Post-Covid Syndrome: Pathophysiology of Systemic Dysregulations

O. A. Gomazkov
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Abstract

The main processes that characterize the post-COVID syndrome are analyzed as a version of the “prolonged” pathology of acute COVID-19. Considering the variety of manifestations of post-covid pathology, the main blocks of systemic, cellular, and molecular dysregulations are distinguished. As the main reasons, the following are considered: the consequences of systemic and organ damage in the acute phase of COVID-19, the persistent activity of “hidden” pathogens, and the altered status of the patient’s protective immune systems. Postcoagulant pathology, as a multisystem syndrome, reflects disturbances in the main cellular and molecular regulatory systems: stochastic disorganization of immune responses, vascular endothelial dysfunction, cellular inflammation, imbalance of coagulation and antithrombosis systems, deviations in autoimmune processes, etc. These findings orient new cellular and biochemical targets for timely therapy. The varied nature of the symptoms suggests a selective use of therapeutic approaches.

新冠肺炎后综合征:系统性失调的病理生理学
摘要将后冠状病毒综合征的主要过程作为急性COVID-19的“延长”病理进行分析。考虑到新冠肺炎后病理表现的多样性,我们区分了系统性、细胞性和分子性失调的主要障碍。主要原因考虑如下:COVID-19急性期全身和器官损伤的后果,“隐藏”病原体的持续活动以及患者保护性免疫系统状态的改变。凝后病理是一种多系统综合征,反映了主要细胞和分子调节系统的紊乱:免疫反应的随机紊乱、血管内皮功能障碍、细胞炎症、凝血和抗血栓系统的失衡、自身免疫过程的偏差等。这些发现为及时治疗提供了新的细胞和生化靶点。症状的不同性质表明有选择性地使用治疗方法。
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