Chirwere cheKawasaki, PIMS uye covid-19: ndeapi zviratidzo uye njodzi muvana?

Chirwere cheKawasaki, PIMS uye covid-19: ndeapi zviratidzo uye njodzi muvana?

 

Chikwata chePasportSanté chiri kushanda kuti chikupe ruzivo rwakavimbika uye rwechinyakare pane iyo coronavirus. 

Kuti uwane zvimwe, tsvaga: 

  • Tsamba yedu yechirwere pane coronavirus 
  • Yedu yezuva nezuva yakagadziriswa nhau chinyorwa ichiendesa kurudziro yehurumende
  • Chinyorwa chedu pamusoro pekushanduka kweiyo coronavirus muFrance
  • Yedu yakazara portal paCovid-19

 

zvinobatsira vana uye kupa Pediatric multisystem anogumbura syndromes (PIMS), vakapinzwa muchipatara. Mhosva dzakatanga kutaurwa kuvakuru vehutano neUnited Kingdom. Dzimwe nyika dzataura zvakafanana, senge Italy neBelgium. MuFrance, chipatara cheNecker muParis, chakashuma zviitiko zana nemazana masere evana vakaiswa muchipatara muna Kubvumbi 125. Kusvika pari zvino, musi waMay 2020, 28, makesi 2021 akaonekwa. Ndezvipi zviratidzo? Chii chinobatana pakati pePIMS neCovid-19? Ndedzipi njodzi dzinogona kuitika kuvana?

 

Chirwere cheKawasaki uye Covid-19

Tsanangudzo uye zviratidzo zvechirwere cheKawasaki

Chirwere chaKawasaki chirwere chisingawanzoitiki. Yakawanikwa muJapan, nevana Dr. Tomisaku Kawasaki muna 1967, maererano ne vasculitis kushamwaridzana. Ichi chirwere ndechimwe chezvirwere zvenherera. Tinotaura nezvehurwere hwenherera apo kupararira kuri pasi pemakesi mashanu pavagari gumi. Chirwere chaKawasaki inoratidzirwa neacute systemic vasculitis; ndiko kuzvimba kwemadziro etsinga dzeropa. Inoratidzwa nefivha yakanyanya, iyo inopfuurira kwemazuva mashanu. Hahubvumirwi zvakanaka nemwana. Kutaura kuti mwana ane Chirwere chaKawasaki, fivha inofanira kuva zvine chokuita neinenge yezviratidzo zvinotevera : 

  • Kuzvimba kwema lymph node; 
  • Kuputika kweganda;
  • Conjunctivitis; 
  • Raspberry rurimi nemiromo yakatsemuka; 
  • Kuchenesa kwemagumo eganda achiperekedzwa nehutsvuku uye edema. 

Muzviitiko zvakawanda, chirwere chine hunyoro uye vana havana zvese zviratidzo; ichi chinonzi chinonzi atypical kana chisina kukwana chirwere. Mwana anoda kuteverwa nekutariswa nachiremba. Anopihwa kurapwa uye muviri wake unowanzo pindura zvakanaka. Mwana anopora nekukurumidza kubva kuchirwere kana chikatarisirwa nekukasira zvakakwana. Chirwere cheKawasaki hachipararirekana nhaka. 

Muzviitiko zvisingawanzoitiki, Chirwere cheKawasaki chinogona kutungamirira kune mamwe matambudziko emwoyo : 

  • Kuwedzera kwetsinga;
  • Magetsi vharuvhu yemoyo (kugunun'una);
  • Kuvhiringidzika kwemwoyo rhythm (arrhythmia);
  • Kukuvadza kumadziro emhasuru emoyo (myocarditis);
  • Kukuvadza kune membrane yemoyo (pericarditis).

Kubva kupera kwaApril 2020, Santé Publique France, mukubatana nemapato akadzidza evana, akagadza kuongororwa kwekushomeka kwezviitiko zvakataurwa zvevana vakagadzira myocarditis nekuvhunduka (pediatric multisystem inflammatory syndromes or PIMS).

May 28: 

  • 563 nyaya dzePIMS dzakataurwa;
  • 44% yavo vasikana;
  • zera repakati remakesi makore masere;
  • vanopfuura makota matatu, kana 79% yevana vakasimbiswa nePCR bvunzo uye / kana yakanaka serology yeSars-Cov-2;
  • yevana mazana maviri nemaviri, kugara munzvimbo yevanotarisirwa zvakanyanya kwaidikanwa uye kwe230, kupinzwa muchipatara chevanorwara zvakanyanya. 
  • PIMS yakaitika mukati meavhareji yemavhiki mana kusvika mashanu mushure mekutapukirwa neSars-Cov-4.


Yeuchidzo yezviratidzo uye njodzi dzekoronavirus muvana

Kwidziridzo Chivabvu 11, 2021 - Santé Publique France inotizivisa kuti vana vari muchipatara, vakapinzwa mukutarisirwa kwakanyanya kana vakafa nekuda kweCovid-19 vanomiririra isingasviki 1% yehuwandu hwevarwere vari muchipatara kana vakafa. Kubva Kurume 1, vana makumi manomwe neshanu vakapinzwa muchipatara uye gumi nevanomwe vari mukutarisirwa kwakanyanya. MuFrance, nzufu nhanhatu dzevana vane makore ari pakati pegumi neane gumi nemana dzinofanirwa kuverengerwa.

Zvinoenderana nedhata kubva kuPublic Health France, " vana vanomiririrwa zvisina tsarukano pakati pevarwere vakaiswa muchipatara kwe COVID-19 uye pakati pekufa (isingasviki 1%) “. Inserm inoratidzawo, mumafaira ayo eruzivo, kuti avo vari pasi pegumi nemasere vanomiririra isingasviki gumi muzana yematambudziko akaonekwa. Vana vari, kazhinji, asymptomatic uye varipo vane mwero mafomu echirwere. Nekudaro, Covid-18 inogona kuratidza sechiratidzo chimwe chete. Dhigestive kusagadzikana kunowanzoonekwa kune vechidiki pane vakuru.


Zvinoenderana neongororo yePed-Covid, inotungamirwa nechipatara cheNecker (AP-HP) uye Institut Pasteur, vana havana zviratidzo zvakanyanya munenge makumi manomwe muzana. Chidzidzo ichi chine vana 70 vane makore 775 kusvika 0. Nekune rumwe rutivi, zviratidzo zvinoonekwa muvana fivha inoperekedzwa nekushatirwa kusingawanzoitiki, kukosora, manyoka dzimwe nguva kunoenderana nekurutsa uye dumbu remudumbu. Nyaya dzemhando dzakakomba dzechirwere cheCovid-18 dzakasarudzika muvana. Zviratidzo zvinofanirwa kuchenjerera ndezvekunetseka kwekufema, cyanosis (bluish ganda) kana acute kufema kunetseka. Mwana achaita zvichemo uye kuramba kupa chikafu. 

Pakutanga kwe denda reCovid-19, vana vacho vairatidza kuti vaiva nehanya nazvo coronavirus nyowani. Zvinogara zvakadaro. Muchokwadi, vana vanogona kutapukirwa neCovid-19, asi havana zviratidzo zvakanyanya, kana kutoshaya zviratidzo zvachose. Ichi ndicho chikonzero nei zvakaoma kuzvitora munhoroondo mune epidemiological data. Mukuwedzera, zvinoreva kuti vanogona kutapurira utachiona. As to zviratidzo zveinova coronavirus, zvakafanana muvakuru nevana. Izvi zviratidzo zvekiriniki zvakafanana nedzihwa kana furuu.

Kuvharirwa kwechipiri nevana

Matanho akaomarara ekudzivirira abviswa kubva muna Zvita 15.

Kutevera kuzivisa kwaEmmanuel Macron, huwandu hwevaFrance hwakavharirwa kechipiri, kubva Gumiguru 30 uye zvirinani kusvika Zvita 1. Nekudaro, chikoro chinochengetedzwa (kubva kukireshi kusvika kuchikoro chesekondari) uye nzvimbo dzekurera dzinoramba dzakavhurika, iine yakasimbiswa hutano protocol. Kupfeka chifukidzo kwave kumanikidza vana kubva pamakore matanhatu, kuchikoro. Kune rimwe divi, sepaya pekuvharirwa kwekutanga, mugari wega wega anofanira kuuya ne chitupa chekufamba chinonyadzisa. Musiyano uripo ndewekuti humbowo hwekusingaperi hwekuchikoro hunowanikwa panzendo dzevabereki, pakati pemusha nenzvimbo yekutambira yemwana. 

Kudzokera kuchikoro uye coronavirus

Uye zvakare, matanho ehutsanana anoremekedzwa kwazvo, nekuda kwekugeza mawoko kunoitwa kakati wandei pazuva uye kupora utachiona hwezuva nezuva nemidziyo inoshandiswa. Mitemo yakaomarara yakarairwa, sekupfeka mamask nevanhu vakuru pasina kusarudzika mukati nekunze kwenzvimbo. Vadzidzi vane makore matanhatu vanofanirawo kupfeka mask, pasi pemamiriro akafanana. Kurudziro pane "mudzidzi kusanganisaInobudiswa kudzivirira mapoka kubva kuyambuka nzira. Mukandini, chinhambwe chemita imwe pakati pemudzidzi mumwe nemumwe chinofanira kuremekedzwa.

Gadziridza Kubvumbi 26, 2021 - Imwe chete kesi yeCovid-19 inotungamira pakuvharwa kwekirasi muzvikoro kubvira kukireshi kusvika kuzvikoro zvepamusoro. Iyo protocol yehutano inosimbiswa muzvikoro uye vadzidzi vanofanirwa kupfeka chikamu 1 mask, kunyanya kudzivirira vari vari. The kudzokera kuchikoro muna Kubvumbi zvakaitika. Bazi rezvedzidzo rinotaura nezvekuvharwa kwezvivakwa gumi nemana zvekureresa pamwe nekirasi imwe chete mumazuva manomwe apfuura. Anopfuura zana nemakumi masere nezviitiko anosimbiswa pakati pevadzidzi.

Nei uchiita chinongedzo pakati peCovid-19 nePIMS?

Chibvumirano chakasimbiswa pakati pePIMS neCovid-19

Musi waMay 25, 2021, thechiitiko chePIMS maererano neCovid-19 yakafungidzirwa pamakumi matatu nemazana masere ezviitiko pamiriyoni yehuwandu hwevanhu vari pasi pemakore gumi nemasere.

Isati yatanga iyo denda rakabatana nehutachiona hweSars-Cov-2, masayendisiti akanga aita kubatana, panguva yezvidzidzo zvevirological, pakati vana uye kupa Kawasaki-senge zviratidzo uye coronaviruses (zvakasiyana neCovid-19). Iyo inotapukira mumiririri yakawanikwa mu7% yevarwere vane chirwere ichi. Cherechedzo inotevera inosimbiswa: "Kuvapo kwavo hakunongedze kwavari sechikonzero chakananga chechirwere asi, zvisinei, vanogona kutariswa kuti vakonzerese mhinduro isina kufanira yekuzvimba muvana vangangofungirwa", maererano nesangano revasculitis. Zvinoitika nhasi kuti nyaya dzevana vanonzi dzairwara PIMS, yevana multisystem anogumbura syndromes. Zviratidzo zvekuchipatara zve PIMS iri padhuze nepadiki yechirwere cheKawasaki. Musiyano ndewekuti iyo PIMS inogona kukanganisa vana vakura zvishoma, nepo chirwere cheKawasaki chinokanganisa vana vadiki nevacheche. Maronda emwoyo anokonzerwa nePIMS anonzi akanyanya kudarika echirwere chisingawanzoitika.

Mumushumo waChikumi 16, 2020, wevana 125 vakatanga kuchipatara kwePIMS, 65 vavo vaive yakaedzwa yakanaka yeCovid-19. Kubatana kwacho kwaigona kuitika, asi kwanga kusati kwaratidzwa.

Musi waZvita 17, 2020, Public Health France inoratidza mumushumo wayo kuti " iyo data yakaunganidzwa inosimbisa kuvepo kweasingawanzo multisystem chirwere chekurwadzisira muvana vane kazhinji moyo moyo kubatanidzwa, yakabatana neCOVID-19 denda “. Muchokwadi, kubva munaKurume 1, 2020, Santé Publique France yakagadzira system yekutarisa ye vana vane PIMS. Kubva musi iwoyo, 501 zviitiko zvevana zvakakanganiswa muFrance. Dzinenge nhatu-nhatu dzadzo, kana 77%, dzakaratidzwa positive serology yeCovid-19. Vanopfuura chiuru pasirese, maererano neUK's National Health Service.

Musi waChivabvu 16, 2020, Santé Publique France yakazivisa kufa kwemukomana ane makore 9 wekuMarseille. Mwana akaunzwa Kawasaki-senge zviratidzo. Uye zvakare, yake serology yaive yakanaka maererano neCovid-19. Murwere wechidiki aive ne "kusagadzikana kwakanyanya nekusungwa kwemoyo", Kumba kwake, kunyangwe akange arapwa muchipatara kwemazuva manomwe zvisati zvaitika. Akapa "neuro-kukura kwekudyidzana“. Zviratidzo zvemakiriniki, zvakafanana neizvo zvechirwere chisingawanzoonekwa, zvinogona kuoneka mushure memavhiki mana mwana asangana neiyo coronavirus nyowani. 

Ndeapi marapirwo evarwere vadiki ava? 

Kwidziridzo Kurume 31, 2021 - Iyo French Pediatric Society inokurudzira kuitiswa kweiyo yakaomesesa yekuchengetedza protocol. Kurapa kunogona kuvakirwa corticosteroid kurapa, kubata mishonga ou immunoglobulins. 

MuFrance, mushure mehuwandu hwepamusoro hwakaonekwa mukati mesvondo raKubvumbi 27 kusvika Chivabvu 3, huwandu hwenyaya hutsva hwaderera zvakanyanya kubva ipapo. 

Kana usina chokwadi, bata chiremba. Mushure mekuongororwa, anozopa kurapwa kunoenderana nemwana uye osarudza nezve zviito zvinotorwa. Kazhinji, mwana anofanira kuiswa muchipatara kuti ave nechokwadi chekutevera uye nokudaro dzivisa njodzi yezvinetso. Mushonga uchapihwa kwaari. Miedzo icharairwa, yakadai se ultrasound, kuti udzidze zvakawanda nezvehutano hwemwana. Muviri wemuviri mudiki unogamuchira uye unopora nekukasira. Pasi pemamiriro akanaka ekutevera, mwana anopora. 

Chiyeuchidzo chemaitiro akanaka ekuzvibata

Kurwisa kupararira kwehutachiona hweSars-Cov-2, isu tinofanirwa kuita mukudzivirira kuchengetedza vanonyanya kutambudzika. UNICEF (United Nations Children’s Fund) inokurudzira kuti vabereki vataure zvakajeka nezveutachiona, kuburikidza nemisangano yekugadzira zvinhu kana kushandisa mashoko ari nyore. Iwe unofanirwa kuve nemoyo murefu uye mudzidzisi. Matanho ehutsanana anofanirwa kucherechedzwa, sekugezesa maoko ako nguva nenguva kana kuhotsira mukati megokora regokora. Kuti vasimbise vana vari kudzokera kuchikoro, vabereki vanofanira kuziva kuti vana havazotambura nekudzikira kwepfungwa. Vana vose vari mumamiriro ezvinhu akafanana. Kutsanangura manzwiro ake, kutendeseka kumwana wake zviri nani pane kumunyepera kuedza kumusimbisa. Zvikasadaro, achanzwa funganyo dzevabereki vake obva afunganya pamusoro pokudzokera kuchikoro. Mwana anofanira zvakare kukwanisa kuzviratidza uye kunzwisisa zviri kuitika. Achanyanya kuremekedza mitemo, kuzvidzivirira iye nevamwe vake. 

 

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