Therapeutic possibilities for the correction of cognitive and psychoemotional impairments in patients with post-covid syndrome

THERAPEUTIC POSSIBILITIES FOR THE CORRECTION OF COGNITIVE AND PSYCHOEMOTIONAL IMPAIRMENTS IN PATIENTS WITH POST-COVID SYNDROME
Rakhimjon M. Urinov
Researcher,
Bukhara State Medical Institute,
Uzbekistan.
Abstract: This article discusses the therapeutic possibilities for the correction of cognitive and psychoemotional impairments in patients with post-covid syndrome. The search for a method of rehabilitation of cognitive impairment, non-invasive, painless and having a long-term effect after the end of the course of treatment remains relevant. These developments include the method of bioacoustic correction (BAC) - an innovative technique based on the activation of neuroplasticity processes by synchronizing endogenous neural activity with afferent neurodynamics provoked by sensory input.
Keywords: Post-covid syndrome, psychoemotional disorders, cognitive impairment, bioacoustic correction method.
Relevance. The neurological complications of SARS-CoV-2 coronavirus infection COVID-19 are extremely diverse (5,7). For example, COVID-19 increases the risk of stroke, encephalopathy, cerebral microbleeds, and autoimmune diseases, such as Guillain–Barré syndrome [6]. Given that at the present stage, all health reserves have been directed to fighting the pandemic and developing a vaccine, the condition of patients who have had COVID-19 has not been studied so actively.
Nevertheless, recently there have been more and more publications about such a formidable complication of COVID-19 as cognitive impairment (CI). Risk factors for severe COVID-19 and CI overlap to a large extent and include older age, obesity, and the presence of comorbid conditions such as hypertension and type 2 diabetes. Such patients are potentially at high risk of developing CI during and after various inflammatory processes [4,8], as well as in connection with their anesthesia [8].
Thus, people who are most susceptible to complications from COVID-19 are also potentially the most susceptible to developing CI in an inflammatory process. Many studies have shown that CI in some patients with acute respiratory distress syndrome (ARDS) persisted for 5 years after the disease (9,10). That is why in this study we decided to consider such a complication of COVID-19 as CI.
The search for a method of rehabilitation of cognitive impairment, non-invasive, painless and having a long-term effect after the end of the course of treatment remains relevant. These developments include the method of bioacoustic correction (BAC) - an innovative technique based on the activation of neuroplasticity processes by synchronizing endogenous neural activity with afferent neurodynamics provoked by sensory input. Activation of neuroplasticity contributes to the restoration of the processes of maturation of brain structures, as well as the inclusion of morphofunctional compensatory mechanisms (1,2). The basis of the method is the computer transformation of the patient's electroencephalogram into an acoustic signal and the presentation of this signal to the patient in real time, thereby performing sensory EEG-dependent stimulation. BAC-therapy contributes to the normalization of the psychophysiological state, there is an improvement in mood, a decrease in increased anxiety, emotional tension, fatigue, sleep and mood normalize, aggressiveness decreases (3).
Thus, at present, a non-drug method for the treatment of diseases of the central nervous system based on bioacoustic correction is a generally available method for treating a wide range of diseases of the nervous system. At the same time, it is impossible not to note the harmlessness of the method, its high efficiency, the possibility of using it in childhood, the possibility of reducing the drug load on the body.