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Is the Coronavirus Worse Than the Flu? Here’s How the Two Illnesses Compare

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", "result_title": "You Know Some Things About Some Things." }, { "result_starting_range": 7, "button": { "_type": "button", "title": "Stay Updated with Newsletters", "src": "https://x.specialoffers.meredith.com/ats/show.aspx?cr=588&fm=201®source=20571" }, "result_ending_range": 8, "result_description": "

Terrific. Keep reading about COIVD-19 on Health.com and stay safe!

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Is the Coronavirus Worse Than the Flu? Here’s How the Two Illnesses Compare

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", "result_title": "You Are Certified to Debate on Social Media." }, { "result_starting_range": 9, "button": { "_type": "button", "title": "Sign Up for Newsletters", "src": "https://x.specialoffers.meredith.com/ats/show.aspx?cr=588&fm=201®source=20571" }, "result_ending_range": 10, "result_description": "

You are definitely in the know! Keep coming back to Health.com for the latest information.

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Is the Coronavirus Worse Than the Flu? Here’s How the Two Illnesses Compare

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