“Cada vez es más frecuente la consulta por problemas cognitivos de pacientes que han tenido covid ¿Qué me dicen? Que les cuesta encontrar las palabras, que se quedan tildados y no saben qué decir; hay mucha dificultad para recordar las cosas… el problema es que esto es relativamente nuevo y aún no están los tiempos para confirmar si es producido por un problema directo de covid, por el aislamiento de la cuarentena o por las dos cosas”, explica, en comunicación con Revista BIFE, el neurólogo santarroseño Eduardo Koller.
La enfermedad no se acaba con la curación. Cada vez son más los pampeanos que recurren a la consulta médica en busca de un tratamiento adecuado por los problemas cognitivos que padecen luego de haber contraído coronavirus. Desde cansancio mental o pérdida de la memoria a corto plazo, pasando por falta de atención y comprensión, hasta trastornos psicológicos como depresión o bipolaridad, son algunas de las consecuencias de haber sido positivo.
Cada vez es más frecuente la consulta por problemas cognitivos de pacientes que han tenido covid
Según los especialistas, el virus afecta directa e indirectamente al cerebro. Por un lado provoca una afectación sobre el tejido nervioso y causa problemas de hipercoagulabilidad. Y por otro lado, está la parte de la hipoxia, es decir, la falta de oxigenación de los tejidos, que puede condicionar un daño temporal.
“Todavía no se sabe bien cómo afecta… pero hay algo que se llama ‘niebla en el cerebro’, que es como una obnubilación por un momento. Puede ser por infección directa, aunque en teoría no se pudo ver el virus dentro del cerebro, pero sí se ha visto partículas del código viral en el cerebro. De cualquier manera los coronavirus previos que ya se conocen, se han descubierto que tienen invasión directa en el cerebro”, detalla el médico neurólogo, quien asegura también que tiene más consultas porque “hay más casos”.
Un estudio publicado en la revista Lancet Psychiatry revela que el 34% de los sobrevivientes de covid-19 recibieron un diagnóstico de una afección neurológica o psicológica dentro de los seis meses posteriores a la infección.
Hay algo que se llama ‘niebla en el cerebro’, que es como una obnubilación por un momento
A su vez, otra investigación publicada en Eurekalert (llevado a cabo por psicólogos de la Universidad de Oxford Brookes) descubrió que, a corto plazo, el 95% de los pacientes sufrían un trastorno de estrés postraumático. También, entre el 17 y 42% podían experimentar trastornos afectivos como depresión.
“Los pacientes que tienen un covid más grave tienen un mayor compromiso cerebral. Pero todos los que tuvieron covid, aunque sea de forma leve, pueden tener una afección a nivel cerebral. Hoy se describe el covid agudo (cuando lo tenés), el covid persistente (que te dura hasta 4 o 12 semanas) y el covid crónico (que te dura más de 12 semanas). Todo esto no está bien distribuido, pero se está planteando así”, indica Koller.
Según el estudio anteriormente mencionado, la falta de atención se presentó en el 45% de los casos y el deterioro de la memoria entre un 12 y 28%. Sobre los problemas a largo plazo, el 44% continuó presentando problemas de atención y entre el 28 y 50% deterioro de la memoria.
Los pacientes que tienen un covid más grave tienen un mayor compromiso cerebral
“Hay mucha gente joven que no debería tener trastornos de memoria, que no es común, y en el pos covid lo plantean. No hay un tratamiento específico. Pueden ocurrir tres cosas. Una es la queja subjetiva (hacés evaluaciones y está todo normal). La segunda es un deterioro cognitivo leve (que es trastorno de memoria relativamente significativo, pero que no lo afecta en su actividad diaria). Y la tercera son los cuadros demenciales, que ocurre más con la gente grande. Por ahora no se sabe con precisión si, en estos casos, se acelera, por ejemplo, el alzhéimer”, concluyó.
Testimonios
Para bajar a realidad y que no sean una mera estadísticas o el diagnóstico de un médico, Revista BIFE entrevistó a tres personas recuperadas de coronavirus, quienes contaron cómo el virus –una vez curados- les afectó en la cotidianeidad por la pérdida de la memoria, la lentitud para resolver cosas y la depresión.
Ivana, 40 años, trabaja en un local de venta de pintura
“Estoy más leeerda, muy lerda. Más distraída. Me olvido las cosas. No ha niveles muy altos… pero por ejemplo en mi trabajo, que tengo que atender a la gente, me dicen ‘necesito un litro de pintura de tal color’, entonces busco el libro de pintura pero le tengo que preguntar qué color me había pedido porque me olvido. Quizá también tiene que ver con el cansancio físico. Después, hay otros síntomas, como por ejemplo que un oído me chilla”.
Ignacio, 35 años, docente de la Universidad de La Pampa
“Llevo un año así y estoy peor ahora que cuando me contagié. Tengo fatiga y dolores musculares. Me canso con subir un escalón. Y tengo alteraciones cognitivas: el simple hecho de redactar un correo de siete líneas me puede llevar una hora y media. No soy capaz de aguantar una jornada laboral, sobre todo ahora, que es por Zoom, sufro demasiado para no perder el hilo cuando doy las clases virtuales a mis alumnos”.
Victoria, 23 años, estudiante de la UNLPam
“Desde la pre-adolescencia tomo una medicación porque me diagnosticaron bipolaridad. Estuve internada en un hotel cuando tuve Covid. La pasé verdaderamente mal porque tuve una depresión muy terrible, pero se lo atribuí a los dolores, el encierro y demás. Sin embargo, al poco tiempo de recuperarme, empeoré psicológicamente y me tuvieron que aumentar la medicación. Ahora estoy mucho peor porque estoy prácticamente sedada, duermo todo el día, pero me dicen que si me bajan la medicación como antes me puede disparar un brote”.
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140 thoughts on “Las cicatrices del covid: “Tardo hora y media en redactar siete líneas de un mail” y otros testimonios que revelan los daños cerebrales en pacientes pampeanos”
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