RESEARCH PAPER
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
 
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1
State Institute Ukrainian Research Institute of Medical Rehabilitation and Resort Therapy of the Ministry of Health, Odesa, Ukraine
 
2
Military Clinical Hospital No. 1 with Polyclinic, Independent Public Health Care Unit, Lublin, Poland
 
3
Odesa National Medical University, Odesa, Ukraine
 
 
Corresponding author
Lidia Sierpińska   

Military Clinical Hospital No. 1 with Polyclinic, Independent Public Health Care Unit, Lublin, Poland, Al. Racławickie 23, Al. Racławickie 23, 20-049, Lublin, Poland
 
 
Ann Agric Environ Med. 2023;30(2):266-272
 
KEYWORDS
TOPICS
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.

Material and methods:
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.

 
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